RETURN TO WORK ACT 2014 - SECT 48
RETURN TO WORK ACT 2014 - SECT 48
48—Reduction or discontinuance of weekly payments
(1) Subject to this
Act, weekly payments to a worker who has suffered a work injury must not be
reduced unless—
(a) the
worker consents to the reduction of weekly payments; or
(b) the
Corporation is satisfied, on the basis of a certificate of a
recognised health practitioner, that there has been a reduction in the extent
the worker is incapacitated for work by the work injury; or
(c) the
reduction is necessary to correct an arithmetical or clerical error; or
(d) if
the weekly payments include a component for overtime—the Corporation is
satisfied that if the worker had continued in the work in which he or she was
last employed before becoming incapacitated, he or she would not have
continued to work overtime or the pattern of overtime would have changed so
that the amount of overtime would have diminished; or
(e) the
worker has recommenced work as an employee or as a self-employed contractor,
or the worker has had an increase in remuneration as an employee or a
self-employed contractor; or
(f) the
worker's entitlement to weekly payments reduces because of the passage of
time; or
(g) the
worker's entitlement to weekly payments reduces because of the occurrence of
some other event or the making of some other decision or determination that,
under another provision of this Act, is expressed to result in a reduction to
an entitlement to weekly payments or the reduction of weekly payments is
otherwise authorised or required under another provision of this Act.
(2) Subject to this
Act, weekly payments to a worker who has suffered a work injury must not be
discontinued unless—
(a) the
worker consents to the discontinuance of weekly payments; or
(b) the
Corporation is satisfied, on the basis of a certificate of a
recognised health practitioner, that the worker has ceased to be incapacitated
for work by the work injury; or
(c) the
worker has returned to work; or
(d) the
worker has obtained work as an employee, or as a self-employed contractor,
that is providing remuneration equal to or above the worker's
notional weekly earnings; or
(e) the
worker is dismissed from employment for serious and wilful misconduct; or
(f) the
worker breaches the obligation of mutuality; or
(g) the
worker is, without the Corporation's consent—
(i)
residing outside the State; or
(ii)
absent from the State for more than 2 months in any
continuous period of 12 months; or
(h) the
worker's entitlement to weekly payments ceases because of the passage of time;
or
(ha) the
worker—
(i)
has been receiving weekly payments on the basis of an
interim decision under section 21(3); and
(ii)
the interim decision is brought to an end under
section 21(4)(b)(ii); or
(i)
the worker's entitlement to weekly payments ceases
because of the occurrence of some other event or the making of some other
decision or determination that, under another provision of this Act, brings
the entitlement to weekly payments to an end or the discontinuance of weekly
payments is otherwise authorised or required under another provision of this
Act.
(3) A worker
breaches the "obligation of mutuality" if—
(a) the
Corporation has, by written notice to the worker, required the worker to
submit to an examination by a recognised health practitioner nominated by the
Corporation and the worker fails to comply with the requirement within the
time allowed in the notice or obstructs the examination; or
(b) the
Corporation has, by written notice to the worker, required the worker to
submit to the Corporation a certificate from a recognised health practitioner
certifying that the work injury continues, and the worker fails to comply with
the requirement within the time allowed in the notice; or
(c) the
worker refuses or fails to submit to proper medical treatment for the worker's
condition; or
(d) the
worker refuses or fails—
(i)
to participate or cooperate in the establishment of a
recovery/return to work plan for the worker; or
(ii)
to comply with obligations imposed on the worker by or
under a recovery/return to work plan for the worker; or
(e) the
worker refuses or fails—
(i)
to undertake work that the worker has been offered and is
capable of performing; or
(ii)
to take reasonable steps to find or obtain
suitable employment or to comply with any other return to work obligation
placed on the worker under this Act,
or having obtained suitable employment, unreasonably discontinues the
employment; or
(f) the
worker refuses or fails to participate in assessments of the worker's
capacity, return to work progress or future employment prospects (including by
failing to attend); or
(g) the
worker does anything else that is, apart from this subsection, recognised as a
breach of the obligation of mutuality.
(4) However, a worker
does not breach the obligation of mutuality—
(a) by
reasonably refusing surgery or the administration of a drug; or
(b)
where there is a difference of medical opinion about the appropriate treatment
for the worker's condition, or the possibility of choice between a number of
reasonable forms of treatment—by choosing 1 form of treatment in
preference to another.
(5) Where the
Corporation decides to reduce or discontinue weekly payments under this
section, the Corporation must give notice in writing to the worker—
(a)
containing such information as the regulations may require as to the reasons
for the Corporation's decision; and
(b)
informing the worker of the worker's right to have the decision reviewed.
(6) The notice must be
given at least the prescribed number of days before the decision is to take
effect in any of the following cases:
(a)
where a decision to reduce weekly payments is made, without the consent of the
worker, on the ground that—
(i)
the Corporation is satisfied that there has been a
reduction in the extent the worker is incapacitated for work by the
work injury; or
(ii)
the Corporation is satisfied, in the case of a worker
whose weekly payments include a component for overtime, that the worker would
not have continued to work overtime or the pattern of overtime would have
changed so that the amount of overtime would have diminished;
(b)
where a decision to discontinue weekly payments is made, without the consent
of the worker, on the ground that—
(i)
the Corporation is satisfied that the worker has ceased
to be incapacitated for work by the work injury (although the worker has not
returned to work); or
(ii)
the worker has failed to submit to an examination by a
recognised health practitioner or to provide a medical certificate as required
by the Corporation; or
(iii)
the worker has been dismissed from employment for serious
and wilful misconduct; or
(iv)
the worker has breached the obligation of mutuality;
(c)
where a decision to reduce or discontinue weekly payments is made under
section 46,
and in any other case the notice must be given as soon as practicable after
the decision is made (but not necessarily before it takes effect).
(7) For the purposes
of subsection (6), the prescribed number of days is—
(a) if
the worker's entitlement to weekly payments relates to a period that is within
52 weeks from the date on which incapacity for work first
occurred—14 days;
(b) in
any other case—28 days.
(8) Subject to
complying with subsection (6), a reduction or discontinuance of weekly
payments under this section takes effect in accordance with the terms of the
Corporation's notice under subsection (5).
(9) Subject to
subsection (10), if a worker, within 1 month after the worker receives
notice of a decision by the Corporation to reduce or discontinue weekly
payments under this section, makes application to the Tribunal for a review of
the decision and, as part of that application, makes an election under this
subsection—
(a) the
operation of the decision is suspended and—
(i)
the weekly payments must continue or, if the decision has
already taken effect, the weekly payments must be reinstated (to their
previous level), until the matter first comes before a member of the Tribunal;
and
(ii)
the Corporation must make a payment to the worker for any
weekly payments that have not been made between the date that the decision
took effect and the date of their reinstatement; and
(b) the
Tribunal may as it thinks fit and from time to time, and after having regard
to the nature and circumstances of the case—
(i)
further suspend the operation of the decision (from time
to time) to allow a reasonable opportunity for resolution of the dispute by
conciliation or determination if such action is reasonably necessary in order
to avoid undue financial hardship being suffered by the worker and subject to
the principle that the Tribunal should give extra weight to taking action
under this subparagraph if it appears to the Tribunal that it is reasonably
open to the worker to dispute the relevant decision;
(ii)
vary or revoke a decision under subparagraph (i),
including so as to provide that weekly payments will only continue, or
continue at a reduced rate, if the worker complies with conditions determined
by the Tribunal;
(iii)
make an order for the payment of an amount to represent
some or all of any weekly payments that have not been made to the worker
during the period of the dispute.
(10) Weekly payments
are not payable under subsection (9) after the end of the period of
104 weeks from the date on which the relevant incapacity for work first
occurs (other than in the case of a seriously injured worker and not, in any
event, so as to go beyond a date where the weekly payments would come to an
end in any event under another provision of this Act).
(10a) If the
Corporation is acting under subsection (2)(ha)—
(a) the
notice under subsection (6) must be given as soon as practicable after
the decision is made (but not necessarily before it takes effect); and
(b)
subsection (10) does not apply.
(11) If a dispute is
resolved in favour of the worker, the worker is entitled to be paid the amount
that, subject to or according to the resolution of the matter, would have
constituted the worker's entitlements under this Act had the weekly payments
not been reduced or discontinued (as the case may be), after taking into
account any amount paid under subsection (9), or under another provision
of this Act.
(12) An amount paid
under subsection (11) will be increased by interest at the prescribed
rate.
(13) If a dispute is
ultimately resolved in favour of the Corporation and the worker has been paid
an amount in excess of the amount of the worker's lawful entitlements to
weekly benefits on account of the operation of subsection (9), the
Corporation may, at the Corporation's discretion (but subject to the
regulations)—
(a)
recover the amount of the excess (together with any interest on that amount
paid by the Corporation) from the worker as a debt; or
(b) set
off the amount recoverable under paragraph (a) against liabilities of the
Corporation to make payments to the worker under this Act.
(14) If the
Corporation makes a weekly payment to a worker on the assumption that the
worker is incapacitated for work but the worker has in fact returned to work,
the Corporation may, subject to the regulations, recover the amount of the
payment as a debt.
(15) If the
Corporation overpays a worker by way of weekly payments in consequence
of—
(a) an
arithmetical or clerical error; or
(b) an
assumption, subsequently found to be incorrect, that a particular pattern of
overtime would have continued if the worker had continued in the work in which
he or she was last employed before becoming incapacitated,
the Corporation may, subject to and in accordance with the regulations,
recover the amount overpaid as a debt.
(16) An employer who
believes that reasonable grounds exist for the reduction or discontinuance of
weekly payments under this section to a worker employed by, or formerly
employed by, the employer may, in a manner determined by the Corporation,
request the Corporation to review the circumstances of the case and to reduce
or discontinue the weekly payments.
(17) The Corporation
must carry out the review as soon as practicable after receipt of a request
under subsection (16) unless the request is, in the Corporation's
opinion, unreasonable.
(18) If the
Corporation declines to carry out a review as requested under
subsection (16), or it appears that there has been undue delay in
carrying out the review, the Tribunal may, on application by the employer,
direct the Corporation to carry out the review, or give such directions as
appear reasonable in the circumstances to expedite the review (as the case may
require).
(19) The Corporation
must comply, or take steps to ensure compliance, with such a direction.
(20) On completing the
review, the Corporation must give the employer notice in writing—
(a) of
the Corporation's decision on the review, and the reasons for its decision;
and
(b) of
the employer's right to have the Corporation's decision reviewed.
(21) This section does
not apply in relation to the discontinuance of payments under Division 5
of this Part or Part 5 (and in such a case no notice of discontinuance
need be given).
(22) In connection
with the operation of subsection (2) (and to avoid doubt), a worker is
required to take reasonable steps to attend any appointment reasonably
required for the purposes of this Division (and a failure to comply with such
a requirement constitutes a ground for the discontinuance of payments under
this section).