Motor accidents regulatory update for 1 July - 30 September 2021
Latest motor accidents regulatory update
An overview of SIRA’s regulatory actions in the CTP scheme is now available for the third quarter of 2021.
Insurers
SIRA regulates six licenced insurers in the NSW CTP Scheme: Allianz, NRMA, Suncorp (brands: AAMI and GIO), QBE and Youi. Youi is a recent entrant to the CTP scheme with their licence being granted in December 2020.
Regulatory activity – 1 July 2021 to 30 September 2021
- SIRA issued 12 regulatory notices in the quarter, bringing the calendar year to date total to 28
- Eight remediation plans from CTP insurers were ongoing as at the end of this quarter
- Insurers completed 8 remediation plans in this quarter (including plans started prior to 1 July 2021)
| Item | ALLIANZ | AAMI | GIO | NRMA | QBE | YOUI |
|---|---|---|---|---|---|---|
Regulatory notice issued in the period | 1 | 2 | 1 | 1 | 7 | 0 |
Remediation plans open in the period | 2 | 1 | 1 | 2 | 2 | 0 |
Remediation plans closed in the period | 1 | 1 | 1 | 2 | 3 | 0 |
- SIRA has issued 28 regulatory notices and requested 16 remediation plans from CTP insurers as at 2021
- Insurers completed 22 remediation plans in 2021, as at 30 September.
Detailed summary of current insurer regulatory activity
*Please note that some matters relate to issues identified that have ongoing remediation and/or investigations from the previous calendar year.
Insurer detailed information
Allianz
Allianz were issued one regulatory notice between 1 July 2021 and 30 September 2021. Allianz had two ongoing remediation plans, and one remediation plan was completed. Details are outlined in the table below.
Matter | Regulatory notice | Notice issued | Regulatory activity |
|---|---|---|---|
Communication of entitlements (MAIA) | Communicating a potential entitlement to claim damages | 03/08/2021 | Remediation and investigation ongoing |
Incorrect premiums (MAIA) | Premiums not charged in accordance with approved filings | 17/06/2021 | Remediation and investigation ongoing |
Internal review assurance activity (MAIA) | Non-compliance with internal review requirements | 5/04/2021 | Remediation completed |
AAMI
AAMI received two regulatory notices between 1 July 2021 and 30 September 2021, one of which required remediation. One remediation plan was completed and one is ongoing. Details are outlined in the table below.
Matter | Regulatory notice | Notice issued | Regulatory activity |
|---|---|---|---|
CTP Greenslip refund timeframes (MAIA) | Delay in issuing a refund for an unused CTP policy | 15/09/2021 | No further action required |
Communication of entitlements (MAIA) | Communicating a potential entitlement to claim damages | 3/08/2021 | Remediation and investigation ongoing |
Internal review assurance activity (MAIA) | Non-compliance with internal review requirements | 5/04/2021 | Remediation completed |
GIO
GIO received one regulatory notice between 1 July 2021 and 30 September 2021 and completed one previous remediation plan. Details are outlined in the table below.
Matter | Regulatory notice | Notice issued | Regulatory activity |
|---|---|---|---|
Communication of entitlements (MAIA) | Communicating a potential entitlement to claim damages | 3/08/2021 | Remediation and investigation ongoing |
Internal review assurance activity (MAIA) | Non-compliance with internal review requirements | 05/04/2021 | Remediation completed |
NRMA
NRMA received one regulatory notice between 1 July 2021 and 30 September 2021. Two remediation plans were completed, and two remediation plans were ongoing. Details are outlined in the table below.
Matter | Regulatory notice | Notice issued | Regulatory activity |
|---|---|---|---|
Communication of entitlements (MAIA) | Communicating a potential Award of Damages entitlement | 3/08/2021 | Remediation and investigation ongoing |
Internal review assurance activity (MAIA) | Non-compliance with internal review requirements | 5/04/2021 | Remediation completed; investigation ongoing |
Data Integrity | UCD Fault Determination | 25/11/2020 | Remediation completed |
Incorrect weekly benefits payments (MAIA) | System error resulting in miscalculation of weekly benefits | 30/10/2020 | Remediation and investigation ongoing |
QBE
QBE received seven regulatory notices between 1 July 2021 and 30 September 2021. Six remediation plans are ongoing and three have been completed. Details are outlined in the table below.
Matter | Regulatory notice | Notice issued | Regulatory activity |
|---|---|---|---|
Injury coding timeframes (MAIA) | Failure to meet injury coding timeframe requirements | 24/08/2021 | Remediation ongoing |
Timeliness of decisions (MAIA) | Delay in providing treatment decisions | 28/09/2021 | Remediation and investigation ongoing |
Incorrect premiums (MAIA) | Premiums not calculated in accordance with approved filings | 17/09/2021 | Remediation and investigation ongoing |
Timeliness of decisions (MAIA) | Delay in providing a liability decision | 17/09/2021 | Remediation and investigation ongoing |
Communication of entitlements (MAIA) | Communicating a potential Award of Damages entitlement | 3/08/2021 | Remediation and investigation ongoing |
Incorrect weekly benefits payments (MAIA) | Incorrect application of indexation to weekly benefits | 13/07/2021 | Remediation completed; investigation ongoing |
E-Greenslip timeframes (MAIA) | Failure to transmit CTP policies to Transport for NSW within timeframes | 30/07/2021 | No further action required |
Internal review assurance activity (MAIA) | Non-compliance with internal review requirements | 5/04/2021 | Remediation completed; investigation ongoing |
Communication of entitlements (MAIA) | Communicating a potential Award of Damages entitlement | 3/08/2021 | Remediation and investigation ongoing |
Timeliness of decisions (MAIA) | Delay in providing a decision in relation to a treatment request and delay in providing a liability decision | 25/03/2021 | Remediation completed and investigation ongoing |
Youi
No issues identified.
Significant matters notified to SIRA from Independent Review Office (IRO)
IRO notified 27 significant matters to SIRA between 1 July to 30 September 2021. Significant matters are defined in the Memorandum of Understanding.
Authorised Health Practitioner activity – summary of recent activity
A total of 435 practitioners were published as active as of 30 September 2021. During the quarter two practitioners ceased in the role, and SIRA received14 applications and approved 8 practitioners.
| Item | 1 July to 30 September 2021 | 1 January 2021 to 30 September 2021 |
|---|---|---|
Applications received | 14 | 53 |
Approved | 8 | 37 |
Applications pending | 2 | 2 |
Unsuccessful | 2 | 12 |
Authorisation ceased | 2 | 3 |
Total of number of active practitioners at end of period | 435 | 435 |
Previous activity