battleface

Treating Customers Fairly Policy

Effective Date: September 1st, 2022

PRINCIPLES AND MISSION STATEMENT

The Directors and Senior Management at battleface are committed to ensuring that the key principles of treating customers fairly (TCF) are a centre focus in all areas of business activity.

This statement outlines battleface’s commitment to the TCF principles along with its key objectives for applying them across all areas of the business.

Alongside this Mission Statement, battleface has a number of policies and procedures which further promote the fair treatment of its customers including its Complaints Handling, Family Violence, Data Protection and Conflicts of Interest Policies.

 

MONITORING AND GOVERNANCE

As part of the monitoring process we follow “local regulatory publications and guidance on TCF and other conduct issues as well as news and commentary from industry and trade bodies. TCF monitoring is the responsibility of the Compliance Director reporting directly to the Managing Director and Chief Executive Officer.

The governance structure for monitoring the company’s TCF compliance is small but appropriate for the scale and nature of battleface’s business activities.

 

CUSTOMER OUTCOMES

battleface is committed to promoting positive customer outcomes by subscribing to the objectives of the General Insurance Code of Practice (GICOP) as identified by the Insurance Council of Australia:

  1. The objectives of the GICOP are:
    1. to commit us to high standards of service;
    2. to promote better, more informed relations between us and you;
    3. to maintain and promote trust and confidence in the general insurance industry;
    4. to provide fair and effective mechanisms for resolving complaints you make about us; and
    5. to promote continuous improvement of the general insurance industry through education and training.
  2. We will pursue the above objectives of the GICOP with regard to the law and acknowledging that every contract of insurance is a contract based on the utmost good faith.

 

ADDING VALUE

In adopting the TCF principles we recognise that fair treatment of our customers is about adding value to the service we offer by aiming to:

  • protect the interests of our customers at each stage of the product life cycle, from promotion right through to after sales service
  • meet as best we can the unique needs of each customer by offering a transparent, efficient and professional service, and constantly reviewing our service to identify areas for improvement

 

APPLICATION

In practical terms for the different areas of our business this means:

  • ensuring that promotional material is clear, compliant, jargon free and appropriately targeted by regular review of all customer documentation by the compliance team
  • completing product oversight and governance reviews and checklists during the product manufacturing process to ensure that the correct target market is identified
  • ensuring that all staff have thorough training on all products manufactured by battleface and understand who they are and aren’t suitable for. Staff are encouraged to challenge products where they spot inconsistencies, ambiguities or potential unfairness in the product literature or product features. Changes to product can be made almost immediately and can be tracked through battleface systems
  • operating remuneration systems which assure fairness to the customer as well as customer satisfaction
  • keeping detailed records of customer instructions and of any correspondence before, during and after a sale – to help ensure we treat customers fairly and can deal with any complaints that may arise swiftly and fairly
  • follow up with after sales contact with clients where appropriate to correct or improve on the service already offered
  • ensuring that customer complaints are assessed fairly, promptly and impartially, and in line with all local regulatory deadlines and rules
  • ensuring that staff are kept up to date with relevant training in relation to competence, data protection and other matters directly affecting the quality of service offered to customers
  • regular monitoring and reporting on the company’s TCF activities as part of its statistics/Management Information (see Appendix One), in order to assess TCF performance across the business and recommend changes where appropriate
  • ensuring that TCF values, which are set and communicated by Senior Management, are supported by all staff and understood in the same way

 

APPROACH TO CUSTOMER DETRIMENT

  • Any sign of customer complaint or dissatisfaction will be escalated to the Complaints Officer and handled in accordance with the company’s complaints procedures
  • Any action taken by the business which causes customer detriment will be addressed as soon as possible by the Senior Management team
  • Action points for future improvements will be identified and notified to staff as appropriate

 

VULNERABLE CUSTOMERS

Alongside its commitment to the TCF principles, battleface understands the importance of recognising signs of vulnerability in its interactions with customers. battleface provides all customer services staff with training on how to identify a customer who may be suffering some detriment, to act with empathy and provide additional assistance if required.

battleface recognises that there are many personal circumstances which might lead to a vulnerability from literacy and numeracy issues, a language barrier, learning difficulties, problems with disability or mental health, to a lack of understanding caused by inexperience, generation gap, remote location, financial distress, cultural background or family violence. In order to help address these vulnerabilities, battleface staff are able to offer additional support in a number of ways, with multilingual staff, 24/7 customer services and assistance and a choice of communication methods. We design our products to be clear and jargon free and provide comprehensive Q&A guides. Most importantly we listen to our customers and act on their feedback, striving to continuously improve our products and services.

Further to this, if you require the assistance of the Translating and Interpreting Service (TIS National), we will accept the cost of calls to use this service.

For anyone who has hearing or speech difficulties, you can contact the National Relay Service (NRS) on:

t: 1800 555 660
e: [email protected]

We also understand that discussing customer vulnerabilities may result in the handling and recording of a customer’s sensitive personal data. battleface ensures the protection of this data in line with data protection law.

 

FAMILY VIOLENCE

Providing a safe and supportive environment for our customers experiencing family violence is of vital importance to battleface. To this end, our staff are trained to treat all customers with respect and dignity by ensuring that appropriate and sensitive consideration is given to every interaction.

Our Family Violence Policy can be found here.

 

FINANCIAL HARDSHIP

We understand that experiencing financial difficulty is challenging so if you are in urgent financial need of the benefits under your policy or are concerned that you cannot pay an amount you owe to us, please make this clear to us at your earliest opportunity.

To support you in any financial hardship you are experiencing, we may look to:

  • Expedite the assessment and resolution of your claim, where possible; and/or
  • Facilitate a financial hardship arrangement appropriate to you to help ease your urgent financial need

In the assessment of your request for financial hardship support, we will ensure consideration for all reasonable evidence — for example:

  • Evidence of a serious illness that prevents you from earning income;
  • Evidence of a disability, including a disability caused by mental illness;
  • If you are a Centrelink client, your Centrelink statements; and
  • Evidence of your unemployment.

The above information will be requested from you only if we deem it reasonably necessary to use it to assess your application for financial hardship support.

For assistance, you can contact the National Debt Helpline on 1800 007 007.

 

APPENDIX ONE

MANAGEMENT INFORMATION

Adherence with the TCF principles is measured both quantitively and in qualitative terms. This is achieved through monitoring statistical data and customer outcomes through the following sources:

 

Statistical data

Sales data (including policies sold, premium income, average premiums and customer demographics), claims volumes and complaints data (including reasons for complaint and resolved/open complaints) is reported and presented in an internal report on a monthly basis.

The Management Information report is reviewed by Senior Management and circulated to all staff to demonstrate achievements for the period and to highlight any areas of concern.

 

Qualitative data

battleface operates an online customer review scheme via ‘Trust Pilot’ which collects customer feedback and satisfaction ratings.

Customers are also invited to contact battleface 24/7 using the online chat service Purechat or by a dedicated email address or telephone number with any concerns or queries. All positive and negative feedback is recorded, escalated to management and/or circulated to staff where appropriate.

In addition to customer feedback channels, battleface regularly engages in proactive customer research and user experience research to ensure that we can meet evolving customer needs, solve customer problems in innovative ways, and optimise our products for successful customer outcomes.

Senior Management and staff assess the output of this research and integrate its results into both near-term tactical planning and long-term strategic initiatives.

Please Confirm your Country of Residence

The product “Annual Multi-Trip” is only available for the residents of UK

FRAUD WARNING STATEMENT

FOR RESIDENTS OF ALL STATES OTHER THAN THOSE LISTED BELOW: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

ALASKA: A person who knowingly and with intent to injure, defraud, or deceive an insurance company files a claim containing false, incomplete, or misleading information may be prosecuted under state law.

ARIZONA: For your protection Arizona law requires the following statement to appear on this form. Any person who knowingly presents a false or fraudulent claim for payment of a loss is subject to criminal and civil penalties.

CALIFORNIA: For your protection California law requires the following to appear on this form: Any person who knowingly presents false or fraudulent information to obtain or amend insurance coverage or to make a claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. 

COLORADO:  It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado division of insurance within the department of regulatory agencies.

DELAWARE: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, files a statement of claim containing any false, incomplete or misleading information is guilty of a felony.

FLORIDA:  Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.

IDAHO: Any person who knowingly, and with intent to defraud or deceive any insurance company, files a statement of claim containing any false, incomplete, or misleading information is guilty of a felony.

INDIANA: A person who knowingly and with intent to defraud an insurer files a statement of claim containing any false, incomplete, or misleading information commits a felony.

KANSAS: A “fraudulent insurance act” means an act committed by any person who, knowingly and with intent to defraud, presents, causes to be presented or prepares with knowledge or belief that it will be presented to or by an insurer, purported insurer, broker or any agent thereof, any written, electronic, electronic impulse, facsimile, magnetic, oral, or telephonic communication or statement as part of, or in support of, an application for the issuance of, or the rating of an insurance policy for personal or commercial insurance, or a claim for payment or other benefit pursuant to an insurance policy for commercial or personal insurance which such person knows to contain materially false information concerning any fact material thereto; or conceals, for the purpose of misleading, information concerning any fact material thereto.

KENTUCKY: 

Application: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime.

Claim Form: Any person who knowingly and with intent to defraud any insurance company or other person files a statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime.

MAINE: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits.

MARYLAND:  Any person who knowingly or willfully presents a false or fraudulent claim for payment of a loss or benefit or who knowingly or willfully presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison.

MINNESOTA:  A person who files a claim with intent to defraud or helps commit a fraud against an insurer is guilty of a crime.

NEW HAMPSHIRE: Any person who, with a purpose to injure, defraud, or deceive any insurance company, files a statement of claim containing any false, incomplete, or misleading information is subject to prosecution and punishment for insurance fraud, as provided in RSA 638:20.

NEW JERSEY:

Application: Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties.

Claim Form: Any person who knowingly files a statement of claim containing any false or misleading information is subject to criminal and civil penalties.

PENNSYLVANIA: Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.

NEW MEXICO: ANY PERSON WHO KNOWINGLY PRESENTS A FALSE OR FRAUDULENT CLAIM FOR PAYMENT OF A LOSS OR BENEFIT OR KNOWINGLY PRESENTS FALSE INFORMATION IN AN APPLICATION FOR INSURANCE IS GUILTY OF A CRIME AND MAY BE SUBJECT TO CIVIL FINES AND CRIMINAL PENALTIES.

OHIO: Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud.

OKLAHOMA: Any person who knowingly, and with intent to injure, defraud or deceive any insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty of a felony.

OREGON: IMPORTANT NOTE: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benefit or knowingly presents false information in an application for insurance may be guilty of a crime and may be subject to fines and confinement in prison.

TENNESSEE: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefit.

TEXAS: Any person who knowingly presents a false or fraudulent claim for payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. 

VIRGINIA: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits. 

WASHINGTON: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties include imprisonment, fines and denial of insurance benefits.

NEW YORK*:  Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime, and shall also be subject to a civil penalty not to exceed five thousand dollars and the stated value of the claim for each such violation.

PRE-EXISTING MEDICAL CONDITION

Pre-Existing Medical Condition means an illness, disease, or other condition during the 180 day period immediately prior to the date Your coverage is effective :
  1. received or received a recommendation for a test, examination, or medical treatment for a condition which first manifested itself, worsened or became acute, or had symptoms which would have prompted a reasonable person to seek diagnosis, care or treatment; or
  2. took or received a prescription for drugs or medicine. Item (2) of this definition does not apply to a condition which is treated or controlled solely through the taking of prescription drugs or medicine and remains treated or controlled without any adjustment or change in the required prescription throughout the 180 day period before coverage is effective under this policy.
  3. required a change in prescribed medication. Change in prescribed medication means the dosage or frequency of a medication has been reduced, increased, stopped and/or new medications have been prescribed due to the worsening of an underlying condition that is being treated with the medication, unless the change is:
    1. between a brand name and a generic medication with comparable dosage; or
    2. an adjustment to insulin or anti-coagulant dosage.
If you, or someone you are traveling with, has a Pre-Existing Medical Condition, you can still buy a policy from us but there is no cover for any claim arising directly or indirectly from that condition.

PRE-EXISTING MEDICAL CONDITION

Any Medical Condition that, within the last 12 months, required any:

  • surgery, inpatient or outpatient treatment, referrals or investigations of any sort. This includes being on any waiting list, taking any prescription medication, tablets or required medical treatment (This will not apply to common colds, flu or contraceptive medication);
  • medical advice or treatment for any respiratory condition relating to the lungs or breathing;
  • medical advice or treatment for any heart, stroke or diabetic condition;

Hypertension or high cholesterol controlled by 1 prescription drug only and where the dosage has not been changed within the last 12 months will not be considered a pre-existing medical condition

Coverages Available:

*not all coverages are available in all states
Travel Protection Benefits Limits
Trip Cancellation 100% of trip cost (up to a maximum of $20,000)
Single Occupancy Up to trip cost
Cancel for Any Reason Up to 75% of trip cost Up to 50% of trip costs in FL(CFAR not available to NY residents)
Trip Interruption 150% of trip cost
Delay Package
Trip Delay
Maximum $200 per day up to $2,500
Missed Connection Maximum of $1,000 per covered trip
Baggage Package – Excess
Baggage and Personal Effects $2,500 $100 Deductible
Baggage Delay $100 per day up to a maximum of $500
Travel Medical Package – Excess AK, CO, ID, ND, NH – Primary
Travel Medical Expense – Adventure sports included $100,000 $50,000 in NH $50 Deductible
Emergency Dental $750
Emergency Evacuation and Repatriation of Remains Up to $500,000
Up to $1,000,000 in NH
Accidental Death & Dismemberment $100,000 or $250,000 or $500,000
Pet Medical Package
Pet Medical Expense Up to $2,000 $100 Deductible
Pet Return Up to $500
Rental Vehicle Damage – Primary Up to $35,000 per rented vehicle- Primary $250 Deductible for loss greater than $2,000
Vacation Rental Damage $1,500 or $3,000 or $5,000

Travel Medical Insurance

Some benefits are subject to an excess (aka, the deductible, or what you have to pay before we pay), as stated in the Policy Schedule, and are per Policy Period.

Benefits Limits
Cancellation and Curtailment 5,000
Emergency Medical Expenses, Evacuation and Repatriation of Mortal Remains 10,000,000 (excess 250 or 50)
Hospital Benefit 25 per day, maximum 100
Personal Accident up to 250,000
Baggage Loss or Delay up to 5,000 (excess 250 or 50)
Personal Money and Passport, limited to 250 in respect of cash 500 (excess 250 or 50)
Personal Liability 500,000
Travel Delay 500
Optional Benefits Limits
Business Extension up to 1,000 (excess 100)
Winter Sports (Ski Equipment) up to 750 (excess 50 or 100)

Travel Medical Insurance

Some benefits are subject to an excess (aka, the deductible, or what you have to pay before we pay), as stated in the Policy Schedule, and are per Policy Period.

Benefits Limits
Trip Interruption 2,000
Medical and Emergency Expenses 10,000,000 (excess 250)
Hospital Benefit 25 per day, maximum 100
Personal Accident 50,000 as standard, optional increase up to 250,000
Baggage Loss or Delay 2,000 as standard, optional increase up to 10,000
Personal Money and Passport 500 (excess 250) *** Limited to 250 in respect of cash
Personal Liability 500,000
Optional Benefits Limits
Business Extension up to 1,000 (excess 100)
Winter Sports (Ski Equipment) up to 750 (excess 50 per person, 100 per family)

Travel Medical Insurance

Some benefits are subject to an excess (aka, the deductible, or what you have to pay before we pay), as stated in the Policy Schedule, and are per Policy Period.

Benefits Limits
Cancellation up to $20,000
Trip Interruption $1,000
Medical and Emergency Expenses $5,000,000 (deductible $250)
Hospital Benefit $25 per day, maximum $100
Personal Accident up to $50,000
Baggage $2,000 (deductible $250)
Personal Money and Passport, limited to $250 in respect of cash $500 (deductible $250)
Personal Liability $500,000
Optional Benefits Limits
Business Extension up to $1,000 (deductible $100)
Winter Sports (Ski Equipment) up to $750 (deductible $50 or $100)

Travel Medical Insurance

Some benefits are subject to an excess (aka, the deductible, or what you have to pay before we pay), as stated in the Policy Schedule, and are per Policy Period.

Benefits Limits
Cancellation and Curtailment 5,000
Emergency Medical Expenses, Evacuation and Repatriation of Mortal Remains 10,000,000 (excess 250 or 50)
Hospital Benefit 25 per day, maximum 100
Personal Accident up to 250,000
Baggage Loss or Delay up to 5,000 (excess 250 or 50)
Personal Money and Passport, limited to 250 in respect of cash 500 (excess 250 or 50)
Personal Liability 500,000
Travel Delay 500
Optional Benefits Limits
Business Extension up to 1,000 (excess 100)
Winter Sports (Ski Equipment) up to 750 (excess 50 or 100)