SIRA Logo

Premium disputes

If you disagree with the premium calculation there are ways to get the matter resolved.

SIRA is the regulator of the workers compensation system in NSW. Our job is to ensure the system:

  • provides support for workers if they get injured
  • is affordable for employers, and
  • is sustainable for the NSW economy.

One of the ways we do this is by providing information, support and advice for employers who are having a dispute over their premium calculation.

For policies up to 30 June 2016

This is for policies commencing before 4pm on 30 June 2016 (regardless of when the dispute happened).

Insured with icare through one of their insurance agents

In the first instance you should seek an internal review of the premium from icare.

If you still disagree and you believe your premium calculation does not comply with the applicable Insurance Premiums Order, you can make a request for SIRA to resolve the dispute.

We must receive the application within one month of you receiving notification of the premium calculation (we can sometimes extend this timeframe under special circumstances).

The application form must be completed correctly, so if you have any questions we suggest you call us and we can answer them before you submit the form.

You still have to pay the premium during this process. If your appeal results in a revised premium calculation then the premium will be adjusted accordingly.

To request an application form, please contact our Regulatory Reviews branch via email to regulatory.reviews@sira.nsw.gov.au.

Insured with a specialised insurer

Discuss the matter with your insurer.

If you believe the insurer has not appropriately dealt with the matter at a senior level, ask for the matter to be considered in line with their internal dispute procedures.

There is no formal right of appeal to SIRA regarding the decision of a specialised insurer.

For policies after 30 June 2016

This is advice for policies commencing on or after 4pm on 30 June 2016 (regardless of when the dispute happened).

Insured with icare through one of their insurance agents

In the first instance you should seek an internal review of the premium from icare.

If you still disagree and you believe your premium calculation does not comply with the market practice and premiums guidelines, you can refer the matter to SIRA to ensure the calculation complies with these guidelines.

Contact our Regulatory Reviews branch via email to regulatory.reviews@sira.nsw.gov.au.

Insured with a specialised insurer

Discuss the matter with your insurer.

If you believe the insurer has not appropriately dealt with your concerns ask for the matter be dealt with in accordance with their internal dispute resolution procedures.

If you still disagree and you believe your premium calculation does not comply with the insurer’s market practice and premiums guidelines, you can refer the matter to us to ensure the calculation complies with these guidelines.

Contact our Regulatory Review branch via email to regulatory.reviews@sira.nsw.gov.au.