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2020-06-11

The complainant has anxiety and Attention Deficit and Hyperactivity Disorder, as well as other medical conditions. He applied for total and permanent disability, income protection and life insurance with the respondent insurer through the respondent superannuation fund. The complainant alleged his application for life insurance was originally approved with certain exclusions and his applications for total and permanent disability and income protection insurance were originally declined because of his disability. The complainant alleges that after he provided additional information about his disability, the insurer removed the exclusions to his life insurance policy and issued him with total and permanent disability and income protection insurance policies with a blanket mental health exclusion. The complainant claimed his mental health issues were well managed and had not resulted in him being unable to work at any point.

The insurer claimed that its decisions were based on statistical and actuarial data on which it was reasonable to rely and that its decisions were therefore not unlawful.

The complaint was resolved with an agreement that the insurer pay the complainant $10,000 and commit to the ongoing training of staff on mental health issues. The insurer also agreed to refund the complainant the cost of his policies to date should he wish to change insurance providers by a specified date. The insurer and superannuation fund agreed to write to the complainant apologising that his customer experience had not met his expectations.

Year

Discrimination type
Disability Discrimination Act

Grounds
Disability

Areas
Goods, services and facilities Insurance

Outcome details

Apology

Compensation 

Revised terms and conditions 

Anti-discrimination/EEO training reviewed/revised

Amount
$10,000