Cockatoo guide

Co-insurance: identify which meaning the policy uses

Co-insurance can describe an insured person's share of a cost, a property underinsurance condition, or an arrangement where several insurers share a risk. The surrounding policy or financial report determines the meaning.

Co-insurance can describe an insured person’s share of a cost, a property underinsurance condition, or an arrangement where several insurers share a risk. The surrounding policy or financial report determines the meaning.

The distinction that matters

A percentage in one policy is not a universal Australian claims rule. Do not confuse an underinsurance calculation with a health-plan cost share or a split between insurers.

What to check

  • The clause containing the term.
  • The percentage and calculation basis.
  • Any valuation or sum-insured obligation.
  • Other limits and excesses applying to the claim.

Example to discuss

If a document says co-insurance applies, ask the provider to show a worked calculation using that exact clause and the values relevant to the proposed policy.

This is a hypothetical comparison, not a customer claim or a determination of cover.

Sources and further reading

General information only. The policy, schedule and applicable rules determine the actual position. For a personal decision, use an appropriately qualified adviser or the relevant provider.

Sources

References used in this guide