Claims under the Run-Off Cover Scheme (ROCS)

The insurer manages and pays the costs of eligible claims under ROCS. They can then apply to Services Australia for a ROCS payment as reimbursement.

Eligible claims

For a claim against a doctor to be eligible, the:

  • incident must have occurred as part of the doctor’s medical practice
  • incident must be within the scope of the ROCS insurance contract, which is based on the doctor’s last cover
  • insurer must receive first notice of the incident (or facts that may give rise to it):

If a claim is made

If a doctor becomes aware of a claim after they have become eligible for ROCS, they must notify their insurer.

Limits to claims

There is a limit to the amount ROCS covers.

Who manages the claim

The insurer will:

The doctor should cooperate with the insurer and complete forms and provide information as needed.

Who pays for the claim

The insurer pays for the claim first. The Australian Government will reimburse the insurer for 100% of their costs. This includes the cost of managing the claim.

Date last updated:

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