4.9 Calculating the Amount of Economic Loss

Calculating the amount of economic loss can be tricky and each case will need to be determined on its own merits.

The delegate must consider the following factors and nothing else:

1. The financial loss suffered by the dependant as a result of the death

2. The length of time that the dependant would have been dependent on the deceased employee.

 

It is important to remember that the death lump sum is compensation for loss of economic support and does not compensate for emotional distress as a result of the death.

 

4.6 Determining the Lump Sum Option to be Paid

Where an injury to an employee results in death, section 17 provides for the payment of lump sum compensation to the dependants of the employee, who were wholly or partly dependent on the employee at the date of the employee's death.

 

Determination of the amount of lump sum compensation payable under section 17 requires the delegate to establish whether the various 'dependants' – i.e. those who are candidates for sharing in the payment – were wholly or partially dependent (on the deceased employee) for economic support.

 

4.14 Establishment of Trust Funds for 'Prescribed Children'

The “Military Death Claim Compensation Special Account” was established on 23 June 2005 to administer compensation benefits paid under the SRCA and the Military Rehabilitation and Compensation Act 2004 (MRCA) to beneficiaries “that are under a legal disability”.

Prior to July 2005 Comcare managed the “SRCA Trust Account” (STA). Management of the account transferred to DVA under arrangements created by the MRCA and in accordance with the determination detailed above.

24.1.1 Treatment Approval

  • All treatment must be accompanied by a current referral by the treating doctor.
  • Treatment will only be approved for conditions for which the client has accepted liability.
  • Treatment Authority will exist for clients to receive physiotherapy treatment, as long as there is a valid referral for that treatment, and it is provided for accepted condition/s only.
  • In instances where a progress report has been requested, the maximum payable fee should not exceed the cost of a standard consultation.

24.3.1 Treatment Approvals

All requests for footwear must be accompanied by a current recommendation from a podiatrist registered to prescribe footwear and a referral from the treating doctor.

 

Footwear will only be approved for conditions for which the clients has accepted liability and only where depth, custom made or specific footwear is necessary to accommodate a physical deformity.

 

Depth footwear may be prescribed for some corrective insoles or to accommodate forefoot abnormalities such as bunions, hammer toes, swelling etc.

 

23.2.1 Creating a transparent Audit Trail

  • The treating doctor is expected to supply a list of script and non-script medications necessary for the management of the client's accepted liabilities. A standard letter exists on Defcare that can be used for all clients. These medications need to be recorded on Defcare/Employee Note under a Pharmacy heading so that pharmacy accounts can be matched to the approved list of medications prescribed by the Nominated treating doctor.