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5.8.2 Number of impairment points required for interim PI to be payable

One of the criteria for payment of interim PI is that the impairment suffered by the person must constitute a minimum number of IPs.  The number required varies according to the circumstances of each case and is the same threshold as is required under section 69 as explained at Chapter 5.2.1.

 

Impairment point thresholds may be made up of a single interim condition, or contributed to by multiple conditions, one of which is interim.  It is not necessary for the unstable condition alone to meet the threshold points, providing the overall points threshold will be met by the inclusion of all conditions being assessed including the interim condition. 

Example 1:

Accepted Conditions

Status

Points

thoracolumbar spine strain

Permanent

Currently 20 but expected to improve to 10 with treatment over the next 6 months.

In this case, because the condition is not yet stable, an assessment under section 68 is not possible, therefore an assessment is undertaken under s75 for interim compensation for the accepted condition.  As the final points at the end of treatment is expected to be 10, eligibility for interim permanent impairment compensation has been reached as it meets the minimum threshold for an initial claim of 10 points.  Interim compensation is determined based on 10 interim impairment points plus the appropriate lifestyle rating (being generally the bottom of the shaded area).  A review date is set for 6 months to assess the stability of the thoracolumbar spine strain.

Example 2:

Accepted Conditions

Status

Points

Left and right knees

Permanent & Stable

5 points

thoracolumbar spine disc disruption

Permanent & Stable

Hearing Loss

Permanent & Stable

5 points

Post Traumatic Stress Disorder

Permanent

Currently 50 but expected to improve to 30 with active treatment over the next 6 months.

Major Depressive Disorder

Permanent

Total Combined Interim Points

 

37

In this case, because one or more of the conditions is not yet stable, an assessment under section 68 is not possible, therefore an assessment is undertaken under s75 for interim compensation for all of the combined conditions.  As the overall points at the end of any active treatment is expected to be 37, eligibility for interim permanent impairment compensation has been reached as it meet the minimum threshold for an initial claim of 10IP. Interim compensation is determined based on 37 interim impairment points plus the appropriate lifestyle rating (being generally the bottom of the shaded area).

Example 3:

Accepted Conditions

Status

Points previously determined s68

New points on reassessment

Left and right knees

Permanent & Stable

10 points

Currently 30 points but expected to be reduced to 20 points after surgery (spine)

thoracolumbar spine

Permanent

Hearing Loss

Permanent & Stable

10 points

10 points

Post Traumatic Stress Disorder

Permanent & stable

20

20

Total Combined Points

35 (previously determined)

42 (current interim points)

In this case, because one or more of the conditions is not yet stable, an assessment under section 71 for additional compensation is not possible, therefore an assessment is undertaken under s75 for interim compensation for all of the combined conditions.  As the overall points at the end of any active treatment is expected to be 42, eligibility for additional interim permanent impairment compensation has been reached as it meets the minimum threshold for an additional claim of 5IP. The claim for additional compensation is paid based on 42 impairment points plus the appropriate lifestyle rating (being generally the bottom of the shaded area), and taking into account previusly paid PI compensation.