Life Insurance Code of Practice
The Life Insurance Code of Practice is a voluntary industry code that sets higher standards than legal minimums for how life insurers should treat customers, handle claims, and conduct business.
Detailed Explanation
Common Misconceptions
- •The Code is not law - it's voluntary, but subscribers must comply and breaches can be enforced by the Code Governance Committee and considered by AFCA
- •Not all life insurers subscribe to the Code - check whether your insurer is a subscriber (though most major insurers are)
- •The Code doesn't guarantee claim approval - it sets standards for how claims are handled, not the outcome of assessments
Real-World Examples
An insurer took 18 months to assess a TPD claim; the Code Governance Committee found a breach of the 12-month timeframe and required remediation for the delay
A mental health-related income protection claim received specialist assessment as required by the Code, resulting in approval after the insurer's initial standard assessment had denied it
An insurer was found to have breached the Code by using unclear language in a claim denial letter; they were required to rewrite the decision in plain English and review similar letters
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Related Terms
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- ASIC (Australian Securities and Investments Commission)ASIC is Australia's corporate, markets, and financial services regulator that oversees insurance companies, financial advisers, and ensures compliance with consumer protection laws.
- AFCA (Australian Financial Complaints Authority)AFCA is the independent external dispute resolution scheme that resolves complaints between consumers and financial firms, including insurance disputes, providing fair and binding determinations.
- General Insurance Code of PracticeThe 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.