Questions about general, life and private health insurers (2024)

How do I make a complaint about my insurance company?

Disputes about claims on insurance policies should be in writing to the institution, unless they are of a prudential concern.

If you are unsatisfied with the response or unable to resolve a claim dispute directly with your insurer, you can refer the matter to the Australian Financial Complaints Authority(AFCA). You can contact AFCA by phone on1800 931 678or online atwww.afca.org.au.

Complaints about private health insurers can be lodged with the Private Health Insurance Ombudsman (PHIO) by calling1300 362 072or emailphio.info@ombudsman.gov.auor visit the website atwww.privatehealth.gov.au.

How are insurance claims covered under the Financial Claims Scheme?

In the unlikely event that a general insurer fails and cannot meet its financial obligations, such as claim payouts, the Australian Government may activate the Financial Claims Scheme (FCS). Once activated, the Scheme is administered by APRA.

The FCS only applies to insurance policies issued by a general insurer authorised by APRA. The FCS does not apply to policies issued by life insurance companies or private health insurance companies.

Find out more about the Financial Claims Scheme for general insurers. .

Does APRA regulate the whole insurance industry?

APRA regulates general insurance companies in Australia as well as life insurers, private health insurers and reinsurance companies. APRA also authorises the Australian activities of Lloyd’s syndicates.

TheAustralian Securities and Investments Commission(ASIC) is responsible for the licensing and regulating of insurance brokers and agents.

Does APRA have a register of Lloyd's accredited brokers in Australia or the Australian service companies of Lloyd's syndicates?

APRA does not maintain a register of Lloyd's accredited brokers in Australia or the Australian service companies of Lloyd's syndicates. Find more information at www.lloyds.comor Lloyd's in Australia.

Questions about general, life and private health insurers (2024)

FAQs

How to answer life insurance health questions? ›

Medical history: Your life insurance application will ask about significant medical conditions you have or have experienced including chronic illnesses, past surgeries or other major medical treatments. Be as specific and detailed as possible about each situation, its duration and your ongoing or past treatment.

How do you answer insurance questions? ›

Think deeply about the exact question the agent asked, and only provide that specific information. Never admit to fault. Never admit to even being partially at fault. Never admit that you are uninjured.

How do you distinguish between life insurance and general insurance answer? ›

Life insurance provides coverage for a specific period of time or for the entire life of the insured, while general insurance provides coverage for a specific event or risk, such as damage to property, liability, or medical expenses.

What questions should I ask about health insurance? ›

Five questions to ask when choosing your health coverage
  • Who will your health plan cover? ...
  • Are there specific providers you want to see or facilities you want to use? ...
  • Will your plan cover the medical care you need? ...
  • How much can you afford to pay? ...
  • Do you want flexibility in choosing certain specialists or services?

What are the best questions to ask about life? ›

Deep Questions About Life
  • Do you think there's a greater meaning to life outside of simply living?
  • Would you choose never having to worry about money or being happy for the rest of your life?
  • Do you think travel is important? ...
  • What should be the biggest priority in life?
Oct 24, 2023

What not to say when applying for life insurance? ›

LYING ABOUT DRUG USE OR TOBACCO & ALCOHOL USE

An applicant for life insurance must disclose lifestyle habits, good and bad, including use of alcohol or use of tobacco.

Should I be honest on life insurance questions? ›

It may be tempting to adjust your answers on an application to get a better rate, but lying on a life insurance application constitutes insurance fraud. Intentionally omitting health information may result in your application getting denied or possible death benefits not being paid to your beneficiaries.

Why do life insurance companies ask so many questions? ›

When you apply, life insurance companies will gather detailed information about you to determine the best type of policy for your needs. This information also helps them make decisions about rates and coverage options.

What is the leading question in insurance? ›

Many times, leading questions are used by organizations to persuade clients to make a particular decision. For example, if you wanted clients to sign up for an insurance plan, you could craft a leading question like: “When would you like to sign up for our insurance plan?

What is insurance in one word answer? ›

An insurance is a legal agreement between an insurer (insurance company) and an insured (individual), in which an insured receives financial protection from an insurer for the losses he may suffer under specific circ*mstances.

What is insurance best answer? ›

Insurance is a contract, represented by a policy, in which a policyholder receives financial protection or reimbursem*nt against losses from an insurance company.

What is the main purpose of life and general insurance? ›

Life insurance gives financial protection to the policyholder's family/beneficiary in case of the insured's demise. It also acts as savings, as you receive the lump sum amount at maturity upon survival. General insurance provides coverage for damages or losses to assets such as a home, car, or business.

What are the four general insurance? ›

Different types of general insurance include motor insurance, health insurance, travel insurance, and home insurance.

What is general insurance in simple words? ›

General insurance is an agreement between a policyholder and insurer wherein the insurance company protects your valuable assets from fire, theft, burglary, or any other unfortunate accident. Often, general insurance is confused with life insurance.

What are 3 things you need to consider when buying life insurance? ›

Calculate how much life insurance coverage you need. Decide on your financial goals for your life insurance. Determine what type of life insurance best meets your financial needs. Find out if you need to add any "riders" to the policy.

Which question is likely to be asked by a life insurance? ›

Medical History. Most life insurance applications include health questions and inquiries about your medical history. These questions provide information about your expected lifespan and help the insurer assess risks associated with early death.

What is the major problem with life insurance? ›

One disadvantage of life insurance is that the older you are, the more you'll pay for a policy. This is because you're more likely to pass away during the policy period than a younger policyholder and will, in turn, cost the life insurance company more money.

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