Regulator Enforces Capital Boost on Insurer Over Compliance Issues

2

The information on this website is general in nature and does not take into account your objectives, financial situation, or needs. Consider seeking personal advice from a licensed adviser before acting on any information.

APRA highlights that such arrangements, often referred to as binder holder agreements, enable third-party intermediaries to facilitate insurance policy issuances on behalf of the principal insurer.

This enforcement represents a pivotal regulatory move since Suzanne Smith, an influential figure within APRA, signaled the sector's forthcoming intensified focus on the administration of outsourced functions to intermediaries like underwriting agencies and brokers.

Detailed evaluations unearthed critical lapse in governance and risk management associated with the insurer's binder operations. The scrutiny brought to light several concerns, including deficiencies in accountability and the sufficiency of its resource allocation strategies.

According to Ms. Smith, even when the underwriting processes are entrusted to external entities, the onus of accountability centers unmistakably on the insurers themselves. She asserted, “Outsourcing can help with solutions for hard-to-place risks or reduce operational costs for insurers, but it is crucial to understand that the overall risk stays with the insurer, as insurance risk and accountability are the reason why insurers hold licences in the first place.”

Further, Ms. Smith reiterates the regulatory body's stance on enforcing compliance, stating that APRA will persist in taking measures deemed necessary when insurers fall short of the expected standards.

Following this regulatory directive, Pacific International has recognized the assessment's conclusions and is underway with a plan outlining corrective measures. Despite this initiative, the regulator affirms that more endeavors are required to cement these changes within the company’s operational practices and to assure APRA of effective rectification.

Originating from the briefings by insuranceNEWS.com.au, Pacific International’s outreach for commentary remains pending.

The statistics indicate that Pacific International had secured a prescribed capital amounting to $29 million by June 30 of the preceding year. The period also saw the firm observing a gross earned premium of $229 million and gross incurred claims valued at $85 million, culminating in an underwriting profit of $24 million.

Renowned on an international scale, Pacific International affiliates itself with South Africa's Badger International-a conglomerate with extensive interests in the insurance domain.

Published:Friday, 8th Nov 2024
Source: Paige Estritori

Please Note: If this information affects you, seek advice from a licensed professional.

Share this news item:

Insurance News

Clear

ASIC Initiates Legal Proceedings Against Australian Super for Claim Delays

10 Jan 2026: Paige Estritori

The Australian Securities and Investments Commission (ASIC) has initiated legal action against Australian Super, the nation's largest superannuation fund, alleging significant delays in processing nearly 7,000 death benefit claims. These delays, some extending up to four years, have raised serious concerns about the efficiency and fairness of the fund's claims handling processes. - read more

TAL's Health Sense Plus Now Covers Income Protection

02 Jan 2026: Paige Estritori

In a strategic move to make life insurance more relevant to younger Australians, TAL has expanded its Health Sense Plus program to encompass income protection policies. This initiative allows advisers to offer clients enhanced value through a straightforward preventative health engagement. - read more

APRA Calls for Sustainable Reforms in Income Protection Insurance

02 Jan 2026: Paige Estritori

The Australian Prudential Regulation Authority (APRA) has expressed concerns regarding the sustainability of income protection insurance, following significant losses within the industry. Over a five-year period, insurers have reported losses totaling $2.5 billion on this product. - read more

HCF Life Recognised for Excellence in Income Protection Insurance

02 Jan 2026: Paige Estritori

HCF Life, part of Australia's largest not-for-profit health fund, has been honored with the 'Best for Income Protection Insurance (Direct)' award by WeMoney for the third consecutive year. This accolade underscores HCF Life's commitment to providing competitive and customer-focused insurance products. - read more

Surge in Mental Health Claims Challenges Australia's Income Protection Insurance

25 Dec 2025: Paige Estritori

Recent data from the Council of Australian Life Insurers (CALI) reveals a significant shift in the landscape of income protection insurance in Australia. Mental health conditions have emerged as the leading cause of total and permanent disability (TPD) claims, accounting for nearly one-third of all claims paid. In 2024 alone, insurers disbursed over $2.2 billion for retail mental health claims, a figure that has almost doubled compared to five years prior. - read more

Click for more Insurance News