New South Wales Repealed Regulations

This legislation has been repealed.

INSURANCE REGULATION ORDER 2001 - SCHEDULE 5

SCHEDULE 5 – Annual report by insurers

1 Risk management activities

(a) details of initiatives undertaken to identify problems (specifying which problems have been identified) in relation to particular categories of medical services (identify which particular categories of medical services);

(b) details of initiatives undertaken to identify problems (specifying which problems have been identified) in relation to individual medical practitioners (specifying the number of individual medical practitioners concerned in relation to each identified problem);

(c) details of initiatives undertaken to provide strategies to effectively deal with the problems identified pursuant to paragraphs (a) and (b) above;

(d) in relation to the activities referred to in paragraphs (a), (b) and (c) above:

(i) the number of employee and contractor hours involved in risk management activities in the immediately preceding calendar year,

(ii) the projected number of employees and contractors involved in risk management activities for the calendar year in which the report is being made,

(iii) the qualifications of each person engaged in risk management activities in the immediately preceding calendar year,

(iv) the percentage of gross annual premium income spent on risk management activities in the immediately preceding calendar year, and

(vi) the percentage of gross annual premium income the insurer has budgeted to spend on risk management activities in the calendar year in which the report is being made.

2 Adverse incidents

(i) Report of any identified adverse incident trends for each category of specialty covered

(ii) Report of measures undertaken by insurer to address identified adverse incident trends

3 Claims handling

(i) Number of claims handled through early evaluation process

(ii) Number of claims for compensation received without legal proceedings being lodged

(iii) Number of claims for compensation resolved without legal proceedings being lodged

4 Terms and conditions of indemnity cover

Details of insurer’s standard insurance policy terms and conditions and/or conditions of discretionary indemnity cover.