QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open...

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Transcript of QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open...

Page 1: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers
Page 2: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

QLD CTP Scheme Update

Neil Singleton, Insurance Commissioner

© This presentation has been prepared for the Actuaries Institute 2019 Injury and Disability Schemes Seminar.

The Institute Council wishes it to be understood that opinions put forward herein are not necessarily those of the Institute and the Council is not responsible for those opinions.

Page 3: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Presentation Overview

• Year in Review• Measures of a healthy CTP scheme

– Affordability– Efficiency– Fairness– Competition

• A few stats• A few pictures• Wrap up

Page 4: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

2018-19 Year in Review

Page 5: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Premium Affordability

• Premium affordability continues to improve

• Consistently the most important factor for Queensland motorists

Page 6: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Scheme Efficiency

• Proportion of premium dollar going to claimant benefit improving• ‘Persistent high insurer profits’ being reined in (post-2016 scheme review)• Current premium assumption = 8% profit margin

Page 7: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Scheme Fairness

• Complaints about insurers – 10 • 8 resolved informally• 2 remain open (plus one still open from 2017/18)

• Potential fraud referrals to MAIC by insurers - 11 • 2 proceeding • 6 pending• 3 not progressed

• Aspects important to the injured person• Easy access to treatment and rehabilitation• Quality of treatment and rehabilitation• Transparent process, faster process

Page 8: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Competition• Premium competition by

insurers has ‘disappeared’

• ‘Competition’ occurring through other benefits

• Insurers all offer At Fault Driver Cover…for some motorists, for some injuries, in some crashes

• No requirement or restriction on the level of at-fault cover insurers can offer.

Page 9: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Claim Frequency

*All classes

0.160%

0.165%

0.170%

0.175%

0.180%

0.185%

0.190%

0.195%

0.200%

0.205%

0.210%

1-Jul-15 1-Jul-16 1-Jul-17 1-Jul-18 1-Jul-19

Frequency as at 1 July - 30 September Quarter*

• Frequency rose nearly 20% through 2016 to 2018 then plateaued• Claim farmers remain active

Page 10: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Claims Mix

• Rise in legally represented, minor injury, mainly ‘nose to tail’ low speed collisions….(June 19 spike in direct claims likely to be a coding delay)

Page 11: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Average Claim Size

*All vehicle classes, net of NIIS offset

$0

$20,000

$40,000

$60,000

$80,000

$100,000

$120,000

$140,000

1-Jul-15 1-Jul-16 1-Jul-17 1-Jul-18 1-Jul-19

Size as at 1 July - 30 September Quarter*

• Average claim size falling• No new heads of damage• No evidence of SII (negative over recent periods)• No new precedents. Caffrey decision attracted some publicity

Page 12: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Rideshare Vehicles

• Rideshare vehicles legalised Nov 17…17,222 vehicles as at Sept 19• Premium relativity increased from 157% to 200% times Class 1 from July

19• Mix of full-time vs part-time rideshare drivers not yet evident to MAIC

02,0004,0006,0008,000

10,00012,00014,00016,00018,00020,000

Growth in Class 26 Queensland Registered Vehicles

Page 13: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Motor Dealer Market Overview

Source: DTMR Jan18-Sep19 Dealer Agency Interface System (DAIS)

• MAIC continues to monitor choice of CTP insurer through the motor dealer channel

Page 14: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Examples of Road Safety Initiatives

Cooperative and Automated Vehicle Initiative - Zoe2 Vehicle

First People’s Disability Network

Be a mate campaign

‘Set your phone, then leave it alone’

Page 15: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Examples of Rehabilitation InitiativesSpinal Cord Injury Project Biospine

Page 16: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

So what does the future hold…

• Scheme Priority Focus – deliver claim farming reforms

Ongoing focus -

• Compliance, Culture and Conversations

• Premium Affordability

• Innovation

• Autonomous Vehicle reforms

Page 17: QLD CTP Scheme Update...Complaints about insurers – 10 • 8 resolved informally • 2 remain open (plus one still open from 2017/18) • Potential fraud referrals to MAIC by insurers

Stay connected with us via social mediaMotor Accident Insurance Commission

@maicqld @maicqld

Stay connected with us via social media

Motor Accident Insurance Commission

@maicqld @maicqld

Thank You