This submission is informed by the Legal Practice Section’s Australian Consumer Law Committee (ACLC) and Superannuation Committee and provides feedback on the following draft Approach Documents: (a) the draft document titled The AFCA Approach to sections 29(6) and 29(7) of the Insurance Contracts Act 1984 (ICA Approach Document); and (b) the draft document titled The AFCA Approach to delayed insur. [...] We note that the draft ICA Approach Document states (at page 4) that AFCA intends to apply the ICA as it is written—that no variation of the contract will be allowed under subsection 29(6) of the ICA, if the contract provides cover for a death benefit, pursuant to subsection 29(10) of the ICA. [...] The Superannuation Committee suggests the following addition (underlined) to the paragraph at the top of page 3 of the ICA Approach Document: Section 29(6) of the ICA does not allow an insurer to vary a contract with a surrender value, or a contract that provides insurance cover in respect of the death of the life insured—see section 29(10) of the ICA. [...] In the view of the ACLC, allowing an insurer to rely on a statutory declaration of an internal underwriter is not consistent with the legislation as it is written, and is not consistent with the Parliament’s intention, as expressed in the Explanatory Memorandum to the ICA Bill. [...] The ACLC is of the view that the evidence that AFCA ought to allow—on the question of what other reasonable and prudent insurers would have done—should be: (a) a statement of an external consultant underwriter, who does not work for the insurer; and/or (b) a statement from a person working for a reinsurer, so long as that reinsurer does not bear any liability in respect of the subject claim.
Authors
- Pages
- 8
- Published in
- Australia
Table of Contents
- 11 October 2024 1
- Joint Consultation on Superannuation Approaches 1
- AFCA 1
- ACLC 1
- The AFCA Approach to sections 296 and 297 of the Insurance Contracts Act 1984 1
- ICA Approach Document 1
- The AFCA Approach to delayed insurance claims in superannuation 1
- Delayed Claims Approach Document 1
- ICA Approach Document 1
- Insurance Contracts Act 1984 Insurance Contracts Amendment Act 2013 1
- ICA IC Amendment Act 1
- Referencing subsection 294 of the ICA 2
- When AFCA will treat complaints as non-superannuation 2
- In some instances AFCA will 2
- MetLife Insurance Limited v AFCA Limited Corporations Act 2001 Treasury Laws Amendment Support for Small Business and Charities and Other Measures Act 2024 3
- Relevant failurestests before and from 5 October 2021 3
- The different formulations of the test reflect amendments to the ICA that came into effect on 5 October 2021. 4
- Underwriting information 4
- Disability Discrimination Act 1992 4
- Evidence to support comparative analysis 4
- ICA Bill 4
- Evidence to support comparative analysis can be 5
- Stealth Enterprises Pty Limited tas The Gentlemens Club v Calliden Insurance Limited 5
- Case studies and examples 6
- Delayed Claims Approach Document 6
- Expectations regarding timeframes for insurers 7
- Code 7
- Expectations regarding timeframes for trustees 7
- Further AFCA expects trustees to bring claims to the attention of their insurer quickly so that assessment can begin even where a complete set of documents and evidence has yet to be provided. 7
- Compensation 7
- AFCA cannot award non-financial loss to complainants in the superannuation jurisdiction 7
- Contact 8
- Geoff Provis Section Chair 8