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General Insurance Code of Practice

The General Insurance Code of Practice is a voluntary industry code that sets service standards for insurers offering home, motor, travel, and other general insurance products, focusing on customer service and claims handling.

Detailed Explanation

The General Insurance Code of Practice is a self-regulatory code developed by the Insurance Council of Australia that member insurers voluntarily commit to follow. The Code, last updated in 2020, establishes standards exceeding legal requirements across multiple areas: clear and transparent communication; fair and timely claims handling with specific timeframes; support for vulnerable customers including those experiencing family violence, financial hardship, or mental health issues; catastrophe response standards; and accessibility for customers with disabilities or language barriers. Key provisions include: acknowledging claims within 10 business days; keeping customers informed throughout the claims process; completing claims assessment within 10 business days of receiving all information for straightforward claims; providing reasons for claim denials in writing; and ensuring contact center staff have appropriate training. The Code also covers broker conduct, product design, renewal practices, and dispute resolution. The Code Governance Committee independently monitors compliance, investigates breaches, and can require remediation, issue public sanctions, or refer serious breaches to regulators. Consumers can cite Code provisions when making complaints, and AFCA considers Code obligations when assessing disputes.

Common Misconceptions

  • The Code is not legally binding in the same way as legislation, but subscribers must comply and breaches can result in enforcement action and regulatory consequences
  • Not all general insurers subscribe to the Code - check whether your insurer is a subscriber on the Code Governance Committee website
  • The Code sets service standards, not coverage standards - it doesn't determine whether a claim should be paid, but how the process should be handled

Real-World Examples

  • After a major storm, an insurer was found to have breached Code timeframes by not assessing claims within required periods; the Code Governance Committee required them to hire additional assessors and compensate affected customers

  • A customer experiencing family violence was able to update their home insurance address without providing police reports, consistent with Code requirements for supporting vulnerable customers

  • An insurer breached the Code by sending claim denial letters that didn't clearly explain the reasons; they were required to rewrite their template letters in plain English

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