Superannuation (Resolution of Complaints) Regulations (Amendment)

Administered by Department of the Treasury

Legislation au F1996B00180 Regulations Not in force Legislative Instrument

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Superannuation (Resolution of Complaints) Regulations (Amendment) 1995 No. 318

EXPLANATORY STATEMENT

STATUTORY RULES 1995 No. 318

Issued by the authority of the Treasurer

Superannuation, (Resolution of Complaints) Act 1993

Superannuation (Resolution of Complaints) Regulations (Amendment)

The Superannuation (Resolution of Complaints) Act 1993 (the Act) established, with p effect from 1 July 1994, the Superannuation Complaints Tribunal. The Tribunal has the objectives of providing a fair, economical, informal and quick mechanism for:

       the conciliation of complaints made by members of regulated superannuation and approved deposit funds; and

       if conciliation is not successful at resolving the complaint - the review of the fund trustee decisions to which the complaint relates.

Section 68 of the Act provides that the Governor-General may make Regulations for the purposes of the Act.

In summary, these regulations provide that disability complaints where:

       more than one year has elapsed since the trustee's decision to which the complaint relates; or

       the person making the complaint failed to lodge a claim for a disability benefit with the trustees within one year of permanently ceasing employment due to disability;

will be classified as excluded complaints and therefore may not be made to the Tribunal.

The regulations are described in detail in the attachment.

The regulations will commence on 1 November 1995.

ATTACHMENT

Superannuation (Resolution of Complaints) Regulations (Amendment)

BACKGROUND

The Superannuation Complaints Tribunal cannot deal with a complaint to the extent that it relates to excluded subject matter, or if the complaint is an 'excluded complaint' under the Superannuation (Resolution of Complaints) Regulations (the Principal Regulations).

The existing regulation 4 of the Principal Regulations effectively prescribes 'medical evidence' as excluded subject matter, however this regulation ceases to have effect on 31 October 1995 and accordingly the Tribunal will be required to deal with medical evidence complaints from 1 November 1995. At the moment there are no 'excluded complaints' prescribed in the Principal Regulations.

The purpose of these regulations is to ensure that the Tribunal does not get bogged down in dealing with 'old' disability complaints (where the trail of medical evidence has gone cold) and to ensure that the Tribunal's new jurisdiction over 'medical evidence' complaints is as 'prospective' as possible (the Government first announced that the Tribunal would deal with such complaints in October 1994).

Regulation 1 - Commencement

The regulations will commence on 1 November 1995.

Regulation 2 - Amendment

Regulation 2 provides that the Superannuation (Resolution of Complaints) Regulations (the Principal Regulations) are amended as set out in these Regulations.

Regulation 3 - Regulation 3 (Interpretation)

Regulation 3 inserts a definition of disability benefit into the Principal Regulations. Under this definition, a disability benefit is one that is paid in the event of temporary or permanent ceasing of employment because of a partial or total disability, and which is provided as an ancillary purpose of the fund.

Regulation 4 - Regulation 4 (Excluded complaints)

Regulation 4 deletes the existing Principal Regulation 4 and inserts a new Principal Regulation 4. The new subregulation 4(1) provides that:

       the Tribunal can only deal with complaints about trustee decisions relating to the payment of disability benefits if the trustee decision to which the complaint relates was made on or after 1 November 1994 and the complaint is made within a year of the trustee decision; and

       persons can only access the Tribunal with disability complaints if the original claim for disability benefit to which the complaint relates was lodged with the trustees within a year of the permanent cessation of employment due to disability. The reference to permanent cessation of employment is intended to ensure that time will not begin to run against persons who are on extended sick leave and, or, in receipt of some kind of salary continuance benefit and who retain a right to resume employment until they have permanently ceased employment.

New subregulation 4(2) ensures that the decision of the trustee referred to in new subregulation 4(1) is taken to be the original decision which rejected the claim, either in whole or in part, and not a subsequent reconsideration of that decision under any internal review mechanisms established by the fund (enabling the 12 month time period to run from the date of a decision on reconsideration of the original decision would defeat the object of the time limit).

New subregulation 4(3) provides that if a complaint is made about an original decision of a trustee under arrangements made under section 101 of the Superannuation Industry (Supervision) Act 1993, and the original decision is confirmed, varied or another decision was substituted for the original decision, the confirmed, varied or substituted decision is taken to be have been made at the time the original decision was made.

 

Overview

The Superannuation (Resolution of Complaints) Regulations (Amendment) 1995 No. 318, issued under the authority of the Treasurer and pursuant to the Superannuation (Resolution of Complaints) Act 1993, were enacted to address the issue of the Superannuation Complaints Tribunal becoming overwhelmed with old disability complaints where the relevant medical evidence had become stale, and to ensure the Tribunal's jurisdiction over new 'medical evidence' complaints was prospective. The regulations clarify and amend the existing regulations by introducing specific time limits for lodging disability complaints and ensuring the Tribunal only deals with complaints relating to decisions made after the regulations came into effect. This amendment was intended to streamline the Tribunal’s workload and maintain the efficiency of its operations. The key objective of these regulations, as stated, is to prevent the Tribunal from dealing with outdated disability complaints and to ensure that the new jurisdiction over medical evidence complaints is applied prospectively, thereby maintaining the effectiveness and relevance of the Tribunal's decisions. The regulations took effect on 1 November 1995, providing a clear framework for the types of complaints the Tribunal can address and the timeframes within which these complaints must be lodged.

Scope and Application

The Superannuation (Resolution of Complaints) Regulations (Amendment) 1995 No. 318, issued under the authority of the Treasurer and pursuant to the Superannuation (Resolution of Complaints) Act 1993, modify the regulations to further delineate the scope of complaints that the Superannuation Complaints Tribunal can address. These regulations apply to all trustees of regulated superannuation and approved deposit funds within the Australian jurisdiction, aiming to streamline the complaint resolution process by preventing the Tribunal from being overwhelmed by outdated disability-related complaints. Specifically, these regulations exclude complaints regarding trustee decisions related to disability benefits if the decision was made more than a year prior or if the original claim for the disability benefit was not lodged with the trustees within one year of the permanent cessation of employment due to disability. This amendment ensures the Tribunal's jurisdiction is prospective, addressing current issues rather than historical ones. The regulations also clarify that any subsequent reconsideration of a trustee's decision does not reset the time limit for lodging a complaint, maintaining the integrity of the established timeframes. These regulations commence on 1 November 1995, with the intent of improving the efficiency and effectiveness of the complaint resolution process under the Act.

Key Provisions

The Superannuation (Resolution of Complaints) Regulations (Amendment) 1995 No. 318 provides a framework for the management and resolution of complaints related to superannuation funds, specifically focusing on the classification and handling of disability-related complaints by the Superannuation Complaints Tribunal. The regulations primarily amend the existing Superannuation (Resolution of Complaints) Regulations to clarify and restrict the types of complaints that can be brought before the Tribunal, particularly those related to disability benefits. These amendments are effective from 1 November 1995 and are intended to ensure the Tribunal operates efficiently and effectively. Under these regulations, certain disability-related complaints are classified as 'excluded complaints' and cannot be brought to the Tribunal. Regulation 4 outlines that a complaint about a trustee's decision on the payment of disability benefits is an excluded complaint if the decision was made more than a year prior to the complaint being lodged, or if the person making the complaint did not lodge a claim for a disability benefit with the trustees within a year of permanently ceasing employment due to disability. This classification is designed to prevent the Tribunal from dealing with complaints where the relevant evidence has become outdated or where the opportunity to lodge a claim has lapsed, thereby ensuring the integrity and timeliness of the complaint resolution process. The regulations impose specific obligations on both the Superannuation Complaints Tribunal and the parties involved in superannuation disputes. The Tribunal is required to adhere strictly to the time limits and conditions specified in the regulations when considering disability-related complaints. Parties lodging a complaint must ensure they do so within the prescribed timeframes, and trustees are required to make decisions on disability benefit claims in a manner that allows for timely access to the Tribunal if a complaint is subsequently lodged. Failure to comply with the provisions of these regulations may result in civil or criminal consequences. While the specific penalties for non-compliance are not detailed in the explanatory statement, it is common for breaches of regulatory requirements under Australian law to result in penalties such as fines, enforcement actions, or other legal remedies. The intent of these regulations is to maintain a fair and efficient system for resolving superannuation complaints, and any breach could potentially undermine the objectives of the Superannuation (Resolution of Complaints) Act 1993.

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