Insurance

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Rule changes aimed at curbing major losses by the industry could leave individuals worse off.

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A raft of new income protection insurance rules from the Australian Prudential Regulation Authority are set to be introduced from 1 October.

The maximum amount of an individual’s pre-disability annual income that can be claimed will drop from 75 per cent to 70 per cent under the new rules. A cap of 90 per cent of annual income will apply for the first six months.

The time frame over which pre-disability income is measured will also be reduced.

“Anyone who makes a claim on a policy taken out after 1 October will only be able to use the 12 months leading up to the claim to show their pre-disability income and will need to provide a reason for insurers to look past 12 months of income in extenuating circumstances, such as if they had recently been on maternity leave,” said Dale Coombes, the head of life insurance sales and service at comparison site Compare Club.

While individuals may currently be able to make an extended claim indefinitely when they are not able to return to their previous occupation, this will no longer be the case.

“This means after two years, a policy will switch to any occupation that a customer can do based on education, training or experience as opposed to the role they were in at the time of claim,” Mr Coombes said.

The changes have been introduced by APRA due to the $3.4 billion in losses experienced by the industry over the past five years.

“While this is a positive change for the industry, it does mean anyone who takes out IP after 1 October is potentially paying a similar price for less coverage,” Mr Coombes said.

A survey recently conducted by Finder indicated that only 16 per cent of Australians are currently covered by income protection insurance while a further 11 per cent have plans to take out a policy in the future.

“Anyone who would struggle to get by without their pay should seriously consider income protection insurance,” said Graham Cooke, head of consumer research at Finder.

“It’s usually available whether you work part-time, full-time or if you’re self-employed, and premiums are generally affordable.”

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Rule changes aimed at curbing major losses by the industry could leave individuals worse off.

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Australia’s securities watchdog has said that the life insurance industry needs to step up when it comes to how it handles consumer data.

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Australia’s securities watchdog says that the life insurance industry needs to step up when it comes to how it handles consumer data. 

As part of their regular check-in with Australia’s life insurance industry, ASIC said more needs to be done to address industry issues.

ASIC deputy chair Karen Chester said that while all nine insurers covered in the agency’s latest report are working to address issues raised by ASIC’s 2019 report, “more needs to be done”.

“Most insurers have conducted reviews to identify areas for improvement, and have started to make appreciable changes in response to ASIC’s findings and their own, to lift industry standards,” the report found.

The full list of companies who participated in the report includes Westpac, AMP, Metlife, AIA, Zurich, MLCL, TAL Life Ltd, Hannover and QInsure.

More specifically, Ms Chester called out the industry for inconsistencies when it comes to storing and using consumer data.

She noted that ASIC found that data captured by insurers is often “inconsistent or not in a searchable or reportable format, limiting its usefulness”.

According to her, “to achieve good customer outcomes, insurers must lift their data capabilities”.

“Insurers also need to invest more in their data systems to target claims-handling problems, and design products to meet the needs of their target market,” she added.

Ms Chester also noted that superannuation funds accounted for around 75 per cent of the total and permanent disability (TPD) insurance market, calling on superannuation trustees “to engage with TPD design issues and work on lifting standards, for the benefit of their members”.

“While some trustees have taken positive steps in this direction, others have more work to do,” she said.

ASIC’s 2019 review of the TPD sector highlighted four major issues in the industry, ranging from friction in the claims handling process, a higher-than-predicted declined claim rate, a lack of adequate data-keeping practices and the subjecting of claimants to ‘activities of daily living’ tests.

Ms Chester said that superannuation trustees are clearly in the “driver’s seat” when it comes to delivering good outcomes for customers, calling on them to deliver the improvements necessary to meet their design and distribution obligations by the October deadline.

“They also need to be mindful of their new obligations to act efficiently, honestly and fairly when handling claims and providing superannuation trustee services,” Ms Chester added.

In a statement, ASIC said it will continue to monitor progress and hold insurers accountable to their commitments.

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Australia’s securities watchdog has said that the life insurance industry needs to step up when it comes to how it handles consumer data.

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An intervention by ASIC over poor telephone sales practices, has left OnePath with a $35 million bill. 

" ["fulltext"]=> string(2374) "

OnePath is facing remediation costs of up to $35 million after it misled 40,000 customers through its life insurance business.

The move comes after an intervention by ASIC, who alleged that “extensive” consumer harm resulted from the tactics used by OnePath’s sales team, including pressure selling, failing to provide consumers with key information about the policy they were sold and outright misleading customers by tell them that salespeople were affiliated with ANZ Bank.

In response to ASIC’s concerns about its sales practices, OnePath agreed to refund premiums with interest to consumers who purchased a life insurance policy from them and to review prior claims and complaints made about its practices.

OnePath also said they would waive certain conditions for affected customers who still hold an active policy.

The remediation program is expected to conclude in December 2021.

ASIC Deputy Chair Karen Chester said that “for over three years now, ASIC has pursued enforcement, regulatory and remediation action to tackle misconduct and stem consumer harm in the direct life insurance market.”

She said that through court action, disruption and improvement in sales practices, ASIC has delivered compensation to tens of thousands of consumers who have suffered harm and deterred bad actors in the financial sector. 

However, according to Ms Chester, “it’s really disappointing that despite OnePath offering refunds to around 26,000 consumers, less than one in two consumers (only 41 per cent) have banked their cheque or arranged with OnePath for their refund to be paid into their bank account.”

“If you are a OnePath or ANZ insurance customer who has been contacted by OnePath about a refund, please respond to OnePath to arrange payment of your refund. You can also call OnePath on 1800 290 572 if you are unsure of what to do or want to check this is not a scam’ said Ms Chester.

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An intervention by ASIC over poor telephone sales practices, has left OnePath with a $35 million bill. 

Write comment (0 Comments) " ["jcfields"]=> array(9) { [1]=> object(stdClass)#8539 (33) { ["id"]=> int(1) ["title"]=> string(17) "Automatic tagging" ["name"]=> string(17) "automatic-tagging" ["checked_out"]=> NULL ["checked_out_time"]=> NULL ["note"]=> string(0) "" ["state"]=> int(1) ["access"]=> int(1) ["created_time"]=> string(19) "2018-08-29 05:26:30" ["created_user_id"]=> int(2355) ["ordering"]=> int(-1) ["language"]=> string(1) "*" ["fieldparams"]=> object(Joomla\Registry\Registry)#8177 (3) { ["data":protected]=> object(stdClass)#7950 (1) { ["options"]=> object(stdClass)#7937 (2) { ["options0"]=> object(stdClass)#7930 (2) { ["name"]=> string(3) "Yes" ["value"]=> string(1) "1" } ["options1"]=> object(stdClass)#7929 (2) { ["name"]=> string(2) "No" ["value"]=> string(1) "0" } } } ["initialized":protected]=> bool(true) ["separator":protected]=> string(1) "." } ["params"]=> object(Joomla\Registry\Registry)#8176 (3) { ["data":protected]=> object(stdClass)#7928 (6) { ["hint"]=> string(0) 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More and more Australians are facing extreme weather events, but the infrastructure designed to handle the aftermath isn’t keeping up with demand.

" ["fulltext"]=> string(2488) "

The Financial Rights Legal Centre is calling for the government to step in, as the disaster insurance sector struggles to keep up with a rise in activity.

According to a new report into the aftermath of extreme weather events like the Black Summer bushfires and Cyclone Seroja, urgent funding is needed to ensure affected Australians are able to get legal assistance when they need it most.

Financial Rights Legal Centre CEO Karen Cox said the rise in extreme weather events seen in recent years has also led to a rise in disputes between insurers and their customers. 

“When catastrophe strikes, people need help on a number of fronts, including dealing with their insurer. In this fraught and traumatic environment, disputes are inevitable,” she said.

Unfortunately, at the same time as demand is rising for the Financial Rights Legal Centre’s Insurance Law Service helpline, Ms Cox said the organisation has had to cut hours to due to a lack of funding.

“An inability to access free, specialised legal advice to help resolve insurance problems could put the welfare and livelihoods of thousands of people around Australia at risk and end up costing communities and the government a lot more in the long run,” she said.

The report lays out several approaches to addressing these underlying issues, ranging from targeted subsidies that allow residents in high-risk areas to afford the insurance premiums that mitigate their level of climate risk to recommending that ASIC take a more proactive posture with its oversight powers.

Ms Cox also called on insurers to be better at assisting people and base cash settlement offers on the likely cost to the customer rather than the insurer.

“With extreme weather events increasing in both frequency and intensity due to climate change, national leadership is required to address these pressing issues.”

“Many people are being left behind by rising insurance premiums in the face of increasing climate-related risk,” she said.

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Learn the best strategies in investing and options like cryptocurrency, bonds, mutual funds, property and stock market." ["secure"]=> int(0) ["page_description"]=> string(7) "nestegg" ["page_rights"]=> NULL ["robots"]=> NULL ["check_access_rights"]=> int(0) ["access-view"]=> bool(true) } ["initialized":protected]=> bool(true) ["separator":protected]=> string(1) "." } ["displayDate"]=> string(19) "2021-07-08 00:00:50" ["slug"]=> string(79) "17029:insurance-dispute-helplines-are-struggling-to-keep-up-with-climate-change" ["event"]=> object(stdClass)#8522 (3) { ["afterDisplayTitle"]=> string(0) "" ["beforeDisplayContent"]=> string(132) "

• Yes

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More and more Australians are facing extreme weather events, but the infrastructure designed to handle the aftermath isn’t keeping up with demand.

Write comment (0 Comments) " ["jcfields"]=> array(9) { [1]=> object(stdClass)#8550 (33) { ["id"]=> int(1) ["title"]=> string(17) "Automatic tagging" ["name"]=> string(17) "automatic-tagging" ["checked_out"]=> NULL ["checked_out_time"]=> NULL ["note"]=> string(0) "" ["state"]=> int(1) ["access"]=> int(1) ["created_time"]=> string(19) "2018-08-29 05:26:30" ["created_user_id"]=> int(2355) ["ordering"]=> int(-1) ["language"]=> string(1) "*" ["fieldparams"]=> object(Joomla\Registry\Registry)#8177 (3) { ["data":protected]=> object(stdClass)#7950 (1) { ["options"]=> object(stdClass)#7937 (2) { ["options0"]=> object(stdClass)#7930 (2) { ["name"]=> string(3) "Yes" ["value"]=> string(1) "1" } ["options1"]=> object(stdClass)#7929 (2) { ["name"]=> string(2) "No" ["value"]=> string(1) "0" } } } ["initialized":protected]=> bool(true) ["separator":protected]=> string(1) "." } ["params"]=> object(Joomla\Registry\Registry)#8176 (3) { ["data":protected]=> object(stdClass)#7928 (6) { ["hint"]=> string(0) 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string(0) "" ["value"]=> string(0) "" ["rawvalue"]=> string(0) "" } } ["link"]=> string(97) "/invest-money/insurance/insurance-dispute-helplines-are-struggling-to-keep-up-with-climate-change" ["image"]=> string(46) "images/article-826x550/climate-change-2-ne.jpg" ["image_alt"]=> string(14) "climate change" } [4]=> object(stdClass)#7971 (57) { ["id"]=> int(16908) ["title"]=> string(39) "COVID-19 payday for health fund members" ["alias"]=> string(39) "covid-19-payday-for-health-fund-members" ["introtext"]=> string(176) "

A health fund is returning millions in claims to its members, with banned surgeries during the COVID-19 pandemic seeing bumper profits for the health insurance sector.

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Health fund HBF will give its members cash payments of up to $140 in July, returning funds that were not paid out for services due to the pandemic.

The cashback comes on top of the fund’s decision to impose a zero increase in premiums from 1 April.

To be eligible, members must have held a hospital and/or extras policy during 25 March 2020 and 30 June 2020.

Approximately 470,000 policies are eligible, with payments ranging from $20 per policy (for a single with Extras only cover) up to $140 per policy (for a family with both Hospital and Extras cover).

The payout will cost the fund $42 million in total paybacks.

It’s a move CEO John Van Der Wielen said aligned with the true person of the fund, which was to benefit members.

“That is why HBF was the first and only major fund to fully cancel its 2020 premium increase, saving our members $37 million, why we implemented hardship support measures for our members, and why we also pledged that members would be the beneficiaries of any surplus funds arising from the COVID-19 pandemic,” he explained to members.

The $42 million payment is the remaining balance of a $94.3 million deferred claims provision that was detailed in HBF’s financial accounts for the 2020 financial year.

The provision was an estimate of claims for elective surgery procedures and ancillary services that members could not access while COVID-19 control measures were in place from 25 March 2020 to 30 June 2020 but were expected to be made at a later date.

Of the $94.3 million:

• Approximately $37 million has been paid in claims
• Approximately $15 million has been held over to cover claims still likely to be paid
• Approximately $42 million surplus funds will be paid to members in July/August.

Consumer group CHOICE welcomed HBF returning members’ money but questioned why other funds were unable to do the same thing.

“If HBF can return $42 million to its members, there’s no excuse for Australia’s other health insurance funds to keep hoarding the money of Australians,” CHOICE’s health campaigner Dean Price said.

Mr Price highlighted that this is the kind of transparency we need from this industry. The community is still recovering from the economic impact of COVID-19 and no business, let alone businesses we rely on for our health and wellbeing, should be using the COVID-19 to boost their bottom lines.

“HBF have done the right thing by their members. Australia’s health insurers, it’s time for you to return what you didn’t earn. Big funds like Medibank, Bupa and NIB need to put the community first and be transparent with their customers and the community,” he concluded.

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A health fund is returning millions in claims to its members, with banned surgeries during the COVID-19 pandemic seeing bumper profits for the health insurance sector.

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With the cost of climate change currently weighing down consumers, a think tank has urged the government to pass the bill from everyday Australians onto large fossil fuel companies. 

" ["fulltext"]=> string(2621) "

The Australian Institute is pushing the government to create a National Climate Compensation Fund and force the large pollutants, including the fossil fuel industry, to contribute by way of a levy on fossil fuel exports. 

A report released late last year by Deloitte found that Australia’s economy will be 6 per cent smaller, there will be 880,000 fewer jobs, and $3.4 trillion in economic opportunities will be lost, if the climate crisis goes unchecked for the next 50 years.

A separate study released by the NSW Treasury found that climate change risk is going to cost the state over $10 billion annually over the next decade. 

With the large costs associated with climate change, The Australian Institute said the National Climate Compensation Fund, which is expected to raise $5 billion annually, would cover the costs of changing working patterns and emergency responses to disasters. 

These funds would also assist farmers, tourism operators, local government and others at the frontline of these impacts.

By pinning the levy on exports, the institute said it would have no impact on energy prices in Australia and would in fact create 5,000 jobs, including emergency responders, construction jobs and services to help support industries that have been negatively impacted by severe weather patterns. 

“Just a few global coal, oil and gas companies are responsible for the vast bulk of the emissions fuelling climate disasters like fire, floods and heatwaves,” said Mark Ogge, principal adviser at The Australia Institute.

“Without a levy on these companies, NSW households and businesses will have to foot the bill, while the global coal giants get off scot-free.”

The Australian Institute pointed out that many fossil fuel exporters operate in NSW, yet contribute nothing to the costs of climate disasters, while the majority pay little to no tax.

“Someone has to pay for these costs. At the moment, the costs are paid entirely by ordinary NSW households and businesses through property loss, disruption, higher taxes, rates and insurance premiums,” Mr Ogge concluded.

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Learn the best strategies in investing and options like cryptocurrency, bonds, mutual funds, property and stock market." ["secure"]=> int(0) ["page_description"]=> string(7) "nestegg" ["page_rights"]=> NULL ["robots"]=> NULL ["check_access_rights"]=> int(0) ["access-view"]=> bool(true) } ["initialized":protected]=> bool(true) ["separator":protected]=> string(1) "." } ["displayDate"]=> string(19) "2021-04-14 01:39:57" ["slug"]=> string(57) "16625:is-it-time-for-a-national-climate-compensation-fund" ["event"]=> object(stdClass)#8544 (3) { ["afterDisplayTitle"]=> string(0) "" ["beforeDisplayContent"]=> string(132) "

• Yes

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With the cost of climate change currently weighing down consumers, a think tank has urged the government to pass the bill from everyday Australians onto large fossil fuel companies. 

Write comment (2 Comments) " ["jcfields"]=> array(9) { [1]=> object(stdClass)#8572 (33) { ["id"]=> int(1) ["title"]=> string(17) "Automatic tagging" ["name"]=> string(17) "automatic-tagging" ["checked_out"]=> NULL ["checked_out_time"]=> NULL ["note"]=> string(0) "" ["state"]=> int(1) ["access"]=> int(1) ["created_time"]=> string(19) "2018-08-29 05:26:30" ["created_user_id"]=> int(2355) ["ordering"]=> int(-1) ["language"]=> string(1) "*" ["fieldparams"]=> object(Joomla\Registry\Registry)#8177 (3) { ["data":protected]=> object(stdClass)#7950 (1) { ["options"]=> object(stdClass)#7937 (2) { ["options0"]=> object(stdClass)#7930 (2) { ["name"]=> string(3) "Yes" ["value"]=> string(1) "1" } ["options1"]=> object(stdClass)#7929 (2) { ["name"]=> string(2) "No" ["value"]=> string(1) "0" } } } ["initialized":protected]=> bool(true) ["separator":protected]=> string(1) "." } ["params"]=> object(Joomla\Registry\Registry)#8176 (3) { ["data":protected]=> object(stdClass)#7928 (6) { ["hint"]=> string(0) 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