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AFCA finds MLC failed to give proper notice of rate increases

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A dispute ruling against MLC, the Australian Financial Complaints Authority (AFCA) found that the company did not give adequate notice when it raised the critical illness premiums of a policyholder.

The complainant disputed the changes to his policy, saying he was misled about how the increases tied to annual rises in benefits would work. MLC also made underlying premium rate increases and the complainant says that he was misled into believing those would not happen.

The AFCA found that MLC did not mislead the customer but determined that it should have warned him about premium increases in accordance with its policy terms and Australian law..

But the ombudsman determined that MLC had not notified him of the change to premiums in 2014, 2015 or 2016 in accordance with its policy terms or under the Corporations Act.

The Australian Financial Complaints Authority has found that the insurer did not give notice of a change in premium rates and as such, it was not entitled to make these changes. The complainant is to have his premiums returned for the years 2014-2016.

Published:Thursday, 19th May 2022
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Knowledgebase

Loss Ratio:
The ratio of claims paid by an insurer to the premiums earned, used as a measure of profitability.

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