In today’s cost of living crisis, many people are concerned about the best way to continue receiving income while dealing with a work-related injury. If you’re in this situation, you might wonder whether to continue using any sick leave you may have accrued or if you should lodge a workers compensation claim.
Key Considerations:
1. Using your sick leave: a comfortable but risky option
- You may have accrued a large amount of sick leave that you can use any time.
- Using sick leave may seem easier and more comfortable than lodging a workers compensation claim. However, relying too much on sick leave can expose you to risks, especially if your recovery takes longer than expected, or if you run out of leave before you are able to return to work.
- There are time limits associated with lodging workers compensation claims following an injury – if you delay lodging a claim and notifying of the injury, you may be prevented from doing so at a later date/time.
2. Why consider a Workers Compensation claim?
Lodging a workers compensation claim can provide many benefits and protections that your sick leave cannot. We’ve outlined the many benefits of lodging a workers compensation claim below.
- Entitlement. You have the right to lodge a claim for any work-related injury, whether physical or psychological, under the Return to Work Act SA 2014 (the Act).
- Weekly income payments. Once your claim is accepted, you are entitled to up to two years of weekly income payments – you just need to provide up to date work capacity certificates with the insurer.
- Medical and like expenses. Accepted claims cover ongoing medical expenses for up to three years, including but not limited to doctor visits, surgeries, rehabilitation assistance, medications and travel (per km rate) ensuring you don’t have to pay out of pocket, with future surgery needs also able to be covered following pre-application and approval.
- Whole Person Impairment Compensation. Once your physical injury is deemed to be stable, you can undergo permanent impairment assessment. If your injury is deemed to have resulted in a permanent impairment exceeding 5% of the whole person, you are entitled to lump sum compensation (in addition to your weekly income payments).
- Possible Ongoing Income and Medical Expenses Entitlements. Whole Person Impairments over 35% for physical injuries and 30% whole person for psychological injuries will result in weekly income payments continuing beyond two years until retirement age and ongoing reasonable medical expenses – offering financial peace of mind for those unable to return to work and needing treatment.
- Dispute Mechanisms. If issues arise with your claim, the SA Employment Tribunal deals with disputes, initially at Conciliation then potentially a Hearing.
- Settlement Options. The Act allows for the option of settling your claim with a lump sum that covers past, present, and future entitlements, if this is your preferred outcome and you and the insurer can agree on this outcome.
3. Other Options
If your medical condition is not a work injury and your sick leave has been exhausted, you may also have entitlements under an income protection policy. Most government employees have their superannuation with Super SA, and most policies have income protection insurance as a standard cover. This can usually provide up to two years of income protection payments at 75% of your salary. You may also have Total and Permanent Disablement Insurance through your superannuation policy which would provide a lump sum if you cannot work (and meet the Super SA eligibility requirements). You should seek advice from Super SA about your insurance coverage and legal assistance to navigate the Super SA processes.
SASSLA supports members with workers compensation claims through legal assistance with our lawyers at TGB Lawyers. If you require assistance, please contact Leanne at SASSLA in the first instance and we will refer you to TGB. TGB can support you in completing a workers compensation claim (or income protection/TPD claim) and provide comprehensive support from the start of your claim, right through to its resolution, including representing you at meetings or Tribunal hearings.
Article written by our lawyers, Amber Sprague and Lauren Hooper, at TGB Lawyers.