Motor Accident Insurance Act 1994
Queensland Motor
Accident Insurance
Act 1994 Current as at [Not
applicable] Indicative reprint note This is an
unofficial version of a
reprint of this Act that incorporates all proposed
amendments to
the Act included
in the Police
Powers and
Responsibilities and
Other Legislation Amendment
Bill 2018. This
indicative reprint
has been prepared
for information only—
it is
not an authorised reprint of the Act
. The point-in-time date for this
indicative reprint is the introduction date for the Police Powers
and Responsibilities and Other Legislation Amendment
Bill
2018—12 June 2018. Detailed information about
indicative reprints
is available on
the Information page of the
Queensland legislation website.
©
State of Queensland 2018 This work is licensed under a Creative
Commons Attribution 4.0 International License.
Not
authorised —indicative only
Queensland Motor Accident
Insurance Act 1994 Contents Part 1
1 2 3
4 4A 4B
5 Part 2 Division 1
6 7 8
9 9A Division 2
10 11 Division 3
12 13 13A
14 14A 15
Division 4 Page
Preliminary Short title . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . 9 Commencement . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 Objects . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . 9 Definitions . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. 10 References to insurer’s premium, a fee or costs . . . . . . . . . . . . . 17
Meaning of act
of terrorism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Application of
this Act . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
Motor Accident Insurance Commission Establishment
of the
commission Establishment
of commission . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Constitution of
the commission . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Commission to
be body
corporate .
. . . . . . . . . . . . . . . . . . . . . . . 20
Power of delegation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Commission
is statutory
body .
. . . . . . . . . . . . . . . . . . . . . . . . . .
20
General functions of commission
Commission’s
functions .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Advisory committees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
Insurance premiums Insurance
premiums . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
The
insurer’s premium . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25
Premium rates .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
Recommendations about levies and administration
fee . . . . . . . 28
Fixing levies
and administration fee . . . . . . . . . . . . . . . . . . . . . . 28
Report and recommendations when
costs of
insurance exceed the
affordability index . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
29 The Nominal Defendant
Motor
Accident Insurance Act 1994 Contents
Not authorised —indicative
only 16 16A
17 18 Division 5
19 Part 3 Division 1
20 20A Division 2
21 22 23
24 25 26
Division 3 27
27A Division 4 28
29 Division 5 30
Part
4 Division 1 31
32 33 Division 2
34 35 36
Division 3 The Nominal
Defendant . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . 30 Nominal Defendant is statutory
body . . . . . . . . . . . . . . . . . . . .
. 31 Nominal Defendant to keep public
office . . . . . . . . . . . . . . . . . . . 31
Nominal Defendant taken to be licensed
insurer . . . . . . . . . . . . . 32
Annual report Annual report
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32
Compulsory insurance Obligation
to insure Offence of driving uninsured vehicle
etc. . . . . . . . . . . . . . . . . . .
33
Temporary
gratuitous insurance . . . . . . . . . . . . . . . . . . . . . . . . . 33
Selection of insurer Selection of insurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34
Licensed insurer
can not
decline CTP
business .
. . . . . . . . . . . .
37
Statutory policy of insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
Transfer of registration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
40
Motor vehicle
must be
insured under
correct class
. . . . . . . . . . . 40
Non
application in certain cases
. . . . . . . . . . . . . . . . . . . . . . . . .
40
Disbursement of
gross insurance premiums Disbursement
of gross
premiums by
transport administration . .
41
Disbursement of
gross premiums by insurers who receive premiums directly . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . 42 The statutory funds
Motor Accident Insurance Fund
. .
. . . . . . . . . . . . . . . . . . . . . . . 43
Nominal Defendant Fund . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . 44
Transfer of CTP business Transfer of CTP business
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Claims
The
insurer Principles for determining the
insurer . . . . . . . . . . . . . . . . . . . . . 46
Self-insurer
as the
insurer .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Nominal Defendant as the insurer . . . . . . . . . . . . . . . . . . . . . . . . 47
Duty
to notify accidents and claims and provide information Duty to notify accidents to police . . . . . . . . . . . . . . . . . . . . . . . . .
49
Duty
to provide information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Duty
to notify claims . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
50
Claims procedures Page
2
37 37A 37B
38 39 40
41 42 43
44 Division 4 45
45A 46 46A
46B 47 48
49 Division 4A 50
Division 5 51
Division 5A 51A
51B 51C 51D
Division 6 52
52A 52B 53
Motor
Accident Insurance Act 1994 Contents
Notice of accident claim . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . 51
Additional information form
. .
. . . . . . . . . . . . . . . . . . . . . . . . . . .
52 Witness information request made by
insurer . . . . . . . . . . . . . . . 53
Multiple insurers . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
54 Response to the notice of claim
. .
. . . . . . . . . . . . . . . . . . . . . . . 55
Minority and legal disabilities
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
58
Insurer must attempt to resolve claim
. . . . . . . . . . . . . . . . . . . . . 58
Payment of medical expenses
etc. . . . . . . . . . . . . . . . . . . . . . . . 60
Insured person not to admit liability
. . . . . . . . . . . . . . . . . . . . . . . 61
Power of insurer to act for insured
. . . . . . . . . . . . . . . . . . . . . . .
62
Cooperation between claimant
and insurer Duty of claimant to cooperate with insurer
. . . . . . . . . . . . . . . . .
62
Panels of recognised medical experts
. . . . . . . . . . . . . . . . . . . . . 63
Claimant and insurer may jointly arrange
for expert
report .
. . . .
64
Examination of
claimant by
medical expert in absence of agreement between the
parties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . 65 Costs of obtaining expert reports
where reports obtained by agreement 65
Duty
of insurer to cooperate with
claimant . . . . . . . . . . . . . . . . . 66
Non-disclosure of
certain material . . . . . . . . . . . . . . . . . . . . . . . . 67
Privilege . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Enforcement of divisions 2, 3 and 4
Court’s power to enforce compliance with
divs 2,
3 and
4 . . . . . 67
Rehabilitation Obligation to
provide rehabilitation services . . . . . . . . . . . . . . . .
68
Compulsory conference Compulsory conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Procedure at conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
73
Parties to
exchange mandatory final offers if claim not settled at compulsory conference . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . 75
Time
for bringing action . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . 76 Proceedings in court
Insurer to be joint or sole defendant
. .
. . . . . . . . . . . . . . . . . . . . 78
Recovery of contribution by or from Nominal
Defendant in certain cases 79 Exclusion of
summary judgment on the basis of admissions . . .
79 Insurer’s right to call and
cross-examine insured person . . . . .
. 80 Page
3 Not
authorised
—indicative only
Motor
Accident Insurance Act 1994 Contents
Not authorised —indicative
only 55 55F
57 Division 6A 57A
Division 7 58
59 60 60A
61 Division 8 61A
Division 9 61B
Part
5 Division 1 62
63 64 65
66 67 67A
68 Division 2 69
70 71 72
72A 73 Division 3
74 75 76
Page
4 Exemplary, punitive or aggravated
damages . . . . . . . . . . . . . . .
Costs in cases involving relatively small
awards of damages . . . Alteration of period of limitation . .
. . . . . . . . . . . . . . . . . . . . . . . . Extraterritorial
operation of limitation of liability Application of
limitation of liability to foreign awards . . . . . . . . .
. Insurer’s rights of recourse
Insurer’s rights of recourse
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Recovery in case
of fraud . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nominal
Defendant’s rights of recourse for uninsured vehicles . Access to information etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nominal
Defendant’s rights of recourse against
insurer . . . . . . . Changes to claim process
if insurance
agency is
contributor Claim process
if insurance
agency liable
to contribute
. . . . . . . .
Obligation to
provide information to
insurance agency Giving insurance agency notice
about particular matters . . . . . . Licensed insurers Licensing of insurers Application
for licence
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Determination of
application . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Conditions of licence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Industry deed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Withdrawal
or suspension
of licence
. . . . . . . . . . . . . . . . . . . . . .
Effect of withdrawal or suspension
on existing
liabilities etc. . . .
When
State may underwrite CTP
insurance policies . . . . . . . . . Review of the commission’s decisions by QCAT . . . . . . . . . . . . Supervision of licensed insurers Business plans
of licensed
insurers . . . . . . . . . . . . . . . . . . . . . .
Accounts and returns of licensed insurers . . . . . . . . . . . . . . . . . Audit of accounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Information to be provided by
insurers . . . . . . . . . . . . . . . . . . . .
Declarations
from licensed insurer . . . . . . . . . . . . . . . . . . . . . . . Power of Supreme Court to deal with licensed insurers . . . . . . . Special investigations
Appointment of
investigator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investigation of related body corporate
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
Powers of investigators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
80 80 82
83 84
86
86
87
87
88
89
90
91
92
93
94
94
96
98
98
99
99
100
101
102
103
104
104
77 78 79
80 81 82
83 84 85
86 87 Part 5A
Division 1 87A
87B 87C 87D
87E 87F Division 2
87G 87H 87I
87J 87K 87L
87M 87N 87O
Division 3 87P
87Q Division 4 87R
87S Division 5 Motor Accident
Insurance Act 1994 Contents Documents
produced to investigator . . . . . . . . . . . . . . . . . . . . .
. Examination of officers . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . Self-incrimination . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . Failure of
officer to comply with requirement of investigator . . . .
Recording of examination . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . Copy of record
of examination may
be given
to legal
practitioner Delegation of
powers by
investigator . . . . . . . . . . . . . . . . . . . . . Report of investigator
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Admission of investigator’s
report in
evidence . . . . . . . . . . . . . .
Costs of investigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Offences relating to investigations . . . . . . . . . . . . . . . . . . . . . . . Enforcement Authorised
persons Appointment
of authorised person . . . . . . . . . . . . . . . . . . . . . . .
Functions and powers of authorised person
. .
. .
. .
. .
. .
. .
. .
. .
Authorised person’s employment
conditions . . . . . . . . . . . . . . . .
Authorised
person’s identity card . . . . . . . . . . . . . . . . . . . . . . . . Display of
authorised person’s identity card . . . . . . . . . . . . . . . . Protection from liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Powers of authorised persons Power to require
information . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Application for
warrant .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
Issue of warrant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Special warrants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Warrants—procedure before entry
. . . . . . . . . . . . . . . . . . . . . . .
Power to seize evidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Receipt for seized things . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Access to seized things . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Return of seized thing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other enforcement matters Compensation
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. Costs of
investigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Obstructing or
impersonating authorised persons Obstruction
of authorised persons . . . . . . . . . . . . . . . . . . . . . . . Impersonation of
authorised persons . . . . . . . . . . . . . . . . . . . . . Fraud and false and misleading
statements 104
105 105 106
107 107
108
108
109
109
110
110
111
111
112
112
113
113
114
115
115
117
118
118
118
118
119
119
120
120
Page 5 Not
authorised —indicative only
Motor
Accident Insurance Act 1994 Contents
Not authorised —indicative
only 87T 87U
Division 6 87V
Division 7 87W
Division 8 87X
Part
6 88 88A 89
90 91 92
94 95 96
97 99 100
100A 101 Part 7
Division 1 102
103 104 106
Division 2 107
Division 3 108
Offences involving fraud . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . 120
False or misleading information or
documents . . . . . . . . . . . . . .
121 Information from Commissioner of
Police Service Information from Commissioner of Police
Service . . . . . . . . . . . 122
Proceedings Proceedings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
123
Evidence Evidentiary certificates given
by the
commission and transport administration . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. 124 Miscellaneous Information to
be provided by licensed insurers . . . . . . . .
. . . . . 125 Commission’s power to intervene to
establish information processing systems . . .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. 127 Register of claims . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
128
Transport administration to provide certain
information . . . . . . . 128
Insolvent insurers . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
129 Disclosure of information . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . .
129 Interference with
certain documents .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. 129 Unauthorised policies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
Inducement for
CTP insurance business
prohibited . . . . . . . . . .
130
CTP
premiums not to be discounted etc. . . . . . . . . . . . . . . . . . . 133
Penalties for offences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134
Regulations .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
134
Indexation of particular amounts
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. .
. 134 Periodical reviews . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
136
Transitional provisions Provisions
for Act
before commencement of
Motor Accident Insurance
Amendment Act 1999 and a related matter Insurance Act
1960 references . . . . . . . . . . . . . . . . . . . . . . . . .
. 136 Motor Vehicles Insurance Act 1936
references . . . . . . . . . . . . . . 136
Personal injury claims . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . 136
Nominal Defendant . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . .
137 Provision
for Motor
Accident Insurance Amendment
Act 1999 Regulation for assessment period
starting before 30 June 1999
138
Provisions for
Motor Accident Insurance
Amendment Act 2000
Application of
amendments made by the Motor Accident Insurance Amendment Act
2000 to motor vehicle accident claims . . . . . .
. 139 Page 6
Not authorised —indicative only
109 110 Division 4
111 Division 6 113
114 Schedule 1
2 3 Motor Accident
Insurance Act 1994 Contents Special
provision about financial years . . . . . . . . . . . . . . . . . .
. . 139 Ratification of action taken in
anticipation of amendments made by the Motor Accident
Insurance Amendment Act 2000 . . . . . . . .
. . . . 139 Provision for Treasury Legislation
Amendment Act (No. 2) 2002 Ratification of action taken in
anticipation of amendments made by Treasury
Legislation Amendment Act (No. 2) 2002 . . . . . . . .
. . 140 Transitional provisions for
the Motor
Accident Insurance and
Other Legislation
Amendment Act 2010
Termination
of s
96 inducement . . . . . . . . . . . . . . . . . . . . . . . . . 141
Termination
of s
97(5)
inducement . . . . . . . . . . . . . . . . . . . . . . . 142
Policy of insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
144
Extent of insurance cover
. .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
144 Insured
person . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
144
Exclusions .
. .
. .
. .
. .
. .
. .
. .
. .
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. .
. 145 Page 7
Not authorised— indicative
only
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 1
Preliminary [s 1] Motor Accident
Insurance Act 1994 An Act to
provide for
a compulsory third-party insurance
scheme covering
liability for
personal injury
arising out
of motor vehicle accidents, and for other
purposes Part 1 Preliminary 1
Short
title This Act may be cited as the
Motor Accident Insurance Act
1994 .
2 Commencement This Act
commences on a day to be fixed by proclamation. 3
Objects The objects of
this Act are— (a) to continue
and improve the
system of
compulsory third-party motor
vehicle insurance
( CTP insurance
), and the scheme of statutory insurance
for uninsured and unidentified vehicles, operating in
Queensland; and (b) to establish a basis for assessing the
affordability of CTP insurance and to keep the costs of CTP
insurance at a level the average motorist can afford;
and (c) to promote competition in the setting
of premiums for CTP insurance; and Current as at
[Not applicable] Page 9
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 1
Preliminary [s 4] (d)
to
provide for the licensing and supervision of insurers
providing CTP insurance under CTP insurance
policies; and (e) to
encourage the
speedy resolution of
personal injury
claims resulting from motor vehicle
accidents; and (f) to promote
and encourage, as
far as practicable, the
rehabilitation of claimants who sustain
personal injury because of motor vehicle accidents;
and (g) to establish and keep a register of
motor vehicle accident claims to
help the
administration of
the statutory insurance scheme
and the detection of fraud; and (h)
to
promote measures directed at eliminating or reducing
causes of motor vehicle accidents and
mitigating their results. 4
Definitions In this
Act— act of terrorism see section
4B. administration fee
means the
fee payable to
transport administration for
work done
in the administration of
the statutory insurance scheme.
affordability index means 45% of
Queensland full-time adult persons ordinary
time earnings
declared by
the Australian Statistician in
the original series of the statistician’s average
weekly earnings publication most recently
published. agricultural machine
means an
agricultural machine
for which registration is required under
the Transport Operations (Road
Use Management—Vehicle Registration) Regulation 2010
. assessment period see section
13(2). average weekly
earnings ,
for a financial
year, means
the amount of Queensland full-time adult
persons ordinary time earnings declared by the Australian
Statistician in the original Page 10
Current as at [Not applicable]
Motor
Accident Insurance Act 1994 Part 1
Preliminary [s 4] Not
authorised —indicative only
series of the statistician’s average weekly
earnings publication most recently published before the
start of the financial year. claim
means motor vehicle accident claim.
claimant means
a person by
whom, or
on whose behalf,
a claim is made. Examples of
claimants— 1 An attorney acts under an enduring
power of attorney under the Powers of
Attorney Act 1998 for a person injured in a motor
vehicle accident. In
this case,
both the
attorney (in
the attorney's representative
capacity) and the person for whom the attorney acts
are
regarded as claimants. 2 A guardian or an
administrator acts under the Guardianship
and Administration Act 2000 for a person
injured in a motor vehicle accident. In this case, the guardian
or administrator (in his or her representative capacity)
and the injured
person are
regarded as
claimants. class
— (a) of CTP insurance
(or CTP insurance policies)—means CTP
insurance (or
CTP insurance policies)
for a particular class
of motor vehicles; or (b) of
motor vehicles—means a
class of
motor vehicles
created by classification under a
regulation. commission means
the Motor Accident
Insurance Commission. commissioner means the
insurance commissioner. compulsory conference
see
section 51A(1). costs —
(a) when used
in reference to
legal costs,
includes disbursements;
and (b) when used in reference to the costs of
an insurer on a claim, includes— (i)
the
amount paid out by the insurer on the claim to the
claimant or
for the claimant’s benefit,
including— Current as at
[Not applicable] Page 11
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 1
Preliminary [s 4] (A)
the cost to
the insurer of
providing rehabilitation
services in connection with the claim;
and (B) the cost
to the insurer
of paying private
hospital, medical
and pharmaceutical expenses in
connection with the claim; and (ii)
the cost to
the insurer of
investigating the
claim and of
litigation related to the claim (but not the insurer’s
general administration costs). costs
statement see section 51B(6)(e). court
, in
relation to a claim, means— (a)
if a
proceeding based on the claim has been brought— the court
hearing the proceeding; or (b) if no proceeding
based on the claim has been brought— a court with
jurisdiction to hear the claim. criminal
history , of a person, means the record of offences
of which the
person has
been convicted
in Queensland or
elsewhere before or after the commencement
of this Act. CTP is an abbreviation of ‘compulsory
third-party’. CTP insurance see section
3(a). CTP insurance policy means—
(a) a policy of insurance under this Act
for a motor vehicle insuring against liability for personal
injury caused by, through or in connection with the motor
vehicle; or (b) a policy of insurance, or a statutory
indemnification, for a motor vehicle registered under the
law of another State or a
Territory, providing
insurance, or
indemnifying against
liability, for personal injury caused by, through
or
in connection with the vehicle anywhere in Australia.
declared costs
limit means
the amount prescribed under
a regulation as the declared costs
limit. Page 12 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 1
Preliminary [s 4] Note—
Under section 100A, the Minister must make a
recommendation about the amount to be prescribed.
eligible person
means a
person who,
under the
National Injury Act,
section 12, is eligible to participate in the injury
insurance scheme. former
Act means the Motor Vehicles
Insurance Act 1936 . GST means the tax
payable under the GST law. GST law means—
(a) A New Tax System (Goods and Services
Tax) Act 1999 (Cwlth); and (b)
the related legislation of
the Commonwealth dealing
with
the imposition of a tax on the supply of goods and
services. GVM
means gross vehicle mass.
industry deed means an
agreement, in the form approved by regulation,
between the commission, transport administration,
the Nominal Defendant
and licensed insurers
regulating the
conduct of
CTP insurance business
and matters incidental to—
(a) the conduct of the business; or
(b) the statutory insurance scheme.
Editor’s note— For a statement
of the subjects that may be covered by the industry
deed, see section 65 (Industry deed).
injured person
means a
person who
suffers personal
injury because of a
motor vehicle accident. injury insurance scheme
means the national injury insurance
scheme, Queensland established under
the National Injury
Act,
chapter 2. injury insurance
scheme levy
means the
levy under
the National Injury Act.
Current as at [Not applicable]
Page
13
Motor
Accident Insurance Act 1994 Part 1
Preliminary [s 4] Not authorised
—indicative only
Page
14 insurance agency
means the
National Injury
Insurance Agency,
Queensland established under
the National Injury
Act. insurance
premium means
the gross premium
for a CTP
insurance policy (including levies and
administration fee). insured motor
vehicle means
a motor vehicle
for which a
CTP
insurance policy is in force. insured
person means— (a)
a
person who is insured under a CTP insurance policy
or, if the
person is
dead, the
person’s personal
representative; or (b)
a person whose
wrongful act
or omission causes
personal injury
for which an
action lies
against the
Nominal Defendant under this Act or, if the
person is dead, the person’s personal
representative. insurer’s premium
means an
insurer’s consideration for
providing insurance under a CTP insurance
policy. licence means a licence
under part 5. licensed insurer means an insurer
that holds a licence, other than an insurer
whose licence is under suspension. lower
offer limit
means the
amount prescribed under
a regulation as the lower offer
limit. Note— Under section
100A, the Minister must make a recommendation about
the
amount to be prescribed. mandatory final offer
see
section 51C(2). mobile machinery
has the meaning
given by
the Transport Operations (Road
Use Management—Vehicle Registration) Regulation
2010 . motor vehicle
means a
vehicle for
which registration is
required under
the Transport Operations (Road
Use Management—Vehicle Registration) Regulation 2010
and includes a trailer.
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 1
Preliminary [s 4] motor
vehicle accident
means an
incident from
which a
liability for personal injury arises that is
covered by insurance under the statutory insurance
scheme. motor vehicle
accident claim
means a
claim for
damages based on a
liability for personal injury arising out of a motor
vehicle accident and, for a fatal injury,
includes a claim on behalf of the deceased’s dependants or
estate. National Injury
Act means the
National Injury
Insurance Scheme
(Queensland) Act 2016 . non-medicinal
drug means a drug other than one genuinely
and
lawfully consumed for medical or therapeutic purposes.
officer has the same
meaning as in the Corporations Act. official panel
of medical experts see section 45A(1)(a). participant , in the injury
insurance scheme, see the National Injury Act,
section 14(1). personal injury includes—
(a) fatal injury; and (b)
prenatal injury; and (c)
damage to spectacles, contact lenses,
dentures, hearing aids, crutches,
wheelchairs, artificial limbs
and prosthetic devices.
public place
has the meaning
given by
the Transport Operations (Road
Use Management) Act 1995 . registered operator
, of a
motor vehicle,
means a
person recorded in the
details of the registration of the vehicle as the
registered operator or as the owner of the
motor vehicle. registration ,
of a motor
vehicle, includes
a permit, plate
or other authorisation under the
Transport Operations (Road Use
Management—Vehicle Registration) Regulation 2010
permitting a
motor vehicle
to be used
on a road
without registration but
does not
include an
authorisation under
section 107 of that regulation.
Current as at [Not applicable]
Page
15
Motor
Accident Insurance Act 1994 Part 1
Preliminary [s 4] Not authorised
—indicative only
Page
16 rehabilitation means
the use of
medical, psychological, physical,
social, educational and
vocational measures
(individually or in combination)—
(a) to restore,
as far as
reasonably possible,
physical or
mental functions
lost or
impaired through
personal injury;
and (b) to optimise, as far as reasonably
possible, the quality of life of a person who suffers the loss
or impairment of physical or mental functions through
personal injury. related body corporate , for an
insurer, has the meaning given by the
Corporations Act. road has
the meaning given
by the Transport
Operations (Road Use
Management) Act 1995 . self-insurer means—
(a) the Commonwealth; or
(b) a State (other than Queensland) or a
Territory that does not have its motor vehicles insured under
CTP insurance policies. serious personal
injury see the National Injury Act, schedule
1. share of
the market for
CTP insurance business
means a
percentage, calculated by
the commission under
principles prescribed by
regulation, representing the proportion that an insurer’s share
of total CTP insurance premiums bears to the total premiums
for CTP insurance policies of classes specified by
regulation. statutory insurance
scheme means
the insurance scheme
established by this Act. trailer
means a vehicle without motive power
designed to be hauled by a motor vehicle.
transport administration means—
(a) the chief executive of the department
within which the Transport Planning
and Coordination Act
1994 is
administered; or Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 1
Preliminary [s 4A] (b)
a
person who is, by delegation or direction of the chief
executive, responsible for
carrying out
functions relevant to the
administration of the statutory insurance scheme.
treatment, care
and support needs
, of a
person, see
the National Injury Act, section 8.
uninsured motor
vehicle means
a motor vehicle
for which there is no CTP
insurance policy in force, other than a motor vehicle owned by
a self-insurer or a trailer. upper
offer limit
means the
amount prescribed under
a regulation as the upper offer
limit. Note— Under section
100A, the Minister must make a recommendation about
the
amount to be prescribed. wrongful act
or omission includes
a negligent act
or omission. 4A
References to insurer’s premium, a fee or
costs A reference in this Act to an insurer’s
premium, a fee or costs extends to any related charge (whether
treated as a component of the
premium, fee
or costs or
separately identified) to
reimburse or
offset the
liability of
the person to
whom the
premium, fee or costs are payable for
GST. 4B Meaning of act of
terrorism (1) An act
of terrorism is
an act done
or threat made
by a person—
(a) for an ethnic, ideological, political,
religious or similar purpose; and (b)
with
the intention to— (i) cause personal injury or damage to
property; and (ii) influence
a government or
put the public,
or a section of the
public, in fear. Current as at [Not applicable]
Page
17
Motor
Accident Insurance Act 1994 Part 1
Preliminary [s 5] (2)
It
does not matter whether the person is acting alone or with
others or in connection with an organisation
or government. (3) To decide whether the act was done or
the threat was made for a purpose
or with an
intention mentioned
in subsection (1), regard may be
had to the nature of the act or threat and the context in which
the act was done or the threat was made. Not
authorised —indicative
only 5 Application of
this Act (1) This Act applies to personal injury
caused by, through or in connection with a motor vehicle if,
and only if, the injury— (a) is a result
of— (i) the driving of the motor vehicle;
or (ii) a
collision, or
action taken
to avoid a
collision, with the motor
vehicle; or (iii) the motor
vehicle running out of control; or (iv)
a defect in
the motor vehicle
causing loss
of control of the vehicle while it is
being driven; and (b) is caused,
wholly or
partly, by
a wrongful act
or omission in
respect of
the motor vehicle
by a person
other than the injured person.
(2) For an uninsured motor vehicle,
subsection (1) applies only if the motor
vehicle accident out of which the personal injury
arises happens on a road or in a public
place. (3) However, this Act does not apply to
personal injury caused by, through or in connection with—
(a) a tractor,
backhoe, bulldozer, end-loader, forklift,
industrial crane
or hoist, or
other mobile
machinery, other than an
agricultural machine; or (b) an agricultural
machine; or (c) a motor vehicle adapted to run on rail
or tram tracks; or (d) an amphibious vehicle; or
(e) a motor vehicle of a class prescribed
by regulation; Page 18 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 2 Motor
Accident Insurance Commission [s 6]
unless the
motor vehicle
accident out
of which the
injury arises happens
on a road. (4) For subsection
(1)(b), the reference to
a wrongful act
or omission in respect of the motor
vehicle does not include the use of the motor
vehicle at the particular time it is being used for the actual
doing of an act or making of a threat that is an
act
of terrorism. (5) The following is an example of a
particular time when a motor vehicle is not
being used for the actual doing of an act that is
an
act of terrorism— A is the driver of a motor vehicle from
which a bomb is thrown at a government building. It is
established that at the time the bomb is thrown
the motor vehicle
is being used
for an act
of terrorism. In
driving away from the building after the
bomb is thrown, A runs into a motor vehicle
being driven by B. At the time A’s motor vehicle runs
into
B’s motor vehicle A’s motor vehicle is not being used for the
actual doing of an act of terrorism.
(6) Subsection (4) only applies to an act
of terrorism happening on or after 1 January 2002.
Part
2 Motor Accident Insurance Commission Division 1
Establishment of the commission
6 Establishment of commission
The
Motor Accident Insurance Commission is established.
7 Constitution of the commission
(1) The insurance
commissioner, in
the commissioner’s official
capacity (but
not in the
capacity of
Nominal Defendant), constitutes the
commission. (2) The insurance
commissioner is
to be employed
under the
Public Service Act 2008 .
Current as at [Not applicable]
Page
19
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 2
Motor Accident Insurance Commission [s 8]
8 Commission to be body corporate
(1) The commission— (a)
is a
body corporate; and (b) has a seal; and (c)
may
sue and be sued under the name Motor Accident Insurance
Commission. (2) The commission has all the powers of
an individual and may, for example— (a)
enter into contracts; and
(b) acquire, hold, dispose of, and deal
with, property; and (c) employ staff (including temporary
staff); and (d) appoint agents and attorneys;
and (e) engage consultants; and
(f) fix charges,
and other terms,
for the provision
of services by the commission.
(3) The commission’s seal
is to be
kept as
directed by
the commissioner and may be used only as
directed or authorised by the commissioner.
(4) Judicial notice
must be
taken of
the imprint of
the seal appearing on a
document and the document must be presumed to have been
properly sealed unless the contrary is proved. 9
Power
of delegation The commission may delegate its powers under
this Act. 9A Commission is statutory body
(1) Under the Statutory Bodies
Financial Arrangements Act 1982 ,
the
commission is a statutory body. (2)
The Statutory Bodies Financial
Arrangements Act 1982 , part 2B sets out the
way in which the commission’s powers under Page 20
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 2 Motor
Accident Insurance Commission [s 10]
this Act
are affected by
the Statutory Bodies
Financial Arrangements Act
1982 . Division 2 General
functions of commission 10 Commission’s
functions (1) The commission’s functions are
to— (a) supervise insurers
operating under
the statutory insurance
scheme and
issue, suspend
or withdraw licences for
insurers operating under the scheme; and (b)
establish and
revise prudential standards
with which
licensed insurers must comply; and
(c) monitor the management of claims by
insurers under the statutory insurance
scheme and,
in particular, the
insurers’ compliance with their obligations
under part 4; and (ca) appoint,
under the
industry deed,
a person to
arbitrate disputes
between 2
or more insurers
about a
motor vehicle accident
claim; and (d) fix for
each class
of CTP insurance
the range within
which an insurer’s premium must fall;
and (da) recommend
the levies and
the administration fee
payable under this Act; and
(e) monitor the
availability, adequacy
and use of
rehabilitation services for claimants who
suffer personal injury in motor vehicle accidents and
develop programs, resources and guidelines to overcome
deficiencies in the services; and (f)
provide funds
for, or
contribute in
other ways
to, the provision of
infrastructure to facilitate the rehabilitation of persons
injured in motor vehicle accidents; and Current as at
[Not applicable] Page 21
Motor
Accident Insurance Act 1994 Part 2 Motor
Accident Insurance Commission [s 10]
Not authorised —indicative
only Page 22 (g)
provide funds for research and education in
the field of rehabilitation and
the provision of
rehabilitation services;
and (h) provide funds
for research into
the causes of
motor vehicle
accidents and their prevention; and (ha)
establish and
maintain a
call centre
from which
the public may
obtain information on
the statutory insurance
scheme; and (i) carry out,
or contribute to,
advertising campaigns
to increase public awareness of the
causes of motor vehicle accidents, and of the economic, social
and personal cost of motor vehicle accidents; and
(j) promote and,
if funds are
available, make
financial contributions
towards— (i) the regular inspection of motor
vehicles to ensure safety and roadworthiness; and
(ii) the training of
drivers (including the provision of defensive
driving courses); and (iii) training in
first aid; and (iv) the
provision, maintenance and
support of
the infrastructure necessary to reduce the
incidence of motor vehicle accidents and minimise the
results; and (k) monitor the
efficiency of the statutory insurance scheme and,
in particular, the
proportion of
the funds of
the scheme paid
to claimants or
applied for
their direct
benefit; and (l)
develop and coordinate strategies to
identify and combat fraud in or related to motor vehicle
accident claims; and (m) keep
the industry deed
under review
and make recommendations
for its amendment; and (n) keep
the statutory insurance
scheme generally
under review and make
recommendations for its amendment; and
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 2 Motor
Accident Insurance Commission [s 11]
(o) conduct research
and collect statistics about
the statutory insurance scheme.
Note— For the
functions of the commission in relation to the injury
insurance scheme, see the National Injury Act, chapter
5. (2) In determining prudential standards
for licensed insurers, the commission must
have proper
regard to
the prudential standards
that apply
to the insurance
industry under
Commonwealth legislation.
11 Advisory committees
(1) The commission may
establish 1
or more advisory
committees to
advise on
the exercise of
the commission’s statutory
functions. (2) The matters
on which an
advisory committee
may provide advice are to be
decided by the commission with the approval of the
Minister. (3) An advisory committee is to consist of
persons appointed by the Minister on the commission’s
nomination. (4) The terms on which the members of an
advisory committee hold office are to be decided by the
Minister. Division 3 Insurance
premiums 12 Insurance premiums (1)
An
insurance premium under the statutory insurance scheme
consists of the following components—
(a) the insurer’s premium;
(b) the statutory insurance scheme
levy; (c) the hospital and emergency services
levy; (d) the Nominal Defendant levy;
(e) the injury insurance scheme
levy; Current as at [Not applicable]
Page
23
Motor
Accident Insurance Act 1994 Part 2 Motor
Accident Insurance Commission [s 12]
Not authorised —indicative
only (f) the
administration fee. (2) The insurer’s
premium is
the insurer’s consideration for
providing the insurance. (3)
The
statutory insurance scheme levy is to cover the estimated
costs of— (a)
the administration of
this Act
(other than
costs associated with
the Nominal Defendant scheme) for the financial year
in which the levy is fixed, together with any shortfall
from previous financial years; and (b)
the commission performing its
functions under
the National Injury Act, chapter 5 for the
financial year in which the levy is fixed. (4)
The hospital and
emergency services
levy is
to cover a
reasonable proportion of
the estimated cost
of providing public
hospital services
and emergency services
for the financial year
for which the levy is fixed having regard to the
number of people who— (a)
are
injured in motor vehicle accidents; and (b)
make use
of public hospital
services and
emergency services as a
result of their injuries; and (c)
are
claimants or potential claimants under the statutory
insurance scheme, but are not—
(i) participants in the injury insurance
scheme; or (ii) eligible
persons. (5) The Nominal Defendant levy is to cover
the estimated costs of the Nominal Defendant scheme for the
financial year or other period for which the levy is fixed
together with any shortfall from previous
financial years. (6) The administration fee
is the fee
payable to
transport administration for
work done
in the administration of
the statutory insurance scheme.
(7) The administration fee is a controlled
receipt for the purposes of the Financial
Accountability Act 2009 . Page 24
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 2 Motor
Accident Insurance Commission [s 13]
13 The insurer’s premium
(1) An insurer’s premium is to be set by
each licensed insurer, within limits
fixed by
the commission, for
each class
of insurance. (2)
The
premiums are to relate to a period (an assessment
period ) fixed under a regulation.
(3) The insurer’s premium is to be set by
the insurer on the basis that the insurance is to cover a
registration period of 1 year. (3A)
Subsection (3B) applies to a CTP insurance
policy— (a) that comes into force after 30 June
2003; and (b) for which a person is entitled to an
input tax credit for the insurer’s
premium component
of the insurance
premium for the policy. (3B)
The
insurer’s premium consists of— (a)
the amount set
under subsection
(1) for the class
of insurance to which the policy relates;
and (b) an additional amount prescribed under
a regulation. (4) If the
registration period
is more or
less than
1 year, the
insurer’s premium for the relevant CTP
policy is— (a) the proportion of the insurer’s
premium for 1 year that the period of registration bears to 1
year; and (b) an additional amount fixed on a basis
prescribed under a regulation. (5)
A regulation under
subsection (3B)(b) may
prescribe a
different amount for each class of insurance
provided by each licensed insurer. (6)
In
this section— input tax
credit has
the meaning given
by the A
New Tax System
(Goods and
Services Tax)
Act 1999 (Cwlth),
section 195-1. Current as at
[Not applicable] Page 25
Motor
Accident Insurance Act 1994 Part 2 Motor
Accident Insurance Commission [s 13A]
Not authorised —indicative
only 13A Premium
rates (1) This section
describes the
process for
setting the
insurer’s premiums, under
section 13(1), for each assessment period. (2)
The commission first
fixes limits
of insurer’s premium
for each class of CTP insurance.
(3) The limits
consist of
a floor amount
(below which
the premium can not be set) and a ceiling
amount (above which the premium can not be set).
(4) Before the commission fixes the
limits, the commission must invite written
submissions from— (a) licensed insurers on matters relevant
to the fixing of the limits and, in particular, on—
(i) current factors
and trends influencing the
cost of
insurance under
the statutory insurance
scheme; and
(ii) any other
factors that should, in the opinion of the insurers,
influence the
permissible range
of insurers’ premiums for the assessment
period; and (b) major organisations representing motorists
in Queensland. (5)
The commission must
at least once
in each year
obtain an
actuarial analysis
of the statutory
insurance scheme
and, at
least once
in each quarter,
obtain an
actuarial review
of current trends that could affect the
financial soundness of the scheme. (6)
After considering the
financial soundness
of the statutory
insurance scheme
in the light
of the most
recent actuarial
analysis and quarterly review obtained under
subsection (5), the submissions made
in response to
the commission’s invitations and
other material
the commission considers
relevant, the commission must—
(a) fix the limits of insurer’s premium
for each class of CTP insurance; and (b)
give
each licensed insurer a written notice— Page 26
Current as at [Not applicable]
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Motor
Accident Insurance Act 1994 Part 2 Motor
Accident Insurance Commission [s 13A]
(i) stating the
limits fixed
for each class
of CTP insurance;
and (ii) requiring
the insurer to
submit its
insurer’s premiums for
each class of CTP insurance for the relevant
assessment period
on or before
a date stated in the
notice; and (iii) specifying other
requirements with
which the
insurer’s submission must comply.
(7) The premiums
must be
submitted in
accordance with
requirements specified in the notice within
a time limit fixed under a regulation. (8)
Each
licensed insurer must give the commission written notice
of
the premiums set by the insurer on or before the date stated
in
the commission’s notice. (9) On
receipt of
the notice from
the insurer, the
commission must, within a
time limit fixed by a regulation— (a)
record the premiums set by the insurer for
the relevant assessment period for each class of CTP
insurance; and (b) give the insurer a written notice
confirming the insurer’s insurance premiums for the relevant
assessment period; and (c) notify
transport administration of
each insurer’s
insurance premiums for the relevant
assessment period. (10) If a licensed
insurer— (a) fails to
submit premiums
for each class
of CTP insurance as
required by the commission; or (b)
sets a
premium outside
the limits allowed
by the commission; the
commission may,
by written notice
to the insurer,
withdraw the insurer’s licence.
Current as at [Not applicable]
Page
27
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 2
Motor Accident Insurance Commission [s 14]
14 Recommendations about levies and
administration fee (1) At least 4 months before the end of
each financial year, the commission must make recommendations
to the Minister on the amount of— (a)
the statutory insurance
scheme levy
for the next
financial year; and (b)
the hospital and
emergency services
levy for
the next financial year;
and (c) the Nominal Defendant levy for the
next financial year and the component, if any, to be included in
the levy for satisfying liabilities of
the Nominal Defendant
under section 33(2);
and (d) the administration fee for the next
financial year. Note— For the
commission’s role in making recommendations about the injury
insurance scheme levy, see the National
Injury Act, section 98. (2) A levy mentioned
in subsection (1) or the administration fee may
vary according
to any 1
or more of
the following factors—
(a) the class of CTP insurance;
(b) the period of insurance;
(c) any other factor stated in a
regulation. (3) If there is an unexpected increase in
the Nominal Defendant’s liabilities that
necessitates, in
the commission’s opinion,
an increase in the Nominal Defendant levy
before the end of a financial year
for which the
levy has
been fixed,
the commission may, at any time, recommend
a special increase in the Nominal Defendant levy.
14A Fixing levies and administration
fee (1) Each of the following are to be fixed
by regulation for each financial year— (a)
the
statutory insurance scheme levy; Page 28
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Motor
Accident Insurance Act 1994 Part 2 Motor
Accident Insurance Commission [s 15]
(b) the hospital and emergency services
levy; (c) the Nominal Defendant levy;
(d) the administration fee.
(2) A regulation fixing
levies and
the administration fee
for a particular financial
year must
be made at
least 3
months before the
beginning of the financial year. (3)
However— (a)
if a
regulation fixing the levies and administration fee
for a particular financial
year is
not made at
least 3
months before
the beginning of
the relevant financial
year— (i)
the regulation commences
3 months after
it is notified
or on a
later date
specified in
the regulation; and (ii)
the
levies and administration fee last fixed continue
until the regulation commences; and
(b) if the commission recommends a special
increase in the Nominal Defendant
levy, a
regulation giving
effect to
the recommendation may
be made at
any time and
comes into force on the date the regulation
is notified or a later date specified in the
regulation. 15 Report and recommendations when costs
of insurance exceed the affordability index
(1) The costs of CTP insurance exceed the
affordability index if the insurance premium for a CTP
insurance policy for a class 1 motor vehicle
(assuming the insurer’s premium is set at the highest
amount set
by a licensed
insurer) exceeds
the affordability index.
(2) If the costs of CTP insurance exceed
the affordability index, the commission must
give the
Minister a
report about
the effect of current trends on the
affordability of CTP insurance. (3)
Subsection (4) applies if the commission
considers changes to the statutory insurance scheme or the
injury insurance scheme Current as at [Not applicable]
Page
29
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 2
Motor Accident Insurance Commission [s 16]
are
necessary to counter the effect of undesirable trends on the
affordability of CTP insurance.
(4) The commission may, in its report,
recommend the changes. (5) If
the report recommends changes
to the injury
insurance scheme, the
commission must give a copy of the report to the
Treasurer. (6)
In
fixing the range within which an insurer’s premium for a
class 1 motor vehicle must fall, the
commission is not to be influenced by the fact that the
proposed range could result in the costs of CTP
insurance exceeding the affordability index if the
ceiling amount
is, according to
actuarial advice,
appropriate to ensure the financial
soundness of the scheme. (7) The
Minister must,
as soon as
practicable after
receiving a
report under subsection (2), cause a copy of
the report to be laid before the Legislative Assembly.
(8) In this section— class
1 motor vehicle
means a
motor vehicle
of that class
under a regulation. insurance
premium , for a CTP insurance policy for a class
1 motor vehicle,
does not
include the
relevant insolvency liability
component or
an amount prescribed under
section 13(3B)(b) for the insurer’s premium
component of the insurance premium for the policy.
relevant insolvency liability
component means
the amount included
in the Nominal
Defendant levy
that the
Minister considers is
attributable to satisfying liabilities of the Nominal
Defendant under section 33(2).
Division 4 The Nominal
Defendant 16 The Nominal Defendant
(1) The Nominal Defendant—
(a) is a body corporate; and
Page
30 Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 2 Motor
Accident Insurance Commission [s 16A]
(b) has a seal; and (c)
may sue and
be sued under
the name Nominal
Defendant. (2)
The
commissioner is the Nominal Defendant. (3)
The
Nominal Defendant has all the powers of an individual
and
may, for example— (a) enter into contracts; and
(b) acquire, hold, dispose of, and deal
with, property; and (c) employ staff (including temporary
staff); and (d) appoint agents and attorneys;
and (e) engage consultants.
(4) The Nominal Defendant may delegate
powers under this Act. (5) The Nominal
Defendant’s seal is to be kept as directed by the
commissioner and may be used only as
directed or authorised by the commissioner.
(6) Judicial notice
must be
taken of
the imprint of
the seal appearing on a
document and the document must be presumed to have been
properly sealed unless the contrary is proved. 16A
Nominal Defendant is statutory body
(1) Under the Statutory Bodies
Financial Arrangements Act 1982 ,
the
Nominal Defendant is a statutory body. (2)
The Statutory Bodies Financial
Arrangements Act 1982 , part 2B sets out the
way in which the Nominal Defendant’s powers under this Act
are affected by the Statutory Bodies Financial
Arrangements Act 1982 .
17 Nominal Defendant to keep public
office (1) The Nominal Defendant must have a
public office. Current as at [Not applicable]
Page
31
Motor
Accident Insurance Act 1994 Part 2 Motor
Accident Insurance Commission [s 18]
(2) Legal process is served personally on
the Nominal Defendant by leaving it at the Nominal
Defendant’s public office with a person
apparently employed at the office. Not
authorised —indicative
only 18 Nominal Defendant
taken to be licensed insurer The
Nominal Defendant
is taken to
be a licensed
insurer (other
than for
parts 3
and 5) and
is bound by
the industry deed.
Division 5 Annual
report 19 Annual report (1)
The commission must
report annually
under the
Financial Accountability
Act 2009 . (2) The report
must— (a) include a report dealing with all
significant aspects of the operation
of the statutory
insurance scheme,
with particular reference
to the operation
of the provisions affecting
the management of
motor vehicle
accident claims;
and (b) contain information about the cost to
the community of motor vehicle accidents for the relevant
financial year; and (c) contain
information about the cost of administering this
Act
and the Nominal Defendant scheme for the financial
year; and (d)
contain further
information that
may be required
by regulation; and (e)
include the
audited accounts
of the Motor
Accident Insurance Fund
and the Nominal Defendant Fund. Note—
See
also the National Injury Act, section 104. (3)
In
this section— Page 32 Current as at
[Not applicable]
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Motor
Accident Insurance Act 1994 Part 3 Compulsory
insurance [s 20] motor
vehicle accident
includes an
incident resulting
in serious personal injury in relation to
which the National Injury Act applies. Part 3
Compulsory insurance Division 1
Obligation to insure 20
Offence of driving uninsured vehicle
etc. (1) A person must not drive an uninsured
motor vehicle on a road or in a public place.
Maximum penalty—80 penalty units.
(2) A person
who is the
owner of
an uninsured motor
vehicle must
not permit someone
else to
drive it
on a road
or in a
public place. Maximum
penalty—80 penalty units. (3) It is a defence
to a charge of an offence against this section to
prove that
the defendant had
reasonable grounds
to believe and
did believe the
motor vehicle
was an insured
motor vehicle.
(4) This section
does not
apply to
a motor vehicle
of a class
exempted from its application by
regulation. (5) Also, this section does not apply to a
motor vehicle to which a gratuitous CTP insurance policy under
section 20A(2) relates. 20A Temporary
gratuitous insurance (1) This section
applies if a person has been issued a permit under
the Transport Operations (Road
Use Management—Vehicle Registration) Regulation 2010
, section 108, authorising the
use
of an unregistered motor vehicle on roads. Current as at
[Not applicable] Page 33
Motor
Accident Insurance Act 1994 Part 3 Compulsory
insurance [s 21] (2)
A
gratuitous CTP insurance policy in terms of the schedule
under which the Nominal Defendant is the
insurer is taken to be in force for the motor vehicle while the
permit is in force. (3) However, subsection (2) does not apply
for any period when a CTP insurance
policy is
otherwise in
force for
the motor vehicle while
the permit is in force. Not authorised
—indicative only
Division 2 Selection of
insurer 21 Selection of insurer
(1) On lodging
an application for
the registration of
a motor vehicle
with transport
administration, the
applicant must
select a
licensed insurer
to be the
insurer under
the CTP insurance
policy for
the vehicle by
exercising 1
of the following
options— (a) the applicant may, at the time of
lodging the application, nominate, in
a way approved
by transport administration, a
particular licensed
insurer to
be the insurer under
the CTP insurance policy for the vehicle and pay the
appropriate insurance premium to transport administration; (b)
the
applicant may lodge with the application a certificate
in a form
approved by
the commission certifying that
the
appropriate insurance premium has been paid to the
licensed insurer
on whose behalf
the certificate is
issued. (2)
The
registered operator of a registered motor vehicle may, on
lodging an
application for
renewal of
registration or
at any other time,
change the insurer for the vehicle as from the end
of the current
registration period
by nominating, in
a way approved by
transport administration, another licensed insurer
as
the insurer of the motor vehicle. (3)
However— (a)
if a
registered operator lodges an application for renewal
of registration before
the end of
a current period
of Page 34 Current as at
[Not applicable]
Motor
Accident Insurance Act 1994 Part 3 Compulsory
insurance [s 21] Not
authorised —indicative only
registration, a nomination to change the
insurer for the period for which the renewal is to take
effect can not be made after
the time of
lodging the
application for
renewal; and (b)
a nomination under
subsection (2) becomes
void if,
between the time it is lodged and the time
it is to take effect— (i)
the
registration of the motor vehicle is transferred;
or (ii) a
further notice
of nomination is
lodged with
transport administration under subsection
(2). (4) On lodging an application for renewal
of the registration of a motor vehicle
with transport
administration, the
applicant must—
(a) pay the
appropriate insurance
premium to
transport administration;
or (b) lodge with
transport administration a
certificate in
a form approved
by the commission certifying that
the appropriate insurance premium (for the
period for which the registration is to be renewed) has been
paid to the licensed insurer
on whose behalf
the certificate is
issued. (5)
If
an applicant for registration or renewal of registration of
a motor vehicle pays to transport
administration an amount that is
(after subtracting any
amount payable
to transport administration
by way of registration fees and charges) less than
the appropriate insurance
premium but
within the
tolerances set by the commission—
(a) the applicant
is taken to
have paid
the appropriate insurance
premium; and (b) the amount is to be applied as
follows— (i) first to paying the registration fees
and charges, the administration fee and the levies;
(ii) secondly
to paying the
remaining balance
to the insurer.
Current as at [Not applicable]
Page
35
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 3
Compulsory insurance [s 21] (6)
However, in a case to which subsection (5)
applies, the CTP insurer may recover, as a debt, from the
registered operator of the motor
vehicle the
difference between
the insurer’s premium
the insurer would
have received
if the insurance
premium had
been paid
in full and
the amount actually
received by the insurer. (7)
The
commission may— (a) fix tolerances for subsection (5);
or (b) change or
replace tolerances previously fixed
for subsection (5). (8)
When the
commission fixes
the tolerances (or
changes or
replaces tolerances previously fixed),
the commission must
give
written notice of the tolerances (or the new tolerances) to
transport administration and all licensed
insurers. (9) For this section— (a)
a
person is taken to have made a nomination in a way
approved by transport administration if the
nomination is communicated to
transport administration in
a way transport
administration considers acceptable; and (b)
a person is
taken to
have lodged
a certificate with
transport administration if the certificate
or its contents are transmitted to,
and received by,
transport administration in
a way transport
administration considers
acceptable. (10) In this
section— appropriate insurance
premium means
the gross insurance
premium calculated by reference to—
(a) the period
for which registration is
to be granted
or renewed; and (b)
the
class of motor vehicle; and (c)
the
insurer’s premium for the insurer last selected under
this
section for the relevant class of insurance. Page 36
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 3 Compulsory
insurance [s 22] 22
Licensed insurer can not decline CTP
business (1) A CTP
insurance policy
under this
Act is binding
on the licensed insurer
by force of this Act, and a licensed insurer can
not repudiate, or
decline to
issue or
renew, a
CTP insurance policy. (2)
If
an application is made to a licensed insurer for an
insurance certificate for use in connection with an
application to register or renew
the registration of
a motor vehicle,
and the appropriate
insurance premium is tendered to the insurer by the applicant,
the insurer must issue the certificate. Maximum
penalty—300 penalty units. (3) A
court that
convicts an
insurer of
an offence against
subsection (2) may, by order, withdraw the
licence. 23 Statutory policy of insurance
(1) When transport
administration registers
or renews the
registration of a motor vehicle—
(a) a policy of insurance in terms of the
schedule comes into force for
the motor vehicle
when the
registration or
renewal of registration takes effect;
and (b) the licensed
insurer selected
under this
part in
or in relation to the
relevant application is the insurer under the
policy. (2) The policy remains in force for the
period of registration and for a
further period
of grace ending
on the first
of the following to
happen— (a) on the renewal of the registration or
the grant of a permit allowing the
vehicle to
be driven on
roads while
unregistered; (b)
on
the expiry of 30 days from the end of the period of
registration. (3)
However— (a)
if the registration is
cancelled before
the end of
the period for which it was granted or
renewed, the policy Current as at [Not applicable]
Page
37
Motor
Accident Insurance Act 1994 Part 3 Compulsory
insurance [s 23] Not
authorised —indicative
only ceases to be in force when the
cancellation takes effect (and there is no period of grace);
and (b) if a cancellation of registration
takes effect during the period of
grace, the
period of
grace ends
when the
cancellation takes effect; and
(c) the period of grace does not include a
period for which the vehicle has plates attached to it that
allow it to be driven while unregistered; and
(d) if the
registered operator
of the motor
vehicle has
selected a licensed insurer to become the
insurer of the motor vehicle
as from the
end of the
period of
registration, the
selected insurer
becomes the
insurer under the policy
for the period of grace. (3A) If the
registration of a motor vehicle is renewed after the end
of
the period of grace, the vehicle is uninsured from the end
of the period of
grace until
the registration is
renewed (even
though the
period for
which the
registration is
renewed is
backdated to the end of the previous
registration period). (4) The validity of
the policy is unaffected by— (a)
transport administration’s failure to
collect the insurance premium in full; or
(b) another error of transport
administration or an error of an
insurer. (5) If a CTP insurance policy comes into
force under this Act and the insurance premium has not been
collected, in full, by or for the
insurer, the
insurer may recover the
premium, or
as much of it as has not been paid, as a
debt, from the person in whose name the motor vehicle is
registered. (6) If— (a)
a cheque received
by transport administration for
the premium, or for an amount including
the premium, on a CTP insurance policy is not paid on first
presentation; or (b) transport administration becomes aware
that, because of administrative error,
the amount accepted
by it as
the Page 38 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 3 Compulsory
insurance [s 23] premium
on a CTP
insurance policy
is not the
full amount of the
premium; or (c) a payment
received electronically by
transport administration for
the premium, or
for an amount
including the
premium, on
a CTP insurance
policy is
subsequently withdrawn; transport
administration must, as soon as practicable, inform
the insurer of
the relevant fact
and of any
action taken
by transport administration to
recover the
premium or
the balance of the premium.
(7) If provision is made by regulation for
the gratuitous insurance of vehicles
of a particular class
under policies
of CTP insurance, a
vehicle of
the relevant class
must be
regarded, subject
to any conditions and
limitations prescribed by
regulation, as insured by a CTP insurance
policy under which the Nominal Defendant is the insurer.
(8) If a licensed insurer issues a CTP
insurance certificate for an uninsured motor
vehicle, the motor vehicle is covered by the insurer
under a
CTP insurance policy
while the
vehicle is
being driven as far as is reasonably
necessary— (a) to obtain
an inspection certificate, or
a weighbridge certificate,
necessary for the vehicle’s registration; or (b)
to
take the vehicle to the nearest convenient place for an
inspection that is necessary for
registration. (9) However, CTP insurance cover under
subsection (8) does not extend to an unregistered vehicle
while it is being driven to a place
to arrange or
undergo repair
or another purpose
not specifically authorised by the
subsection. (10) In this
section— inspection certificate means
an inspection certificate under
the Transport Operations (Road
Use Management—Vehicle Standards and
Safety) Regulation 2010 . Current as at
[Not applicable] Page 39
Motor
Accident Insurance Act 1994 Part 3 Compulsory
insurance [s 24] 24
Transfer of registration A
CTP insurance policy
is unaffected by
a change of
ownership, or a transfer of the registration
of, a motor vehicle to which it relates. Not
authorised —indicative
only 25 Motor vehicle
must be insured under correct class (1)
An
applicant for registration, or renewal of registration, of a
motor vehicle
must not
make a
misstatement or
misrepresentation that results in—
(a) the motor vehicle being incorrectly
classified; and (b) a consequent reduction
in the amount
of the premium
charged for the CTP insurance policy for the
vehicle. Maximum penalty—30 penalty units.
(2) However, it
is a defence
to a charge
of an offence
against subsection
(1) to prove that
the defendant believed
on reasonable grounds that the
misstatement or misrepresentation was true.
(2A) A person must
not drive a motor vehicle, or permit a motor vehicle to be
driven, on a road or in a public place knowing that the vehicle
has been incorrectly classified and that, as a result, less
than the appropriate insurance premium has been paid for a
policy of CTP insurance. Maximum penalty—30 penalty
units. (3) An insurer must not fix the insurance
premium to be paid for a CTP insurance
policy on
the basis of
a classification of
a motor vehicle the insurer knows to be
incorrect. Maximum penalty—300 penalty units.
26 Non application in certain
cases This division does not apply to—
(a) a trailer other than a trailer that is
registered, or about to be registered, under the
Interstate Road
Transport Act
1985 (Cwlth);
or Page 40 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 3 Compulsory
insurance [s 27] (b)
a
motor vehicle owned by a self-insurer. Division 3
Disbursement of gross insurance
premiums 27
Disbursement of gross premiums by
transport administration (1)
Transport administration must in each
week— (a) give the
commission a
return setting
out, for
the previous week— (i)
the total amount
received by
way of insurance
premiums; and (ii)
the total amount
received by
way of insurer’s
premium for each licensed insurer;
and (iii) the amount
received by way of statutory insurance scheme levy;
and (iv) the
amount received
by way of
hospital and
emergency services levy; and
(v) the amount received by way of Nominal
Defendant levy; and (vi)
the
amount received by way of the injury insurance scheme levy;
and (vii) the amount received by way of
administration fee; and (b) pay to each
licensed insurer the total amount received by way of insurer’s
premium for the licensed insurer; and (c)
pay
to the commission the total amount received by way
of levies, other
than amounts
received by
way of the
injury insurance scheme levy.
(2) Transport administration must also in
each week— Current as at [Not applicable]
Page
41
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 3
Compulsory insurance [s 27A] (a)
give
the insurance agency a return setting out, for the
previous week, the amount received by way of
the injury insurance scheme levy; and
(b) pay to the insurance agency the total
amount received by way of the injury insurance scheme
levy. (3) For subsections (1)(c) and (2)(b), the
total amount received by way of
levy includes
any amount received
from a
licensed insurer for
transmission to the commission or the insurance agency.
(4) Transport administration may retain
the amount received by way of administration fee.
27A Disbursement of gross premiums by
insurers who receive premiums directly
(1) Within a
week after
transport administration notifies
a licensed insurer
that it
has received a
certificate certifying payment of an
insurance premium to the licensed insurer, the licensed insurer
must— (a) pay to transport administration (for
transmission to the commission or the insurance agency) the
component of the insurance premium consisting of the
levies; and (b) pay to
transport administration the
component of
the insurance premium consisting of the
administration fee. Maximum penalty—150 penalty units.
(2) However, an
insurer’s liability
to make payments
under subsection
(1) to transport administration, and
transport administration’s liability
to pay insurer’s
premiums to
the insurer, may
be set off
against each
other under
an arrangement between transport
administration and the insurer (but
such an
arrangement is
not to affect
the extent of
transport administration’s liability
to pay levies
to the commission or
the insurance agency). (3) If
an insurer fails
to make a
payment to
transport administration when
required under
this section,
transport Page 42
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 3 Compulsory
insurance [s 28] administration may
recover the
amount as
a debt, together
with
interest at a rate fixed under a regulation. Division 4
The
statutory funds 28 Motor Accident Insurance Fund
(1) There is
to be a
fund called
the Motor Accident
Insurance Fund.
(2) The fund consists of—
(a) an amount transferred to the fund
under section 33(6) or 106; and (b)
the
amounts received or recovered by the commission by way of the
statutory insurance scheme levy under this Act; and
(c) the amounts received or recovered by
the commission by way of
the hospital and
emergency services
levy under this Act;
and (d) any penalties or penalty interest
imposed under this Act; and (e)
income derived from the investment of the
fund. (3) The fund is to be applied to meet the
cost of administering this Act, including— (a)
all expenditure by
the commission in
the exercise of
statutory powers and functions (including
payments to be made under
section 106(4) but
not costs otherwise
associated with the Nominal Defendant
scheme); and (b) payments relating
to an advance
of amounts under
subsection (6), that are payable under the
terms of the advance. (4)
The
amounts received into the fund by way of the hospital and
emergency services levy are to be applied
towards providing public hospital services and public
emergency services and, Current as at [Not applicable]
Page
43
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 3
Compulsory insurance [s 29] for
that purpose,
are to be
paid to
relevant government entities.
(5) The Treasurer may decide at which
periodic intervals, and in what proportions, the amounts are to
be paid. (6) The Treasurer may advance amounts to
the fund on the terms the Treasurer considers
appropriate. 29 Nominal Defendant Fund
(1) There is to be a fund called the
Nominal Defendant Fund. (2) The following
amounts are to be paid into the fund— (a)
the
amounts to be paid by the Treasurer to the credit of
the
fund under section 106; (b) the income
derived from the Nominal Defendant levy; (c)
the amounts paid
to, or recovered
by, the Nominal
Defendant under this Act;
(d) amounts advanced to the fund under
this section; (e) income derived from investment of the
fund. (3) The following amounts are to be paid
from the fund— (a) the costs of carrying out the
functions of the Nominal Defendant under the statutory
insurance scheme; (b) amounts required
to satisfy liabilities of
the Nominal Defendant for
motor vehicle accident claims; (c)
payments relating
to an advance
of amounts under
subsection (4), that are payable under the
terms of the advance. (4)
The
Treasurer may advance amounts to the fund on the terms
the
Treasurer considers appropriate. Page 44
Current as at [Not applicable]
Not authorised —indicative only
Division 5 Motor Accident
Insurance Act 1994 Part 3 Compulsory insurance
[s
30] Transfer of CTP business 30
Transfer of CTP business (1)
The
commission may, on the joint application of 2 licensed
insurers, approve
the transfer of
CTP business from
one insurer (the transferor ) to the other
(the transferee ).
(2) An approval under this section may be
given on the conditions the commission considers
appropriate. (3) Notice of an approval under this
section must be published in the
gazette. (4) On publication of the notice of
approval in the gazette— (a) all
rights and
liabilities subject
to the transfer
are transferred to, and become rights and
liabilities of, the transferee; and (b)
this
Act operates as if the transferee had been selected as
the insurer under
the CTP policies
subject to
the transfer; and (c)
if
the transferor’s entire CTP business is transferred—
the
transferor’s licence is withdrawn; and (d)
if
part of the transferor’s CTP business is transferred—
the
transfer is an adequate reason for withdrawing the
licence. Editor’s
note— It should be
noted that,
under section
66(1), the commission may
withdraw a licence if the insurer asks the
commission to withdraw it, the insurer
contravenes this
Act, a
condition of
the licence or
the industry deed, or there is some other
reason justifying withdrawal of the licence.
Current as at [Not applicable]
Page
45
Motor
Accident Insurance Act 1994 Part 4
Claims [s 31] Part 4
Claims Not
authorised —indicative
only Division 1 The
insurer 31 Principles for determining the
insurer (1) If personal injury is caused by,
through or in connection with a motor vehicle,
the insurer for the statutory insurance scheme is to be decided
in accordance with the following principles— (a)
if the motor
vehicle is
an insured motor
vehicle—the insurer under
the CTP insurance policy is, subject to this division, the
insurer; (b) if the motor vehicle is not insured
but a self-insurer is the registered owner—the self-insurer
is the insurer; (c) if the motor vehicle is not insured
and a self-insurer is not the registered owner—the Nominal
Defendant is the insurer; (d)
if
the motor vehicle, or insurer under its CTP insurance
policy, can not be identified—the Nominal
Defendant is the insurer. (2)
In any legal
proceedings, it
is to be
presumed that
a motor vehicle can not
be identified if it is established by affidavit or
oral
evidence that proper inquiry and search have been made
and
have failed to establish the identity of the motor vehicle.
(3) If a
trailer is
attached to
a motor vehicle
registered in
Queensland or runs out of control after
becoming accidentally detached from a motor vehicle
registered in Queensland, the trailer must be
regarded as part of the motor vehicle and the insurer of the
motor vehicle is the insurer of the trailer but, in
any
other case, the insurer of a trailer registered in
Queensland is the Nominal Defendant whose liability is
to be decided as if the Nominal Defendant had issued a separate
CTP insurance policy for the trailer. (4)
However— Page 46
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 4
Claims [s 32] (a)
if a motor
vehicle accident
involving a
trailer with
a GVM of
more than
4.5 tonnes happens
outside the
State—the Nominal Defendant is not the
insurer of the trailer under subsection (3); and
(b) if a CTP insurance policy (other than
a supplementary policy) is issued for, or expressly extends
to, a trailer— the insurer under the policy is the insurer
of the trailer for all purposes. (5)
In
this section— supplementary policy means a policy
of insurance for a trailer insuring against
liability for
personal injury
caused by,
through or in connection with the trailer,
other than a liability covered under subsection (3).
32 Self-insurer as the insurer
If
personal injury is caused by, through or in connection with
a motor vehicle
that is
not insured under
a CTP insurance
policy but
a self-insurer is
the registered owner,
the self-insurer’s liability
is the same
as if the
self-insurer had
been, when the motor vehicle accident
happened, the insurer under a
CTP insurance policy
under this
Act for the
motor vehicle.
33 Nominal Defendant as the
insurer (1) The Nominal Defendant’s liability for
personal injury caused by, through or in connection with a
motor vehicle is the same as if the Nominal Defendant had been,
when the motor vehicle accident happened, the insurer under a
CTP insurance policy under this Act for the motor
vehicle. (2) If the
insurer under
a CTP insurance
policy becomes
insolvent, the Nominal Defendant becomes the
insurer under CTP policies in force under this Act for
which the insolvent insurer was
formerly the
insurer unless
the policies are
transferred to some other licensed
insurer. Current as at [Not applicable]
Page
47
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 33] (3)
The
Nominal Defendant is liable for personal injury arising
out
of a motor vehicle accident outside Queensland only if—
(a) the liability arises under subsection
(2); or (b) the personal
injury is
caused by,
through or
in connection with
a motor vehicle
that is
gratuitously insured under
section 23(7). (4) Subject to
subsection (5), if
the Nominal Defendant
Fund proves
insufficient to
meet the
liabilities of
the Nominal Defendant under
subsection (2), the commissioner must make payments from
the Motor Accident Insurance Fund to meet the
deficiency. (5) The total payments from the Motor
Accident Insurance Fund under subsection
(4) and under section
106(4), including payments
made under
section 106(4) before
the commencement of this subsection, can
not be more than the amount that was transferred to the
fund under section 106(3). (6) If
an amount is
recovered or
received by
the Nominal Defendant, by
way of an
action or
a claim relating
to the insolvency of
an insurer under
a CTP insurance
policy, the
Treasurer may, by written notice to the
Nominal Defendant, direct it
to transfer an
amount, not
exceeding the
amount recovered or
received, to the Motor Accident Insurance Fund. Editor’s
note— See section 61 (Nominal
Defendant’s rights
of recourse against
insurer). (7)
However, the
total amount
the Treasurer may
direct the
Nominal Defendant
to transfer to
the Motor Accident
Insurance Fund
from all
the amounts recovered
or received relating
to an insolvent
insurer, as
mentioned in
subsection (6), must not exceed the total
payments from the fund made by the commissioner under
subsection (4) relating to that insolvent insurer.
Page
48 Current as at [Not applicable]
Division 2 Motor Accident
Insurance Act 1994 Part 4 Claims [s 34]
Duty
to notify accidents and claims and provide
information Not authorised —indicative only
34 Duty to notify accidents to
police (1) A person
who proposes to
make a
motor vehicle
accident claim (including
a person acting in a representative capacity) must ensure that
appropriate notice of the accident has been given to a
police officer. (2) Appropriate notice of a motor vehicle
accident is— (a) the report
of particulars required
under the
Transport Operations (Road
Use Management—Road Rules)
Regulation 1999 , section 287;
or Editor’s note— Transport
Operations (Road
Use Management—Road Rules)
Regulation 1999
—see the
Transport Operations (Road
Use Management—Road Rules) Regulation
2009 , section 356. (b)
if (and only
if) particulars have
not been reported
as required under that section—a notice
under this section in a form approved by the commission.
(3) A notice under this section
must— (a) state the intending claimant’s full
name, date of birth, residential address and a telephone
number at which the claimant can be contacted; and
(b) state the
date, time
and place of
the accident and
describe how it happened; and
(c) identify all motor vehicles and
drivers involved in the accident (as far as known to the
intending claimant); and (d) state the names
and residential addresses of all persons injured in the
accident (as far as known to the intending claimant);
and (e) state the names and residential
addresses of all persons who witnessed
the accident (as
far as known
to the intending
claimant); and Current as at [Not applicable]
Page
49
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 35] (f)
state the
general nature
of the personal
injury to
the intending claimant.
35 Duty to provide information
(1) The driver,
person in
charge or
owner of
a motor vehicle
involved in
an accident out
of which personal
injury arises
must, at the request of the insurer of a
vehicle involved in the accident, provide any information
about the accident that the insurer may
reasonably require within 1 month after receiving
the
request. (2) A person must not, without reasonable
excuse, fail to comply with a request for information under
subsection (1). Maximum penalty—10 penalty units.
(3) A person asked to provide information
under subsection (1) has a reasonable excuse for not
complying with the request if the information
would tend to incriminate the person. (4)
A
person, if not the driver, owner, or person in charge of the
motor vehicle insured by the insurer asking
for information, need not comply with the request unless it
was made with the agreement of the insurer of the motor
vehicle. (5) An insurer who asks for information
under this section must disclose fully in the request the
nature of the insurer’s interest in the motor
vehicle accident. 36 Duty to notify claims
(1) A person who receives a claim or
demand, or notice of a claim or
demand, about
personal injury
arising out
of a motor
vehicle accident must, within 1 month after
receiving it, give the claim, demand or notice to the insurer
of the motor vehicle under the statutory insurance
scheme. Maximum penalty—10 penalty units.
(2) A person who receives a writ or other
process of a court about a motor vehicle accident claim must
immediately give it to the Page 50 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 4
Claims [s 37] insurer
of the motor
vehicle under
the statutory insurance
scheme. Maximum
penalty—10 penalty units. Division 3 Claims
procedures 37 Notice of accident claim
(1) Before bringing an action in a court
for damages for personal injury arising out of a motor vehicle
accident, a claimant must give written notice of the motor
vehicle accident claim to the insurer or 1 of
the insurers, against which the action is to be brought—
(a) containing a statement of the
information required under a regulation; and (b)
authorising the
insurer to
have access
to records and
sources of
information relevant
to the claim
specified under a
regulation; and (c) authorising the
insurance agency
to exchange information
about the claimant with an entity prescribed by
regulation under
the National Injury
Act, section
19(3)— (i)
in
the event that the insurer makes an application under
that Act
for the claimant
in relation to
the injury; and (ii)
for
the purpose of the insurance agency performing its functions
under that Act; and (d) accompanied by
the documents prescribed by
regulation. (2)
The
notice must be given— (a) if it is to be
given to the Nominal Defendant because the motor
vehicle can
not be identified—within 3
months after the motor
vehicle accident; or Current as at [Not applicable]
Page
51
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 37A] (b)
in any other
case—within the
period ending
on the earlier of the
following dates— (i) 9 months
after the
motor vehicle
accident or,
if symptoms of
the injury are
not immediately apparent, the
first appearance of symptoms of the injury;
(ii) 1 month after
the claimant first consults a lawyer about the
possibility of making a claim. (3)
If
notice of a motor vehicle accident claim is not given within
the
time fixed by this section, the obligation to give the
notice continues and a reasonable excuse for the
delay must be given in the notice or by separate notice to the
insurer but, if a motor vehicle can not be identified and the
notice is not given to the Nominal Defendant within 9 months
after the motor vehicle accident, the claim against the
Nominal Defendant is barred. (4)
If 2
or more motor vehicles were involved in the motor vehicle
accident, the
insurer to
which notice
is given under
subsection (1) must,
within 7
days after
receiving it,
give a
copy of
the notice to
any other insurer
of a motor
vehicle involved in the
motor vehicle accident. 37A Additional
information form (1) An insurer to whom notice of a motor
vehicle accident claim is given
may ask the
claimant to
provide additional information about
the claim and
the circumstances out
of which it arises. (2)
Without limiting
subsection (1),
an insurer may,
for considering any of the following
matters, ask the claimant to provide
additional information about the injury the subject of
the
claim— (a) whether the injury is a serious
personal injury in relation to which the
National Injury Act applies; (b)
whether the claimant is an eligible
person. Page 52 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 4
Claims [s 37B] (3)
The
information must be provided in a form approved by the
commission (an
additional information form
) to be
completed and returned to the
insurer. (4) The claimant
must complete
and return an
additional information form
to the insurer— (a) if the claim relates to a motor
vehicle that can not be identified and
the request is
made by
the Nominal Defendant—within
the period ending on the later of the following
dates— (i) 3 months after the motor vehicle
accident; (ii) 1 month after
the date of the request; or (b)
in
any other case—within the period ending on the later
of
the following dates— (i) 9
months after
the motor vehicle
accident or,
if symptoms of
the injury are
not immediately apparent, the
first appearance of symptoms of the injury;
(ii) 1 month after
the date of the request. 37B Witness
information request made by insurer (1)
An
insurer may, by written notice, ask an emergency service
to
give the insurer information to help the insurer identify or
contact a person who witnessed a motor
vehicle accident if the insurer— (a)
is
given notice of a motor vehicle accident claim for the
motor vehicle accident; and
(b) reasonably believes the information is
necessary— (i) to decide
the accuracy of
matters relating
to the claim;
and (ii) to
help the
insurer resolve
the claim under
this division.
(2) If an insurer asks an emergency
service for information under this section,
the emergency service may give the information Current as at
[Not applicable] Page 53
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 38] to
the insurer despite
any other law
that would
otherwise prohibit or
restrict the giving of the information. (3)
A
person, acting honestly, is not liable, civilly, criminally
or under an administrative process, for giving
information under this section. (4)
In
this section— emergency service means each of
the following— (a) the Queensland Ambulance
Service; (b) the Queensland Fire and Rescue
Service; (c) the Queensland Police Service.
38 Multiple insurers (1)
If 2
or more motor vehicles are involved in a motor vehicle
accident in circumstances in which 2 or more
insurers may be liable on
a motor vehicle
accident claim
arising out
of the accident, 1 of
the insurers (the claim manager ) is to act for
all the insurers under this division and
divisions 4, 5, 5A, 6 and 9. (2)
The
claim manager is to be decided by agreement between the
insurers within 2 months of the day when
notice of the claim was first given
under this
division or,
if agreement is
not reached within the period, the claim
manager is to be decided under the industry deed.
(3) Until it
is decided under
subsection (2) who
the claim manager is to
be, the insurer to which notice of claim is first
given under this division is the claim
manager. (4) The claim manager— (a)
may exercise the
powers and
perform the
functions conferred by
this division and divisions 4, 5, 5A, 6 and 9 in relation to
the claim and the claimant for all insurers liable, or
potentially liable, on the claim; and (b)
must
act as far as practicable with the agreement of the
other insurers; and Page 54
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 4
Claims [s 39] (c)
is
entitled to contributions from the other insurers on the
basis prescribed by
the industry deed
for expenditure properly
incurred as
claim manager,
and for amounts
awarded or paid out on the claim.
(5) The claim manager and the other
insurers must cooperate with each other and
must provide each other with information in their possession
relevant to the claim. (6) If the Nominal
Defendant is 1 of 2 or more insurers who may be liable on a
motor vehicle accident claim because a motor vehicle that can
not be identified was involved in the accident, another insurer
may act for the Nominal Defendant under this section only if
the Nominal Defendant agrees in writing. 39
Response to the notice of claim
(1) If notice
of a motor
vehicle accident
claim is
given to
an insurer under
this division
or purportedly under
this division—
(a) the insurer
must, within
14 days after
receiving the
notice give the claimant written
notice— (i) stating whether
the insurer is
satisfied that
the notice has
been given
as required under
this division;
and (ii) if
the insurer is
not satisfied—identifying
the noncompliance and
stating whether
the insurer waives
compliance with the requirements; and (iii)
if
the insurer does not waive compliance with the requirements—allowing the claimant a
reasonable period (at
least 1
month) specified
in the notice
either to satisfy the insurer that the
claimant has in fact complied
with the
requirements or
to take reasonable
action specified in the notice to remedy the
noncompliance; and (iv) if
the claimant is
not a participant in
the injury insurance scheme
in relation to a serious personal injury
resulting from
the motor vehicle
accident Current as at
[Not applicable] Page 55
Motor
Accident Insurance Act 1994 Part 4
Claims [s 39] Not
authorised —indicative
only the subject
of the claim—stating whether
the insurer is prepared (without admitting
liability) to meet the
reasonable and
appropriate cost
of the claimant’s
rehabilitation; and (v) if the
claimant is
a participant in
the injury insurance scheme
in relation to a serious personal injury
resulting from
the motor vehicle
accident the
subject of
the claim—stating whether
the insurer is prepared (without admitting
liability) to meet the
reasonable and
appropriate cost
of the claimant’s rehabilitation for
any period that
the claimant is not a participant in the
scheme; and (b) if the insurer is not prepared to
waive compliance with the requirements in the first
instance—the insurer must, within 14
days after
the end of
the period specified
under paragraph
(a)(iii), give
the claimant a
written notice—
(i) stating that the insurer is satisfied
the claimant has complied with
the relevant requirements, is
satisfied with the action taken by the
claimant to remedy the
noncompliance or
waives the
noncompliance in any event; or
(ii) stating
that the
insurer is
not satisfied that
the claimant has taken reasonable action
to remedy the noncompliance, giving
full particulars of
the noncompliance and
the claimant’s failure
to remedy it. (2)
If
an insurer to which notice of a motor vehicle accident claim
is
given under this division or purportedly under this division
is
not, for the purposes of the claim the insurer of the motor
vehicle to
which the
claim relates
under the
statutory insurance
scheme, the insurer must, instead of responding to
the notice under
subsection (1), give
the claimant written
notice denying
that the
insurer is
the insurer under
the statutory insurance scheme.
(3) If notice
of a motor
vehicle accident
claim is
given to
an insurer under this division or
purportedly under this division, Page 56
Current as at [Not applicable]
Motor
Accident Insurance Act 1994 Part 4
Claims [s 39] Not
authorised —indicative only
and
the insurer does not respond to the notice within 14 days
after receiving it, the insurer is
conclusively presumed to be satisfied the
notice was given as required under this division.
(4) However, the insurer’s failure to
respond to the notice does not prevent the insurer from later
denying that the insurer is the
insurer of
the motor vehicle
to which the
claim relates
under the statutory insurance scheme, but
the insurer is liable to compensate the claimant and the
insurer against which the claim properly lies for prejudice
resulting from the insurer’s failure to
respond to the notice under subsection (2). (5)
A
claimant’s failure to give notice of a motor vehicle
accident claim as
required under
this division
prevents the
claimant from proceeding
further with the claim unless— (a)
the
insurer— (i) has stated
that the
insurer is
satisfied notice
has been given
as required under
this division
or the claimant has
taken reasonable action to remedy the noncompliance;
or (ii) is presumed to
be satisfied notice has been given as required under
this division; or (b) the insurer has waived compliance with
the requirement; or (c) the court, on
application by the claimant— (i)
declares that
the claimant has
remedied the
noncompliance; or (ii)
authorises further proceedings based on the
claim despite the noncompliance.
(6) An order of the court under subsection
(5)(c) may be made on conditions the
court considers
necessary or
appropriate to
minimise prejudice to an insurer from the
claimant’s failure to comply with requirements of this
division. (7) If a claimant does not comply with the
requirements of this division, a court before which the
claimant brings an action for damages on the claim—
Current as at [Not applicable]
Page
57
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 40] (a)
may,
on the insurer’s application, award in the insurer’s
favour costs
(including legal
and investigation costs)
reasonably incurred
by the insurer
because of
the claimant’s default; and
(b) may only award interest in the
claimant’s favour for a period for which the claimant was in
default if the court is satisfied there is a reasonable
excuse for the default. (8) If a claim
against the Nominal Defendant is barred because the claim
relates to personal injury caused by, through or in
connection with a motor vehicle that can not
be identified and the claimant failed to give notice of claim
under this division within 9 months after the motor vehicle
accident, the Nominal Defendant can not waive compliance
with the requirement to give notice within the time allowed by
this division, nor can the court give leave to bring a
proceeding in a court despite the
noncompliance. 40 Minority and legal disabilities
(1) A claimant’s obligation to
comply with
this division
is suspended during the claimant’s
minority or a period of legal incapacity. (2)
A
period within which the obligation is to be complied with
begins when the claimant’s minority or legal
incapacity ends. (3) However, this section does not prevent
a claimant, or a person acting for
the claimant, from
complying with
an obligation under
this division
during the
claimant’s minority
or legal incapacity. 41
Insurer must attempt to resolve claim
(1) Within 6 months after an insurer
receives notice of a motor vehicle accident claim under this
division, the insurer must— (a)
take reasonable steps
to inform itself
of the circumstances of
the motor vehicle
accident out
of which the claim arises; and
(b) give the claimant written notice
stating— Page 58 Current as at
[Not applicable]
Motor
Accident Insurance Act 1994 Part 4
Claims [s 41] Not
authorised —indicative only
(i) whether liability is admitted or
denied; and (ii) if contributory
negligence is claimed—the degree of
the contributory negligence expressed
as a percentage;
and (iii) if
the claimant is
not a participant in
the injury insurance
scheme but
the insurer considers
the claimant may
be an eligible
person—that the
claimant may be an eligible person;
and (c) if the claimant made an offer of
settlement in the notice of claim,
inform the
claimant whether
the insurer accepts
or rejects the
offer or,
if the claimant
did not make
an offer of
settlement in
the notice, invite
the claimant to make a written offer of
settlement. (2) As soon
as practicable after
an insurer receives
notice of
a claim under the division, the insurer
must— (a) make a fair and reasonable estimate of
the damages to which the
claimant would
be entitled in
an action against the
insurer; and (b) make a written offer (or counter
offer) of settlement to the claimant setting out in detail the
basis on which the offer is made, or settle the claim by
accepting an offer made by the claimant. (3)
If a
notice of claim is not given as required under this
division, the insurer is taken to receive the notice
when— (a) the insurer
gives the
claimant notice
that the
insurer waives
compliance with
the requirement that
has not been complied
with or is satisfied the claimant has taken reasonable
action to remedy the noncompliance; or (b)
the
court makes a declaration that the claimant is taken
to
have remedied the noncompliance, or gives leave to
bring a
proceeding based
on the claim
despite the
noncompliance. (4)
An
offer (or counter offer) of settlement must be accompanied
by a copy
of medical reports,
assessments of
cognitive, functional or
vocational capacity,
or other material
in the Current as at
[Not applicable] Page 59
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 42] offerer’s
possession that
may help the
person to
whom the
offer is made make a proper assessment of
the offer. (5) An insurer or claimant to whom a
written offer (or counter offer) of
settlement is
made must
(unless a
response to
the offer is to be made under subsection
(1)(c)) respond in writing to the
offer, within
3 months after
receiving it,
indicating acceptance or
rejection of the offer. (6) An admission of
liability by an insurer under this section— (a)
is
not binding on the insurer on another claim arising out
of
the same motor vehicle accident; and (b)
is
not binding on the insurer at all if it later appears the
admission was induced by fraud.
42 Payment of medical expenses
etc. (1) Once liability has been admitted, it
is the duty of the insurer to make
payments to
or for the
claimant for
private hospital,
medical and
pharmaceutical expenses
reasonably and
appropriately incurred because of the injury
or a proportionate part of
the expenses reflecting the
extent of
the insurer’s responsibility (assuming
the claimant to
be guilty of
contributory negligence as asserted by the
insurer). (2) A payment must be made under this
section on presentation of an account made up, and verified, as
required by regulation. (3) However,
the insurer is
not required to
make a
payment in
relation to the claimant’s treatment, care
and support needs as a result of the injury if—
(a) the claimant is, when the needs arise,
a participant in the injury insurance scheme in relation to
a serious personal injury resulting
from the
motor vehicle
accident the
subject of the claim; or (b)
the
needs arise after an amount is paid to the claimant,
or a
person acting for the claimant, under the National
Injury Act,
section 44(3)(a)
in relation to
a personal injury
resulting from
the motor vehicle
accident the
subject of the claim. Page 60
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 4
Claims [s 43] (4)
Subsection (3) applies— (a)
whether or not the injury the subject of the
claim is a serious personal injury; and
(b) whether or not the treatment, care and
support needs are an approved service for the claimant under
the National Injury Act; and (c)
whether or
not the insurance
agency must,
under that
Act,
make a payment in relation to the treatment, care
and
support needs; and (d) whether or
not the treatment, care
and support is
provided without charge. (5)
An
insurer may recover payments made under this section if it
later appears
that the
admission of
liability was
induced by
fraud. 43
Insured person not to admit liability
(1) An insured
person must
not, without
the insurer’s written
agreement— (a)
make an
admission of
liability on
a motor vehicle
accident claim; or (b)
settle, or offer to settle, a motor vehicle
accident claim; or (c) make a payment,
or offer or promise to make a payment, on a motor
vehicle accident claim. (2) A
contract, offer
or promise made
in contravention of
this section does not
bind the insurer. (3) This section
does not
prevent an
insured person
from providing
a police officer
with information reasonably required to
prepare a report on a motor vehicle accident. (4)
An insured person
incurs no
civil liability
to an insurer
through contravention of this
section. Current as at [Not applicable]
Page
61
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 44] 44
Power
of insurer to act for insured (1)
If a
motor vehicle accident claim is made against an insured
person, the insurer— (a)
must
undertake the conduct and control of negotiations
and
legal proceedings related to the claim; and (b)
may
compromise or settle the claim or legal proceedings
related to the claim and act for the insured
person in any other way in relation to the claim.
(2) The insured
person must
sign any
documents necessary
to give effect to this section and, if
the insured person does not sign or is dead,
absent or can not be found, the insurer may sign for the
insured person. (3) Nothing said or done by an insurer in
connection with a motor vehicle accident claim, or legal
proceedings related to a motor vehicle
accident claim,
is an admission
of liability in,
or otherwise prejudices or affects,
another claim or proceedings arising out of
the same circumstances. Division 4 Cooperation
between claimant and insurer 45
Duty
of claimant to cooperate with insurer (1)
A claimant must
cooperate with
the insurer and,
in particular— (a)
must
provide the insurer with copies of reports and other
documentary material
(including written
statements made by the
claimant or by witnesses) in the claimant’s possession about
the circumstances of
the accident or
the claimant’s medical
condition or
prospects of
rehabilitation; and (b)
must give
information reasonably requested
by the insurer
about— (i) the circumstances of the accident out
of which the claim arose; and Page 62
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Motor
Accident Insurance Act 1994 Part 4
Claims [s 45A] (ii)
the nature of
the injuries resulting
from the
accident and
of any consequent disabilities and
financial loss; and (iii)
if applicable—the medical
treatment and
rehabilitation services
the claimant has
sought or
obtained; and (iv)
the claimant’s medical
history (as
far as it
is relevant to
the claim), and
any other claims
for compensation for
personal injury
made by
the claimant. (2)
The
claimant must— (a) provide the
copies of
reports and
other documentary materials
within 1
month after
giving notice
of the motor
vehicle accident
claim or,
if the reports
or material come
into the
claimant’s possession later,
within 1
month after
they come
into the
claimant’s possession;
and (b) respond to
a request under
subsection (1)(b) within
1 month after receiving it.
(3) If, after notice of a claim is given
to the insurer but before the claim is
resolved, the claimant becomes aware of a significant
change in
the claimant’s medical
condition, or
in other circumstances, relevant
to the extent
of the claimant’s disabilities or
financial loss,
the claimant must,
within 1
month after becoming aware of the change,
inform the insurer of the change. (7)
Any information provided
by a claimant
under this
section must be verified
by statutory declaration if the insurer requires
it
to be verified by statutory declaration. 45A
Panels of recognised medical experts
(1) The commission— (a)
may establish a
panel of
experts for
reporting on
the medical condition
of claimants and
their prospects
of Current as at [Not applicable]
Page
63
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 46] rehabilitation (the
official panel
of medical experts
); and (b)
may revise the
membership of
the panel from
time
to time by adding to, or removing, the names of
the experts who constitute the panel.
(2) In deciding
on the composition of
the panel, the
commission— (a)
must consult
with the
professional bodies
with which
consultation is required under a regulation;
and (b) may only include an expert on the
panel if— (i) the expert’s inclusion is endorsed by
the relevant professional bodies; or (ii)
the
commission is satisfied there is good reason for
inclusion of
the expert on
the panel despite
the absence of
endorsement by
the relevant professional
bodies. 46 Claimant and insurer may jointly
arrange for expert report (1) An insurer and a
claimant (or intending claimant) may jointly arrange for an
expert report on— (a) the motor vehicle accident; or
(b) the claimant’s medical
condition or
prospects of
rehabilitation. (2)
Neither an insurer nor a claimant is under
any obligation to agree to a proposal to obtain a report under
this section. (3) The person by whom an expert report is
obtained is to be a person, agreed
to by both
parties, with
appropriate qualifications
and experience in the relevant field. (4)
The
person by whom an expert report is prepared under this
section must provide both parties with a
copy of the report. Page 64 Current as at
[Not applicable]
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Motor
Accident Insurance Act 1994 Part 4
Claims [s 46A] 46A
Examination of claimant by medical expert in
absence of agreement between the parties
(1) This section applies if the insurer
wants to obtain an expert report on
the claimant’s medical
condition or
prospects of
rehabilitation but fails to obtain the
claimant’s agreement. (2) The
claimant must
comply with
a request by
the insurer to
undergo, at the insurer’s expense—
(a) a medical examination by a doctor to
be selected by the claimant from a panel of at least 3 doctors
nominated in the request; or (b)
an assessment of
cognitive, functional or
vocational capacity
by an expert
to be selected
by the claimant
from a
panel of
at least 3
experts with
appropriate qualifications
and experience nominated by the insurer in the
request. (3) However, a claimant is not obliged to
undergo an examination under this
section if
it is unreasonable or
unnecessarily repetitious. (4)
A panel of
doctors or
other experts
nominated under
subsection (2) may
(but need
not) include
doctors or
other experts from the
official panel of medical experts. (5)
If 3 doctors
or experts with
appropriate qualifications and
experience are
not available for
inclusion on
a panel under
subsection (2), the number on the panel may
be reduced to 2. 46B Costs of obtaining expert reports
where reports obtained by agreement (1)
If an expert
report is
obtained by
agreement between
the claimant and the insurer, and the
claimant is liable for the cost of
obtaining the
report, the
insurer must,
at the claimant’s request,
reimburse the
claimant for
the reasonable cost
of obtaining the report.
(2) However, a
claimant’s right
to reimbursement under
this section is
subject to the terms of any agreement between the
claimant and the insurer.
Current as at [Not applicable]
Page
65
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Part 4
Claims [s 47] (3)
If
the insurer is entitled to costs, the costs may (subject to
the rules on which costs are to be awarded)
include the cost of reimbursing the claimant for the cost of
obtaining an expert report or expert reports under this
section. 47 Duty of insurer to cooperate with
claimant (1) The insurer
must cooperate
with a
claimant and,
in particular— (a)
must provide
the claimant with
copies of
reports and
other documentary material in the insurer’s
possession about the circumstances of the accident or
the claimant’s medical condition or prospects of
rehabilitation; and (b) must, at
the claimant’s request,
give the
claimant information that
is in the insurer’s possession, or can be found
out from the
insured person,
about the
circumstances of, or the reasons for, the
accident. (2) The insurer must— (a)
provide the
claimant with
copies of
reports and
other documentary materials
within 1
month after
receiving the notice of
claim under division 3 or, if the reports or materials come
into the insurer’s possession later, within 1 month after
they come into the insurer’s possession; and
(b) respond to
a request under
subsection (1)(b) within
1 month after receiving it.
(3) If the
claimant requires
information provided
by an insurer
under this section to be verified by
statutory declaration, the information must be verified by
statutory declaration. (4) If an insurer
fails, without proper reason, to comply fully with
a
request under this section, the insurer is liable for costs
to the claimant resulting from the
failure. Page 66 Current as at
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Motor
Accident Insurance Act 1994 Part 4
Claims [s 48] 48
Non-disclosure of certain material
(1) A claimant or insurer is not obliged
to disclose information or documentary material under this
division if the information or documentary material
is protected by
legal professional privilege. (2)
However, investigative reports,
medical reports
and reports relevant
to the claimant’s rehabilitation must
be disclosed even though
protected by legal professional privilege but they
may be disclosed
with the
omission of
passages consisting only of
statements of opinion. (3) If an insurer
has reasonable grounds to suspect a claimant of fraud,
the insurer may
withhold from
disclosure under
this division
information or
documentary material
(including reports
that would,
apart from
this subsection, have
to be disclosed
under subsection
(2)) to the extent
the disclosure would alert the
claimant to the discovery of the grounds of suspicion or
could help in the furtherance of fraud. (4)
An insurer must
not withhold information or
documentary material
from disclosure under
this division
without having
proper grounds. Maximum penalty
for subsection (4)—50 penalty units. 49
Privilege The
information and
documentary material
disclosed under
this division
are protected by
the same privileges as
if disclosed in a proceeding before the
Supreme Court. Division 4A Enforcement of
divisions 2, 3 and 4 50 Court’s power to enforce compliance
with divs 2, 3 and 4 (1) If
a claimant fails
to comply with
a duty imposed
under division 2, 3 or
4, the court may, on the insurer’s application, order
the claimant to
take specified
action to
remedy the
default within a time specified by the
court. Current as at [Not applicable]
Page
67
Motor
Accident Insurance Act 1994 Part 4
Claims [s 51] (2)
If an insurer
fails to
comply with
a duty imposed
under division 3 or 4,
the court may, on the claimant’s application, order the
insurer to take specified action to remedy the default
within a time specified by the court.
(3) The court may make consequential or
ancillary orders. Not authorised —indicative
only Division 5 Rehabilitation 51
Obligation to provide rehabilitation
services (1) An insurer
may make rehabilitation services
available to
a claimant on the insurer’s own
initiative or at the claimant’s request.
(2) An insurer
that makes
rehabilitation services
available to
a claimant before
admitting or
denying liability
on the claim
must
not be taken, for that reason, to have admitted liability.
(3) Once liability has been admitted on a
claim, or the insurer has agreed to
fund rehabilitation services
without making
an admission of
liability, the
insurer must,
at the claimant’s request, ensure
that reasonable and appropriate rehabilitation services are
made available to the claimant. (3A)
However, the
insurer is
not required to
make rehabilitation services
available to the claimant in relation to the claimant’s
treatment, care and support needs as a
result of the claimant’s injury if— (a)
the
claimant is, when the needs arise, a participant in the
injury insurance scheme in relation to a
serious personal injury resulting
from the
motor vehicle
accident the
subject of the claim; or (b)
the
needs arise after an amount is paid to the claimant,
or a
person acting for the claimant, under the National
Injury Act,
section 44(3)(a)
in relation to
a personal injury
resulting from
the motor vehicle
accident the
subject of the claim. (3B)
Subsection (3A) applies— Page 68
Current as at [Not applicable]
Motor
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Claims [s 51] Not
authorised —indicative only
(a) whether or not the injury the subject
of the claim is a serious personal injury; and
(b) whether or not the treatment, care and
support needs are an approved service for the claimant under
the National Injury Act; and (c)
whether or
not the insurance
agency must,
under that
Act,
make a payment in relation to the treatment, care
and
support needs; and (d) whether or
not the treatment, care
and support is
provided without charge. (4)
If the insurer
intends to
ask the court
to take the
cost of
rehabilitation services
into account
in the assessment of
damages, the insurer must, before providing
the rehabilitation services, give the claimant a written
estimate of the cost of the rehabilitation
services and a statement explaining how, and to what extent, the
assessment of damages is likely to be affected by the provision
of the rehabilitation services. (5)
The claimant may,
if not satisfied
that the
rehabilitation services made
available under this section are reasonable and appropriate— (a)
apply to the commission to appoint a
mediator to help resolve the
questions between
the claimant and
the insurer; or (b)
apply to the court to decide what
rehabilitation services are, in
the circumstances of
the case, reasonable and
appropriate. (5A)
An application for
appointment of
a mediator under
subsection (5)(a) must— (a)
be
made in writing; and (b) give
details of
any attempts made
by the applicant
to resolve the matter in dispute.
(5B) The
fees and
expenses of
a mediator appointed
under subsection
(5)(a) are to be paid as agreed between the parties
or, in the
absence of
agreement, by
the parties in
equal proportions. Current as at
[Not applicable] Page 69
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 51] (5C)
An application may
be made to
the court under
subsection (5)(b) whether
or not there
has been an
earlier attempt to
resolve the questions between the claimant and the
insurer by mediation. (5D)
On an application under
subsection (5)(b), the
court may
decide what rehabilitation services are, in
the circumstances of the case,
reasonable and
appropriate and
make consequential
orders and directions. (6) The
insurer must
bear (or
reimburse) the
cost of
providing rehabilitation
services under this section unless the insurer’s
liability is reduced— (a)
by
agreement with the claimant; or (b)
by
order of the court under subsection (8). (7)
The insurer may,
if of the
opinion that
the cost of
rehabilitation services is
unreasonable— (a) apply to the commission to appoint a
mediator to help resolve the
questions between
the claimant and
the insurer; or (b)
apply to the court to decide what
rehabilitation services are, in
the circumstances of
the case, reasonable and
appropriate or
to decide to
what extent
the insurer should
contribute to the cost of rehabilitation services.
(7A) An
application for
appointment of
a mediator under
subsection (7)(a) must— (a)
be
made in writing; and (b) give
details of
any attempts made
by the applicant
to resolve the matter in dispute.
(7B) The
fees and
expenses of
a mediator appointed
under subsection
(7)(a) are to be paid as agreed between the parties
or, in the
absence of
agreement, by
the parties in
equal proportions. (7C)
An application may
be made to
the court under
subsection (7)(b) whether
or not there
has been an
earlier Page 70
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Motor
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Claims [s 51] Not
authorised —indicative only
attempt to resolve the questions between the
insurer and the claimant by mediation. (8)
On an application under
subsection (7)(b), the
court may
decide the
questions raised
on the application and
make consequential
orders and directions. (9) The
cost to
the insurer of
providing rehabilitation services
under this section is to be taken into
account in the assessment of damages on the claim if (and only
if) the insurer gave a statement to
the claimant, as
required under
subsection (4), explaining how
and to what extent the assessment of damages was likely to be
affected by the provision of the rehabilitation services.
(9A) If the cost of
rehabilitation services is to be taken into account
in
the assessment of damages, the cost is taken into account as
follows— (a)
the claimant’s damages
are first assessed
(without reduction
for contributory negligence) on
the assumption that the claimant has
incurred the cost of the rehabilitation services as a result of
the injury suffered in the accident; (b)
any reduction to
be made on
account of
contributory negligence is
then made; (c) the total
cost of
rehabilitation services
is then set-off
against the amount assessed.
Example— Suppose that
responsibility for a motor vehicle accident is apportioned
equally between the claimant and the
insurer. Damages (exclusive of the cost of
rehabilitation) before apportionment are fixed at $20,000.
The
insurer has spent $5,000 on rehabilitation services. In this case,
the claimant’s damages will be assessed under
paragraph (a) at $25,000 (that is,
as if the
claimant had
incurred the
$5,000 rehabilitation expense) and
reduced to $12,500 under paragraph (b), and the $5,000
spent by the insurer on rehabilitation will
be set off against this amount, resulting in a
final award of $7,500. (10) An insurer who
is induced by a claimant’s fraud to provide rehabilitation
services for the claimant may recover the cost to
Current as at [Not applicable]
Page
71
Motor
Accident Insurance Act 1994 Part 4
Claims [s 51A] the
insurer of
providing the
services, as
a debt, from
the claimant. Not
authorised —indicative
only Division 5A Compulsory
conference 51A Compulsory conference
(1) Before the claimant brings an action
in a court for damages for personal
injury arising
out of a
motor vehicle
accident, there
must be
a conference of
the parties (the
compulsory conference ).
(2) Either party may call the compulsory
conference— (a) at a time and place agreed between
both parties; or (b) if the relevant date has passed—at a
reasonable time and place nominated by the party calling the
conference. (3) For subsection (2)(b), the relevant
date is— (a) the date falling 6 months after the
claimant gave notice to the insurer of the claim; or
(b) if the insurer required additional
information, the later of the following— (i)
the
date falling 6 months after the claimant gave notice to the
insurer of the claim; (ii) the date falling
1 month after the claimant gave the insurer the
completed additional information form. (4)
The parties may
for good reason
dispense with
the compulsory conference by
agreement. (5) The court may, on application by a
party— (a) fix the time and place for the
compulsory conference; or (b) dispense
with the
compulsory conference for
good reason;
and
make any other orders the court considers appropriate in
the
circumstances. Page 72 Current as at
[Not applicable]
Motor
Accident Insurance Act 1994 Part 4
Claims [s 51B] (6)
In considering whether
to dispense with
the compulsory conference, the
court must
take into
account the
extent of
compliance by
the parties with
their respective obligations related to the
claim. Not authorised —indicative only
51B Procedure at conference
(1) The compulsory conference may be held
with a mediator if both parties agree. (2)
An agreement that
the compulsory conference is to be
held with a mediator must specify how the costs
of the mediation are to be borne. (3)
The
mediator must be a person independent of the parties—
(a) agreed to by the parties; or
(b) nominated by
the registrar of
the court on
application under subsection
(4). (4) If the
parties are
unable to
agree on
the appointment of
a mediator within
30 days after
the date for
the compulsory conference is
fixed, either party may apply to the registrar of
the
court for the nomination of a mediator. (5)
At
least 7 days before the compulsory conference is held, each
party must give the other party—
(a) copies of all documents not yet given
to the other party that are relevant to the claim; and
(b) a statement verifying that all
relevant documents in the possession of the party or the party’s
lawyer have been given as required; and (c)
details of the party’s legal representation;
and (d) if the
party has
legal representation—a certificate (a
certificate of readiness ) signed by the
party’s lawyer to the effect that the party is ready for
trial. (6) A certificate of readiness must state
that— (a) the party is in all respects ready for
the conference and the trial; and Current as at
[Not applicable] Page 73
Motor
Accident Insurance Act 1994 Part 4
Claims [s 51B] Not
authorised —indicative
only (b) all
investigative material required for the trial has been
obtained (including witness
statements from
persons, other than
expert witnesses, the party intends to call as witnesses at the
trial); and (c) medical or other expert reports have
been obtained from all persons the party proposes to call as
expert witnesses at the trial; and (d)
the
party has fully complied with the party’s obligations
to
give the other parties material relevant to the claim;
and (e) the
party’s lawyer
has given the
party a
statement (a
costs statement
) containing the
information required
under subsection (7). (7)
A
costs statement must contain— (a)
details of the legal costs (clearly
identifying costs that are legal fees and costs that are
disbursements) payable by the party to the party’s lawyer up
to the completion of the conference; and (b)
an estimate of
the party’s likely
legal costs
(clearly identifying costs
that are
legal fees
and costs that
are disbursements) if
the claim proceeds
to trial and
is determined by the court; and
(c) a statement of the consequences to the
party, in terms of costs, in each of the following
cases— (i) if the amount of the damages awarded
by the court is equal to, or more than, the claimant’s
mandatory final offer; (ii)
if
the amount of the damages awarded by the court is less than the
claimant’s mandatory final offer but equal
to, or more
than, the
insurer’s mandatory
final offer; (iii)
if
the amount of the damages awarded by the court is
equal to,
or less than,
the insurer’s mandatory
final offer. Page 74
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Motor
Accident Insurance Act 1994 Part 4
Claims [s 51C] (8)
The
court may, on application by a party, exempt the party
from
an obligation to give or disclose material to another party
before trial
if satisfied that
disclosure would
alert a
person reasonably
suspected of fraud to the suspicion or that there is
some other
good reason
why the material
should not
be disclosed. (9)
Each
of the following is a conference participant— (a)
the
claimant or the claimant’s guardian; (b)
a
person authorised by the insurer to settle the claim on
the
insurer’s behalf. (10) Each
conference participant must
(unless he
or she has
a reasonable excuse)
attend the
compulsory conference and
actively participate in an attempt to settle
the claim. (11) The compulsory
conference may be conducted, if the parties agree, by
telephone, closed-circuit television or another form
of
communication allowing contemporaneous and continuous
communication between the parties.
(12) The parties may,
by agreement, change the time or place for holding
a compulsory conference or
adjourn a
compulsory conference from
time to time and from place to place. 51C
Parties to exchange mandatory final offers
if claim not settled at compulsory conference
(1) If a
motor vehicle
accident claim
is not settled
at the compulsory
conference, each party must (unless the court has
dispensed with
this obligation) exchange
written final
offers— (a)
at
the conference; or (b) if the
conference has
been dispensed
with—within 14
days
after the date of the agreement or order dispensing
with
the conference. (2) A written final offer required under
subsection (1) is called a mandatory final offer
. Current as at [Not applicable]
Page
75
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 51D] (3)
A
mandatory final offer for the upper offer limit or less is
to be exclusive of costs. (4)
If a
mandatory final offer is for more than the lower offer limit
but
not more than the upper offer limit, and is accepted, costs
are
to be calculated and paid on a basis (but subject to limits)
stated under a regulation.
(5) Even though an insurer denies
liability altogether, the insurer must
nevertheless make a mandatory final offer but, in that
event, the offer is to be expressed as an
offer of $nil. (6) A mandatory
final offer
must remain
open for
14 days and
proceedings must not be started while the
offer remains open. (7) If the claimant brings a proceeding in
a court based on a motor vehicle accident claim, the claimant
must, at the start of the proceeding, file
at the court
a sealed envelope
containing a
copy
of the claimant’s mandatory final offer. (8)
The
insurer must, before or at the time of filing a defence,
file at the court
a sealed envelope
containing a
copy of
the insurer’s mandatory final
offer. (9) The court must not read the mandatory
final offers until it has decided the claim. (10)
However, the court must (where relevant)
have regard to the mandatory final offers in making a decision
about costs. (11) The court may,
on application by a party, dispense with the obligation to
make mandatory final offers. 51D
Time
for bringing action (1) An action for damages should be
started in the court— (a) within 60 days
after the conclusion of the compulsory conference;
or (b) within a further period—
(i) agreed by
the parties within
the 60 day
period mentioned in
paragraph (a); or Page 76 Current as at
[Not applicable]
Motor
Accident Insurance Act 1994 Part 4
Claims [s 51D] Not
authorised —indicative only
(ii) fixed by the
court on an application made by the claimant
within the
60 day period
mentioned in
paragraph (a). (2)
If the parties
or the court
dispenses with
the compulsory conference, an
action for
damages should
be started in
the court— (a)
within 60 days after the later of the
following— (i) the date falling 6 months after the
date on which the claimant gives notice to the insurer of
the claim or if the insurer asks for additional
information, the date on
which the
claimant gives
the insurer the
completed additional information
form; (ii) the date of the
agreement or order dispensing with the conference;
or (b) within a further period—
(i) agreed by
the parties within
the 60 day
period mentioned in
paragraph (a); or (ii) fixed by the
court on an application made by the claimant
within the
60 day period
mentioned in
paragraph (a). (3)
However, if the court dispenses with the
obligation to make mandatory final
offers, an
action for
damages should
be started in the court within a period
fixed by the court when giving the dispensation or
later. (4) The expiry
of the time
within which
an action should
be started under subsection (1),
(2) or (3) does not prevent the
claimant from starting the action
but— (a) the court
may (unless the
claimant establishes a
reasonable excuse for the delay) order the
claimant to pay, in any event, the insurer’s costs
arising out of the delay; and (b)
the court may,
on the insurer’s
application, make
an order fixing a time limit within which
the action must be started. Current as at
[Not applicable] Page 77
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 52] (5)
If
the claimant fails to start an action in the court within a
time limit fixed under subsection (4)(b), the
claim is barred. Division 6 Proceedings in
court 52 Insurer to be joint or sole
defendant (1) If an
action is
brought in
a court for
damages for
personal injury arising
out of a motor vehicle accident, the action must
be
brought against the insured person and the insurer as joint
defendants. (2)
However, an action may be brought against
the insurer alone if— (a) the insured
person can not be identified; or (b)
the
insured person is dead or it is impracticable to serve
the
insured person. (3) If a
motor vehicle
accident claim
lies against
2 or more
insurers, all insurers become defendants to
the action, but the claim manager continues to represent all
insurers in the action unless the court gives leave allowing
1 or more of the insurers to be separately represented.
(4) If judgment is given in favour of the
claimant on the claim related to personal injury, the
judgment must be given against the insurer and
not the insured person (unless the judgment is a judgment for
exemplary or punitive damages), and, if the action involves
other claims (unrelated to the personal injury),
a
separate judgment must be given on the other claims.
(5) It is
not a defence
to an action
under this
section for
the insurer to prove— (a)
that
the CTP insurance policy was obtained by fraud, or
a
material misstatement or non-disclosure; or (b)
that
the insured person is in breach of a contractual or
statutory obligation. Page 78
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Motor
Accident Insurance Act 1994 Part 4
Claims [s 52A] (6)
If legal process
related to
a proceeding based
on a motor
vehicle accident
claim is
served on
the insurer, the
insured person is also
taken to have been served. (7) If
a motor vehicle
accident claim
lies against
2 or more
insurers, and legal process related to a
proceeding based on the claim is
served on
the claim manager,
all insurers are
taken to have been served.
52A Recovery of contribution by or from
Nominal Defendant in certain cases (1)
This
section applies if— (a) the Nominal Defendant is 1 of 2 or
more insurers liable on a motor vehicle accident claim;
and (b) the claim is not a claim in relation
to which the insurers are, under the industry deed and
within the time stated in the deed, required to resolve
questions about— (i) which insurer is to be the claim
manager; and (ii) the
basis on
which claim
costs are
to be shared
between the insurers. Editor’s
note— The relevant provision of the industry deed
dealing with claims for which the requirement to resolve the
questions is imposed is section 5(1). (2)
For the recovery
of contribution by
or from the
Nominal Defendant, the
Law Reform Act
1995 ,
part 3,
division 2
applies as if the Nominal Defendant were a
tortfeasor. 52B Exclusion of summary judgment on the
basis of admissions (1)
In
an action for damages for personal injury arising out of a
motor vehicle accident, summary judgment is
not to be given on the basis of the defendant’s
admissions. (2) However, this section does not prevent
a court from giving a judgment by consent.
Current as at [Not applicable]
Page
79
Motor
Accident Insurance Act 1994 Part 4
Claims [s 53] 53
Insurer’s right to call and cross-examine
insured person In an action for damages for personal injury
arising out of a motor vehicle
accident, the
insurer may
call the
insured person as a
witness and, by the court’s leave, cross-examine
the
insured person. Not authorised —indicative
only 55 Exemplary,
punitive or aggravated damages (1)
Despite the Civil Liability
Act 2003 , section 52, if the court is
of the opinion
that the
conduct of
an insured person
is so reprehensible that
an award of
exemplary, punitive
or aggravated damage is justified, the
court may give a separate judgment against
the insured person
for the payment
of exemplary, punitive or aggravated
damages. (2) An insured
person is
not entitled, under
a CTP insurance
policy, to
an indemnity against
an award of
exemplary, punitive or
aggravated damages. 55F Costs in cases involving relatively
small awards of damages (1)
This
section applies if a court awards an amount equal to the
upper offer limit or less in damages in a
proceeding based on a motor vehicle accident claim (but it
does not apply to the costs of an appellate
proceeding). (2) If the court awards an amount equal to
the lower offer limit or less, the court must apply the
following principles— (a) if
the amount awarded
is less than
the claimant’s mandatory
final offer
but more than
the insurer’s mandatory final
offer, no costs are to be awarded; (b)
if the amount
awarded is
equal to,
or more than,
the claimant’s mandatory final offer,
costs are to be awarded to the claimant on an indemnity basis
as from the date on which the proceedings started (but no
award is to be made for costs up to that date);
(c) if the
amount awarded
is equal to,
or less than,
the insurer’s mandatory final offer, costs
are to be awarded Page 80 Current as at
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Motor
Accident Insurance Act 1994 Part 4
Claims [s 55F] to the insurer
on a standard basis as from the date on which
the proceedings started
(but no
award is
to be made for costs
up to that date). (3) If the court awards more than an
amount equal to the lower offer limit but not
more
than an amount equal to the upper offer
limit in
damages, the
court must
apply the
following principles— (a)
if the amount
awarded is
less than
the claimant’s mandatory
final offer
but more than
the insurer’s mandatory
final offer,
costs are
to be awarded
to the claimant
on a standard
basis up
to the declared
costs limit;
(b) if the
amount awarded
is equal to,
or more than,
the claimant’s mandatory final offer,
costs are to be awarded to the claimant on the following
basis— (i) costs up
to the date
on which the
proceedings started are to
be awarded on a standard basis up to the declared
costs limit; (ii) costs on or
after the date on which the proceedings started are to
be awarded on an indemnity basis; (c)
if the amount
awarded is
equal to,
or less than,
the insurer’s mandatory final offer, costs
are to be awarded on the following basis— (i)
costs up
to the date
on which the
proceedings started
are to be
awarded to
the claimant on
a standard basis up to the declared
costs limit; (ii) costs on or
after the date on which the proceedings started
are to be
awarded to
the insurer on
a standard basis. (4)
Despite the limitations imposed by this
section, the court may make an
award of
costs to
compensate a
party for
costs resulting
from a
failure by
another party
to comply with
procedural obligations under this
part. Current as at [Not applicable]
Page
81
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 57] (5)
The court must
not award costs
to a party
related to
the introduction of
evidence by
the party that
is unnecessarily repetitive. Example—
If a
claimant calls 2 or more expert witnesses from the same area
of expertise to give evidence to substantially
the same effect, and the claimant is entitled to costs of
action under the principles laid down in this section,
the court will only allow costs related to 1 of the expert
witnesses. (6)
Unless an award of damages is affected by
factors that were not reasonably foreseeable at
the time of
the exchange of
mandatory final
offers, the
court must
not award costs
to a party related to
investigations or gathering of evidence by the party
after— (a) the conclusion of the compulsory
conference; or (b) if the parties or the court dispenses
with a compulsory conference—the date
when the
parties completed
the exchange of mandatory final
offers. (7) If an award of damages is affected by
factors that were not reasonably foreseeable by a party at
the time of making the party’s mandatory final offer, the
court may, if satisfied that it is just to do
so, make an order for costs under subsection (2)
or (3) as
if the reference
to a mandatory
final offer
in the relevant
subsection were a reference to a later offer made in
the
light of the factors that became apparent after the parties
completed the exchange of mandatory final
offers. Example— Suppose that a
claimant’s medical condition suddenly and unexpectedly
deteriorates after the date of the final
offers and the court makes a much higher award of
damages than would have been reasonably expected at
that
time. In that case, the court may ignore the mandatory final
offers and award costs on the basis of later offers
of settlement. 57 Alteration of period of
limitation (1) If notice
of a motor
vehicle accident
claim is
given under
division 3, or an application for leave to
bring a proceeding based on
a motor vehicle
accident claim
is made under
Page
82 Current as at [Not applicable]
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Motor
Accident Insurance Act 1994 Part 4
Claims [s 57A] division 3,
before the end of the period of limitation applying
to the claim,
the claimant may
bring a
proceeding in
court based on the
claim even though the period of limitation has ended.
(2) However, the proceeding may only be
brought after the end of the period of limitation if it is
brought within— (a) 6 months after the notice is given or
leave to bring the proceeding is granted; or
(b) a longer period allowed by the
court. (3) If during
the last 14
days of
the period of
limitation, the
claimant wants to give a notice of claim
under division 3 but is unsure to which insurer the notice
should be given, the notice is validly given
if it is given to the commission. (4)
After receiving
a notice of
claim under
subsection (3), the
commission must make inquiries to decide the
insurer against which the claim properly lies, and pass the
notice of claim on to the appropriate insurer.
(5) If a
period of
limitation is
extended under
part
3 of the Limitation of
Actions Act
1974 ,
this section
applies to
the period of limitation as extended under
the part. Division 6A Extraterritorial
operation of limitation of liability 57A
Application of limitation of liability to
foreign awards (1) This section applies to motor vehicle
accident claims arising out of motor vehicle accidents in
Queensland. (2) It is
Parliament’s intention
that the
limits on
liability for
damages for
personal injury
arising out
of motor vehicle
accidents— (a)
are to apply
(to the full
extent of
the Parliament’s extraterritorial legislative capacity)
whether damages
are
assessed in Queensland or elsewhere; and Current as at
[Not applicable] Page 83
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 58] (b)
are to be
regarded by
courts within
and outside Queensland as
substantive (rather
than procedural) provisions. (3)
If a
claimant, by proceeding in a court outside Queensland,
recovers damages
in excess of
the amount that
could have
been recovered
if the limits
on liability referred
to in subsection (2)
had been applied, the person liable to pay the damages may
recover from the claimant the amount by which the
amount of
the damages exceeds
the amount that
would have
been recovered
if the action
had been brought
in Queensland. Division 7
Insurer’s rights of recourse
58 Insurer’s rights of recourse
(1) If— (a)
personal injury arises out of a motor
vehicle accident; and (b) the
insured person
was at the
relevant time
using the
motor vehicle
without the
owner’s authority, without
lawful justification or
excuse, and
without reasonable grounds
to believe that
the insured person
had the owner’s
authority, or lawful justification or excuse, for
using the motor vehicle; the insurer may
recover, as a debt, from the insured person any costs
reasonably incurred by the insurer on a claim for the
personal injury. (2)
If— (a) personal injury
arises out of a motor vehicle accident; and
(b) the insured
person intended
to injure the
claimant or
some
other person; Page 84 Current as at
[Not applicable]
Motor
Accident Insurance Act 1994 Part 4
Claims [s 58] Not
authorised —indicative only
the
insurer may recover, as a debt, from the insured person
any
costs reasonably incurred by the insurer on a claim for the
personal injury. (3)
If— (a) personal injury
arises out of a motor vehicle accident; and
(b) the insured person was, at the time of
the accident, the driver of the motor vehicle; and
(c) the insured
person was,
at the time
of the accident,
unable to exercise effective control of the
motor vehicle because of the consumption of—
(i) alcohol; or (ii)
a non-medicinal drug
or a combination of
non-medicinal drugs; or (iii)
a
combination of alcohol and a non-medicinal drug or non-medicinal
drugs; the insurer may recover, as a debt, from the
insured person any costs reasonably incurred by the insurer
on a claim for personal injury that are reasonably
attributable to the insured person’s
inability to
exercise effective
control of
the motor vehicle.
(4) If— (a)
personal injury arises out of a motor
vehicle accident; and (b) the
motor vehicle
accident giving
rise to
the injury is
attributable in whole or in part to a defect
in the motor vehicle; and (c)
the
defect arose from the wrongful act or omission of
the
manufacturer or a person who carries on a business
of
repairing motor vehicles; the insurer may recover, as a debt,
from the manufacturer or repairer the proportion of the costs
reasonably incurred by the insurer on
a claim for
the personal injury
that reasonably Current as at
[Not applicable] Page 85
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 4
Claims [s 59] reflects
the degree of
the manufacturer’s or
repairer’s responsibility
for the accident. (5) However, it is a defence for the
manufacturer or repairer to prove
that the
driver of
the motor vehicle
drove it
with knowledge of the
defect and its likely effect. (6)
An action by
an insurer under
this section
may be brought
separately or by way of third-party
proceeding. 59 Recovery in case of fraud
(1) An insurer may recover from a claimant
or other person who defrauds or attempts to defraud the insurer
on a motor vehicle accident claim
any costs reasonably incurred
by the insurer
because of the fraud. (2)
In
subsection (1)— insurer includes the
Nominal Defendant. 60 Nominal Defendant’s rights of recourse
for uninsured vehicles (1)
If personal injury
arises out
of a motor
vehicle accident
involving an uninsured vehicle, the Nominal
Defendant may recover, as a debt, from the owner or driver
of the vehicle (or both) any
costs reasonably incurred
by the Nominal
Defendant on a claim for the personal
injury. (2) It is a defence to an action by the
Nominal Defendant under this section— (a)
as
far as recovery is sought against the owner—for the
owner to prove— (i)
that the
motor vehicle
was driven without
the owner’s authority; or
(ii) that the owner
believed on reasonable grounds that the motor
vehicle was insured; and (b) as far as
recovery is sought against the driver—for the driver
to prove that
the driver believed
on reasonable Page 86
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 4
Claims [s 60A] grounds that the
driver had the owner’s consent to drive the
motor vehicle
and that the
motor vehicle
was insured. (3)
The
Nominal Defendant may bring a proceeding for recovery
of
costs under this section before the costs have been actually
paid
in full and, in that case, a judgment for recovery of costs
may
provide that, as far as the costs have not been actually
paid, the right to recover the costs is
contingent on payment. (4) This
section does
not affect rights
of recovery that
the Nominal Defendant may have, apart from
this section, against the insured person.
60A Access to information etc.
The Nominal Defendant
is entitled to
have access
to information and
materials in
the possession of
any department, agency or instrumentality
of the State or any local government that may be relevant to the
recovery of amounts the Nominal Defendant is entitled to recover
under this part. 61 Nominal Defendant’s rights of recourse
against insurer (1) If an insurer becomes insolvent, any
costs reasonably incurred by the
Nominal Defendant
on claims under
CTP insurance policies
for which the
insolvent insurer
was the insurer
become debts
of the insolvent
insurer to
the Nominal Defendant and
provable in the insolvency. (2)
The debts of
the insolvent insurer
that arise
under subsection
(1) have the
same order
of priority in
the winding-up of
the insolvent insurer
as if the
Nominal Defendant were
the insured person under policies of insurance issued by the
insolvent insurer. (3) If the
claim for
which costs
were incurred
by the Nominal
Defendant is
covered by
a contract of
reinsurance, the
Nominal Defendant
succeeds to
the rights of
the insolvent insurer under
the contract of reinsurance. Current as at
[Not applicable] Page 87
Motor
Accident Insurance Act 1994 Part 4
Claims [s 61A] Division 8
Changes to claim process if
insurance agency is contributor
Not authorised —indicative
only 61A Claim process if
insurance agency liable to contribute (1)
This section
applies in
relation to
a claim if
the insurance agency is
liable, under the National Injury Act, section 42, to
contribute to the insurer’s liability on the
claim for treatment, care and support damages.
(2) The insurer and the insurance agency
must, in dealing with the claim— (a)
cooperate with each other; and
(b) provide each other with information in
their possession relevant to the claim, including any
documents given to the claimant. (3)
To the extent
any of the
following documents
relate to,
or potentially affect,
liability for
treatment, care
and support damages,
the insurer and
the insurance agency
must agree
about the
content of
the document before
the document is
given by the insurer to the claimant—
(a) a notice given by the insurer under
section 41(1)(b); (b) an offer made by the insurer;
(c) a notice given by the insurer
accepting or rejecting an offer made by the claimant.
(4) Subsection (5) applies if a document
stated in subsection (3) is given
by the insurer
before the
insurance agency
becomes liable, under
the National Injury Act, section 42, to contribute
towards the insurer’s liability.
(5) The insurance agency is not bound by
the document. (6) For division 5A, other than section
51C— (a) a reference in the division to—
(i) the parties
includes a
reference to
the insurance agency;
and Page 88 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 4
Claims [s 61B] (ii)
either party is a reference to any of the
parties; and (iii) both parties or
each party is a reference to all of the parties;
and (b) a person authorised by the insurance
agency to settle the claim on the agency’s behalf is a
conference participant. (7) If the claimant
brings an action in the court for damages for personal
injury, the
insurance agency
is a defendant
to the action.
(8) In this section— offer
includes a counter offer or mandatory final
offer. treatment, care and support damages
see
the National Injury Act, schedule 1. Division 9
Obligation to provide information to
insurance agency 61B
Giving insurance agency notice about
particular matters (1) This section applies if—
(a) a claim is made against an insurer for
personal injury; and (b) either of the
following applies— (i) the claimant is a participant in the
injury insurance scheme in relation to the injury;
(ii) an application
has been made under the National Injury
Act for approval
for the claimant
to participate in the scheme in relation
to the injury. (2) The insurer must give the insurance
agency written notice of the claim. (3)
Also, the
insurer must
give the
insurance agency
written notice of any of
the following events in relation to the claim— (a)
the
giving of a notice to the claimant under section 39;
Current as at [Not applicable]
Page
89
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 5
Licensed insurers [s 62] (b)
the giving of
a notice to
the claimant under
section 41(1)(b);
(c) the settlement of
the claim by
agreement between
the claimant and the insurer;
(d) a court judgment being given on an
action for damages in relation to the claim;
(e) the claimant withdrawing the claim or
being prevented from proceeding with the claim.
(4) However, the
insurer is
not required to
give the
insurance agency written
notice of an event stated in subsection (3) if— (a)
the event happens
after the
claimant stops
being a
participant; or (b)
the
event happens after the application for approval to
participate in the injury insurance scheme
is refused; or (c) when the event happens, the insurance
agency is liable, under the National Injury Act, section 42,
to contribute to the claim. Part 5
Licensed insurers Division 1
Licensing of insurers 62
Application for licence (1)
A body corporate
carrying on
the business of
general insurance in
Queensland may apply to the commission for a licence under
this part. (2) The application— (a)
must
be made in writing; and (b) must be
accompanied by the information and materials that may be
required by regulation. Page 90 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 5 Licensed
insurers [s 63] (3)
The
applicant must provide the commission with the further
information or materials that the commission
may require to decide the application. (4)
The commission may,
for example, require
the applicant to
provide— (a)
particulars of
shareholders, directors, managers
and staff; and (b)
copies of
returns and
accounts that
the applicant is
required by law to prepare; and
(c) particulars of
reinsurance arrangements to
which the
applicant is a party. (5)
If
an application is made for a licence and, before a licence
is granted, there is a change in the matters of
which particulars are required in the application, or in the
matters contained in a document the applicant is required to
give, the body corporate must, within 14 days after the change,
give the commission written notice
signed by
a director giving
particulars of
the change. (6)
A
body corporate must not— (a) make an
application for a licence; or (b)
give
to the commission a notice under subsection (5);
that
is false or misleading in a material particular.
Maximum penalty for subsection (6)—150
penalty units. 63 Determination of application
(1) The commission may, after considering
an application for a licence— (a)
grant the licence (conditionally or
unconditionally); or (b) refuse the
application. (2) In determining the application, the
commission may take into consideration— (a)
the
suitability of the applicant; and Current as at
[Not applicable] Page 91
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 5
Licensed insurers [s 64] (b)
the
nature and extent of the applicant’s experience in the
business of general insurance; and
(c) the applicant’s paid-up share capital
and reserves; and (d) any reinsurance arrangements to which
the applicant is a party; and (e)
the
likely effect on the statutory scheme of licensing the
applicant; and (f)
any
other factors the commission considers relevant.
(3) A licence may be granted only if the
commission is satisfied that— (a)
the
applicant has enough financial resources to carry on
business as a licensed insurer; and
(b) the applicant has adequately
experienced staff available in
Queensland to
administer personal
injury claims
under the CTP insurance scheme; and
(c) the applicant
is in all
other respects
an appropriate person to hold a
licence; and (d) licensing the
applicant would
not adversely affect
the efficiency and
effectiveness of
the statutory insurance
scheme. (4)
A
licence must not be granted until the insurer has executed
the
industry deed. (5) Notice of the grant of a licence under
this part, specifying the date on which the licence takes
effect, must be given in the gazette.
64 Conditions of licence
(1) A licence is subject to conditions
prescribed by regulation. (2) A licence may be
granted subject to other conditions that the commission
considers appropriate and specifies in the licence.
(4) The commission may, by written notice
given to a licensed insurer— Page 92
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 5 Licensed
insurers [s 65] (a)
impose conditions or
further conditions to
which the
licence is to be subject; or
(b) amend or repeal conditions previously
imposed. (5) A condition can not be imposed to give
a particular advantage over other licensed insurers.
(6) A licensed
insurer must
not contravene a
condition of
the licence. Maximum
penalty—150 penalty units. (7) A court by which
a licensed insurer is convicted of an offence against
subsection (6) may, by order, withdraw the licence.
65 Industry deed (1)
A
licensed insurer is bound by the industry deed. (2)
The
industry deed may— (a) require licensed insurers to make
disclosures and reports to the
commission in
accordance with
stipulated standards and
requirements; and (b) deal with the apportionment of
liability, and the sharing of costs,
between licensed
insurers (including the
Nominal Defendant); and (ba)
provide for
the appointment of
a person to
arbitrate disputes
between 2
or more insurers
about a
motor vehicle accident
claim; and (c) provide for the sharing of information
between insurers to the mutual benefit of insurers;
and (d) regulate the management of claims
under CTP insurance policies; and (e)
provide direction
and guidance for
licensed insurers
about initiating, managing, monitoring, and
measuring the effectiveness of,
the provision of
rehabilitation services for
injured claimants; and (f) regulate
in any other
way the conduct
of insurance business under
the statutory insurance scheme. Current as at
[Not applicable] Page 93
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 5
Licensed insurers [s 66] 66
Withdrawal or suspension of licence
(1) The commission may, by gazette notice,
withdraw or suspend a licence if— (a)
the
insurer asks the commission to withdraw or suspend
the
licence; or (b) the insurer
contravenes this
Act, a
condition of
the licence or the industry deed;
or (c) there is
some other
reason justifying withdrawal or
suspension of the licence.
(1A) A request by an
insurer under subsection (1)(a) must be given in writing to
the commission at least 3 months before the day the licence is
to be withdrawn or suspended. (2)
At least 14
days before
the withdrawal or
suspension of
a licence takes
effect, the
commission must
give the
insurer written
notice— (a) stating the
commission’s intention
to withdraw or
suspend the licence; and (b)
stating the date on which the withdrawal or
suspension will take effect; and (c)
stating the
reason for
the proposed withdrawal or
suspension of the licence.
(3) The commission must give a copy of the
notice to transport administration. 67
Effect of withdrawal or suspension on
existing liabilities etc. (1)
The withdrawal or
suspension of
a licence does
not affect liabilities that
had been incurred, or had accrued, before the day
of withdrawal or
suspension, nor
does it
affect the
insurer’s liabilities under
CTP insurance policies
that came
into
force before the day of the withdrawal or suspension.
(2) An insurer
whose licence
has been withdrawn, or
is under suspension, is
subject to this Act and the industry deed in the
same
way and to the same extent as a licensed insurer until all
Page
94 Current as at [Not applicable]
Motor
Accident Insurance Act 1994 Part 5 Licensed
insurers [s 67] Not
authorised —indicative only
the
insurer’s liabilities for CTP insurance business have been
fully satisfied. (3)
If
an insurer whose licence has been withdrawn, or is under
suspension, is selected or re-selected to be
the insurer under a CTP insurance policy,
some other
insurer decided
under subsection (5)
or (6) is to be the insurer under the insurance policy.
(4) The commission— (a)
must
consult with the remaining licensed insurers about
their capacity to underwrite the CTP
insurance policies; and (b) may consult with
any insurer the commission considers appropriate for
the purpose of
the insurer becoming
a licensed insurer; and
(c) must have regard to the results of any
consultation with APRA relevant to the matter.
(5) Subject to
subsection (6), transport
administration must
randomly allocate the CTP insurance policies
to the remaining licensed insurers in proportion to their
shares of the market for CTP insurance. (6)
Subsection (5) does
not apply, and
transport administration must
allocate the
CTP insurance policies
as decided by
the commission, if— (a)
the commission decides
that the
remaining licensed
insurers do
not have the
capacity the
commission considers
appropriate to underwrite the CTP insurance policies that
would be randomly allocated to them under subsection (5);
or (b) an insurer
mentioned in
subsection (4)(b) becomes
a licensed insurer. (7)
Subsections (3), (5) and (6) are subject to
section 67A. (8) This section is subject to the
following qualifications where a licence
is withdrawn on
the transfer, or
because of
the transfer, of CTP insurance business
under part 3, division 5— Current as at [Not applicable]
Page
95
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only Motor Accident Insurance Act 1994
Part 5
Licensed insurers [s 67A] (a)
if
the transferor’s entire CTP business is transferred—
this section
does not
apply to
the withdrawal of
the licence; (b)
if
part of the transferor’s CTP business is transferred—
this section
applies to
the withdrawal subject
to section 30(4). (9)
In
this section— APRA means the
Australian Prudential Regulation Authority established under
the Australian Prudential Regulation Authority Act
1998 (Cwlth). 67A
When
State may underwrite CTP insurance policies (1)
This
section applies if— (a) an insurer’s licence is withdrawn or
suspended; and (b) the commission considers CTP insurance
policies of the insurer can
not be appropriately allocated
to another insurer
under section
67(5) or (6), including
for example, if the commission
considers— (i) there is
no insurer with
appropriate capacity
to underwrite the policies; or
(ii) the
circumstances are urgent. (2) The
commission may
request the
Minister to
authorise the
State to underwrite the CTP insurance
policies. (3) The commission must
provide the
Minister with
the information and the recommendations on
matters decided by the Minister. (4)
The Minister may
authorise the
State to
underwrite the
policies starting from a day stated by the
Minister, including from a day before the Minister authorises
the underwriting. (5) The State becomes the insurer
underwriting the policies from the day stated
by the Minister. Page 96 Current as at
[Not applicable]
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Motor
Accident Insurance Act 1994 Part 5 Licensed
insurers [s 67A] (6)
If the State
becomes an
insurer under
subsection (5), a
regulation may
make provision
for the State
to, under section
21— (a) become an
insurer of
a motor vehicle,
even if,
in a particular case,
the State is not the insurer of the motor vehicle under
subsection (4); or (b) stop being the insurer of a motor
vehicle. (7) For subsections (5) and (6), this Act,
other than the following provisions, applies to the
State— (a) sections 62 to 64; (b)
section 66; (c)
section 67(1) and (2); (d)
sections 68 and 69; (e)
sections 71 to 87. (8)
For
subsection (7), a reference, in an applied provision, to an
insurer, licensed insurer or CTP insurer
includes a reference to the State. (9)
A
regulation may modify an applied provision for the purpose
of
its application to the State, including, for example—
(a) to modify the way an insurer’s
premiums are fixed under sections 13 and 13A if the State is
the insurer; or (b) to exempt the State from compliance
with section 22. (10) A
regulation may
provide for
anything necessary
or convenient relating
to the transfer
to the State
of CTP insurance
business from the old insurer, including for example
the
following— (a) the transfer of some or all of the
rights and liabilities of the old
insurer relating
to CTP insurance
policies transferred to
the State; (b) continuing or
further obligations of
the old insurer
relating to the transferred CTP insurance
policies; Current as at [Not applicable]
Page
97
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only Motor Accident Insurance Act 1994
Part 5
Licensed insurers [s 68] (c)
the payment of
amounts into
or out of
any fund controlled by
the State that relates to insurance provided for or by the
State. (11) In this
section— applied provision means a
provision of this Act applied to the State under
subsection (7). old insurer means the
insurer whose licence is withdrawn or under
suspension. 68 Review of the commission’s decisions
by QCAT (1) An insurer may apply, as provided
under the QCAT Act, to QCAT for
a review of
a decision by
the commission to
withdraw or suspend the insurer’s
licence. (2) For a proceeding of QCAT for a review
under this section, QCAT must be constituted by at least 1
judicial member who is a Supreme Court judge.
(3) If QCAT changes or reverses the
commission’s decision, the commission must publish notice of
QCAT’s decision in the gazette. (4)
In
this section— judicial member see the QCAT
Act, schedule 3. Division 2 Supervision of
licensed insurers 69 Business plans of licensed
insurers (1) A licensed insurer must prepare and
give to the commission a business plan
for its compulsory third-party insurance
business. (2)
The licensed insurer’s
first business
plan must
be prepared and given to the
commission before the licence is granted. Page 98
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Motor
Accident Insurance Act 1994 Part 5 Licensed
insurers [s 70] (3)
The
licensed insurer must revise its business plan whenever it
departs significantly from the plan and at
the regular intervals that the commission directs by written
notice. (4) The licensed insurer must, as
far as practicable, conduct
its compulsory third-party insurance
business in accordance with its current
business plan. (5) If the insurer departs significantly
from the business plan, it must notify the commission of the
departure within 2 months after it happens. (6)
A
business plan— (a) must describe how the insurer’s
compulsory third-party business is to be conducted (including
marketing, claims handling, the provision of rehabilitation,
the keeping of records, systems management and control of
costs); and (b) must be
prepared in
accordance with
the written guidelines issued
by the commission and
notified to
licensed insurers. 70
Accounts and returns of licensed
insurers (1) A licensed insurer must keep the
accounting and other records about
its business, and
its financial position,
that may
be required by this Act or the industry
deed. (2) The regulations may prescribe
accounting or other standards with which the
records must comply. (3) A licensed
insurer must file returns and other documents with
the
commission as required by the industry deed or regulation.
Maximum penalty—150 penalty units.
(4) The regulations may
require that
returns or
accompanying documents be
certified by an auditor or actuary. 71
Audit
of accounts (1) The commission may
appoint an
appropriately qualified
person— Current as at
[Not applicable] Page 99
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Part 5
Licensed insurers [s 72] (a)
to
inspect or audit, and report to the commission on, the
accounting and other records about the
business, or the financial position, of a licensed insurer;
or (b) to carry out an actuarial
investigation into, and report to the commission
on, the assets and liabilities, or any class of assets or
liabilities, of a licensed insurer. (2)
The
appointed person may inspect the accounting and other
records of the licensed insurer.
(3) The licensed insurer must provide all
reasonable help to assist the inspection, audit or actuarial
investigation. (4) A person
must not
wilfully delay
or obstruct a
person exercising
powers under this section. Maximum penalty—150 penalty units or
imprisonment for 1 year. (5)
A
statement made orally or in writing by a person exercising
powers under this section is protected by
qualified privilege. 72 Information to be provided by
insurers (1) A licensed insurer must immediately
inform the commission if— (a)
the
insurer or a related body corporate fails to make a
payment of
principal or
interest required
under any
debenture or security issued by the insurer
or the related body corporate; or (b)
a liquidator, receiver
or receiver and
manager of
property of
the insurer or
a related body
corporate is
appointed; or (c)
the insurer or
a related body
corporate resolves
to be wound up;
or (d) another event
happens of
a nature prescribed by
regulation. (2)
The
commission may require a licensed insurer— Page 100
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Motor
Accident Insurance Act 1994 Part 5 Licensed
insurers [s 72A] (a)
to
disclose to the commission, within the time allowed
by the commission, specified
information about
the business or
the financial position
of the insurer
or a related body
corporate; or (b) to give to the commission, within the
time allowed by the commission, copies of specified
documents. (3) A requirement under subsection (2)
must be made in writing and must state the time within which
the requirement must be complied with. (4)
If a
requirement under subsection (2) is not complied with, the
insurer commits an offence.
Maximum penalty—300 penalty units.
(5) In this section— licensed
insurer includes a body corporate formerly
licensed under this Act. 72A
Declarations from licensed insurer
(1) The commission may
by notice in
writing require
the chief executive
officer or another appropriate officer of a licensed
insurer, or both, to give the commission
within a reasonable period a
declaration for
the period to
which the
notice relates—
(a) that the
licensed insurer
has complied with
section 96(1); and (b)
that the
licensed insurer
has not established or
treated the cost of any
inducement to which section 96(2)(c) or (3)(b)
applies as
a cost, expense
or charge under
or against the
insurer’s CTP
insurance policies
or CTP business
generally; and (c) that the
licensed insurer
has complied with
section 97(5). (2)
The
commission may require the declaration to be given on an
annual basis or in relation to a particular
period, as stated by the commission in the notice.
Current as at [Not applicable]
Page
101
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Part 5
Licensed insurers [s 73] (3)
A person of
whom the
declaration is
required must
be a resident of
Australia. (4) A person of whom the declaration is
required— (a) must give the declaration as required,
unless the person has a reasonable excuse; and
(b) must not make a false
declaration. Maximum penalty—300 penalty units.
(5) In this section— appropriate
officer of the licensed insurer means an
officer of the licensed
insurer who
the commission considers
is appropriate to provide the
declaration. 73 Power of Supreme Court to deal with
licensed insurers (1) If the
Supreme Court
is satisfied, on
application by
the commission, that
a licensed insurer
or former licensed
insurer— (a)
may
not be able to meet the insurer’s liabilities under
CTP
insurance policies; or (b) has acted in a
way prejudicial to the interests of persons insured under
CTP insurance policies; the Supreme
Court may
make orders
that it
considers necessary
or desirable to
protect the
statutory insurance
scheme and to ensure, as far as practicable,
that the insurer properly discharges its
obligations under
the statutory insurance
scheme. (2) The Supreme Court may, for example,
make orders (including interim orders
that are
to apply pending
the final determination of
the application)— (a) regulating the
administration and
payment of
claims under CTP
insurance policies; or (b) prohibiting or
regulating any transfer or disposal of, or dealing in,
assets; or Page 102 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 5 Licensed
insurers [s 74] (c)
requiring the licensed insurer or former
licensed insurer to discharge liabilities under CTP insurance
policies out of its assets or the assets of a related
body corporate; or (d) appointing a receiver or receiver and
manager, with the powers that the court directs, of property
or part of the property of
the licensed insurer
or former licensed
insurer or a related body corporate.
(3) The Supreme Court may not require the
commission to give an undertaking about damages as a condition
of granting an interim order. (4)
On the application of
any interested person,
the Supreme Court may amend
or revoke an order under this section. (5)
The powers conferred
on the Supreme
Court under
this section are not
to be exercised in relation to a body corporate that is being
wound up. Division 3 Special
investigations 74 Appointment of investigator
(1) If the commission considers it
desirable in the public interest, the commission
may appoint an investigator to investigate the affairs of an
insurer that is, or has been, licensed under this
Act. (2)
A
person is eligible to be appointed as an investigator only
if the person is a properly qualified legal
practitioner, a properly qualified accountant, or has other
appropriate qualifications or experience to
carry out an investigation under this division. (3)
The
instrument of appointment— (a) must state the
terms of the appointment; and (b)
must
state the matters into which the investigation is to
be
made; and (c) may state a period within which the
investigation must be completed. Current as at
[Not applicable] Page 103
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only Motor Accident Insurance Act 1994
Part 5
Licensed insurers [s 75] (4)
The commission may,
by written notice
given to
the investigator— (a)
amend the instrument of appointment in any
way; or (b) end the appointment.
75 Investigation of related body
corporate If an investigator considers it necessary,
in investigating the affairs of
an insurer, to
investigate the
affairs of
a body corporate
that is
or has at
any relevant time
been a
related body corporate,
the investigator may investigate the affairs of the body
corporate with the commission’s written agreement.
76 Powers of investigators
(1) An investigator may, by written
notice, require an officer of an insurer
or body corporate
whose affairs
are under investigation— (a)
to
produce to the investigator documents of the insurer
or
body corporate and other documents about its affairs
that
are in the custody or under the control of the officer;
and (b) to give the
investigator all reasonable help in connection with the
investigation; and (c) to appear before the investigator for
examination on oath or affirmation. (2)
An
investigator may administer an oath or affirmation.
77 Documents produced to
investigator (1) If a
document is
produced to
an investigator under
this division,
the investigator may
keep the
document for
the period that the investigator
reasonably considers necessary for the
investigation. Page 104 Current as at
[Not applicable]
Motor
Accident Insurance Act 1994 Part 5 Licensed
insurers [s 78] (2)
The
investigator must permit a person who would be entitled
to inspect the
document, if
it was not
being kept
by the investigator, to
inspect the document at all reasonable times. Not
authorised —indicative only
78 Examination of officers
(1) If the affairs of an insurer or other
body corporate are being investigated under
this division,
an officer of
the insurer or
body
corporate must not— (a) fail to
comply with
a lawful requirement (a
relevant requirement ) of the
investigator to the extent the officer is able to
comply with it; or (b) in purported
compliance with
a relevant requirement, give information
knowing it to be false or misleading in a material
particular; or (c) when appearing before an investigator
for examination under a relevant requirement—
(i) state anything knowing it to be false
or misleading in a material particular; or
(ii) fail to be sworn
or to make an affirmation. Maximum penalty—300 penalty units or
imprisonment for 2 years. (2)
A person who
complies with
the requirement of
an investigator under this section does
not incur any liability to another merely because of the
compliance. (3) A person
required to
attend for
examination under
this division is
entitled to the allowances and expenses prescribed
by
regulation. 79 Self-incrimination (1)
An
officer is not excused from— (a)
answering a
question put
to the officer
by an investigator;
or (b) producing a document to an
investigator; Current as at [Not applicable]
Page
105
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 5
Licensed insurers [s 80] on the ground
that the answer or production of the document might tend to
incriminate the officer. (2) Before an
investigator requires an officer to answer a question
or to produce
a document, the
investigator must
inform the
officer— (a)
of the officer’s
right to
assert that
answering the
question or
production of
the document might
tend to
incriminate the officer; and
(b) of the
effect under
subsection (3) of
making the
assertion. (3)
Neither the answer, nor the fact that the
officer has produced the document, is admissible in
evidence against the officer in a criminal
proceeding (other than a proceeding about the falsity
of
the answer or document) if— (a)
before answering
the question or
producing the
document, the officer asserts that answering
the question or production of the document might tend to
incriminate the officer; and (b)
answering the question or production of the
document might in fact tend to incriminate the
officer. 80 Failure of officer to comply with
requirement of investigator (1)
If an officer
fails to
comply with
a requirement of
an investigator, the
investigator may
certify the
failure to
the Supreme Court. (2)
If
an investigator gives a certificate under subsection (1),
the court may inquire into the case and
may— (a) order the officer to comply with the
requirements of the investigator within a period fixed by the
court; and (b) if the
court is
satisfied that
the officer failed
without lawful
excuse to
comply with
the requirement of
the investigator—punish the officer in the
same way as if the officer had been guilty of contempt of
the court. Page 106 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 5 Licensed
insurers [s 81] 81
Recording of examination (1)
An investigator must
cause a
record of
the questions asked
and
the answers given at an examination under this division to
be
made. (2) Subject to section 79, a record of the
examination of a person under this
division may
be used in
evidence in
a legal proceeding
against the person. (3) A copy of the record of the
examination of a person must be given without
fee to the person on the written request of the person.
(4) A record made under this section about
an investigation must be included
with the
investigator’s final
report on
the investigation. (5)
Nothing in this section affects or limits
the admissibility of other written or oral evidence.
82 Copy of record of examination may be
given to legal practitioner (1)
The commission may
give a
copy of
the record of
any examination made under section 81 to a
legal practitioner who satisfies the commission that the
practitioner is acting for a person who is
conducting, or is in good faith contemplating, legal
proceedings about
affairs being
investigated by
an investigator under this
division. (2) The legal
practitioner to
whom a
copy of
a record is
given under subsection
(1)— (a) must use the record only for the legal
proceedings; and (b) must not publish or communicate the
record or any part of it for any other purpose.
Maximum penalty for subsection (2)—300
penalty units. Current as at [Not applicable]
Page
107
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only Motor Accident Insurance Act 1994
Part 5
Licensed insurers [s 83] 83
Delegation of powers by investigator
(1) An investigator may delegate any
powers under this division except the power to administer oaths
or affirmations and the power to examine on oath or
affirmation. (2) A delegate
must produce
the instrument of
delegation for
inspection on
request by
an officer of
an insurer or
body corporate
whose affairs
are being investigated under
this division.
84 Report of investigator
(1) An investigator may, and, if directed
by the commission, must make interim reports to the
commission. (2) On the
completion or
termination of
the investigation, the
investigator must report to the commission
the investigator’s opinion on the matters subject to the
investigation, together with the facts on which the opinion is
based. (3) When making a report under this
section, an investigator must give
to the commission any
documents of
which the
investigator has taken possession under this
division. (4) The commission— (a)
may keep the
documents for
the period that
the commission reasonably considers
necessary to enable a decision to
be made about
whether or
not a legal
proceeding ought to be started; and
(b) may keep the documents for any further
period that the commission reasonably considers necessary to
enable a legal proceeding to be started and
continued; and (c) may permit
other persons
to inspect the
documents while they are
in the commission’s possession; and (d)
may permit the
use of the
documents for
a legal proceeding
started because of the investigation; and (e)
must
permit a person who would be entitled to inspect
any of the
documents if
they were
not in the
Page
108 Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 5 Licensed
insurers [s 85] commission’s
possession to inspect the document at all reasonable
times. (5) A copy of a final report must, and a
copy of the whole or any part of an interim report may, be
given by the commission to the insurer or other body corporate to
which the report relates. (6) However, the
commission is not bound to give an insurer or other person a
copy of a report, or any part of a report, if the
commission is of the opinion that there is
good reason for not divulging its contents. (7)
If the commission is
of the opinion
that it
is in the
public interest, the
commission may cause the whole or any part of a report to be
printed and published. (8) If an
investigator has caused a record of an examination under
this
division to be given to the commission with the report to
which the record relates, a copy of the
record may be given to the persons,
and on the
conditions, that
the commission considers
appropriate. 85 Admission of investigator’s report in
evidence (1) A document certified by the commission
to be a copy of an investigator’s report is admissible in any
legal proceeding as evidence of any facts found by the
investigator to exist. (2) Nothing
in this section
operates to
diminish the
protection given to
witnesses by law. 86 Costs of investigation
(1) The commission may recover the costs
of and incidental to an investigation under
this division
from the
insurer or
other body corporate
to which the investigation is related. (2)
However, costs may not be recovered from an
insurer or other body corporate
under this
section if
the investigation established no
irregularity on the part of the insurer or other
body
corporate. Current as at [Not applicable]
Page
109
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part
5A Enforcement [s 87] 87
Offences relating to investigations
(1) A person who— (a)
conceals, destroys, mutilates or alters a
document of or about an insurer or other body corporate
whose affairs are being investigated under this division;
or (b) sends, causes to be sent or conspires
with someone else to send, out
of the State
a document mentioned
in paragraph (a) or any property
belonging to or under the control of the insurer or body
corporate; commits an offence. Maximum
penalty—300 penalty units or imprisonment for 2 years.
(2) It is a defence to a charge of an
offence against subsection (1) to prove that
the defendant did not act with intent to defeat the
purposes of this division or to delay or
obstruct the carrying out of an investigation under this
division. Part 5A Enforcement Division 1
Authorised persons 87A
Appointment of authorised person
(1) The commission may
appoint a
person as
an authorised person
if the commission considers
the person has
the necessary expertise or experience to
be an authorised person. (2) Even
though a
person who
is an officer
or employee of
transport administration or
who is subject
to transport administration’s administrative control
or supervision may
have, in that capacity, some of the
functions of an authorised person under
this part,
the officer or
employee is
not to be
regarded as
an authorised person
unless appointed
as an authorised
person by the commission. Page 110 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 5A
Enforcement [s 87B] 87B
Functions and powers of authorised
person (1) An authorised person has the following
functions— (a) to monitor
compliance with
this Act
and the National
Injury Act; (b)
to
investigate suspected offences against this Act and the
National Injury Act; (c)
to investigate, at
the commission’s direction, claims
against an insurer, and liabilities that may
be owed to an insurer, under this Act. (2)
An authorised person
has the powers
given to
the person under this Act
or another Act. (3) An authorised person is subject to the
commission’s directions in exercising the authorised person’s
powers. (4) The powers of an authorised person may
be limited— (a) under a regulation; or
(b) under a condition of appointment;
or (c) by written
notice given
by the commission to
the authorised person. 87C
Authorised person’s employment
conditions (1) An authorised person holds office on
the conditions stated in the instrument of appointment.
(2) An authorised person—
(a) if the appointment provides for a term
of appointment— ceases holding office at the end of the
term; and (b) may resign by signed notice given to
the commission; and (c) if
the conditions of
office provide—ceases holding
office as an authorised person on ceasing to
hold another office stated
in the appointment conditions (the
main office
). Current as at [Not applicable]
Page
111
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part
5A Enforcement [s 87D] (3)
However, an authorised person may not resign
from the office of authorised person (the
secondary office ) if a term of
the authorised person’s employment to the main
office requires the authorised person to hold the secondary
office. 87D Authorised person’s identity
card (1) The commission must give an identity
card to each authorised person. (2)
The
identity card must— (a) contain a
recent photograph of
the authorised person;
and (b) be signed by the
authorised person; and (c) identify
the person as
an authorised person
for the commission;
and (d) include an expiry date; and
(e) be signed by the commissioner.
(3) A person who ceases to be an
authorised person must return the
person’s identity
card to
the commission within
7 days after the person
ceases to be an authorised person, unless the person has a
reasonable excuse. Maximum penalty—10 penalty units.
87E Display of authorised person’s
identity card (1) An authorised person
may exercise a
power in
relation to
someone else only if the authorised
person— (a) first produces his or her identity
card for the person’s inspection; or (b)
has
the identity card displayed so it is clearly visible to
the
person. (2) However, if for any reason it is not
practicable to comply with subsection (1), the
authorised person
must produce
the Page 112 Current as at
[Not applicable]
Motor
Accident Insurance Act 1994 Part 5A
Enforcement [s 87F] identity
card for
inspection by
the person at
the first reasonable
opportunity. Not authorised —indicative only
87F Protection from liability
(1) An authorised person does not incur
civil liability for an act done, or
omission made,
honestly and
without negligence under this
Act. (2) If subsection
(1) prevents a
civil liability
attaching to
an authorised person,
the liability attaches
instead to
the commission. Division 2
Powers of authorised persons
87G Power to require information
(1) This section
applies if
an authorised person
believes on
reasonable grounds
that a
person has
information, or
documents providing
information, relevant
to any of
the following matters— (a)
a
liability under the statutory insurance scheme; (b)
an
entitlement under the statutory insurance scheme;
(c) an offence the authorised person
reasonably believes has been committed against this Act or the
National Injury Act. (2)
The authorised person
may require the
person to
give the
information to, or produce the documents for
inspection by, the authorised person
at a reasonable time
and place nominated by the
authorised person and allow the authorised person to make a
copy of the documents. (3) To
avoid doubt,
it is declared
that under
subsection (2), an
authorised person may require the
information to be given, or the documents to
be produced immediately, at the place the requirement is
made, if the requirement is reasonable in the circumstances. Current as at
[Not applicable] Page 113
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part
5A Enforcement [s 87H] (4)
When making
the requirement, the
authorised person
must warn the person
it is an offence to fail to give the information,
or
produce the documents, unless the person has a reasonable
excuse. (5)
The person must
comply with
the requirement, unless
the person has a reasonable excuse for not
complying with it. Maximum penalty—50 penalty units.
(6) A person
has a reasonable excuse
for failing to
give the
information or produce the documents
if— (a) the person
would be
entitled to
refuse to
give the
information or
produce the
document in
a court proceeding on
the ground that giving the information or producing the
documents would tend to incriminate the person;
or (b) in the case of a requirement to
produce documents—the cost of producing the documents would,
having regard to their evidentiary value
and any other
relevant circumstances,
be unreasonable. (7) The person does not commit an offence
against this section if the information or documents sought by
the authorised person are not
in fact relevant
to a matter
mentioned in
subsection (1). 87H
Application for warrant (1)
An
authorised person may apply to a magistrate for a warrant
for
a place. (2) The application must be sworn and
state the grounds on which the warrant is sought.
(3) The magistrate may refuse to consider
the application until the authorised person gives the magistrate
all the information the magistrate requires
about the
application in
the way the
magistrate requires. Example—
The magistrate may
require additional information supporting the
application to be given by statutory
declaration. Page 114 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 5A
Enforcement [s 87I] 87I
Issue
of warrant (1) The magistrate may issue a warrant
only if satisfied there are reasonable
grounds for suspecting— (a) there is a
particular thing or activity (the evidence
)
that may provide evidence of an offence against
this Act or the National Injury Act; and
(b) the evidence is at the place, or,
within the next 7 days, may be at the place.
(2) The warrant must state—
(a) that a stated authorised person may,
with necessary and reasonable help and force—
(i) enter the place and any other place
necessary for entry; and (ii)
exercise the authorised person’s powers
under this part; and (b)
the
offence for which the warrant is sought; and (c)
the
evidence that may be seized under the warrant; and
(d) the hours
of the day
or night when
the place may
be entered; and (e)
the date, within
14 days after
the warrant’s issue,
the warrant ends. 87J
Special warrants (1)
An authorised person
may apply for
a warrant (a
special warrant
) by phone,
fax, radio
or another form
of communication if the authorised person
considers it necessary because of— (a)
urgent circumstances; or (b)
other special circumstances, including, for
example, the authorised person’s remote location.
Current as at [Not applicable]
Page
115
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part
5A Enforcement [s 87J] (2)
Before applying for the special warrant, the
authorised person must prepare an application stating the
grounds on which the warrant is sought. (3)
The authorised person
may apply for
the special warrant
before the application is sworn.
(4) After issuing
the special warrant,
the magistrate must
immediately fax
a copy (a
facsimile warrant
) to the
authorised person
if it is
reasonably practicable to
fax the copy.
(5) If it
is not reasonably practicable to
fax a copy
to the authorised
person— (a) the magistrate must tell the
authorised person— (i) what the terms of the special warrant
are; and (ii) the date and
time the special warrant is issued; and (b)
the
authorised person must complete a form of warrant
(a warrant form ) and write on
it— (i) the magistrate’s name; and
(ii) the date and
time the magistrate issued the special warrant;
and (iii) the terms of the
special warrant. (6) The facsimile
warrant, or
the warrant form
properly completed by the
authorised person, authorises the entry and the exercise of
the other powers stated in the special warrant issued.
(7) The authorised person
must, at
the first reasonable opportunity,
send to the magistrate— (a) the sworn
application; and (b) if the authorised person completed a
warrant form—the completed warrant form. (8)
On
receiving the documents, the magistrate must attach them
to
the special warrant. Page 116 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 5A
Enforcement [s 87K] (9)
A
court must find the exercise of the power by an authorised
person was not authorised by a special
warrant if— (a) an issue arises in a proceeding before
the court whether the exercise of
the power was
authorised by
a special warrant
mentioned in subsection (1); and (b)
the
special warrant is not produced in evidence; and
(c) it is not proved by the person relying
on the lawfulness of the entry
that the
authorised person
obtained the
special warrant. 87K
Warrants—procedure before entry
(1) This section
applies if
an authorised person
named in
a warrant issued under this part for a
place is intending to enter the place under
the warrant. (2) Before entering the place, the
authorised person must do or make a
reasonable attempt to do the following things— (a)
identify himself
or herself to
a person present
at the place
who is an
occupier of
the place by
producing a
copy of
the authorised person’s
identity card
or other document
evidencing the
authorised person’s
appointment; (b)
give
the person a copy of the warrant or if the entry is
authorised by
a facsimile warrant
or warrant form
mentioned in
section 87J(6), a
copy of
the facsimile warrant or
warrant form; (c) tell the person the authorised person
is permitted by the warrant to enter the place;
(d) give the person an opportunity to
allow the authorised person immediate entry to the place
without using force. (3) However,
the authorised person
need not
comply with
subsection (2) if the authorised person
believes on reasonable grounds that immediate entry to the
place is required to ensure the effective
execution of the warrant is not frustrated. Current as at
[Not applicable] Page 117
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part
5A Enforcement [s 87L] 87L
Power
to seize evidence (1) An authorised person who enters a
place with a warrant may search for and seize the evidence for
which the warrant was issued. (2)
An authorised person
may also seize
another thing
if the authorised
person believes on reasonable grounds— (a)
the
thing is evidence of an offence against this Act or the
National Injury Act; and (b)
the seizure is
necessary to
prevent the
thing being
concealed, lost or destroyed.
87M Receipt for seized things
(1) As soon as practicable after a thing
is seized by an authorised person, the authorised person must
give a receipt for it to the person from whom
it was seized. (2) However, if for any reason it is not
practicable to comply with subsection (1), the authorised person
must leave the receipt at the place
of seizure in
a reasonably secure
way and in
a conspicuous position.
87N Access to seized things
Until a seized thing is returned or
otherwise finally dealt with, an authorised
person must allow its owner— (a)
to
inspect it; or (b) if it is a document—to make copies of
it. 87O Return of seized thing
(1) The authorised person must return a
seized thing to its owner at the end of— (a)
6
months; or Page 118 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 5A
Enforcement [s 87P] (b)
if a prosecution for
an offence involving
it is started
within 6 months—the prosecution and any
appeal from the prosecution. (2)
Despite subsection (1), the authorised
person must return the seized thing to its owner immediately
the authorised person stops being satisfied its retention as
evidence is necessary. Division 3 Other
enforcement matters 87P Compensation (1)
A
person may claim an amount by way of compensation if the
person incurs
loss or
expense because
of the exercise
or purported exercise of a power under
this part, including, for example, in complying with a
requirement made of the person under this
part. (2) The amount may be claimed from the
commission. (3) Payment of the amount may be claimed
and ordered— (a) in a civil proceeding for a debt;
or (b) in a
proceeding for
an offence against
this Act
or the National Injury
Act brought against the person making the claim for
the amount. (4) A court may order the payment of the
amount for the loss or expense only if it is satisfied it is
just to make the order in the circumstances of
the particular case. (5) A
regulation may
prescribe matters
that may,
or must, be
taken into account by the court when
considering whether it is just to make the order.
87Q Costs of investigation
(1) This section applies if a person is
convicted by a court of an offence against this Act or the
National Injury Act. Current as at [Not applicable]
Page
119
Motor
Accident Insurance Act 1994 Part 5A
Enforcement [s 87R] (2)
The court may
order the
person to
pay the commission’s reasonable costs
of any investigation about
the offence, including
reasonable costs of preparing for the prosecution.
(3) This section does not limit the orders
for costs the court may make on the conviction.
Not authorised —indicative
only Division 4 Obstructing or
impersonating authorised persons 87R
Obstruction of authorised persons
(1) A person
must not
obstruct an
authorised person
in the exercise
of a power,
unless the
person has
a reasonable excuse.
Maximum penalty—50 penalty units.
(2) In this section— obstruct
includes hinder, resist or attempt to
obstruct. 87S Impersonation of authorised
persons A person must not pretend to be an
authorised person. Maximum penalty—50 penalty units.
Division 5 Fraud and false
and misleading statements 87T
Offences involving fraud (1)
A
person must not in any way— (a)
defraud or
attempt to
defraud the
commission, or
the Nominal Defendant or another insurer;
or (b) deliberately mislead or attempt
deliberately to mislead the commission, the
Nominal Defendant
or another insurer;
or Page 120 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 5A
Enforcement [s 87U] (c)
connive at
conduct by
another that
contravenes paragraph (a) or
(b). Maximum penalty—400 penalty
units or
18 months imprisonment. (2)
If
conduct that constitutes an offence defined in subsection
(1) is recurrent so that, but for this
subsection, each instance of the
conduct would
constitute a
separate offence,
2 or more
instances of
the conduct are
to be taken
to constitute but
1 offence committed
over a
period specified
in the complaint
laid in
relation to
the conduct, and
may be charged
and be dealt with on 1
complaint. 87U False or misleading information or
documents (1) This section applies to a statement
made or document given in connection with a claim under the
statutory insurance scheme to the commission, the Nominal
Defendant or another insurer. (2)
A
person must not state anything to the commission, or the
Nominal Defendant
or another insurer,
the person knows
is false or misleading in a material
particular. Maximum penalty—150 penalty
units or
1 year’s imprisonment. (3)
A person must
not give the
commission, or
the Nominal Defendant or
another insurer, a document the person knows is false or
misleading in a material particular. Maximum
penalty—150 penalty
units or
1 year’s imprisonment. (4)
Subsection (3) does not apply to a person
who, when giving the document— (a)
informs the commission, or the Nominal
Defendant or other insurer, to the best of the person’s
ability, how it is false or misleading; and (b)
gives the correct information to the
commission, or the Nominal Defendant or other insurer, if the
person has, or can reasonably obtain, the correct
information. Current as at [Not applicable]
Page
121
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part
5A Enforcement [s 87V] (5)
Subsection (3) does
not require the
commission, or
the Nominal Defendant or another insurer,
to tell someone that a document is
false, misleading or
incomplete, or
to disclose information, if
the probable effect would be to alert a person suspected of
fraud to the suspicion. (6) It is enough for
a complaint against a person for an offence against
subsection (2) or
(3) to state
the information or
document was,
without specifying which,
‘false or
misleading’. Division 6
Information from Commissioner of
Police Service 87V
Information from Commissioner of Police
Service (1) The Commissioner of
the Police Service
may, on
the insurance commissioner’s written
request, give
to the commission
information in the possession of the Queensland Police
Service that
is mentioned in
subsection (2) about
a person the
commission reasonably suspects
to have committed an
offence against this Act or the National Injury Act.
(2) The information that may be given
is— (a) the person’s
criminal history
or part of
the person’s criminal
history; and (b) any brief
of evidence compiled
by the Queensland Police
Service on
anything mentioned
in the person’s
criminal history; and (c)
any
document about any complaint made by or against the
person. (3) For this
section, the
Criminal Law
(Rehabilitation of
Offenders) Act 1986 does not
apply. (4) Information given to the commission by
the Commissioner of the Police Service under this
section— Page 122 Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 5A
Enforcement [s 87W] (a)
must not
be used for
any purpose other
than an
investigation or
prosecution under
this Act
or the National Injury
Act; and (b) if not relevant to a suspected offence
against this Act or the National Injury
Act—must be
disregarded by
the commission and
must not
be used by
the commission for any
purpose. Division 7 Proceedings 87W
Proceedings (1)
A
proceeding for an offence against this Act is to be taken in
a summary way under the Justices Act
1886 before a magistrate on the complaint
of— (a) the commissioner; or
(b) the Attorney-General; or
(c) a person
authorised by
the commissioner or
the Attorney-General to take the
proceeding. (2) The proceeding must start—
(a) within 2 years after the commission of
the offence; or (b) within 6
months after
the commission of
the offence comes to the
knowledge of the complainant; whichever is the
later. (3) A statement in a complaint
that— (a) the complainant is
authorised by
the commissioner or
the
Attorney-General to take the proceeding; or (b)
the commission of
the alleged offence
came to
the knowledge of the complainant on a
particular date; is evidence of the fact stated.
(4) Proof of
an authorisation by
the commissioner or
the Attorney-General under subsection
(1)(c) is not required in a proceeding unless
the defendant gives the
entity responsible Current as at
[Not applicable] Page 123
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part
5A Enforcement [s 87X] for
prosecuting the
proceeding a
notice of
intention to
challenge the authorisation at least 10
business days before the hearing date. (5)
The
notice must be in the form approved by the commission or
transport administration.
Division 8 Evidence
87X Evidentiary certificates given by the
commission and transport administration (1)
The commission may
issue a
certificate certifying any
1 or more of the
following matters— (a) that the
commission made
a specified decision
under this Act on a
specified date; (b) that the
commission carried
out a specified
administrative act under this Act on a
specified date; (c) that the
commission gave
a specified notice
to a specified person
in a specified way on a specified date; (d)
that
an address at which a specified notice was left, or to
which it
was sent, was
the last address
known to
the commission of the person to whom the
notice was to be given. (2)
Transport administration may issue a
certificate certifying any 1 or more of the following
matters— (a) that a specified vehicle was or was
not registered at a specified time, or over a specified
period; (b) that a specified vehicle was or was
not insured under the statutory insurance scheme at a
specified time, or over a specified period; (c)
that
a specified amount is, or was at a specified time,
payable to
transport administration as
an insurance premium for CTP
insurance for a specified vehicle; Page 124
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 6
Miscellaneous [s 88] (d)
that there
was a specified
deficiency in
the amount received by
transport administration on a specified date by way of an
insurance premium for CTP insurance for a specified
vehicle. (3) A certificate under
this section
is admissible in
civil or
criminal proceedings as
evidence of
anything stated
in the certificate. (4)
A
document is admissible in legal proceedings and is to be
taken, in the absence of contrary evidence,
to be a certificate under this section if the document—
(a) appears to be a certificate under this
section; and (b) purports to
be signed by
a person authorised by
the commission or
transport administration (as
the case requires) to
issue the certificate. (5) Subsections (6)
and (7) apply if there is an authorisation by the commission
or transport administration under subsection (4)(b) of a
power to give a certificate under subsection (1) or
(2). (6)
Proof of
the authorisation is
not required in
a proceeding unless
the defendant gives
the entity responsible for
prosecuting the proceeding a notice of
intention to challenge the authorisation at least 10 business
days before the hearing date. (7)
The
notice must be in the form approved by the commission or
transport administration.
Part
6 Miscellaneous 88
Information to be provided by licensed
insurers (1) A licensed insurer must provide the
commission with— (a) periodic returns,
as required by
regulation, containing the information
required by regulation; and (b)
other information— Current as at
[Not applicable] Page 125
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 6
Miscellaneous [s 88] (i)
about claims against the insurer (including
claims arising before the commencement of this
Act); or (ii) relevant
in another way
to the administration of
this
Act; that is
required by
regulation, or
that the
commission may require by
written notice to the insurer. (2)
An
insurer may, for example, be required to provide—
(a) details of
motor vehicle
accident claims
against the
insurer, and
the dates when
notice of
the claims were
received by the insurer; and
(b) information about the claimants;
and (c) information about whether liability
was admitted by the insurer, when
liability was
admitted or
denied and,
if liability was admitted, the extent to
which liability was admitted; and (d)
information about
the rehabilitation services
made available
to the claimant
and the extent
to which the
rehabilitation services were used by the
claimant; and (e) information about the costs of the
insurer on claims, and how the costs are made up.
(3) The information— (a)
must be
provided by
means of
systems for
the processing and transmission of
information that comply with reasonable requirements imposed
by the commission;
and (b) must be provided in a form reasonably
required by the commission. (4)
An insurer must
not fail to
comply with
a requirement imposed under
this section. Maximum penalty—150 penalty
units and
a further 50
penalty units for each week until the
requirement is complied with. Page 126
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 6
Miscellaneous [s 88A] (5)
A
court that convicts a licensed insurer of an offence against
this
section may, by order, withdraw the licence. 88A
Commission’s power to intervene to
establish information processing systems
(1) This section applies if—
(a) the commission, by
written notice
given to
a licensed insurer,
requires the
insurer to
establish, within
the reasonable time
stated in
the notice, systems
for the processing and
transmission of information that comply with specified
reasonable requirements; and (b)
the
insurer fails to comply with the requirement within
the
stated time. (2) The commission may
engage contractors to
establish the
required systems
for the processing and
transmission of
information and authorise them to enter the
licensed insurer’s premises when the premises are open for
business to carry out the necessary work.
(3) The licensed insurer must—
(a) allow an
authorised contractor access
to the insurer’s
premises and
facilities for
the purpose of
establishing the required
systems for the processing and transmission of information;
and (b) must, at the request of an authorised
contractor, provide cooperation and
assistance the
contractor reasonably needs to carry
out the work effectively. Maximum penalty—150 penalty
units. (4) The commission may
recover the
cost of
work carried
out under this section as a debt from the
licensed insurer. (5) A court that convicts a licensed
insurer of an offence against this section
may, by order, withdraw the licence. Current as at
[Not applicable] Page 127
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 6
Miscellaneous [s 89] 89
Register of claims (1)
The
commission must keep a register of claims. (2)
The
register must contain information provided under this Act
by insurers that
the commission considers
appropriate for
inclusion in the register.
(3) The information contained in the
register must be accessible to
licensed insurers
and others to
the extent that
the commission decides.
(4) However, information that
would, if
it became generally
known, affect an insurer’s competitive
position must not be disclosed in
a form that
would enable
the insurer’s identification. 90
Transport administration to provide certain
information (1) Transport administration must,
on receipt of
an application accompanied by
the appropriate fee
decided by
transport administration,
inform the applicant— (a) whether
a motor vehicle
mentioned in
the application was insured
under this Act as at a specified date; and (b)
if so—the licensed
insurer under
the CTP insurance
policy. (2)
A
certificate given by a delegate of transport administration
to the effect that
a particular licensed
insurer, or
the Nominal Defendant, was,
on a specified date, the insurer of a particular
motor vehicle under the statutory insurance
scheme must be accepted as evidence of the fact
certified. (3) Subsections (4)
and (5) apply
if there is
a delegation by
transport administration of a power to give
a certificate under subsection (2). (4)
Proof of the delegation is not required in a
proceeding unless the defendant gives the entity responsible
for prosecuting the proceeding a notice of intention to
challenge the delegation at least 10
business days before the hearing date. Page 128
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 6
Miscellaneous [s 91] (5)
The notice must
be in the
form approved
by transport administration. 91
Insolvent insurers (1)
If
the commission publishes a gazette notice to the effect that
a named insurer
previously licensed
under this
Act became insolvent on a
particular date, the insurer is presumed, for the
purposes of this Act, to have become
insolvent on that date. (2) The
liquidator of
an insolvent insurer
must at
the commission’s request
give any
information the
commission requires about
the stage reached by the insurer in processing claims before
becoming insolvent and any other information reasonably
required by the commission. Maximum
penalty—25 penalty units. 92 Disclosure of
information (1) A person engaged in work related to
the administration of the statutory insurance scheme, or claims
made under the scheme, must not
divulge information of
a private or
confidential nature acquired
during the work other than as authorised or required by the
terms of the person’s employment or by law. Maximum
penalty—50 penalty units. (2) This section
does not prevent— (a) the exchange of information between
insurers; or (b) any other form of disclosure
authorised or required by the industry deed or
regulation. 94 Interference with certain
documents A person must
not, without
proper reason,
interfere with
documents relevant
to the selection
of insurers under
the statutory insurance scheme.
Maximum penalty—150 penalty units.
Current as at [Not applicable]
Page
129
Motor
Accident Insurance Act 1994 Part 6
Miscellaneous [s 95] 95
Unauthorised policies A
person other
than a
licensed insurer
must not
purport to
issue a CTP insurance policy under this
Act. Maximum penalty—300 penalty
units for
each policy
purportedly issued. Not
authorised —indicative
only 96 Inducement for
CTP insurance business prohibited (1)
A
licensed insurer or other person acting for a licensed
insurer must not give, or offer to give, to an
entity, including an entity acting
for the insurer,
an inducement for
directing CTP
insurance business to the licensed
insurer. Maximum penalty—300 penalty units
(2) A licensed
insurer or
other person
does not
contravene subsection (1)
if— (a) the inducement is
given or
offered to
be given to
an entity only
on the basis
that the
entity will
direct an
associate of the entity— (i)
to
enter into or renew a CTP insurance policy with the licensed
insurer; and (ii) to
ask the licensed
insurer, on
each occasion
the associate pays a premium to the
licensed insurer, to make a particular donation to—
(A) a particular registered charity;
or (B) a particular road safety research
entity; or (C) an entity prescribed under a
regulation; and Note— ‘Direct’
has a meaning
that corresponds to
the defined term
directing CTP insurance business.
(b) the inducement is
the donations made
by the licensed
insurer on
every occasion
the associate makes
the request mentioned in paragraph
(a)(ii); and (c) the licensed
insurer does
not intend to,
and does not,
establish or treat the cost of the
inducement as a cost, Page 130 Current as at
[Not applicable]
Motor
Accident Insurance Act 1994 Part 6
Miscellaneous [s 96] Not
authorised —indicative only
expense or
charge under
or against the
insurer’s CTP
insurance policies or CTP business
generally. (3) Also, a licensed insurer or other
person does not contravene subsection (1) in relation to a CTP
insurance policy if— (a) the entity to
whom the inducement is given, or offered to be given, is the
person who is to enter or renew the CTP insurance policy
(the policy holder or
proposed policy holder
);
and (b) the licensed
insurer does
not intend to,
and does not,
establish or treat the cost of the
inducement as a cost, expense or
charge under
or against the
insurer’s CTP
insurance policies or CTP business
generally. (4) However, subsection (3) does not apply
if— (a) the policy holder or proposed policy
holder conducts the business of selling motor vehicles;
and (b) the CTP insurance policy is for a
motor vehicle that will be sold in the ordinary course of the
business, even if the vehicle is not for sale when the
inducement is given or offered; and (c)
the
entering or renewal of the CTP insurance policy by
the policy holder
or proposed policy
holder would
effectively direct CTP insurance business to
the licensed insurer when the vehicle is sold.
(5) Subsections (2), (3) and (4) provide
for exemptions under the Justices Act 1886 , section
76. (6) A court that convicts a licensed
insurer of an offence against subsection (1)
may, by order, withdraw the licence. (7)
In
this section— associate includes member,
employee or supporter. directed CTP insurance business
means the CTP insurance business
directed to,
or obtained for,
a licensed insurer
because of an inducement.
directing CTP
insurance business
, to a
licensed insurer,
includes— Current as at
[Not applicable] Page 131
Motor
Accident Insurance Act 1994 Part 6
Miscellaneous [s 96] Not
authorised —indicative
only Page 132 (a)
obtaining CTP business for a licensed
insurer; and (b) giving any form of advice,
encouragement or suggestion intended to
direct CTP business to a licensed insurer. inducement means
any reward, consideration or
benefit, including, for
example, the following— (a) a
commission; Examples— •
commissions based
on any premium
for CTP insurance
policies resulting from directed CTP
insurance business • commissions paid on insurance products
not involving CTP insurance business
but based on
directed CTP
insurance business
(b) an administration payment;
Example— •
a
fee payable to a motor dealer based on the cost to the
motor dealer for work done in directing the
directed CTP insurance business to the licensed CTP
insurer (c) general financial support.
Examples (where
the directed CTP
insurance business
is being directed to a
CTP insurer by a motor dealer)— •
discounts or subsidies applying to premiums
for insurance relating to the motor dealer’s business or
business connected to the motor dealer’s business
• contributions made to the motor
dealer’s general operating expenses, including
floor plan
charges, entertainment, sponsorship, memberships, sales
incentive awards
and associated functions
registered charity means—
(a) a charity registered under the
Collections Act 1966 ; or
(b) a charity registered under a law of
another State— (i) that is
prescribed under
a regulation for
this section;
or (ii) if a law is not
prescribed under subparagraph (i)— with
objects similar
to the Collections Act
1966 and that
provides for the registration of charities. Current as at
[Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 6
Miscellaneous [s 97] road
safety research
entity means
an entity that
is, or is
conducting, a research program, affiliated
with a university, relating to— (a)
the causes of
motor vehicle
accidents and
their prevention;
or (b) rehabilitation of
persons injured
in motor vehicle
accidents. 97
CTP
premiums not to be discounted etc. (1)
A licensed insurer
or a broker
or other person
acting for
a licensed insurer must not—
(a) discount, reduce,
waive, or
defer payment
of the premium on a CTP
insurance policy; or (b) offer to
discount, reduce, waive, or defer payment of the
premium on a CTP insurance policy; or
(c) give or offer to give a rebate on the
premium on a CTP insurance policy. Maximum
penalty—300 penalty units. (2) A
licensed insurer
or a broker
or other person
acting for
a licensed insurer must not pay or
subsidise, or offer to pay or subsidise, any
fee payable on
registration, or
renewal of
registration, of a motor vehicle by a person
who has selected, or proposes to
select, the
licensed insurer
to be the
insurer under a CTP
insurance policy for the vehicle. Maximum
penalty—300 penalty units. (3) A licensed
insurer, a broker or other person (whether acting
for
a licensed insurer or not) must not encourage another to
make a
payment calculated to
result in
a reduced insurer’s
premium for an insurer. Maximum
penalty—300 penalty units. (4) A
licensed insurer
does not
contravene this
section by
accepting a
reduced insurer’s
premium in
circumstances where the
reduced payment is authorised under this Act. Current as at
[Not applicable] Page 133
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 6
Miscellaneous [s 99] (5)
A
licensed insurer or other person acting for a licensed
insurer must not give, or offer to give, to a person
an inducement to enter into
or renew an
insurance policy,
including a
CTP insurance policy,
with the
insurer if
the insurer intends
to establish or treat the cost of the
inducement as a cost, expense or
charge under
or against the
insurer’s CTP
insurance policies or the
insurer’s CTP business generally. Examples of an
inducement— 1 A licensed insurer offers a discount
to policy holders who hold several policies of insurance with the
insurer. The offer is available if one of the
policies is a CTP insurance policy. The discount is
applied to a policy that is not a CTP
insurance policy, but the cost of
the discount is
held partly
against the
account for
the CTP insurance
policy. 2 A licensed insurer offers to give a
person a gift if the person selects the licensed
insurer as the insurer under a CTP insurance policy for
the
person’s motor vehicle. The insurer intends to treat the cost
of the gift as a cost of the insurer’s CTP
business. Maximum penalty—300 penalty units.
(6) A court that convicts a licensed
insurer of an offence against this section
may, by order, withdraw the licence. 99
Penalties for offences Any monetary
penalty recovered for an offence against this Act must be paid
into the Motor Accident Insurance Fund. 100
Regulations (1)
The Governor in
Council may
make regulations under
this Act.
(2) A regulation may create offences and
prescribe penalties of not more than 60 penalty units for
each offence. 100A Indexation of particular
amounts (1) The Minister must, on or before 1 July
2011 and on or before 1 July in each succeeding year,
recommend to the Governor in Page 134
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 6
Miscellaneous [s 100A] Council
the amounts that
are to be
prescribed under
a regulation as— (a)
the
declared costs limit; and (b) the lower offer
limit; and (c) the upper offer limit.
(2) Each amount recommended for a limit is
to be the amount last prescribed under
a regulation for
the limit adjusted
by the percentage change
in average weekly
earnings over
the 12 months
preceding the
date of
the recommendation and
rounded to the nearest ten dollar.
(3) However, if the percentage change in
average weekly earnings over the 12 months preceding the date
of the recommendation would reduce the amount prescribed as
the limit or result in no change to
the amount, the
Minister need
not make a
recommendation. (4)
If the percentage change
in average weekly
earnings mentioned
in subsection (2) is
not available from
the Australian Statistician, the Minister
must advise the Governor in Council accordingly.
(5) If the
Minister advises
the Governor in
Council of
the unavailability of the percentage
change under subsection (4), the amount
prescribed as the limit is the amount decided by
the
Governor in Council. (6) A regulation
notified after 1 July in a year and specifying a
date
that is before the date it is notified as the date from
which the amount prescribed as the limit is to
apply has effect from the specified date.
(7) Subsection (6) applies
despite the
Statutory Instruments Act
1992 , section
34. (8) This section
does not
limit the
power of
the Governor in
Council to amend the amount prescribed under
a regulation for a limit. Current as at
[Not applicable] Page 135
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 7
Transitional provisions [s 101] 101
Periodical reviews (1)
Whenever it appears necessary to
review this Act to ensure
that
it is adequately meeting community expectations and its
provisions remain appropriate, the Minister
must have such a review carried out. (2)
The
Minister must cause a report of the outcome of a review
under subsection
(1) to be laid
before the
Legislative Assembly.
Part
7 Transitional provisions Division 1
Provisions for Act before
commencement of Motor Accident
Insurance Amendment Act 1999 and
a
related matter 102 Insurance Act 1960 references
In
an Act or document, a reference to the Insurance Act
1960 may, if the context permits, be taken to be
a reference to this Act. 103 Motor Vehicles
Insurance Act 1936 references In
an Act or
document, a
reference to
the Motor Vehicles
Insurance Act 1936 may, if the
context permits, be taken to be a reference to
this Act. 104 Personal injury claims
(1) A contract
of insurance in
force under
the former Act
immediately before the commencement of this
Act continues in force until the earlier of the
following— (a) the contract is replaced by a CTP
insurance policy under this Act; Page 136
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 7
Transitional provisions [s 106] (b)
30
days after the end of the registration period to which
it
related. (2) If personal
injury arises
out of a
motor vehicle
accident happening before
the commencement of this Act, a claim for the personal
injury must be dealt with as if this Act had not
been
enacted. (3) If personal
injury arises
out of a
motor vehicle
accident happening on or
after the commencement of this Act, a claim for the personal
injury must be dealt with under this Act (even though
the accident may
have happened
while a
policy of
insurance issued under the former Act
remains in force). (4) This section
is enacted to
remove any
doubt and
does not
affect the
operation of
the Acts Interpretation Act
1954 ,
section 20A in relation to section 104 of
this Act as originally enacted after the expiry of that
section on 31 December 1995. 106
Nominal Defendant (1)
The
Nominal Defendant under this Act succeeds to rights and
liabilities of the Nominal Defendant under
the former Act for personal injury
arising out
of motor vehicle
accidents that
happened before the commencement of this
Act. (2) If the insurer liable under a contract
of insurance issued under the former Act becomes
insolvent— (a) the Nominal
Defendant succeeds
to the insolvent
insurer’s rights
and liabilities under
the contract of
insurance; and (b)
the
provisions of this Act that apply to the insolvency of
an
insurer under a CTP insurance policy apply with any
changes prescribed by regulation.
(3) The Motor
Vehicle Insurance
Nominal Defendant
Fund established under
the former Act
is closed and
the balance standing to its
credit at the commencement of this Act must be dealt with as
follows— (a) an amount
that is,
in the State
Actuary’s opinion,
enough to
meet liabilities of
the Nominal Defendant
Current as at [Not applicable]
Page
137
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 7
Transitional provisions [s 107] under
this section
must be
transferred to
the Nominal Defendant Fund
under this Act; (b) any balance must be transferred to the
Motor Accident Insurance Fund under this Act.
(4) If the
amount paid
to the credit
of the Nominal
Defendant Fund proves
insufficient to meet the liabilities of the Nominal
Defendant under
this section,
the commissioner must
make payments from
the Motor Accident Insurance Fund to meet the
deficiency, but
the total payments
from the
Motor Accident
Insurance Fund under this section can not be more
than
the amount transferred to the fund under subsection (3).
(5) Section 33(5) further
limits the
total payments
that may
be made under
subsection (4) from
the Motor Accident
Insurance Fund. Division 2
Provision for Motor Accident
Insurance Amendment Act 1999
107 Regulation for assessment period
starting before 30 June 1999 (1)
Section 15(2) to
(4) does not
apply to
a regulation under
section 15(1) fixing
the levies, administration fee
and insurance premiums for an assessment
period starting before 30 June 1999. (2)
A
regulation mentioned in subsection (1) is valid even though
no recommendations are
made to
the Minister under
section 12(2) for
the assessment period
to which the
regulation relates. Page 138
Current as at [Not applicable]
Division 3 Motor Accident
Insurance Act 1994 Part 7 Transitional provisions
[s
108] Provisions for Motor Accident
Insurance Amendment Act 2000
Not authorised —indicative only
108 Application of amendments made by the
Motor Accident Insurance Amendment Act 2000 to motor
vehicle accident claims (1)
In
this section— relevant amendment means an
amendment to this Act made by the Motor Accident
Insurance Amendment Act 2000 .
(2) This Act, as amended by a relevant
amendment— (a) applies to a motor vehicle accident
claim arising from a motor vehicle
accident that
happens on
or after the
commencement of the relevant amendment;
and (b) governs the
terms and
conditions of
a CTP insurance
policy under this Act, in so far as it is
relevant to any such motor
vehicle accident
claim, irrespective of
whether the policy came into force before or
after the commencement of the relevant
amendment. (3) This Act, as in force before the
commencement of a relevant amendment, applies to a motor vehicle
accident claim arising from a
motor vehicle
accident that
happened before
the commencement of the relevant
amendment. 109 Special provision about financial
years For this Act,
the period commencing on
1 July 2000
and ending on 30 September 2000 and the
period commencing on 1 October 2000 and ending on 30 June
2001 are taken to be separate financial years.
110 Ratification of action taken in
anticipation of amendments made by the Motor Accident
Insurance Amendment Act 2000 (1)
This
section applies to anything done with a view to—
Current as at [Not applicable]
Page
139
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 7
Transitional provisions [s 111] (a)
fixing levies
for the financial
year commencing on
1 October 2000; or (b)
fixing the
administration fee
for the financial
year commencing on 1
October 2000; or (c) setting insurer’s
premiums for
the assessment period
commencing on 1 October 2000.
(2) Anything done
in anticipation of
amendments made
by the Motor
Accident Insurance
Amendment Act
2000 that
could have been
validly done under this Act assuming that Act had
been
enacted and the relevant amendments had commenced
when
the thing was done is taken to have been validly done
under this Act. Division 4
Provision for Treasury Legislation
Amendment Act (No. 2) 2002
111 Ratification of action taken in
anticipation of amendments made by Treasury Legislation
Amendment Act (No. 2) 2002 (1)
This section
applies to
anything done
for setting insurer’s
premiums for the assessment period
commencing on 1 July 2003. (2)
Anything done
in anticipation of
amendments to
this Act
made by
the Treasury Legislation Amendment
Act (No. 2)
2002 ,
sections 14 to
17, that could
have been
validly done
under this Act if the amendments had
commenced when the thing was done is taken to have been validly
done under this Act. Page 140
Current as at [Not applicable]
Division 6 Motor Accident
Insurance Act 1994 Part 7 Transitional provisions
[s
113] Transitional provisions for the
Motor Accident Insurance and
Other Legislation Amendment Act
2010 Not authorised
—indicative only
113 Termination of s 96 inducement
(1) This section applies to an arrangement
entered into before 1 October 2010 between a licensed
insurer, or a person acting for a licensed
insurer, and another entity (the entity
) if
under the arrangement— (a)
a
prohibited inducement is to be given to the entity on or
after 1
October 2010
for directing CTP
insurance business
to the licensed
insurer before,
on or after
1 October 2010; or (b)
a prohibited inducement has
been given
to the entity
before 1
October 2010
for directing CTP
insurance business
to the licensed
insurer on
or after 1
October 2010.
(2) The arrangement is terminated, and is
void and unenforceable, to the extent it makes provision
for— (a) the prohibited inducement; and
(b) directing CTP insurance business to
the licensed insurer in return for the prohibited
inducement. (3) No compensation is payable to any
person for the termination of the arrangement.
(4) The following are taken not to be in
breach of the terminated arrangement— (a)
the licensed insurer,
or person acting
for the licensed
insurer, for
failing to
give the
prohibited inducement mentioned
in subsection (2)(a) to
the entity in
accordance with
the provisions of
the terminated arrangement; (b)
the entity, for
failing to
direct the
CTP insurance business
to the licensed
insurer in
return for
the Current as at [Not applicable]
Page
141
Not authorised —indicative
only Motor Accident Insurance Act 1994
Part 7
Transitional provisions [s 114] prohibited
inducement mentioned in subsection (1)(a) or (b) in
accordance with the provisions of the terminated
arrangement. (5)
If,
before 1 October 2010, the entity has received an amount
that on
the commencement of
this section
becomes a
prohibited inducement under
a terminated arrangement, the
entity within a reasonable period must repay
the amount to the licensed insurer, or the person acting for a
licensed insurer, who gave the amount to the entity.
(6) If the entity fails to repay an amount
under subsection (5), the licensed insurer,
or other person
entitled to
be repaid the
amount, may recover it as a debt.
(7) In this section— arrangement includes
contract and agreement. prohibited inducement means
an inducement of
a type mentioned
in section 96(1) the
giving or
offering of
which would
be prohibited under
section 96(1) if
the arrangement were entered
into on or after 1 October 2010. terminated arrangement means
the arrangement to
which subsection
(2) applies to
the extent it
is terminated by
the subsection. 114
Termination of s 97(5) inducement
(1) This section applies if—
(a) before 1
October 2010,
a licensed insurer,
or other person acting
for a licensed insurer, offered to give to a person
an inducement to
enter into
or renew an
insurance policy; and (b)
the offer would
be prohibited under
section 97(5) if
made
on or after 1 October 2010; and (c)
the
inducement would, apart from this section, under the
provisions of the arrangement
relating to the offer,
be given on or after 1 October 2010 to
the person to whom the offer was made. Page 142
Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Part 7
Transitional provisions [s 114] (2)
The
arrangement relating to the offer, to the extent it provides
for the inducement, is
terminated and
is void and
unenforceable. (3)
The
licensed insurer, or other person acting for the licensed
insurer, is
taken not
to be in
breach of
the arrangement for
failing to give the inducement to the person
to whom the offer was made. (4)
In
this section— arrangement includes
contract and agreement. Current as at [Not applicable]
Page
143
Not authorised —indicative
only Motor Accident Insurance Act 1994
Schedule Schedule
Policy of insurance section
23(1) 1 Extent of insurance cover
(1) This policy insures against liability
for personal injury caused by, through or in connection with the
insured motor vehicle anywhere in Australia.
(2) This policy extends to liability for
personal injury caused by, through or in connection with a
trailer attached to the insured motor vehicle or
that results from the trailer running out of control after
becoming accidentally detached from the insured motor
vehicle. (3) The liability mentioned in subsection
(1) or (2)— (a) is a
liability for
personal injury
to which the
Motor Accident
Insurance Act 1994 applies; and Editor’s
note— See section 5 of the Act.
(b) includes the
liability of
a tortfeasor to
make a
contribution to another tortfeasor who is
also liable for the personal injury. (4)
This policy
does not
insure a
person (the
injured person
) against injury, damage or loss—
(a) that arises
independently of
any wrongful act
or omission; or (b)
to
the extent that the injury loss or damage is attributable
to
the injured person’s own wrongful act or omission.
2 Insured person The
person insured
by this policy
is the owner,
driver, passenger or
other person whose wrongful act or omission in respect
of the insured
motor vehicle
causes the
injury to
Page
144 Current as at [Not applicable]
Not authorised —indicative only
Motor
Accident Insurance Act 1994 Schedule
someone else and any person who is
vicariously liable for the wrongful act or omission.
3 Exclusions (1)
This
policy does not insure an employer against a liability to
pay
workers’ compensation. (2) This policy does
not insure an employer against a liability to pay damages for
injury to an employee if— (a) the injury
arises from the employer’s failure to provide a safe system of
work for the employee or the employer’s breach of some
other duty of care to the employee; and (b)
neither the
employer nor
another employee
of the employer was the
driver of the motor vehicle at the time of
the motor vehicle
accident out
of which the
injury arose.
(3) This policy
does not
insure against
a liability to
pay exemplary, punitive or aggravated
damages. (4) This policy does not insure against a
liability to pay damages for an injury that arises gradually
from a series of incidents. Current as at
[Not applicable] Page 145