A specimen result, labelled as a specimen

Specimen, sample data, not your answers

Insurer or reinsurer, claims team. Activity: handling a compensation or indemnity claim. Notice received: yes.

1. 27 August 2026 Access requests get 90 daysFrom 27 August 2026 the CEO has 90 days rather than 21 to decide an access request, which lengthens the period before a new participant's plan exists. Sample row section 20(2)(a), amended by item 14
2. 27 August 2026 Agency information stays protectedFrom 27 August 2026 a person who holds Agency or Commission information because of their role is not required to produce it to a court or tribunal, except for the purposes of the Act, the crime commission, the anti corruption commission or a royal commission. Sample row section 67G, substituted by item 102
3. 27 August 2026 Automated administrative actionFrom 27 August 2026 the CEO may authorise a computer program to take administrative action, including a decision that involves discretion or judgement, provided a standard operating procedure instrument is made and the person is told the decision was made by a program. Sample row sections 59B to 59E, inserted by item 11
4. 27 August 2026 Do not pay while the notice standsAn insurer that pays on an indemnity after being given an Agency notice contravenes a civil penalty provision, unless the notice is revoked, the amount has been paid to the Agency, or the CEO has given written permission. Sample row subsections 114(5) and 114(7), inserted by item 57
5. 27 August 2026 Functional capacity definedFrom 27 August 2026 an assessment of what a person can do must strip out the effect of their surroundings and their personal circumstances, and count only the help that is commonly used and would ordinarily be used. Sample row section 9B, inserted by item 4
6. 27 August 2026 Tell the CEO within 7 daysAn insurer that receives an Agency notice about a claim must tell the CEO in writing within 7 days of becoming liable to indemnify, or of receiving the notice if that is later, or it contravenes a civil penalty provision. A compensation payer that is not an insurer has a parallel duty. Sample row subsections 110(3) and 110(4), inserted by item 52
7. 27 August 2026 Unscheduled reassessments limitedA participant can no longer request a reassessment at will. From 27 August 2026 the request is only available where a significant and ongoing change to support needs meets the conditions in new section 48A, and the CEO then has 90 days rather than 21. Sample row section 48 amended, and section 48A inserted, by items 18 and 21
8. 1 February 2027 Plans renew automaticallyFrom 1 February 2027 an old framework plan renews itself on its end date as a new plan, on the same terms except that one off funding falls away and the new end date is 12 months later. No reassessment and no new statement of supports are required. Sample row section 50A, inserted by item 50
9. 1 February 2027 Reasonable and necessary rewrittenFrom 1 February 2027 a support must not be one that another scheme or government service should provide, value for money is tested against comparable lower cost supports, and effectiveness is judged in a fixed order that puts published peer reviewed research first. Sample row sections 17B, 34(1)(g) and 34(1A) to (1K), inserted by items 65 to 74
10. 1 January 2028 Other compensation excludes accessFrom 1 January 2028 a person does not meet the alternative support requirements where every impairment they qualify on is an excluded one, meaning it was caused by a motor vehicle accident or a work related injury for which a compensation law provides. Sample row section 25B, inserted by item 97
11. 1 January 2028 Permanence needs treatment firstFrom 1 January 2028 an impairment is not permanent unless the person has undertaken all appropriate treatment for it and it is likely to persist for life, and appropriate treatment is defined by evidence, expected effect and availability in Australia. Sample row subsections 24(5) and 25(1B) and section 25A, inserted by items 88 to 93

Sample data. The specimen is generated from the same record as the live check, and the labels are the record's own. It is not advice about a real claim.

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