Você está na página 1de 20

FDCA Insurance Services

We care more

Educator Insurance Information and Application Booklet February 2016 ABN 93 094 436 021  AFSL 329 616
2  Family Day Care Australia Educator Insurance
Working for you
Family Day Care Australia is passionate about the family
day care sector. We are here to support, promote,
represent and protect you in your efforts to deliver quality
early childhood education and care.

As your not-for-profit national peak, we represent your needs and


ensure you have a strong and united voice regarding issues that
directly impact on you and the wider sector through our lobbying
and advocacy efforts with government bodies.

We support and undertake important research and highlight the


achievements of the sector by showcasing the sector via the
Excellence in Family Day Care Awards and National Family Day
Care Week.

Family Day Care Australia is committed to working with you, to build


a stronger future for family day care.

Becoming a member of Family Day Care Australia gives you exclusive


access to a range of services and support specifically tailored to the
needs and requirements of the family day care sector.

As your not-for-profit national peak we are:

Supporting you

• Expert early childhood, management and operations phone


support

• Significant savings on our insurance products and other business


services, specifically tailored to the needs of family day care
services and educators

• Free Accidental Death/Funeral cover included with your insurance


package

Representing you

• Maintaining regular sector engagement and consultation with our


members to gain a national grassroots perspective on key issues

• Making sure our members voices heard within the broader ECEC
sector and at the highest levels of Government to ensure the
best outcomes for family day care families, children, services and
educators.

• Undertaking research to monitor trends and best practice within


family day care and to inform policy

Promoting you

• Showcasing the sector via the Excellence in Family Day Care


Awards and National Family Day Care Week

• Marketing & Media: resources, advice, media management, online


and sector specific promotion

• JiGSAW Magazine: Australia’s only family day care sector


publication

• Family Day Care Matters: weekly e-newsletter

Family Day Care Australia Educator Insurance  3 


The insurance of choice
for family day care
For more than 25 years Family Day Care Australia has been your national peak. Nobody understands
the needs of the sector the way we do. Our members only policies ensure you receive the cover you
require and the value you deserve.

Family Day Care package

The Family Day Care package is for educators who run a traditional family day
care, that is, the provision of early childhood education and care for children in the
educator’s home/residence. This package is also suitable for educators who run both
family day care and in home care.

To meet the needs of family day care educators this package includes the mandatory
Public Liability Insurance in addition to Personal Accident for Children in the event of
accident and, Management Liability Insurance in the event of an infringement notice
for a breach of the national regulations.

For full details of each of the policies included refer to page 15 of this booklet.

The Family Day Care package includes:

• Family Day Care Australia membership

• Public Liability Insurance

• Personal Accident for Children


ALL PAC
• Management Liability Insurance KA
NOW IN GES
• Accidental Death/Funeral Expenses cover for educators FREE AC C LUDE
CIDENT
DEATH/ AL
FU
EXPENS NERAL
ES COV
ER

In Home Care package

The In Home Care package is specifically designed for educators who provide
approved care in the child's home only. The package includes membership with
FDCA, the mandatory Public Liability insurance in addition to Personal Accident for
Children.

Out of Home Care Package

Out of Home Care (OOHC) refers to the provision of care through your family day
care service, on a fee for service basis for children placed by a private or government
agency which holds legal guardianship of the child, and where the care is for periods
greater than 12 continuous hours.

The OOHC package includes the same policies as the family day care package,
however the Public Liability insurance has a specific extension to cover the provision
of out of home care.

For further information or to purchase either the IHC or OOHC package, please call
our Insurance Service team on 1800 658 699.

4  Family Day Care Australia Educator Insurance


Family Day Care Australia
Insurance Services pricing
FORTNIG
AND M HTLY
O
PAYME NTHLY
NT PLA
ARE AV NS
AILABL
E!

ACT NSW NT QLD SA TAS VIC WA


Family Day Care Package *^
12 month $475.30 $498.02 $501.26 $498.02 $504.51 $473.21 $501.26 $501.26
6 month $311.17 $325.43 $327.47 $325.43 $329.50 $309.47 $327.47 $327.47
3 month $187.82 $195.14 $196.18 $195.14 $197.23 $187.18 $196.18 $196.18

In Home Care Package *^


12 month $436.25 $457.04 $460.01 $457.04 $462.98 $431.96 $460.01 $460.01

6 month $283.86 $296.85 $298.70 $296.85 $300.56 $280.70 $298.70 $298.70

3 month $171.41 $178.10 $179.05 $178.10 $180.01 $170.05 $179.05 $179.05

Out of Home Care Package *^


12 month $787.36 $828.91 $834.85 $828.91 $840.78 $779.89 $834.85 $834.85

6 month $494.77 $521.63 $525.47 $521.63 $529.30 $489.47 $525.47 $525.47

3 month $279.62 $293.24 $295.18 $293.24 $297.13 $277.18 $295.18 $295.18

* All prices are member rates and include GST and government charges
^ Please refer to the Financial Services Guide on page 13 for more information regarding refunds and cancellations

Compare the benefits of insuring with FDCA ^ FDCA Competitors


No excess on claims
$10M Public Liability cover ($20M available)
Errors and Omissions cover
Free Accidental Death/ Funeral Expenses cover
3 month Kick Start package for new educators
6 month Kick Start package for new educators
Stand alone management liability cover – fines and penalties
Online payment Coming in 2016

FDCA Membership
^ As of 2 January, 2016.

Kick Start and customisable packages available

We offer a three and six month package for new educators, as well as
the option to customise your own insurance package.

For more information please call our insurance team on 1800 658 699.

Family Day Care Australia Educator Insurance  5 


You’re in safe
hands
It’s reassuring to know that with Family Day Care Australia Insurance Services you’re covered.

Public Liability Insurance Personal Accident Insurance


Public Liability Insurance is mandatory for all educators. If a for Children
child or other person is injured or their property is damaged
as a result of your work, you may be found “unintentionally Accidents happen and it’s often not your fault. Personal
negligent” and a public liability claim may be brought Accident for Children insurance covers for non-medicare and
against you. Should this occur our Public Liability Insurance out of pocket expenses incurred by parents when a child is
has you covered. accidentally injured whilst in your care.

Key features: Key features:


• $10 million Public Liability cover ($20 million available) • Up to $5,000 in non-medicare and out of pocket expenses
for any one claim
• $10 million Carers Errors and Omissions (Professional
Indemnity) cover • Up to $15,000 lump sum capital benefit payments for
specified injuries
• $10 million Landlords Liability cover
• Cover for damaged clothing
• $10 million Products Liability cover
• Cover for travel and accommodation for treatment
• $50,000 Criminal Defence cover
• Reimbursement of child care fees and parents’ loss of
• $0 excess on claims wages from 3 days up to 52 weeks*
• Educator assistant and relief educator cover • $0 excess on claims
• Free Public Liability insurance legal advice • Cover for up to seven children in care

Management Liability Accidental Death/Funeral


Insurance Expenses Cover for Educators
‘Peace of mind’ protection in the event of a fine or penalty We know that as a small business operator your contribution
for non-compliance under the Education and Care Services is vital to your family and we understand that as a family day
National Law 2010 and the new national regulations. Many care educator you often invest more time in the future of the
businesses insure against fines and penalties for breaches of children in your care than in your own. We’re committed to
the law, this policy is designed specifically for family day care supporting you and your family during and after family day
educators. care. That’s why we’ve included Accidental Death/Funeral
Cover as part of your insurance package.
Key features:
• Up to $2,500 for each 12 policy term Key features:
• ‘Stand alone’ policy – independent cover • $10,000 Accidental Death cover
not linked to your public liability • 24 hour cover
• $0 excess on claims • Double death benefit in the event that the insured person
and their partner die as a result of bodily injury in the same
accident leaving a dependent child

• No proposal form required (up to 75 years of age)

• $0 excess on claims

* Cover is always subject to the terms and conditions of the policy. Full
details are available in the Product Disclosure Statement on pages 15-19.

6  Family Day Care Australia Educator Insurance


Other Family Day Care Australia insurance services
Home and Contents Insurance Motor Vehicle Landlord’s Insurance
Nobody knows family day care like Have you reviewed your motor vehicle If you are a family day care educator
FDCA. That’s why, just like our public insurance cover lately? Don’t wait until who is renting, it may change how
liability cover, our home-based business, it’s too late! some insurance companies view the risk
property and contents insurance is on your landlord’s property. To find out
You may be surprised to find out that
designed just for you. more about landlord’s insurance, call
some insurers may not cover your
Family Day Care Australia on
Highly competitive pricing and unique vehicle for business use, for transporting
1800 658 699.
home and contents cover for both passengers or for child seats used as
your personal and family day care part of your family day care business.
business use.
To feel safe that you and the children
Not all home and contents policies you care for have the cover you need,
are created with the family day compare your cover today.
care educator in mind. At FDCA we
FDCA has a range of motor vehicle
understand that your home is your
insurances designed specifically for you.
business so why not visit
For more information give us a call on
www.fdca.com.au.
1800 658 699 to arrange a quote or visit
Telephone Legal Advice www.fdca.com.au.
This unique and valuable service offers
'on demand' telephone legal advice for
educators in regards to family day care
business matters.

Good advice is just a phone call away


and for less than the cost of a twenty
minute legal consultation you can have
12 months of professional legal support
to assist with the legal issues you may
face as a family day care educator.
To find out more, give our Insurance
Services team a call on
1800 658 699.

Debt Recovery Services


Take the stress out of managing
bad debts and chasing parents
for money.

In many cases, such a letter


of demand will result in
recovery of monies owing.
If this is not the case and you
wish to proceed to litigation you
will be provided with a free, no
obligation written quote for the
services you require. To purchase
our Debt Recovery Service,
call 1800 658 699.

Family Day Care Australia Educator Insurance  7 


Application
Form and
Insurance
Information
Insurance Application Form
Applicant details
Your title................... First name................................................................Last name........................................................................................

Address........................................................................................................................... Suburb.........................................................................

State.................. Postcode ................... Date of birth ........./........../............... Email*......................................................................................

Phone (home)...............................................................................Phone (mobile)............................................................................................

Name of the Approved Service that you are registered with ......................................................................................................................

* By providing your email address you are giving FDCA permission to send you important updates via email. If you do not wish to
receive email communications from FDCA, please call us on 1800 658 699.

Your membership and insurance package


Refer to pages 5 and 6 for package information and pricing.

Family Day Care package In Home Care package Out of Home Care package

12 months 6 months 3 months

Policy start date Please commence my policy on ............/............./........................


Select the date of your first scheduled parent interview or, expiry date of your existing policy.
If we receive this application form after that date we will back date your policy to the specified date, as long as it is within 30
days and there have been no incidents during that time. If we receive this application more than 30 days from your specified
start date, we will start the policy from the date we receive the completed application.

Duty of Disclosure
Before you enter into an insurance contract, you have a duty to tell us anything that you know, or could reasonably be expected to know, may affect
our decision to insure you and on what terms. You have this duty until we agree to insure you. You have the same duty before you renew, extend, vary or
reinstate an insurance contract. You do not need to tell us anything that: reduces the risk we insure you for; or is common knowledge; or we know or should
know as an insurer; or we waive your duty to tell us about.

If you do not tell us anything you are required to, we may cancel your contract or reduce the amount we will pay you if you make a claim, or both. If your
failure to tell us is fraudulent, we may refuse to pay a claim and treat the contract as if it never existed.

By paying the premium in full or by instalments of this policy I declare that I have read and understood the duty of disclosure notice and the terms and
conditions outlined in the Financial Services Guide. I confirm that I am aware that if I cancel this policy midterm, only the public liability premium is
cancellable and that further fees & charges may apply if paying by instalment payments. I also declare that I am not aware of any claims/circumstances
which could give rise to a claim or any impending infringement notice or fine under the Education and Care Services National Law or any other relevant
Act, or any other matter which may affect your decision to insure me.

Under the FDCA Privacy Policy we advise that we may provide your insurance status to the approved service that you are registered with as well as to the
relevant Regulatory Authority (including providing your certificate of insurance if requested). Please refer to our FSG for our complete Privacy Statement.

The questions below are a mandatory requirement of your application. They MUST be answered.

Yes No Has any insurer ever cancelled, declined or refused to renew or imposed special conditions
on any of your insurance?

Yes No During the last 5 years have any claims been made or threatened against you that might have been
insured under the insurance policies you are applying for?

Yes No Are you aware of any circumstances which have already occurred that might result in a claim under the
insurance policies you are applying for or are you aware of any impending infringement notice or fine
under the Education and Care Service National Law or any other relevant Act?

Declaration Signature....................................................................................................................Date............................................
Agent Authority: an agent is a person you authorise to act on your behalf.

I authorise...................................................................................................................... (agent’s name)to act as my agent in relation to


my FDC business insurances.

Agent’s signature...................................................................................................................... Agent’s date of birth........./........../...............

Return by post: PO BOX 571, Gosford, NSW, 2250; email: memberservices@fdca.com.au; fax: 02 4324 7882
Family Day Care Australia ABN 93 094 436 021 AFSL 329616
Full Payment Form

The amount you will be charged will be based on the package you have selected and in line with the package pricing
on page 5.

Please complete the details below and return with your application form to:

Family Day Care Australia

Post: PO Box 571, GOSFORD NSW 2250

Email: memberservices@fdca.com.au

Fax: (02) 4324 7882

How would you like to pay?

Please complete ONE of the following payment options.

Credit Card
Card Type: Mastercard VISA

Name of Cardholder ............................................................................................................................................................................

Card number ........................./........................./........................../...........................

Expiry Date .............../................. CVV (3-digit code on the back of card)...............................

Signature.......................................................................................................................... Date.............../................./..........................

Electronic Funds Transfer


If you wish to pay by direct deposit, please call Family Day Care Australia on 1800 658 699.

Cheque / Money Order


Enclosed is a cheque/money order made payable to FAMILY DAY CARE AUSTRALIA.
Fortnightly Instalment Payment Form
DO NOT USE THIS FORM IF YOU HAVE SELECTED A 3 OR A 6 MONTH KICKSTART PACKAGE.

Please complete the details below and return with your application form to:

Family Day Care Australia

Post: PO Box 571, GOSFORD NSW 2250

Email: memberservices@fdca.com.au

Fax: (02) 4324 7882

Family Day Care Australia has contracted Principal Finance Pty Ltd (ABN 49 008 081 712) to offer business loans to its member
educators to assist in the payment of FDCA membership and insurance packages. When choosing to pay by instalments
through Principal Finance Pty Ltd you are entering into a business loan agreement. Principal Finance will set up a loan for the
full amount of your selected insurance policy and will then pay the annual amount of the insurance and membership package
to Family Day Care Australia. The loan is repaid by fortnightly instalments; monthly is available on request. An additional charge
of 10% of the total FDCA package is repayable over your payment plan. If you miss or default on any of your instalment
repayments your insurance may be cancelled. For the terms and conditions, please refer to page 12.

I / We:....................................................................................................................................................................................................................

(show FULL NAME(s) of applicants)

Phone (home)...............................................................................Phone (mobile)............................................................................................

request and authorise Principal Finance Pty Ltd (Debit User ID: 065172) to debit my/our account nominated below with any
amounts due to be paid under this arrangement.

Direct Debit Request: Bank Account

Financial Institution Name: .....................................................................................................................

Account name: ........................................................................................................................................

BSB Number: ...............– ................ Account Number: ..........................................................................

Signature .......................................................................................................................... Date.............../................./..........................

or

Direct Debit Request: Credit Card*


Card Type: Mastercard VISA AMEX

Name of Cardholder ............................................................................................................................................................................

Card number ........................./........................./........................../.........................

Expiry Date .............../................. CVV (3-digit code on the back of card)...............................

Signature.......................................................................................................................... Date.............../................./..........................

* A fee of 1.39% will be added to each instalment by Principal Finance


TERMS AND CONDITIONS

1. Advance: If we accept your loan application, we will advance the 7. Other terms:
loan to you by way of paying it, at our complete discretion, either to
the insurance broker or intermediary named in the loan application (a) If we ask, you must give us a copy of the policies.
(“intermediary”), or to the insurer(s) (“insurer”) under the policy or policies (b) You must notify us in writing immediately if you make any claim
specified in the loan application or in any attached list (“policy or policies”), under any policy.
or to an agent or representative of the insurer. You irrevocably direct and
authorise us to so advance the loan on your behalf, in complete discharge (c) Unless we previously consent in writing –
of our obligation to pay the loan funds to you. You acknowledge that the
sole and mandatory purpose of the loan is for it to fund the premium(s) • you must not assign, cancel, vary or otherwise deal with any
under the policies, by way of a single upfront payment of such premiums, policy.
and that the intermediary and insurer are not our agents and that we will • you must not do, or allow to be done, or omit to do, anything
have no liability for their acts or omissions. We may pay commission for which might prejudice our security over any policy, or prevent
persons to introduce your credit business to us. cancellation of any such policy by us, or reduce the amount
2. Payments: You must make the combined interest and principal payable under any policy.
repayments referred to in the loan application as set out in the loan • you must not assign any of your rights under this contract.
application. Interest is payable by you on the loan at the interest rate
given, and by way of such combined interest and principal repayments. (d) We may assign, transfer or novate our obligations, rights or interest
Time is of the essence in respect of payment obligations. If the law permits under this contract without your consent. Further, in that case, the
you to terminate this contract early, you may, but you must pay us an Auto Rollover Authorisation extends to authorizing the insurance
early termination fee of $40.00 in addition to other allowable amounts. broker or intermediary to apply on your behalf to our assignee for
If this contract is terminated early, with our prior written consent or in funding of future policy premiums.
accordance with your legal rights or by us pursuant to clause 5, then all
amounts advanced by us under this contract in accordance with clause (e) If money is payable to you because any policy is cancelled, or as a
1 or otherwise are to be immediately repaid to us and you will continue result of a claim under any policy, and you are at that time indebted
to be liable to us for such amounts and interest on such amounts until to us under this contract, then such money is received and held by
such amounts and interest are recovered in full. You must also pay us all you on trust for us and must be immediately paid to us up to the
enforcement, collection or recovery costs we incur in connection with this extent necessary to discharge in full the debt owing to us under this
contract, on an indemnity basis. contract.

3. Security: As consideration for us making the loan, you hereby assign all (f) You warrant that there is no other party with any interest in any policy
of your rights and interest in and in connection with the policies, including except as has been disclosed in writing to us prior to any
the right to any claim or proceeds or premium refund payable under the acceptance of your loan application by us.
policies and all of your statutory rights and entitlements in connection with (g) If there is more than one of you, then you are each jointly and
the policies, including under Part 7.6 of the Corporations Act (as amended severally liable under this contract.
from time to time), as security for the payment to us of all money payable
by you to us under this contract. You will upon our request promptly do all (h) If you are identified as a trustee in the loan application, or are not so
such things (if any) deemed necessary by us to perfect or give full effect to identified but your primary function is to act as trustee of a trust,
such assignment. then you must at our request disclose full details of the trust to us and
you acknowledge that you enter into this contract jointly and
4. Authority: You hereby irrevocably authorise and instruct the insurers severally in your own right and as trustee for such trust.
• to cancel the policies at our request (i) The law of South Australia applies to this contract. Any legal action
• to pay any refund(s) then due to us concerning this loan contract must be brought in South Australian
courts.
• not to refund any premium under any policy to anybody except us
8. GST: If any GST is payable in connection with this contract, you must pay
• to pay us up to the whole balance of the loan out of any money such GST upon the provision of a tax invoice by us.
mentioned in clause 7(d).
9. Future funding: If we make a loan to you to fund payment of a future
5. Default: If - premium under the policies or for any other insurance policy of yours,
including where your agent or intermediary makes or signs the loan
• you make any misleading statement to us in connection with the loan application on your behalf, then all the terms and conditions contained in
or this contract this document extend and apply to such other loan(s), in addition to the
• you fail to pay any repayment on the due date terms set out in the loan application for such other loan(s).

• you fail to perform or observe any other term of this contract


Principal Finance
• you fail to perform or observe any term of any policy
2 Beulah Road
• any of the policies are cancelled by the insurers or become voidable at
the option of the insurers NORWOOD SA 5067

• you become an externally-administered body corporate as defined in 1300 137 037


the Corporations Act

• you commit an act of bankruptcy as defined in the Bankruptcy Act

• someone gets a court judgment against you or

• you cease to carry on business

then the principal and interest balance of the loan is immediately due
and payable. We may then cancel the policies and/or take any premium
refund towards payment of such balance.

6. Attorney: In the event of any default mentioned in the preceding clause,


you irrevocably appoint us, and each of our directors from time to time,
as your attorney with full power and authority, to cancel the policies,
and to obtain and keep (and issue a receipt for) any refund due upon
such cancellation, and to do such other things as we deem reasonably
necessary to protect our interest in the policies. This power of attorney
continues even if any policy is cancelled, expired or otherwise at an end.

12  Family Day Care Australia Educator Insurance


Financial Services Guide
December 2015 (V20)

This Financial Services Guide (FSG) contains important information to assist 4. Product Disclosure Statement
you in deciding whether to use our services and includes:
If you ask us to arrange personal accident insurance for carers or children,
1. Who we are and who we act for motor vehicle or home and contents insurance we will provide you with a
Product Disclosure Statement (PDS) unless you already have an up to date
2. Types of services we provide version. It is prepared by the insurer and is designed to help you make an
3. Your Duty of disclosure informed decision about the financial product.

4. Product Disclosure Statement (PDS) 5. Insuring the interest of other parties

5. Insuring the interest of other parties If you require the interest of a party other than the named insured to be
covered, you MUST request this. Most policy conditions will exclude indemnity
6. Change of risk or circumstances to other parties.
7. Terms of the insurance contract 6. Change of risk or circumstances
8. Insurers rights following a claim It is important that you advise us of any location changes, business activities
or any departure from your normal form of business.
9. Insurers
7. Terms of the insurance contract
10. Privacy
By taking out this insurance you agree that:
11. Payment for our services
a) You have read and understood FDCA’s Financial Services Guide
12. Cooling off period
and Duty of Disclosure, Privacy Policy and the relevant Product
13. Potential conflicts of interest Disclosure Statements if Personal Accident for Children or Carers,
Motor Vehicle and Home & Contents insurances have been
14. Complaints policy selected.
15. Insurance Brokers Code of Practice b) If you select the premium funding option, you have read and
understood the Premium Funding Payment and Instalment Plan
16. Compensation arrangements for clients’ losses
Terms and Conditions and you agree to be bound by these Terms
17. How to contact us and Conditions.

1. Who we are and who we act for c) You authorise FDCA (ABN 93 094 436 021) to give to or obtain from
any relevant authority or the Service you are registered with,
Family Day Care Australia Limited (FDCA) ABN 93 094 436 021 AFSL 329 616 is any information relating to the status of the insurances you have
the national peak body for family day care. As an insurance broker we act selected including providing a copy of the certificate of insurance.
on your behalf.
d) You understand that:
2. Types of services we provide
i) any statement made in the application will be treated by us as
FDCA can provide general product advice on, and deal in general insurance a statement made by all the people insured
products to retail and wholesale clients.
ii) the insurance/s and membership are only valid if you are
Any advice we provide is general in nature and we do not take into account registered with an Australian Government Funded Family Day
your personal needs or financial objectives. Before you decide to purchase Care service or In-Home Care service
general insurance products from us you need to consider if the advice and
relevant product is right for your circumstances as we have not done this. e) If you are a FDCA member, you agree to be bound by the
constitution and by-laws of FDCA.
We act as a referrer only for Income Protection and Superannuation. In
making any referral we do not advise or represent that their products and f) The insurance/s and membership are non-transferable.
services are right for you and take no responsibility for the products and
8. Insurer’s rights following a claim
services they may provide to you. You need to make your own decision
based on the information they provide. Under the policy the insurer is entitled on the happening of any accident,
injury, loss or damage to undertake in your name and on your behalf
Premium funding is available for certain FDCA products and enables you
the conduct, control and settlement of any proceedings and to take
to spread your payment over instalments rather than pay it in a lump sum;
proceedings at their own expense and for their own benefit but in your name
however you will have to pay a fee to the premium funder. When we offer
to recover property or secure indemnity or contribution in respect of anything
you premium funding we act on behalf of the premium funder, not you.
insured in this policy.
We do not provide personal advice or represent that any of the funder’s
products and services are right for you or that they are the most appropriate. 9. Insurers
You need to make your own decision based on the information provided.
Your Insurances are only arranged with Insurers that are authorised under the
3. Your Duty of disclosure Insurance Act 1973 to conduct insurance business in Australia. Although the
insurers are subject to the supervision of the Australian Prudential Regulation
Before you enter into a contract of general insurance with an Insurer, you
Authority (APRA), we are not in a position to guarantee that any insurer will
have a duty under the Insurance Contracts Act 1984, to disclose to the Insurer
at all times be in a position to pay claims as and when they occur and we
every matter that you know, or could reasonably be expected to know, is
disclaim any liability for losses that you may not be able to recover from your
relevant to the Insurer’s decision whether to accept the risk of the insurance
insurer/s.
and, if so, on what terms. You have the same duty to disclose those matters
to the Insurer before you renew, vary or reinstate a contract of general 10. Privacy
insurance. Your duty however does not require disclosure of any matter
that diminishes the risk to be undertaken by the Insurer, that is of common We are committed to protecting your privacy. We use the information you
knowledge, that your insurer knows or, in the course of their business ought to provide to advise about and assist with your insurance needs. We provide
know, as which compliance with your duty is waived by the insurer. your information to insurance companies and agents that provide insurance
quotes and offer insurance terms to you or the companies that deal with your
Non-Disclosure and Misrepresentation insurance claim (such as loss assessors and claims administrators) as well as
contractors or partners who supply services to us or our members. We also
If you fail to disclose any matter, which you were under a duty to disclose
provide details of your insurance status to the Service that you are registered
to the insurer or you made a misrepresentation to the insurer before this
with (including providing your Certificate of Insurance) as well as Regulatory
Policy was entered into, the Insurer may be entitled to reduce its liability
Authorities if requested. Your information may be given to an overseas insurer
under the contract in respect of a claim or may cancel the contract. If your
(like Lloyd’s of London) if we are seeking insurance terms from an overseas
non disclosure is fraudulent, the Insurer may also have the option of voiding
insurer or to reinsurers who are located overseas. We will try to tell you where
the contract from its beginning. Contracts of Insurance are subject to the
those companies are located at the time of advising you and if necessary,
doctrine of utmost good faith. Failure to adhere to this may prejudice any
seek your consent before disclosing your information to them. Public liability
claim.
Insurance for FDCA members is placed with certain underwriters at Lloyds of
London and London companies.

Family Day Care Australia Educator Insurance  13 


We do not trade, rent or sell your information. If you don’t provide us with If the complaint is not resolved to your satisfaction you can refer the matter
full information, we can’t properly advise you, seek insurance terms for you to the Financial Ombudsman Service Limited (FOS) www.fos.org.au which is a
or assist with claims and you can breach your duty of disclosure. For more national scheme for consumers. Its aim is to resolve disputes between clients,
information about how to access the personal information we hold about brokers and insurance companies. Contact them at Financial Ombudsman
you, how to have the information corrected and how to complain if you think Service Limited GPO Box 3, Melbourne VIC 3001 Telephone: 1300 780 808 E:
we have breached the privacy law, ask us for a copy of our Privacy Policy or info@fos.org.au
visit our website. www.fdca.com.au
15. Insurance Brokers Code of Practice
11. Payment for our services
FDCA subscribes to the National Insurance Brokers Association Code of
When we place insurance for you we receive commission from the insurer Practice (The Code). The code sets out standards for Brokers to follow when
(including renewals and some variations to the policy). The commission is a dealing with clients. The code is available at www.niba.com.au.
percentage of the insurer’s base premium (i.e. excluding stamp duty, fire
services levy, GST or any other government charges, taxes, fees or levies). 16. Compensation arrangements for clients’ losses
The commission rate varies between 0-30%. Different insurers can agree to FDCA has a professional indemnity insurance policy (PI policy) in place. The
pay us different commission rates for the same type of products. The rates PI policy covers FDCA and their representatives (including ex employees and
also vary for each product type. FDCA may sometimes receive additional representatives) for claims made against them by clients as a result of their
remuneration from insurers though profit commissions on insurance products. conduct in the provision of financial services.
Because the amount of the commission earned may vary depending on the
performance of the portfolio over a period of time, the amount of possible 17. How to contact us
commission attributable to any policy will not be known at the time of
placement. The commission is included in the premium amount detailed on Family Day Care Australia Limited PO Box 571, Gosford NSW 2250
your invoice and we receive it when you pay the premium or at a later time
Telephone: 1800 658 699 Fax: 02 4324 7882
as agreed with the insurer.
E: memberservices@fdca.com.au
You may cancel your policy at any time and under certain circumstances,
you may be eligible for a refund. If you advise us in writing within 14 days W: www.familydaycareaustralia.com.au
of the inception date of the policy and no care has taken place, we will
refund the full premiums of certain products less a cancellation fee of $25.00. This FSG Version was prepared on 1 December 2015 by Family Day Care
Beyond this 14 day term, Membership, Telephone Legal Advice, Personal Australia Limited ABN: 93 094 4
Accident for Children and carers and Educator Management Liability

Insurances and Kick Start Packages are non refundable. A proportion of your
Public Liability Insurance may be eligible for refund beyond the 14 day term, Please keep this document for your reference
less fees, commissions and government charges. and any future dealings with us.
We also have standard administration/policy handling fees which are
charged in addition to the premium for the insurance to cover the cost of
services for preparation and distribution of FDCA documentation and other
services we provide to our members. The FDCA fee ranges between $0-$300
per policy and is noted in the documentation we send you. They are non-
refundable. If you pay annually and cancel or vary your insurance package
mid-term, FDCA will retain $25 (including GST) for our expenses in relation
to the cancellation and/or variation. If you are not a member of FDCA we
will charge you a non-member fee of $110.00 to arrange your insurance
packages.

All commission and fees assist to support the work of FDCA. When you pay
us your premium it will be banked into our trust account. We retain the
commission from the premium you pay us and remit the balance to the
insurer. We may earn interest on the premium while it is in our trust account
and retain any interest earned on the premium.

If we arrange premium funding/instalment payment options for you we are


paid a commission of between 0-5% of the funded premium.

From time to time FDCA may provide sponsorship and/or financial support to
various Associations and Services of up to 10% of the annual premium.

12. Cooling off period

A cooling off period may apply to an insurance policy issued to you as a


retail client. During the period you may return the policy. If a cooling off
period applies to your policy the details of your rights are included in the
relevant Product Disclosure Statement.

13. Potential Conflicts of Interest

FDCA and its staff may also receive ‘soft dollar’ benefits from insurers and
other service providers and can include entertainment or small gifts. There
are no other associations or relationships with insurers which may influence us
in providing our services.

14. Complaints Policy

FDCA have developed a Complaints and Dispute Resolution Process which is


fair, efficient and accessible to all our clients.

If you would like to make a complaint about the services provided by FDCA
you should telephone FDCA on free call 1800 658 699, or if you wish you
can put your complaint in writing for referral to the complaints officer. The
complaints officer will acknowledge your complaint in writing as soon as it is
received by FDCA. We will respond to your complaint within 5 business days
of receipt by FDCA.

14  Family Day Care Australia Educator Insurance


Product Disclosure Statement
Personal Accident for Carers/Educators and Children

London Australia Underwriting Pty Ltd (LAUW) B) Personal Accident Extensions

London Australia Underwriting Pty LTD (LAUW) ABN 40 114 962 435 / AFSL no. 1. Double death benefit
295894 is an underwriting agency based in Sydney, Australia.
In the event that the You and Your spouse/partner die as the direct result of
LAUW has been in operation since July 2005 and acts on behalf of certain bodily injury sustained in the same accident and leave dependent children
underwriters at Lloyd’s with authority to quote and issue contracts of insurance We agree to pay You double the benefit up to the maximum limit of liability
and collect premiums pursuant to a binding authority agreement as an agent per insured person as stated in the Policy schedule if Your Spouse/partner is not
of Lloyd’s. Claims are handled locally by Corporate Services Network. previously insured under this Policy.

If You have any queries about this policy You should contact LAUW whose C) Provided Always That:
contact details are at the end of this PDS.
1. Any permanent disablement not specifically defined in the table
The Insurer above shall be calculated by assessing the disablement relative to the
permanent disablement schedule of benefits above without
The Insurer of the Policy is certain underwriters at Lloyd’s of London. reference to the insured person’s occupation.
What is a Product Disclosure Statement? 2. In the event of an insured person sustaining bodily injury that results in
This Product Disclosure Statement (PDS) contains information about the policy permanent disablement under more than one benefit the total
including the benefits and conditions, Your rights as a client and other things amount payable shall not exceed 100% permanent disablement
You need to know to assist You to make an informed decision when choosing amount stated in the schedule.
Your insurance. 3. If a claim is payable for the loss of a part of the body further claims for
Please refer the Policy Wording for further details. any component part cannot also be made.

In this PDS: 4. No payment will be made for permanent disability deemed by


underwriters to be 5% disability or less.
• ‘We’, ‘Our’ and ‘Us’ means LAUW and certain underwriters at Lloyd’s.
5. Where any payment has been made for temporary total disablement
• ‘You’, Your’ means the person named in the policy schedule as the the amount paid shall be deducted from any lump sum subsequently
Insured Person. payable for permanent total disablement or death.

6. If an accident causes an insured person’s death within twelve months


SECTION 1 - CARERS/EDUCATORS following the date of the accident and prior to the definite settlement
of the benefit for disablement for Permanent Total Disablement or
Key Features of the Policy / Compensation payable in respect of PERSONAL Permanent Disablement, only the benefit provided for in the case of
ACCIDENT the insured person’s death shall be paid.

If, as a result solely and directly of accidental bodily injury and corresponding Key Features of the Policy / Compensation payable in respect of SICKNESS
Accidental Death, Permanent Total Disablement, Permanent Disablement or If, as a result solely and directly of sickness and corresponding Permanent and
Temporary Total Disablement (or combination thereof), and You suffer from total loss of sight in both eyes, Permanent Total Disablement by paralysis or
any of the following Insured Events set out below, We will pay compensation Temporary Total Disablement (or combination thereof), and You suffer from any
to You or Your Executors or Administrators as set out in the table below. The of the following Insured Events set out below, We will pay compensation to You
Accident giving rise the Bodily Injury or Accidental Death must occur during or Your Executors or Administrators as set out in the table below. The Sickness
the operative time and within the Policy Period. Coverage applies 24 hours, must occur during the operative time and within the Policy Period. Coverage
inside and outside of the workplace. applies 24 hours, inside and outside of the workplace.
A) Accidental Death, Permanent Total Disablement, Permanent A) Permanent and total loss of sight in both eyes, Permanent Total
Disablement or Temporary Total Disablement Schedule of Benefits Disablement by paralysis or Temporary Total Disablement Schedule
of Benefits
Benefit Percentage/amount
payable Benefit Percentage/amount
Accidental Death 100% payable

Permanent Total Disablement 100% Permanent and total loss of sight in both eyes 100%

Tetraplegia or paraplegia 100% Permanent Total Disablement by paralysis 100%

Loss of Limb(s) one or more 100% Temporary Total Disablement As per individual
Evidence of Cover
Loss of Sight in one or both eyes 100%
B) Provided Always That:
Loss of Hearing in both ears 100%
1. In the event of an illness causing Your death within 12 months of the
Loss of Hearing in one ear 25%
symptoms of the illness first appearing there shall be no payment
Loss of Speech 50% under this section in respect of permanent and total loss of sight in
both eyes and permanent total disablement by paralysis.
Loss of thumb 20%
2. Where any payment has been made for temporary total disablement
Loss of forefinger or big toe 15%
the amount paid shall be deducted from any lump sum subsequently
Loss of any other finger or toe 10% payable for permanent total disablement by paralysis.
Permanent loss of use of back or spine (excluding 40% 3. Unless otherwise declared to and agreed by Us no benefit shall be
neck or cervical spine) without cord involvement payable for any condition for which You have sought advice,
diagnosis, treatment or counselling of which You were aware or should
Permanent loss of use of hip , knee or ankle 40%
have been aware at the inception of this contract of insurance.
Permanent loss of use of neck or cervical vertebrae 30%
without cord involvement
SECTION 2 - CHILDREN
Permanent loss of functional use of shoulder, elbow 20%
or wrist Key Features of the Policy / Compensation payable in respect of PERSONAL
ACCIDENT
Temporary Total Disablement As per individual
Evidence of Cover If, as a result solely and directly of accidental bodily injury and corresponding
Accidental Death, Permanent Total Disablement, Permanent Disablement,
Broken Bone benefits, or loss or damage to teeth, a child in Your care at
your place of work or whilst on an excursion suffers from any of the following

Family Day Care Australia Educator Insurance  15 


Insured Events set out below, We will pay compensation to You as set out in the annual aggregate.
table below. The Accident giving rise the Bodily Injury must occur during the
operative time and within the Policy Period. C) Provided Always That:

A) Accidental Death, Permanent Total Disablement, Permanent Disablement, 1. Any permanent disablement not specifically defined in the table above
Broken Bone benefits, Loss or damage to teeth Schedule of Benefits shall be calculated by assessing the disablement relative to the
permanent disablement schedule of benefits above without reference to
the insured person’s occupation.
Benefit Percentage payable
2. In the event of an insured person sustaining bodily injury that results in
Accidental Death 100%
permanent disablement under more than one benefit the total amount
Permanent Total Disablement 100% payable shall not exceed 100% permanent disablement amount stated in
the schedule.
Tetraplegia or paraplegia 100%
3. If a claim is payable for the loss of a part of the body further claims for
Loss of Limb(s) one or more 100%
any component part cannot also be made.
Loss of Sight in one or both eyes 100%
4. No payment will be made for permanent disability deemed by
Loss of Hearing in both ears 100% underwriters to be 5% disability or less.
Loss of Hearing in one ear 25% 5. If an accident causes an insured person’s death within twelve months
following the date of the accident and prior to the definite settlement of
Loss of Speech 50%
the benefit for disablement for Permanent Total Disablement or
Loss of thumb 20% Permanent Disablement, only the benefit provided for in the case of the
insured person’s death shall be paid.
Loss of forefinger or big toe 15%
Loss of any other finger or toe 10%
SECTION 3 - CARERS/EDUCATORS ACCIDENTAL DEATH ONLY
Permanent loss of use of back or spine (excluding 40%
neck or cervical spine) without cord involvement Key Features of the Policy / Compensation payable in respect of PERSONAL
ACCIDENT
Permanent loss of use of hip , knee or ankle 40%
If, as a result solely and directly of an accident and corresponding Accidental
Permanent loss of use of neck or cervical vertebrae 30% Death, We will pay compensation to You or Your Executors or Administrators
without cord involvement as set out in the table below. The Accident giving rise the Bodily Injury or
Accidental Death must occur during the operative time and within the Policy
Permanent loss of functional use of shoulder, elbow 20% Period. Coverage applies 24 hours, inside and outside of the workplace.
or wrist
A) Accidental Death Schedule of Benefits
Broken Bone Benefits caused directly and solely by
accidental bodily injury:
Benefit Percentage/amount
a) Neck, skull or spIne $5,000 payable
b) Hip or pelvis $2,000 Accidental Death 100%
c) Facial bone or bones, nose or jaw $2,000 B) Personal Accident Extensions
d) Collarbone, breastbone, rib/ribs or shoulder $2,000 1. Double death benefit
e) Leg, ankle or knee $1,000
In the event that the You and Your spouse/partner die as the direct result of
f) Arm, elbow or wrist $1,000 bodily injury sustained in the same accident and leave dependent children
We agree to pay You double the benefit up to the maximum limit of liability
g) Hand (not finger or thumb) or foot (not toe or $1,000 per insured person as stated in the Policy schedule if Your Spouse/partner is not
ankle) previously insured under this Policy.
h) Finger, thumb or toe $5,000 WHAT YOU ARE NOT COVERED FOR
Maximum compensation any one accident
There are certain times when there is no cover under this Policy. This means We
Loss of or damage to teeth: may refuse to pay Your claim in certain circumstances.
a) Permanent or second teeth ; a) $500 per tooth We will not pay for losses resulting directly or indirectly from:
b) Damage not included in a) above b) $50 per accident IN RESPECT OF SECTION 1:
c) Damage to first teeth c) $100 per tooth Personal Accident:
Total amount 1. Flying except as a full fare paying passenger in a scheduled or charter
payable shall not flight;
exceed AUD$2,000
2. Racing of any type;
B) Personal Accident Extensions
3. The insured person’s exposure to danger, hazardous activity or extreme
1. Out of pocket expenses sports except in the course of his/her employment or in an attempt to
save human life;
Underwriters will pay the insured expenses necessarily incurred solely and
directly from accidental bodily injury sustained and not recoverable from any 4. Any pre-existing degenerative process or gradually operating cause.
other source, but excluding hospital and/ or medical costs where legislation
prohibits in Australia the refund of such fees or costs Sickness

2. Weekly carer’s benefit 1. A pandemic as declared by the Global Alert Response Network of the
World Health Organisation and/or any governmental body or national
If bodily injury prevents the insured person from attending the centre health authority.
and requires the insured person to be cared for at home or elsewhere
in accordance with the instructions of a qualified medical practitioner 2. Psychoneurosis, psychopathy or psychoses, anxiety, stress, fatigue or
underwriters will pay either: mental, psychological, psychiatric or emotional symptoms or diseases
or disorders of any type.
(a) loss of income incurred by the insured person’s parent or guardian
if he/she is unable engage in his/her usual employment in order to 3. Venereal disease or Acquired Immune Deficiency Syndrome (AIDS), AIDS
care for the insured person, or Related Complex (ARC) or Human Immuno-deficiency Virus (HIV)
howsoever these have been acquired.
(b) the expenses necessarily incurred in engaging a qualified carer
during the hours that the insured person would otherwise have IN RESPECT OF SECTION 2:
attended family day care;
1. Flying except as a full fare paying passenger in a scheduled or charter
to a maximum of AUD$200 for each day that the insured person is unable to flight;
attend their usual family day care centre with a deferment period of 3 days
2. Racing of any type;
and maximum benefit period of 52 weeks.
3. Your exposure to danger, hazardous activity or extreme sports except in
The maximum benefit payable under Personal Accident Extension 1 or 2, or
the course of Your employment or in an attempt to save human life;
combination thereof, shall not exceed AUD$ 5,000 per insured person in the

16  Family Day Care Australia Educator Insurance


4. Any pre-existing degenerative process or gradually operating cause. (a) claim;

5. Any benefit for the first 3 days that the child is unable to attend their (b) circumstance(s) of which You become aware which is (or are)
normal family day care centre. likely to give rise to a claim;

6. Any benefit during the Policy Period that the child’s parent or guardian Such notification shall include full details of the accident or event giving rise
is entitled to paid carer’s leave from his/her employer. to the claim, circumstance(s) likely to give rise to a claim. Failure to notify Us
as soon as practicable may result in the claim being declined or payment
7. Weekly carer benefits, where the child is admitted or being cared for in reduced.
a hospital.
Notify claims to London Australia Underwriting Pty Ltd, C/- Corporate Services
8. Any benefit from the date the qualified medical practitioner considers Network, Level 2, 280 George Street, Sydney 2000 or call +612 8256 1770
that the child no longer requires care.
Or; Email: claims@csnet.com.au
IN RESPECT OF SECTION 3:
7. Contribution
1. Flying except as a full fare paying passenger in a scheduled or charter
flight; Any matter in respect of which You are (or but for the existence of this Policy
would be) entitled to indemnity under any other contract of insurance, except
2. Racing of any type; where such other insurance is written as specific excess insurance to provide
3. The insured person’s exposure to danger, hazardous activity or extreme an indemnity in excess of the amount payable under this Policy.
sports except in the course of his/her employment or in an attempt to 8. Dispute Resolution
save human life;
In the event of a dispute arising under this Policy, underwriters, at the request of
4. Any pre-existing degenerative process or gradually operating cause. the Insured Person, will submit to the jurisdiction of any competent Court in the
IN RESPECT OF ALL SECTIONS: Commonwealth of Australia. Such dispute shall be determined in accordance
with the law and practice applicable in such Court.
1. If You are deemed to be under instruction from or employed by the
armed forces of any country, and which arises from Your active Any summons notice or process to be served upon the Underwriters may be
participation within the theatre of war. served upon;

2. Being under the influence of any drug or controlled substance (other Lloyd’s General Representative in Australia
than drugs legally prescribed by a registered healthcare practitioner Suite 2, Level 21 Angel Place
and used as directed by the registered healthcare practitioner).
123 Pitt Street
3. The discharge, explosion, or use of any weapon designed or intended
to cause death or serious injury, whether or not employing nuclear Sydney NSW 2000
fission or fusion, or chemical, biological, radioactive or similar agents,
by any party at any time for any reason. who has authority to accept service and to enter an appearance on behalf of
underwriters, and who is directed at the request of the insured to give a written
4. Ionising radiation or contamination by radioactivity from any nuclear undertaking to the insured to appear on behalf of underwriters..
fuel or waste from the combustion of nuclear fuel.
If a suit is instituted against underwriters, underwriters agree to abide by the
5. Suicide or attempted suicide, and parasuicidal behaviour. final decision of such Court or any competent Appellate Court.

6. War in Australia or permanent country of residence. 9. Duty to cooperate

7. Any Claim or provide any benefit to the extent that the provision of As a condition precedent to the right to be indemnified under this Policy You
such cover, payment of such Claim or provision of such benefit which must:
would expose Underwriters to any sanction, prohibition or restriction
under United Nations resolutions or the trade or economic sanctions, (a) Promptly provide to Us full details concerning any claim and/or any
laws or regulations of the European Union, Australia, United Kingdom or circumstance(s) likely to give rise to a claim and/or any matter(s) where
United States of America. You have requested to be indemnified under this Policy;

CONDITIONS AND LIMITATIONS APPLICABLE TO SECTIONS 1, 2 AND 3 (b) Promptly and on a continuous basis provide such co-operation and
assistance as We and Our representatives, legal advisers and/or agents
1. Assignment may reasonably require;

This Policy cannot be assigned without the prior written consent of Us. (c) Provide, at Your own expense, to Us such certificates, information and
evidence as they may from time to time reasonably require.
2. Avoidance by underwriters
(d) Undergo an independent medical examination when requested by Us,
If We are entitled to avoid this Policy We may elect to give notice to You that the cost for said medical examination will be paid by Us.
We regard this Policy as being in full force and effect, except that no indemnity
will be given under this Policy that arises from or is related to the ground(s) that 10. Eligibility
entitled Us to avoid this Policy.
To be eligible to benefit from cover under this Policy You must be under the
3. Cancellation age of 75 years unless otherwise agreed by Us.

This Policy may be cancelled by You at any time by giving Us written notice, in 11. Governing law
which case We shall retain a proportion of the premium calculated at short-
term rates for the time the Policy has been in force. We may cancel this Policy This Policy is governed by, and interpreted in accordance with, the laws of the
in accordance with the provisions of the Insurance Contracts Act 1984 (Cth). Commonwealth of Australia and the State or Territory where the Policy was
Upon cancellation by Us, We shall refund a proportion of the premium paid issued. Disputes relating to interpretation of this Policy must be submitted to the
calculated by reference to the unexpired period of Insurance. However no exclusive jurisdiction of the Courts of that State or Territory.
such refund shall be forthcoming where a claim or circumstances which may 12. Interest
give rise to a claim have been notified under this Policy.
No benefit shall carry interest.
4. Medical Notes
13. Interpretation
It is a pre-condition to Our liability to pay compensation under this Policy, that
all medical records, notes, and correspondence referring to the subject of a (a) Reference to any Act, statute or statutory provision shall include a
claim or a related pre-existing condition of Yours subject of a claim, be made reference to that provision as amended, re-enacted or replaced from
available on request to any medical adviser appointed by or on behalf of Us time to time whether before or after the date of the inception of this
and that such medical adviser or advisers shall, for the purpose of reviewing Policy;
the claim, be allowed so often as may be deemed necessary to make
examination of You. (b) If any term, condition, exclusion or endorsement or part thereof is found
to be invalid or unenforceable the remainder shall be in full force and
5. Fraud Concealment effect;

Any fraud, concealment, or deliberate misstatement or non-disclosure either (c) The headings herein are for reference only and shall not be considered
in the proposal on which this Policy is based or in relation to any other matter when determining the meaning of this Policy.
affecting this Policy or in connection with the making of any claim hereunder,
shall entitle Us to either reduce Our liability under the Policy or cancel the Policy 14. Premium payment
from its inception, subject to the relevant provisions of the Insurance Contracts (a) As a condition precedent to the right to be indemnified under this Policy
Act 1984 (Cth). the You undertake that premium will be paid in full to Us within 60 days of
6. Claim Notification inception of this Policy (or, in respect of instalment premiums, when due).

You must ensure that We are notified as soon as practicable of any:


Family Day Care Australia Educator Insurance  17 
(b) If the premium has not been so paid by the sixtieth day from the “Biological” means any pathogenic (disease producing) micro-organism(s)
inception of this Policy (and, in respect of instalment premiums, by the and/or biologically produced toxin(s) (including genetically modified organisms
date they are due) We shall have the right to cancel this Policy ab and chemically synthesised toxins) which can cause illness and/or death in
initio by notifying You via your Insurance Broker in writing. In the event of humans, animals and/or plants.
cancellation, premium is due to US on a pro rata basis for the period that
We were on risk but the full policy premium shall be payable to Us in the “Bodily injury” means a physical injury caused by an accident, which occurs
event that any claim(s), circumstance(s) or loss(es) are notified prior to fortuitously whilst the policy is in force and which results in any of the insured
the date of termination. events specified in the schedule, within twelve (12) calendar months from the
date of its occurrence, but does not include any condition which is also a
15. Proposal form sickness

The proposal and all information contained within it, submitted by You or Your “Chemical” means any toxic or poisonous chemicals, or their precursors which
representative to Us shall be the basis of, and be incorporated into, this Policy. when suitably disseminated, produces incapacitating, damaging or lethal
effects on people, animals, plants or material property.
16. Several liability
“Child(ren)” means any person who is unmarried and under 18 years old or
The obligations of each insurance company and Lloyd’s syndicate (including under 23 years old if in full-time education.
the underwriters thereof) shall be several and not joint and shall be solely to
the extent of that company’s or syndicate’s individual subscription. No such “Deferment period” means 14 days at the commencement of temporary total
company or syndicate shall be responsible for the subscription of any other disablement or temporary partial disablement for which no benefit is payable.
such company or syndicate who for any reason does not satisfy all or part of its
obligations hereunder. “Excess” means the amount payable by You.

17. Subrogation In respect of Section 2 only:“Excursion” means a short trip or journey, travelling
away from the location to a specific destination and returning to the location
We shall be subrogated to all the rights of recovery of the insured against any organised by the insured person for the benefit of children registered to their
third party before or after any indemnity is given under this Policy provided care.
always that We shall not exercise any such rights against You unless the loss
in respect of which indemnity is provided under this Policy was caused or In respect of Section 1 only: “Gross weekly wage” means the gross average
contributed to by You. You shall, promptly and without charge, provide such weekly equivalent of annual salary.
assistance as We may reasonably require in any subrogation. In respect of Section 1 only: “Illness or sickness” means illness or sickness which
CONDITIONS AND LIMITATIONS APPLICABLE TO SECTION 1 ONLY first manifests itself during the Policy period or results from bodily injury following
an accident within the Policy period.
Benefit shall not be payable under more than one of the items of the
schedule in respect of the consequences of one accident or of one illness. “Insured” means:

No weekly benefit shall be payable until the total amount thereof has been 1. The firm(s), organisation(s), or company/(companies) stated in the
ascertained and agreed. Where any payment is made for weekly benefit, the schedule;
amount so paid shall be deducted from any lump sum subsequently payable in 2. The partner(s) of the firm(s) or company/(companies) stated in the
respect of the same accident or illness. schedule where such firm(s) or company/(companies) are partnerships;
1. The total sum payable under this contract of insurance in respect of any 3. The principal individual in the event that the firm(s) or company/
one or more claims shall not exceed in all the largest benefit under any companies stated in the schedule is a sole practitioner.
one of the items contained in the schedule (this condition does not apply
in the event an insured person and their spouse/partner die as the direct “Insured person” means You as stated in the applicable Evidence of Cover.
result of bodily injury sustained in the same accident and leave
dependent children). In respect of Sections 1 and 2 only: “Limit of indemnity” means the maximum
amount of Our liability.
2. Illness Declared
In respect of Section 2 only: “Location” means the place where the insured
This insurance is issued on the condition that You have no other illness person carries out day care services for children.
insurance except as specifically declared to the underwriters at inception
or agreed by them during the period of this Policy. In respect of Sections 1 and 2 only: “Loss of hearing” means permanent and
total loss of hearing.
CONDITIONS AND LIMITATIONS APPLICABLE TO SECTION 2 ONLY
In respect of Sections 1 and 2 only: “Loss of limb” means:
1. Benefit shall not be payable under more than one of the items of the
schedule in respect of the consequences of one accident (this condition 1. in the case of a lower limb loss by physical severance at or above the
does not apply to Personal Accident Extensions) ankle or permanent and total loss of use of a complete foot or leg;

THE MOST WE WILL PAY 2. in the case of an upper limb loss by physical severance of the four fingers
at or above the meta carp phalangeal joints or permanent and total loss
The most We will pay for all claims under this Policy during any period of of use of a complete hand or arm.
insurance is set out in the Evidence of Cover issued to You.
In respect of Sections 1 and 2 only: “Loss of sight” means:
Once the Limit of Liability has been paid, You will need to pay Us further
premium to reinstate the policy cover. 1. permanent and total loss of sight in both eyes if Your name is added to
the Register of Blind Persons on the authority of a fully qualified
Please refer the Policy Wording for further details. ophthalmic specialist;

IMPORTANT DEFINITIONS 2. in one eye if the degree of sight remaining after correction is 3/60 or less
on the Snellen Scale.
For the purpose of this Policy, the following definitions apply:
In respect of Sections 1 and 2 only: “Loss of speech” means total and
“Accident(al)”shall mean a single and unexpected external event, not permanent loss of speech.
being the unintended consequence of an intended act, which occurs at an
identifiable time and place. In respect of Section 2 only: “Medical practitioner” means a person who is
recognised by the laws of the jurisdiction in which treatment is received by the
In respect of Section 1 only: “Annual salary” means the pre-accident 3 year child as qualified to treat the bodily injury and who is not a relative of the child.
average total gross basic annual salary excluding payments for overtime,
commission or bonus at the date the bodily injury is sustained. For weekly paid, “Operative time” means the period of time during which an insured person is
Your annual salary will be calculated by taking Your average gross basic weekly covered by this Policy as stated in the schedule.
salary for the 13 weeks prior to sustaining bodily injury and multiplying by 52.
In respect of Sections 1 and 2 only: “Paraplegia” means the permanent total
“Benefit” means the sums stated in the schedule of compensation being the paralysis of the two lower limbs, bladder and rectum.
maximum amount payable by Us.
“Permanent country of residence” means the country in which You have
“Benefit period” means: permanently resided for a period of 12 months or longer.

In respect of Section 1: In respect of Sections 1 and 2 only: “Permanent disablement” means


permanent and irrecoverable disablement as listed in the schedule of
the maximum period for which temporary total disablement benefit are compensation.
payable due to any one bodily injury. The benefit commences at the end of
the deferment period. “Permanent total disablement” means:

In respect of Section 2: In respect of Section 1:

the maximum period for which weekly carer’s benefit are payable due to any disability which totally prevents You from working in Your usual occupation
one bodily injury. The benefit commences at the end of the deferment period. and which lasts 12 months and on the balance of probability will continue

18  Family Day Care Australia Educator Insurance


for the remainder of Your natural life where You are gainfully employed, GENERAL INSURANCE CODE OF PRACTICE
and are below 68 years old;
This policy is compliant with the Insurance Council of Australia‘s General
In respect of Section 2: Insurance Code of Practice apart from claims adjusted outside Australia. LAUW
and certain underwriter’s at Lloyd’s proudly support the Code. The purpose of
a disablement which prevents an insured person from working in any and the Code is to raise standards of practice and service in the general insurance
every occupation and which lasts 12 consecutive months which, at the industry.
end of those 12 months, is beyond improvement as certified by a legally
qualified medical practitioner. DISPUTE RESOLUTION

“Premium” means the amount stated in the schedule. We shall do everything possible to provide a quality service to You. If You have
any concern or complaint We are always available to listen to You and to help
“Policy period” means the period stated in the schedule. where We can.
In respect of Section 2 only: “Qualified carer” means a person that has If, after talking to Us, You wish to take the matter further, We have a Complaints
completed the necessary tertiary nursing qualifications and is a registered and Dispute Resolution Procedure which undertakes to provide an answer to
nurse. You within fifteen (15) working days. Please contact the Disputes Resolution
“Registered healthcare practitioner” means a fully qualified and licensed Manager at LAUW (see contact details at the end of this Product Disclosure
member of the medical profession who is approved by the governing medical Statement).
association of the country in which the healthcare practitioner practices and If You are not happy with any decision and it relates to a claim, You may take
who is not You, an associate of Yours or a member of Your family. Your complaint to Lloyd’s Australia Limited.
“Schedule” means the document entitled “SCHEDULE to the Policy” that Please contact Us if You would like further information or contact Lloyd’s
relates to this Policy. Australia Limited, Level 21, 123 Pitt Street, Sydney NSW 2000
In respect of Sections 1 and 2 only: “Tetraplegia” means the permanent and Tel: +61 (0) 2 9223 1433 Fax: +61 (0) 2 9223 1466
total paralysis of the two upper limbs and two lower limbs.
PRIVACY
In respect of Section 1 only: “Temporary total disablement” means disablement
which prevents You from carrying out all parts of Your usual occupation, up to We are committed to protecting Your privacy. We use the information
a maximum of 70% of Your Gross annual salary. You provide Us to quote on Your application for a policy, to provide the
insurance, administer the Policy and assess and manage any claims. We only
“Underwriters” mean certain Lloyd’s Underwriters and any other participating provide personal information to Our underwriters and reinsurers (and their
insurance companies. representatives) and those We appoint to assist Us with claims under Your
“War” means war, civil war, invasion, act of foreign enemies, hostilities (whether Policy.
declared or not), rebellion, revolution, insurrection, military or usurped power. If You do not provide Us with full information, We cannot properly quote for Your
NOTIFICATION OF CLAIMS insurance and We cannot insure You. You can check the personal information
We hold about You at any time. Such application should be directed to Us in
Notify claims to London Australia Underwriting Pty Ltd, C/- Corporate Services writing where it will be considered by Our internal Privacy Disputes Department.
Network, Level 2 280 George Street, Sydney 2000 or call +612 8256 1770.
If You provide Us with personal information about anyone else, We rely on You
Or; Email: claims@csnet.com.au to have their consent to provide their information to Us, and that You have told
them to whom We may provide it, the purposes for which We may use it and
THE COST OF YOUR POLICY AND PAYING FOR YOUR INSURANCE that they can access it. If the information is sensitive, We rely on You to have
The cost of the Policy will be shown on the quotation provided, once all obtained their consent on these matters.
required information has been received. For more information about Our Privacy Policy, please visit Our website to
The cost of the Policy is made up of premium, government taxes such as obtain a copy:
Goods & Services Tax (GST) and stamp duty, where applicable and fees. www.lauw.com.au
YOUR DUTY OF DISCLOSURE SERVICE OF SUIT CLAUSE
When You apply for insurance You need to tell Us certain information which We hereon agree that:
would affect Our decision to insure You. If You do not give Us this information
it may affect the Policy. The duty of disclosure appears in full below; please In the event of a dispute arising under this Policy, We, at the request of You,
ensure You read and understand this duty. will submit to the jurisdiction of any competent Court in the Commonwealth of
Australia. Such dispute shall be determined in accordance with the law and
The duty of disclosure notice will also appear on Your renewal invitation and practice applicable in such Court.
the duty of disclosure also applies to any endorsements or variations You ask
for. Any summons notice or process to be served upon Us may be served upon;

Before You enter into a contract of general insurance with an insurer, You have Lloyd’s General Representative in Australia
a duty, under the Insurance Contracts Act 1984 (Cth), to disclose to Us every
matter that You know, or could reasonably be expected to know, is relevant Suite 2, Level 21 Angel Place, 123 Pitt Street, Sydney NSW 2000
to Our decision whether to accept the risk of the insurance and, if so, on what who has authority to accept service and to enter an appearance on Our
terms. behalf, and who is directed at the request of You to give a written undertaking
You have the same duty to disclose those matters to Us before You renew, to You that he will enter an appearance on Our behalf. If a suit is instituted
extend, vary or reinstate a contract of general insurance. against US, We will abide by the final decision of such Court or any competent
Appellate Court.
Your duty however does not require disclosure of a matter which:
CONTACT DETAILS
• diminishes the risk to be undertaken by Us;
London Australia Underwriting Pty Limited
• is of common knowledge;
Suite 35.01 Northpoint
• We know or, in the ordinary course of Our business, ought to know;
100 Miller Street
• of which compliance with Your duty is waived by Us in writing.
North Sydney
NON-DISCLOSURE
SYDNEY NSW 2000
If You fail to comply with Your duty of disclosure, We may be entitled to reduce
Our liability under the Policy in respect of a claim or may cancel the Policy. Telephone: (02) 8912 6400

If Your non-disclosure is fraudulent, We may also have the option of avoiding Fax: (02) 8912 6401
the contract from its beginning. Website: www.lauw.com.au
COOLING-OFF Email: feedback@lauw.com.au
If You decide that You do not want the Policy, You have a cooling-off period This Product Disclosure Statement was prepared on 1st December 2015
of 21 days from the date the Policy was issued to cancel the Policy. You must
tell Us in writing that You wish to cancel the Policy and We will repay the full London Australia Underwriting Pty Ltd are authorised by certain underwriters at
amount of premium to You. You cannot use this cooling-off period if the Policy Lloyd’s to distribute this Product Disclosure Statement.
has already expired or if You have made a claim under it.

PAPDS201512

Family Day Care Australia Educator Insurance  19 


Family Day Care Australia Limited
PO Box 571Gosford NSW 2250
Tel 1800 658 699 I Fax 02 4324 7882
memberservices@fdca.com.au
www.fdca.com.au
20  Family Day Care Australia Educator Insurance
EIIA0216

Você também pode gostar