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What does it mean if a claim is “reasonably excused”?
Once notified of a claim, GIO has seven days to commence provisional liability payments. In some cases, however, GIO may have a “reasonable excuse” not to commence provisional liability payments within this time frame.
The reasons GIO might give for not commencing payments include:
- Insufficient Medical Information
- Injured Person is unlikely to be a worker
- GIO is unable to contact the injured worker
- The injured worker refuses to release personal and/or health information relevant to determination
- The injury and/or illness is not work related
- The injury has been notified after two months
- The injury is not significant
For additional information, please contact your GIO Case Officer on 13 10 10. More information can also be found on the State Insurance Regulatory Authority (SIRA) website.