New Zealand Case Law: Decisions & Judgments | LexChat

New Zealand Case Law

Application of s25 (accident) and s26 (exclusion)
  • 27 Mar 2013

    Wills v Accident Compensation Corporation

    Citation
    [2013] NZACC 88
    Court
    District Court

    The Court accepted the specialist opinion of Mr Knight that, on the balance of probabilities and having reviewed the imaging and clinical history, the full thickness supraspinatus tear was probably caused by traumatic events (including a series of incidents) and therefore arose from an 'accident' within s25; consequently the s26 exclusion did not apply and ACC's refusal to approve surgery was quashed.

    • Entitlement to cover for surgical treatment
    • Causation: traumatic versus degenerative
    • Application of s25 (accident) and s26 (exclusion)
    • Prior approval for surgery