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Information for people with claims made before 1 July 2015

If you made a work injury claim before 1 July 2015, your claim automatically transitioned to the Return to Work scheme on 1 July 2015.  Your claims manager can provide you with specific information about any changes that may apply to the support and services you receive.

People injured at work (29% or less whole person impairment) but not receiving income support on 1 July 2015

This includes workers who may not have received income support for many years or may be retired, but are continuing to have their medical treatment costs paid by the Scheme.

Financial support for your medical treatment will cease on 30 June 2016.

Some medical treatment costs will continue to be paid through your employer’s work injury insurance after 30 June 2016. These include preapproved surgery, therapeutic appliances and treatment services for some injury types such as some cancers.

We encourage you to discuss your treatment plan with your medical provider and how to transition from scheme funded services to community, state, commonwealth or privately funded services after 30 June 2016.

People injured at work (29% or less whole person impairment) and were receiving income support on 1 July 2015

May continue to receive:

  • income support to cover loss of wages up until 28 June 2017.
  • financial support for necessary and reasonable medical treatment for up to one further year after income support ceases. Following this, some medical expenses will continue to be paid through your employer’s work injury insurance. These include preapproved surgery, therapeutic appliances and treatment services for some injury types such as some cancers.

The table below includes information about income support that you may receive.

If at 30 June 2015 you were receiving weekly payments representing…

then from 1 July 2015 to 28 June 2016 you may receive weekly payments based on...

and from 29 June 2016 to 27 June 2017 you may receive weekly payments based on…

100% of your average weekly earnings rate

100% of your average weekly earnings rate

80% of your notional weekly earnings rate

90% of your notional weekly earnings rate

90% of your notional weekly earnings rate

80% of your notional weekly earnings rate

80% of your   notional weekly earnings rate

80% of your notional weekly earnings rate

80% of your notional weekly earnings rate

Transition arrangements for people with a serious injury (30% or higher whole person impairment)*

If you were formally assessed as seriously injured before 1 July 2015 you may be entitled to:

  • income support to retirement age
  • financial support for reasonable and necessary medical expenses and lifetime care
  • return to work services like job placement and retraining until retirement age if you request them.

The table below includes information about the income support you may receive.*

If at 30 June 2015 you were receiving weekly payments representing…

then from 1 July 2015 to 28 June 2016 you may receive weekly payments based on …

and from 29 June 2016 until retirement age you may receive weekly payments based on…

100 % of your average weekly earnings rate

100% of your average weekly earnings rate

80% of your average weekly earnings rate

90% of your average weekly earnings rate

90% of your average weekly earnings rate

80% of your average weekly earnings rate

80% of your average weekly earnings rate

80% of your average weekly earnings rate

80% of your average weekly earnings rate

*Yearly adjustments will be made to account for any increases in pay rates to workers generally or to workers in the type of employment you were engaged in at the time of your injury.

The Workers Compensation Tribunal (WCT) was dissolved on 5 March 2016. Disputes before the WCT as at this date it will be managed by the South Australian Employment Tribunal (SAET).  If you wish to seek a review of, or appeal against a decision made by the WCT before 5 March 2016, you will need to make an application to the SAET.

For specific information about your claim and circumstances, we encourage you to speak with your claims manager.

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