Queensland Consolidated Acts

WORKERS' COMPENSATION AND REHABILITATION ACT 2003 - SECT 232S

232S Review if worker entitled only for interim period

(1) This section applies if an insurer decides, under section 232M , a worker is entitled to treatment, care and support payments for the worker’s injury or injuries for an interim period.

(2) The insurer—

(a) may review the worker’s entitlement at any time during the interim period; and

(b) must review the worker’s entitlement at least once before the end of the interim period.

(3) A review must be carried out in the way prescribed by regulation.

(4) After carrying out a review and before the interim period ends, the insurer must decide—

(a) if the insurer is satisfied that the worker’s serious personal injury is likely to continue to meet the eligibility criteria for the injury after the interim period ends—that the worker is entitled to treatment, care and support payments for the worker’s injury or injuries for the rest of the worker’s life; or

(b) otherwise—that the worker’s entitlement to treatment, care and support payments for the worker’s injury or injuries ends—

(i) when the interim period ends; or

(ii) at the start of an earlier day decided by the insurer.

(5) If the worker has multiple injuries resulting from the same event, the insurer’s decision under subsection (4) must be made in relation to the worker’s serious personal injury even though the worker may not need treatment, care or support for the other injuries for the rest of the period decided under the subsection.

(6) Within 10 business days after making a decision under subsection (4) , the insurer must give the worker written notice of the decision.

(7) If the insurer decides the worker’s entitlement to treatment, care and support payments ends at a time mentioned in subsection (4) (b) , the worker stops being entitled to treatment, care and support payments at that time.