Regulation and fraud

We regulate motor accidents compulsory third party (CTP), workers compensation and home building compensation insurance. We ensure insurers comply with legislation, and guidelines and monitor their performance by data-gathering and analysis, and complaint and dispute monitoring. We also have a role in identifying and deterring fraud in the insurance schemes we regulate and have powers to prosecute under various legislation.

• Court decisions

  Details of court decisions related to the schemes we regulate.

• Failure to take out insurance

  Explains what happens if insurance lapses or there’s a failure to obtain compulsory third party insurance (CTP), workers compensation insurance or home building insurance.

• Healthcare reform

  SIRA has undertaken a comprehensive Review of Regulatory Requirements for Healthcare Arrangements in the NSW workers compensation and CTP schemes.

• Insurer compliance

  How we monitor, regulate and manage compliance by the insurers who offer CTP policies, workers compensation policies, and home building compensation policies.

• Insurer performance

  Explains how we establish expected performance measures and then monitor insurer performance. Find out about insurer licensing frameworks and how these are applied so insurers meet their legislative requirements and deliver scheme objectives.

• Preventing fraud

  Explains what we do to prevent fraud in the CTP, workers compensation, and home building compensation schemes. Includes how to report suspected fraud, our investigation process, prosecutions and penalties.

• Reforms

  As a regulator we recommend and administer reforms when needed to the three insurance schemes we regulate. Here you will find information about the most recent reforms.

• Regulatory activity

  Information about SIRA's regulatory actions on the schemes we regulate.

• Regulation of health and related services providers

  The State Insurance and Care Governance Amendment Regulation 2022 (the regulation) has now commenced.The regulation enables SIRA to deal with health-related service providers with a pattern of poor practice who have not responded to opportunities provided by SIRA to correct those practices.

• Research

  Current SIRA funded projects and research evidence reviews.

• Review of the Nominal Insurer

  Information about the compliance and performance review of the NSW workers compensation Nominal Insurer.

• SIRA Inspectors

  SIRA Inspectors ensure employers comply with their workers compensation, injury management and return to work obligations. An inspector may visit a workplace for a variety of reasons:

• Transitional Excess Profits and Excess Losses (TEPL)

  Information about the TEPL mechanism, annual assessment cycles and impact on average premiums in the NSW CTP insurance scheme.

• Under-insurance

  This page helps motor vehicle owners and employers understand what under-insurance is, what happens if you are under-insured and what you need to do to avoid it.