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ARTICLE · 08 MARCH 2017

Insurer wins first judicial review case brought by a worker against a work capacity decision

This decision will be helpful to insurers in future matters where injured workers challenge work capacity decisions.

AustraliaInsurance

On 2 March 2017 Justice Wilson of the Supreme Court of NSW delivered a decision in Hallmann v National Mutual Life Association of Australasia Limited [2017] NSWSC 151.

Background and issues

This was the first case in the NSW workers compensation system where a worker sought judicial review of a work capacity decision of an insurer. Previously the worker was unsuccessful in applications for internal, merit review and procedural review of the work capacity decision. Bartier Perry appeared for the employer and insurer in the proceedings.

The worker argued the insurer was barred from conducting a work capacity assessment and making a work capacity decision as he was a 'seriously injured worker'. He submitted a number of medical reports from treating specialists containing very high assessments of WPI - well above 30% WPI. As the deemed date of injury was before 2002, the insurer did not have any WPI assessments and previous Medical Appeal Panel decisions

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