Incurred But Not Reported Indemnity Scheme

The Incurred But Not Reported Indemnity (IBNR) Scheme helps Medical Defence Organisations (MDO) where they are not able to cover their IBNR liabilities.

You need to know

About the Incurred But Not Reported Indemnity Scheme

The IBNR Scheme is designed to fund claims where Medical Defence Organisations do not have adequate reserves to cover their liabilities.

Read more about About the Incurred But Not Reported Indemnity Scheme

Eligibilty

To be eligible to claim under IBNR you must be a participating MDO.

Read more about Eligibilty

Claiming

Claiming under the IBNR

You need to submit an application to claim.

Read more about claiming under the IBNR.

Apportionment arrangements

Apportionment is how liability between parties to a claim are decided.

Read more about apportionment arrangements

Cost sharing arrangements

Cost sharing arrangements apply if there’s an agreement between parties to share the costs or disbursements.

Read more about cost sharing arrangements

Settlement and judgment costs

You need to take settlement and judgment costs into account in your claim.

Read more about settlement and judgment costs

Plaintiff costs

Plaintiff costs are the legal costs for the person who has brought the action against the medical practitioner.

Read more about Plaintiff costs

Request for information

Under section 38 of the Medical Indemnity Act 2002 the Chief Executive Medicare may ask you for more information.

Read more about requesting information

Returning your Medical Indemnity payment application

You can send us your application and supporting documents by post or email.

Read more about Returning your Medical Indemnity payment application

When we’ll pay your claim

We’ll pay you before the end of the month immediately following the month we get your application.

Read more about when we’ll pay your claim

Recovering payments

We can recover overpayments and incorrect payments.

Read more about recovering payments

Resolving conflict

The internal review is an administrative service that we provide to any MDO or MII.

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Managing

Letting us know if things change

You must let us know if circumstances change after we’ve made a payment to an applicant.

Read more about letting us know if things change

Your right to privacy

You have a right to have your personal information kept private.

Read more about your right to privacy

Resources

Insurance Statistics Australia specialty codes

The below list of Insurance Statistics Australia (ISA) specialty codes can be used in your Medical Indemnity payment application.

Read more about Insurance Statistics Australia specialty codes

Glossary for Medical Indemnity

Some terms used in Medical Indemnity insurance claims have specific meanings depending on which scheme they apply to.

Read more about the Glossary for Medical Indemnity

Page last updated: 11 January 2019