The redrafted Code improves overall outcomes for consumers in a number of ways, including:
Contractual enforceability: pending ASIC approval, the Code will be, for the first time, legally enforceable in consumer insurance contracts (except for the Principles and Section 10 on Enforcement).
Automatic claim acceptance: home and motor claims will be automatically accepted after 12 months where no decision has been made, subject to defined exceptions.
Stronger support for customers experiencing vulnerability: a new circumstances-based definition of Vulnerability, new supporting guidance on dealing with Vulnerability, and a new Extra Care framework setting out additional support and flexibility for vulnerable customers.
Broader family violence protections: the definition of family violence now covers family and domestic violence, including financial abuse and coercion, and with key protections becoming contractually enforceable insurer obligations.
Mental health: Previously separate guidance addressing mental health becoming contractually enforceable obligations.
Better claims experiences: enhanced expectations for trauma-informed claims handling and strengthened requirements for primary points of contact and cash settlements.
Higher standards for expert reports: new obligations for insurers and External Experts to comply with the Insurance Council’s Expert Report Best Practice Standard.
Clarifications and streamlining: Such as a clarified definition of wholesale insurance and a streamlined Complaints section to reduce confusion for consumers