Setups - Advanced
What form do we send to MSD to confirm if a client is receiving an MSD benefit or not?
ACC2300
True of False: Sam is the coolest Practice Mentor
True
What is the process when we receive a Self-employed or Shareholder employee as an Employee setup task?
Cancel your setup task, create a Self-employed or Shareholder task, copy and paste the task description into the new task. Make it high priority so it goes to the top of the queue
What is a Warren Decision?
When a client is in permanent employment at the date of incapacity, but they were previously working for that same employer in a non-permanent employment (casual etc). The assessment of weekly compensation should only consider earnings from the client’s permanent employment with that employer and disregard any non-permanent earnings from that employer.
What is a Ryan Decision?
The Ryan Decision is applied if the client worked less than one week in their employment before they became unable to work due to their injury. It means their weekly compensation needs to be calculated based on what they would work in a week. The way of calculating this may vary depending on their employment arrangement and employment type.
True or False: If a client holds more than one employment at their date of incapacity ACC is required to calculate their entitlement based on all employments
True
What is the Ryan Decision calculation for a client with set contracted hours?
(Actual earnings received / actual hours worked) * contracted normal weekly hours
When is a transfer of weekly compensation entitlements required?
A transfer of weekly compensation is required when a claimant, already receiving weekly compensation for an injury, suffers incapacity from a further personal injury for which the claimant has cover under the Accident Compensation Act 2001. ACC must pay weekly compensation from the claim that is now considered the primary cause of incapacity.
A client received $850 in the period 15/04/2024 - 21/04/2024. The amount is commission earnt over the period 01/04/2024-14/04/2024. How is this commission payment treated?
The amount will apply to the period it relates to - 01/04/2024-14/04/2024.
A client received $5,000 in the period 15/04/2024 - 21/04/2024. The bonus relates to the period 16/01/2024 - 14/04/2024. How will the bonus be treated?
The portion of the bonus relating to 16/01/2024-31/03/2024 will be considered earnings in the period it was paid, 15/04/2024-21/04/2024.
The portion relating to 01/04/2024-14/04/2024 will apply to the period it relates to, 01/04/2024-14/04/2024.
Ava sustained an ACC-covered wrist injury under Claim A, which resulted in an approved period of incapacity that ended on 10 March.
On 15 March, Ava then injured an ankle after slipping while walking down stairs. This new injury resulted in a new period of incapacity under Claim B.
What does this information tell you?
When is the Previous Part Time comparison applied?
Clients in permanent employment, who are full time at the time of their injury but were part-time (worked less than 30 hours per week) during the 52 weeks prior are entitled to a comparison assessment and are paid the greater of either a permanent or non-permanent calculation.
The part time comparison is applied if a client worked part time for any period in the last 52 weeks except if the reduced hours were as a result of unpaid leave. In those cases, the previously part time comparison would not apply as we reduce the divisor for the unpaid leave.
What are 5 of the requirements that need to be met before a transfer can occur?
1. Change in primary cause of incapacity
2. Continuous approved incapacity
3. Technical Services guidances
4. No non-standard script issues
5. Calculation accuracy
6. Subcase periods match approved incapacity
7. System checks
How do we calculate the clients entitlement when they are on parental leave at DOFI/DOSI?
When calculating weekly earnings for a client on parental leave, use the short term (4 weeks) and long term (52 weeks) earnings prior to the date their unpaid parental leave began.
For the purposes of paying weekly compensation, DOFI/DOSI is considered to be the date that the client would have returned to work if not for the injury (this being the expected RTW date provided).
What do we need to consider if a client is working for an employer which has been sold during the 52 weeks prior to incapacity?
In this case, we would calculate the weekly earnings using the earnings from the date the employment was taken over.