Selected cases

Federal Court of Australia · [2025] FCA 454

Priority

Australian Securities and Investments Commission v HCF Life Insurance Company Pty Limited (Penalty)

In Australian Securities and Investments Commission v HCF Life Insurance Company Pty Limited (Penalty) [2025] FCA 454, the Federal Court imposed a $750,000 penalty after an earlier finding that HCF Life’s Recover Cover PDSs misled the public about pre-existing condition exclusions. The Court treated the case as a deterrence matter even though there was no intention to mislead, no evidence of consumer loss and no financial benefit from the conduct. It also ordered prominent corrective notices. For businesses, the case is a strong reminder that customer documents must reflect how legislation changes the practical operation of exclusions and limitations.

Federal Court of AustraliaNot recorded

These are plain-English explainers, not legal advice. They are a good starting point, but check the linked official source before you rely on a specific section, and get advice for your situation.

Talk to a lawyer

Decision snapshot

Facts

The dispute

ASIC brought proceedings against HCF Life Insurance Company Pty Limited about the way pre-existing condition terms were described in product disclosure statements for HCF Life’s Recover Cover products. In the earlier liability judgment, referred to in the penalty decision, Jackman J found that HCF Life had contravened section 12DF of the ASIC Act by engaging in conduct liable to mislead the public as to the nature, characteristics and suitability of financial services. The penalty judgment says the contravention involved misrepresenting exclusions called the Pre-Existing Condition Terms in the Recover Cover PDSs. The products were sold over a series of PDS versions between April 2021 and April 2023. The judgment identifies Smart Term Insurance, Cash Back Cover, Income Assist Insurance and Income Protect Insurance as the relevant Recover Cover products, with different PDS issue dates applying across that period. From 5 April 2021 to 27 April 2023, HCF Life entered into 12,265 Recover Cover contracts with members of the public, and 7,022 remained in force as at 10 December 2024. The broader commercial setting mattered. More than 90% of Recover Cover customers were members of HCF Ltd’s private health insurance fund. HCF Life outsourced front-line operations such as sales, marketing, advertising, member services and product design, and some support functions including risk, legal and compliance, company secretarial, information technology, people and culture, and some finance functions, to HCF Ltd under a master services arrangement. HCF Ltd also acted as HCF Life’s agent to promote and sell products. The judgment also records that external lawyers reviewed the relevant PDSs issued in 2019, 2021 and 2023 before issue, but did not advise that the draft clauses were potentially misleading and did not raise the possibility that the clauses may mislead because they failed to refer to, or explain, the existence or effect of section 47 of the Insurance Contracts Act. Even after the liability judgment on 28 October 2024, the relevant Income Protect Insurance and Cash Back Cover PDSs still appeared on HCF Life’s website, and the website did not contain any reference to the existence or effect of the liability judgment, the existence or effect of section 47, or the fact that the PDSs were liable to mislead the public.

Issue

The legal question

The legal issue in [2025] FCA 454 was what pecuniary penalty and corrective orders should be imposed after HCF Life had already been found liable under section 12DF of the ASIC Act for conduct liable to mislead the public. The Court had to assess deterrence in circumstances where there was no intention to mislead, no evidence of consumer loss or damage, no financial benefit from the contraventions, legal advice had been obtained, and the relevant PDSs remained online after the liability judgment.

Outcome

Decision

The Federal Court ordered HCF Life to pay a pecuniary penalty of $750,000. It also ordered HCF Life to publish a corrective notice within 14 days on the relevant website through a prominent click-through banner in the top third of the page, visible without scrolling, and to keep that banner in place for at least 180 days. The corrective notice, or otherwise the banner, also had to appear on each webpage where the relevant PDSs were published for so long as policyholders could still make claims under those policies. HCF Life was also ordered to pay 50% of ASIC’s costs incurred up to 28 October 2024 and ASIC’s costs incurred after that date.

Practical impact

Commercial note

For businesses, the main lesson is to test customer-facing wording against the law that actually governs the product, not just against the text of the contract. If an exclusion, limitation or condition is affected by legislation, your documents should not describe it in a way that makes the customer’s position look worse than it really is. This case also shows that external legal review helps but is not a complete answer. The Court noted that legal advice had been obtained, but the weight given to that depends on the circumstances, including what advice was sought and how clearly it addressed the real issue. Businesses should also treat post-issue remediation as part of compliance, not an afterthought. If a regulator raises a concern or a court makes findings, old documents left online and slow corrective messaging can continue to matter.

The story

This Federal Court decision is the penalty stage of ASIC’s case against HCF Life Insurance Company Pty Limited. The Court had already decided liability in an earlier judgment delivered on 28 October 2024. In that earlier decision, Jackman J found that HCF Life contravened section 12DF of the ASIC Act by engaging in conduct liable to mislead the public as to the nature, characteristics and suitability of financial services.

The conduct concerned the way HCF Life described pre-existing condition exclusions in product disclosure statements for its Recover Cover insurance products. The penalty judgment says those exclusions, called the Pre-Existing Condition Terms, were misrepresented in the Recover Cover PDSs. The Court also recorded that insurers are now on notice that contractual terms may mislead consumers if their operation is modified by, or inconsistent with, the Insurance Contracts Act 1984 (Cth).

That point is commercially important. The problem was not that the products were oversold. The catchwords say the insurance products were presented as less desirable than they actually were. In other words, a business can mislead not only by exaggerating benefits, but also by describing an exclusion or limitation too broadly when the law narrows how it can operate.

The products were sold under several PDS versions between April 2021 and April 2023. The judgment identifies Smart Term Insurance, Cash Back Cover, Income Assist Insurance and Income Protect Insurance as the relevant Recover Cover products. From 5 April 2021 to 27 April 2023, HCF Life entered into 12,265 Recover Cover contracts with members of the public, and 7,022 remained in force as at 10 December 2024.

The group structure also mattered. More than 90% of Recover Cover customers were HCF Ltd private health insurance members. HCF Life outsourced front-line operations and some support functions to HCF Ltd, including sales, marketing, advertising, member services, product design, risk, legal and compliance support. HCF Ltd also acted as HCF Life’s agent to promote and sell products. For businesses using related entities, white-label arrangements or shared services teams, this is a reminder that responsibility for customer-facing wording does not disappear because multiple entities are involved.

What the court had to decide at the penalty stage

By the time of this judgment, liability had already been established. The Court was not deciding again whether HCF Life had contravened the law. The question was what pecuniary penalty and other orders were appropriate after the contraventions had been found.

The judgment sets out the usual civil penalty principles. The purpose of a civil penalty regime is primarily the promotion of compliance through deterrence, both specific deterrence of the contravener and general deterrence of others. The Court repeated that a penalty must not be so low that it becomes an acceptable cost of doing business, but it must also not be oppressive or greater than necessary to achieve deterrence.

The penalty issues in this case were commercially realistic ones that many businesses would ask about. The Court had to consider the significance of the fact that there was no intention to engage in misleading conduct, no evidence of consumer loss or damage, and only a theoretical risk of harm. It also had to consider that HCF Life derived no financial benefit from the contraventions. Another issue was the role of legal advice, because HCF Life had obtained external review of the relevant PDSs and those lawyers had not identified the problem. The Court also considered post-liability conduct, including that the relevant PDSs remained available on the website and corrective notices were delayed after the liability judgment.

The judgment makes clear that these factors can reduce or shape the penalty analysis, but they do not remove the Court’s focus on deterrence. That is a useful point for directors and founders. In a civil penalty case, the absence of bad faith or proven loss may help, but it does not end the matter if the Court considers a meaningful compliance message is still needed.

Quick checklist

0/5

What the court decided

On 8 May 2025, the Federal Court ordered HCF Life to pay a pecuniary penalty of $750,000 under section 12GBB of the ASIC Act. The Court also made corrective notice orders under section 12GNB of the ASIC Act and or section 23 of the Federal Court of Australia Act.

Those corrective orders were detailed and practical. Within 14 days, HCF Life had to publish, or cause to be published, a corrective notice on the website www.hcf.com.au/insurance/life-recover-cover. The notice had to be accessible through a click-through banner prominently located in the top third of the webpage and visible without scrolling. The banner had to contain the wording “Notice ordered by the Federal Court of Australia - Life Insurance policies” with a “Learn More” button in white and in the same font centred on a red background. The banner had to remain on the website for at least 180 days, operate as a one-click hyperlink to the notice, and the notice had to occupy the entire webpage accessed through that banner.

The Court also ordered publication of the corrective notice, or otherwise the click-through banner, on each webpage where the relevant product disclosure statements were published for so long as policyholders were able to make a claim under the policy referable to those PDSs. The website also had to be maintained during the period the notice was required, and no mechanism could be used to stop search engines indexing the pages or scanning them for links to follow.

On costs, HCF Life was ordered to pay 50% of ASIC’s costs incurred up to 28 October 2024 and ASIC’s costs incurred after that date.

The catchwords also record the Court’s view that specific deterrence had largely been achieved by the declarations of contravention, and general deterrence had largely been achieved by insurers now being on notice that contractual terms may mislead consumers if their operation is modified by or inconsistent with the Insurance Contracts Act. Even so, the Court considered a substantial pecuniary penalty of $750,000 appropriate.

Quick checklist

0/6

How businesses should read it

This case sits in insurance and financial services, but the practical reading is broader. Many businesses explain exclusions, limitations, waiting periods, eligibility rules, cancellation rights or claim conditions in customer documents and website copy. The risk is not only that those explanations overstate what the customer gets. The risk is also that they understate the customer’s legal position by failing to reflect legislation that changes how the term actually works.

The judgment is especially relevant where your business uses standard form documents at scale. A wording issue repeated across many contracts can become a systemic disclosure problem. It is also relevant where your business keeps old versions of documents online, because those materials may continue to influence customers and remain visible to regulators and courts.

Another practical lesson is that remediation speed matters. The Court noted that the relevant PDSs remained available on the website and that corrective notices were delayed after the liability judgment. Once a regulator raises a concern, and especially once a court has made findings, businesses should move quickly to review live and archived materials, decide what corrective messaging is needed, and document the steps taken.

For directors and managers, the governance point is straightforward. Someone should own the question of whether customer-facing wording matches the legal effect of the product or service. That review should cover not just the formal contract or PDS, but also website summaries, FAQs, sales scripts, onboarding material and any downloadable PDFs. If another law modifies the operation of a term, the customer explanation should be checked with that law in mind.

Quick checklist

0/7

Dates and status

The penalty judgment was delivered by Jackman J on 8 May 2025 in the Federal Court of Australia. It followed the earlier liability judgment delivered on 28 October 2024. The orders required corrective publication within 14 days of 8 May 2025 and required the main website banner to remain in place for at least 180 days from publication. The orders also required corrective publication on each webpage where the relevant PDSs were published for so long as policyholders were able to make a claim under the relevant policies.

This page explains the penalty decision and the practical compliance lessons that can be drawn from it. It does not reproduce the full wording of the earlier liability reasons, and the published penalty material used here is truncated after the discussion of ASIC’s 23 March 2023 letter. Readers who need a full technical analysis of liability reasoning should read both judgments together.

How Sprintlaw can help