Insurance Application

Introduction

Each Award Centre must keep current at all times the following insurance policies for the benefit of all Participants and Volunteers

Public and Product Liability insurance, with a minimum cover of $20,000,000 ($20 million) for any one incident or series of incidents arising from one event for public liability and in the aggregate for the year in respect to product liability. The Award Centre's Public and Product Liability insurance policy must note the interests of the NAO.
Personal Accident insurance, covering all Participants and Volunteers (paid or unpaid) in relation to Award Program activities for a minimum aggregate limit of $3,000,000 ($3 million) and Death and Capital Benefits limit of $150,000.

The Duke of Edinburgh's International Award - Australia facilitates Personal Accident insurance and Public and Product Liability insurance for Award Centres that do not have any insurance or require top-up cover for any gaps in coverage limits, as stipulated in the sub-licence agreement.

The Duke of Edinburgh’s International Award – Australia (or 'Duke of Ed') engages the services of insurance broker, Honan Insurance Group Pty Ltd (HIG). HIG may be able to assist with your insurance needs, including the policies which the Duke of Ed's Award Centres are required to hold. If you have any queries or would like to obtain further information, HIG may be contacted on DukeofEdinburgh@Honan.com.au.

1. Organisation

The first question is linked to insurance details and is different to the 'Type' listed in the ORB.

Please consult the List of insured Award Centres pre-approved by the Award first and select carefully.

a. Type of Award Centre

Girls Brigade and Boys Brigade Award Centres will only need to apply for Public and Product Liability insurance - these organisations are pre-approved for Personal Accident insurance.

Pre-approved

Your type of Award Centre features on the List of insured Award Centres pre-approved by the Award.

You do not need to complete this form.

Please close or exit this page.

Award Centre details

2. Contact details

a. Please select your Award Operating Authority.

b. Name of Award Centre

As listed in the Online Record Book

c. Award Centre ID (from Online Record Book)

Numerals only. Please exclude the prefix (i.e. "AU0000").

d. Contact Name

e. Email address (for follow-up communication regarding this form)

3. Numbers

a. Number of Award Participants involved at this Award Centre

Numerals only

b. Number of Voluntary Workers involved in carrying out the Award at this Award Centre

Numerals only

Note: for the purpose of this Policy, “Voluntary Workers” shall mean any (paid or unpaid) persons associated with the Award Centre that undertake voluntary work relating to The Duke of Edinburgh's Awards program.

4. Application type

a. Which insurance policy (or policies) are you applying for?

Personal Accident insurancePublic and Product Liability insurance

Personal Accident insurance

5. Claims and coverage

The following question (5a) relates to any injuries to a Participant or Volunteer involved with The Duke of Edinburgh's International Award - Australia.

a. Has the Award Centre had any claims under a Personal Accident policy in the last 5 years?

YesNo

i. You responded "Yes". Please provide details below.

b. Does the Award Centre currently have a Personal Accident policy in place?

Yes - seeking coverage on a Difference in Limits basisNo - seeking coverage on a Primary basis

Primary basis = the Policy shall provide coverage from the 'ground up'.
Difference in Limits basis = the Policy shall provide coverage in excess of the existing insurance policy of the Award Centre (e.g. top-up existing policy).

You responded "Yes". Please provide the following information with respect to the policy:

b. (ii) Your Personal Accident - Per Person Limit is:

Less than $100,000$100,000 or more, and less than $150,000$150,000 or more

b. (iii) Enter the Personal Accident - Per Person Limit below.

Numerals only (in $AUD)

b. (iii) Enter the Personal Accident - Per Person Limit below.

Numerals only (in $AUD)

b. (iv) Your Personal Accident - Aggregate Limit is:

Less than $3,000,000$3,000,000 or more

b. (v) Enter the Personal Accident - Aggregate Limit below.

Numerals only (in $AUD)

b. (v) Enter the Personal Accident - Aggregate Limit below.

Numerals only (in $AUD)

This policy will run until the end of the current financial year (i.e. June 30) and the coverage period will be measured in the number of days.

As a guide, please note the following date ranges and the equivalent number of days:

1 Oct 2023 to 30 Jun 2024 = 273 days
1 Nov 2023 to 30 Jun 2024 = 242 days
1 Dec 2023 to 30 Jun 2024 = 212 days
1 Jan 2024 to 30 Jun 2024 = 181 days
1 Feb 2024 to 30 Jun 2024 = 150 days

c. Enter the number of days for the coverage period you are requesting.

Numerals only.

c. Enter the date that you would like the cover to commence.

i.e. Policy Start Date

d. If you would like to provide any additional comments or notes, please enter these into the field below before selecting the 'Submit' button.

Public and Product Liability insurance

6. Claims and coverage

The following question (6a) relates to any injuries to a Participant or Volunteer involved with The Duke of Edinburgh's International Award - Australia.

a. Has the Award Centre had any claims under a Public and Product Liability policy in the last 5 years?

YesNo

i. You responded "Yes". Please provide details below.

b. Does the Award Centre currently have a Public and Product Liability policy in place?

Yes - seeking coverage on a Difference in Limits basisNo - seeking coverage on a Primary basis

Primary basis = the Policy shall provide coverage from the 'ground up'.
Difference in Limits basis = the Policy shall provide coverage in excess of the existing insurance policy of the Award Centre (e.g. top-up existing policy).

ii. You responded "Yes". Please provide the following information with respect to the policy:

	Amount
Limit of Liability	Numerals only (in $AUD)

c. If you would like to provide any additional comments or notes, please enter these into the field below before selecting the 'Submit' button.

Personal Accident policy quote

7. Your pro-rated quote

Primary coverage quote (pro-rated)

To be rounded up to 2 decimal places.

Difference in Per Person Limit quote (pro-rated)

To be rounded up to 2 decimal places.

Difference in Aggregate Limit quote (pro-rated)

To be rounded up to 2 decimal places.

Difference in Limits quote (pro-rated)

To be rounded up to 2 decimal places.

Please note: the above quote has been pro-rated based on the number of days entered on page 4 of this form.

a. This quote is based on the information you have provided and is subject to confirmation by our insurer. Would you like to proceed with the amount quoted?

YesNo

Follow-up

8. Contact options

a. Would you like someone to contact you to discuss your options?

YesNo

Contact details

b. How would you like to be contacted?

PhoneEmail

b.i. Phone

d. I consent to being contacted in relation to:

Personal Accident insurancePublic and Product Liability insuranceOther insurance product(s)

e. You selected "Other insurance product(s)". Please provide details below.

	Monday	Tuesday	Wednesday	Thursday	Friday
9am - 12pm
12pm - 2pm
2pm - 5pm