Source: https://www.legislation.gov.au/Details/C2010B00065
Timestamp: 2019-07-23 21:01:32
Document Index: 575773089

Matched Legal Cases: ['art 1', 'art 2', 'art 3', 'art 1', 'art 2', 'art 3', 'art 4', 'art 1', 'art 2', 'art 3', 'art 4', 'art 1', 'art 2', 'art 3', 'art 4', 'art 5', 'art 6', 'art 1', 'art 2', 'arts 3', 'arts 1', 'art 5', 'art 6', 'art 1', 'art 7', 'art 7', 'art 2', 'art 3', 'art 3', 'art 3', 'art 1', 'art 2', 'art 3', 'art 4', 'art 1', 'art 2', 'art 3', 'art 4', 'art 1', 'art 2', 'art 3', 'art 4', 'art 5', 'art 6']

Details: C2010B00065
- C2010B00065
A Bill for an Act to amend the Insurance Contracts Act 1984, and for related purposes
Registered 20 Apr 2010
Introduced HR 17 Mar 2010
Schedule 1—Scope and application 4
Part 1—Duty of utmost good faith 4
Insurance Contracts Act 1984 4
Part 2—Bundled workers’ compensation contracts 7
Insurance Contracts Act 1984 7
Part 3—Bundled contracts generally 8
Insurance Contracts Act 1984 8
Schedule 2—Electronic communication 10
Insurance Contracts Act 1984 10
Schedule 3—Powers of ASIC 12
Insurance Contracts Act 1984 12
Schedule 4—Disclosure and misrepresentations 13
Part 1—Insureds’ duty of disclosure 13
Insurance Contracts Act 1984 13
Part 2—Eligible contracts of insurance 14
Insurance Contracts Act 1984 14
Part 3—Insurers’ duty to inform of duty of disclosure 20
Insurance Contracts Act 1984 20
Part 4—Non‑disclosures by life insureds 23
Insurance Contracts Act 1984 23
Schedule 5—Remedies of insurers: life insurance contracts 25
Part 1—Unbundling of contracts 25
Insurance Contracts Act 1984 25
Part 2—Remedies for non‑disclosure and misrepresentation 27
Insurance Contracts Act 1984 27
Part 3—Remedy for misstatement of date of birth 30
Insurance Contracts Act 1984 30
Part 4—Cancellation of contracts 31
Insurance Contracts Act 1984 31
Schedule 6—Third parties 33
Part 1—Requests by third party beneficiaries to insurers for information 33
Insurance Contracts Act 1984 33
Part 2—Insurers’ defences in actions by third party beneficiaries 35
Insurance Contracts Act 1984 35
Part 3—Rights and obligations of third party beneficiaries under life insurance contracts 38
Insurance Contracts Act 1984 38
Part 4—Rights of third parties to recover against insurers 40
Insurance Contracts Act 1984 40
Part 5—Representative actions by ASIC on behalf of third party beneficiaries 41
Insurance Contracts Act 1984 41
Part 6—Non‑disclosure or misrepresentation by members of group life insurance schemes 42
Insurance Contracts Act 1984 42
Schedule 7—Subrogation 45
Insurance Contracts Act 1984 45
This Act may be cited as the Insurance Contracts Amendment Act 2010.
6. Schedule 5, Part 1
7. Schedule 5, Part 2
8. Schedule 5, Parts 3 and 4
9. Schedule 6, Parts 1 to 4
10. Schedule 6, Part 5
11. Schedule 6, Part 6
12. Schedule 7
Schedule 1—Scope and application
Part 1—Duty of utmost good faith
1 Subsection 11(1) (definition of duty of the utmost good faith)
Omit “section 13”, substitute “subsection 13(1)”.
2 Subsection 11(1)
third party beneficiary, under a contract of insurance, means a person who is not a party to the contract but is specified or referred to in the contract, whether by name or otherwise, as a person to whom the benefit of the insurance cover provided by the contract extends.
3 Section 13
Before “A contract”, insert “(1)”.
4 At the end of section 13
(2) A failure by a party to a contract of insurance to comply with the provision implied in the contract by subsection (1) is a breach of the requirements of this Act.
(3) A reference in this section to a party to a contract of insurance includes a reference to a third party beneficiary under the contract.
(4) This section applies in relation to a third party beneficiary under a contract of insurance only after the contract is entered into.
5 After section 14
14A Powers of ASIC—insurer’s failure to comply with the duty of the utmost good faith in relation to handling or settlement of claims
(1) This section applies if an insurer under a contract of insurance has failed to comply with the duty of the utmost good faith in the handling or settlement of a claim or potential claim under the contract.
(2) Despite any provision of Chapter 7 of the Corporations Act 2001 or any regulation made under that Chapter, ASIC may exercise its powers under Subdivision C of Division 4 of Part 7.6 of that Act or Subdivision A of Division 8 of that Part in relation to the insurer as if the insurer’s failure to comply with the duty of the utmost good faith were a failure by the insurer to comply with a financial services law.
Note: Subdivision C of Division 4 of Part 7.6 of the Corporations Act 2001 deals with variation, suspension and cancellation of an Australian financial services licence, and Subdivision A of Division 8 of that Part deals with banning persons from providing financial services.
financial services law has the meaning given by section 761A of the Corporations Act 2001.
(1) The amendments made by this Part apply to:
(a) a contract of insurance that is originally entered into after the commencement of this item; and
(b) a contract of general insurance that was originally entered into before the commencement of this item and is renewed after that commencement.
(2) If a contract of life insurance that was originally entered into before the commencement of this item is varied after that commencement to:
(a) increase a sum insured under the contract; or
(b) increase the number of life insureds under the contract; or
(c) provide one or more additional kinds of insurance cover;
(d) the contract is treated, to the extent of the variation, as if it had been originally entered into after the commencement of this item; and
(e) the amendments made by this Part apply to the contract to the extent of the variation.
Part 2—Bundled workers’ compensation contracts
7 At the end of subsection 9(1)
; or (f) entered into or proposed to be entered into:
(i) for the purposes of a law (including a law of a State or a Territory) that relates to workers’ compensation; and
(ii) to provide insurance cover in respect of an employer’s liability under a rule of the common law that requires payment of damages to a person for employment‑related personal injury.
The amendment made by this Part applies to:
Part 3—Bundled contracts generally
9 After subsection 9(1)
(1A) If a contract of insurance, or a proposed contract of insurance, includes:
(a) provisions (the first group of provisions) that would, if they comprised a single contract or proposed contract, form a contract referred to in any of paragraphs (1)(a) to (f); and
(b) provisions (the second group of provisions) that would, if they comprised a single contract or proposed contract, form a contract other than a contract referred to in any of paragraphs (1)(a) to (f);
then subsection (1) applies as if the first group of provisions and the second group of provisions were each a separate contract or proposed contract.
(1B) Despite subsection (1A), if a contract of insurance, or a proposed contract of insurance, includes:
(a) provisions (the first group of provisions) for the purposes of a law referred to in subparagraph (1)(f)(i); and
(b) provisions (the second group of provisions) that provide insurance cover of the kind referred to in subparagraph (1)(f)(ii);
then subsection (1) applies as if the first group of provisions and the second group of provisions were together a separate contract or proposed contract.
(1C) If:
(a) a provision of a contract of insurance, or a proposed contract of insurance, affects the operation of a group or groups of provisions included in the contract or proposed contract; and
(b) because of subsection (1A) or (1B), subsection (1) applies as if that group or those groups of provisions were a separate contract or proposed contract;
then the first‑mentioned provision is, for the purposes of subsection (1), to be regarded as a provision included in that separate contract or proposed contract.
(1) The amendment made by this Part applies to:
(e) the amendment made by this Part applies to the contract to the extent of the variation.
Schedule 2—Electronic communication
1 Subsection 62(1)
Omit “or 77”.
2 Section 70
Omit “a notice, a statement”, substitute “a notice or other document”.
3 Subsection 71(1)
Omit “a notice, a statement, any other document or any information”, substitute “a notice or other document or information”.
4 Paragraph 71(2)(b)
5 Subsection 71(2)
Omit “notice, statement, other document”, substitute “notice, other document”.
6 Subsection 71(3)
7 Section 72
72 Content and other requirements for notices etc. to be given in writing
A reference in this Act to the giving of a notice or other document or information to a person, in writing, is a reference to giving the person a notice or other document or information in writing that complies with the requirements (if any) prescribed as to:
(a) the content and legibility of the notice, other document or information; and
(b) the material that may accompany the notice, other document or information.
72A Method for giving written notices or documents
A notice or other document that is required or permitted by this Act to be given to a person in writing may be given:
(a) to a body corporate in any way in which documents may be served on the body corporate; or
(b) to a natural person:
(i) personally; or
(ii) by post to that person at the person’s last‑known address.
Note: A notice or other document may also be given to a person by electronic communication in accordance with the Electronic Transactions Act 1999 and any regulations made under that Act.
8 Section 77
The amendments made by this Schedule apply in relation to a notice or other document or information given to a person under this Act after the commencement of this item.
Schedule 3—Powers of ASIC
1 At the end of Part IA
11F ASIC’s power to intervene in proceedings
(1) ASIC may intervene in any proceeding relating to a matter arising under:
(b) Part 3 of the Medical Indemnity (Prudential Supervision and Product Standards) Act 2003.
(2) If ASIC intervenes in a proceeding under subsection (1):
(a) ASIC is taken to be a party to the proceeding; and
(b) ASIC has all the rights, duties and liabilities of such a party (subject to this Act or Part 3 of the Medical Indemnity (Prudential Supervision and Product Standards) Act 2003, as the case requires).
(3) Without limiting subsection (2), ASIC may appear and be represented in a proceeding in which it intervenes under subsection (1):
(a) by a staff member of ASIC; or
(b) by a natural person or body to whom ASIC has delegated its functions and powers under this Act; or
(c) by a solicitor or by counsel.
The amendment made by this Schedule applies to a proceeding commenced after the commencement of this item.
Schedule 4—Disclosure and misrepresentations
Part 1—Insureds’ duty of disclosure
1 Paragraph 21(1)(b)
(b) a reasonable person in the circumstances could be expected to know to be a matter so relevant, having regard to factors including, but not limited to, the nature and extent of the insurance cover to be provided under the relevant contract of insurance.
Part 2—Eligible contracts of insurance
3 Section 21A
21A Duty of disclosure before original entering into of eligible contract of insurance
(1) This section applies in relation to the original entering into of an eligible contract of insurance.
Note: This section does not apply in relation to the renewal, extension, reinstatement or variation of an eligible contract of insurance. Section 21B applies in relation to the renewal of an eligible contract of insurance.
Position of the insurer
(2) Before the contract is originally entered into, the insurer may request the insured to answer one or more specific questions that are relevant to the decision of the insurer whether to accept the risk and, if so, on what terms.
(3) If the insurer does not make a request in accordance with subsection (2), the insurer is taken to have waived compliance with the duty of disclosure in relation to the contract.
(4) If the insurer:
(a) makes a request in accordance with subsection (2); and
(b) requests the insured to disclose to the insurer any other matter that would be covered by the duty of disclosure in relation to the contract;
then the insurer is taken to have waived compliance with the duty of disclosure in relation to that other matter.
Position of the insured
(a) the insurer makes a request in accordance with subsection (2); and
(b) in answer to each specific question included in the request, the insured discloses each matter that:
(i) is known to the insured; and
(ii) a reasonable person in the circumstances could be expected to have disclosed in answer to that question;
then the insured is taken to have complied with the duty of disclosure in relation to the contract.
(6) In this section and in section 21B:
eligible contract of insurance means a contract of insurance that is specified in the regulations to be an eligible contract of insurance for the purposes of those sections.
21B Duty of disclosure before renewal of eligible contract of insurance
(1) This section applies in relation to the renewal of an eligible contract of insurance.
Note: Eligible contract of insurance is defined in subsection 21A(6).
(2) Before the contract is renewed, the insurer may do either or both of the following things:
(a) request the insured to answer one or more specific questions that are relevant to the decision of the insurer whether to accept the risk and, if so, on what terms;
(b) give the insured a copy of any matter previously disclosed by the insured in relation to the contract and request the insured:
(i) to disclose to the insurer any change to that matter; or
(ii) to inform the insurer that there is no change to that matter.
Note: Change, to a matter previously disclosed by an insured in relation to an eligible contract of insurance, is defined in subsection (12).
(3) If the insurer does not:
(a) make a request in accordance with paragraph (2)(a); or
(b) give the insured a copy of any matter previously disclosed by the insured and make a request in accordance with paragraph (2)(b);
then the insurer is taken to have waived compliance with the duty of disclosure in relation to the renewed contract.
Note: This subsection is affected by subsection (11).
(a) makes a request in accordance with paragraph (2)(a); and
(b) also requests (other than in accordance with paragraph (2)(b)) the insured to disclose to the insurer any other matter that would be covered by the duty of disclosure in relation to the renewed contract;
(5) If the insurer:
(a) gives the insured a copy of any matter previously disclosed by the insured and makes a request in accordance with paragraph (2)(b); and
(b) also requests (other than in accordance with paragraph (2)(a)) the insured to disclose to the insurer any other matter that would be covered by the duty of disclosure in relation to the renewed contract;
(a) the insurer makes a request in accordance with paragraph (2)(a), but does not give the insured a copy of any matter previously disclosed by the insured or make a request in accordance with paragraph (2)(b); and
(b) before the contract is renewed, the insured discloses, in answer to each specific question included in the request, each matter that:
then the insured is taken to have complied with the duty of disclosure in relation to the renewed contract.
(a) the insurer gives the insured a copy of any matter previously disclosed by the insured and makes a request in accordance with paragraph (2)(b), but does not make a request in accordance with paragraph (2)(a); and
(b) before the contract is renewed, the insured:
(i) discloses any change to the matter; or
(ii) if there is no change to the matter—informs the insurer that there is no change to the matter;
(a) the insurer:
(i) makes a request in accordance with paragraph (2)(a); and
(ii) gives the insured a copy of any matter previously disclosed by the insured and makes a request in accordance with paragraph (2)(b); and
(i) discloses each matter referred to in paragraph (6)(b); and
(ii) does either of the things referred to in paragraph (7)(b);
(a) the insurer gives the insured a copy of any matter previously disclosed by the insured and makes a request in accordance with paragraph (2)(b); and
(b) before the contract is renewed, the insured does not disclose any change to the matter;
then the insured is taken to have informed the insurer that there is no change to the matter.
(b) before the contract is renewed, the insured informs the insurer under subsection (7) or (8), or is taken to have informed the insurer under subsection (9), that there is no change to the matter;
then neither subsection 21(3) nor section 27 applies in relation to any failure by the insured to disclose any change to the matter.
Effect of failure to comply with duty of disclosure in relation to original contract of insurance or previous renewal
(11) If the insured failed to comply with the duty of disclosure in relation to the contract as originally entered into or any renewal of that contract, then, despite any other provision of this section:
(a) the insurer is not taken to have waived compliance with the duty of disclosure in relation to the earlier failure; and
(b) the insured is not taken to have complied with the duty of disclosure in relation to the earlier failure.
change, to a matter previously disclosed by an insured in relation to an eligible contract of insurance, means a change to the matter that:
(a) is known to the insured; and
(b) a reasonable person in the circumstances could be expected to disclose in relation to that matter.
renewed contract means an eligible contract of insurance that is entered into by way of renewal.
(1) Section 21A of the Insurance Contracts Act 1984, as substituted by item 3, applies to an eligible contract of insurance that is originally entered into after the commencement of that item.
(2) Section 21B of the Insurance Contracts Act 1984, as inserted by item 3, applies to an eligible contract of insurance that is renewed after the commencement of that item (regardless of when the contract was originally entered into).
5 Saving of regulations
(1) Regulations that were in force under subsection 21A(9) of the Insurance Contracts Act 1984 immediately before the commencement of this item continue to have effect after that commencement as if they had been made under subsection 21A(6) of the Insurance Contracts Act 1984 as substituted by item 3.
(2) Subitem (1) does not prevent the amendment or repeal of regulations covered by that subitem.
Part 3—Insurers’ duty to inform of duty of disclosure
6 Subsection 11(1)
life insured includes a proposed life insured.
7 Paragraph 11(10)(b)
Omit all the words after “except”, substitute:
(i) the variation is involved in a renewal, extension or reinstatement of the contract; or
(ii) the varied contract will provide a kind of insurance cover that was not provided by the contract immediately before the variation; or
(iii) in the case of a contract of life insurance—the variation will increase a sum insured under the contract in respect of the insured; and
8 Section 22
22 Insurer to inform of duty of disclosure
(1) The insurer must, before a contract of insurance is entered into, clearly inform the insured in writing:
(a) of the general nature and effect of the duty of disclosure; and
(b) if section 21A or 21B applies to the contract—of the general nature and effect of that section; and
(c) if the contract is a contract of life insurance—of the effect of section 31A; and
(d) that the duty of disclosure applies until the proposed contract is entered into.
(2) If the proposed contract is a contract of life insurance, the insurer must also, before the contract is entered into, clearly inform any person (other than the insured) who, under the contract, would become a life insured of the matters referred to in subsection (1).
(a) an insurer complies with subsection (1) in relation to a proposed contract of insurance; and
(b) the insurer accepts an offer by the insured to enter into the proposed contract, or makes a counter‑offer to enter into another contract of insurance with the insured; and
(c) the insurer’s acceptance or counter‑offer is made more than 2 months after the insured’s most recent disclosure for the purpose of complying with the duty of disclosure in relation to the proposed contract;
the insurer must give to the insured, with the acceptance or counter‑offer, a reminder notice stating that the duty of disclosure applies until the proposed or other contract is entered into.
(4) If the regulations prescribe a form of writing to be used:
(a) for informing a person of the matters referred to in subsection (1); or
(b) for the reminder notice referred to in subsection (3);
the writing to be used may be in accordance with the prescribed form.
(5) An insurer who has not complied with subsection (1) and (if applicable) subsection (2) may not exercise a right in respect of a failure to comply with the duty of disclosure unless the failure was fraudulent.
(a) an insurer is required to comply with subsection (3) in relation to a contract of insurance; and
(b) the insurer does not do so;
the insurer may not exercise a right in respect of a failure to comply with the duty of disclosure in relation to a new matter relating to the contract, unless the failure was fraudulent.
(7) For the purposes of subsection (6), a new matter relating to a contract of insurance is a matter of which the insured first becomes aware after the insured’s most recent disclosure for the purpose of complying with the duty of disclosure in relation to the contract.
The amendments made by this Part apply to:
(b) a contract of insurance that was originally entered into before the commencement of this item and is renewed, extended, varied or reinstated after that commencement.
Part 4—Non‑disclosures by life insureds
10 After section 31
31A Non‑disclosure by life insured
(1) This section applies in relation to a contract of life insurance under which a person (other than the insured) would become a life insured.
(2) If, during the negotiations for the contract but before it was entered into, the person (the life insured) failed to disclose to the insurer a matter that was known to the life insured, being a matter that:
(a) the life insured knew to be a matter relevant to the decision of the insurer whether to accept the risk and, if so, on what terms; or
(b) a reasonable person in the circumstances could have been expected to know to be a matter so relevant, having regard to factors including, but not limited to, the nature and extent of the insurance cover to be provided under the relevant contract of insurance;
this Act has effect as if the failure to disclose the matter had been a failure by the insured to comply with the duty of disclosure in relation to the matter.
(3) Subsection (2) does not apply in relation to a failure by the life insured to disclose a matter:
(a) that diminishes the risk; or
(b) that is of common knowledge; or
(c) that the insurer knows or in the ordinary course of the insurer’s business as an insurer ought to know; or
(d) as to which compliance with the duty of disclosure is waived by the insurer.
(1) The amendment made by this Part applies to a contract of life insurance that is originally entered into after the commencement of this item.
Schedule 5—Remedies of insurers: life insurance contracts
Part 1—Unbundling of contracts
1 Before section 28
27A Contracts of life insurance that provide 2 or more kinds of insurance cover or insurance cover for 2 or more life insureds
(1) If a contract of life insurance provides 2 or more kinds of insurance cover, this Division applies, in relation to each of those kinds of insurance cover, as if the contract provided only that kind of insurance cover.
(2) If a contract of life insurance provides a kind of insurance cover in relation to 2 or more life insureds, subsection (1) applies to the contract, in relation to each life insured, as if the insurance cover provided by the contract in relation to that life insured constituted a separate kind of insurance cover.
(3) If a contract of life insurance provides:
(a) a kind of insurance cover in relation to a life insured that is underwritten on particular terms; and
(b) insurance cover of that kind in relation to that life insured that:
(i) is not underwritten; or
(ii) is underwritten on different terms;
then the insurance cover referred to in paragraph (a) and the insurance cover referred to in paragraph (b) are each to be regarded as a separate kind of insurance cover for the purposes of subsection (1).
Note: Because of this section, the remedies that may be available to an insurer under this Division in relation to a contract of life insurance will depend on the kind of insurance cover provided by the contract.
The amendment made by this Part applies to a contract of life insurance whether originally entered into before or after the commencement of this item.
Part 2—Remedies for non‑disclosure and misrepresentation
3 Subsection 28(1)
Omit “where the person who became the insured under a contract of general insurance”, substitute “in relation to a contract of general insurance if the person who became the insured under the contract”.
Note 1: The heading to section 28 is replaced by the heading “Contracts of general insurance and certain contracts of life insurance”.
Note 2: The following heading to subsection 28(1) is inserted “Contracts of general insurance”.
4 After subsection 28(1)
Contracts of life insurance (other than contracts with a surrender value or that provide cover on death)
(1A) This section applies in relation to a contract of life insurance (other than a contract of life insurance as defined in subsection 29(1A)) if the person who became the insured under the contract upon the contract being entered into:
(a) failed to comply with the duty of disclosure; or
(b) made a misrepresentation to the insurer before the contract was entered into;
but does not apply if:
(c) the insurer would have entered into the contract, for the same premium and on the same terms and conditions, even if the insured had not failed to comply with the duty of disclosure or had not made the misrepresentation before the contract was entered into; or
(d) the failure or misrepresentation was in respect of the date of birth of one or more of the life insureds.
Note: The following heading to subsection 28(2) is inserted “Remedies”.
5 Before subsection 29(1)
(1A) In this section:
contract of life insurance means:
(a) a contract of life insurance with a surrender value; or
(b) a contract of life insurance that provides insurance cover in respect of the death of a life insured.
Note: If a contract of life insurance provides insurance cover in respect of the death of a life insured, and the contract also provides one or more other kinds of insurance cover, this section applies to the contract only to the extent that it provides insurance cover on death. Section 28 applies to the contract to the extent that it provides the other kind or kinds of insurance cover. This is because of the effect of section 27A.
Note: The heading to section 29 is replaced by the heading “Contracts of life insurance with a surrender value or that provide cover on death”.
6 Subsection 29(1)
Omit “where the person who became the insured under a contract of life insurance”, substitute “in relation to a contract of life insurance if the person who became the insured under the contract”.
7 Subsection 29(1)
Omit “apply where”, substitute “apply if”.
8 Subsection 29(3)
Omit “a contract”, insert “the contract”.
(1) The amendment made by item 3 applies to a contract of general insurance whether originally entered into before or after the commencement of this item.
(2) The amendments made by items 4 to 8 apply to a contract of life insurance that is originally entered into after the commencement of this item.
(3) If a contract of life insurance that was originally entered into before the commencement of this item is varied after that commencement to:
(e) the amendments made by items 4 to 8 apply to the contract to the extent of the variation.
Part 3—Remedy for misstatement of date of birth
10 After subsection 30(3)
(a) the expiration date of a contract of life insurance is calculated by reference to the date of birth of a person who is a life insured under the contract; and
(b) the person’s date of birth was not correctly stated to the insurer at the time when the contract was entered into;
the insurer may (instead of doing any of the things referred to in subsection (2)) vary the contract by changing its expiration date to the date that would have been the expiration date if the contract had been based on the correct date of birth.
11 Subsection 30(4)
After “subsection (2)”, insert “or (3A)”.
(1) The amendments made by this Part apply to a contract of life insurance that is originally entered into after the commencement of this item.
Part 4—Cancellation of contracts
13 After section 59
59A Cancellation of contracts of life insurance
An insurer under a contract of life insurance may cancel the contract if:
(a) a person who is or was at any time the insured failed to comply with the duty of the utmost good faith; or
(b) the person who was the insured at the time when the contract was entered into failed to comply with the duty of disclosure; or
(c) the person who was the insured at the time when the contract was entered into made a misrepresentation to the insurer during the negotiations for the contract but before it was entered into; or
(d) a person who is or was at any time the insured failed to comply with a provision of the contract (other than by failing to pay a premium in respect of the contract); or
Note: A contract of life insurance may be forfeited under section 210 of the Life Insurance Act 1995 because of non‑payment of a premium.
(e) the insured has made a fraudulent claim:
(i) under the contract (the first contract); or
(ii) under another contract of insurance (whether with the insurer concerned or with another insurer) that provides insurance cover during any part of the period during which the first contract provides insurance cover.
14 Section 63
63 Cancellations of contracts of insurance void
(1) Except as provided by this Act, an insurer may not cancel a contract of general insurance.
(2) Except as provided by this Act or section 210 of the Life Insurance Act 1995, an insurer may not cancel a contract of life insurance.
Note: Section 210 of the Life Insurance Act 1995 deals with cancellation of a contract of life insurance because of non‑payment of a premium.
(3) Any purported cancellation of a contract of insurance in contravention of subsection (1) or (2) is of no effect.
(1) Section 59A of the Insurance Contracts Act 1984 (as inserted by item 13) and subsections 63(2) and (3) of that Act (as substituted by item 14) apply to a contract of life insurance that is originally entered into after the commencement of this item.
(2) Subsections 63(1) and (3) of the Insurance Contracts Act 1984 (as substituted by item 14) apply to a contract of general insurance whether originally entered into before or after the commencement of this item.
Schedule 6—Third parties
Part 1—Requests by third party beneficiaries to insurers for information
1 Section 41
41 Contracts of liability insurance—consent of insurer required for settlement etc. of claim
(1) This section applies in relation to a contract of liability insurance if it would constitute a breach of the contract if, without the consent of the insurer, the insured or any third party beneficiary were:
(a) to settle or compromise a claim against the insured or third party beneficiary; or
(b) to make an admission or payment in respect of such a claim.
(2) If the insured or any third party beneficiary (the claimant) under the contract has made a claim under the contract, the claimant may at any time, by notice in writing given to the insurer, require the insurer to inform the claimant in writing:
(a) whether the insurer admits that the contract applies to the claim; and
(b) if the insurer so admits, whether the insurer proposes to conduct, on behalf of the claimant, the negotiations and any legal proceedings in respect of the claim made against the claimant.
(3) If the insurer does not, within a reasonable time after being given a notice under subsection (2), inform the claimant:
(a) that the insurer admits that the contract of liability insurance applies to the claim; and
(b) that the insurer proposes to conduct, on behalf of the claimant, the negotiations and any legal proceedings in respect of the claim made against the claimant;
(c) the insurer may not refuse payment of the claim; and
(d) the amount payable in respect of the claim is not reduced;
by reason only that the claimant breached the contract as mentioned in subsection (1).
(a) a contract of liability insurance that is originally entered into after the commencement of this item; and
(b) a contract of liability insurance that was originally entered into before the commencement of this item and is renewed after that commencement.
Part 2—Insurers’ defences in actions by third party beneficiaries
3 Subsection 48(1)
(1) A third party beneficiary under a contract of general insurance has a right to recover from the insurer, in accordance with the contract, the amount of any loss suffered by the third party beneficiary even though the third party beneficiary is not a party to the contract.
Note: The heading to section 48 is replaced by the heading “Contracts of general insurance—entitlements of third party beneficiaries”.
4 Subsection 48(2)
Omit “a person who has such a right”, substitute “the third party beneficiary”.
5 Paragraph 48(2)(a)
(a) has, in relation to the third party beneficiary’s claim, the same obligations to the insurer as the third party beneficiary would have if the third party beneficiary were the insured; and
6 At the end of subsection 48(3)
Add “, including, but not limited to, defences relating to the conduct of the insured (whether the conduct occurred before or after the contract was entered into)”.
7 Subsection 48AA(1)
(1) This section applies in relation to a contract of life insurance if:
(a) the contract is entered into in connection with an RSA; and
(b) the owner of the policy is an RSA provider.
(1A) A third party beneficiary under the contract has a right to recover a benefit from the insurer in accordance with the contract even though the third party beneficiary is not a party to the contract.
Note: The heading to section 48AA is altered by omitting “another person” and substituting “third party beneficiary”.
8 Subsection 48AA(2)
9 Paragraph 48AA(2)(a)
10 Subsection 48AA(3)
Omit “he or she”, substitute “the insurer”.
11 At the end of subsection 48AA(3)
(1) The amendments made by items 3 to 6 apply to:
(a) a contract of general insurance that is originally entered into after the commencement of this item; and
(2) The amendments made by items 7 to 11 apply to a contract of life insurance that is originally entered into after the commencement of this item.
(e) the amendments made by items 7 to 11 apply to the contract to the extent of the variation.
Part 3—Rights and obligations of third party beneficiaries under life insurance contracts
13 Subsections 48A(1) and (2)
(1) The following paragraphs have effect in relation to a contract of life insurance to the extent that the contract is expressed to be for the benefit of a third party beneficiary (who may be the life insured):
(a) the third party beneficiary has a right to recover from the insurer any money that becomes payable under the contract even though the third party beneficiary is not a party to the contract;
(b) if the third party beneficiary is not the life insured, any money paid to the third party beneficiary under the contract does not form part of the estate of the life insured.
(2) Subject to the contract, the third party beneficiary:
(b) may discharge the insured’s obligations in relation to the payment of any money to the third party beneficiary under the contract.
Note: The heading to section 48A is altered by omitting “another person” and substituting “third party beneficiary”.
Part 4—Rights of third parties to recover against insurers
15 Subsection 51(1)
(a) the insured or any third party beneficiary under a contract of liability insurance is liable in damages to another person; and
(b) the contract provides insurance cover in respect of the liability; and
(c) the insured or third party beneficiary has died or cannot, after reasonable inquiry, be found;
the other person may recover from the insurer an amount equal to the insurer’s liability under the contract in respect of the liability of the insured or third party beneficiary.
Note: The heading to section 51 is replaced by the heading “Claims against insurer in respect of liability of insured or third party beneficiary”.
16 Paragraph 51(2)(b)
(b) the liability of the insured or third party beneficiary, or the legal personal representative of the insured or third party beneficiary, to the other person.
17 Subsection 51(3)
Omit “third party has in respect of the insured’s liability”, substitute “other person has in respect of the liability of the insured or third party beneficiary”.
Part 5—Representative actions by ASIC on behalf of third party beneficiaries
19 Paragraph 55A(1)(b)
After “the insured”, insert “or any third party beneficiary under the contract”.
20 Paragraph 55A(1)(c)
After “the insured”, insert “or third party beneficiary”.
21 Paragraph 55A(1)(d)
After “the insured” (wherever occurring), insert “or third party beneficiary”.
22 Paragraph 55A(2)(b)
After “those insureds”, insert “or any third party beneficiaries under the contract”.
23 Subsection 55A(2)
After “all of those insureds”, insert “or third party beneficiaries”.
24 Subsection 55A(3)
Omit “the insured or each of the insureds”, insert “the insured or third party beneficiary, or each of the insureds or third party beneficiaries,”.
The amendments made by this Part apply to a contract of insurance whether originally entered into before or after the commencement of this item.
Part 6—Non‑disclosure or misrepresentation by members of group life insurance schemes
26 Subsection 4(2)
Omit “blanket superannuation contract”, substitute “superannuation contract (other than an individual superannuation contract)”.
27 Subsection 11(1)
group life contract means a contract of life insurance that is maintained for the purposes of:
(a) a superannuation or retirement scheme under which there can be more than one life insured; or
(b) another group life scheme (including a scheme that is not related to employment) under which there can be more than one life insured.
28 Subsection 11(1) (paragraph (b) of the definition of proposal form)
Omit “or retirement”, substitute “, retirement or other group life”.
29 At the end of paragraph 11(4)(a)
30 Paragraph 11(4)(b)
Omit “only; and”, substitute “only.”.
31 Paragraph 11(4)(c)
32 Paragraph 23(a)
33 Paragraph 26(3)(a)
34 Section 32
32 Non‑disclosure or misrepresentation by life insured covered under group life contract
(1) This Division extends to the case where there was a failure to comply with the duty of disclosure, or a misrepresentation was made to the insurer, in respect of a proposed life insured under a group life contract, as if:
(a) the insurance cover provided by the group life contract in respect of the life insured were provided by an individual contract of life insurance between the insurer and the insured; and
(b) the group life contract had been entered into at the time when the proposed life insured became a life insured under the group life contract.
(2) For the purposes of this Division, if the failure to comply with the duty of disclosure, or the misrepresentation, occurred after the proposed life insured became a member of the relevant superannuation, retirement or other group life scheme but before the insurance cover was provided by the group life contract in respect of the life insured, the failure or misrepresentation is taken to have occurred before the proposed life insured became a life insured under the group life contract.
35 Section 32A
Omit “made, to the insurer”, substitute “made to the insurer,”.
36 Application
(1) The amendments made by items 26, 29, 30, 31 and 35 apply to a contract of life insurance whether originally entered into before or after the commencement of this item.
(2) The amendments made by items 27, 28 and 32 to 34 apply to a contract of life insurance that is originally entered into after the commencement of this item.
(e) the amendments made by items 27, 28 and 32 to 34 apply to the contract to the extent of the variation.
Schedule 7—Subrogation
1 Before section 65
64 Application to third party beneficiaries
In this Part, a reference to an insured includes a reference to a third party beneficiary.
67 Rights with respect to money recovered under subrogation etc.
(a) an insurer is liable under a contract of general insurance in respect of a loss; and
(b) the insurer has a right of subrogation in respect of the loss; and
(c) an amount is recovered (whether by the insurer or the insured) from another person in respect of the loss.
Amount recovered by insurer
(2) If the amount is recovered by the insurer in exercising the insurer’s right of subrogation in respect of the loss:
(a) the insurer is entitled under this paragraph to so much of the amount as does not exceed the sum of:
(i) the amount paid by the insurer to the insured in respect of the loss; and
(ii) the amount paid by the insurer for administrative and legal costs incurred in connection with the recovery; and
(b) if the amount recovered exceeds the amount to which the insurer is entitled under paragraph (a)—the insured is entitled under this paragraph to so much of the excess as does not exceed the insured’s overall loss; and
(c) if the amount recovered exceeds the sum of:
(i) the amount to which the insurer is entitled under paragraph (a); and
(ii) the amount (if any) to which the insured is entitled under paragraph (b);
the insurer is entitled to the excess.
Amount recovered by insured
(3) If the amount is recovered by the insured:
(a) the insured is entitled under this paragraph to so much of the amount as does not exceed the sum of:
(i) the insured’s overall loss; and
(ii) the amount paid by the insured for administrative and legal costs incurred in connection with the recovery; and
(b) if the amount recovered exceeds the amount to which the insured is entitled under paragraph (a)—the insurer is entitled to so much of the excess as does not exceed the amount paid by the insurer to the insured in respect of the loss; and
(i) the amount to which the insured is entitled under paragraph (a); and
(ii) the amount (if any) to which the insurer is entitled under paragraph (b);
the insured is entitled to the excess.
Amount recovered by insurer and insured jointly
(4) Subsections (5), (6) and (7) apply if the amount is recovered by the insurer and the insured jointly.
(5) If the amount recovered is less than the sum of the paragraph (2)(a) amount and the paragraph (3)(a) amount, the insurer and the insured are each entitled to a portion of the amount recovered, calculated on a pro rata basis in proportion to the paragraph (2)(a) amount and the paragraph (3)(a) amount.
(6) If the amount recovered is equal to the sum of the paragraph (2)(a) amount and the paragraph (3)(a) amount:
(a) the insurer is entitled to the paragraph (2)(a) amount; and
(b) the insured is entitled to the paragraph (3)(a) amount.
(7) If the amount recovered exceeds the sum of the paragraph (2)(a) amount and the paragraph (3)(a) amount, then:
(b) the insured is entitled to the paragraph (3)(a) amount; and
(c) in addition to those amounts, the insurer and the insured are each entitled to a portion of the remainder of the amount recovered, calculated on a pro rata basis in proportion to the amounts referred to in subparagraphs (2)(a)(ii) and (3)(a)(ii).
Amount awarded by way of interest
(8) If an amount (the interest amount) by way of interest is awarded in respect of the amount recovered (the principal amount), the following apply:
(a) if the principal amount was recovered by the insurer, the insurer is entitled to the interest amount;
(b) if the principal amount was recovered by the insured, the insured is entitled to the interest amount;
(c) if the principal amount was recovered by the insurer and the insured jointly, the interest amount is to be divided fairly between the insurer and the insured, having regard to:
(i) the amounts to which the insurer and the insured are each entitled under subsection (5), (6) or (7), as the case requires; and
(ii) the periods of time during which the insurer and the insured have lost the use of their money.
Rights of insurer and insured are subject to contract and any agreement
(9) The rights of the insurer and the insured under this section are subject to:
(a) the relevant contract of insurance; and
(b) any agreement made between the insurer and the insured after the loss has occurred.
insured’s overall loss, in relation to a loss incurred by an insured to which this section applies, means the amount of the loss reduced by any amount paid to the insured by the insurer in respect of the loss.
paragraph (2)(a) amount means the sum of the amounts referred to in subparagraphs (2)(a)(i) and (ii).
paragraph (3)(a) amount means the sum of the amounts referred to in subparagraphs (3)(a)(i) and (ii).
The amendments made by this Schedule apply to: