Additional insurance information

Full Death, TPD, and Income Protection covers are subject to a two-year pre-existing medical condition waiting period. There is an additional test of at least two consecutive months of active employment* at the expiry of the two-year period.

Within the first two years of cover, members are on limited cover and are only covered for illnesses or injuries that first occur during those two years.

Full Death, TPD, and Income Protection covers will be subject to a test of 30 consecutive days of active employment.

This means members will be covered for pre-existing medical conditions if they have been in active employment for 30 consecutive days at any time since the start of their cover from 1 July 2023.

A self-harm exclusion for a period of 24 months applies to additional (underwritten) cover or increases due to a life event.*

This means no Death, TPD, or Income Protection benefits will be payable for 24 months after the date of increased cover either through normal underwriting or through the life event option.

A self-harm exclusion for a period of 13 months will apply to additional (underwritten) cover or increases due to a life event.

This means no Death, TPD, or Income Protection benefits will be payable for 13 months after the date of increased cover either through normal underwriting or through the life event option.

The TPD definition uses the Activity of Daily Living (ADL)* criteria for members after 24 months of unemployment.

The TPD definition will use the Activity of Daily Work (ADW)* criteria or the mental illness TPD definition.

The insurer** has the right to activate the Pandemic Exclusion clause in their policy to exclude claiming a benefit if death or terminal illness is caused by a pandemic illness (or related illness) within 30 days of commencing insurance.

The insurer will remove the Pandemic Exclusion clause from the policy.

For pre-existing medical conditions (refer to the first change listed on this web page):

Members working less than 15 hours per week on average in the three months before the start of the waiting period are not eligible for Income Protection cover.

For pre-existing medical conditions (refer to the first change listed on this web page):

Members working less than 15 hours per week on average in the three months before the start of the waiting period will be eligible for Income Protection cover. That cover will be assessed against the 'any occupation'* disability definition.

Income Protection benefit payments include an SG contribution amount equal to 10.5%.

Income Protection benefit payments will include an SG contribution amount equal to the legislated SG percentage in place at the time of payment.

A waiting period does not apply if an insured member is disabled again from the same or a related cause within six months of last receiving an Income Protection benefit payment.

However, the insurer will treat this as a continuation of the original claim and add both periods of disability (and any subsequent periods) together to determine when the benefit payment period ends.

A waiting period will not apply if an insured member is disabled again from the same or a related cause within 12 months of last receiving an Income Protection benefit payment.

However, the insurer will treat this as a continuation of the original claim and add both periods of disability (and any subsequent periods) together to determine when the benefit payment period ends.

During a waiting period of 60 days or more:

• If you return to work at full capacity:
  • once, and
  • for no more than five consecutive days,

your waiting period is extended equivalent to the number of days you returned to work.

• If you return to work at full capacity more than once or for more than five consecutive days, your waiting period starts again (i.e. for another 60 or 90 days as applicable).

During a waiting period of 60 days or more:

• If you return to work at full capacity:
  • once, and
  • for no more than ten consecutive days,

your waiting period will be extended equivalent to the number of days you returned to work.

• If you return to work at full capacity more than once or for more than ten consecutive days, your waiting period will start again (i.e. for another 60 or 90 days as applicable).

Please note: If your Income protection cover waiting period is 30 days and you return to work at full capacity during the waiting period, the restart of the waiting period will remain at five consecutive days.

The maximum total time in total the insurer will pay an Income Protection benefit for an insured member while they are outside Australia is six months.

The maximum total time the insurer will pay an Income Protection benefit for an insured member while they are outside Australia will be 12 months.

There is no such exclusion.

The insurer will not pay a benefit for illness or injury directly or indirectly caused by participation in criminal activity or resulting from incarceration.