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MEDICAL INDEMNITY ACT 2002 - SECT 34A

Guide to the exceptional claims indemnity provisions

  (1)   This Division provides that an exceptional claims indemnity may be paid in relation to a liability of a person if:

  (a)   the liability relates to a claim against the person in relation to an incident that occurs in the course of, or in connection with, the person's practice as a medical practitioner, being a claim that has been certified as a qualifying claim; and

  (b)   the liability exceeds the amount payable under an insurance contract that has a contract limit satisfying the relevant threshold.

  (2)   This Division also provides for the regulations and rules to deal with other matters relating to claims that have been certified as qualifying claims.

  (3)   The following table tells you where to find the provisions dealing with various issues:

 

Where to find the provisions on various issues

Item

Issue

Provisions

1

certification of claims that qualify for exceptional claims indemnity (including the threshold requirement for the insurance contract)

sections   34E to 34K

2

when is an exceptional claims indemnity payable in respect of a liability?

sections   34L and 34M

3

some liabilities are only partly covered

sections   34N and 34O

4

how much exceptional claims indemnity is payable?

section   34P

5

how must an exceptional claims indemnity be applied?

section   34Q

6

who is liable to repay an overpayment of exceptional claims indemnity?

section   34R

7

what if a payment is received that would have reduced the amount of an insurance payment?

sections   34S to 34W

8

what regulations can deal with

section   34X

9

modifications and exclusions by regulations

section   34Z

10

how does a person apply for an exceptional claims indemnity?

section   37A

11

when will an exceptional claims indemnity be paid?

section   37B

12

what information has to be provided to the Chief Executive Medicare about exceptional claims matters?

section   38

13

what records must be kept in relation to exceptional claims matters?

section   39

14

how are overpayments of exceptional claims indemnity recovered?

sections   41 and 42



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