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WORKERS COMPENSATION ACT 1987 - SECT 151AC
Further special insurance provisions relating to dust diseases
151AC Further special insurance provisions relating to dust diseases
(1)
Application of this section This section applies in relation to an employer
who is liable independently of this Act for damages for a dust disease as
defined by the Workers’ Compensation (Dust Diseases) Act 1942 contracted by
a worker, where there is a dispute as to which of 2 or more insurers in a
category of insurers is liable to indemnify the employer under any of the
provisions of section 151AB.
(2) Designated insurer to be responsible pending
resolution of dispute For the purposes of section 151AB, and pending
resolution of the dispute, the insurer who is the designated insurer in the
relevant category under this section is to be treated as being the insurer who
is so liable to indemnify the employer. Section 151AB has effect, and is to be
construed, accordingly.
(3) Identification of designated insurer The
following provisions have effect for the purpose of determining which insurer
among the following categories of insurers is the designated insurer for the
purposes of this section: (a) If, in the case of a liability that arose before
the relevant commencement, there is a dispute as to which of 2 or more
insurers is liable to indemnify the employer under section 151AB, the insurer
who was the last of those insurers to be the employer’s insurer while the
worker was employed before that commencement by that employer is the
designated insurer.
(b) If, in the case of a liability that arose after the
relevant commencement, there is a dispute as to which of 2 or more insurers is
liable to indemnify the employer under section 151AB, the insurer who was the
last of those insurers to be the employer’s insurer while the worker was
employed after that commencement by that employer is the designated insurer.
(c) If, in the case of a liability that arose partly before and partly after
the relevant commencement, there is a dispute as to which of 2 or more
insurers is liable to indemnify the employer under section 151AB in respect of
any liability that arose before that commencement, the insurer who was the
last of those insurers to be the employer’s insurer while the worker was
employed before that commencement by that employer is the designated insurer.
(d) If, in the case of a liability that arose partly before and partly after
the relevant commencement, there is a dispute as to which of 2 or more
insurers is liable to indemnify the employer under section 151AB in respect of
any liability that arose after that commencement, the insurer who was the last
of those insurers to be the employer’s insurer while the worker was employed
after that commencement by that employer is the designated insurer.
(4)
However, the insurers in a category may agree as to which of them is to be the
designated insurer or the Dust Diseases Tribunal can order that any one of
them is to be the designated insurer, and any such agreement or order
overrides subsection (3).
(5) Designated insurer to act for other insurers In
addition to the provisions of section 151AB: (a) where subsection (3) (a) or
(b) applies-the designated insurer who is the insurer liable under section
151AB (1) is to act for all the insurers in the relevant category in the
carriage of the insurance aspects of the claim, and
(b) where subsection (3)
(c) or (d) applies-the designated insurer who is the insurer who is primarily
responsible under section 151AB (2) is to act for all the insurers in the 2
relevant categories in the carriage of the insurance aspects of the claim.
(6) Other insurers can make submissions as to damages Despite subsection (5),
if the damages payable to or in respect of the worker have not been assessed,
any of the other insurers in dispute may, with the leave of the Dust Diseases
Tribunal, make submissions to the Tribunal relating to the amount of damages
payable.
(7) Methods of resolving dispute The dispute may be resolved by such
processes as the parties to the dispute agree or as are otherwise available.
(8) Arbitration under special provisions However, if the dispute has not been
resolved by the relevant time, it is to be resolved by arbitration under
section 38 of the Dust Diseases Tribunal Act 1989 , unless the Dust Diseases
Tribunal otherwise orders (whether before or after the arbitration commences).
The
"relevant time" is: (a) subject to paragraph (b), the time when the total
amount of damages is assessed and payable, or
(b) if the designated insurer
pays the total amount of damages assessed, together with all costs payable, to
or in respect of the worker, such later time as one of the parties to the
dispute notifies to the other party or parties to the dispute.
(9) Nature of
resolution of dispute For the purposes of this section, the dispute is not
resolved until it has been determined which of the insurers in dispute was the
insurer when the worker was last employed at the relevant time by the employer
in an employment to the nature of which the disease was due. That insurer is
referred to in the following provisions of this section as an
"insurer who is liable".
(10) Adjustment after resolution of dispute If, on
resolution of the dispute, it is determined that a designated insurer is not
an insurer who is liable, then (in addition to any other liabilities) the
insurer who is liable: (a) is liable to reimburse or indemnify the designated
insurer for any amounts already paid by the designated insurer in that
capacity (including any amounts paid on an interim basis), and
(b) is liable
to reimburse or indemnify the employer for any costs of the worker already
ordered by the Dust Diseases Tribunal, and
(c) is (subject to any order of
the Dust Diseases Tribunal) liable to pay the reasonable costs of any of the
insurers in dispute incurred in earlier proceedings before the Tribunal
because the insurer who is liable disputed liability (thereby giving rise
wholly or in part to the dispute), and
(d) without affecting the generality
of paragraph (c), is (subject to any order of the Dust Diseases Tribunal)
liable to pay the reasonable costs of any of the insurers in dispute (other
than the designated insurer) incurred in any such earlier proceedings in
making submissions to the Tribunal relating to the amount of damages payable
to or in respect of the worker.
(11) If, on resolution of the dispute, it is
determined that a designated insurer is an insurer who is liable, then (in
addition to any other liabilities) the insurer who is liable: (a) is liable to
reimburse or indemnify the employer for any costs of the worker already
ordered by the Dust Diseases Tribunal, and
(b) is (subject to any order of
the Dust Diseases Tribunal) liable to pay the reasonable costs of any of the
insurers in dispute incurred in earlier proceedings before the Tribunal
because the insurer who is liable disputed liability (thereby giving rise
wholly or in part to the dispute), and
(c) without affecting the generality
of paragraph (b), is (subject to any order of the Dust Diseases Tribunal)
liable to pay the reasonable costs of any of the insurers in dispute incurred
in any such earlier proceedings in making submissions to the Tribunal relating
to the amount of damages payable to or in respect of the worker.
(12) Parties
to dispute An insurer may be or become a party to the dispute even though the
insurer was not a party to or represented in the original proceedings before
the Dust Diseases Tribunal. Without limiting the foregoing, an insurer becomes
a party to the dispute on being joined as a party to an arbitration under
section 38 of the Dust Diseases Tribunal Act 1989 .
(13) Rules This section
has effect subject to orders of the Dust Diseases Tribunal under rules
referred to in section 33 (4) (n) of the Dust Diseases Tribunal Act 1989 .
(14) Transitional This section applies to causes of action arising before or
after the commencement of this section, and extends to proceedings instituted
before that commencement but only if no hearing in the proceedings has started
before that commencement.
(15) Definition In this section:
"category" of insurers means the category consisting of the insurers in
dispute as referred to in a paragraph of subsection (3).
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