I declare that:
- This declaration applies to all insurances I have applied for in this application.
- I have read the Policy Disclosure Statement.
- I have answered each question fully and frankly.
- I have completed this application personally or, if it has been completed by somebody else, I have checked that the questions have been fully and accurately answered.
- I authorise the Insurer to obtain information it may need regarding my claims and prior insurance history.
- I authorise the Insurer to make inquiries from third parties to verify claims history and other information.
- I authorise the Insurer to disclose my claims history to any insurance intermediary I appoint.
- I have read and understood the Privacy Act 1988 information and consent to the collection, storage, use and disclosure of personal and sensitive information.
- I acknowledge that I am aware that asbestos is excluded from my cover.
- If I am not the insured, I have been authorised by the insured to complete this application of their behalf. Any non-disclosure will be treated as if the insured completed the application themselves and may result in a claim being denied or partially accepted.
Your duty of disclosure
Duty to take reasonable care not to make a misrepresentation
Before you enter into this contract of insurance, you have a duty to take reasonable care not to make a misrepresentation. You have a similar duty when you ask us to vary or extend the insurance, and when we offer to renew your insurance. This means that you need to take reasonable care to provide honest, accurate and complete answers to our questions. A misrepresentation includes a statement that is false, partially false, or which does not fairly reflect the truth.
When you ask us to vary or extend your insurance or before you renew your insurance, you need to take reasonable care to review any information that we provide to you for your confirmation and to tell us about any changes, if the information is no longer honest, accurate and complete.
If you are not sure of the answers to any of our questions, or whether the information you previously provided remains honest, accurate and complete, you should check it and find out. It is also important to understand that, in answering the questions and checking the information, you are answering for yourself and anyone else to whom the questions apply. If you are answering questions on behalf of anyone, we will treat your answers or representations as theirs.
As we use your answers to decide what insurance we will offer, to calculate your premium, and to assess any claim you make, it is essential that you contact us if you have any doubts.
If you do not take reasonable care in answering our questions, or to inform us of any changes, you may breach your duty. If that happens, your policy may be cancelled, or treated as if never existed, and any claim may be denied or not paid in full.
Whether you have taken reasonable care not to make a misrepresentation will be determined with regard to all relevant circumstances, including:
- the product type and its target market;
- explanatory material or publicity produced or authorised by us;
- how clear, and how specific any questions we asked were and how clearly we communicated to you the importance of answering those questions, and the possible consequences of failing to do so;
- whether or not an agent was acting for you;
- whether the contract was a new contract or was being renewed, extended, varied or reinstated;
- any particular characteristics or circumstances relating to you which we are aware or ought reasonably to have been aware.
Privacy Statement
We maintain a record of your personal profile, including details of insurance policies that
we arrange for you. We may also maintain records of any recommendations or advice given to you.
We are committed to implementing and promoting a privacy policy, which will ensure the privacy and security of your personal information.
We value the privacy of personal information and are bound by the Privacy Act 1988 when we collect, use, disclose or handle personal information. We collect personal information to offer, provide, manage and administer the many financial services and products we and our group of companies are involved in.
Personal information may be obtained by us directly from you or, sometimes, via a third party such as your employer or an immediate member of your family.
When information is provided to us via a third party we use that information on the basis that you have consented or would reasonably expect us to collect your personal information in this way and we take reasonable steps to ensure that you have been made aware of how we handle your personal information.
The primary purpose for our collection and use of your personal information is to enable us to provide insurance services to you. Sometimes, we may use your personal information for our marketing campaigns, in relation to new products, services or information that may be of interest to you.
We may disclose the information we collect to third parties, including service providers engaged by us to carry out certain business activities on our behalf (such as assessors and call centres in Australia). In dealing with us, you agree to us using and disclosing your personal information as set out in this statement and our Privacy Policy. This consent remains valid unless you alter or revoke it by giving written notice.
However, should you choose to withdraw your consent it is important for you to understand that this may mean we may not be able to provide you or your organisation with insurance or to respond to any claim you submit.
If you have previously provided us with permission to show your name and occupation for marketing purposes, you may revoke this permission at any time in writing to us, or by emailing us.