Workcover

INSURER OBLIGATIONS

The key obligation of an approved insurer is to issue a compulsory insurance policy required by an employer under the ACT Workers Compensation Act 1951 (the Act).  Approved insurers under the Act are listed in Information Bulletin 11.04 Workers Compensation - Approved Insurers.

Under the Act, the insurer is also responsible for the establishment, maintenance and implementation of an Injury Management Program. As part of this program the insurer must ensure employers are aware of their Injury Management Program obligations. The insurer is also required to provide coordination and management in relation to the claims management process.

Other obligations placed on insurers during these processes are:

• to pay compensation when a claim is made, until the claim is rejected or settled

• if the injury is a "significant injury" (where the injury is likely to result in the worker being incapacitated for work for a continuous period of longer than 7 days), make contact with the injured worker, employer and, if appropriate and practical, the nominated treating doctor within three business days

• develop and implement a personal injury plan for all injured workers suffering a significant injury

• accept or reject a claim within 28 days (rejection requires written notice to the worker and the employer, and must include the reason the insurer is rejecting the claim)

Should you wish to obtain any further information on the obligations placed on insurers under the Act, please contact the Workers Compensation Hotline on (02) 6205 0760.

This page last updated 27 May, 2008  | ACT Government © Copyright 2007 | Disclaimer | Privacy