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Claim pathways

Claim pathways

Almost nobody starts at total and permanent disability (TPD) or income protection. People arrive from another system: workers comp winding down, transport accident payments ending, years on a Centrelink pension. These are the crossings, and being in one system does not close the others.

Ways in

Which of these sounds like where you are?

I don't know where to start

The whole interview from the first question, with nothing assumed and nothing pre-filled. Not knowing where to start is a situation this tool is built for, not a failure to have picked a better door.

I'm looking into this for someone else

For a partner, a family member or a friend. Question one asks who this is for, and the answer changes the page: what a fund or a scheme will tell you today without any paperwork, and what waits for a signed authority. Most of it can be done without them.

I'm on workers comp, the TAC (Transport Accident Commission), Comcare or the DSP (Disability Support Pension)

For a reader who already knows who pays. Picking the scheme here fills question 3, and the interview goes straight to what has arrived and what has changed.

My payments have stopped or changed

Starts from the money. The payments-stopped event is ticked at question 2, and the next question is who pays, because who pays decides whose published rules the change runs under.

I've had a letter and don't understand it

I heard the rules changed and I don't know if it's about me

Rules change, and most changes only reach claims first made on or after a set date. The interview asks roughly when the claim was made, and the page names the rules it drew and the date each one was checked. Not knowing that date is a normal answer, and the page names who can tell you.

I've been off work a long time

Most of what this tool can show runs on time from when work stopped. The stopped-work event is ticked at question 2 already, and the interview asks who pays, then the month and year work stopped.

I want to know what insurance I might have

The super branch. Insurance is commonly attached to super accounts, including accounts since closed, merged or rolled over, and what is attached to an account is a question a fund can answer without any claim existing. This door asks who pays now, the date work stopped, and the funds held around then.

My situation isn't one of these

Including Western Australia, Tasmania, the Northern Territory and the ACT

Situations this tool does not describe yet.

This tool draws the published timetables it has checked: workers compensation in Victoria, New South Wales, Queensland and South Australia, the TAC, Comcare and the DSP. If the situation is not in that list, this page will not guess at it.

For Western Australia, Tasmania, the Northern Territory and the ACT: we have not checked those rulebooks yet, so no scheme timetable is drawn for them. The parts that are national still apply: super, insurance inside super, and Centrelink. The interview can still run for those parts, and the page it builds says plainly which parts have not been checked.

Whatever the situation, three routes are open and free: the claims line printed on any letter about the claim, the member line of any super fund held when work stopped, and Legal Aid in every state and territory.

Run the national parts anyway

The crossings

A page for each crossing.

Each one sets out a scheme's own schedule, with the section numbers and the sources, and says plainly what that schedule does not decide about anything else you hold.

  1. 01Victoria: your WorkCover payments are changing↗The Victorian timetable, with the section numbers behind each step, and what the end of one scheme does not decide.
  2. 02NSW: your weekly payments are changing or stopping↗The tests in the 1987 Act, and why a scheme test is not the test a TPD or income protection policy uses.
  3. 03TAC: income support changes at 18 months↗What changes at 18 months and again at 3 years, with the sections TAC cites in its own claims policy.
  4. 04Comcare: payments are changing↗How incapacity payments step down after 45 weeks, with the SRC Act sections you can check yourself.
  5. 05When your DSP payments change↗What the rules measure, how a lump sum or income protection is treated, and what a TPD policy does not decide.

Every other door

The rest of the network.

  1. 01South Australia: what happens next↗The South Australian timetable is drawn, sourced and dated. This link opens it with the scheme and the state already filled in, and the first question is about what has arrived or changed.
  2. 02The TAC timetable↗One line, drawn to the TAC's own clock, which counts from the accident. This link fills in the scheme and asks what has arrived or changed.
  3. 03What happens next↗Pick your system and state, and see your line drawn with the law behind every marked point.
  4. 04My payments are changing, stopping, or dragging on↗The door page for workers compensation, wherever you are.
  5. 05Victoria at 130 weeks↗What the second entitlement period ending actually decides, section by section.
  6. 06NSW at 130 weeks, and at 260↗The 1987 Act's tests, and what they do not decide about anything else you hold.
  7. 07The words in your letter, decoded↗Fifty-nine phrases from real letters: what each means, and what it does not decide.
  8. 08The Victorian workers comp line, drawn↗Six marked points, each with its section of the WIRC Act.
  9. 09The TAC line, drawn↗Eighteen months and three years, with the sections TAC cites itself.
  10. 10Do I have insurance somewhere?↗The one free phone call that answers it, and the words to use.
  11. 11On the DSP: what your super may hold↗Different instruments, different questions. The DSP test is not a policy's test.
  12. 12My claim was declined↗One decision under one policy. The review pathways that exist.
  13. 13Early access to super↗The three pathways, and the check worth doing before deciding anything.
If you want to talk it through

Enquiries open soon. When they do, the contact page is where to reach us: we'll explain which doors exist for your situation and, if you want, introduce you to a firm on our panel. You never pay us. Panel firms do.

We try twice, then we stop. There is no third call and no marketing list.

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