This guide applies to all officials (e.g., finance teams) in Commonwealth entities that enter into contracts which transfer insurance risk, irrespective of whether the entity conducts an ‘insurance business’.
This guide is designed to be read in conjunction with relevant Australian Accounting Standards.
- purpose: to provide guidance on applying AASB 1023 General Insurance Contracts in the identification of general insurance contracts in relation to agreements entered into by Australian Government entities.
- scope: only applies in identifying ‘general insurance contracts’ under AASB 1023. Additionally, AASB 1023 applies even if the entity does not conduct an ‘insurance business’ (see “insurer” in ‘Definitions used’ below).
- A general insurance contract is an ‘insurance contract’ that is not a life insurance contract. An insurance contract is a contract under which the insurer accepts significant insurance risk from a policy holder by agreeing to compensate the policy holder if a specified uncertain future event adversely affects the policy holder.
Part 1 – Guidance
- ‘General insurance contracts (GICs)’ as defined (see ‘Definitions used’ below) are not restricted to a formal insurance policy made by an insurer, but rather, any contract that transfers insurance risk could be considered a GIC. GICs are accounted for under AASB 1023.
Does a general insurance contract (GIC) exist?
- The following six elements must all be present before an entity is required to classify a contract as a GIC:
- there is a contract that transfers insurance risk;
- the insurance risk is present regardless of the contract;
- the risk transferred from the policy holder to the insurer is significant;
- there is an insured event;
- there is an adverse effect on the policy holder resulting from the insured event; and
- the insurer provides significant additional benefits should the insured event occur.
A decision tree has been included in Appendix 1 to assist with this Guide and AASB 1023.
- The below guidance provides additional assistance to, but does not replicate, AASB 1023’s Appendix: Definition of an Insurance Contract. Therefore, entities MUST refer to this Appendix in AASB 1023 when determining whether there is a GIC.
Note: The references to the Appendix below are minimum references; there may be additional paragraphs relevant in determining whether there is a GIC that entities need to consider.
A. There is a contract that transfers insurance risk
- Insurance risk must be transferred from the policy holder to the insurer.
Other examples of contracts that transfer no significant insurance risk (in addition to those in AASB 1023) include savings and pension plans.
- Whether an entity charges the policy holder a premium (fee) is not a determining factor for a contract to be a GIC.
B. The insurance risk is present regardless of the contract
- The insurance risk must be pre-existing. Where the risk is created as a result of a contract, it is not insurance risk.
An example of a risk created as a result of a contract (thus, is not insurance risk) is an indemnity issued as part of an employment contract to a director.
C. The risk transferred from the policy holder to the insurer is significant
- Determination of significance should be performed on a contract by contract basis. It is important to note that risk may be significant even when the insured event is extremely unlikely.
An example of a risk that may be significant even when the insured event is extremely unlikely is flood/earthquake damage. Although the probability of these types of catastrophes occurring is small, the risk is considered to be significant.
D. There is an insured event
- An insured event is an uncertain future event covered by the contract.
E. There is an adverse effect on the policy holder resulting from the insured event
Each entity will need to assess what constitutes an adverse effect.
- Generally, there must be some non-trivial financial impact attaching to the insurance contract. However, the definition is not limited to financial payments to policy holders. For example, it would cover instances where the entity provides a replacement for the item insured.
F. The insurer provides significant additional benefits should the insured event occur
- Additional benefits are amounts that exceed those that would be payable if no insured event occurred (excluding scenarios that lack commercial substance).
This requires that more than the minimal benefit will be paid under a GIC. For example, if the benefit payable under a GIC is similar to earning interest on the same amount that would have been used to acquire an insurance contract then there is no significant additional benefit (there is a lack of commercial substance and transfer of significant insurance risk as per element C above).
If the contract is not a GIC
- Where a contract does not satisfy the definition of a GIC, the entity should consider whether the following Australian Accounting Standards apply:
- AASB 4 Insurance Contracts applies to fixed-fee service contracts that meet the definition of an insurance contract such as maintenance contracts or roadside assistance contracts;
- AASB 118 Revenue where a contract does not create financial assets or financial liabilities;
- AASB 137 Provisions, Contingent Liabilities and Contingent Assets in respect to legal and constructive obligations and contingent liabilities, such as product warranties and refund policies;
- AASB 139 Financial Instruments: Recognition and Measurement in respect to financial instruments such as financial guarantees, loans and receivables, and derivatives; and
- AASB 1038 Life Insurance Contracts in relation to life insurance contracts.
Part 2 – Disclosure requirements
- Entities need to consider the disclosure requirements in AASB 1023 where they have GICs.
Part 3 – Definitions used
- General insurance contract is an ‘insurance contract’ that is not a life insurance contract (paragraph 19.1 of AASB 1023).
- Insurance contract is a contract under which one party (the insurer) accepts significant insurance risk from another party (the policy holder) by agreeing to compensate the policy holder if a specified uncertain future event (the insured event) adversely affects the policy holder (paragraph 19.1 of AASB 1023).
- Insurer is the party that has an obligation under an insurance contract to compensate a policy holder if an insured event occurs (paragraph 19.1 of AASB 1023). AASB 1023 describes any entity that issues an insurance contract as an ‘insurer’, whether or not that entity is regarded as an insurer for legal, regulatory or supervisory purposes (paragraph 2.1.3 of AASB 1023).
Appendix 1 – Decision tree
This decision tree must be used in conjunction with this Guide and AASB 1023:
If the answer is YES to all of these questions:
If the answer is NO to any of these questions: