3.3 Exemptions and exceptions
(a) Insurance exemptions
There is recognition in the Discrimination Acts that
some discrimination by insurers may be necessary.
The ADA, DDA and SDA provide exemptions
which mean that discrimination relating to
insurance services may not be unlawful in some
circumstances. No such exemption applies under
the RDA.
ADA and DDA exemptions
The ADA39 and DDA40 provide that discrimination on
the basis of age or disability in relation to provision
of insurance by either refusing to offer a product,
or in respect of the terms or conditions on which
the product is offered or may be obtained, is not
unlawful if the discrimination:
•
is based upon actuarial or statistical data
on which it is reasonable to rely, and the
discrimination is reasonable having regard
to the matter of the data and other relevant
factors (the ‘data exemption’)
or
•
in a case where no such actuarial or statistical
data is available and cannot reasonably be
obtained — the discrimination is reasonable
having regard to any other relevant factors
(the ‘no data exemption’).
An insurer who relies on the exemption must be
able to show that the requirements of either the
data exemption or no data exemption are met.
The data exemption
An insurer who relies on the data exemption must
be able to show that the data was available and
relied upon at the time the decision was made.
Insurers should keep accurate records of data
relied upon. If a complaint of discrimination is made
to the Commission, an insurer may be required
to disclose the source of the data as part of the
Commission’s conciliation process.41 The data may
also need to be produced if the discrimination
complaint proceeded to court.
Insurers should make ‘an objective judgment about
the nature and quality of the actuarial or statistical
data’.42 It may not be reasonable to rely on data that
is out-of-date, qualified, incomplete, discredited,
based on an insufficient sample size, or not directly
applicable to the particular situation.43
Data that may be reasonable to rely upon includes:
•
underwriting manuals with information
about the nature and degree of extra risk of
insuring particular groups (provided the data
used to populate them is complete and up to
date)
•
local data, such as government studies,
census statistics, studies reported in medical
journals, and insurance studies with data
from a reliable source44
•
international studies, particularly if local
data is insufficient or it can be shown that
the international data remains reasonably
applicable in Australia.45
Guidance Resource: Artificial intelligence and discrimination in insurance pricing and underwriting • 2022 • 15