This article continues our series on motor accident compensation in the ACT. You can read about the features of the ACT motor accident compensation scheme in part 4.
Unlike NSW, the ACT does not operate a statutory Dispute Resolution Service (DRS), nor does it incorporate mandatory internal review or merit review structures for CTP insurers. Disputes in the ACT are managed within a common law, fault-based framework under the Road Transport (Third-Party Insurance) Act 2008 (ACT) (“RT(TPI) Act”), supplemented by the Road Transport (Third-Party Insurance) Regulation and internal insurer guidelines.
If a claimant is dissatisfied with an insurer’s decision relating to liability, quantum, or payment of treatment and rehabilitation expenses, the claimant may request the insurer reconsider its position. If the matter does not resolve, disputes may progress through pre-litigation procedures and, ultimately, the ACT Supreme Court. There is no statutory concept of Pre-Accident Weekly Earnings (PAWE) or statutory income benefits, as the ACT does not provide statutory weekly compensation.
The ACT Government does fund limited CTP Legal Assistance Schemes for low-income claimants to obtain legal advice regarding CTP disputes, although these programs are not widely publicised.
Because the ACT has no statutory benefits scheme, there is no statutory definition of “earner” as exists under the NSW MAIA. Instead, a person’s employment status is relevant in assessing common law damages, including:
An “earner” in the ACT context is considered by reference to ordinary common law principles, which examine:
Once a claim for damages is made, disputes about liability are resolved through negotiation, compulsory conferences, or proceedings in the ACT Supreme Court. There is no statutory assessment of liability, nor any equivalent to a binding or non-binding DRS Certificate.
An insurer’s denial of liability has no effect on a claimant’s right to commence court proceedings. Liability disputes are determined according to:
Insurers face potential cost consequences if they maintain unsuccessful liability defences.
The ACT does not operate an “authorised practitioner” list and does not restrict expert evidence through statutory medical guidelines as NSW does. Instead, medico-legal evidence is governed by the Evidence Act 2011 (ACT) and the Court Procedures Rules 2006 (ACT).
Expert evidence must comply with:
Accordingly, parties may rely on treating practitioners or independent medical experts of their choosing, subject to court rules.
The ACT scheme does not include the extensive statutory costs regulations found in MAIA. Legal costs in CTP matters are regulated by:
Costs remain substantially governed by common law and court discretion.
The ACT does not impose MAIA-style statutory notification or review deadlines. Instead, the key requirements are:
Unlike NSW, the ACT has no statutory medical assessment service. Medical disputes are resolved through:
There is no statutory limit on medical assessments.
Because the ACT scheme is grounded in pure common law principles, it avoids many of the procedural complexities of the MAIA. Nonetheless, the ACT system presents its own challenges:
Read more about Motor Accident Compensation in the ACT in part 6 of the series, “Medical Assessment Processes”.
If you have any questions regarding motor accident compensation in NSW, please do not hesitate to contact Gary Patterson, Special Counsel & Associate Director, on (02) 9264 9111.