Work and Non-work claims
Wellnz want to support you to access information and forms independently. Below are some common questions and links to download forms you may need for your work and non-work injury claim.
Work claims
Wellnz want to support you to access information and forms independently. Below are some common questions and links to download forms you may need for your work injury claim.
Weekly Compensation
Once cover is confirmed, for your work injury, Wellnz/your employer will consider whether you are entitled to have weekly compensation, if you have time off work for the covered injury.
The Accident Compensation Act 2001 states you are entitled to receive up to 80% compensation for loss of earnings as a result of your injury. This amount is known as weekly compensation and is based on information provided by your employer on your earnings prior to your incapacity. Some employers choose to pay more than the ACC requirement, please discuss this with your Case Owner.
How we calculate your payments when you’re off work:
Wellnz assess your entitlement and advise your employer. Your employer pays you through your normal payroll.
What happens if you go back to work:
- You must be cleared to return to work, in any capacity, by your medical practitioner
- You must let your Case Owner know
- Until you return to work fully any earnings you received will be considered and your entitlement reassessed.
For more information regarding Weekly Compensation we suggest getting in touch with Wellnz or ACC. Or alternatively this fact sheet provides additional information.
Surcharges
ACC contribute what is called a regulated amount to most treatments. Your medical practitioner may charge more than this, which is known as a surcharge and you may be required to pay this.
Some employers choose to cover the surcharge. If you are not sure if this is covered or not please speak with your Case Owner or your internal Safety & Wellbeing Team.
A TPA or Third Party Administrator is a specialist personal injury claims manager. Employers can contract with a TPA to help them manage claims and facilitate a return to work.
Employers who are members of the AEP can contract with a TPA to manage all their workplace injury claims, including:
- Determining cover and entitlements
- Calculating weekly compensation entitlement payments
- Facilitating rehabilitation plans
A TPA can also manage non-work injuries through their relationship with ACC, at no cost to the Employer.
TPAs must comply with ACC’s prescribed standards and government policy directives.
To join the AEP and use a TPA, employers must:
- Demonstrate strong health and safety practices.
- Show financial stability to cover injury-related costs.
- Pass an ACC audit.
Maintain systems for injury prevention and claims management.
Accredited Employers (typically large organisations) can apply to join the AEP. Once accepted, they can manage their own employees’ work-related injury claims either directly or through a contracted TPA. These TPAs act on behalf of the employer to handle claims, rehabilitation, and compensation processes.
For work related claims where your employer is in the Accredited Employer Programme (AEP), you cannot choose to be managed by ACC.
For non-work claims you can opt-out and choose to have your claim managed by ACC. However for ACC employees, you may not opt out of Wellnz’s management.
Your Case Owners name will be at the bottom of all Wellnz correspondence. If you are unsure who it is, please reach out to us via email: enquiries@wellnz.co.nz, or call: 0508 INJURY (0508 465 879) and we can connect you with your Case Owner. Have your claim number, employer or date of birth handy to speed things up.
Each provider has their own policy and procedures when it comes to consultation fees and you may have to pay this. However if your employer does pay surcharges, Wellnz will reimburse this to you. You will be required to complete the reimbursement form, and the bank details form if this is your first time claiming a reimbursement.
The procedure for reviews is detailed in the Resolving Issues document. Additionally, we provide an Application for Review form and a fact sheet regarding Review Hearings.
We’d like to hear from you – whether it be good feedback, something you’re not happy with or anything in between.
You can contact us in a few ways:
- Directly to your Case Manager or Claims Coordinator
- Ask for their manager’s details
- Email enquiries@wellnz.co.nz (if using this method, please provide some identifying details so we can get your feedback to the correct team)
Non-work Claims
Some brief information on non-work claims follows. If you have any further queries please call our mainline on 0508 INJURY (0508 465879).
Weekly Compensation
When your non-work injury claim is transferred to Wellnz, your claim will already have been accepted and you will likely have an entitlement to weekly compensation.
The Accident compensation Act 2001 states you are entitled to receive up to 80% compensation for loss of earnings as a result of your injury. This amount is known as weekly compensation and is based upon information provided by your employer(s) about your earnings prior to your incapacity. Your Case Manager will collect this information and arrange for your ongoing compensation to be paid by ACC. This could result in a few days delay from your normal pay cycle, so it is important we work on this urgently together.
Surcharges
ACC has agreed contracted rates with treatment providers throughout New Zealand for the cost of medical treatment. These are referred to as regulated treatment costs. Your medical practitioner may charge more than this, which is known as a surcharge. You are responsible for any surcharges.
For work related claims where your employer is in the Accredited Employer Programme (AEP), you cannot choose to be managed by ACC.
Yes for non-work claims. However for ACC employees you may not opt out of Wellnz’s management.
If you’ve received any letters from Wellnz or emails, this should have your Case Manager’s details on it. Otherwise if you give us a ring we can put you in touch with your Case Manager. Please note that if your claim has only recently been transferred to Wellnz for management, your claim may not have been allocated to a Case Manager just yet.
Forms sent to you need to be signed and returned to Wellnz if appropriate. Your Case Manager will contact you once we get these forms back. If in doubt – feel free to ring your Case Manager directly or the Wellnz mainline.
We’d like to hear from you – whether it be good feedback, something you’re not happy with or anything in between.
You can contact us in a few ways:
- Directly to your Case Manager
- Ask for their manager’s details
- Email enquiries@wellnz.co.nz (if using this method, please provide some identifying details such as your Date of Birth and claim number so we can get your feedback to the correct team)