Income protection insurance

Polemic Forensic was appointed by an insurer client to review the file of a medical practitioner claimant whom had claimed income protection insurance subsequent to a medical diagnosis.

The claimant had submitted financial information pertaining to the entities through which her business was operated at the time of the claim.

However thereafter only business activity statements which recorded GST applicable income was submitted to the insurer.

It transpires that the medical income which was derived by the claimant and which is GST free was not divulged in the statements, with the result being to substantially understate her income and result in an overpayment of insurance in excess of $200,000.