Abstract

The Road Accident Amendment Act came into effect in 2008. This Act limits the Road Accident Fund’s liability for compensation in respect of claims where serious injuries have been sustained. In the event of the Road Accident Fund rejecting a serious injury claim the appeal process is prescribed by the regulations to the Act. The disputed case has to be referred to an Appeal Tribunal under the auspices of the Health Professions Council of South Africa. The Tribunal faces many challengesdespite the fact that the use of the AMA Guides is intended to yield objective and consistent findings.

Highlights

  • The Road Accident Fund (RAF) was established in terms of the Road Accident Fund Act 56 of 1996

  • In cases claimed as serious, by virtue of either 30 per cent or greater whole person impairment (WPI) or the narrative test, but that have been rejected by the RAF, the claimant may appeal to a Health Professions Council of South Africa (HPCSA) Appeal Tribunal for determination of the seriousness of the injuries.[4]

  • This article investigates the rejection of serious injury claims by the RAF and the appeal process prescribed by the regulations in cases of disputed rejections

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Summary

SUMMARY

The Road Accident Amendment Act came into effect in 2008. This Act limits the Road Accident Fund’s liability for compensation in respect of claims where serious injuries have been sustained. In the event of the Road Accident Fund rejecting a serious injury claim the appeal process is prescribed by the regulations to the Act. The disputed case has to be referred to an Appeal Tribunal under the auspices of the Health Professions Council of South Africa. The Tribunal faces many challenges despite the fact that the use of the AMA Guides is intended to yield objective and consistent findings

INTRODUCTION
Road Accident Fund Act 56 of 1996
Chronic pain
Findings
DISCUSSION
CONCLUSION AND RECOMMENDATION
Full Text
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