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.