188.8.131.52 Determine & calculate IB entitlement
The whole person impairment (WPI Whole person impairment) percentage confirmed by an independent impairment assessment (IIA Independent impairment assessment) is used to calculate the compensation amount for the claimed date of injury.
For claims lodged on or after 18/11/04 Agents are not bound by the WPI percentage assessed by the impairment assessor but must take this into account to determine the WPI and calculate the compensation amount.
Follow these steps to calculate the entitlement to impairment benefits.
|Gather details about WPI levels||
Gather details about the WPI levels for physical and psychiatric impairments and total loss injuries for the one work-related event
Use the tables provided to find indexed compensation amounts.
See: Compensation tables
|If there are no total loss injuries||
Use these compensation tables:
Further injury hearing loss impairment
|Impairments determined at 71% or more||
The worker is entitled to receive compensation calculated at the relevant date that compensation is determined rather than the date of injury if the worker has:
If the worker’s entitlement was paid under the previous provisions of the Act, the worker is entitled to have their entitlement re-calculated based on the ‘relevant date’ and to be paid any difference in compensation. Issue a new Notice of Liability and Entitlement.
The total amount of compensation cannot exceed the s98C maximum indexed amount.
See: Compensation table for physical impairment | Compensation table for psychiatric impairment
|If there are total loss injuries||
If there are total loss injuries, calculate the worker's entitlement for both physical impairment and total loss and offer the worker the highest of the two.
Total loss entitlement calculation using the No disadvantage compensation table.
Non-economic loss entitlement calculation using the Compensation table for physical impairment.
|For injuries on or after 12/11/97 to 2/12/03||
For calculation 1
Note: The maximum amount payable under no disadvantage compensation table for a single incident is $325,680 (which is indexed annually by date of injury).
For calculation 2
|For injuries on or after 3/12/03||
For calculation 1
Note: The maximum amount payable under no disadvantage compensation table for a single incident is $301,270 (which is indexed annually by date of injury).
For calculation 2
Apply statutory maximum
Determine a total for calculation 2 (either payment under combined WPI for physical injuries or the modified Chapter 3 WPI entitlement or the Chapter 3 Spine WPI entitlement – whichever equates to the higher payment).
For the final total, apply the statutory maximum.
The maximum compensation payable for multiple injuries sustained on the same occasion is indexed annually. The compensation payable must not exceed this amount. If necessary, reduce the compensation to the statutory maximum amount.
Deduct any previous impairment compensation
Deduct compensation from an impairment claim if there has been a previous maims and pain and suffering claim paid for the same injury.
The compensation amount for the impairment claim must be reduced by the total amount of any maims and pain and suffering payments if the amount of impairment assessed for the current claim includes any impairment or loss of use of the same body part involved in a previous claim.
If a claim lodged on or after 18/11/04 is a further injury hearing loss claim refer to Assess further hearing loss. An equation confirms the workers entitlement, a deduction of the previously paid amount does not occur.
|For claims lodged on or after 29/07/2010||
If the worker has been paid compensation for an injury that occurred by gradual process due to the nature of the employment or arose out of or in the course of employment, the worker is not entitled to further compensation for maims, pain and suffering or non-economic loss if the injury was sustained:
After the final compensation liability and entitlement is calculated update the claim file.
|Loss of a foetus||
If the injury is for a loss of a foetus, an impairment assessment is not required. Determine the appropriate amount of compensation payable using Summary of legislated formulas.
Note: If necessary consult a suitably qualified person (technical) before you pay compensation.