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Westpac Car Insurance. Product Disclosure Statement and policy wording - PDF Free Download
Westpac Car Insurance. Product Disclosure Statement and policy wording
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Joan Daniela Adams
1 Westpac Car Insurance Product Disclosure Statement and policy wording Preparation date: 19 May 2010
2 Westpac Car Insurance is proudly issued by Vero Insurance Limited ABN , AFS Licence No (Vero). Vero is the insurer and issuer of the insurance policy and is the issuer of this PDS. This policy is distributed by Westpac Banking Corporation ABN (the Bank). This policy is not a liability of the Bank or any member of the Westpac Group, and none of these companies guarantee this insurance. PDS Issue 2 Date prepared 19/05/2010 V7799
3 Product Disclosure Statement and Policy Wording PART 1: Important information 3 Purpose of Product Disclosure Statement 3 Welcome to Vero 3 Who is the insurer? 3 How you contact us 4 Updating information 4 Description of cover 4 When and how benefits are paid 5 The amount you pay for this insurance 6 How to make a claim 6 How we deal with repairers 7 Duty of disclosure 9 How we resolve your complaints 10 Cooling off 12 We respect your privacy 12 Code of Practice 16 Financial Claims Scheme 16 PART 2: Your motor vehicle insurance wording 17 General terms and conditions 17 Our contract with you 17 Making a claim 21 Action to take in the event of loss or damage 21 Settling or defending your claim 23 Damaged or stolen property 23 If you prevent our right to recover from someone else 23 When we may refuse a claim 23 Total excess payable in the event of a claim 29 How a claim payment is made 30 Claim payment examples 31 Section 1 Your third party property damage and bodily injury cover 42 Definition of your vehicle in this section 42 What is legal liability 43 Types of legal liability you can claim for 44 If you are legally liable 44 If someone else is legally liable 46 What we will pay 48 Accident caused by an uninsured driver 48 1
4 Optional covers for third party property damage cover 52 Types of loss or damage you can claim for 52 Section 2 If you have selected comprehensive cover 56 Definition of your vehicle in this section 56 Types of loss or damage you can claim for 57 Partial loss or damage 60 Total loss 64 New vehicle replacement if your vehicle is a total loss 66 Replacement of parts 66 Lifetime guarantee for repairs 66 Specified accessories and optional extras 68 No claims bonus (NCB) 70 Protected no claims bonus benefit 71 Lifetime no claims bonus protection 72 Loyalty bonus 72 Additional benefits Towing and storage Emergency repairs Returning your vehicle to you after repair Hire of a vehicle following a theft Hire of a vehicle following a non fault accident Personal items in your vehicle Emergency accommodation and helping you and your passengers get home Unexpired registration Your liability under maritime law Purchasing a replacement vehicle Trailer and caravan cover Finance payout Artwork and signwriting Returning your vehicle if it is stolen Baby seat or capsule Accidental death benefit Taxi fare Replacement keys and recoding locks 84 Optional cover 86 Restricted driver cover 86 Windscreen excess waiver 86 Protected no claims bonus benefit 88 Hire of a vehicle following a penalty claim 88 General conditions for all hire vehicle arrangements 92 Definitions 95 2
5 Part 1: Important information Purpose of Product Disclosure Statement The purpose of this Product Disclosure Statement (PDS) is to help you understand the insurance policy and provide you with sufficient information to enable you to compare and make an informed decision about it. This PDS consists of two parts: 1. Important information This part includes important information about your rights and responsibilities, the General Insurance Code of Practice and how you may contact us if you have a complaint. 2. Your motor vehicle insurance policy wording This part contains the terms, conditions, limits and definitions of your insurance policy. Before you decide to buy this insurance please read both parts of the PDS. Welcome to Vero Vero can trace its origins back to 1833 in Australia. Since then we have successfully protected our customers personal and business assets. Vero aims to provide our customers with certainty and peace of mind, through innovative, specialised and expert insurance offerings. We offer a range of insurance products including home building, home contents, private motor and caravan insurance. Who is the insurer? Vero Insurance Limited ABN , AFS Licence No is the insurer and issuer of the insurance policy and is the issuer of this PDS. 3
6 How you contact us You may contact Vero by calling: the telephone number shown on your schedule; your insurance adviser; or , or alternatively by writing to us at: Vero Insurance Limited GPO Box 1619 Adelaide SA 5001 Updating information The information in this PDS was current at the date of preparation. Vero may update some of the information in the PDS that is not materially adverse from time to time without needing to notify you. You can obtain a copy of any updated information by calling We will give you a free paper copy of any updates if you request them. If it becomes necessary we will issue a supplementary or replacement PDS. Description of cover This motor vehicle insurance policy has two main types of cover, third party property damage and bodily injury cover and comprehensive cover. If you purchase comprehensive cover, you are automatically covered for third party property damage and bodily injury cover. Third party property damage and bodily injury cover This cover protects you against legal liability for: loss or damage to other people s property, and death or bodily injury to other people which is not covered under a compulsory third party insurance policy, and legal costs and expenses, up to $20 million in total. This section also provides up to $5,000 for loss or damage to your vehicle where the other driver is at fault and not insured. 4
7 Optional cover for third party property damage and bodily injury cover Where you choose cover for third party property damage and bodily injury, for an additional premium you can select cover up to the lesser of $8,000 or the market value of the vehicle for loss or damage caused by: theft or attempted theft, fire, or lightning or explosion. This optional cover also includes additional benefits that are set out on page 54 of the policy wording. For example, it includes automatic cover for accessories or optional extras unless shown on the schedule, up to 5% of the market value or $2,000 whichever is less. Where you have selected this optional cover, it will be shown on your schedule. Comprehensive cover This cover protects you for loss or damage to your vehicle if it is destroyed or damaged due to an accident, theft or any other event with a choice of agreed value or market value cover. This summary of the benefits available under this policy is not exhaustive and limitations and conditions will apply. Please refer to Part Two for further details of this insurance cover. When and how benefits are paid The benefits provided under the policy are payable: when an event occurs during the period of insurance causing you to suffer loss or damage or incur legal liability; and your claim is accepted by us. After calculating the amount payable we will either: use it to pay for benefits covered under the policy, such as repair or replacement of your vehicle or towing costs; pay the person to whom you are legally liable; or pay you. 5
8 The amount you pay for this insurance The amount we charge you for this insurance policy is the total amount of the premium that we calculate to cover the risk, plus GST and any relevant government charges (such as stamp duty). These amounts will be shown on the policy schedule. If you change your policy you may be entitled to a partial refund of premium or be required to pay an additional amount. How various factors affect your premium We consider a number of factors in calculating your premium. The key factors that affect your premium are the level of cover selected, the sum insured value of the vehicle and the driver s claims and driving history. For example if you select comprehensive motor insurance cover this will be more expensive than if you select third party property damage and bodily injury cover only. The amount of premium that you will pay will also depend on the information that you give us about your vehicle as well as other factors. For further details of the factors which impact your premium, please refer to our Westpac Car Insurance Premium and Excess Guide available at A copy of the Westpac Car Insurance Premium and Excess Guide can be provided to you on request, at no charge, if you contact Vero on Premium discounts From time to time we may offer premium discounts to particular customers as part of a promotion or to take account of market conditions. The amount and type of discounts offered can change at any time. How to make a claim As soon as possible after an accident or event that causes the loss or damage, you must follow the process on pages 21 to 23 of the policy wording. 6
9 How we deal with repairers If we accept your claim and decide your vehicle can be economically repaired, we will arrange the repairs with a recommended repairer if one is available, or alternatively you can choose your own repairer and arrange repairs with them. Where we are able to provide you with access to one of our recommended repairers, we will offer you a choice of those available in your area. However, we may only be able to nominate one recommended repairer if there are no others available. Where we are unable to provide you with access to one of our recommended repairers, we will require you to choose your own repairer. If we authorise repairs with a recommended repairer or your own repairer we will: authorise the repair of your vehicle to its condition immediately before the event, authorise only the use of manufacturer s approved parts if your vehicle is under warranty, but not when the date of loss is within an extended warranty period or for windscreen replacement, authorise only the use of new genuine parts or genuine parts which are consistent with the age or condition of your vehicle, and guarantee the quality of materials and workmanship in respect of the repairs for the life of the vehicle. For windscreen repairs or replacement, we will replace the damaged windscreen or window glass, with glass which may not be produced by the original manufacturer but which will meet Australian Design Rules. Any repairer we authorise to repair your vehicle may sub-contract some of the repairs to a person of their choice. This will usually occur when the repairer is unable to perform the repairs itself. 7
10 If you choose your own repairer and we do not authorise repairs, we: will pay an amount equal to the reasonable repair costs; and will not provide any guarantee for the quality of materials and workmanship in respect of the repairs. reasonable repair costs means an amount that takes into account: your repairer s quote after having been adjusted or reduced by an experienced motor vehicle assessor we appoint, and a quote we may choose to obtain from one of our recommended repairers. We are not responsible for costs which occur because of delays in delivery of parts. If a part is not available in Australia, we will pay the cost of surface freight from the nearest reasonable source of supply. You are responsible for the cost of any airconditioning modification which is required by law. Important information It is important that you: read all of the PDS before you buy this insurance to make sure that it gives you the protection you need, and are aware of the limits on the cover provided and the amounts we will pay you (including the total excess that applies). 8
11 Duty of disclosure You have a legal duty of disclosure to us whenever you apply for, change or renew an insurance policy. What you must tell us You have a general duty to disclose to us everything that you know, or could reasonably be expected to know, is relevant to our decision whether to insure you, and, if we do, on what terms. However, your duty does not require you to disclose anything: that reduces the risk to be undertaken by us, that is generally well known, that we know or, in the ordinary course of our business, ought to know, or in respect of which we have waived your duty. Your general duty applies to renewals and changes Your general duty applies in full when you renew an insurance policy or change an existing policy including when you extend or reinstate it. Your general duty is limited for new policies When you apply for a new policy your duty of disclosure applies, but you do not need to disclose something to us unless we specifically ask you about it. However, you must be honest in answering any questions we ask you. You have a legal duty to tell us anything you know, and which a reasonable person in your circumstances would include in answering the questions. We will use the answers in deciding whether to insure you and anyone else to be insured under the policy, and on what terms. Who needs to tell us It is important that you understand you are disclosing to us and answering our questions for yourself and anyone else you want to be covered by the policy. If you do not tell us If you do not answer our questions honestly or do not properly disclose to us, we may reduce or refuse to pay a claim or may cancel the policy. If you act fraudulently in answering our questions or not disclosing to us, we may refuse to pay a claim or treat the policy as never having existed. 9
12 How we resolve your complaints Resolving your complaints If you re not satisfied, tell us we want to know so we can help! Our goal is to have you as a loyal and happy customer. We want you to be completely satisfied in all your dealings with us. Vero is committed to: listening to what you tell us, being accurate and honest in telling you about our products and services, communicating with you clearly, and resolving any complaints or concerns you have. This is part of our commitment to the General Insurance Code of Practice. Please contact us if you would like to know more about the Code of Practice. So if you think we have let you down in any way, or our service is not what you expect (even if through one of our agents*), please let us know so we can help. How to tell us when you are not happy (or even if you just want to clarify something) If you have a complaint about our products or services please tell the staff member or agent you are dealing with. If your complaint is not resolved to your satisfaction or you do not wish to contact that person, you can Phone us on: (FREE CALL) Fax us on: Write to us at: Reply Paid 1453 Customer Relations Unit RE058 GPO Box 1453 Brisbane 4001 or us on: If you choose to write us a letter please ensure that you provide as much detail as possible including the reference, policy or claim number, as well as any extra information you feel we may not already have. * Agents can be authorised representatives, distributors, assessors or loss adjusters and investigators (and repairers or builders when we appoint them to provide their professional opinion to us). 10
13 What we will do When you first let us know about your complaint or concern: It will be handled by the person who has authority to deal with it, and; this person will review your complaint, consider the facts and contact you to resolve your complaint as soon as possible, usually within 24 hours. If the matter cannot then be resolved to your satisfaction, it will be referred to the relevant Manager, who will contact you within 5 working days. If you are still not satisfied with the outcome, it will be referred to our Customer Relations Team. We will send you our final decision in writing within 15 working days from the date you first made your complaint. If more information is required or our assessment or investigation of your complaint ill take longer than 15 days to complete, we will agree a reasonable alternative timeframe with you and contact you every 10 days with details of progress. Rest assured We are committed to answering any questions or resolving any concerns you might have. We expect our procedures will deal fairly and promptly with your complaint. However, if you remain dissatisfied you also have external dispute resolution options. You can raise certain complaints directly with the Financial Ombudsman Service Limited ( FOS ). This is an independent body and its service is free to our customers. You must contact them within 2 years of receiving our final decision. We agree to accept the FOS decision. You have the right to take legal action if you don t accept their decision. You can contact FOS by: phoning: for the cost of a local call writing to: GPO Box 3, Melbourne Victoria 3001 faxing: (03) visiting: 11
14 The FOS is available to customers and third parties that fall within the Terms of Reference of the FOS. Where the FOS Terms of Reference do not extend to your dispute, we will give you information about other external dispute resolution options that may be available to you. Cooling off You have the right to cancel and return the insurance policy within 30 days of the date it was issued to you ( cooling off period ), unless you make a claim under the policy within the cooling off period. If you cancel it in this time, we will return the amount you have paid. To cancel at other times, please see Cancelling your Policy on pages 19 and 20 in your policy. We respect your privacy Vero is a member of the Suncorp Group. The Privacy Act 1988 (Cth) requires us to inform you that: Purpose of collection Personal information is information about an identifiable individual and includes facts or an opinion about you which identifies you or by which your identity can be reasonably determined. The collection of your personal information is essential to enable us to conduct our business of offering and providing you with our range of financial products and services. We collect personal information for the purposes of: identifying you when you do business with us; establishing your requirements and providing the appropriate product or service; setting up, administering and managing our products and services; assessing and investigating, and if accepted managing a claim made by you under one or more of our products; improving our financial products and services, including training and developing our staff and representatives. We may be required by Anti-Money Laundering/Counter Terrorism Financing legislation to collect your personal information. 12
15 Consequences if personal information is not provided If we request personal information about you and you do not provide it, we may not be able to provide you with the financial product or service that you request, provide insurance cover, manage or pay any claim under an insurance policy, manage your product or provide any benefits, or provide you with the full range of services we offer. Disclosure We use and disclose your personal information for the purposes we collected it. We may also use and disclose your personal information for a secondary purpose related to the purpose for which we collected it, where you would reasonably expect us to use or disclose your personal information for that secondary purpose. In the case of sensitive information, any secondary purpose, use or disclosure will be directly related to the purpose of collection. When necessary and in connection with purposes listed above, we may disclose your personal information to and/or collect your personal information from: other companies within the same Group; where required or authorised under our relationship with our joint venture companies; information technology providers, including hardware and software vendors and consultants such as programmers; customer research organisations; intermediaries including a representative acting on your behalf, other Australian Financial Services Licensee or our authorised representatives and our agents; where you are an insured person and not the policy holder, we will disclose to the policy holder; government, law enforcement or statutory bodies; the Financial Ombudsman Service; other insurers, financial institutions, insurance and claims reference agencies, credit agencies, loss assessors, financial or investigative service providers; 13
16 legal and other professional advisers; hospitals, medical and health professionals; research and development service providers; printers and mail service and delivery providers for the mailing of statements, insurance policy documents and marketing material; and imaging and document management services. Disclosure overseas There are also instances where we may have to send your personal information overseas or collect personal information from overseas. These instances include: sending your personal information to companies in the same Group; when you have asked us to do so; when we are authorised or required by law to do so; when we have outsourced a business activity or function to an overseas service provider with whom we have a contractual arrangement; or certain electronic transactions when it is necessary in order to facilitate a transaction on your behalf. We will only send your personal information overseas or collect personal information about you from overseas for the purposes in this statement and in compliance with the privacy regime. Access You can request access to the personal information we hold about you by contacting us. In some circumstances, we are able to deny your request for access to personal information. If we deny your request for access, we will tell you why. If accessing your personal information will take an extended period of time, we will inform you of the likely delay. For more detailed requests for access to personal information, for example, access to information held in archives, a fee may be charged to cover the associated cost of retrieval and supplying this information. 14
17 Marketing We would like to use and disclose your personal information to keep you up to date with the range of products and services available from us and other companies within the same Group. Generally, our companies in the Group will use and disclose your personal information for the Group s marketing purposes. If you do not want us to use and disclose your personal information for the purpose of marketing products and services to you, you should contact and tell us. Contact Please contact us to: change your mind at any time about receiving marketing material; request access to the personal information we hold about you; or obtain more information about our privacy practices by asking for a copy of our Privacy Policy; You can contact us by sending a letter to The Privacy Officer GPO Box 3999 Sydney NSW 2001 Our Privacy Policy can also be found on our website at policy.aspx 15
18 Code of Practice We have adopted the General Insurance Code of Practice which has been developed by the Insurance Council of Australia. The Code is designed to promote good relations and good insurance practice between insurers, authorised representatives, distributors and consumers. The Code sets out what we must do when dealing with you. Please phone us if you want more information about the Code. Financial Claims Scheme This policy may be a protected policy for the purposes of the Federal Government s Financial Claims Scheme (FCS). For more information about the FCS, you can read our Westpac Car Insurance Premium and Excess Guide. See page 6 for how to access the Guide. 16
19 Part 2: Your motor vehicle insurance policy wording General terms and conditions This policy has headings, which are not part of the policy itself. Their only purpose is to give the reader a general guide about the content of the text. Words with special meanings In your policy: you or your means the people, company or business named as the insured on your schedule. We will treat a statement or claim, or an act or omission, by any one of those persons as a statement or claim, or an act or omission, by all those persons. Where we talk about paying you, you includes any person we pay to fix the loss or damage (for example, a car repairer). we or our or us means Vero Insurance Limited ABN Some words used in the policy have special defined meanings, these words are in bold each time they are used. The definitions of these words can be found in the Definitions section on pages 95 to 97. We also explain the meaning of some words in the policy itself. Our contract with you The contract In the contract between you and us: we will agree to provide you with the insurance you select and which is shown on your schedule, and in return, you agree to pay us: your premium, GST, and any other relevant government charges. These amounts add up to the amount payable, which is shown on your schedule. 17
20 You must pay this total amount: when you first take out your policy, and each year when you accept any offer we may make to renew your policy with us. This is because a renewal is a new contract with us. Your insurance only starts when you pay this total amount, unless we agree you can pay by instalments. If you have not paid, you are not insured. Terms and conditions of the contract All the terms and conditions of the insurance contract are set out in: this policy, including any section you select from it, and the schedule. These terms and conditions apply if you have to make a claim so it is important that you: read this policy and your schedule carefully, and check that your details on your schedule are correct and up to date, and keep the policy and schedule together in a safe place. Change of terms and conditions In some circumstances the terms and conditions of this policy may be amended by endorsement. If your policy is endorsed you will receive notification of the endorsement. Paying by instalments If we agree that you can pay us the total amount in a number of payments instead of all at once, this is called paying by instalments. If you are a month (or more) late in paying an instalment, we may cancel your policy (see page 20). We will not pay a claim if at the date of the event you are claiming for, you are a month (or more) late in paying an instalment. Your choice You may take out this type of insurance with any insurer of your choice. 18
21 Information you need to tell us We will not cover a change in the risk unless you inform us of it and we have agreed to cover it under the policy. You must tell us as soon as possible: details of any conversion or modification to your vehicle made by someone other than the manufacturer, if there is any change to the list of people who are likely to drive your vehicle, and if there is any change in the use of your vehicle. We may refuse a claim and/or cancel this policy if you do not advise us of the above information as soon as possible. In some circumstances, we may also refuse cover, adjust your premium or cancel your policy when you provide us with this information. You must tell us no later than at renewal: if you or any person who is likely to drive your vehicle has been charged with or convicted of any motor offence or motor infringement (but not parking fines), or had their licence suspended, cancelled or reduced to a lesser grade, details of any motor accidents that you or any person likely to drive your vehicle has had whether or not involving your vehicle, and if you or any person who is likely to drive your vehicle has been charged with, convicted or has any charge pending for a criminal offence. We may refuse a claim and/or cancel the renewed policy if we are not advised of the above information by the renewal date. We may also refuse to offer renewal when you provide this information. Cancelling your policy How you may cancel You may cancel a policy at any time by telling us that you want to cancel it. We subtract from any premium you have paid us, an amount to cover the period that we have already insured you for. We then return the rest of the premium, along with GST and any relevant government charges. 19
22 How we may cancel We may only cancel a policy when the law says we can. When we cancel your policy we will tell you so in writing. This notice of cancellation will be given to you in person or sent to your last known address. We will subtract from any premium you have paid us, an amount to cover the period that we have already insured you for. We then return the rest of the premium, along with GST and any relevant government charges where this is allowed. If you pay by instalments We may cancel your policy, by telling you in writing: after 3 business days, if you do not pay an instalment on the agreed date, or straight away, if you are a month (or more) late in paying an instalment. If we cancel your policy, we will require you to pay us the amount owing up to the date of cancellation. You do not have to pay us any further instalment due after the date of cancellation. Goods and Services Tax (GST) This section of the policy deals with: how GST is part of what you have to pay us for the policy, your obligation to tell us about any input tax credit entitlement you may have for that GST, and how GST affects what we pay you for any claims you make and any limits on what we pay. As part of the total amount payable for this insurance policy, we will include an amount on account of GST. Each time you make a claim under this policy, you must tell us if you are entitled to claim an input tax credit for the GST amount charged on your policy and, if you are, the proportion of the GST that you can claim as an input tax credit. If you are entitled to claim an input tax credit for the GST included in the amount payable: If you do not tell us that you are entitled to an input tax credit, or you give us incorrect information about the proportion of the GST you claim as an input tax credit, then you may have a GST liability for claim 20
23 payments we make. Any such GST liability you have remaining when we make a cash settlement (whether it is made to you or to a third party to whom you are liable) will be your responsibility, even if you tell us your correct input tax credit entitlement after the payment has been made. If you use your vehicle for business use and we settle your claim by making a cash payment to you, then we will reduce the amount we pay you by the amount of any input tax credit to which you would be entitled if you were to purchase replacement goods or services. If the sum insured or the policy limit is not sufficient to cover your loss, we will pay the GST (less any relevant input credit tax) that relates to our proportion of your loss, less any excess. We will pay that GST in addition to your sum insured or policy limit. If your vehicle is a total loss and you have chosen the agreed value option, we will not deduct any input tax credit entitlement from the amount of the agreed value shown on the schedule. If you are NOT entitled to claim an input tax credit for the GST included in the amount payable: If the sum insured or the policy limit is not sufficient to cover your loss, we will pay the GST that relates to our proportion of your loss, less any excess. We will pay that GST in addition to your sum insured or policy limit. Please remember, we will apply these terms and conditions in addition to any other terms and conditions in the policy. Making a claim Action to take in the event of loss or damage What you must do if there is an event that could lead to a claim: Contact us as soon as possible (refer to your schedule for the phone number) we re available 24 hours a day. Our staff will advise you whether you need to bring your vehicle to one of our Assessing Centres or take it to a repairer. We can help with other arrangements necessary to get you back on the road as quickly as possible. Do everything reasonable to limit and prevent further loss or damage. 21
24 If someone has stolen, attempted to steal or maliciously damaged your vehicle, call the Police immediately. If we ask, you must provide to us the name of the Police Officer and police station where you made the report. If your vehicle is involved in an accident, you should obtain the full names, addresses and phone numbers of all drivers and passengers involved and any witnesses to the accident. You will also need to obtain the vehicle registration numbers and insurance details of all vehicles involved. If damage is caused to buildings and other property please provide details of the address and owners names. Give us any information and other assistance we reasonably need to handle the claim. If you get demands, a notice of prosecution, details of an inquest or similar communications from other parties involved in the accident, you must tell us immediately. If you delay in telling us, we may not cover any legal or other costs that result from that delay. Tell us your entitlement to Input Tax Credits (ITCs) for your insurance premium if you are registered or should be registered for goods and services tax (GST) purposes. If information you give us is incorrect, we will not cover you for any resulting fines, penalties or tax charges. What you must not do Admit to anyone else involved in the accident that it was your fault. Unless we have agreed, negotiate or promise anyone a payment, authorise any repairs (except emergency repairs to your vehicle (see pages 74 and 75 for details) or dispose of any damaged property. Accept any payment (including excess payments) from anyone unless we agree first. What you must agree to if you claim You must provide proof of ownership of any lost or damaged property. Proof could include your vehicle log book, receipts, valuations or warranties. You must let us inspect and, if necessary, move your vehicle before repairs begin. 22
25 If we decide to defend you, settle any claim against you, represent you or try to recover money from the person who caused the loss or damage, you must give us all the assistance we need, including assistance after your claim has been paid. Give us any information and help we need to handle the claim. This can include agreeing to be interviewed and providing relevant documents we ask for. Settling or defending your claim If we agree you have a claim, only we have the right to: make or accept any offer or payment, or in any other way admit you are liable, settle, or attempt to settle any claim, or defend any claim. You must co-operate with us in defending or settling your claim. You must tell us about and send us a copy of any notice, letter, claim, writ or summons as soon as possible after you receive it. Damaged or stolen property You must keep any: damaged property, or stolen property that you recover, and let us inspect it if we need to. Please remember that we take over your legal right to recover the insured property. If you prevent our right to recover from someone else If you have agreed not to seek compensation from a person who is liable to compensate you for any loss, damage or liability (which is covered by this policy), we will not provide you with cover under this policy for that loss, damage or liability. When we may refuse a claim We may refuse a claim for any of the following reasons. We have divided these reasons into separate parts. The parts below show those exclusions that relate to: Part 1 your actions or your failure to act. Part 2 the actions of the driver or person using or in charge of the vehicle. 23
26 Part 3 the vehicle at the time of the loss or damage. Part 4 the loss or damage. Part 5 legal liability only. Part 1 Your actions or your failure to act We may refuse to pay a claim or limit the amount payable under this policy if: there has been a change in the risk, unless you inform us of it and we have agreed to cover it under this policy. you do not comply with your duty of disclosure (refer to the Duty of Disclosure on page 9). when applying for this insurance or when making a claim you: are not truthful, have not given us full and complete details, or have not told us something when you should have. you do not at all times: protect your vehicle against any initial or further loss or damage, keep your vehicle in good condition, and obey any laws or regulations that safeguard people or their property. you do not give us the documents and information we may need to assist with our decision in relation to a claim. you do any of the following without us agreeing to it first: make or accept any offer or payment, or in any other way admit you are liable, settle, or attempt to settle any claim, or defend any claim. you do not as soon as possible make a report to the Police about: any accident involving your vehicle (if the law requires you to report the accident), any malicious damage to your vehicle, or any theft or attempted theft of your vehicle. 24
27 Part 2 The actions of the driver or person using or in charge of the vehicle We may refuse to pay a claim under this policy if: your vehicle is being driven or used by any person who: is under the influence of alcohol or of any drug, or has a blood alcohol level in excess of the legal limit prescribed by the law applying in the State or Territory where the accident or event occurs, or refuses to allow Police to conduct a breath or blood test for the purpose of determining the blood alcohol content, or refuses to allow Police to conduct a random drug test, or refuses to accompany Police and undergo a drug test, to determine whether a driver has recently consumed illicit drugs. This exclusion will not apply: to the extent that there are any relevant laws which make it unenforceable, if you prove that you did not consent to your vehicle being driven or used by the person, or if you prove that you had no reason to suspect that the person driving or using your vehicle with your consent was affected by alcohol or drugs. your vehicle is being driven or used by any person: who is not the holder of a current driver s licence that allows the person to drive a vehicle for the purpose for which it is being used, or who does not comply with all conditions imposed on their licence. This exclusion will not apply if you prove that: you did not consent to your vehicle being driven or used by the person, or you had no reason to suspect that the person driving or using your vehicle with your consent was unlicensed or was not complying with any conditions imposed on their licence. 25
28 the restricted driver option is shown on your schedule and your vehicle is being driven or used by any person under 30 years of age other than when your vehicle is being: repaired, serviced, tested or parked by a parking attendant, or used to transport a person in the event of a medical emergency. A medical emergency is a physical injury or condition, or an illness, that places a person s life at risk. This exclusion will not apply if you prove that: you did not consent to your vehicle being driven by a person aged under 30 years old. your vehicle is being driven by a driver under the age of 25 at the time of the loss or damage, and your vehicle is: turbo charged, over 6 cylinders, or supercharged unless we agree to cover them. Other than when your vehicle is being: repaired, serviced, tested or parked by a parking attendant, or used to transport a person in the event of a medical emergency. A medical emergency is a physical injury or condition, or an illness, that places a person s life at risk. This exclusion will not apply if you prove that: you did not consent to your vehicle being driven by a person aged under 25 years old. your vehicle is being driven or used in connection with a business or occupation and the use shown on the schedule (either private use or business use), does not allow your vehicle to be driven or used in that manner. your vehicle is being driven or used in racing, pacemaking, a reliability trial, a speed or hillclimbing test or while being tested in preparation for any of these, except where your vehicle is being used in a registered charity rally and we have agreed to cover it. your vehicle is being used for an unlawful purpose by you or by someone with your permission. 26
29 your vehicle is being used to carry flammable substances, chemicals or explosives, unless they are substances you are legally allowed to carry. your vehicle is being used for the carrying of passengers for hire, fare or reward. your vehicle is being used to conduct an illegal activity such as, but not limited to, a ram raid or carrying drugs or stolen goods. This exclusion will not apply if you prove that: you did not consent to your vehicle being driven or used by the person. Part 3 The vehicle at the time of the loss or damage We may refuse to pay a claim under this policy if: your vehicle is carrying or towing a load which is heavier than the law allows or the manufacturer specifies. your vehicle is being driven or used while in an unroadworthy or unsafe condition. This exclusion will not apply if you prove that: you could not reasonably have detected the unsafe or unroadworthy condition, or the loss, damage or legal liability was not caused or contributed to by the unsafe or unroadworthy condition. your vehicle has been converted or modified by someone other than the manufacturer and these conversion or modification details are not shown on your schedule. Part 4 Loss or damage We do not insure you for: any loss, damage or legal liability incurred outside Australia, any loss, damage or legal liability intentionally caused by you or a person acting with your consent, any loss, damage, legal liability, cost or expense of whatsoever nature directly or indirectly caused by, resulting from or in connection with any act of terrorism regardless of any other cause or event contributing concurrently or in any other sequence to the legal liability, loss, damage, cost or expense, or 27
30 any legal liability, loss, damage, cost or expense of whatsoever nature directly or indirectly caused by, resulting from or in connection with any action taken in controlling, preventing, suppressing or in any way relating to any act of terrorism. This policy does not cover: any non-financial loss including but without limitation, any losses arising from physical inconvenience, time taken to resolve a claim or settlement, interference with expectations of enjoyment or peace of mind, injury to feelings or humiliation and pain and suffering; and any consequential financial losses, including but without limitation, any losses arising from: loss of profits, revenue or production; loss of denial or opportunity; loss of access to markets loss of goodwill; loss of business reputation, future reputation or publicity, damage to credit rating; and loss of use and indirect, remote, abnormal or unforeseeable loss. We also do not insure you under this policy for loss or damage caused by, or legal liability arising from: any person or organisation who lawfully destroys or takes possession of your vehicle, or any war, whether it has been formally declared or not, any hostilities, rebellion or revolution, or radio-activity or the use, existence or escape of any nuclear fuel, nuclear material or nuclear waste. Part 5 Legal liability only We may refuse to pay a claim under this policy for legal liability that arises because you: are only liable under a contract you have entered into, or have accepted liability without us agreeing to it first. 28
31 Total excess payable in the event of a claim An excess is an amount that is payable by you when you make a claim under your insurance policy. Your policy schedule will show you the actual amount(s) that apply to your policy for all drivers. There are 5 types of excess that may apply to your claim: 1. Basic excess We apply a basic excess to every claim unless: your schedule shows your basic excess as nil, or we agree you do not have to pay this excess. Claims where only a basic excess applies No age excess, undisclosed driver excess or inexperienced driver excess will apply if the claim is for: loss or damage caused by theft, attempted theft, malicious damage, damaged whilst parked, or damage caused by hail, flood, storm, and other natural disasters. In the case of a windscreen or window glass replacement claim the basic excess will apply to your claim unless: the repairer can repair the damaged windscreen or glass instead of replacing it, or the windscreen excess waiver benefit is shown on your schedule. 2. Inexperienced driver excess (drivers 25 years or over only) In addition to the basic excess, an inexperienced driver excess may also apply. We apply this excess if the person driving the vehicle at the time of the loss or damage is 25 years of age or over and has been licensed to drive for less than 2 years. 3. Age excess (drivers under 25 years only) Where the person driving at the time of the loss or damage is under the age of 25 years of age, an age excess will apply in addition to the basic excess. 29
32 4. Undisclosed driver excess (drivers under 25 years only) An undisclosed driver excess applies if the driver at the time of the event giving rise to the claim is under 25 and details of the driver are not shown on the schedule. The undisclosed driver excess will apply in addition to the age excess and basic excess. Important Note: It is important that all known drivers are disclosed to us. We may refuse a claim and/or cancel this policy if you do not advise us straight away of any additional drivers. 5. Underwriting excess An additional excess may be imposed based on a driver s history or the overall claims experience this will be shown on the schedule and payable in addition to all other applicable excesses. If an accident is not your fault If we consider that an accident you are claiming for is not your fault, you will not have to pay any excess at all on your claim. For more information, please read If an accident is not your fault on page 70. For more information about the excesses, you can read our Westpac Car Insurance Premium and Excess Guide. See page 6 for how to access the Guide. How a claim payment is made When we pay a claim we consider a number of aspects in calculating the amount payable. These can include: amount of loss or damage or liability, excess, sum insured, policy limit, and the terms and conditions of the policy. 30
33 Claim payment examples The following examples are designed to illustrate how a claim payment might typically be calculated. Assume that the insured is not registered for GST purposes. The examples do not cover all scenarios or all benefits and do not form a part of the policy terms and conditions. They are a guide only. Example 1 Total loss Your vehicle is comprehensively insured for an agreed value of $35,000. The basic excess shown on your schedule is $500. The vehicle is damaged in an accident that is the fault of the driver of your vehicle and we assess the cost of repairs to be $31,000. The salvage value of the vehicle is $8,000. We decide that the vehicle is a total loss. How much we pay Further information Agreed value $35,000 We determine your vehicle is a total loss if it would cost more to repair than the value of your vehicle, less the salvage value of the vehicle. Less excess -$500 Only a basic excess applies in this example. We deduct this from the amount we pay to you. Less outstanding premium -$220 If you paid your insurance by pay by the month instalments, we will deduct the remaining instalments for the period of insurance. In this example, there are four $55 per month instalments remaining when the total loss occurs. Claim so far $34,280 We would normally pay this directly to you in a total loss situation. If instead of owning your vehicle outright, your vehicle was purchased under a finance lease and the amount owing was $37,500 (excluding any payments in arrears and resulting interest). 31
34 How much we pay Finance payout Further information +$1,250 Under the finance payout additional benefit we will pay 50% of the difference between the amount owing under the finance arrangement and the agreed value (50% of ($37,500 - $35,000) = $1,250) Total claim $35,530 We would normally pay the claim directly to your financier and not to you in circumstances of a finance payout. You pay your financier any amounts left owing. Your vehicle becomes our property and we are entitled to keep the proceeds of its sale ($8,000) after we have paid you for the total loss. This does not affect the calculations above. If the vehicle in example 1 was less than 2 years old at the time of the accident and not under finance, instead of paying the claim we can replace the vehicle with a new vehicle including similar accessories and parts plus on road costs e.g. registration, compulsory third party, pre-delivery. You must pay the excess to the dealership who has provided the replacement vehicle or us. 32
35 Example 2 Partial loss or damage Your vehicle is comprehensively insured for an agreed value of $48,000. The basic excess shown on your schedule is $500. The vehicle is stolen and recovered 5 days later. It has been damaged and we assess the cost of repairs to be $10,500 and estimate it will take 14 days to repair the vehicle. How much we pay Further information Damage to vehicle $10,500 We normally decide a vehicle is repairable if the cost of repairs is significantly less than the agreed value. Less excess -$500 Only a basic excess applies in this example. We normally require you to pay this amount directly to the repairer. Claim so far $10,000 We normally pay this amount directly to the repairer. If personal items to the value of $850 are also stolen with the vehicle: How much we pay Plus personal items Further information +$750 Cover for personal items are limited to $750 per event with up to $500 for any one item. This extra limit is in excess of the $48,000 agreed value. Claim so far $10,750 We normally pay the $750 for personal items to you. 33
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