Document ID: chunk:federal_register_of_legislation:F2018L01496:body:0:p16
Version: federal_register_of_legislation:F2018L01496
Segment Type: other
Provision Reference: 
Character Range: 41427–44281

and Claim Event Date for certain Cover Types are defined as:
(a)          Death Cover, CCI Death, Funeral or Accidental Death: The Claim Event is death and Claim Event Date the date of death.
(b)          Terminal Illness: The Claim Event is the diagnosis of a Terminal Illness and the Claim Event Date the date of diagnosis.
(c)          Trauma, CCI Incapacity or Accidental Injury: The Claim Event is one of the defined trauma, incapacity or accident events. The Claim Event Date is the date on which the event occurred or was diagnosed.
(d)          TPD and DII: The Claim Event is what caused the condition of disability under either TPD or DII. The Claim Event Date is the date on which the medical diagnosis is made that underpins the disabled status of the claimant.
(e)          CCI Redundancy: The Claim Event is the redundancy. The Claim Event Date is the date on which the Life Insured was made redundant while employed at their place of employment.
43.         'Claim Incidence Year' refers to the calendar year in which the Claim Event occurred. The data will be collected in respect of the following Claim Incidence Years:
(a)          Current calendar year;
(b)          Previous calendar year; and
(c)          All earlier calendar years.
44.         'Claim Notified' refers to the initial contact made by the claimant, their authorised representative (including advisor), their superannuation fund trustee, or relevant other party informing the insurer of the claimant's intention to lodge a claim. This could take the form of a physical submission (letter, email, etc.) or a telephone call. The 'Claim Notification Date' is the date on which the claim was first notified.
45.         'Claim Received' refers to the point in time where the first piece of information (not necessarily all information) is received by the insurer to allow it to commence the assessment of a claim. At this stage, the insurer has confirmed there is a policy in force that could potentially cover the indicated Claim Event and has recorded the existence of a claim. The 'Claim Received Date' is the date on which the insurer records a claim being received.[4]
46.         'Claim Re-opened' refers to instances where a claim has previously been Finalised or Withdrawn, but is re-opened by the insurer during the Reporting Period. It is expected that Re-opened claims would predominantly relate to claims that have been Finalised or Withdrawn during previous Reporting Periods. It is, however, possible (and acceptable) that re-opened claims could also relate to claims that have been Finalised or Withdrawn in the same Reporting Period as the claim being re-opened.
    The treatment of re-opened claims distinguishes between claims that have been previously withdrawn versus claims that have been previously finalised:
(a)          Only re-opened claims that