Part 9 of the Code commits insurers to take extra care with customers experiencing
vulnerability. In addition to identifying factors that might indicate vulnerability, the Code commits insurers to having internal policies and training around vulnerability and a publicly facing policy relating to family violence. The Code also makes commitments regarding the use of nterpreters.
In addition to the Code commitments, the ICA has published guidance on helping customers affected by family violence and mental health issues.
The Review Panel is interested in views about the effectiveness of the current commitments and guidance relating to vulnerability. The Review’s Terms of Reference specifically include whether the arrangements continue to meet community standards in light of new and emerging best practice approaches around extra care for customers experiencing vulnerability and the National Plan to End Violence Against Women and Children 2023-32.
For example, the International Standards Organisation (ISO) has recently published a new standard Customer Vulnerability: Requirements and guidelines for the design and delivery of inclusive service. This standard recognises that vulnerability is a human experience that many people will go through at some point in their lives. When a person experiences vulnerability it can create barriers that inhibit their capacity to engage with markets which can lead to a multitude of further negative impacts including accessibility challenges. A key focus of the standard is to promote inclusive design as a tool that organisations can use to plan for vulnerability and ensure their services reduce barriers and problems, rather than create them.
While Standards Australia is still considering whether to adopt this standard, potentially with some amendments to suit local conditions, the Review Panel is interested in stakeholder views about this conception of vulnerability in an insurance context. The Review Panel notes the recommendation from the Deloitte review, The new benchmark for catastrophe preparedness in Australia, that insurers should review the effectiveness of the definition, identification and support for vulnerable customers during catastrophes. Deloitte noted that, after a large-scale catastrophe, most customers will be, in some way, vulnerable. However, there has been inconsistency in identifying customers experiencing heightened levels of vulnerability who might require additional support.
A broad conception of vulnerability can embrace this notion of situational vulnerability, for example, in a disaster scenario. A benefit of this approach is that it should not necessarily depend upon an individual self-identifying that they are experiencing vulnerability. Building a trauma-informed claims process could be one way to respond to vulnerability.
However, there will be some customers who require prioritised assistance, even where many others are experiencing some vulnerability after a disaster. The existing Code obligation encourages the consumer to tell the insurer about their vulnerability. Recognising that the customer may not advance this information, it may be preferable for all people who have experienced traumatic situations to be regarded as vulnerable and necessitating extra help.
Such situations may include:
- impact of natural events such as storms, bushfires, cyclone and floods;
- impact of events such as terrorism;
- in respect of travel insurance – the impact of a hospitalisation, death or violent crimes affecting not just the primary victim but a travelling group;
- in respect of pet insurance – serious injury, illness or death of a pet; and
- in respect of home and contents insurance – material damage (due to fire, storms, etc) requiring the family to temporarily vacate the premises and malicious damage or property damage due to a violent, criminal act whether by a family member or another person.
The Review Panel is interested in views on how the Code might help enable earlier
identification of those that need additional help.
In addition to considering vulnerability generally, the Review Panel is interested in views about how the Code can best support the needs of persons experiencing vulnerability.
2.2.1 Women’s financial safety
The Review Panel notes the Guide to Prevention and Action on Financial Abuse within the Financial Service Sector published in October 2021. This guide includes principles that promote safety by design so that user safety and rights are at the centre of service and product development. The recent Designed to Disrupt paper published by the Centre for Women’s Economic Safety also calls for an inclusive design approach to insurance, including through improved data collection that promotes proactive intervention and tailored prevention measures and ongoing measurement of the effectiveness of interventions designed to prevent or lessen harm.
The Code already requires subscribers to publish a family violence policy on their website. The ICA also has a guide that sets out how insurers can identify and support people affected by family violence.
Some insurers have taken steps to address the suitability of insurance policies for customers experiencing family violence. For example, AAI/Suncorp updated its policies to introduce a ‘conduct of others clause’ so insurance policies cannot be weaponised by a perpetrator against a survivor of family violence. The Review Panel is interested in whether and how the Code should promote safety by design in insurance.
2.2.2 First Nations customers
The Code recognises that Aboriginal and Torres Strait Islander or First Nations customers may experience vulnerability. It also commits insurers to take a flexible approach to supporting customers’ verification and identification needs including for First Natons customers.
The Review Panel notes that the proposed ABA Banking Code of Practice includes additional commitments to First Nations customers, including the provision of appropriate accounts and services. The proposed Banking Code of Practice also commits banks to following AUSTRAC guidance on identification and verification of Aboriginal and Torres Strait Islander customers, as well as providing cultural awareness training to staff who regularly assist First Nations customers.
Research confirms that there are differing levels of awareness about the insurance products available and relevant to First Nations customers, including business customers. ASIC has also recognised the need for more culturally appropriate products and services as part of its Indigenous Financial Services Framework. The Review Panel is interested in views about whether the Code should include commitments about culturally appropriate communication or support for First Nations customers and, if so, what those commitments might be.
2.2.3 Mental health
The Code includes specific commitments to support customers who have a past or current mental health condition. These commitments relate to product design and fair treatment. The ICA has also published a Guide on Mental Health, which outlines best practices insurers should consider in meeting their Code requirements.
Insurers have obligations under anti-discrimination laws not to discriminate based on disability, including mental health. However, in recognition that insurance is a risk-based product, there is an exception which allows an insurer to treat a customer with a protected attribute differently in terms of the price of the premium, the terms of the policy, or declining the customer altogether, so long as it is based on reasonable reliance on actuarial or statistical data, or, if data is not
available, the different treatment is otherwise reasonable.
The Public Interest Advocacy Centre (PIAC) has called for the Code to contain commitments that might improve compliance with anti-discrimination laws, including that insurers:
- regularly report on the processes, procedures and policies they implement to ensure compliance;
- provide the actuarial or statistical data they rely upon should they deny coverage or only offer cover on non-standard terms due to disability; and
- regularly review the data they rely on to make decisions to discriminate and continually seek better data to enable differentiated underwriting of particular mental health conditions.
The Draft National Stigma and Discrimination Reduction Strategy has also called for more accountability and transparency around insurance decisions and data.
The Review Panel is interested in views about how the Code could promote compliance with existing laws and best practice in respect of mental health, including the recommendations of the PIAC.
2.2.4 LGBTIQA+ customers
The Code does not specifically recognise LGBTIQA+ customers. However, the Review Panel notes suggestions to update paragraph 92 of the Code to include ‘sexual orientation, gender identity and sex characteristics’ as factors relevant to vulnerability. There have also been concerns raised about discrimination against transgender and gender diverse people. The Review Panel is interested in views about whether and how the Code might respond to these concerns.
2.2.5 Customer personal insolvency
Consumer advocates have also raised concerns about insurance denials for non-disclosure of a past insolvency event (such as bankruptcy or debt agreement). Concerns include that insolvency is unrelated to the risk being insured (i.e. home, contents or motor vehicle insurance), or that customers were not aware that debt agreements are a form of personal insolvency at the time the disclosure was sought by the insurer. The Review Panel is interested in views about whether and how the Code might respond to these concerns, and whether there are other questions insurers ask at the point of sale or renewal which may create or exacerbate vulnerabilities. The Review Panel also seeks feedback on whether this issue is best dealt with outside the Code.