004_ACC_April_2016

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PLEASE NOTE: All information in this publication is correct as at April 2016 and subject to change. This is only a guide. It should not be used as a substitute for professional advice. CONTENTS INTRODUCTION................................................................................................. 5 WORK-RELATED PERSONAL INJURY................................................................ 5 Motor vehicle injuries..................................................................................................... 5 Work-related.........................................................................................................................................5 Non work-related...............................................................................................................................5 Heart attacks and strokes............................................................................................... 6 Medical treatment of work-related injury.................................................................... 6 Gradual process, disease, or infection........................................................................... 6 Injuries occurring between 1 August 2008 and 30 June 2010...........................................6 Injuries occurring before 1 August 2008, or after 1 July 2010............................................6 Date on which a work-related gradual process injury suffered.........................................7 Non work-related...............................................................................................................................7 Work-related mental injury............................................................................................ 7 Date on which work-related mental injury suffered............................................................. 8 MONETARY ENTITLEMENTS............................................................................. 8 Claimant’s responsibilities............................................................................................. 8 First week compensation................................................................................................ 8 Entitlement to weekly compensation........................................................................... 9 Entitlement where claimant no longer employee...................................................... 10 Calculation of weekly earnings.................................................................................... 10 Shareholder employees.................................................................................................11 Treatment costs..............................................................................................................11 Lump sum compensation............................................................................................. 12 Holiday entitlements.................................................................................................... 13 Public (statutory) holidays............................................................................................................ 13 Sick Leave........................................................................................................................................... 13 Annual holidays................................................................................................................................ 13 REHABILITATION.............................................................................................. 13 Employer’s obligation................................................................................................... 13 Individual rehabilitation plan...................................................................................... 13 Social rehabilitation...................................................................................................... 14 Vocational rehabilitation.............................................................................................. 15 Matters considered in providing vocational rehabilitation...................................... 15 Initial occupational assessment................................................................................... 16 Medical assessor............................................................................................................ 16 Changing circumstances................................................................................................17 2
VOCATIONAL INDEPENDENCE....................................................................... 17 Assessment.....................................................................................................................17 If vocational independence is established..............................................................................17 If vocational independence is lost............................................................................................. 18 DISENTITLEMENTS.......................................................................................... 18 Wilfully inflicted injuries............................................................................................... 18 CLAIMS PROCESS............................................................................................. 18 DISPUTE RESOLUTION.................................................................................... 19 How to apply for a review............................................................................................. 19 Once a review application is received......................................................................... 20 Costs on review.............................................................................................................. 22 APPEALS............................................................................................................ 22 Bringing an appeal........................................................................................................ 22 Further appeals............................................................................................................. 23 LEVIES............................................................................................................... 23 Experience rating.......................................................................................................... 24 No-Claims Discount Programme............................................................................................... 24 Experience Rating Programme................................................................................................... 24 Classification for levy purposes................................................................................... 25 Risk adjustment of employer levies............................................................................. 25 Criteria for upward adjustment of levies.................................................................... 25 Workplace safety management practices (WSMP)..................................................... 26 ACC Workplace Safety Discount Programme.............................................................. 26 WORK ACCOUNT.............................................................................................. 27 Promotion of employer involvement.......................................................................... 27 ACCREDITED EMPLOYERS............................................................................... 27 Reporting and information.......................................................................................... 28 COVER FOR NON-WORK RELATED PERSONAL INJURY................................29 Earners’ account............................................................................................................ 29 Non-earners’ account................................................................................................... 29 Motor vehicle account.................................................................................................. 29 Treatment injury account............................................................................................. 29 3
Page 1: 1 ACCIDENT COMPENSATION Empowering
Page 5 and 6: BACK INTRODUCTION New Zealand has h
Page 7 and 8: BACK An employee who deliberately m
Page 9 and 10: BACK The employer at whose workplac
Page 11 and 12: BACK If an employee was in permanen
Page 13 and 14: BACK Holiday entitlements PUBLIC (S
Page 15 and 16: BACK Vocational rehabilitation The
Page 17 and 18: BACK Changing circumstances Vocatio
Page 19 and 20: BACK Claims must be lodged within 1
Page 21 and 22: BACK A review hearing must be condu
Page 23 and 24: BACK Once an appeal notice is recei
Page 25 and 26: BACK Because the experience rating
Page 27 and 28: BACK Employers are required to: •
Page 29 and 30: BACK COVER FOR NON-WORK RELATED PER
Page 31 and 32: BACK Employer ‘Employer’ means:
Page 33 and 34: BACK APPENDIX Occupational diseases

004_ACC_April_2016

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