Misrepresentation
Misrepresentation 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.
Detailed Explanation
Common Misconceptions
- •Not all misrepresentations void your policy - only fraudulent or reckless ones do, while innocent misrepresentations may only reduce claims proportionately
- •Misrepresentation requires the information to be material - minor inaccuracies that wouldn't have affected the insurer's decision don't invalidate coverage
- •Correcting a misrepresentation before a claim can protect your coverage - notify your insurer immediately if you realize you provided incorrect information
Real-World Examples
An applicant stated their car was parked in a locked garage when it was actually on the street; when stolen, the insurer found reckless misrepresentation and voided the policy
A policyholder genuinely believed they didn't have high blood pressure when applying for life insurance but later tests showed they did; AFCA found this was an innocent misrepresentation and required proportionate claim payment
A business owner deliberately undervalued their inventory by 50% to reduce premiums; when a fire destroyed the stock, the insurer voided the policy for fraudulent misrepresentation
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Related Terms
Explore related insurance concepts
- Duty to Take Reasonable CareThis 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.
- 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.
- 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.