Safety, Rehabilitation and Compensation Regulations 2002
I, PETER JOHN HOLLINGWORTH, Governor-General of the Commonwealth of Australia, acting with the advice of the Federal Executive Council, make the following Regulations under the Safety, Rehabilitation and Compensation Act 1988.
Dated 27 March 2002
Governor-General
By His Excellency’s Command
TONY ABBOTT
Contents
Part 1 Preliminary
1 Name of Regulations
2 Commencement
3 Safety, Rehabilitation and Compensation Regulations 1990 — repeal
4 Definitions
Part 2 Compensation
5 Index — percentage of further increase in normal weekly earnings
6 Manner of calculation of further increase in normal weekly earnings
Part 3 Approved rehabilitation program providers
7 Renewal date
8 Processing fee for application for initial approval
9 Processing fee for application for renewal of approval
Part 4 Application for grant of a licence
10 Prescribed form
11 Prescribed particulars
12 Prescribed documents and information
Part 5 Suspension and revocation of licences
13 Consequences of suspension of licence — Commonwealth authorities
14 Consequences of revocation of licence — Commonwealth authorities
15 Consequences of revocation of licence — eligible corporations
Part 6 Miscellaneous
16 Entities and principal officers
17 Forms of medical treatment
18 Fee for approved guide
19 Prescribed day for providing information to Comcare
20 Appropriate officer — paragraph 114A (2) (b) of the Act
Schedule 1 Forms
Form 1 Licence application
Schedule 2 Particulars for application
Schedule 3 Documents and information for licence applications
Part 1 Financial and insurance details
Part 2 Consultation
Part 3 Rehabilitation management
Part 4 Benefit delivery
Part 5 Preventive measures
Part 6 Proposed arrangements to secure liabilities
Part 7 Employees to whom the licence will relate
Part 8 Claims management
Schedule 4 Entities and principal officers
These Regulations are the Safety, Rehabilitation and Compensation Regulations 2002.
(1) Subject to subregulation (2), these Regulations commence on 1 April 2002.
(2) Regulation 19 commences on 1 July 2002.
3 Safety, Rehabilitation and Compensation Regulations 1990 — repeal
The following Statutory Rules are repealed:
1990 No. 209
1994 No. 258
2001 No. 91.
In these Regulations:
Act means the Safety, Rehabilitation and Compensation Act 1988.
licensee includes a person who manages claims on behalf of the licensee.
quarter means a period of 3 months beginning on 1 January, 1 April, 1 July or 1 October.
suspension period means the period specified in a notice under paragraph 106 (1) (a) of the Act.
5 Index — percentage of further increase in normal weekly earnings
For subsection 8 (9B) of the Act, the Wage Cost Index, Australia (Total hourly rates of pay — excluding bonuses/all Australia/all industries/all occupations) published by the Australian Bureau of Statistics is prescribed.
6 Manner of calculation of further increase in normal weekly earnings
For subsection 8 (9B) of the Act, the further increase in normal weekly earnings mentioned in subsection 8 (9D) of the Act is the amount (if any) calculated, to 3 decimal places and rounded up to 2 decimal places, in accordance with the formula:
where:
F is the greater of the following:
(a) the number calculated, to 4 decimal places and rounded up to 3 decimal places, by dividing the index number by the previous index number;
(b) 1.000.
index number is the index number of the index mentioned in regulation 5 for the quarter that ended on 31 December in the year immediately before the indexation date.
PE is the normal weekly earnings that applied immediately before the indexation date.
previous index number is the index number of the index mentioned in regulation 5 for the quarter that ended on 31 December in the previous year.
Note Under the formula above, there will be a further increase in normal weekly earnings only if F is greater than 1.000.
Part 3 Approved rehabilitation program providers
For paragraph (b) of the definition of renewal date in section 34 of the Act, the following intervals are prescribed:
(a) 21 months after the first renewal date determined by the Minister under paragraph (a) of the definition of renewal date in section 34 of the Act;
(b) each period of 3 years after the interval mentioned in paragraph (a).
8 Processing fee for application for initial approval
For subsection 34C (2) of the Act, the fee is:
(a) if, immediately before 1 April 2002, the applicant held an approval under section 34 of the Act — $300; and
(b) in any other case — $400.
9 Processing fee for application for renewal of approval
For subsection 34K (2) of the Act, the fee is $300.
Part 4 Application for grant of a licence
For paragraph 102 (1) (a) of the Act, Form 1 in Schedule 1 is prescribed.
For paragraph 102 (1) (b) of the Act, the particulars mentioned in Schedule 2 are prescribed.
12 Prescribed documents and information
For paragraph 102 (1) (c) of the Act, the following information and documents are prescribed:
(a) the information and documents mentioned in Parts 1, 2, 3, 4 and 5 of Schedule 3;
(b) for an application for a licence to accept liability — the information and documents mentioned in Part 6 of Schedule 3;
(c) for an application for a licence in relation to only some of the applicant’s employees — the information mentioned in Part 7 of Schedule 3;
(d) if the applicant will be responsible for managing claims by employees — the information mentioned in Part 8 of Schedule 3;
(e) for an application by a Commonwealth authority, and not for a licence to accept liability — a certificate of coverage of its employees from Comcare;
(f) for an application by a Commonwealth authority or a former Commonwealth authority — details of its consultation with the portfolio Minister about the applicant’s intention to apply for a licence.
Part 5 Suspension and revocation of licences
13 Consequences of suspension of licence — Commonwealth authorities
(1) For paragraph 107A (a) of the Act, the consequences of the suspension of a licence under section 106 of the Act are set out in this regulation.
(2) If the licence authorises the licensee to accept liability under the Act for payments in respect of injury, loss or damage suffered by, or the death of, an employee:
(a) that liability is not affected by the suspension of the licence; and
(b) during the suspension period, Comcare may, with the consent of the Commission and subject to any directions given by the Commission, discharge a liability mentioned in paragraph (a); and
(c) the licensee must pay to Comcare the full amount of any liability discharged under paragraph (b).
(3) If the licence authorises the licensee to accept responsibility to manage claims made by its employees:
(a) during the suspension period:
(i) the licensee must not manage those claims; and
(ii) Comcare must manage those claims in the name of the licensee; and
(iii) on receiving a claim, notice or other communication, or being served with any proceedings in relation to a claim, the licensee must give the claim, notice, communication or proceedings to Comcare; and
(iv) the licensee must give to Comcare all documents, information and assistance reasonably required for Comcare to manage those claims; and
(b) the licensee must pay to Comcare an amount determined by Comcare as the costs incurred by Comcare in managing claims under subparagraph (a) (ii); and
(c) Comcare is not liable to the licensee for any act or omission in managing claims under subparagraph (a) (ii).
Note Under section 14 of the Safety, Rehabilitation and Compensation Directions 2002, the Commission may suspend a licence held by a Commonwealth authority, but may not suspend a licence held by an eligible corporation.
14 Consequences of revocation of licence — Commonwealth authorities
(1) For paragraph 107A (b) of the Act, the consequences of the revocation of a licence, held by a Commonwealth authority, under section 106 or 107 of the Act are set out in this regulation.
(2) If the licence authorised the licensee to accept liability under the Act for payments in respect of injury, loss or damage suffered by, or the death of, any of its employees:
(a) the licensee ceases to be liable under the Act for payments in respect of any injury, loss or damage suffered by, or death of, an employee occurring on or after the date when the licence is revoked; and
(b) the licensee remains liable under the Act for payments in respect of injury, loss or damage suffered by, or the death of, an employee occurring before the licence was revoked; and
(c) Comcare may, with the consent of the Commission and subject to any directions given by the Commission, discharge a liability mentioned in paragraph (b); and
(d) the licensee must pay to Comcare the full amount of any liability discharged by Comcare under paragraph (c).
(3) If the licence authorised the licensee to manage claims:
(a) the licensee must not manage a claim in respect of an injury, loss or damage suffered by, or the death of, any of its employees, whenever occurring; and
(b) Comcare must manage any claims mentioned in paragraph (a); and
(c) the licensee must:
(i) on receiving a claim or a notice or communication about a claim — give the claim, notice or communication to Comcare; and
(ii) give Comcare all documents, information and assistance reasonably required for Comcare to manage claims by employees of the licensee.
(4) An act done, decision made or notice or communication given, received or made by the licensee in managing a claim is taken to have been done, made, given or received by Comcare.
(5) If the licensee was a party to a proceedings on a matter arising under the Act that had not been completed on the date of revocation, Comcare is taken for all purposes to be the party to those proceedings in place of the licensee.
(6) The Act continues to apply to the licensee and its employees.
(7) Comcare is liable under the Act for payments in respect of injury, loss or damage suffered by, or the death of, an employee of the licensee occurring on or after the date of revocation.
(8) The licensee is liable to pay premiums under the Act in respect of liability mentioned in subregulation (7).
15 Consequences of revocation of licence — eligible corporations
(1) For paragraph 107A (b) of the Act, the consequences of the revocation of a licence, held by an eligible corporation, under section 106 or 107 of the Act are set out in this regulation.
(2) If the licence authorised the licensee to accept liability under the Act for payments in respect of injury, loss or damage suffered by, or the death of, any of its employees:
(a) the licensee ceases to be liable under the Act for payments in respect of any injury, loss or damage suffered by, or death of, an employee occurring on or after the date when the licence is revoked; and
(b) the licensee remains liable under the Act for payments in respect of injury, loss or damage suffered by, or the death of, an employee occurring before the licence was revoked.
(3) If the licence authorised the licensee to accept responsibility to manage claims:
(a) the licensee must manage a claim in respect of an injury, loss or damage suffered by, or the death of, an employee occurring before the revocation; and
(b) the licensee must not manage a claim in respect of any injury, loss, damage or death occurring on or after the date of revocation; and
(c) the licensee remains a party to proceedings in respect of any matter arising under the Act that had not been completed on the date of revocation.
(4) Except as provided by subregulations (2) and (3):
(a) the Act ceases to apply to the licensee and its employees; and
(b) the laws of the States and Territories providing for workers’ compensation apply to the licensee.
16 Entities and principal officers
(1) For paragraph (c) of the definition of Entity in subsection 4 (1) of the Act, each person, body, organisation or group of persons mentioned in an item of Schedule 4 is prescribed.
(2) For paragraph (c) of the definition of principal officer, in relation to an Entity, in subsection 4 (1) of the Act, the principal officer of an Entity mentioned in column 2 of Schedule 4 is the person from time to time holding or acting in the office mentioned in column 3 in relation to that Entity.
(1) For paragraph (i) of the definition of medical treatment in subsection 4 (1) of the Act, therapeutic treatment by, or under the supervision of, any of the following persons is prescribed:
(a) an occupational therapist;
(b) an optometrist;
(c) a podiatrist;
(d) a psychologist;
(e) a speech therapist.
(2) For subregulation (1), the person must be:
(a) registered under the law of a State or Territory providing for the registration of persons of that kind; or
(b) if there is no such law, a member of a relevant professional association.
For subsection 28 (8) of the Act, the fee is $10.
19 Prescribed day for providing information to Comcare
For the definition of prescribed day in subsection 97F (3) of the Act, 31 March is prescribed for 2003 and each subsequent year.
20 Appropriate officer — paragraph 114A (2) (b) of the Act
For paragraph 114A (2) (b) of the Act, the Chief of the Defence Force is the appropriate officer in relation to a member of the Defence Force.
(regulation 10)
Safety, Rehabilitation and Compensation Act 1988
Safety, Rehabilitation and Compensation Commission
APPLICATION FOR GRANT OF LICENCE
To: The Safety, Rehabilitation and Compensation Commission
GPO Box 9905
CANBERRA ACT 2601
I, …………………………………………………………………………………
(principal officer)
of …………………………………….…………...………………(the applicant)
(name of applicant)
apply to the Safety, Rehabilitation and Compensation Commission (the Commission) for the grant of a licence to the applicant under section 102 of the Safety, Rehabilitation and Compensation Act 1988 (the Act).
SCOPE OF LICENCE
The applicant applies for a licence with the following scope:
(delete whichever is not applicable)
(a) a licence to accept liability to pay compensation and other amounts under the Act in respect of particular injury, loss or damage suffered by, or in respect of the death of, some or all employees;
AND/OR
(b) a licence authorising the licensee to manage some or all of the claims by employees of the licensee.
Note An eligible corporation must apply to the Commission for a licence with scope for both acceptance of liability and acceptance of the management of claims — see subsection 98A (3) of the Act.
The applicant applies for a licence to apply to:
(delete whichever is not applicable)
(a) some of its employees; OR
(b) all of its employees.
PARTICULARS AND INFORMATION
Insert here the particulars of the applicant and information to be contained in the application as prescribed by regulations 11 and 12 under paragraphs 102 (1) (b) and (c) of the Act.
Note The applicant must attach to this application the documents prescribed by regulations under paragraph 102 (1) (c) of the Act.
The applicant certifies that the particulars and information provided are correct and that any copies of documents provided are true copies of the originals of those documents.
UNDERTAKINGS
The applicant undertakes to pay to Comcare the application fee equal to the amount estimated by the Commission to be the cost of considering the application in accordance with subsection 102 (2) of the Act.
If a licence is granted to the applicant, the applicant undertakes to:
(signature of principal officer)
(signature of witness)
(date of application)
(date witnessed)
Schedule 2 Particulars for application
(regulation 11)
Item | Detail |
1 | The full name of the applicant |
2 | The business name (if any) used by the applicant, and the date and place of registration of such business name |
3 | The applicant’s ABN |
4 | The full street address and postal address of the applicant’s principal office, and of any other registered office |
5 | The name, telephone number and facsimile number of an officer nominated by the applicant for communication relating to the application |
6 | If the applicant is a Commonwealth authority — the name of the Act by which it is established |
7 | If the applicant is an eligible corporation: (a) the date and place of incorporation; and (b) the names and shareholdings of: (i) if there are more than 10 shareholders — each of the 10 principal shareholders; or (ii) if there are 10 shareholders or less — each shareholder |
8 | The names of the directors or members of the governing body (if any) of the applicant |
9 | An organisational chart setting out: (a) the structure of the applicant; and (b) the subsidiaries (if any) of the applicant |
10 | The total number of employees, disaggregated by location and structure |
11 | The total salary and wage expenditure for the last financial year, disaggregated by location and structure |
Schedule 3 Documents and information for licence applications
(regulation 12)
Part 1 Financial and insurance details
Item | Document or information |
1 | A summary of financial statements: (a) if the applicant has been established for more than 5 years — for the last 5 years; or (b) if the applicant has been established for less than 5 years — for the period since the applicant was first established or incorporated |
2 | Copies of full annual reports and audited financial statements: (a) if the applicant has been established for more than 5 years — for the last 5 years; or (b) if the applicant has been established for less than 5 years — for the period since the applicant was first established or incorporated |
3 | A copy of the consolidated financial statements for the year to date |
4 | If employees are not currently covered under the Act — details of the applicant’s current arrangements to meet workers’ compensation liabilities |
5 | A statement by: (a) the directors or members of the governing body (if any); or (b) if there are no directors or governing body, the principal officer; of any event or likely event that may affect the applicant’s suitability to hold a licence, including details of any likely change to the legal structure or ownership of the applicant and the effect of any such change on the workers’ compensation entitlements of the applicant’s employees |
6 | A statement by a Fellow of the Institute of Actuaries of Australia of the liabilities that the applicant is likely to incur over the first 12 months of the period of the licence |
Item | Information or document |
1 | Evidence of consulting employees about the applicant’s intention to apply for a licence Examples
|
Part 3 Rehabilitation management
Item | Information or document |
1 | The proposed arrangements for the rehabilitation and return to work of injured employees |
2 | A copy of the applicant’s rehabilitation policy (if any) |
3 | The existing or proposed arrangements for ensuring that management and staff are aware of their rights and responsibilities in relation to rehabilitation |
4 | The proposed number, location, classification and expertise of staff with responsibility for rehabilitation case management |
5 | The proposed arrangements for training rehabilitation case managers |
6 | A copy of the applicant’s policy (if any) in relation to the redeployment of injured employees |
7 | A report of the applicant’s achievements in relation to injured employee rehabilitation and return to work programs during the 12 months before the date of the application |
Item | Information or document |
1 | The proposed procedures for paying compensation to injured employees, dependants of deceased employees, providers of medical treatment and other recipients |
2 | How the timely processing of decisions will be assured |
3 | The administrative practices that will be put in place to maintain confidentiality of claims payment information and to restrict access to claims and payment information |
4 | Details of the data management system to be used and data to be kept |
5 | The proposed number, location, classification and expertise of staff who will perform the claims payment function |
Item | Information or document |
1 | A copy of the applicant’s occupational health and safety policy |
2 | Documentation of risk management strategies that address the applicant’s duty of care to employees |
Part 6 Proposed arrangements to secure liabilities
Item | Information or document |
1 | Whether, for the purpose of securing its liabilities under the Act, the applicant will: (a) obtain a bank guarantee and secure appropriate reinsurance; or (b) lodge securities guaranteed by the Commonwealth or a State or Territory and secure appropriate reinsurance; or (c) obtain a bank guarantee and lodge securities guaranteed by a Commonwealth or a State or Territory and secure appropriate reinsurance arrangements; or (d) establish a captive insurance company (as a wholly owned subsidiary), incorporated or to be incorporated in Australia |
2 | If the applicant states that it will obtain a bank guarantee and secure appropriate reinsurance: (a) details of the proposed bank guarantee and reinsurance arrangements, including the name of the issuing bank, name of the insurer and amounts of the guarantee and reinsurance; and (b) a copy of the proposed guarantee and reinsurance policy |
3 | If the applicant states that it will lodge securities guaranteed by the Commonwealth or a State or Territory and secure appropriate reinsurance: (a) details of the nature of the proposed securities and reinsurance arrangements, including the name of the insurer and face value of the securities and amount of reinsurance; and (b) a copy of the proposed reinsurance policy |
4 | If the applicant states that it will obtain a bank guarantee and lodge securities guaranteed by a Commonwealth or a State or Territory and secure appropriate reinsurance arrangements, the information and documents mentioned in items 2 and 3 |
5 | If the applicant states that it will establish a captive insurance company: (a) the name or proposed name of the captive insurance company; and (b) the date and place when the captive insurance company was incorporated or is proposed to be incorporated; and (c) a copy of the proposed contract between the applicant and the captive insurance company. |
Note A captive insurance company mentioned in items 1 and 5 will be subject to the Insurance Act 1973 and to regulation by the Australian Prudential Regulation Authority under the Australian Prudential Regulation Authority Act 1998 and the Insurance Act 1973.
Part 7 Employees to whom the licence will relate
Item | Information or document |
1 | A description of the employees to whom the licence will relate, disaggregated by location and structure |
2 | The number of employees to whom the licence will relate, disaggregated by location and structure |
3 | Details of the workers’ compensation arrangements that are to apply to its other employees |
Item | Information or document |
1 | Whether the applicant proposes to manage claims by employees within the applicant, or by engaging another person for that purpose |
2 | If the applicant proposes to engage another person to manage claims: (a) the name of the person to be engaged; and (b) a statement of capacity and credentials of the person to manage claims and of the arrangements proposed for the management of claims by the person |
3 | The proposed number, location, classification and expertise of staff who will manage claims |
4 | The proposed administrative procedures for ensuring that employees are aware of their rights and of the process for lodging claims for compensation |
5 | The proposed procedures for lodging and deciding claims for compensation |
6 | The proposed administrative and financial limitations for each level of claim managers |
7 | The proposed arrangements for training claims management staff |
8 | Details of the system that will be used to manage and monitor claims and to provide management information on the performance of the claims management function |
9 | The proposed arrangements for developing and implementing policy, practices and procedures, including arrangements for consulting employees |
10 | The proposed arrangements for ensuring the confidentiality and security of claims management information in individual claims, including: (a) whether the applicant is subject to the information privacy principles, national privacy principles or any approved privacy code under the Privacy Act 1988; and (b) a copy of the applicant’s personal information policy (if any) |
11 | The proposed policy on the use of covert surveillance in claims management, with particular reference to Part 2 of the ‘Covert surveillance in Commonwealth administration: Guidelines’ (relating to the use of covert surveillance in the management of claims under the Act) published by the Federal Privacy Commissioner in February 1992 |
12 | The proposed arrangements and procedures for the reconsideration and review of decisions, including: (a) the location, classification and expertise of persons who will have responsibility for those functions; and (b) the situation of those persons within the applicant or external agency in relation to the primary decision makers |
Note The Guidelines mentioned in item 11 can be found on the Privacy Commissioner’s website at http://www.privacy.gov.au/publications/covertsurveillance.doc.
Schedule 4 Entities and principal officers
(regulation 16)
Item | Entity | Principal officer |
1 | Australian Federal Police, comprising: (a) the Commissioner of Police; and (b) any Deputy Commissioner of Police; and (c) AFP employees; and (d) special members | Commissioner of Police |
2 | Australian Secret Intelligence Service, comprising: (a) the Director-General of the Australian Secret Intelligence Service; and (b) persons employed by the Director‑General | Director-General |
3 | Australian Security Intelligence Organisation, comprising: (a) the Director-General of Security; and (b) persons employed under section 84 of the Australian Security Intelligence Organisation Act 1979 | Director-General of Security |
4 | Commonwealth Bureau of Meteorology | Director |
5 | Commonwealth Grants Commission | Chairperson |
6 | Comsuper, comprising: (a) the Commissioner for Superannuation; and (b) the staff mentioned in section 26 of the Superannuation Act 1976 | Commissioner for Superannuation |
7 | Alligator Rivers Region Research Institute (also known as the Environment Research Institute of the Supervising Scientist), established under section 23 of the Environment Protection (Alligator Rivers Region) Act 1978 | Supervising Scientist |
8 | High Court of Australia, comprising: (a) the Chief Executive and Principal Registrar of the High Court; and (b) officers and employees engaged or appointed under section 26 of the High Court of Australia Act 1979 | Chief Executive and Principal Registrar |
9 | Murray-Darling Basin Commission, comprising: (a) the President appointed under clause 20 of the Agreement in Schedule 1 to the Murray-Darling Basin Commission Act 1993; and (b) the Commissioners appointed under clause 20 of that Agreement | President |
10 | National Archives of Australia (also known as Australian Archives) | Director-General |
11 | Office of Official Secretary to the Governor-General, comprising: (a) the Official Secretary; and (b) persons employed under section 13 of the Governor-General Act 1974 as members of the Governor-General’s staff | Official Secretary |
Note
1. Notified in the Commonwealth of Australia Gazette on 28 March 2002.