6.2.3 Calculate entitlement
6.2.3.1 Information needed to calculate entitlement | 6.2.3.2 Determine & calculate IB entitlement | 6.2.3.3 Create notice of entitlement | 6.2.3.4 Worker responds to notice of entitlement | 6.2.3.5 Complete medical panel referral forms | 6.2.3.6 Pay worker impairment benefit | 6.2.3.7 Compensation tables - amounts payable | 6.2.3.8 Calculate gradual process injuries | 6.2.3.9 Calculate multiple injury claims
6.2.3.1 Information needed to calculate entitlement
Here is a list of information needed to calculate IB entitlements.
Identified injuries
The injuries for which liability was accepted must be identified.
Grouped injuries
Injuries that occurred in the same event or circumstance must be grouped together and the date of injury identified.
Physical & psychiatric impairment levels
For each accepted injury, including any total loss injuries, the IIA Independent impairment assessment provides:
- the level of physical impairment for injuries assessed within the AMA4 Guides
- for injuries which occurred on or after 3/12/03, the level of physical impairment for injuries assessed solely under Chapter 3 of the AMA4 Guides
- for claims lodged or claims with the first impairment assessment on or after 10 December 2009, the combined level of impairment for spinal injuries assessed solely under Chapter 3 of the AMA4 Guides
- If there are any total loss injuries, both the following must be provided:
- a percentage of impairment that includes the total loss figure
- a percentage of impairment that excludes the total loss figure
- the level of psychiatric impairment.
Date of injury
For claims lodged before 10 December 2009 or where a worker has attended the first impairment examination before 10 December 2009, the date of injury is needed to calculate the worker’s entitlement.
Date of injury is identified in one of the following ways:
- date of the work-related An injury/disease is work related if it arose out of or in the course of employment and the scope of employment. incident/cause of claimed injury
- for injuries that occur by way of gradual process over time:
- the last day on which the worker was performing duties or exposed to conditions, by reason of which the injury was due to the nature of the worker’s employment or arose out of or in the course of the worker’s employment or
- the date the claim is given, served or lodged where the worker is still performing duties or exposed to conditions the reason of which the injury was due to the nature of the workers’ employment or arose out of our in the course of the workers employment
- for hearing loss or further injury hearing loss, it is the last date of employment or the date of the lodgement of the claim (if the worker is still in current employment).
Injuries assessed at 71% or more
For claims lodged after 10 December 2009 (or where a worker has lodged a claim before 10 December 2009 but has attended impairment examinations after 10 December 2009), physical and psychiatric IB claims must be calculated as at the relevant date that compensation is determined.
See: Calculate hearing loss claims | Calculate gradual process injuries
Compensation tables
Use the compensation tables to find out the compensation amounts payable.
See: Compensation tables
Compensation amounts previously paid
Any compensation amounts previously paid for maims, pain and suffering, no disadvantage or non-economic loss must be identified. They may be deducted from the compensation for an impairment that is the result of an injury caused by recurrence, aggravation, acceleration, exacerbation or deterioration of the previously compensated injury.
Gradual process claims
A worker is not entitled to recover further impairment compensation for an injury which occurred to the same body part for which they have previously received impairment compensation for a gradual process injury.
Note: For a further injury hearing loss claim the Agent does not deduct any payment made for a prior injury hearing loss claim.