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Impairment benefit protocols fee schedule

View current and past impairment benefit protocols fee schedules.

Payment of legal fees

The IB Protocols were implemented on 1 March 2002, which included a fee structure.

The payment of IB Protocol fees are subject to:

  • agent request for the provision of treating doctor information from the workers legal representative
  • provision of treating doctor information prior to the impairment assessment
  • completion and submission of a Solicitor Inquiry Form with the Worker's claim for impairment benefits form*
  • establishment of the injured workers entitlement to impairment benefits
  • submission of only one itemised bill per claim at the end of the process, which is signified by the acceptance of the Notice of Entitlement

Fees are not payable on claims resolved solely for hearing loss.

* Note the Worker's claim for impairment benefits form must be given or served on the Employer, or lodged with WorkSafe in accordance with the Victorian Workers Compensation Legislation. A copy of the claim form, together with the Solicitor Inquiry Form may be sent to the Authorised Agent as notification of the worker's intention to claim.

Table of fees applicable between 1 March 2002 and 31 January 2008

Activity Fee

Collection and submission of all treating doctor reports

$300

Completion and submission of Solicitor Injury Form

$150

Provision of advice to injured worker regarding common law election

$250

On 1 February 2008 the fee structure within The IB Protocols was reviewed and adjusted to reflect legislative changes to the Impairment Benefits claim process and to provide incentive payments to Legal representatives for improved benefit delivery to workers.

The following table of fees was applicable to all:

  • worker's response forms received by the Agent between 1 February 2008 and 31 January 2009 accepting the initial Notice of Entitlement; or
  • Medical Panel opinions dated between 1 February 2008 and 31 January 2009
IB impairment percentage Fee base Additional fee if accepted response within 60 days of NOE* Additional fee if accepted response within 30 days of NOE* Additional fee for Medical Panel referral which results in a greater NOE*
< 30% / compensation under the No Disadvantage table

$700

$50 increase [$750]

$200 increase [$900]

$300 increase [$1,000]

> than or = to 30%

$920

$50 increase [$970]

$200 increase [$1,120]

$300 increase [$1,220]

NOE*: Notice of Entitlement

  • There is only one additional fee payable.
  • If a matter is referred to the Medical Panel and the monetary entitlement defined within the initial NOE is less than or equal to the monetary entitlement within the Medical Panels NOE, no additional fee is payable.
  • These fees will be indexed annually.
  • All amounts are GST inclusive.
  • WorkSafe will apply an allowance of 3 days to cover mailing of the Notice of Entitlement.

In accordance with the re-structured fee schedule the IB Protocol fees are indexed annually. The following table displays the 1 February 2020 fee together with the indexed fees, effective 1 February 2021.

The indexed fees are applicable to all:

  • worker's response forms received by the Agent on or after 1 February 2021 accepting the initial Notice of Entitlement; or
  • Medical Panel opinions dated on or after 1 February 2021.

Impairment benefits protocols fees

Pursuant to section 5.2 of the Impairment Protocol document**.

Item number image indicating ascending sortFee Description – Payment type 239 Fee effective date* 1 Feb 2025 Fee effective date* 1 Feb 2026

2933

  • Less than 30% or compensation under the No Disadvantage Table.
  • Workers response received by agent more than 33 days and less than 64 days after date of Notice of Entitlement.

$1120

$1150

2934

  • Less than 30% or compensation under the No Disadvantage Table.
  • Workers response received by agent less than 34 days after date of Notice of Entitlement.

$1320

$1350

2963

  • Less than 30% or compensation under the No Disadvantage Table.
  • Worker’s response received by agent more than 63 days after date of Notice of Entitlement.

$1040

$1070

3033

  • Equal to or more than 30%.
  • Workers response received by agent more than 33 days and less than 64 days after date of Notice of Entitlement.

$1430

$1470

3034

  • Equal to or more than 30%.
  • Workers response received by agent less than 34 days after date of Notice of Entitlement.

$1680

$1720

3063

  • Equal to or more than 30%.
  • Workers response received by agent more than 63 days after date of Notice of Entitlement.

$1360

$1390

MP29

  • Less than 30% or compensation under the No Disadvantage table.
  • Medical Panel entitlement more than Notice of Entitlement.

$1460

$1500

MP30

  • Equal to or more than 30%.
  • Medical Panel entitlement more than Notice of Entitlement.

$1810

$1860

MPNIL

Medical Panel entitlement equal to or less than Notice of Entitlement.

$1040

$1070

* The indexed impairment protocol fees apply to the following.

  • Workers’ response forms received by the agent on or after the fee effective date, accepting the initial Notice of Entitlement, or
  • Medical Panel opinions dated on or after the fee effective date.

Note: Payment of the impairment protocol fees is subject to all conditions and requirements as specified within the Impairment protocol document, re-released 1 February 2008. This includes, but is not limited to:

  • the provision of an Impairment protocol solicitor inquiry form
  • all treating medical practitioner reports and/or records at the request of the agent, and prior to the worker’s attendance at the independent impairment assessment.

GST: All Impairment benefit protocol fees are inclusive of GST.

** Impairment protocol document is available:

Invoicing requirements

To enable the prompt process of fees, please ensure invoices are itemised and quoting:

  • "Payment Type 239" and the relevant "Item Number xxxx"
  • WorkSafe practice ID "Lxxx" and/or provider number if possible

WorkSafe contact

Impairment Benefits Team
WorkSafe Victoria
Ph: 4243 8300
Email: [email protected]

Claims contact

For claims specific enquiries please contact the relevant Authorised Agent.

Download current and past fee schedules