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ACC, income protection and other claims if you're hurt or ill while out of work

6 minute readMoney & bills

In short

ACC covers accidental injury for everyone in NZ, whether or not you're employed. You'll get treatment support, and weekly compensation if you were earning when injured and can't work because of the injury. Illness isn't covered by ACC; for that, Work and Income and private income protection are the paths. Lodge claims quickly and keep records.

What ACC covers

  • Accidents causing physical injury, including at home, sport and while jobseeking. ACC also covers some work-related gradual process injuries.
  • Treatment costs (part of GP visits, physio, surgery), and help like rehab, home help and aids for serious injuries.
  • Weekly compensation if you can't work because of a covered injury and you were an employee, self-employed or a shareholder-employee at the time of the accident. ACC pays up to 80% of your pre-injury earnings, usually from day 8 after the injury (there is a maximum; check current amounts on acc.co.nz).
  • Illness, disease and most mental health conditions aren't covered, except mental injury linked to a covered physical injury or sexual violence.

How to lodge a claim

  1. See a doctor, physio or other registered provider as soon as you can and say how the injury happened (so it can be lodged as an ACC claim).
  2. The provider can lodge the claim (an ACC45 form) or you can lodge online at acc.co.nz.
  3. ACC will contact you for details. Keep records of costs, receipts and time off work.
  4. If you were employed, ask your employer or ex-employer for payslips for earnings information.
  5. If you disagree with an ACC decision, you have 3 months from the decision to apply for a review. Free advocacy is available from Community Law and some unions.

ACC and Work and Income together

  • ACC weekly compensation and a main benefit generally aren't paid in full together; tell both agencies about each payment so the amounts are adjusted correctly.
  • If you're sick or injured and can't work, Work and Income has Jobseeker Support – Health Condition and Disability, and you may be able to get a medical certificate to defer job-search obligations. See the obligations guide.
  • Tell Work and Income and ACC about each other's payments to avoid overpayments.

Private insurance: income protection and mortgage cover

  • Income protection insurance pays a percentage of your income if you can't work due to illness or injury, after a stand-down period. Check whether yours is still in force, whether it's 'agreed value' or 'indemnity', and how it interacts with ACC.
  • Mortgage repayment insurance and accident, sickness and unemployment cover on loans and cards: read the policy wording for what's covered and the deadlines for claims.
  • Trauma and total and permanent disability (TPD) cover pay lump sums for serious illness or disability.
  • Keep premiums paid or ask for a premium holiday before you cancel. See the insurance guide.

Where to get help

  • ACC: 0800 101 996 (main line; hours are on acc.co.nz/contact).
  • MoneyTalks 0800 345 123 (text 4029).
  • Community Law and CAB for review and complaint help.
  • Healthline 0800 611 116 for free health advice.

Sources

General information only. Confirm with the agency for your situation. Spotted something out of date? Email help@unemployed.nz.