Duty to Take Reasonable Care
This duty, introduced in 2021, requires consumers to take reasonable care not to make misrepresentations to insurers when applying for insurance or making claims, replacing the previous duty of disclosure.
Detailed Explanation
Common Misconceptions
- •You don't need to volunteer information the insurer doesn't specifically ask about - the insurer must ask clear and relevant questions
- •Forgetting to mention something is not automatically fraud - the test is whether you took reasonable care based on your circumstances
- •The duty to take reasonable care doesn't end when you buy the policy - it also applies when varying coverage or making claims
Real-World Examples
A consumer forgot to mention a previous minor car accident when asked about their driving history; the insurer found this was not taking reasonable care and reduced the claim payment proportionately
An insurer asked 'Do you have any medical conditions?' without specifying what they considered relevant; when a claim was denied for non-disclosure, AFCA found the question was too broad and the consumer had taken reasonable care
A policyholder intentionally omitted information about pre-existing heart disease when asked directly; this fraudulent misrepresentation allowed the insurer to void the life insurance policy entirely
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Related Terms
Explore related insurance concepts
- Duty of DisclosureThe previous consumer obligation requiring policyholders to disclose all relevant matters to insurers, now largely replaced by the duty to take reasonable care for consumer insurance contracts.
- Non-disclosureNon-disclosure occurs when a policyholder fails to inform the insurer of material information during the application process or when updating their policy, potentially affecting coverage.
- MisrepresentationMisrepresentation occurs when a policyholder provides false or misleading information to an insurer, whether intentionally or unintentionally, that could influence the insurer's decision on coverage or terms.
- Policy VoidA void policy is treated as if it never existed, typically occurring when an insurer cancels coverage from inception due to fraudulent misrepresentation, reckless non-disclosure, or material breach of policy terms.