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Understanding your

Household Workers’
Insurance Policy

A guide to your policy


cover and conditions

January 2024 GD500


Contents
About WorkCover Queensland 3 Employer must give notice of the worker’s injury 8
About your Household Workers’ Insurance policy 3 Payment for the day of the injury 8
General definitions 3 Rehabilitation and return to work responsibilities 8
Conditions of policy 4 Review and appeal rights 8
General obligations to insure 4 Common law claim procedures and conditions 8
How to apply for a policy 4 What happens when a worker makes a common
Easy payment options 4 law claim 8

Renewing your policy 4 Additional responsibility for common law claims 8

Cancellation of policy 4 Customer service information 9

Cover provided by your policy 4 Your privacy 9

Who is covered? 4 Accessing information 9

Types of injuries covered 5 How we resolve complaints 10

Statutory claim costs covered 5 How we can help 10

Weekly benefits 5
Medical and rehabilitation costs 5
Hospital expenses 6
Lump sums for permanent impairment 6
Death benefits 6
When compensation for an injury ends 6
Common law (damages) claim costs covered 6 Getting in touch
Limitations of coverage 7 WorkCover Queensland
Limitations of statutory claims coverage 7 GPO Box 2459, Brisbane QLD 4001
Limitations of common law coverage 7
Telephone: 1300 362 128
Compensation - two or more employers 7 Facsimile: 1300 651 387
Making a claim - conditions and procedures 7
info@workcoverqld.com.au
Procedure for making a claim 7
worksafe.qld.gov.au
Your responsibilities when a claim is made 8

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About WorkCover Queensland General Definitions
Home means a private dwelling and should generally
WorkCover Queensland is a statutory authority
be taken to be a domestic residence. It is not limited
providing insurance coverage for Queensland
to a particular structure and may include a house, flat,
employers, compensating, and helping injured workers
unit, boat, or caravan. A private dwelling may in some
with their work-related injuries. We offer insurance
circumstances include a holiday home. The grounds of
products in accordance with Queensland workers’
a private dwelling house should generally be taken to
compensation legislation.
be the land occupied by and part of a dwelling property.
It may include a garden, yard, acreage, and other
About your Household Workers’ immediate surrounds.

Insurance policy Household worker means a person employed solely


in and about, or in connection with, a private dwelling
Holding a household workers’ insurance policy house, or the grounds of the dwelling house (Schedule 13
means that you are covered against the costs of of the Regulation).
compensating a household worker who is injured while Injury has the same meaning as in section 32 of the Act.
working for you.
Policy means a WorkCover Queensland household
You should read this product guide carefully to workers’ insurance policy.
understand what may or may not be covered by your The Act means the Workers’ Compensation and
policy. Rehabilitation Act 2003.

This policy is subject to the provisions of Workers’ The Regulation means the Workers’ Compensation and
Compensation and Rehabilitation Act 2003 (the Act) Rehabilitation Regulation 2014.
and Workers’ Compensation and Rehabilitation They means the household worker.
Regulation 2014 (the Regulation).
We, Us, Our means WorkCover Queensland.
Worker means a person considered to be a worker in
accordance with section 11 of the Act.
You, Your, The insured means the person(s) insured
under this household workers’ insurance policy as shown
on the Premium Notice.

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Conditions of policy — in person at any Australia Post office
— by BPAY (Biller code 182006)
General obligations to insure — by cheque or money order
If you employ a household worker, you are required — by electronic funds transfer (EFT):
to have an insurance policy to cover household BSB 064 013, account number 1000 8320,
workers. If a household worker is injured while you please use your WorkCover Queensland policy
are uninsured, and makes a claim to WorkCover number as the reference number and, on the same
Queensland, we can recover from you the entire cost day, please email your payment details to
of the claim plus a penalty of up to 50% of the cost of premiumeft@workcoverqld.com.au.
the claim.
Cancellation of policy
Period of insurance Your policy will be automatically cancelled if you do
You are insured for an injury that occurs from not renew by 31 December of the current renewal
the date and time you apply for a policy until 31 period. There are no refunds if you cancel your policy
December of the current insurance period. On before the renewal date.
renewal, your household workers’ insurance policy
will be current for a period of two years.
Cover provided by your policy
How premium is calculated Who is covered?
Your household workers’ insurance policy is $50 for
up to a two-year term. For policies taken out with Your policy covers household workers only. A
less than 12 months remaining in the insurance household worker is a worker you employ solely in
period, the premium is pro-rata to $25. Any costs for and about, or in connection with, your own private
claims lodged against your policy do not impact your dwelling or the grounds of the dwelling (Schedule 13
premium. of the Regulation).

Applying for a policy The types of workers you might employ and need to
cover include cleaners, nannies, babysitters, house
To apply for a household worker insurance policy, sitters, gardeners, handypersons or support workers.
please visit our website worksafe.qld.gov.au and This may include a person operating their own
complete an online application or call us on business or independent contractors with their own
1300 362 128. ABN.

Renewing your policy Your household workers’ insurance policy will not
cover workers employed by a landlord in connection
Renewing your policy is easy. You will receive a
with rented houses, flats, boarding houses, and other
Premium Notice 4-6 weeks before your policy expires.
similar accommodation arrangements.
Simply pay the premium amount stated before the
due date.

Easy payment options


Household worker policies can be paid:

— by credit card using Premium online on our website

Household Workers’ Insurance Policy 4


Types of injuries covered — lump sum compensation for permanent
impairment
Your policy covers injuries that arise out of, or in
— death benefits.
the course of, employment where employment is a
significant contributing factor to the injury (s32 of Weekly benefits
the Act). The types of injuries that your policy covers When a household worker is totally or partially
includes: incapacitated for work as a result of their injury, they
— common place injuries (e.g., sprains, strains, cuts) may be entitled to weekly compensation for loss
— diseases (e.g., Q-Fever) of earnings during the period of incapacity. Weekly
— aggravations to pre-existing injuries (whether work- compensation payments are calculated in accordance
related or not) with the Act and will either be a percentage of their
normal weekly earnings or Queensland full time
— psychological and psychiatric injuries (e.g., major
adult’s ordinary time earnings (QOTE).
depression or post-traumatic stress disorder)
— fatal work-related injuries. IMPORTANT NOTE: we may only deduct tax from
Injuries are not limited to those in the workplace weekly compensation. Even though you may make
(sections 34 and 35 of the Act) and may be covered if certain deductions on behalf of the injured worker
they happen: such as superannuation, WorkCover Queensland
cannot.
— on a work break
Medical and rehabilitation costs
— travelling between work and home.
Injuries that are sustained as a result of serious or Medical and rehabilitation costs are covered in
wilful misconduct may still be covered if they meet chapter 4, part 2 and 3 of the Act if WorkCover
the criteria under s130 of the Act. considers the treatment to be reasonable and/or the
rehabilitation to be necessary and reasonable. This
Statutory claims costs covered includes:
Your policy covers you for the costs associated with a — medical treatment or rehabilitation provided
household workers’ compensation claim as set out in by a registered person (e.g., a doctor, dentist, or
chapter 3 of the Act. The statutory scheme operates physiotherapist)
on a no-fault basis, meaning you can claim regardless
— surgical and hospital expenses and medicines
of who or what caused the injury.
that are essential to recovery (e.g., bandages or
Compensation (other than the compensation payable medication)
for the day of the injury) must be paid by WorkCover — equipment or services needed to help the worker
Queensland (s109 of the Act). recover (e.g., wheelchairs, crutches, or return to
work programs).
The type of costs covered include:

— weekly benefits for lost wages


— medical expenses
— rehabilitation expenses (such as physiotherapy or
counselling)
— hospital expenses
— travelling expenses

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Hospital expenses When compensation for an injury ends
Hospitalisation costs covered by workers’ A household worker’s entitlement to weekly
compensation are set out in chapter 4, part 2 of the compensation ends when the first of the following
Act and include: happens (s144A of the Act):

— non-elective hospitalisation up to four days — the worker returns to work and is no longer injured

— non-elective hospitalisation for more than four — the worker has received a lump-sum offer
days, only when agreed to between WorkCover — the worker has received weekly payments for five
and the worker, before the hospitalisation or any years
extension of the hospitalisation — the worker’s total weekly compensation reaches
— elective hospitalisation only when agreed to the maximum amount payable.
between WorkCover and the worker before the We will stop paying medical treatment, rehabilitation,
hospitalisation. hospital, travelling, and expenses when a worker’s
We may not cover hospitalisation costs if a doctor entitlement to weekly compensation ends and the
performs an operative procedure for non-elective injury will no longer improve with further treatment
hospitalisation for more than four days, or for elective (s144B).
hospitalisation at a hospital without first obtaining
our approval. Common law (damages) claim costs covered
Your policy covers you for any for the cost of a
Lump sums for permanent impairment
damages action (common law claim) that arises as
If a household worker suffers a permanent the result of an injury. Household workers can only
impairment - loss of efficient use of part of the body, sue you (lodge a common law claim) under limited
or loss of part of the body - as a result of their work- circumstances and only if they can prove you were
related injury, they may be entitled to lump sum legally liable for their injury (chapter 5 of the Act).
compensation (s178 of the Act).
Common law costs (damages) can include payments
Death benefits for:

We may pay compensation for the death of — past and future loss of income
a household worker to the worker’s family — treatment and other expenses
(‘dependants’). Payments can include any medical — pain and suffering.
costs, funeral costs, and compensation payable
In most instances, statutory claim costs are offset
where family members were partially or totally
against any damages to be paid.
dependent on the worker’s earnings. What will be
paid and when, is covered in chapter 3, part 11 of the
Act.

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Limitations of coverage — cover any liability where the employer is required
Limitations of statutory claims coverage to provide under another Act or a law of another
State, the Commonwealth, or of another country
Claims or injuries may not be covered under certain (s10 of the Act)
circumstances: — cover any claims outside of the ambit of the Act.
— psychological or psychiatric injury claims will not
be accepted if they are deemed to be the result of Compensation - two or more
‘reasonable management’ action (s32 (5) of the
Act) employers
— only an aggravation of a pre-existing injury will be
Where a household worker has multiple employers,
covered - not the pre-existing injury itself (section
the policyholder responsible for the claim costs will
32 (3) (b) of the Act)
be the person for whom the worker was working
— employment need not be a significant contributing
for at the time of the injury. This includes any
factor if the injury occurs in accordance with
weekly compensation benefits payable—weekly
particular clauses under sections 34 or 35 of the
compensation will be calculated taking into account
Act
earnings from all employers (s84 of the Regulation).
— journey claims may not be accepted if the
circumstances of the claim fall under s36 of the Making a claim - conditions
Act (including the worker having been found to
contravene the Transport Operations Road Use and procedures
Management Act 1995, the Criminal Code, or
having deviated significantly from their normal Procedure for making a claim
route)
In the event a household worker is injured:
— a claim may not be accepted if you subject
— you must notify us immediately once you know
yourself to abnormal risk during a recess period
about the injury (s133 of the Act)
s34 of the Act
— the household worker can lodge an application
— a claim may not be accepted if the injury was
for compensation (s132 of the Act) we accept
intentionally self-inflicted.
application online, over the phone, by fax, or
WorkCover does not cover the cost of: through the doctor’s surgery
— damage to clothing or jewellery — we will assess the application according to the Act
— vehicle damage. and must make a decision within 20 business days
of receiving it (s134 of the Act)
Limitations of common law coverage
— if accepted, you must pay the worker for the day
Your policy does not: they stopped work because of the injury (s134 of
— cover the cost of any exemplary damages or the Act)
punitive damages payable (s309 of the Act) — you must also help with or provide rehabilitation
— cover any liability to pay damages for loss of for an injured worker while they are receiving
consortium resulting from an injury sustained by compensation payments.
an injured worker (s10 of the Act)

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If more information is needed to make a decision we our decision, or our failure to make a decision:
will contact any relevant parties-including you, any
— to accept or reject an application for
witnesses, and/or treating or independent medical
compensation
providers.
— failure to make a decision on an application within
IMPORTANT NOTE: if we need you to supply
the required time.
information, we will let you know how long you have to
provide it - in order to meet legislative timeframes for The review process is managed independently by
decision making we must still make a decision if we do the Workers’ Compensation Regulator. If you are not
not receive your information within the agreed time. satisfied with the Workers’ Compensation Regulator’s
review decision you may have the right to appeal to the
Your responsibilities when a claim is made
industrial court or the industrial commission
Employer must give notice of the worker’s injury

You must notify us immediately once you are made Common law claim
aware of an injury to a household worker (s133 of the
Act). procedures and conditions
You must also let us know if a household worker asks
for, or if you make a payment as compensation or in lieu What happens when a worker makes a
of compensation (s133A of the Act). common law claim
Payment for the day of the injury If a household worker makes a common law claim, we
will contact you to explain the process and your rights
You must pay the household worker for the day they
and responsibilities.
stopped work because of the work-related injury
(s144 of the Act). This payment is in addition to any
Additional responsibility for common law
compensation they may receive. This is paid at the
claims
workers’ normal pay rate (i.e., the amount they would
have received had they not stopped work because of Once a common law claim has been lodged you must:
the injury).
— cooperate with us during the common law claim—
There is no excess payable on a household workers’ this includes providing full access to information
insurance policy. and documents (s280 of the Act)

Rehabilitation and return to work responsibilities — if the claim is litigated, sign all necessary
documents and do everything that we regard
You are required to take all reasonable steps to assist as being reasonably necessary throughout the
or provide rehabilitation for a household worker for the litigation process.
period for which the worker is receiving compensation
(s228 of the Act). Penalties may apply if you do not fulfil
these responsibilities (s229 of the Act).

Review and appeal rights

Under s541 of the Act, you (or the injured worker) have
the right to apply for a review if you are aggrieved by

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Customer service information
Your privacy WorkCover takes reasonable steps to protect your
personal information from loss, misuse, unauthorised
To provide a range of workers’ compensation services disclosure, or destruction. We have in place
we must collect some personal information. Personal government standards of technology and operational
information is information or an opinion (including security in order to keep your personal information
information or an opinion forming part of a database) safe.
we hold about you that can identify you.
For full details of our privacy and security policy,
As a policyholder, the personal information we please visit worksafe.qld.gov.au or contact us on
hold may include your name, date of birth, current 1300 362 128.
and previous addresses, telephone/mobile phone
number, email address, financial details, occupation, Accessing information
driver’s license number or other identifying numbers,
and contact details including telephone numbers As the employer of a household worker, you are
and in some cases facsimile numbers and email entitled to obtain information that will allow you to
addresses. manage rehabilitation and understand your review
rights.
We may also hold information relating to your WorkCover must protect an individual’s privacy;
financial and business affairs, including bank account personal information that is not directly related to
and credit card details, tax file numbers, Australian the claim and the above issues, cannot be provided to
Business Number (ABN), and wages information. you. If you have the household worker’s permission,
We are committed to protecting your privacy by we will release any relevant documents we hold on
responsibly collecting, using, storing, and disclosing file.
the personal information we may hold in a manner The Act prohibits employers from obtaining or
consistent with the state-wide Public Sector Privacy attempting to obtain workers’ compensation
Scheme (‘Privacy Scheme’) established by the documents for any purpose other than assisting a
Queensland Government Information Standard 42 worker with rehabilitation or to return to work (s572A
(IS42). of the Act). Significant fees apply if an employer
contravenes this section.
We may be required to collect from, use, or disclose
Injured household workers are also entitled to a copy
information to various government agencies (e.g.,
of their claim information (s572 of the Act).
Australian Taxation Office). How we use and disclose
this personal information is governed by the Workers’
Compensation and Rehabilitation Act 2003, the
Information Privacy Act 2009, Right to Information Act
2009, and/or other legislation or requirement by law.

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Customer service information
How we resolve complaints How can we help
We take customer complaints seriously and have 1300 customer support centre
a clear and consistent process to ensure they are
You can access our customer service centre network
resolved quickly and fairly. We encourage customers
simply by calling 1300 362 128 from anywhere in
to raise their concerns directly with the person they
Australia for the cost of a local call.
are dealing with (or their direct manager). However, if
you are not happy with the immediate response, you The customer support centre is available from 8am to
can: 5.30pm Monday to Friday.
— complete our online complaint form Website and online services
worksafe.qld.gov.au
Our website worksafe.qld.gov.au offers a range of
— write to the Corporate Relations Manager at GPO
information and online tools.
Box 2459, Brisbane QLD 4001
— fax us on 1300 651 387, Attention: Corporate
Relations Manager
— email us at
corporate.affairs@workcoverqld.com.au.
Your complaint will be handled by the person who
has the authority to deal with it-usually the manager
of the business area you are dealing with. If this
person is not able to resolve your complaint to
your satisfaction, the matter will be escalated to an
appropriate member of the management team.

All written complaints are centrally coordinated to


ensure they are properly investigated and responded
to within agreed timeframes.

Getting in touch
WorkCover Queensland
GPO Box 2459, Brisbane QLD 4001

Telephone: 1300 362 128


Facsimile: 1300 651 387

info@workcoverqld.com.au
worksafe.qld.gov.au

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