South Australian Consolidated Acts127—Medical examination of claimants
(1) In this
section—
"claimant" means a person who has made a claim, or on whose behalf a claim has
been made, for bodily injury caused by or arising out of the use of a
motor vehicle.
(2) A claimant
must—
(a)
submit himself or herself to any medical examination by a legally qualified
medical practitioner nominated by the insurer that the insurer may require;
and
(b)
within 21 days of consulting a legally qualified medical practitioner in
relation to the injury to which the claim relates, or such longer period as
may be reasonable in the circumstances of the case or as the insurer may
allow, inform the insurer, by notice in writing, of—
(i)
the name of the medical practitioner; and
(ii)
the day on which the consultation occurred; and
(c)
within 21 days of receiving (either personally or through a legal practitioner
engaged by the claimant) a written report from a legally qualified medical
practitioner consulted by the claimant in relation to the injury, or such
longer period as may be reasonable in the circumstances of the case, send a
copy of that report to the insurer.
(3) A claimant cannot
be required to submit to a medical examination under subsection (2)(a)
more frequently than is permitted by the regulations.
(4) The cost of a
medical examination under subsection (2)(a) must be borne by the insurer.
(5) If a claimant
fails to comply with subsection (2)(a)—
(a) the
claimant is not entitled, until he or she complies with the subsection, to
commence proceedings or to continue proceedings that have been commenced in
respect of the injury; and
(b) if
proceedings have been commenced, the court may award costs against the
claimant; and
(c) the
claimant is not entitled to damages, compensation, interest or costs for any
period during which the failure continues.
(6) If a claimant
fails to comply with subsection (2)(b) or (c) and proceedings have been
commenced before a court—
(a) the
court may award costs against the claimant; and
(b) the
court may take that failure into account in assessing an award of compensation
in favour of the claimant.
(6a)
Subsection (6) will not apply to any failure by a claimant to comply with
subsection (2)(c) if the claimant has dealt with the medical report and
taken other action in accordance with any rules of the court under which a
party to proceedings may be relieved from the obligation to disclose to
another party a medical report the disclosure of which would unfairly
prejudice the party's case.
(7) In deciding on an
award of costs under subsection (6)(a) or a reduction in an award of
compensation under subsection (6)(b), the court may take into
account—
(a) the
effect that the non-compliance with subsection (2)(b) or (c) has had on
the proper conduct of the case by any other party to the action; and
(b) the
effect that that non-compliance may have had on the possibility of settling
the case before trial.
(8) Where a written
report is obtained by the insurer on the findings made, or the opinions
formed, by a legally qualified medical practitioner on the examination of a
claimant under subsection (2)(a), the insurer must, within 21 days of
receiving the report, send a copy of the report to the claimant (or a legal
practitioner engaged by the claimant).