Australia Life Insurance Code of Practice (CALI Life Code)
Section 6: customers experiencing vulnerability or financial hardship – Australia Life Insurance Code of Practice (CALI Life Code)

Australia Life Insurance Code of Practice (CALI Life Code) 6.18-6.23: Financial hardship: contact with flexible options, explain the effects, warn before options end, ask for proportionate evidence

What does 6.18-6.23 require?

When a customer discloses, or the insurer identifies, difficulty paying premiums due to hardship, the insurer contacts them about flexible support options, which may include reducing benefits or sums insured to cut the premium, prioritising a claim for a covered condition under the urgent-help clauses, or suspending premium collection briefly with the warning that events during suspension may not be claimable. Taking up an option triggers an explanation of its effect, including any reduction in cover and its duration, and the customer is contacted before the option ends. Options are reviewed periodically against community changes and government measures. Help is decided on reasonable evidence only, such as government benefit statements, bank statements or proof that employment ended. Group policies are excluded.

Maintained by Gerard Blokdyk

Other controls in Section 6: customers experiencing vulnerability or financial hardship – Australia Life Insurance Code of Practice (CALI Life Code)

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The graph holds this control, the 0 it maps to, and the evidence behind each claim, over MCP and REST.