Glossary
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Assessment
The document prepared by a Case Manager for the ISO after a complaint
has been investigated.
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Avoidance
If a policy is avoided it means it is treated as though it never existed.
This is a common law remedy available to the company in certain circumstances.
more
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Deadlock
This is when you have come to the end of the company's internal complaints
procedure and the complaint cannot be resolved. It is at this stage
that you can bring a complaint to this Office.
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Disability
This depends on the policy wording. It is not a medical definition but
a policy definition. Please read your policy for details.
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Duty of disclosure
You have a duty to give the company all the information it needs to
know when deciding if it can offer you insurance. This duty arises when
you take out the insurance and, for house, contents and vehicle insurance,
at every renewal of your policy. If you do not disclose all material
information, the company is entitled to avoid the policy and decline
to consider your claim. more
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Endorsement
An alteration to the standard terms and conditions of the policy, which
forms part of the contract between you and the company.
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Excess
A fixed amount you must pay when making a claim. It represents a portion
of the loss which is not covered by the company. The company will pay
the additional claim costs.
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Ex gratia payment
A payment made by the company to you, when it does not have to do so
under the terms of the policy.
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Indemnity value
This is the value of the item at the time of the loss. Payment of the
indemnity value is designed to put you in the same financial position
you were in immediately before the loss occurred. Also see Market
value.
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Insurable interest
This refers to the fact you must own or have some other interest in
the property/item which is insured under the policy.
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Insured
Someone who has an insurable interest in the property covered by the
policy.
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Insurer
The company providing the insurance cover.
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Locked-in period
The period in personal superannuation plans during which funds can only
be accessed in limited circumstances.
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Market value
The value of an item immediately before a loss occurs, taking into account
wear and tear and depreciation. Also see Indemnity
value.
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Material information
This is any information which would affect the insurer's judgement about
whether to accept a particular risk and, if so, on what terms. Examples
of information an insurer regards as material include: details of traffic
and criminal convictions; previous claims history; previous avoidance
or cancellation of insurance by an insurer; and the applicant's medical
history.
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Maturity
The end of the term of an endowment insurance contract.
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Modifications
Additions to a vehicle which alter it from the manufacturer's specifications
e.g. mag wheels, bodykit.
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Participant
A company which belongs to the ISO scheme.
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Premium
The money paid by you to the company for the cover provided by the policy.
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Proposal
The application you complete by telephone or in writing when you arrange
the insurance. It contains questions designed to obtain full information
about you and what you want insured. This information enables the insurer
to assess the risk involved and calculate the premium.
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Recommendation
If you or the company are not happy with the decision in an Assessment,
then either of you can request a Recommendation. A Recommendation is
a reconsideration of the matter by the ISO. However,
a Recommendation will only be issued if new or relevant information
is provided or there are proper grounds on which to do so.
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Sum insured
This is the maximum amount the company will pay in the event of a claim.
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Surrender value
The amount payable to you when you surrender or cancel a life insurance
policy.
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Third party
Any person other than you and the company.

