Sunsuper for life Insurance guide
Transcription
Sunsuper for life Insurance guide
Sunsuper for life Insurance guide Preparation date: 22 June 2016 Issue date: 1 July 2016 Learn more about your insurance Identify your insurance needs New Member options – 50% increase in Death & TPD Assist cover (Premium table 2) Use the table below to determine the cover and premiums for Sunsuper’s New Member options. The cover and premiums listed are inclusive of Death and TPD Assist or White Collar cover and premiums (as applicable). Amount of cover Amendments to the Sunsuper for life Insurance guide Age last birthday • Opt In IP weekly premium rates (example) shown in the How much does it cost? section on page 32, and • The New Members options – 50% increase in Death & TPD Assist cover (Premium table 2) on page 46. The corrected rates are highlighted in grey in the updated tables attached. The remainder of the Sunsuper for life Insurance guide remains unchanged. Visit sunsuper.com.au/pds for the PDS and guides. For more information please contact us on 13 11 84. TPD Assist Male Female Male Female 15 to 21 93,750 187,500 140,625 281,250 1.38 0.84 3.42 2.04 22 to 29 187,500 262,500 281,250 393,750 2.76 1.74 5.88 4.02 5.58 3.48 10.62 7.26 5.94 3.84 12.66 10.14 5.94 3.84 5.94 3.84 30 to 33 375,000 562,500 34 369,000 553,500 35 360,000 540,000 36 345,000 517,500 37 328,500 492,750 38 313,500 470,250 39 295,500 443,250 40 279,000 418,500 41 264,000 396,000 42 244,500 366,750 228,000 342,000 44 213,000 319,500 The cost of cover depends on your age and gender and will generally increase with age. Any premium change will occur each year on your birthday. 45 198,000 297,000 46 183,000 274,500 47 169,500 254,250 Opt In IP weekly premium rates (example) 48 154,500 231,750 49 139,500 209,250 50 124,500 186,750 51 112,500 168,750 Male Female 52 99,000 148,500 15 0.27 0.40 53 85,500 128,250 25 0.27 0.40 54 72,000 108,000 35 0.27 0.40 55 63,000 94,500 1.00 56 54,000 81,000 57 48,000 72,000 58 43,500 65,250 59 40,500 60,750 60 37,500 56,250 61 34,500 51,750 62 31,500 47,250 63 28,500 42,750 64 25,500 45 0.60 55 1.50 2.00 65 N/A N/A To find out which premium applies to you take a look at the Premium table 5. To calculate your weekly premium simply divide your cover amount by $500 and multiply by the IP premium. Premiums are calculated weekly and normally deducted from your Super-savings account each month. Death and TPD Assist Death 43 Your age Death only TPD Assist How much does it cost? IP premium ($) per week (per $500 monthly benefit) Premium ($) per week White Collar Death Preparation date 18 July 2016 The following corrections apply to premium rates listed for New Member options in the Sunsuper for life Insurance guide dated 1 July 2016: Death and TPD Assist 38,250 65 to 66 24,000 24,000 36,000 36,000 67 to 691,2 24,000 n/a 36,000 n/a Notes: 1 Cover from age 67 is Death only. 2 TPD Assist annual support payments are calculated as one sixth of your cover amount at the Date of Disablement. 3 Different cover and premium arrangements may exist; you will have been informed separately if this applies. Disclaimer and disclosure This amendment is issued by Sunsuper Pty Ltd, ABN 88 010 720 840, AFSL No 228975, as Trustee of the Sunsuper Superannuation Fund and updates information found in the Sunsuper for life Insurance guide. The information in the Sunsuper for life Insurance guide forms part of the Sunsuper for life Product Disclosure Statement (PDS). The Product Disclosure Statements references other important information contained in guides. The PDS and guides (including this amendment) should be read in their entirety before making a decision to acquire or continue to hold an interest in Sunsuper. Sunsuper Pty Ltd ABN 88 010 720 840 AFSL No. 228975 13 11 84 GPO Box 2924 Brisbane QLD 4001 Sunsuper Superannuatin Fund ABN 98 503 137 921 USI 98 503 137 921 001 sunsuper.com.au Facebook “f ” Logo CMYK / .ai twitter.com/sunsuper Facebook “f ” Logo CMYK / .ai facebook.com/sunsuper Copyright 2016 Sunsuper Pty Ltd 1906 (07/16) INSURANCE IN YOUR SUPER Contents 1 Why have insurance? 2 What types of insurance can I have through Sunsuper? 3 4 How much cover do I need? Am I eligible for insurance cover? 3 6 9 11 Am I eligible for Death and TPD Assist cover, and Opt In IP cover? 12 Other important eligibility Terms and Conditions 12 When does my insurance cover start? 13 Death and TPD cover 14 Death and TPD Assist 15 New Members options - Increase your Death and TPD Assist cover by 50% 20 White Collar cover 21 Life and Age Event options 22 Tailored Death and TPD cover 24 Conditions & Exclusions 28 6 Income Protection (IP) cover 30 New Members options - Opt In IP cover 32 White Collar IP cover 34 Tailored IP cover 35 Conditions & Exclusions 38 7 How do you apply? 41 8 Premium Rates 44 Death and TPD Assist and White Collar cover (Premium table 1) 45 New Member options – 50% increase in Death & TPD Assist cover (Premium table 2) 46 Life and Age Event options cover and premiums (Premium table 3) 47 Tailored Death and TPD cover (Premium table 4) 48 49 New Member options – Opt In IP and White Collar IP cover (Premium table 5) Tailored Income Protection cover – 2 year Benefit Period (Premium table 6) 50 Tailored Income Protection cover – 5 year Benefit Period (Premium table 7) 51 52 Tailored Income Protection cover – BenefitPeriod to age 65 (Premium table 8) 9 Facts about making a claim 10 Definitions Sunsuper for life Insurance guide This is the Sunsuper for life Insurance guide. The information in this guide forms part of the Sunsuper for life Product Disclosure Statement (PDS) issued 1 July 2016. The PDS references important information contained in this guide by . This guide may reference important information contained in the Sunsuper for life Investment guide and Sunsuper for life guide. The PDS, this guide, Sunsuper for life Investment guide and Sunsuper for life guide should be read in their entirety before making a decision to acquire or continue to hold an interest in Sunsuper. Insurance cover is provided through group life policies for Death and TPD, and Income Protection, issued by AIA Australia Limited ABN 79 004 837 861 to the Trustee of the Sunsuper Superannuation Fund. In the event of a dispute the policy will override the information in the PDS and this guide. General advice disclaimer 5 Important information The information in the PDS and guides is general information only and doesn’t take into account your personal objectives, financial situation or needs. You should consider the appropriateness of any general information in the PDS and guides having regard to your own personal objectives, financial situation and needs. You should obtain financial advice tailored to your personal circumstances. Call us if you would like to speak with one of our qualified financial planners. Protecting your privacy Sunsuper respects the privacy of the information you give us. If you require a copy of our Privacy Policy visit sunsuper.com.au/ privacy or call 13 11 84. AIA Australia privacy AIA Australia Limited (AIA Australia) also respects your privacy. AIA Australia’s handling and exchange of your personal and sensitive information is outlined in the AIA Australia Privacy Policy available at www.aia.com.au or by calling AIA Australia on 1800 333 613. Financial Services Guide (FSG) Visit sunsuper.com.au/fsg or call us on 13 11 84 for a copy of the FSG which provides you with information about the financial services Sunsuper Pty Ltd provides and will help you decide whether to use these services. 53 56 13 11 84 sunsuper.com.au 1 1 Why have insurance? 2 Even the most carefully made financial plans can fail due to unexpected circumstances So it makes sense to protect your greatest asset — you! 3 1 WHY HAVE INSURANCE? (continued) Why should I insure through Sunsuper? Features at a glance Protect yourself, your family and your lifestyle The benefits, features and options for insurance cover in Sunsuper for life are summarised in the table below. More information on each item can be found in this guide. Features Description Death cover Provides a lump sum benefit on the death of a member; members can have Death only cover. This can be default cover or tailored to suit your individual circumstances and needs protecting you in the event of death or terminal illness Total and Permanent Disablement (TPD) cover The term ‘totally and permanently disabled’ generally means that you will be unable to ever work again in your own or any other occupation for which you are suited by training, education or experience. Receiving a TPD benefit can allow you and your dependants to pay debts or bills, provide an ongoing income or fund your special medical needs. This can be TPD Assist cover or Tailored TPD cover to suit your individual circumstances and needs Total & Permanent Disablement (TPD) cover to age 67 Income Protection cover Provides a replacement income where a member becomes totally or partially disabled and cannot work as a result. You can choose to opt in or tailor it to suit your individual circumstances and needs Terminal Illness cover Provides a lump sum benefit where a member is diagnosed as having a Terminal Illness and automatically forms part of the Death cover Default cover Death and TPD Assist cover automatically provided to eligible members on joining Sunsuper New Member options Additional Death and TPD Assist cover and Opt In IP cover available to new members White Collar cover Additional Death and TPD Assist cover is available to eligible members employed in White Collar occupations at no additional cost. Opt In IP cover may also be available at a reduced cost Life and Age Events Additional cover available for eligible members with Death and TPD Assist and White Collar cover if they experience a specified Life or Age Event, such as getting married or turning 30 Tailored cover You can tailor your Death, TPD and/or IP cover to suit your individual circumstances and needs Indexation of Tailored IP cover Your Tailored IP cover will be automatically indexed each 1 July by a factor generally aligned to the increase in Average Weekly Ordinary Time Earnings (AWOTE) Worldwide cover Cover is provided 24/7 anywhere in the world Cover during paid and Unpaid Leave Death and TPD cover continues while a member is on leave; IP cover will continue for a period of 24 months during Unpaid Leave Cover during overseas employment Cover continues while a member satisfies the eligibility requirement while working overseas Automatic continuation of cover Your Death and TPD cover continues regardless of your work status, while IP cover is subject to your employment status at the date of disablement Transfer of insurance cover We may agree to take over the cover provided by a previous superannuation fund or insurer and provide equivalent benefits on Sunsuper’s terms and conditions Financial advice To assist members to determine the amount and type of insurance cover needed and assist members with the proceeds of claims Claims support Our experienced Claims Representatives are here to help with your claim Early intervention Early assistance can significantly improve your chances of making a swift recovery Occupational Rehabilitation – “work is good medicine” If you have an injury, disability or health condition we can arrange work related rehabilitation to assist you back to meaningful work Indexation of Tailored IP benefits When on claim your Tailored IP benefits will be indexed by the lesser of CPI or 5% on each anniversary of a continuing IP claim where your Benefit Period is greater than 2 years Binding Nominations vs Preferred Beneficiaries You can nominate your preferred beneficiaries or you can make a binding beneficiary nomination Automatic cover for eligible members protecting you 24 hours a day, 7 days a week Death cover to age 70 helping minimise the impacts of a permanent disability Income Protection (IP) cover providing an income if you are unable to work White Collar cover get 50% more Death and TPD Assist at no additional cost. May also reduce premiums for Opt In IP cover Tailored cover you can tailor your Death, TPD and IP cover to suit your needs Your cover continues even if your job doesn’t if you leave your employer your cover will continue Competitive rates providing insurance at competitive rates Tax effective insurance insurance premiums attract a tax deduction, these are passed on to you Bring your cover with you It’s simple, you can apply to transfer existing Death, TPD and IP cover anytime. You may be eligible to transfer existing Death and/or TPD cover (from other super funds or insurance policies up to $1,000,000), and/or IP cover (up to $10,000 per month) to Sunsuper. Simply download and complete the Transfer of insurance cover form at sunsuper.com.au/publications/insurance and return it to us. It’s important you include all required documentation. If you are thinking about transferring your existing insurance cover, make sure you compare the features and benefits, and are accepted by the insurer, before cancelling existing cover. If accepted by the insurer you will be subject to the terms and conditions outlined in the policy. 4 Sunsuper for life Insurance guide 13 11 84 sunsuper.com.au 5 2 What types of Insurance can I have through Sunsuper? What types of insurance can I have through Sunsuper? Sunsuper provides access to flexible Death, Total and Permanent Disablement (TPD) and Income Protection (IP) insurance to keep you protected 24 hours a day, 7 days a week if something unfortunate were to happen to you. You have the flexibility to make sure your cover is right for you. Sunsuper offers easy ways for you to change your cover, apply for cover or cancel your cover. Members have access to: Death cover (including Terminal Illness) If you die or become terminally ill, you or your dependants or beneficiaries may receive a lump sum. TPD Assist cover If you are suffering from long term injury or sickness we may provide early intervention and occupational rehabilitation support. Where you are Totally and Permanently Disabled and you continue to meet the TPD Assist definition, you may receive up to six annual payments over a minimum of five years to help you pay any debts and bills and fund disability related expenses such as home modifications, rehabilitation and special medical needs. In some circumstances you may receive a single lump sum payment. Opt In Income Protection cover Provides an income for up to 2 years while you are unable to work due to sickness or injury to help you pay your expenses while you focus on your health and recovery. Tailored Death, TPD & IP cover Tailor your insurance to suit your needs. Having the right level and type of cover provides some assurance of a secure financial future for you and your family. You can apply for Tailored Death cover, Tailored TPD cover or Tailored IP cover. The summary below describes the insurance you can have through Sunsuper. Death and TPD Assist cover Ineligible for default cover OR need more cover? New Member Options White Collar Cover Life and Age Events Increase Death and TPD Assist by 50% Additional Death and TPD Assist Additional Death and/or TPD Assist Add Opt In IP Tailored cover Tailored Death and TPD Tailored IP May reduce the cost of Opt In IP The insurer Insurance cover is provided through group life policies for Death and TPD, and Income Protection, issued by AIA Australia Limited ABN 79 004 837 861 (AIA Australia) to the Trustee of the Sunsuper Superannuation Fund. In conjunction with either a disablement claim application or an application for additional cover, Sunsuper members may be contacted directly by an AIA Australia representative on behalf of the Fund to discuss or gather information relating to their application. 6 13 11 84 sunsuper.com.au 7 2 WHAT TYPES OF INSURANCE CAN I HAVE THROUGH SUNSUPER? (continued) Insurance in your Super-savings account Eligible members are provided with Death and TPD Assist cover (for more information refer to 4 3 Am I eligible for insurance cover?). On joining you can also apply for: • an additional 50% Death and TPD Assist cover (New Member options), and • Opt In IP cover (New Member options). If eligible, you can apply for White Collar cover at any time. White collar Death and TPD Assist cover provides 50% more cover at no additional cost. White collar IP may reduce your premiums for Opt In IP, or entitle you to more cover at no additional cost. If you require more Death and/or TPD cover than the options outlined above, and/or a different Benefit Period or Waiting Period on your Income Protection cover, this can be provided through Tailored cover. The Trustee reserves the right to limit the amount of cover provided. Any increase or change is subject to acceptance by the insurer. Satisfactory evidence of health may be required when you apply for increased or Tailored cover. It’s important to review your insurance needs and check whether default insurance cover is enough. How much cover do I need? Different people will have different needs depending on their individual circumstances. You may need more cover, you may want to protect yourself with Income Protection cover, or you might not want insurance at all. With Sunsuper you can apply for the cover you need. Below is a brief summary of the insurance options available through Sunsuper. Features Cover provided automatically Type of benefit paid Death & TPD Assist 1 Lump Sum or Annual2 Opt In IP Tailored Death & TPD Opt In1,3 x x Monthly income Lump Sum Monthly income x Terminal Illness benefit Option to increase your cover by 50% 3 White Collar cover 4 Tailored IP x 4 x x x x x x Occupational Rehabilitation support Life and Age events x x x Continuation of cover if you change employer Indexation of cover x x x Option to choose a Waiting Period x x x Option to change a Benefit Period x x x 1 You must be “eligible” for the cover. Please refer to 4 Am I eligible for Death and TPD Assist cover, and Opt In IP cover? 2 Death cover is paid as a lump sum. The TPD Assist cover may be paid as either annual support payments or a lump sum subject to the member meeting the relevant conditions of the TPD Assist definition. Annual support payments will be paid as close as possible to 12 months apart, but actual payment dates will depend on the circumstances of each claim. 3 Within 120 days of joining Sunsuper you can apply to add an additional 50% of Death and TPD Assist cover and/or you may also apply for Opt In IP cover. Refer to New Member options. 4 Eligibility conditions apply; please refer to pages 12 (Death and TPD Assist cover) and 32 (IP cover). If you have two or more Super-savings accounts in Sunsuper for life, you will only be entitled to insurance cover from one account (with the exception of Sunsuper for life Corporate Super-savings accounts and Sunsuper for life Business Super-savings accounts). In the event of a dispute the policy will override the information in the PDS and this guide. 8 Sunsuper for life Insurance guide 9 3 HOW MUCH COVER DO I NEED? (continued) How much cover do I need? 4 Working out how much insurance is right for you can be a difficult task. The amount of insurance you need will depend on a combination of things such as your liabilities, assets, ongoing expenses and your expected standard of living. Once you have read through this guide for details on the insurance we offer you can work through the following steps to work out how much insurance is right for you. Step 1 How much money will I need? Generally, you should have enough money to pay all large debts and cover daily living expenses for yourself and your family for a certain period of time. As a starting point, list the current financial commitments you have. Keep in mind your insurance needs will change as your life changes. Step 2 How much money do I have? Consider your existing sources of income (other than your salary) and savings. Step 3 Use our Insurance needs calculator to work out your needs Use this calculator to work out how much Death, Total and Permanent Disability (TPD) and Income Protection cover you may need. The calculator is available at sunsuper.com.au/calculators Step 4 How much insurance do I need? You may find your needs are greater than your savings. This is where insurance comes in. It can be used to meet the shortfall between your needs and your existing savings. Keep in mind that different types of cover may be paid as a lump sum or ongoing benefit payments. Step 5 Do you need some help? Call 13 11 84 to speak to one of our phone based qualified financial planners1 Am I eligible for insurance cover? It is very important to check your eligibility for cover. If you are not eligible for Death and Total and Permanent Disability (TPD) Assist, or Opt In IP cover you can apply for Tailored cover at any time. It is important to understand that using your superannuation account now for the payment of insurance premiums before retirement will impact upon your future balance when you do retire. Need help? Call 13 11 84 to speak to one of our phone based qualified financial planners1 who can give you simple advice about your Sunsuper account at no additional cost. If it’s something more comprehensive, you can meet with one of our qualified financial planners1 face-toface. More comprehensive advice may incur a fee. We may also refer you to an accredited external financial planner2. 1 Sunsuper employees provide advice as representatives of Sunsuper Financial Services Pty Ltd (ABN 50 087 154 818 AFSL No. 227867) (SFS), wholly owned by the Sunsuper Superannuation Fund. 2 Sunsuper has established a panel of accredited external financial planners for our members. Sunsuper does not receive or pay any referral fees to these planners. Each of these planners will explain to you how their advice fees are determined. The accredited external financial planners are not employed by Sunsuper, and Sunsuper is not responsible for the advice provided by these planners. Section 5 Death and TPD cover, details how much Death and TPD Assist cover is provided to eligible members 10 Sunsuper for life Insurance guide 11 4 AM I ELIGIBLE FOR INSURANCE COVER? (continued) Am I eligible for Death and TPD Assist cover, and Opt In IP cover? Some members may have other insurance offers made to them from time to time or you may be part of a group transfer from another fund. Your insurance arrangements and eligibility may differ from those contained in this guide. You will be advised if this applies to you. Age Death 15–69 You are actively employed1 • you are Self-Employed2, or TPD Assist 15–66 You are actively employed1 • you are not employed, or If you are Self-Employed, unemployed or are engaged in unpaid Domestic Duties in your own home you are eligible to apply for Tailored cover. •you have previously received or are eligible to receive a Terminal Illness benefit, TPD benefit or a benefit as a result of Permanent Incapacity or a Terminal Medical Condition from Sunsuper or another fund or insurer. When does my insurance cover start? 15–64 You are actively employed1 on a permanent basis for a minimum of 15 hours per week Not eligible for cover Special offers Types of Insurance Cover Opt In IP Eligible for cover Self-Employed, unemployed or unpaid Domestic Duties • you are Self-Employed2, or • you are not employed, or • you are a casual or contract employee3, or you are working less than 15 hours per week, or • you are employed under a work visa3, or • you have previously received or are eligible to receive a Terminal Illness benefit, TPD benefit or a benefit as a result of Permanent Incapacity or a Terminal Medical Condition from Sunsuper or another fund or insurer. 1 You will be actively employed if you satisfy the At Work definition at the date your Death, TPD Assist and Opt In IP cover starts — refer to 10 Definitions for the At Work definition. 2 Self-Employed means a person who is predominantly working in their own business on a regular basis and earning an income – refer to section 10 Definitions for the definition of Self-Employed Person. 3 Casuals, contractors and members employed under a work visa may apply for Tailored IP – refer to 6 Income Protection cover. The following table outlines when your cover will start and the conditions applicable to that cover. For details on how you can apply for the insurance covers listed below, please refer to 7 How do you apply?. Insurance cover or option Death and TPD Assist Other important Eligibility Terms and Conditions Death and TPD Income Protection •As a general rule, your eligibility for Death and TPD Assist or White Collar cover will not be assessed until you make a claim. • A s a general rule, your eligibility for Opt In IP or White Collar IP cover will not be assessed until you make a claim. •Limited Cover will apply until you satisfy the At Work requirements for 30 consecutive days where you have joined Sunsuper and a Superannuation Guarantee (SG) contribution is received within 120 days of the date you joined your employer. •If you have Opt In IP or White Collar IP cover, Limited Cover will apply for the first 24 months and will apply until you satisfy the At Work requirements for 30 consecutive days after the initial 24 month period. •Where you joined Sunsuper and an SG contribution is received more than 120 days after the date you joined your employer Limited Cover will apply to your cover for a period of 24 months and will cease to apply once you satisfy the At Work requirements for 30 consecutive days after the end of the 24 month period. •An Income Protection benefit will not be paid if the injury or sickness is caused, wholly or partly, directly or indirectly, from: •If you become totally and permanently disabled you will only be eligible to make a TPD claim if you notify Sunsuper of your TPD claim within five years from your Date of Disablement. Warning: If you notify Sunsuper of your TPD claim outside this period you will be ineligible for an insurance benefit payment under TPD. •If you were under age 15 when you joined Sunsuper, your Death and TPD Assist cover will commence upon receipt of an SG contribution after you turn age 15. •If your insurance cover start date is more than 120 days from the date you joined your employer or you have White Collar cover, New Member Options or Life and Age Events, a Death or TPD Assist benefit will not be paid where death or total and permanent disablement is caused by suicide or any intentional self-inflicted act within 12 months of your insurance cover start date. •If you have Tailored Death or TPD cover a benefit will not be paid where Death or Total and Permanent Disablement is caused by suicide or any intentional self-inflicted act within 12 months of your insurance cover start date. •Members whose financial affairs are under the supervision of a third party due to their medical condition or incapacity, such as a public trustee office, are entitled to Death only cover subject to satisfying the At Work requirements. Members not satisfying the At Work requirements will not be eligible for Death or TPD Assist cover. They will also not be able to apply for New Member options, Life and Age Event options or for White Collar cover. 12 Sunsuper for life Insurance guide –deliberate self-inflicted injury or attempted suicide or self destruction while sane or insane, New Member option —Opt In IP –a criminal act committed by you. New Member option — additional 50% Death and TPD Assist If you are not eligible for Death and TPD Assist or Opt In IP cover you can apply for Tailored cover. Any application will be subject to acceptance by the insurer (satisfactory evidence of health will be required). To avoid being charged premiums for cover that you are ineligible for, please ensure that you notify us if you are ineligible or contact us if you would like to discuss whether you are eligible for Death and TPD Assist cover or Opt In IP cover. Premiums paid for the period you were deemed ineligible for cover will be refunded to your Super-savings account. Premiums will not be refunded in the instance you are ineligible to claim a TPD Assist or Tailored TPD claim due to Sunsuper not being notified of a TPD claim within five years from your Date of Disablement. Limited Cover 2 At Work 3 Other important information Yes 30 days Limited Cover will apply until you satisfy the At Work requirements for 30 days5. Receipt of your first SG contribution which is within 120 days from Date Joined Employer Date Joined Employer 4 Receipt of your first SG contribution which is outside 120 days from Date Joined Employer Date of the first SG contribution 24 months 30 days Limited Cover will apply until you satisfy the At Work requirements for 30 days5 after the initial 24 month period. Attainment of age 15 and receipt of an SG contribution Date of the first SG contribution after age 15 Yes 30 days Limited Cover will apply until you satisfy the At Work requirements for 30 days5. Receipt of your first SG contribution and you select this option within 120 days of joining Sunsuper Date Death and TPD Assist cover starts 24 months 30 days Limited Cover will apply until you satisfy the At Work requirements for 30 days5 after the initial 24 month period. Receipt of your first SG contribution and you select this option within 120 days of joining Sunsuper Date Death and TPD Assist cover starts 24 months 30 days Limited Cover will apply until you satisfy the At Work requirements for 30 days5 after the initial 24 month period. Not available if you select this option outside 120 days of joining Sunsuper. Receipt of your first SG contribution and you select this option within 120 days of joining Sunsuper Date Death and TPD Assist cover starts 24 months 30 days Limited Cover will apply until you satisfy the At Work requirements for 30 days5 after the initial 24 month period. You apply for White Collar cover outside 120 days of joining Sunsuper using the White Collar cover form and you already have Standard Death and TPD Assist cover Date of acceptance of your application by the insurer 24 months 30 days Limited Cover will apply until you satisfy the At Work requirements for 30 days5 after the initial 24 month period. Life and Age Events Application by you not more than 180 days after the Life or Age Event Date of acceptance of your application by the insurer 24 months 30 days Limited Cover will apply until you satisfy the At Work requirements for 30 days 5 after the initial 24 month period. Restarting Standard Death and TPD after previous cover lapsed Receipt of an SG contribution Date of the SG contribution Yes 30 days Limited Cover will apply until you satisfy the At Work requirements for 30 days5 after cover commences.. Tailored Cover Application by you at anytime Date of acceptance of your application by the insurer n/a n/a n/a White Collar cover •You are not eligible for Opt In IP or White Collar IP cover if your financial affairs are under the supervision of a third party such as the public trustee, due to your medical condition or incapacity. Not eligible for cover Insurance cover start date 1 Not available if you select this option outside 120 days of joining Sunsuper. –uncomplicated pregnancy, childbirth or miscarriage, –your deployment to a hostile environment as part of active military service, or What starts cover? 1 If Sunsuper is not notified of a Date Joined Employer your date of first SG contribution will be used to calculate your insurance cover start date. The Date Joined Employer will be checked at the time a claim is made. 2 Limited Cover – please refer to 10 Definitions. 3 At Work – please refer to 10 Definitions. 4 Date Joined Employer will be the first Date Joined Employer recorded on your Super-savings account from the time you are recorded as a member of the Fund. 5 “30 days” are consecutive and are inclusive of days not scheduled for work (e.g. weekends, RDOs, etc.) and days where you are not precluded from work for reasons of injury or sickness. 13 11 84 sunsuper.com.au 13 5 Death and TPD cover If you die your dependants or your beneficiaries may receive a lump sum. If you become Totally and Permanently Disabled (TPD) you may receive a benefit to help you pay any debts and bills and fund disability related expenses such as home modifications, rehabilitation and special medical needs. Death and TPD Assist Death and TPD Assist cover Ineligible for default cover OR need more cover? New Member Options White Collar Cover Life and Age Events Increase Death and TPD Assist by 50% Additional Death and TPD Assist Additional Death and/or TPD Assist Add Opt In IP Tailored cover Tailored Death and TPD Tailored IP May reduce the cost of Opt In IP Death and TPD Assist Cover is provided to eligible members, without needing to undergo any medical examinations Death cover TPD Assist If you die, your dependants or beneficiaries may receive a lump sum. This includes Terminal Illness If you are permanently disabled, you may receive occupational rehabilitation support and up to six annual support payments or in some circumstances a lump sum payment How much cover do you get and what does it cost? Exclusions and restrictions The amount and cost of cover depends on your age and type of cover and will generally change each year on your birthday. • where caused by suicide or any intentional self-inflicted act within 12 months of your insurance cover start date where it is more than 120 days after the date you joined your employer, • where you become TPD and notify Sunsuper of a claim more than 5 years after your Date of Disablement, • if you are deployed to a hostile environment as part of active military service, • if you are employed under the terms of a work visa and it expires, or you permanently depart Australia (whichever is earlier), • if benefits have ceased after a second TPD Assist claim period, or • prior to joining Sunsuper you had received a Terminal Illness benefit, TPD benefit or a benefit as a result of Permanent Incapacity or a Terminal Medical Condition. Death and TPD Assist cover levels (example) Cover ($) Cost per Week ($) Your age Death TPD Assist Male Female 15 62,500 125,000 2.28 1.36 25 125,000 175,000 3.92 2.68 35 240,000 240,000 7.08 4.84 45 132,000 132,000 8.44 6.76 55 42,000 42,000 8.44 6.76 65 16,000 16,000 8.44 6.76 To find out which level of cover and premium applies to you take a look at the Premium table 1. TPD Assist cover ends at age 67. Premiums are calculated weekly and normally deducted from your Super-savings account each month so it doesn’t impact your take-home pay. Will my cover change as I get older? Yes, the amount and cost of cover will generally change each year on your birthday. We will confirm your cover each year in your Annual statement. To confirm your cover amount at any time just visit Member Online or call us on 13 11 84. 14 A Death, TPD or Terminal Illness benefit will not be paid, If your insurance cover start date is within 120 days of the date you joined your employer, Limited Cover will apply until you have been At Work for 30 consecutive days. Limited Cover will also apply to your Death and TPD Assist cover where your insurance cover start date is more than 120 days after the date you joined your Employer. Limited Cover will be for a period of 24 months and until you having been At Work for 30 consecutive days after the end of the 24 month period. Please refer to the definition of Limited Cover and At Work in 10 Definitions. White collar cover White collar cover entitles you to 50% more Death and TPD Assist cover at no additional cost to you. Refer to page 21 for more details. 13 11 84 sunsuper.com.au 15 5 DEATH AND TPD COVER (continued) What is TPD Assist cover? At Sunsuper we recognise the importance of supporting members who are sick or injured and, where appropriate, providing assistance in enabling them to return to work where they are able to. Sunsuper’s TPD Assist cover is here to help minimise the impacts of long term injury or sickness that leaves you unable to ever work again. The road to recovery can be a difficult path both financially and emotionally. As your ability to earn a living is the cornerstone to your standard of living it’s important to regain your capability to earn a living and where a permanent disablement prevents, having a safety net in place. The term ‘totally and permanently disabled’ generally means that you will be unable to ever work again in your own or any other occupation for which you are suited by training, education or experience. If your TPD claim is approved, you are usually able to withdraw your superannuation account balance and any insured benefit, allowing you and your dependants to pay debts or bills, provide an ongoing income or fund your special medical needs. Sunsuper’s TPD Assist cover provides several unique features to assist; • no waiting period – with TPD Assist cover there is no waiting period, with the exception of Part C of the definition relating to Activities and Part A relating to Cognitive Function. If you’re employed, assistance within the first three months of your injury or sickness is essential in successful occupational rehabilitation. Not having a waiting period also avoids any delays where a specified Medical Condition or loss of limb has occurred, • rehabilitation and retraining – provides occupational rehabilitation support and guidance where deemed appropriate, and may be a compulsory part of the claims process. Our occupational rehabilitation consultants will collaboratively work with you, your treating health professionals, rehabilitation provider and employer to assist you in returning to work, • annual support payments or lump sum payment – if you are assessed as TPD your insured cover may be paid as annual support payments as long as you continue to meet the TPD Assist definition. If you are diagnosed with a specific long term debilitating injury or sickness (specified Medical Conditions) with no chance of recovery, suffer loss of limbs or loss of Cognitive Function or are unable to undertake specified Activities, your insured cover may be paid as a single lump sum payment following the initial assessment, • no premium required – while on a TPD Assist claim you don’t have to worry about paying your Death and TPD Assist premiums. The definition of TPD Assist you will be assessed against in the event of a claim is linked to your employment status immediately prior to the Date of Disablement. In limited circumstances you will not be eligible to claim on the Death and TPD Assist insurance cover through Sunsuper. See 4 Am I eligible for insurance cover? and 10 Definitions for the Employed (TPD) definition. 16 Sunsuper for life Insurance guide What happens if you believe you are totally and permanently disabled? If you believe that you may be eligible to apply for a TPD Assist claim, we are here to help you along the way. In order to lodge a claim you would need to be under the care of a Medical Practitioner and suffering from an ongoing and serious injury or sickness that is permanently preventing you from working or from performing specified Activities. See 10 Definitions for the TPD Assist definition. Our Claims Representatives are here to help you every step of the way and will confirm your eligibility to lodge a claim. Following lodgement of your claim application, the insurer will assess whether your claim is successful and whether occupational rehabilitation services would assist you in a successful return to work. An effective rehabilitation plan relies on the coordination of all parties. An example is below, External Rehabilitation consultant Eligibility to claim If you become totally and permanently disabled you will only be eligible to make a TPD claim if you notify Sunsuper of your TPD Assist claim within five years from your Date of Disablement. Warning: If you notify Sunsuper of your TPD Assist claim outside this period you will be ineligible for an insurance benefit payment under TPD Assist. Treating Doctor Specialises and understands your job experience, local job availability and resources. Implements Return to Work (RTW) plan. Responsible for medical treatment. Sunsuper Claimant Insurer’s Occupational Rehabilitation consultant Employer Provides information on job duties and responsibilities. Participates in suitable (RTW) plan (if applicable). Main point of contact for all parties and monitors the rehabilitation programme. Early Intervention and occupational rehabilitation Your chances of a swift recovery and making a successful return to work are significantly improved if you have access to effective rehabilitation and support services. The sooner you are able to seek assistance from a health professional the higher the chance of a successful outcome. The approach we take will be dependent on your injury or sickness and whether rehabilitation is appropriate. For complex illnesses such as Depression, Anxiety, Back Pain and Musculoskeletal injuries early assistance can prove invaluable. Early assistance for certain illnesses such as Stroke or Cancer may not be appropriate. Where deemed appropriate, we will engage with our insurer who will help determine what, if any, occupational rehabilitation and retraining services will assist. Occupational rehabilitation may be a compulsory part of the claims process (where you are assessed against Part B of the TPD Assist definition). If you require assistance please call Sunsuper on 13 11 84 to discuss your rehabilitation options. What does Occupational Rehabilitation involve? We understand that navigating the health system can be a daunting task, especially in times of emotional and physical stress. Though legislation does not allow us to pay for medical consultations and treatment we can provide invaluable assistance in other ways. By working closely with you, your treating health professional and your employer we will be able to design a rehabilitation program that is individually tailored to you and your needs. The approach is to work in partnership to help with your recovery and assist you in returning to work capability Some of the services available to you may include: • coordination of support services with your health professional, rehabilitation provider and employer, • arranging an initial assessment with your health professional who can identify your support needs, • providing guidance to your treating doctor on a treatment plan, • engagement of a rehabilitation provider, • development and implementation of a return to work plan, including re-skilling and retraining and functional upgrading, • providing guidance and work related counselling and support where secondary conditions such as mental health manifest, and • job seeking advice and career guidance. What benefits are paid out if rehabilitation is unsuccessful or not appropriate for you? You may receive up to six annual support payments (each equal to one sixth of your TPD Assist cover amount) over a minimum of five years. To continue to receive payments over the period, you must continue to meet the definition of TPD and participate in any occupational rehabilitation program designed for you. Annual support payments will be paid as close as possible to 12 months apart, but actual payment dates will depend on the circumstances of each claim. You may also be able to access your Sunsuper for life account balance due to Permanent Incapacity. It’s important to note that Death cover will reduce by the amount of the annual support payments paid. Any Death cover in excess of the TPD Assist cover will still continue. 13 11 84 sunsuper.com.au 17 5 DEATH AND TPD COVER (continued) Payment of annual support payments If you are eligible to receive a TPD benefit, the insurer may pay the annual support payment (less any applicable tax) to your Super-savings account where it will be invested in the Cash Pool. We will than contact you for payment instructions. Should we not receive payment instructions within 30 days, the payment will be invested as per your current investment strategy. Annual assessment process Should your injury or sickness continuously prevent you from working ever again, an annual assessment will be undertaken. Your claim will be reassessed as close as possible to 12 months after your prior assessment. If you are assessed as still being totally and permanently disabled an annual support payments will be paid. Where deemed appropriate, our insurer will help determine what if any ongoing rehabilitation and retraining services will assist. What happens in the event of a loss of limbs, sight or Cognitive Function? If you suffer the loss of limbs, your sight or cognitive function you may be paid a single lump sum benefit equal to the TPD Assist cover amount at the Date of Disablement. See 10 for the definitions of TPD Assist - Part A Any Death cover in excess of the TPD Assist cover will still continue. What happens if you are unable to perform specified Activities? If you are unable to perform 3 of the following Activities you may be paid a single lump sum benefit equal to the TPD Assist cover amount at the Date of Disablement. • • • • • • Mobility, Hearing, Communication through speech, Seeing, Lifting & carrying, and Manual dexterity. What happens if I am capable of Recurrent events and separate claims returning to work within the five years? Following a claim ceasing prior to the full six annual support If you return to work or become capable of returning to work (i.e. no longer meeting the TPD Assist definition), part way through the five year payment cycle the annual support payments will cease. Any remaining Death and TPD Assist cover may continue and will be calculated in line with the cover detailed in Premium table 1, the cover provided will be based on your current age minus the total of any annual support payments paid during your claim. Premiums are adjusted accordingly. Any Death cover in excess of the TPD Assist cover will still continue. What happens after the six annual support payments are made? What happens in the event of a specified Medical Condition? Where you have claimed benefits under the TPD Assist cover, and all 6 annual support payments have been made, you will cease to be covered under Death and TPD Assist cover1. If you do experience a catastrophic event or are diagnosed with a long term debilitating disease with no chance of recovery you may be paid a single lump sum benefit equal to the TPD Assist cover amount at the Date of Disablement. 1 Any Death cover in excess of the TPD Assist cover will still continue. See 10 for the definitions of TPD Assist - Part C. To qualify for a single lump sum benefit payment due to a Medical Condition you must have one of the following: • • • • • • • • Primary Pulmonary Hypertension Major Head Trauma Motor Neurone Disease Multiple Sclerosis Muscular Dystrophy Dementia and Alzheimer’s Disease Parkinson’s Disease Chronic Lung Disease What can prevent an annual support payment from being paid? Where you have previously received annual support payment\s, you may not be able to receive any more payments if: • you no longer satisfy the definition of TPD Assist as assessed by the insurer, • the date the TPD Assist cover reduces to nil, following payment of the full TPD Assist benefit, • your death, or • you are paid a Terminal Illness benefit. payments being made, if you make, and are accepted for another claim arising from the same or related cause as the prior TPD Assist claim, the further claim will be: a) deemed to be a continuation of the original claim if made within 12 months from the date you ceased to satisfy the TPD Assist definition. annual support payments will continue unaltered, or b) treated as a separate claim if it occurred more than 12 months after ceasing to satisfy the TPD Assist definition. The annual support payments will be adjusted to the cover level at the new Date of Disablement and will be paid out as up to six annual support payments over a minimum of a five year period. If you make a claim arising from an unrelated cause as the prior TPD Assist claim, the second claim will be treated as a separate claim. The annual support payments will be adjusted to the cover level at the new Date of Disablement and will be paid out as up to six annual support payments over a minimum of a five year period. You are entitled to claim TPD Assist benefits up to a maximum of two separate claims. No premium required While on a TPD Assist claim you don’t have to worry about paying your premiums for Death and TPD Assist. Following a claim ceasing the cost of any remaining cover will be calculated weekly and normally deducted from your Super-savings account each month. See 10 for the definitions of the various Medical Conditions, and TPD Assist – Part D. Any Death cover in excess of the TPD Assist cover will still continue. Example of the annual support payment process: Example of a member being capable of returning to work Tom was 40 when he was deemed totally and permanently disabled. Tom received default Death and TPD Assist cover when he joined Sunsuper, and didn’t make any changes to this cover. As at the Date of Disablement he has Death and TPD Assist cover of $186,000. Following acceptance of the TPD Assist claim by the insurer he receives his initial annual support payment of $31,000 (each equal to one sixth of Tom’s TPD Assist cover amount). Rehabilitation was unsuccessful and Tom continues to meet the TPD Assist definition at each New Assessment Date. Following acceptance of the TPD Assist claim by the insurer, Tom receives his initial annual support payment of $31,000 (each equal to one sixth of Tom’s TPD Assist cover amount). Tom’s initial rehabilitation was unsuccessful and Tom continued to meet the TPD Assist definition at the first two annual assessment dates. In year three Tom was successfully capable of returning to work and returned to active employment. Initial Approval $31,000 Payment one Year 1 Assessment $31,000 Payment two Year 2 Assessment $31,000 Payment three Year 3 Assessment $31,000 Payment four Year 4 Assessment $31,000 Payment five Year 5 Assessment $31,000 Payment six Initial Approval Year 1 Assessment Year 2 Assessment Year 3 Assessment Claimant can not return to work Claimant can not return to work Claimant can not return to work Participates in rehab Participates in rehab Participates in rehab Claimant can return to work $31,000 $31,000 $31,000 Payment one Payment two Payment three Year 4 Assessment Year 5 Assessment Returnto Death&TPD Assistcover1 Tom is now 43 years old. The default Death and TPD Assist cover amount for a 43 year old is $152,000. To date he has been paid a total of $93,000 in annual support payments. His remaining Death and TPD Assist cover is calculated as $152,000-$93,000=$59,000. 18 Sunsuper for life Insurance guide 13 11 84 sunsuper.com.au 19 5 DEATH AND TPD COVER (continued) New Member options - Increase your Death and TPD Assist cover by 50% White Collar cover Death and TPD Assist cover Death and TPD Assist cover Ineligible for default cover New Member Options Increase Death Death Increase Assist by by and TPD Assist 50% Add Opt In IP White Collar Cover Life and Age Events Additional Death and TPD Assist Additional Death and/or TPD Assist Ineligible for default cover OR OR need more cover? need more cover? Tailored cover New Member Options Tailored Death and TPD Increase Death and TPD Assist by 50% Tailored IP May reduce the cost of Opt In IP Add Opt In IP White Collar Cover Life and Age Events AdditionalDeath Death Additional Assist and TPD Assist Additional Death and/or TPD Assist Tailored cover Tailored Death and TPD Tailored IP May reduce the cost of Opt In IP When you join Sunsuper, you have 120 days in which you can increase your cover without complicated forms and medical information. Get 50% more cover than Death and TPD Assist at no additional cost. How does this New Member option work? White Collar cover entitles you to 50% more cover than Death and TPD Assist cover at no additional cost to you. Within 120 days of joining Sunsuper you have the opportunity to increase your Death and TPD Assist or White Collar cover by 50% for an increase in premium of 50% without complicated forms and medical information. If you increase your cover using the New Member option, and are approved by the insurer, your increased cover levels and premiums will start from the day your Death and TPD Assist cover starts. Any premiums associated with the change will be charged in addition to your default cover premiums. How do I apply for this New Member option? You can choose this option on joining Sunsuper when you join online or you can apply by completing and returning your Membership application form within the first 120 days of joining Sunsuper. How much cover do you get and what does it cost? The amount and cost of cover you receive depends on your age and type of cover and will generally change each year on your birthday. The table below is an example of increasing your Death and TPD Assist cover using the New Member option. Total cover and cost after 50% increase in Death and TPD Assist cover levels (example) 20 Cover ($) Premiums are calculated weekly and normally deducted from your Super-savings account each month. Exclusions and restrictions A Death, TPD Assist or Terminal Illness benefit will not be paid, • where caused by suicide or any intentional self-inflicted act within 12 months of your insurance cover start date where cover commenced more than 120 days after the date you joined your employer, • where you become TPD and notify Sunsuper more than 5 years after your Date of Disablement, • you are deployed to a hostile environment as part of active military service, • you are employed under the terms of a work visa and it expires, or you permanently depart Australia (whichever is earlier), • if benefits have ceased after a second TPD Assist claim period, or • prior to joining Sunsuper you had received a Terminal Illness benefit, TPD benefit or a benefit as a result of Permanent Incapacity or a Terminal Medical Condition. Limited Cover will also apply to any increase in your Death and TPD Assist cover as a result of you choosing the New Member option. Limited Cover will be for a period of 24 months and until you having been At Work for 30 consecutive days after the end of the 24 month period. Please refer to the definition of Limited Cover and At Work in 10 Definitions. Cost per Week ($) Your age Death TPD Assist Male Female 15 93,750 187,500 3.42 2.04 25 187,500 262,500 5.88 4.02 35 360,000 360,000 10.62 7.26 45 198,000 198,000 12.66 10.14 55 63,000 63,000 12.66 10.14 65 24,000 24,000 12.66 10.14 Sunsuper for life Insurance guide To find out which level of cover and premium applies to you take a look at the Premium table 2. TPD Assist cover ends at age 67. White collar cover White collar cover entitles you to 50% more Death and TPD Assist cover at no additional cost to you. Refer to page 21 for more details. How does White Collar cover work? White Collar cover can also apply to any increase in Death and TPD Assist cover as a result of your New Member option (increase your Death and TPD cover by 50%) and your Life and Age Events. White Collar cover levels (example) Your age Death and TPD Assist cover ($) White Collar cover($) Death TPD Assist Death TPD Assist 15 62,500 125,000 93,750 187,500 25 125,000 175,000 187,500 262,500 Am I eligible for White Collar cover? 35 240,000 240,000 360,000 360,000 45 132,000 132,000 198,000 198,000 To be eligible for White Collar cover: 55 42,000 42,000 63,000 63,000 65 16,000 16,000 24,000 24,000 • you must be permanently employed, and working at least 15 hours per week, • at least 80% of the work you perform is in an office environment (excluding travel from one job to another), and • you must be performing duties limited to clerical, administration, managerial (or similar) which do not involve more than 10% light manual duties. How do I apply for White Collar cover? You can apply, • by completing the questions when you join online, or • by completing the White Collar eligibility question on your Membership application form, or • by completing the White Collar application form. You can get a copy of this form by visiting sunsuper.com.au/forms or calling 13 11 84. When does White Collar cover start? If you apply within 120 days of joining Sunsuper, your White Collar cover will start from your insurance cover start date. If you apply for White Collar cover after 120 days of joining Sunsuper, your White Collar cover will start from the date the insurer accepts your application. How much cover do you get? You get 50% more cover than Death and TPD Assist cover at no additional cost to you. The following table is an example of White Collar cover. To find out which level of cover and premium applies to you take a look at the Premium table 2. TPD Assist cover ends at age 67. Premiums are calculated weekly and normally deducted from your Super-savings account each month. Exclusions and restrictions A Death, TPD Assist or Terminal Illness benefit will not be paid, • where caused by suicide or any intentional self-inflicted act within 12 months of your insurance cover start date where cover commenced more than 120 days after the date you joined your employer, • where you become TPD and notify Sunsuper more than 5 years after your date of disablement, • if you are deployed to a hostile environment as part of active military service, • if you are employed under the terms of a work visa and it expires, or you permanently depart Australia (whichever is earlier), • if benefits have ceased after a second TPD Assist claim period, or • if prior to joining Sunsuper you had received a Terminal Illness benefit, TPD benefit or a benefit as a result of Permanent Incapacity or a Terminal Medical Condition. Limited Cover will also apply to any increase in your Death and TPD Assist cover as a result of you choosing the New Member option. Limited Cover will be for a period of 24 months and until you having been At Work for 30 consecutive days after the end of the 24 month period. Please refer to the definition of Limited Cover and At Work in 10 Definitions. 13 11 84 sunsuper.com.au 21 5 DEATH AND TPD COVER (continued) Life and Age Event options Exclusions and restrictions A Death, TPD Assist or Terminal Illness benefit will not be paid, • where caused by suicide or any intentional self-inflicted act within 12 months of your Death and TPD Assist cover or White Collar cover increases as a result of a Life or Age Event, • where you become TPD and notify Sunsuper more than 5 years after your date of disablement, • if you are deployed to a hostile environment as part of active military service, • if you are employed under the terms of a work visa and it expires, or you permanently depart Australia (whichever is earlier), • if benefits have ceased after a second TPD Assist claim period, or • if prior to an increase as a result of a Life or Age Event you had received a TPD Assist benefit from Sunsuper. Death and TPD Assist cover Ineligible for default cover OR need more cover? New Member Options White Collar Cover Increase Death and TPD Assist by 50% Additional Death and TPD Assist Add Opt In IP Life and Age Events AdditionalDeath Death Additional and/or TPD TPD Assist Assist and/or Tailored cover Tailored Death and TPD Tailored IP May reduce the cost of Opt In IP When your life changes your Life and Age Event options give you the opportunity to increase your Death and TPD Assist cover at the times in your life when it matters the most. Increasing your cover with Life or Age Event options You can apply to increase your Death and TPD Assist cover or White Collar cover by 25% at each Event. This will increase your premiums by an extra 25%1 of your weekly premium per event. You can apply up to four times for Life Events, plus you may have up to three opportunities to increase your cover with Age Events. A Life and Age Event insurance options form is available at sunsuper.com.au/lifeevents For the Life Event option(s) you are applying for, you’ll need to provide to us proof of the Life Event. When can you increase your cover? To increase your cover you must apply within 180 days following one of the Life or Age Events occurring. The Life and Age Event options apply to your existing Death and TPD Assist cover, White Collar cover, Death only or TPD Assist only cover. You are not eligible to apply for a Life and Age Event if you have previously received or are eligible to receive a TPD Assist benefit as a result of total and permanent disablement from Sunsuper. You may only apply for one increase in any 12 month period for Life Events or Age Events. Life Event options 1 • you get married 2, • you have or adopt a child, • you take out a mortgage 3 to buy or build your home or you increase your current mortgage 3 by $100,000 or more, • you get divorced, or • the death of your spouse. 1 2 3 What is the cost if I change my cover with Life and Age Event options and when is it paid? If you change your cover using one of the Life or Age Event options and are accepted by the insurer your changed cover levels and premiums will start from the date your application is accepted by the insurer. Increase your cover at the times in your life when it matters most 1 The amount you can apply for is equal to 25% of the Death and TPD Assist or White Collar cover you are eligible for at the age you are accepted for the increase. Limited Cover will apply to the increase in your Death and TPD Assist cover or White Collar cover as a result of a Life or Age Event for 24 months from the date of acceptance, and you will also need to be At Work for 30 consecutive days after this 24 month period before limited cover restrictions are lifted. Please refer to the definition of Limited Cover and At Work in 10 Definitions. Examples of the cover levels for Life and Age Event Options and premiums Any premiums associated with the change will be charged in addition to your existing premiums and will be calculated weekly and normally deducted from your Super-savings account monthly. The following table shows the increased cover and premiums for the addition of one Life or Age Event. Further Life or Age Events will result in similar increases in cover and premiums. Your age Current Death and TPD Assist Cover ($) Life & Age Event ($) New Death and TPD Assist cover ($) Current Cost per Week ($) New Cost per Week ($) Death TPD Assist Death TPD Assist Death TPD Assist Male Female Male Female Life Event Evidence required 15 62,500 125,000 15,625 31,250 78,125 156,250 2.28 1.36 2.85 1.70 Marriage Copy of marriage certificate 25 125,000 175,000 31,250 43,750 156,250 218,750 3.92 2.68 4.90 3.35 Birth or adoption of a child Copy of child’s birth certificate or adoption papers 35 240,000 240,000 60,000 60,000 300,000 300,000 7.08 4.84 8.85 6.05 Mortgage increase on my home Copy of mortgage documents signed by you 45 132,000 132,000 33,000 33,000 165,000 165,000 8.44 6.76 10.55 8.45 55 42,000 42,000 10,500 10,500 52,500 52,500 8.44 6.76 10.55 8.45 65 16,000 16,000 4,000 4,000 20,000 20,000 8.44 6.76 10.55 8.45 Mortgage to purchase my home Copy of mortgage documents signed by you Divorce Copy of divorce certificate Death of your spouse Copy of your spouse’s death certificate Refer to Premium table 3 for the full details of Life and Age Event options cover and premium tables. TPD Assist cover ends at age 67. If accepted by the insurer, each Life or Age Event will increase your Death and TPD Assist cover or White Collar cover by the Life and Age Event increase amount shown in the Premium table 3. The amounts shown in Premium table 3 are equal to 25% of the Death and TPD Assist cover or White Collar cover you are eligible for at the age you are accepted for the increase. The increased amounts are based on your type of cover at the time of your application (Death only, TPD Assist only or Death and TPD Assist). The Life and Age Events option does not apply to members with Tailored Death and/or TPD cover. You can only apply for Life Event options up to age 67. Marriage as defined by the Marriage Act 1961 (Cth). The mortgage must be with a financial institution and for your principal place of residence. Have you had a life event? Age Event options • you turn 30, 40 or 50. 22 Sunsuper for life Insurance guide Visit sunsuper.com.au/lifeevents to find out how to increase your cover or contact us for a copy of the relevant form. 13 11 84 sunsuper.com.au 23 5 DEATH AND TPD COVER (continued) Tailored Death and TPD cover Death and TPD Assist cover Ineligible for default cover OR need more cover? New Member Options White Collar Cover Life and Age Events Increase Death and TPD Assist by 50% Additional Death and TPD Assist Additional Death and/or TPD Assist Add Opt In IP Tailored cover Tailored Death Death and TPD TPD Tailored IP May reduce the cost of Opt In IP Tailor your insurance cover to meet your individual circumstances with Sunsuper’s Tailored Death and TPD cover. Tailored Death cover If you die, your dependants or beneficiaries may receive a lump sum. This includes Terminal Illness. Types of cover available • Tailored Death only (this includes Terminal Illness), • Tailored Death and TPD, • Tailored TPD only How much can I apply for? You can apply for either Tailored Death only cover or Tailored TPD only cover or Tailored Death and TPD cover up to the following maximum cover levels: • Death cover - Unlimited • Terminal Illness - $5 million (this forms part of the Death cover) • TPD cover - $3 million Any application for insurance cover is subject to acceptance by the insurer. Satisfactory evidence of health may be required. Sunsuper reserves the right to limit the amount of cover provided. Tailored Total and Permanent Disability (TPD) If you are permanently disabled, you may receive a lump sum benefit. Eligibility to claim Interim Accident cover If you become totally and permanently disabled you will only be eligible to make a TPD claim if you notify Sunsuper of your Tailored TPD claim within 5 years from your Date of Disablement. Warning: If you notify Sunsuper of your Tailored TPD claim outside this period you will be ineligible for an insurance benefit payment under Tailored TPD. Up to 90 days interim Accidental Death and/or Accidental TPD cover will apply immediately from the date we receive your completed Tailored Insurance cover application form. See 10 Definitions for the definition of Accident. What benefits are paid out if you are totally and permanently disabled? No premium is charged for the interim Accident cover. The interim cover ends on the earlier of acceptance, deferral or rejection of your application for Tailored cover or 90 days from receipt of your application. If you are totally and permanently disabled, and meet the Tailored TPD definition, your Tailored TPD cover as at the Date of Disablement will be payable. You may also be able to access your Sunsuper for life account balance. The amount of interim Accident cover is the lesser of the amount of Tailored cover you are applying for and $2 million. No interim Accident cover will be paid if during the interim period, death or disability is caused directly or indirectly by engaging in any sport or pastime that the Insurer would not normally cover at standard rates or any other exclusions under the policy. Payment of any Tailored TPD benefit will reduce the Death cover by the amount paid as a TPD benefit. What are the Occupational Categories? In limited circumstances you will not be eligible to claim on the Tailored Death and TPD insurance cover through Sunsuper. See 4 Am I eligible for insurance cover? And 10 Definitions for the Employed (TPD) definition. Within 12 months of the start date of your Tailored TPD cover you will not be eligible to claim where your total and permanent disablement results from attempted suicide or from an intentional self-inflicted injury. When you apply for Tailored Death and TPD cover the Insurer will determine your Occupational category based on your occupation at the time. When calculating your insurance premium for Tailored cover, an occupational loading will be applied based on your occupational category. Refer to 10 Definitions which briefly describes how Occupational Categories are determined. Please note that Tailored cover may not be available for high-risk occupations. What is Tailored Total and Permanent Disablement (TPD) cover? Sunsuper’s Tailored TPD cover is here to help minimise the impacts of severe injury or sickness that leaves you occupationally or physically disabled. Tailored TPD cover pays you a lump sum in the event that you become totally and permanently disabled. The term ‘totally and permanently disabled’ means that due to injury or sickness you will be unable to ever work again in your own or any other occupation for which you are suited by training, education or experience. If your TPD claim is approved, you are usually able to withdraw your superannuation account balance and any insured benefit, allowing you and your dependants to pay debts or bills, provide an ongoing income or fund your special medical needs. What happens if you believe you are totally and permanently disabled? If you believe that you may be eligible to apply for a Tailored TPD claim, we are here to help you along the way. In order to lodge a claim you would need to be under the care of a Medical Practitioner and suffering from an ongoing and serious injury or sickness that is permanently preventing you from working or from performing specified Activities. See 10 Definitions for the Tailored TPD definition. Our Claims Representatives are here to help you every step of the way and will confirm your eligibility to lodge a claim. Following lodgement of your claim application, the Insurer will assess whether your claim is successful. 24 Sunsuper for life Insurance guide It’s simple, you can apply to transfer existing Death, TPD and IP cover anytime. You can apply for cover through Member Online, our secure online service. Just visit sunsuper.com.au and follow the prompts to Member Online. If you’re not signed up for Member Online — it’s simple — just contact us and we’ll have you set up in no time. If you would prefer filling in a paper application simply download and complete the Tailored Insurance Application form and return it to us. The form is available at sunsuper.com.au/forms 13 11 84 sunsuper.com.au 25 5 DEATH AND TPD COVER (continued) How is the premium calculated? If Tailored cover is approved and you already have Death and TPD Assist cover, the premium for your Death and TPD Assist insurance cover no longer applies. All of your cover will convert to a premium based on your occupational classification. This means you will pay a different premium to the premium you previously paid for the same amount of existing cover because of your occupation. The factors that determine the cost you will pay for your Tailored insurance cover are: • • • • • • the type of cover, the amount and basis of cover, your occupation (see page 60), your health (see page 27), your age, and your gender. Premium table 4 shows the premiums for Tailored Death and TPD cover and the Occupational Categories as determined by the insurer. In calculating your premium, the premium is applicable to all your Death and TPD (or Death only or TPD only) cover and assumes you are in good health. Premiums are calculated weekly and normally deducted from your Super-savings account balance each month. To ensure you have sufficient money in your Super-savings account to pay premiums and to ensure your insurance cover does not lapse, you should keep a minimum Super-savings account balance of $1,500 at all times. Amount and basis for insurance cover Section 3 How much cover do I need? can help you work out the amount of insurance cover you need or you can call 13 11 84 to speak to one of our phone based qualified financial planners. Once you have decided on the amount of cover that best suits your circumstances and needs, you then need to determine the basis on which you want this insurance cover. For Tailored Death and TPD cover you can choose either a: • Fixed Cover basis, or • Fixed Premium basis. A Fixed Cover basis means your amount of insurance cover stays the same, but your weekly premium will generally increase as you get older. Using the previous example, Jayne’s cover will remain $1,000,000 and her weekly premium will generally increase each year on her birthday. A Fixed Premium basis means your weekly premium stays the same, but your insurance cover will generally decrease as you get older. Jayne’s premium would remain $7.31 a week but the amount she is covered for will generally decrease each year. If you don’t make a choice, your cover will be provided on a Fixed Cover basis. An example of how to calculate Tailored Death and TPD premiums: Jayne decides she needs cover of $1,000,000 and applies for Tailored Death and TPD cover. She is in good health and is a technical writer. The insurer accepts her application for cover based on the occupational category of White. Tailored TPD cover reduction on Fixed Cover basis Can your health affect your insurance cover? With cover provided on a Fixed Cover basis, the amount of your Tailored TPD cover will reduce by 10% each year from age 61. Your premiums are adjusted accordingly. An example is shown below. If you have $200,000 of fixed TPD cover, your Tailored TPD cover will reduce as follows: When the insurer assesses your application for Tailored insurance cover, they may ask for further details in relation to the information you disclose in your Tailored insurance cover application. To calculate Jayne’s weekly premium on cover of $1,000,000 you need to: Age last birthday TPD cover 60 200,000 1.Use the Tailored Death and TPD cover Premium table 4 to find the premium applicable for the type of cover, age and gender. 2.Use the Occupational rating categories table on page 48 to find the occupational rating categories. 3.Calculate the Death premium: [Death premium rate x (Death cover / 1000) x Death occupational rating] / 52 4.Calculate the TPD premium: [TPD premium rate x (TPD cover / 1000) x TPD occupational rating] / 52 Remember Jayne is 30, female and falls into the occupational category of White. Therefore her premiums are: 61 180,000 62 160,000 63 140,000 64 120,000 65 100,000 66 80,000 67 nil Transferring your Death and TPD insurance cover Death premium = [0.21 x ($1,000,000 / $1,000) x 1.00] / 52 = $4.04 per week TPD premium = [0.17 x ($1,000,000 / $1,000) x 1.00] / 52 = $3.27 per week Add the weekly Death and TPD premiums = ($4.04 + $3.27) You may be eligible to transfer existing Death and/or TPD cover (from other super funds or insurance policies up to $1,000,000) to Sunsuper. To transfer your existing cover please complete and return the Transfer of insurance cover form found in the back of this guide. Therefore Jayne’s weekly premium for $1,000,000 of Tailored Death and TPD cover is $7.31 per week. Jayne now has to decide if she would like Fixed Cover or Fixed Premium insurance – please refer to Amount and basis for insurance cover on this page. Note: Rounding variations may occur when calculating premiums. Premiums per week are displayed as rounded up to the next whole cent. You will not be eligible to transfer your cover if, • you have previously had an application for additional insurance cover declined, • you have been paid, lodged or eligible to lodge any TPD, Terminal Illness or IP claim, or • you are absent from work or unable to carry out all of the duties of your usual occupation due to an injury or illness at the transfer date. It’s important you include all required documentation, which will include: • a letter or certificate of currency from your superannuation fund or insurance provider detailing your current insurance cover, • details of any loadings, exclusions and restrictions applicable to that cover, and • the confirmation must have been issued within 30 days of your application. If accepted by the insurer: • you will be subject to the terms and conditions outlined in the Sunsuper for life policy provided by AIA Australia, • the transferred cover will be additional to any existing insurance cover you have subject to maximum cover limits on page 24, • you will need to cancel the cover you had under your previous fund or policy, and • your total cover will become Tailored Death and/or TPD cover and will be Fixed Cover. If you are thinking about transferring your existing insurance cover, make sure you compare the features and benefits, and are accepted by Sunsuper’s insurer, before cancelling existing cover. 26 Sunsuper for life Insurance guide As a condition of acceptance of the Tailored insurance cover, the insurer may apply a loading (a higher premium) for the increased amount of Death and/or TPD insurance cover. The insurer may also specify a benefit exclusion that will apply if a claim for the increased amount of insurance is related to a specified condition or pastime. Any premium loadings or benefit exclusions will be advised to you at the time the insurer accepts your application for Tailored insurance cover. Any premium loading or benefit exclusion will apply to your total insured amount. You should advise Sunsuper within 30 days if you decide that you do not wish to proceed with the application for Tailored cover. Can you change your Occupational Category? If your occupation changes so you are in a less manual or less hazardous occupation, you can apply for a new occupational category by completing an Occupational rating form (visit sunsuper.com.au/forms). This may result in a reduction in your premiums (Fixed Cover) or increased cover (Fixed Premium). Where you currently have Fixed Premium and have an occupational category of Hazardous, a change in your occupational category may result in a lower premium; however your levels of cover will remain the same. When does Tailored Death and TPD insurance cover start? Your Tailored Death and TPD insurance cover will start from the date the insurer accepts your application, provided you have enough money in your Super-savings account to pay insurance premiums. If you do not have enough money in your Super-savings account to pay premiums, you will be notified of the conditions that apply to you. The assessment process, known as “underwriting”, usually takes some time especially where additional medical information is required. The “underwriting” process depends on your level of cover and the amount of health evidence required. Exclusions and restrictions A Tailored Death, TPD or Terminal Illness benefit will not be paid, • where caused by suicide or any intentional self-inflicted act within 12 months of the insurers acceptance of the additional Tailored cover. This restriction applies only to the amount above your previous level of cover, • where you become TPD and notify Sunsuper more than 5 years after your date of disablement, • if you are deployed to a hostile environment as part of active military service, • if you are employed under the terms of a work visa and the term of the visa expires, or you permanently depart Australia (whichever is earlier), or • if subject to any restriction or exclusion imposed as a condition of acceptance by the insurer at time of application for Tailored cover. Any restrictions or exclusions on your previous cover amounts will continue. 13 11 84 sunsuper.com.au 27 5 DEATH AND TPD COVER (continued) Conditions & Exclusions When does Death and TPD insurance cover stop? Can Death and TPD cover restart if it lapses? Cover will stop when: Where insurance cover has stopped because: • • • • • • • your Super-savings account balance is low and inactive, and/or • there was insufficient money in your Super-savings account to pay the premiums, • • • • • • • • you cancel it, you turn 70 years of age for Death cover, you turn 67 years of age for TPD Assist or Tailored TPD cover1, you die, you are paid a Tailored TPD insurance benefit, 2 you are paid all six annual support payments under the TPD Assist benefit, 2 the total of annual support payments paid under the TPD Assist benefit exceed your Death cover. Death cover will cease, TPD Assist cover will continue while you continue to meet the TPD Assist definition, in respect to TPD Assist cover, the date benefits cease due to you no longer meeting the TPD Assist definition during a second claim period (with the exception of a Recurrent Event within 12 months), you withdraw all monies from Sunsuper, the policy issued to the Trustee is cancelled or terminated for any reason, you are paid a Terminal Illness benefit2 where the full Death benefit cover is paid, you are employed under the terms of a work visa and the term of the visa expires, or you permanently depart Australia (whichever is earlier), your Super-savings account balance is low and inactive (normally this will be when your balance is less than $1,500 and employer contributions have not been received for 12 months, unless we have agreed otherwise). Where we have valid contact details, we will contact you advising the date your cover will stop. To avoid your cover stopping in this way, you should maintain your Super-savings account balance above $1,500 or ensure regular employer contributions are paid into your Super-savings account, or the premium is due and there is not enough money in your Super-savings account to pay the premiums, and it remains unpaid for 4 months. the receipt of an SG contribution will restart Death and TPD Assist cover from the date of receipt of the SG contribution. Death and TPD Assist cover will restart as per the cover levels detailed in Premium table 1. Limited Cover will apply until you satisfy the At Work requirements for 30 consecutive days. If you cancelled your cover or have cover in excess of the default Death and TPD Assist cover (i.e. Tailored Death and TPD cover), satisfactory evidence of health will be required to restart cover. What benefits are paid out if you die? Your Death benefit is the amount of your Sunsuper for life account balance plus the total amount of your Death cover. Any benefit payment for your Death cover is subject to acceptance of the claim by the insurer. In limited circumstances you will not be eligible to claim on the Death and TPD Assist cover through Sunsuper. See 4 Am I eligible for insurance cover? In the event of your death, your Death benefit may be paid to your nominated beneficiaries (subject to Trustee discretion — unless you have elected a binding death benefit nomination). Within 12 months of the start of your Death and TPD Assist or White Collar Death cover, where your insurance cover start date is more than 120 days after the date you join your employer, or the start of your Tailored Death cover or increased cover as a result of a Life or Age Event, you will not be eligible to claim where your death results from suicide or from an intentional self-inflicted injury. What happens if you have a Terminal Illness? What happens if your work situation changes or you leave your employer? Subject to providing all the required documentation to support your claim and approval by the Trustee and Insurer, if your Death cover is in force at the date of the most recent certification of the Terminal Illness by two registered Medical Practitioners (one being a specialist physician in the particular medical field), you will be paid a Terminal Illness benefit. Terminal Illness means you are suffering from an illness, or have incurred an injury, that is likely to result in your death within a period of 24 months. Your existing Death and TPD cover will continue when you leave your employer. Premiums will continue to be deducted from your Super-savings account balance. If you have Death cover and the insurer accepts your claim for Terminal Illness, the benefit paid is the amount of your Sunsuper for life account balance plus the amount of your Death cover in force at the most recent certification (up to a maximum of $5 million). The remaining amount of Death cover (if any) is then your total Death cover, less the amount of insurance cover paid by the insurer on account of your Terminal Illness benefit. If you have received or are eligible to receive a Terminal Illness benefit or a benefit as a result of a Terminal Medical Condition from Sunsuper, or another fund or insurer when you join Sunsuper, you will not be eligible for Death or TPD cover with Sunsuper. What happens if I want to reduce or cancel my cover? If you don’t want Death and TPD Assist, White Collar or Tailored cover, or you just want to reduce your cover, you need to let us know in writing or by calling us on 13 11 84. The cancellation or reduction will be effective from the date your instruction is received. If you cancel your Death and TPD Assist cover within 60 days of the day cover commences, any premiums paid for your Death and TPD Assist will be refunded to your Super-savings account. If you hold Death and TPD Assist cover and you wish to reduce your cover you must maintain a minimum level equal to 25% of your Death and TPD Assist cover. If you cancel your cover, evidence of health satisfactory to the insurer will be required before cover can restart from the date accepted by the insurer. 1 Special conditions may apply to some members. 2 Death cover in excess of the TPD Assist or Tailored TPD cover or Terminal Illness benefit will still continue. What happens during Unpaid Leave or parental leave? It is your responsibility to check there is always enough money in your Super-savings account to pay insurance premiums. Your Death and TPD cover will continue. During the first 24 months of leave, the TPD definition that will generally apply will be the definition that applied while you were working. If your period of leave continues past 24 months your cover will continue. However, you may be assessed under a different part of the TPD definition - refer to 10 Definitions for the TPD definition. Premiums will continue to be deducted from your Super-savings account during the period of leave. You need to ensure you have enough money in your Super-savings account during the period of leave to pay your premiums. However, it is important that you notify us if: • you change occupation, • your income changes, or • you change employer, so that we can update your records and determine the impact of any changes. You must let us know if you wish to cancel your Death and TPD insurance cover. What happens if you are employed under the terms of a work visa? Employees employed under the terms of a work visa are eligible for Death and TPD Assist cover and may also apply for Tailored cover. What happens if you travel overseas on paid leave? Where you travel overseas while on paid leave from your Australian-based employer (or an international subsidiary or associated company of your Australian employer), your Death and TPD cover continues with no travel restrictions. What happens if you temporarily reside overseas? Your Death and TPD cover will continue while temporarily residing overseas. If you become disabled while based overseas you may be required to return to Australia at your own expense for assessment of any disablement claim. The TPD definition used in the event of a claim will depend on your employment status at the time of becoming disabled. Under the TPD definition Employed means you are working at least 15 hours per week. It is your responsibility to check there is always enough money in your Super-savings account to pay insurance premiums. Where you temporarily reside overseas during a period of Unpaid Leave, your cover will continue as described on this page. Refer to the definition of Unpaid Leave in 10 Definitions. 28 Sunsuper for life Insurance guide 13 11 84 sunsuper.com.au 29 6 Income Protection (IP) cover IP cover is designed to protect you by providing an income for a time period in the event you are unable to work due to injury or sickness. It can give you the peace of mind that your can pay your expenses while you focus on your health and recovery. Comparing our Income protection options Feature Opt In IP Tailored IP Cover obtained Opt in1 By application Benefit Period 2 years 2 years, 5 years, to age 65 Waiting Period 90 days 30, 60, 90, 180 days Cover up to age 65 Covers Self-Employed members x Partial disablement payments Indexation of Cover x Occupation categories 2 Indexation of IP claim benefits x 6 3 Occupational Rehabilitation support Cover during paid & Unpaid leave2 Cover during overseas employment Limited cover 24 months and 30 day At Work requirement x Maximum cover per month $5,000 ($7,500 if you have White Collar cover) $30,000 Premium waiver when on claim 1 Within 120 days of joining Sunsuper you can apply to add Opt In IP cover. Refer to New Member options. 2 IP cover will stop where your period of Unpaid Leave or parental leave exceeds 24 months. 3 Indexation applied to Benefit Periods greater than 2 years. How to apply You can apply for an amount up to 85% of your Income (75% of your Income plus 10% superannuation contribution) but not more than the maximum cover per month. Income is defined in 10 Definitions. Opt In IP Tailored IP You must apply within 120 days of joining Sunsuper. You can apply when you join online at sunsuper.com.au/join You can apply for cover through Member Online, our secure online service. Just visit sunsuper.com.au and follow the prompts to Member Online. If you’re not signed up for Member Online — it’s simple — just contact us and we’ll have you set up in no time. If you would prefer filling in a paper application please complete and return the New Member Options form at sunsuper. com.au/forms 30 If you would prefer filling in a paper application the Tailored insurance application is available at sunsuper.com. au/forms 13 11 84 sunsuper.com.au 31 6 INCOME PROTECTION (IP) COVER (continued) New Member options – Opt In IP cover Exclusions and restrictions An IP benefit will not be paid if the injury or sickness is caused, wholly or partly, directly or indirectly, from: • deliberate self-inflicted injury or attempted suicide or selfdestruction while sane or insane, • uncomplicated pregnancy, childbirth or miscarriage, • your deployment to a hostile environment as part of active military service, or • a criminal act committed by you. Death and TPD Assist cover Ineligible for default cover OR need more cover? New Member Options White Collar Cover Life and Age Events Increase Death and TPD Assist by 50% Additional Death and TPD Assist Additional Death and/or TPD Assist Add Opt In In IP IP Tailored cover Limited Cover will apply to your Opt In IP cover for a period of 24 months and until you have been At Work for 30 consecutive days after the end of the 24 month period. Please refer to the definition of Limited Cover and At Work in 10 Definitions. Tailored Death and TPD Tailored IP Example of how to calculate your Opt In IP cover and premium: Jack is 45 when he joins Sunsuper. He applies for Opt In IP cover on his Membership application form or when he joins online. Jack’s salary is $80,000 p.a. To calculate Jack’s Opt In IP cover and his weekly premium, follow the following steps and refer to Premium table 5. 1.Determine Jack’s monthly benefit – Income x 85% / 12 (rounded up to the next $500). 2.Divide the monthly benefit by $500. 3.Multiply 2. by the weekly premium – refer to Premium table 5. Jack’s cover and weekly premium will be: 1.$80,000 x 85% / 12 = $6,000. Maximum monthly Opt In IP cover = $5,000 monthly benefit. 2.$5,000 / $500 = 10. 3.10 x $0.60 = $6.00 per week. May reduce the cost of Opt In IP When you join Sunsuper, you have 120 days in which you can add Opt In IP cover without complicated forms and medical information. How does Opt In IP cover work? How do I apply for Opt In IP cover? Opt In IP cover provides you with a monthly benefit, after a Waiting Period of 90 days, for up to 2 years if you are unable to work due to injury or sickness. You must apply within 120 days of joining Sunsuper. The Waiting Period commences from the date a Medical Practitioner certifies you are Totally Disabled and unable to work as determined by the insurer. Benefit payments will start accruing when the Waiting Period ends and are paid monthly in arrears. Your amount of cover is a fixed monthly benefit amount. Your cover amount is calculated as 85% of your Income, rounded up to the next $500. The weekly cost per $500 of cover is shown on Premium table 5. The maximum monthly benefit for Opt In IP cover is $5,000. You will be provided with a monthly benefit of $2,500 where you do not provide details of your Income. Am I eligible for Opt In IP cover? To be eligible for Opt In IP cover you must be permanently employed for at least 15 hours per week and aged between 15 and 64. You are not eligible for Opt In IP cover if: • you are not permanently employed for at least 15 hours per week, • you are a casual employee, • you are a contract employee, • you are Self-Employed, • you are employed under the terms of a work visa, or • your financial affairs are under the supervision of a third party, such as the public trustee, due to your medical condition or capacity. You can apply when you join online at sunsuper.com.au/join If you would prefer filling in a paper application please complete and return the New Member Options form at sunsuper.com.au/ forms How much does it cost? The cost of cover depends on your age and gender and will generally increase with age. Any premium change will occur each year on your birthday. Opt In IP weekly premium rates (example) Your age IP premium ($) per week (per $500 monthly benefit) Male Female 15 0.27 0.40 25 0.27 0.40 35 0.27 0.40 45 0.60 1.00 55 0.60 1.00 65 1.50 2.00 To find out which premium applies to you take a look at the Premium table 5. To calculate your weekly premium simply divide your cover amount by $500 and multiply by the IP premium. Premiums are calculated weekly and normally deducted from your Super-savings account each month. You are also not eligible to apply for Opt In IP cover if you have previously received or are eligible to receive a Terminal Illness, TPD benefit or a benefit as a result of Permanent Incapacity or a Terminal Medical Condition from Sunsuper or another fund or insurer. 32 Sunsuper for life Insurance guide 13 11 84 sunsuper.com.au 33 6 INCOME PROTECTION (IP) COVER (continued) White Collar IP cover Tailored IP cover Death and TPD Assist cover Death and TPD Assist cover Ineligible for default cover New Member Options White Collar Cover Life and Age Events Increase Death and TPD Assist by 50% Additional Death and TPD Assist Additional Death and/or TPD Assist Add Opt In IP Ineligible for default cover OR OR need more cover? need more cover? Tailored cover Tailored Death and TPD New Member Options White Collar Cover Life and Age Events Tailored IP Increase Death and TPD Assist by 50% Additional Death and TPD Assist Additional Death and/or TPD Assist reduce the the May reduce In IP IP cost of Opt In Add Opt In IP IP cover at a reduced cost. How does White Collar cover work? If accepted, White Collar cover may entitle you to IP cover at a reduced cost. Depending on your income level it may also entitle you to more cover than Opt In IP cover. The maximum monthly benefit for White Collar IP cover is $7,500. Your monthly benefit is limited to 85% of your Income. White Collar cover provides you with a monthly benefit, after a Waiting Period of 90 days, for up to 2 years if you are unable to work due to injury or sickness. The Waiting Period commences from the date a Medical Practitioner certifies you are Totally Disabled and unable to work as determined by the insurer. Benefit payments will start accruing when the Waiting Period ends and are paid monthly in arrears. Your amount of cover is a fixed monthly benefit amount. Your cover amount is calculated as 85% of your Income, rounded up to the next $500. The weekly cost per $500 of cover is shown on Premium table 5. Am I eligible for White Collar cover? apply for White Collar cover after 120 days of joining Sunsuper, your White Collar cover will start from the date the insurer accepts your application. How much does it cost? The cost of cover depends on your age and gender and will generally increase with age. Any premium change will occur each year on your birthday. White Collar IP weekly premium rates (example) Your age IP premium ($) per week (per $500 monthly benefit) Male Female 15 0.18 0.27 25 0.18 0.27 35 0.18 0.27 45 0.40 0.67 55 1.00 1.33 To be eligible for White Collar cover: • you must be permanently employed, and working at least 15 hours per week, • at least 80% of the work you perform is in an office environment (excluding travel from one job to another), and • you must be performing duties limited to clerical, administration, managerial (or similar) which do not involve more than 10% light manual duties. How do I apply for White Collar cover? To find out which premium applies to you take a look at the Premium table 5. To calculate your weekly premium simply divide your monthly cover amount by $500 and multiply by the IP premium. Premiums are calculated weekly and normally deducted from your Super-savings account each month. Exclusions and restrictions You can apply, An IP benefit will not be paid if the injury or sickness is caused, wholly or partly, directly or indirectly, from: • by completing the questions when you join online, or • by completing the White Collar eligibility question on your Membership application form, or • by completing the White Collar application form. You can get a copy of this form at sunsuper.com.au/forms or calling 13 11 84. • deliberate self-inflicted injury or attempted suicide or selfdestruction while sane or insane, • uncomplicated pregnancy, childbirth or miscarriage, • your deployment to a hostile environment as part of active military service, or • a criminal act committed by you. When does White Collar cover start? Limited Cover will apply to your White Collar IP cover for a period of 24 months and until you have been At Work for 30 consecutive days after the end of the 24 month period. Please refer to the definition of Limited Cover and At Work in 10 Definitions. If you apply within 120 days of joining Sunsuper, your White Collar cover will start from your insurance cover start date. If you 34 Sunsuper for life Insurance guide Tailored cover Tailored Death and TPD Tailored IP May reduce the cost of Opt In IP Select a Waiting Period and Benefit Period that suits your individual circumstances How does Tailored IP cover work? Maximum amount of Tailored IP cover If you’re not eligible for the New Member option of Opt In IP cover, or you have previously cancelled your cover and want to reapply, or you simply want to change the level of your IP insurance cover you may apply for Tailored IP cover. You can apply for an amount of cover up to 85% of your Income (75% of your Income plus 10% superannuation contribution) but not more than $30,000 per month. Income is defined in 10 Definitions. Tailored IP cover will provide you with an income if you are unable to work because of your injury or sickness, known as becoming Totally Disabled. Totally Disabled (or Total Disability) is defined in 10 Definitions. You can choose the length of your Benefit Period and Waiting Period. IP cover provides you with monthly income for up to 2 years, 5 years or to age 65 after a Waiting Period of either 30, 60, 90 or 180 days, upon acceptance by the insurer of your inability to work due to injury or sickness. Payments are made monthly in arrears after the conclusion of the Waiting Period. Am I eligible to apply for Tailored IP cover? You are eligible for Tailored IP cover if you are aged 15 to 64 and working at least 15 hours per week and: • you are permanently employed, or • you are Self-Employed, or • you are working in Australia under the terms of a work visa. Your Benefit Period will be limited to your legal eligibility to work in Australia. Interim Accident cover Where you apply for Tailored IP cover, up to 90 days interim Accidental Income Protection cover will apply from the date of receipt of your completed Tailored insurance cover application form. Accident is defined in 10 Definitions. No additional premium is charged for the interim Accident cover. The interim cover ends on the earlier of the acceptance, deferral or rejection of your application for Income Protection cover or 90 days from receipt of your application. The maximum interim Accident cover available is $15,000 per month or your calculated benefit, whichever is the lesser. Your chosen Benefit Period and Waiting Period will apply. No interim Accident cover will be paid if during the interim period, death or disability is caused directly or indirectly by engaging in any sport or pastime that the insurer would not normally cover at standard rates or any other exclusion under the policy. Casuals and contractors can apply for Tailored IP cover but restrictions may apply. Any application for IP cover is subject to acceptance by the insurer. Satisfactory evidence of health will be required. Sunsuper reserves the right to limit the amount of Tailored IP cover provided. Contact us on 13 11 84 for more information. It’s simple; you can apply for Tailored cover anytime. You can apply for cover through Member Online, our secure online service. Just visit sunsuper.com.au and follow the prompts to Member Online. If you’re not signed up for Member Online — it’s simple — just contact us and we’ll have you set up in no time. If you would prefer filling in a paper application the Tailored insurance application is available at sunsuper.com.au/forms 13 11 84 sunsuper.com.au 35 6 INCOME PROTECTION (IP) COVER (continued) Indexation of Tailored IP cover Tailored IP cover will be indexed annually on 1 July, based on the annual trend adjusted increase in Average Weekly Ordinary Time Earnings (AWOTE) at the previous November. This means that the amount of your Tailored IP cover will increase at each 1 July. Any increase will be limited to a maximum of 5%. You can elect not to have your Tailored IP indexed each year by completing an Insurance variation form available at sunsuper. com.au/forms. Similarly, you could choose to opt back into automatic indexation of your Tailored IP cover by using the same form. If you choose to opt back into annual indexation the increased IP cover will be subject to Limited Cover for a period of 24 months and until you are At Work for 30 consecutive days after the end of the 24 month period. Example of how your Tailored IP cover will be indexed: Fiona is 28 years old when she applies for and is accepted for Tailored IP cover. Her Income is $60,000 p.a. and the date of acceptance is 1 March. The indexation rate for 1 July is 1.7%. Cover at 1 March (date of acceptance): $60,000 x 85% = $51,000 p.a. = $4,250 p.m. New cover at next 1 July: $51,000 x 1.017 = $51,867 p.a. = $4,322 p.m. If Fiona had previously opted out of indexation and then chose to opt back into annual indexation, the increased cover of $867 p.a. will be subject to Limited Cover (see page 34). What happens to my Opt In IP or White Collar IP cover? If Tailored IP cover is approved, the premium previously applied to your Opt In IP or White Collar IP insurance cover will no longer apply and your total IP cover and premium will be based on your occupational classification. What are the Occupational Categories? When you apply for Tailored IP cover the insurer will determine your occupational category based on your occupation at the time. When calculating your insurance premium within Tailored cover, an occupational loading will be applied based on your occupational category. Refer to 10 Definitions which briefly describe how Occupational Categories are determined. How much is the premium and when is it paid? The premium payable for Tailored IP cover is based on your amount of cover, Benefit Period, Waiting Period, gender, occupation, health and age. The premium is recalculated with any change in your cover amount and on your birthday each year. Occupation is based on the six Occupational Categories shown in 10 Definitions. Income Protection cover may not be available for hazardous occupations and will be assessed on a case-by-case basis. The premium is normally deducted from your Super-savings account balance each month, which is great as it won’t impact your take-home pay. To ensure you have sufficient money in your Super-savings account to pay premiums and to ensure your insurance cover does not lapse, you should keep a minimum Super-savings account balance of $1,500 at all times. The total premium includes stamp duty and a 5% insurance fee to offset Sunsuper’s cost of providing the cover, and is deducted from your Super-savings account balance. The Premium tables 6 to 8 set out the annual premium for each $1,000 of annual insured benefit for the 2-year, 5-year and to age 65 Benefit Periods. When the insurer assesses your application for Tailored cover, the insurer may apply a loading (a higher premium). An example of how to calculate Tailored IP premiums: Michael is 41 years old. He is a travelling salesman and his Income is $60,000 per annum. He applies for Tailored IP cover with a 2-year Benefit Period and a 60-day Waiting Period. He is in good health and the insurer accepts his application with a Light Blue occupational category. To calculate Michael’s weekly premium you need to: 1.Use the IP Premium table 6 for the desired length of Benefit Period to find the premium applicable for Michael’s age, gender and benefit Waiting Period. 2.Use the Occupational rating categories table on page 50 to find the occupational category IP rating. 3.Calculate the cost of cover: [(amount of cover / 1000) x IP premium rate x IP occupational rating] / 52 Age last birthday 41 Waiting Periods for 2-year Benefit Period 30 days 60 days 90 days 180 days 4.90 3.31 1.76 1.41 41 $60,000 Amount of cover Annual cost of cover Cost per week = 85% x $60,000 = $51,000 = ($51,000 / $1,000) x $3.31 x 1.40 = $236.33 = $236.33 / 52 = $4.55 Note: Rounding variations may occur when calculating premiums. Premiums per week are displayed as rounded up to the next whole cent. Premiums include stamp duty and a 5% insurance fee to offset Sunsuper’s cost of providing the cover. Transferring your IP insurance cover You may be eligible to transfer existing IP cover (from other super funds or insurance policies up to $10,000 per month) to Sunsuper. To transfer your existing cover please complete and return the Transfer of insurance cover form found in the back of this guide. You will not be eligible to transfer your cover if, • you have previously had an application for additional insurance cover declined, • you have been paid, lodged or eligible to lodge any TPD, Terminal Illness or IP claim, or • you are absent from work or unable to carry out all of the duties of your usual occupation due to an injury or illness at the transfer date. • a letter or certificate of currency from your superannuation fund or insurance provider detailing your current insurance cover, • details of any loadings, exclusions and restrictions applicable to that cover, and • the confirmation must have been issued within 30 days of your application. If accepted by the insurer: • you will be subject to the terms and conditions outlined in the Sunsuper for life policy provided by AIA Australia, • the Waiting Period and Benefit Period you had will be transferred where they are offered under the policy, or where not available under the policy, the Waiting Period will be the next longest period and the Benefit Period the next shortest period offered by the policy, • you will need to cancel the cover you had under your previous fund or policy, and Sunsuper for life Insurance guide Income Therefore for an IP premium of $4.55 per week (includes stamp duty and a 5% Insurance fee) Michael would be covered for $51,000 per annum for a 2-year Benefit Period, with a 60-day Waiting Period. In the event of a claim if Michael’s income was $60,000 per annum at the date of disablement, and he is eligible for a Total Disability benefit with no offsets, he would receive direct monthly payments of $3,750 (less PAYG tax) and $500 would be paid into his Super-savings account. It’s important you include all required documentation, which will include: 36 Age • the transferred cover will be additional to any existing insurance cover you have subject to the maximum benefit limit of $30,000 per month. If you are thinking about transferring your existing insurance cover, make sure you compare the features and benefits and are accepted by the insurer before cancelling existing cover. Can your health affect your insurance cover? When the insurer assesses your application for Tailored insurance cover, they may ask for further details in relation to the information you disclose in your Tailored insurance cover application. As a condition of acceptance of the Tailored insurance cover, the insurer may apply a loading (a higher premium) for the increased amount of IP cover. The insurer may also specify a benefit exclusion that will apply if a claim for the increased amount of insurance is related to a specified condition or pastime. Any premium loadings or benefit exclusions will be advised to you at the time the insurer accepts your application for Tailored insurance cover. You should advise Sunsuper within 30 days if you decide that you do not wish to proceed with the application for Tailored cover. Where you have maintained the same Benefit Period and Waiting Period any loadings or exclusions will only apply above the amount of any Opt In IP or White Collar IP insurance cover you may have at the time of acceptance of your Tailored IP cover application. 13 11 84 sunsuper.com.au 37 6 INCOME PROTECTION (IP) COVER (continued) Conditions & Exclusions When does IP cover start? Opt In IP cover and White Collar IP cover will commence on the date you commence employment where you apply, and your first SG contribution is received within 120 days of commencing employment. If White Collar Cover is applied for more than 120 days after you commenced employment cover will start from the date the insurer accepts your application. Tailored IP cover will start from the date the insurer accepts your application. Commencement of cover is also subject to you having sufficient money in your Super-savings account to pay insurance premiums. If you do not have enough money in your Super-savings account to pay premiums, you will be notified of the conditions that apply to you. When does IP cover stop? IP cover stops when: • • • • • • • • • you withdraw all your money from Sunsuper, you turn 65, you cancel the cover, you die, your period of Unpaid Leave or parental leave exceeds 24 months, you are employed under the terms of a work visa and the term of the visa expires, or you permanently depart Australia (whichever is earlier), you cease employment with your Australian-based Employer whilst overseas , the premium is due and there is not enough money in your Super-savings account to pay the total premium (including stamp duty) and it remains unpaid for 4 months, your Super-savings account balance is low and inactive (normally this will be when your balance is less than $1,500 and employer contributions have not been received for 12 months). Where we have valid contact details, we will contact you advising the date that your cover will stop. To avoid your cover stopping in this way, you should maintain your Supersavings account balance above $1,500 or ensure regular employer contributions are paid into your Super-savings account, or the policy issued to Sunsuper is cancelled or terminated for any reason. What happens if I want to reduce or cancel my cover? If you don’t want Opt In, White Collar or Tailored IP cover, or you just want to reduce or modify your cover, you need to let us know in writing or by calling us on 13 11 84, otherwise the premiums will normally be deducted from your Super-savings account each month. The cancellation or reduction will be effective from the date your instruction is received. What happens if your work situation changes or you leave your employer? Your existing IP insurance cover will continue when you leave your employer. Premiums will continue to be deducted from your Supersavings account balance. However, it is important that you notify us if: • • • • you change occupation, your income changes, you change employers, or you are no longer working, so that we can update your records and determine the impact of any changes. Your cover may stop (refer to When does IP cover stop? on this page) or your premium may change if your circumstances change as outlined above. You should contact us to determine the impact of any changes. If you are unemployed at the Date of Disablement and have been unemployed for a period of more than 12 months, you will not be eligible to make a claim for an IP benefit. You must let us know if you wish to cancel your IP insurance cover. What happens if you return to work during the Waiting Period? It is your responsibility to check there is always enough money in your Super-savings account to pay insurance premiums. If the Waiting Period you select is 30 days, you may return to work for up to 5 days during that time without having to start the Waiting Period again. If your Waiting Period is 60, 90 or 180 days, you may return to work for up to 10 days during that time without having to restart the Waiting Period. If you do return to work, the days returned to work will extend your original Waiting Period by the number of days you returned to work. Waiting Period and Benefit Period If you return for longer than those periods specified your Waiting Period will restart. The Waiting Period and Benefit Period determine when a claim payment commences and the maximum length of time a benefit is payable. What happens during Unpaid Leave or parental leave? • The Waiting Period is how long you must be Totally or Partially Disabled before becoming eligible to claim a benefit. The Waiting Period commences from the date a Medical Practitioner certifies you are Totally Disabled and unable to work as determined by the insurer. Benefit payments will commence when the Waiting Period ends and are paid monthly in arrears. The Benefit Period is the maximum length of time that a claim will be paid for. 38 Sunsuper for life Insurance guide Total premiums (including stamp duty) will continue to be deducted from your Super-savings account during the period of leave. It is your responsibility to ensure sufficient monies are in your Super-savings account during the period of leave. Your IP cover will stop after 24 months (refer to 10 Definitions for the definition of Unpaid Leave). What happens if you travel overseas on paid leave? Where you travel overseas while on paid leave from your Australian-based employer (or an international subsidiary or associated company of your Australian employer), your IP cover continues with no travel restrictions. Recurrent event Following a claim, if you make a further claim arising from the same or related cause as the first claim, the further claim will be: a)treated as a separate claim if it occurred after you returned to work for at least 6 continuous months, or b)deemed to be a continuation of the original claim if made within 6 months from the end of payments from the earlier claim. Total premiums (including stamp duty) will continue to be deducted from your Super-savings account during the period of leave. It is your responsibility to ensure sufficient monies are left in your Sunsuper for life account during the period of leave to pay your premiums. A further Waiting Period will not apply in this case but the relevant Benefit Period will be adjusted to take into account prior benefits paid under this policy for the original claim. If you cancel your cover while on leave, you will need to reapply for cover on returning to work. Satisfactory evidence of health will be required to restart this cover. Concurrent event What happens if you temporarily reside overseas? Where you are Totally Disabled because of more than one injury or sickness, or from both, whether related or not, benefits are payable in respect of only one injury or sickness, as the insurer shall reasonably determine, based on medical evidence. Your IP cover will continue while temporarily residing overseas as long as you remain in the active employ of your Australian-based employer (or an international subsidiary or associated company of your Australian employer). If you become disabled while based overseas you may, at your expense, be required to return to Australia for assessment of any disability claim. Where you temporarily reside overseas during a period of Unpaid Leave, your Income Protection cover may continue for up to 24 months. Any disablement claim will be dependent on your employment status at the time of becoming disabled. Can your IP cover restart? Once cover has stopped, satisfactory evidence of health and occupational information will generally be required to restart this cover. If accepted by the insurer, your IP cover will restart from the date the insurer accepts your application. What benefit is paid out? After the Waiting Period, the monthly benefit is payable for up to a maximum period of: • 2 years, • 5 years, or • to age 65 Depending on the Benefit Period you have chosen, while you continue to meet the insurer’s definition of Total Disability. The monthly benefit payable will be the lower of: • the level of cover selected by you less any offsets, and • 75% of your monthly rate of Pre-Disability Income less any offsets, plus up to 10% superannuation contributions for Tailored cover or up to 25% superannuation contributions for Opt In IP or White Collar IP cover. Updating your IP cover It is very important you keep your level of IP cover up to date. Apart from the indexation of your Tailored IP cover each 1 July, you will need to apply for any additional increase in the level of Tailored IP cover you require — providing new income details alone does not increase the cover. Your application must be accepted by the insurer. With Opt In or White Collar IP cover, you must apply for any increase and your total IP cover will be transferred to Tailored IP cover on acceptance by the insurer. Will there be offsets to my benefit payment? An offset means that the benefit payable may be reduced if you receive other income while you’re unable to work due to sickness or accident. Your IP benefit payment may be reduced by the following payments: • Workers' Compensation or Transport Accident Compensation or similar legislation in relation to your injury or sickness, • any other payments, statutory or otherwise, paid to you for loss of income in relation to your injury or sickness, • any other payments made under any disability income type insurance policy; • any other lump sum payment which relates to loss of income due to injury or sickness (other than a TPD or Terminal Illness benefit under this Policy); • any paid sick leave from your employer (however the insurer does not require all sick leave to be used before commencement of the income benefit). Income is defined on page 59 and is usually calculated at the first day of absence from your employment due to the injury or sickness resulting in you becoming Totally Disabled. Refer to Will there be offsets to my benefit payment? on this page. 13 11 84 sunsuper.com.au 39 6 INCOME PROTECTION (IP) COVER (continued) Payment of benefits The insurer will pay monthly benefits directly to you with a maximum payment of 75% of Pre-Disability Income. Any remaining benefit will be paid to your Super-savings account. The benefit paid to you is taxable income and attracts PAYG tax (the same as salary and wages) which will be deducted from the benefit before it is paid to you. The definition of Total Disability you will be assessed against in the event of a claim is linked to the number of hours you are working prior to the claim event. If you are unemployed, or working on average less than 15 hours per week in the 3 months prior to becoming disabled, you will be assessed against the Limited Total Disability definition. If you were working on average 15 or more hours per week in the 3 months prior to becoming disabled, you will be assessed against the Total Disability definition. If your claim is accepted, payments (monthly in arrears) will start when the Waiting Period finishes. Any claim for your Income Protection benefit is assessed independently of any TPD claim. The IP benefit is subject to a maximum level based on your most recent Pre-Disability Income accepted by the insurer immediately before you become Totally Disabled. If you are on Unpaid Leave or parental leave, your benefit is based on your most recent PreDisability Income accepted by the insurer immediately prior to starting leave. Any insured superannuation contributions up to 10% for Tailored IP cover, or up to 25% for Opt In or White Collar IP cover, will be paid directly to your Super-savings account on your behalf. These amounts count towards your concessional contribution cap. Payments will be made monthly in arrears. Indexation of Tailored IP benefits When on claim and your Benefit Period is greater than 2 years your IP benefits will be indexed by the lesser of the Consumer Price Index (CPI) or 5% on each anniversary of the commencement of your continuing Tailored IP claim. Partial Disablement A reduced monthly Income Protection benefit may be payable if you become Partially Disabled (see 10 Definitions for the definition of Partial Disability). Proof of Income When does payment of the benefit stop? 7 Benefit payments start after the Waiting Period ends and are payable monthly in arrears until the first to occur of: • you no longer satisfy the definition of Total Disability, Limited Total Disability or Partial Disability, as assessed by the insurer, • the end of the benefit payment period, • you are employed under the terms of a work visa and the term of the visa expires, or you permanently depart Australia (whichever is earlier), • you reside overseas and have received 12 months of benefit payments, • you reach age 65, or • your death. How do you apply? The benefit will be paid even if the insurer assesses you to be TPD. Providing you were an insured member of Sunsuper at the time you finished work due to the injury or sickness that gave rise to a claim, monthly income benefits will be payable or continue to be paid, regardless of whether you continue to be a member of Sunsuper. No premium required Your IP premiums will be waived from the end of the Waiting Period and will continue whilst a monthly benefit is payable. Once you stop receiving benefit payments, deduction of the IP premiums will recommence being drawn from your Super-savings account. General exclusions An IP benefit will not be paid if the injury or sickness is caused, wholly or partly, directly or indirectly, from: • deliberate self-inflicted injury or attempted suicide or selfdestruction while sane or insane, • uncomplicated pregnancy, childbirth or miscarriage, • your deployment to a hostile environment as part of active military service, • a criminal act committed by you, or • any other exclusion imposed by the insurer as a result of underwriting. In the event of a claim, proof of Income is required to ensure your benefit does not exceed 85% of your Income at the first day of absence from active employment due to illness or injury resulting in Total Disability. 40 Sunsuper for life Insurance guide 41 7 HOW DO YOU APPLY? (continued) How do you apply? The following table shows you the type of cover you can apply for given your particular circumstances, and the various forms available for completion and where they can be found. What are you applying for? Death and TPD Assist cover When you should apply On joining Sunsuper How can you apply? Where can you go to apply? What are you applying for? When you should apply How can you apply? Where can you go to apply? Membership application form Sunsuper for life Product Disclosure Statement (PDS) Tailored cover — restarting IP cover on transfer from Sunsuper for life Corporate or Sunsuper for life Business Within 120 days of ceasing employment with your Sunsuper for life Corporate or Sunsuper for life Business employer Income Protection transfer application form sunsuper.com.au/forms sunsuper.com.au/pds Join online New Member option – Death & TPD Assist cover (50% increase) White Collar cover — Death & TPD Assist Life and Age Events Tailored cover — Death & TPD New Member option – Opt In IP cover White Collar — IP cover Tailored cover — IP 42 Within 120 days of joining Sunsuper (and you are eligible for Death & TPD Assist cover) Membership application form sunsuper.com.au sunsuper.com.au/pds Join online sunsuper.com.au New Member Options form sunsuper.com.au/forms Membership application form New Member Options form sunsuper.com.au/forms On joining Sunsuper Join online sunsuper.com.au Outside 120 days of joining Sunsuper and you have Death and TPD Assist cover White collar application form sunsuper.com.au/forms Not more than 180 days after the Life or Age Event, you are less than age 67 and you have either Death and TPD Assist or White Collar cover Life and Age Event insurance options form If you wish to apply for Tailored Death & TPD cover Within 120 days of joining Sunsuper (and you are eligible for Opt In IP cover) To reduce or cancel some or all of: Insurance variation form • • • • by telephone Death & TPD Death only TPD only IP Tailored insurance application form Online application sunsuper.com.au/forms Tailored cover — improving your occupational category Transfer of insurance cover to Sunsuper sunsuper.com.au/pds sunsuper.com.au New Member Options form sunsuper.com.au/forms Membership application form Join online Nominating your preferred beneficiary/s PDS Join online 13 11 84 in writing Reply paid 2924 Brisbane QLD 4001 To apply for a better occupational category than you have within Tailored cover Occupational rating form sunsuper.com.au/forms Anytime (but do not cancel your existing cover until your transfer is accepted by the insurer) Transfer of insurance cover form sunsuper.com.au/forms Member Online sunsuper.com.au/forms Anytime sunsuper.com.au/pds On joining Sunsuper Membership application form Within 120 days of joining Sunsuper Reducing or cancelling your insurance cover PDS Within 120 days of joining Sunsuper (and you are eligible for Death & TPD Assist cover) Anytime Anytime PDS Binding death benefit nomination Membership application form sunsuper.com.au/forms this guide PDS sunsuper.com.au/pds Join online sunsuper.com.au Anytime Member Online sunsuper.com.au To change your preferred beneficiary/s at anytime Change of details form sunsuper.com.au/forms Binding death benefit nomination form sunsuper.com.au/forms Anytime To make a binding death benefit nomination PDS sunsuper.com.au/pds sunsuper.com.au New Member Options form sunsuper.com.au/forms Outside 120 days of joining Sunsuper and you have Opt In IP cover White collar application form Anytime Tailored insurance application form Member Online If you wish to apply for Tailored IP cover Online application sunsuper.com.au/forms By telephone 13 11 84 In writing Reply Paid 2924 Brisbane, QLD, 4001 If you wish to change your Waiting Period or Benefit Period Sunsuper for life Insurance guide 13 11 84 sunsuper.com.au 43 8 Death & TPD Assist and White Collar cover (Premium table 1) Use the table below to determine the amount of Death and TPD Assist and White Collar cover and premiums available to eligible members. Amount of cover ($) Age last birthday Premium Rates Work out your premium costs with the following tables Death and TPD Assist cover Death TPD Assist 15 to 21 62,500 22 to 29 125,000 Death TPD Assist 125,000 93,750 175,000 187,500 Male Female 187,500 0.92 0.56 2.28 1.36 262,500 1.84 1.16 3.92 2.68 3.72 2.32 7.08 4.84 3.96 2.56 8.44 6.76 3.96 2.56 375,000 34 246,000 369,000 35 240,000 360,000 36 230,000 345,000 37 219,000 328,500 38 209,000 313,500 39 197,000 295,500 40 186,000 279,000 41 176,000 264,000 42 163,000 244,500 43 152,000 228,000 44 142,000 213,000 45 132,000 198,000 46 122,000 183,000 47 113,000 169,500 48 103,000 154,500 49 93,000 139,500 50 83,000 124,500 51 75,000 112,500 52 66,000 99,000 53 57,000 85,500 54 48,000 72,000 42,000 63,000 56 36,000 54,000 57 32,000 48,000 58 29,000 43,500 59 27,000 40,500 60 25,000 37,500 61 23,000 34,500 62 21,000 31,500 63 19,000 28,500 64 17,000 25,500 16,000 24,000 67 to 69 1,2 16,000 Nil 24,000 Death and TPD Assist Female 250,000 55 Death only Male 30 to 33 65 to 66 Premiums ($) per week White Collar cover Nil Notes: 1 Cover from age 67 is Death only. 2 TPD Assist annual support payments are calculated as one sixth of your cover amount at the Date of Disablement. 3 Different cover and premium arrangements may exist; you will have been informed separately if this applies. 44 13 11 84 sunsuper.com.au 45 8 PREMIUM RATES (continued) New Member options – 50% increase in Death & TPD Assist cover Life and Age Event options cover and premiums (Premium table 3) (Premium table 2) Use the table below to determine the cover and premiums for Sunsuper’s Life and Age Event options. The cover and premiums listed are in addition to your Death and TPD Assist or White Collar cover, including any New Member options cover and premiums once accepted by the insurer. Use the table below to determine the cover and premiums for Sunsuper’s New Member options. The cover and premiums listed are inclusive of Death and TPD Assist or White Collar cover and premiums (as applicable). Amount of cover ($) Amount of cover Age last birthday Death and TPD Assist Death TPD Assist Premium ($) per week White Collar Death TPD Assist Death only Male Female Age last birthday Death and TPD Assist Male Life and Age Event options Death TPD Assist Death TPD Assist Male Female Male 15,625 31,250 23,438 46,875 0.23 0.14 0.57 0.34 31,250 43,750 46,875 65,625 0.46 0.29 0.98 0.67 0.93 0.58 1.77 1.21 0.99 0.64 2.11 1.69 93,750 187,500 140,625 281,250 1.38 0.84 3.42 2.04 22 to 29 187,500 262,500 281,250 393,750 2.76 1.74 5.88 4.02 30 to 33 62,500 93,750 34 61,500 92,250 35 60,000 90,000 30 to 33 375,000 562,500 34 369,000 553,500 35 360,000 540,000 36 57,500 86,250 54,750 82,125 10.62 6.72 36 345,000 517,500 37 37 328,500 492,750 38 52,250 78,375 38 313,500 470,250 39 49,250 73,875 39 295,500 443,250 40 46,500 69,750 40 279,000 418,500 41 44,000 66,000 40,750 61,125 41 264,000 396,000 42 42 244,500 366,750 43 38,000 57,000 43 228,000 342,000 44 35,500 53,250 44 213,000 319,500 45 33,000 49,500 45 198,000 297,000 46 30,500 45,750 274,500 47 28,250 42,375 25,750 38,625 46 183,000 47 169,500 254,250 48 48 154,500 231,750 49 23,250 34,875 49 139,500 209,250 50 20,750 31,125 50 124,500 186,750 51 18,750 28,125 51 112,500 168,750 52 16,500 24,750 14,250 21,375 5.94 3.84 12.66 10.14 52 99,000 148,500 53 53 85,500 128,250 54 12,000 18,000 54 72,000 108,000 55 10,500 15,750 55 63,000 94,500 56 9,000 13,500 81,000 57 8,000 12,000 7,250 10,875 56 54,000 57 48,000 72,000 58 58 43,500 65,250 59 6,750 10,125 59 40,500 60,750 60 6,250 9,375 60 37,500 56,250 61 5,750 8,625 51,750 62 5,250 7,875 63 4,750 7,125 61 34,500 62 31,500 47,250 63 28,500 42,750 64 4,250 6,375 64 25,500 38,250 65 to 66 4,000 6,000 65 to 66 24,000 24,000 36,000 36,000 67 to 691,2 24,000 n/a 36,000 n/a 5.94 3.84 5.94 Death and TPD Assist1 15 to 21 15 to 21 3.48 Death only Female 22 to 29 5.58 Premium ($) per week White Collar Life and Age Event options 3.84 Female Notes: 1 TPD Assist annual support payments are calculated as one sixth of your cover amount at the Date of Disablement. Notes: 1 Cover from age 67 is Death only. 2 TPD Assist annual support payments are calculated as one sixth of your cover amount at the Date of Disablement. 3 Different cover and premium arrangements may exist; you will have been informed separately if this applies. 46 Sunsuper for life Insurance guide 13 11 84 sunsuper.com.au 47 8 PREMIUM RATES (continued) New Member options – Opt In IP and White Collar IP cover (Premium table 5) Tailored Death and TPD cover (Premium table 4) Annual premiums for each $1,000 insured benefit Age last birthday 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 674 684 694 Male Death 0.46 0.46 0.50 0.53 0.58 0.59 0.61 0.61 0.61 0.60 0.59 0.58 0.55 0.53 0.52 0.52 0.51 0.51 0.52 0.53 0.54 0.55 0.58 0.61 0.64 0.67 0.71 0.76 0.81 0.89 0.97 1.04 1.14 1.26 1.40 1.56 1.72 1.92 2.15 2.40 2.68 3.01 3.30 3.67 4.07 4.53 4.96 5.52 6.58 7.87 8.90 9.89 10.87 12.59 14.36 Female TPD 0.06 0.06 0.07 0.15 0.13 0.17 0.19 0.21 0.22 0.26 0.27 0.23 0.26 0.28 0.31 0.31 0.33 0.33 0.33 0.36 0.43 0.51 0.57 0.64 0.75 0.83 0.92 1.00 1.11 1.26 1.41 1.56 1.71 1.87 2.08 2.33 2.90 3.48 4.05 4.61 5.27 6.03 6.99 8.06 8.97 10.07 10.96 11.22 13.76 16.04 24.33 27.81 n/a Death 0.15 0.15 0.15 0.17 0.18 0.17 0.17 0.15 0.15 0.15 0.15 0.15 0.17 0.17 0.19 0.21 0.21 0.22 0.26 0.27 0.30 0.33 0.35 0.38 0.42 0.47 0.52 0.58 0.63 0.68 0.73 0.78 0.84 0.91 0.98 1.05 1.12 1.23 1.33 1.45 1.60 1.77 1.98 2.21 2.45 2.75 3.06 3.43 3.82 4.28 4.77 5.29 5.84 6.45 7.03 90-day Waiting Period, 2-year Benefit Period. Occupational categories TPD 0.04 0.04 0.04 0.04 0.04 0.06 0.06 0.04 0.04 0.10 0.06 0.06 0.10 0.12 0.14 0.17 0.20 0.20 0.24 0.29 0.32 0.37 0.43 0.51 0.55 0.63 0.71 0.82 0.92 1.04 1.17 1.30 1.44 1.59 1.79 1.97 2.21 2.41 2.69 2.99 3.38 3.86 4.37 5.00 5.71 6.53 7.46 8.53 9.51 10.63 16.70 19.48 Occupational category Death TPD Professional 0.85 0.85 White 1.00 1.00 Light Blue 1.20 1.60 Medium Blue 1.30 2.10 Weekly Premiums for each $500 monthly benefit IP premium ($) per week (per $500 monthly benefit) Age last birthday Opt In IP Male Heavy Blue 1.40 2.50 15 to 21 Hazardous 4.20 15.80 22 to 29 White Collar eligibility White Collar IP Female Male Female 30 to 33 34 35 0.27 0.40 0.18 0.27 0.60 1.00 0.40 0.67 1.50 2.00 1.00 1.33 36 37 38 39 40 41 To be eligible for White Collar IP cover you must be: • permanently employed, and working at least 15 hours per week, • at least 80% of the work you perform is in an office environment (excluding travel from one job to another), and • performing duties limited to clerical, administration, managerial (or similar) which do not involve more than 10% light manual duties. 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 Notes: 1 These premiums include stamp duty. 2 Rounding variations may occur when calculating premiums. n/a Notes: 1 2 3 4 TPD cover ends when you turn 67 and Death cover ends when you turn 70. Cover is available on a fixed premium or fixed cover basis. Rounding variations may occur when calculating premiums. Different cover and premium arrangements may exist; you will have been informed separately if this applies. 48 Sunsuper for life Insurance guide 13 11 84 sunsuper.com.au 49 8 PREMIUM RATES (continued) Tailored Income Protection cover – 2-year Benefit Period (Premium table 6) Tailored Income Protection cover – 5-year Benefit Period (Premium table 7) Annual premiums for each $1,000 insured benefit Annual premiums for each $1,000 insured benefit Male Age last birthday 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 Female Occupational category Waiting Period IP 30 days 60 days 90 days 180 days 30 days 60 days 90 days 180 days Professional 0.85 White 1.00 2.73 2.76 2.76 2.80 2.84 2.87 2.77 2.73 2.64 2.59 2.53 2.53 2.58 2.60 2.69 2.76 2.87 2.98 3.12 3.29 3.45 3.65 3.86 4.08 4.33 4.62 4.90 5.23 5.55 5.91 6.33 6.78 7.26 7.77 8.34 8.98 9.64 10.40 11.19 12.10 13.07 14.13 15.32 16.65 18.08 19.67 21.45 23.44 20.21 12.99 1.91 1.94 1.96 1.97 2.01 2.02 1.94 1.89 1.83 1.76 1.75 1.73 1.75 1.76 1.77 1.84 1.90 2.01 2.08 2.18 2.31 2.42 2.55 2.73 2.90 3.09 3.31 3.55 3.79 4.07 4.36 4.73 5.08 5.49 5.93 6.46 7.01 7.60 8.26 9.03 9.82 10.74 11.72 12.85 14.07 15.40 16.91 18.55 17.14 10.24 1.28 1.30 1.30 1.30 1.30 1.30 1.22 1.14 1.07 1.03 0.98 0.95 0.93 0.93 0.93 0.93 0.97 0.98 1.03 1.07 1.13 1.19 1.30 1.39 1.48 1.62 1.76 1.94 2.13 2.37 2.60 2.93 3.28 3.63 4.04 4.56 5.11 5.70 6.39 7.15 8.05 9.03 10.08 11.26 12.58 14.04 15.62 17.41 14.93 8.15 0.92 0.92 0.93 0.92 0.92 0.93 0.86 0.83 0.79 0.74 0.71 0.68 0.68 0.68 0.68 0.69 0.74 0.74 0.79 0.82 0.87 0.92 1.00 1.08 1.17 1.30 1.41 1.55 1.72 1.90 2.14 2.42 2.73 3.03 3.41 3.81 4.33 4.88 5.47 6.16 6.97 7.88 8.82 9.89 11.12 12.44 13.90 14.01 12.03 6.67 3.90 3.91 3.94 3.98 4.01 4.07 4.08 4.11 4.19 4.22 4.25 4.36 4.48 4.66 4.86 5.11 5.37 5.69 6.04 6.39 6.80 7.22 7.68 8.15 8.68 9.22 9.79 10.40 11.01 11.69 12.40 13.13 13.92 14.75 15.61 16.55 17.52 18.56 19.70 20.91 22.19 23.57 25.06 26.69 28.41 30.36 32.46 34.74 33.55 21.54 2.64 2.66 2.69 2.73 2.73 2.76 2.77 2.80 2.84 2.87 2.88 2.98 3.07 3.21 3.32 3.47 3.65 3.86 4.04 4.27 4.49 4.73 5.05 5.37 5.76 6.18 6.68 7.15 7.61 8.15 8.72 9.29 9.95 10.62 11.34 12.10 12.93 13.79 14.70 15.69 16.73 17.84 19.02 20.30 21.67 23.13 24.69 26.38 28.07 17.00 1.48 1.51 1.51 1.51 1.54 1.55 1.56 1.56 1.56 1.62 1.62 1.72 1.77 1.84 1.90 1.96 2.02 2.08 2.17 2.26 2.38 2.53 2.73 2.93 3.17 3.47 3.79 4.15 4.62 5.08 5.60 6.16 6.80 7.50 8.23 9.05 9.86 10.77 11.75 12.75 13.77 14.86 15.97 17.12 18.31 19.55 20.78 22.05 23.30 13.55 1.06 1.07 1.07 1.06 1.08 1.10 1.10 1.13 1.13 1.18 1.19 1.25 1.31 1.38 1.42 1.48 1.51 1.55 1.65 1.75 1.84 1.94 2.13 2.29 2.53 2.76 3.03 3.35 3.73 4.11 4.60 5.08 5.66 6.25 6.91 7.60 8.39 9.17 10.08 10.96 11.92 12.96 14.00 15.08 16.18 17.35 18.50 17.70 18.74 11.09 Light Blue 1.40 Medium Blue 1.70 These premiums: 1 Include stamp duty. 2 Include a 5% insurance fee to offset Sunsuper’s cost of providing the cover. 3 Rounding variations may occur when calculating premiums. 50 Occupational categories Sunsuper for life Insurance guide Heavy Blue Hazardous 2.50 10.00 Occupational categories are applied to each of the 3 Benefit Periods and 4 Waiting Periods (Premium tables 6-8). Age last birthday 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 Male Female Waiting Period 30 days 60 days 90 days 180 days 30 days 60 days 90 days 180 days 3.71 3.78 3.84 3.91 3.97 4.02 3.92 3.84 3.80 3.77 3.68 3.77 3.80 3.89 3.98 4.15 4.33 4.54 4.79 5.03 5.34 5.69 6.02 6.43 6.87 7.34 7.85 8.42 9.01 9.67 10.36 11.17 12.02 12.96 13.98 15.12 16.35 17.67 19.19 20.82 22.64 24.61 26.82 29.23 31.96 34.94 34.49 32.82 21.72 13.97 2.72 2.79 2.80 2.86 2.90 2.97 2.86 2.79 2.72 2.68 2.61 2.61 2.66 2.72 2.79 2.86 3.01 3.11 3.29 3.47 3.68 3.92 4.19 4.44 4.79 5.13 5.49 5.93 6.36 6.89 7.48 8.11 8.79 9.53 10.41 11.32 12.39 13.52 14.81 16.23 17.80 19.52 21.44 23.56 25.95 28.56 28.32 27.00 18.43 11.00 1.79 1.82 1.86 1.88 1.89 1.91 1.82 1.68 1.61 1.53 1.47 1.43 1.41 1.41 1.43 1.47 1.49 1.53 1.64 1.68 1.82 1.96 2.06 2.24 2.42 2.68 2.93 3.22 3.59 3.98 4.44 4.99 5.59 6.26 7.06 7.93 8.97 10.06 11.35 12.81 14.42 16.23 18.22 20.46 22.95 25.73 25.77 24.73 16.05 8.76 1.39 1.40 1.41 1.43 1.44 1.47 1.41 1.29 1.25 1.19 1.16 1.16 1.14 1.14 1.16 1.19 1.22 1.25 1.39 1.41 1.53 1.65 1.79 1.91 2.09 2.36 2.57 2.84 3.17 3.53 3.97 4.44 5.02 5.68 6.36 7.20 8.17 9.21 10.42 11.76 13.26 14.98 16.87 19.01 20.22 22.04 20.96 19.88 12.95 7.16 5.41 5.49 5.55 5.63 5.73 5.83 5.89 6.00 6.10 6.21 6.26 6.47 6.70 7.01 7.36 7.79 8.24 8.76 9.33 9.99 10.66 11.39 12.18 13.02 13.93 14.87 15.90 16.97 18.09 19.30 20.59 21.92 23.36 24.90 26.51 28.21 30.06 32.05 34.19 36.45 38.90 41.56 44.43 47.52 50.91 54.64 52.45 48.65 36.07 23.15 3.84 3.91 3.94 4.01 4.05 4.15 4.19 4.26 4.31 4.39 4.44 4.61 4.79 5.03 5.26 5.51 5.84 6.17 6.57 6.98 7.48 7.94 8.53 9.15 9.79 10.54 11.32 12.16 13.05 14.04 15.09 16.23 17.42 18.71 20.08 21.58 23.16 24.89 26.70 28.62 30.72 32.92 35.30 37.84 40.57 43.50 41.59 38.35 30.18 18.27 2.16 2.19 2.23 2.24 2.24 2.28 2.34 2.37 2.40 2.44 2.47 2.65 2.78 2.89 2.99 3.10 3.21 3.36 3.52 3.68 3.92 4.20 4.52 4.89 5.33 5.87 6.46 7.10 7.89 8.76 9.73 10.78 11.97 13.24 14.60 16.10 17.70 19.43 21.24 23.16 25.21 27.33 29.52 31.78 34.19 36.57 34.64 31.42 25.06 14.56 1.64 1.67 1.67 1.68 1.68 1.77 1.81 1.85 1.88 1.96 1.96 2.12 2.24 2.36 2.44 2.55 2.66 2.78 2.93 3.10 3.32 3.57 3.86 4.20 4.60 5.07 5.63 6.23 6.95 7.75 8.66 9.61 10.73 11.94 13.20 14.60 16.13 17.78 19.46 21.30 23.18 25.22 27.33 29.51 30.12 31.33 28.18 25.21 20.15 11.92 These premiums: 1 Include stamp duty. 2 Include a 5% insurance fee to offset Sunsuper’s cost of providing the cover. 3 Rounding variations may occur when calculating premiums. 13 11 84 sunsuper.com.au 51 8 PREMIUM RATES (continued) Tailored Income Protection cover – Benefit Period to age 65 (Premium table 8) 9 Annual premiums for each $1,000 insured benefit Age last birthday 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 Male Female Waiting Period 30 days 60 days 90 days 180 days 30 days 60 days 90 days 180 days 5.87 6.23 6.46 6.68 6.94 7.20 7.20 7.23 7.27 7.32 7.39 7.57 7.86 8.19 8.60 9.03 9.59 10.15 10.76 11.47 12.21 13.02 13.93 14.86 15.86 16.92 18.05 19.25 20.52 21.83 23.18 24.69 26.21 27.81 29.48 31.19 32.97 34.79 36.61 38.49 40.34 42.18 43.75 44.97 45.64 34.94 34.49 32.82 21.72 13.97 4.53 4.76 4.95 5.12 5.32 5.51 5.40 5.39 5.32 5.30 5.30 5.39 5.53 5.74 5.96 6.25 6.56 6.96 7.36 7.81 8.35 8.91 9.59 10.24 10.96 11.77 12.65 13.62 14.62 15.73 16.92 18.21 19.57 21.05 22.61 24.26 26.03 27.81 29.70 31.63 33.58 35.51 37.24 38.67 39.60 28.56 28.32 27.00 18.42 11.01 3.15 3.30 3.45 3.55 3.69 3.81 3.64 3.49 3.40 3.26 3.18 3.18 3.21 3.26 3.34 3.45 3.57 3.76 3.96 4.20 4.50 4.79 5.16 5.58 6.08 6.62 7.25 7.95 8.74 9.66 10.64 11.76 12.96 14.33 15.79 17.39 19.09 20.94 22.85 24.86 26.90 28.98 30.91 32.53 33.72 25.71 25.77 24.73 16.05 8.76 2.72 2.84 2.97 3.08 3.16 3.30 3.18 3.05 2.97 2.90 2.84 2.84 2.86 2.94 3.03 3.10 3.26 3.42 3.60 3.86 4.15 4.40 4.79 5.16 5.63 6.13 6.71 7.42 8.14 8.99 9.91 10.96 12.10 13.32 14.72 16.17 17.72 19.41 21.15 22.96 24.72 26.50 28.02 29.14 29.70 22.04 20.97 19.88 12.94 7.17 10.24 11.03 11.40 11.77 12.18 12.58 13.01 13.43 13.86 14.32 14.78 15.50 16.30 17.24 18.35 19.59 20.97 22.44 24.05 25.79 27.64 29.56 31.61 33.69 35.89 38.18 40.52 42.89 45.31 47.75 50.24 52.70 55.16 57.55 59.97 62.23 64.46 66.60 68.54 70.33 71.88 73.12 73.80 73.76 72.74 54.63 52.45 48.65 36.07 23.15 7.42 8.01 8.25 8.53 8.84 9.11 9.39 9.73 10.02 10.34 10.67 11.30 11.94 12.63 13.35 14.14 15.05 15.97 17.03 18.17 19.39 20.76 22.20 23.77 25.46 27.28 29.20 31.24 33.39 35.63 37.95 40.33 42.78 45.22 47.69 50.13 52.48 54.76 56.87 58.80 60.46 61.77 62.50 62.50 61.54 43.49 41.59 38.36 30.18 18.28 4.61 4.98 5.15 5.30 5.46 5.68 5.82 6.00 6.22 6.37 6.60 7.12 7.56 7.98 8.35 8.73 9.09 9.52 9.99 10.54 11.17 11.94 12.81 13.83 15.05 16.39 17.92 19.59 21.48 23.53 25.71 28.02 30.47 33.01 35.54 38.13 40.66 43.08 45.37 47.46 49.21 50.63 51.41 51.45 50.52 36.58 34.64 31.42 25.05 14.56 3.96 4.32 4.41 4.56 4.68 4.89 5.09 5.25 5.46 5.71 5.89 6.35 6.79 7.18 7.56 7.93 8.28 8.69 9.12 9.66 10.27 11.01 11.82 12.83 13.94 15.19 16.65 18.23 19.96 21.89 23.97 26.09 28.42 30.78 33.13 35.51 37.82 39.98 42.03 43.80 45.22 46.23 46.58 46.11 44.50 31.33 28.18 25.22 20.16 11.92 Facts about making a claim These premiums: 1 Include stamp duty. 2 Include a 5% insurance fee to offset Sunsuper’s cost of providing the cover. 3 Rounding variations may occur when calculating premiums. 52 Sunsuper for life Insurance guide 53 9 FACTS ABOUT MAKING A CLAIM (continued) Let us help you How to make a claim At Sunsuper, we understand that making a claim can sometimes be a stressful and difficult process. We understand that the circumstances of every claim are as different as the individuals making them. While we do hope that you never need to, the following information will assist you in understanding the claim process in the event that you do need to make a claim. Any claim process will involve: To help you and your family through this difficult time, we have experienced Claims Representatives that can assist and guide you through the claims process from start to finish. • • • • All of our Claims Representatives are trained to understand and explain our claims process. Once you make the initial contact with us to commence a claim, you will be assigned an individual Claims Representative to help you through the rest of the process and answer your questions. Sunsuper has recently introduced an eClaims process to help simplify the process and reduce the time taken to finalise the claim. notification to us gathering information and providing it to us assessment of the insurance claim by the insurer assessment by the Sunsuper Trustee, including determination of the beneficiary/s • decision by the Sunsuper Trustee • payment of the claim, if approved. These steps do take some time, although our experienced Claims Representatives will help you at every stage of the process. We are here to help. Please contact us as soon as you are able to on 13 11 84 if you would like help making a claim or have any questions. Further information may be requested at different stages of the process, and with disablement claims you may be required to undergo an examination by a medical practitioner or professional of the insurer’s choice. The insurer will usually meet the costs associated with any additional information requests. Sunsuper insurance claims guide Death claims Want to know more about: It is important that in the event of your death, Sunsuper is notified by a relative or legal personal representative to enable the claims process to begin. Once we receive formal notification of your death, your Super-savings account will normally be transferred to the Cash option. Any insurance benefit paid into your Super-savings account will also be invested in the Cash investment option, and will remain invested there until the Trustee finalises payment of your Death benefit. • Making a claim • How a claim is assessed We have developed a guide to help step you through the various claims processes. Visit sunsuper.com.au/makeaclaim for more information on making a claim. Do you need a lawyer to assist with your claim? Every insurance claim is different. Our claim process has been designed so that in most cases you or your family should not need the assistance of a lawyer when making a claim with Sunsuper. Our experienced Claims Representatives are here to assist you with your claim throughout the whole process. However, if you wish to engage the services of a lawyer to assist with your claim you can do so at any time. Remember, we are here to help, so call us on 13 11 84 if you have any questions about how to make a claim. Nominating your beneficiaries You can choose to nominate preferred beneficiary/s (a nonbinding nomination) or to complete a binding death benefit nomination form. If you’ve nominated a preferred beneficiary, this is used by the Trustee only as a guide when deciding who should receive your death benefit, as there may be restrictions on who the benefit can be legally paid to. There may also be lengthy investigations to determine who the benefit should be paid to. A binding death benefit nomination allows you to nominate who will receive your superannuation benefits in the event of your death and ensures that the Trustee is legally bound by your wishes. Claims are generally processed faster when a valid binding death benefit nomination is in place. Disablement claims (TPD, IP and Terminal Illness) Sunsuper should be notified as soon as reasonably possible after an event that is likely to give rise to a disablement or Terminal Medical Condition claim. Please note that there is a 3-month Waiting Period before a Tailored TPD claim becomes assessable, and a Waiting Period applicable to you in the event of an IP claim. If you don’t have insurance with us, you may still be able to claim your super balance under a Permanent Incapacity benefit. If you are suffering from a Terminal Medical Condition you may also be able to access your super balance. Please contact Sunsuper to discuss these options. If your claim is declined If your claim is declined by the insurer your claim will be referred to the Sunsuper Trustee for independent assessment. If the Sunsuper Trustee declines your claim and you disagree with this decision you may lodge a complaint, in writing, with Sunsuper. Your complaint will be investigated, and if the decision to decline your claim is confirmed by the Fund, you may ask the Superannuation Complaints Tribunal (SCT) whether you are eligible to submit a complaint. There are time limits on when you can make a complaint to the SCT about a TPD claim. Call the SCT on 1300 884 114 or visit their website www.sct.gov.au for more information about these time limits. Incorrect information and eligibility for cover If your recorded age or gender is incorrect, the insurer has the right to adjust the premium or the benefit based on correct information. As a general rule, your eligibility for cover will not be assessed until you make a claim. Please refer to 4 Am I eligible for insurance cover? Claims after your cover has stopped If an event occurs before the date your cover stops or is terminated, and that event entitles you to make an insurance claim, you may still be eligible for that payment even after your cover has stopped. Claim investigation If you make a claim, the insurer reserves the right to investigate the claim including but not limited to conducting surveillance and requesting information and medical examinations. Occupational Rehabilitation in Sunsuper “Work is Good Medicine” At Sunsuper we work with our insurer to offer you access to one of the largest and most experienced rehabilitation teams in Australia, so if you have an injury, disability or health condition we can arrange work related rehabilitation to assist you back to meaningful work. We work in partnership with you, your treating health professionals and employer to assist you back to suitable work as part of your recovery plan. If you are unemployed, we can assist you to improve your fitness for work. Returning to work restores more than your income. It helps to restore your identity and self-esteem. Rehabilitation services may include: • initial meetings with a rehabilitation provider to identify your return to work needs • work place visits to identify solutions in your return to work plan • equipment to ensure you maintain your job • career guidance to explore alternative work options if you can’t work in your usual role • improving your skills and capabilities so that your return to work is sustainable. Rehabilitation is not appropriate for everyone. Together we can assist you back to work and back to a fuller life! Other important information Can I nominate a beneficiary? • a preferred beneficiary nomination – this is used by the Trustee as a guide when deciding who should receive your Death benefit, as there may be restrictions on who the benefit can be legally paid to. There may also be lengthy investigations to determine who the benefit should be paid to. Refer to pages 11 and 12 of the Sunsuper for life guide for more information. Financial advice When you make a claim, or receive an insurance benefit, not only is it likely to be a difficult time, but it can be hard to know what your next step is. You may need help with a tailored financial plan or help in moving into a new or different phase of your financial life after a major event and/or insurance payout. You don’t need to panic and you don’t need to be rushed into a course of action. If you need some financial advice and help deciding what you should do in the short term as well as a long-term plan, please don’t hesitate to contact one of our qualified financial planners1. Call 13 11 84 to speak to one of our phone based qualified financial planners1 who can give you simple advice about your Sunsuper account at no additional cost. If it’s something more comprehensive, you can meet with one of our qualified financial planners1 face-to-face. More comprehensive advice may incur a fee. We may also refer you to an accredited external financial planner2. 1 Sunsuper employees provide advice as representatives of Sunsuper Financial Services Pty Ltd (ABN 50 087 154 818 AFSL No. 227867) (SFS), wholly owned by the Sunsuper Superannuation Fund. 2 Sunsuper has established a panel of accredited external financial planners for our members. Sunsuper does not receive or pay any referral fees to these planners. Each of these planners will explain to you how their advice fees are determined. The accredited external financial planners are not employed by Sunsuper, and Sunsuper is not responsible for the advice provided by these planners. Your duty of disclosure When making an application for insurance cover and before you enter into a contract of life insurance with an insurer, you have a duty, under the Insurance Contracts Act 1984, to disclose to the insurer every matter you know, or could reasonably be expected to know, is relevant to the insurer’s decision whether to accept the risk of the insurance, and if so, on what terms. Your duty extends not just from the time you sign your application form, but also up to the time that the insurer accepts your application for cover. If you fail to comply with your duty of disclosure and the insurer would not have entered into the contract on any terms, the insurer may have grounds not to pay a benefit in the event of a claim. Your duty of disclosure and what can occur in the event of nondisclosure are detailed in your application forms for insurance cover. For further information please call us on 13 11 84. In the unfortunate event of your death, the Sunsuper Trustee is required to pay your Death benefit to your beneficiaries, or where there are no eligible beneficiaries, to any person who has a fair claim. For your Super-savings account you can complete either: • a binding death benefit nomination – allows you to nominate who will receive your superannuation benefits in the event of your death and ensures that the Trustee is legally bound by your wishes. Claims are generally processed faster when a valid binding death benefit nomination is in place, or 54 Sunsuper for life Insurance guide 13 11 84 sunsuper.com.au 55 10 The following terms are used throughout this guide: Term Definitions Accident Accident is defined as a physical injury that is caused solely and directly by violent, visible, external and unexpected means that is not traceable, even indirectly, to any pre-existing mental or physical condition. Activities The definition of Activities means: (i) Mobility: The ability to: • Bend, kneel or squat to pick something up from the floor and straighten up again and get into and out of a standard sedan car; or • To walk more than 200 metres at a normal pace on a level surface without stopping due to breathlessness as a result of a medical condition or angina. Definitions (ii)Hearing: the ability to hear such that an audiologist can certify that you have a hearing ability of less than or equal to 40db in the better ear (averaged over the frequencies 0.5, 1, 2 and 3 KHz) in an audiometry test. (iii) Communicating through speech: the ability to speak with sufficient clarity to be able to hold a conversation in a quiet room in your first language. This involves understanding a simple message and relaying that message to another person. (iv) Seeing: the ability to see even when tested with visual aids, such that an ophthalmologist can certify that your visual acuity is better than 6/60 in the better eye or a visual field of greater than 10 degrees (i.e. not legally blind). (v) Lifting and carrying: The ability to lift (from bench height) and carry a 5kg weight a distance of ten (10) metres and place the item back down at bench height. (vi) Manual dexterity: The ability to use: • at least one hand to pick up and/or manipulate small objects such as picking up a coin from a desk, using cutlery or fastening buttons; or • a pen or pencil or keyboard to write a short note that can be understood by another person. For the purpose of assessing a TPD claim, where you are unable to perform one or more of the Activities upon commencement of cover, that Activity shall not be taken into consideration for TPD assessment. Aids and adaptations Aids and adaptations mean equipment or fixtures to assist you without the assistance of another person to carry out Activities. Approved Leave Approved Leave means parental leave, annual leave, bereavement leave, long service leave or any other leave approved by your employer for reasons other than related to injury or sickness. At Work At Work means you are: (a)actively performing or capable of performing all of your normal duties, without limitation or restriction due to injury or sickness, and where working you are working normal hours, and (b) in the insurer’s opinion, not restricted by injury or sickness from being capable of actively performing your full and normal duties on a full-time basis (for at least 30 hours per week) even though actual employment may be on a full-time, part-time, casual or contract basis, and (c)not in receipt of, or entitled to claim, any income support benefits from any source including workers’ compensation benefits, statutory transport accident benefits and disability income benefits (including government support benefits). You will be considered to be At Work on the applicable date, as the context requires, if you are on Approved Leave for reasons other than injury or sickness, and not taking into account the leave, are able to meet the At Work definition. In addition for Death and TPD cover only, At Work also means if you are not gainfully employed but are engaged in full-time Domestic Duties you will meet the At Work requirement if you are able to actively perform your normal full-time Domestic Duties without limitation or restriction due to injury or sickness. Benefit Period Benefit Period means the maximum period of time for which benefits will be paid for any one period of Total Disability, Limited Total Disability or one period of Total and Partial Disability. Cognitive Function Cognitive Function means intellectual capacity, loss of which requires you to be under the continuous care and supervision of another adult person for at least 3 consecutive months and, at the end of that 3-month period, you are likely to require permanent ongoing continuous care and supervision by another adult person. Date of Disablement (IP) The Date of Disablement is where you are: (a)working and then cease work as a result of a sickness or injury, the last day you worked provided this was as a result of a sickness or injury and which has been certified by a registered Medical Practitioner, or (b) on Approved Leave or unemployed and suffer a sickness or injury which prevents you from returning to work as a result of that sickness or injury, the Date of Disablement will be determined based on the certification provided by the registered Medical Practitioner as at the date on which you became disabled. 56 13 11 84 sunsuper.com.au 57 10 DEFINITIONS (continued) Term Definitions Term Definitions Date of Disablement (TPD Assist) The Date of Disablement depends on your employment status and the type of injury or sickness that caused your permanent disablement: Income (IP) Income means your pre-tax income derived from your occupation, less any expenses incurred in deriving that income. Unless otherwise agreed with the insurer, Income does not include director’s fees, overtime payments, commissions, bonuses, penalty or shift allowances, mandated superannuation contributions, investment income, income received from deferred compensation plans, disability income policies, retirement plans or any income derived from non-vocational activities. Date of Disablement(Tailored TPD) Claiming under TPD component Date of Disablement Part A The date: You suffer the loss of the use of two limbs (where ‘limb' is defined as the whole hand or the whole foot), the sight in both eyes, or the sight in one eye and the use of one limb; or That is 3 months after loss of intellectual capacity. Part B The first day you permanently ceased all work solely as a result of the injury or sickness, or where you have been unemployed less than six months the date you are medically certified by a Medical Practitioner that the injury or sickness is preventing you from being able to work, even though work may not be available at that time. Part C The first day of the 3 month qualifying period being the date on which you, as a result of an injury or sickness, are unable to perform at least three (3) Activities, and are not able ever again to perform these three (3) Activities and medical certification has been provided with respect of that date. Part D The first day you ceased all work solely as a result of suffering one or more of the listed Medical Conditions outlined in Part D of the TPD Assist definition, or where you have been unemployed less than six months the first day on which you are medically certified by a Medical Practitioner as suffering one or more of the listed Medical Conditions outlined in Part D of the TPD Assist definition. Income is determined when applying for Income Protection cover. Proof of Income is also required at the time of a benefit claim. For claims, Income is determined at the first day of absence from your employment due to the injury or sickness resulting in Total Disability. The amount of benefit will depend on the cover most recently accepted by the insurer. Limited Cover Limited Cover means you are only covered for claims arising from a sickness which first Manifests itself or an injury which occurred on or after the date your cover commenced, most recently commenced or increased (where applicable) under the policy and was not related to the condition that occurred before the date your cover commenced, most recently commenced or increased (where applicable) under the policy. “Manifests” means that symptoms exist which would cause an ordinary prudent person to seek diagnosis, care or treatment, or that medical advice or treatment has been recommended by or received from a Medical Practitioner. Limited Total Disability (IP) Limited Total Disability means as a result of sickness or injury, you: (a)have been incapacitated to such an extent as to render yourself unable to engage in your usual occupation or any occupation for which you are reasonably suited by education, training and experience, and (b) remain under the regular care, attendance and following the advice of a registered medical practitioner in relation to that sickness or injury, and (c) are not engaged in any occupation (whether paid or unpaid). The above definition applies for up to 24 months while you are on Unpaid Leave if you were working on average less than 15 hours per week in the 3 months immediately prior to going on Unpaid Leave. Medical Conditions The following are the definitions for the specified Medical Conditions as per Part D of the TPD Assist definition: The Date of Disablement depends on your employment status and the type of injury or sickness that caused your permanent disablement: Claiming under TPD component Date of Disablement Part A The date: You suffer the loss of the use of two limbs (where ‘limb' is defined as the whole hand or the whole foot), the sight in both eyes, or the sight in one eye and the use of one limb; or That is 3 months after loss of intellectual capacity. Part B The first day of the 3 month qualification period being the day you permanently ceased all work solely as a result of the injury or sickness, or where you have been unemployed less than six months the date you are medically certified by a Medical Practitioner that the injury or sickness is preventing you from being able to work, even though work may not be available at that time. Part C The first day of the 3 month qualification period being the date on which you, as a result of an injury or sickness, are unable to perform at least three (3) Activities, and are not able ever again to perform these three (3) Activities and medical certification has been provided with respect of that date. Date of Lodgement Date of Lodgement means the date you lodge a claim for a TPD Assist benefit with Sunsuper under the TPD Assist definition and provide all mandatory documentation required by the insurer in relation to the claim to commence assessment. Domestic Duties Domestic Duties means you have chosen to remain at home and perform unpaid home duties as your primary occupation. The choice to remain at home should not be due to unemployment or as a result of a sickness or injury. Employed (TPD) Employed means: (i) you are engaged under a contract of employment with an Australian employer (which includes on secondment or transfer to an international subsidiary or an associated or affiliated company of an Australian employer), or (ii)you are Self-Employed and earning an income under an ABN registered entity, or (iii) you have been unemployed for less than 6 months, or (iv) you have been on Unpaid Leave for less than 2 years with an Australian employer, or (v) you are working for an overseas employer for at least 15 hours per week, or (vi) you are engaged in unpaid Domestic Duties in your own home. Fixed Cover Fixed Cover basis means your amount of insurance cover stays the same, but your weekly premium will generally increase as you get older. Fixed Premium Fixed Premium basis means your weekly premium stays the same, but your insurance cover will generally decrease as you get older. 58 For Self-Employed Persons, Income means the income generated by the business or practice due to your personal exertion or activities, less your share of necessarily incurred business expenses and investment income. Sunsuper for life Insurance guide Primary Pulmonary Hypertension means: Primary pulmonary hypertension associated with right ventricular enlargement established by cardiac catheterisation and echo cardiography, resulting in significant irreversible physical impairment of at least Class III of the New York Heart Association classification of cardiac impairment. Pulmonary Hypertension in association with chronic lung disease is specifically excluded. Other forms of hypertension (involving increased blood pressure) are specifically excluded. The New York Heart Association classifications are: (i) Class I – no limitation of physical activity, no symptoms with ordinary physical activity. (ii)Class II – slight limitation of physical activity, symptoms occur with ordinary physical activity. (iii) Class III – marked limitation of physical activity and comfortable at rest, symptoms occur with less than ordinary physical activity. (iv) Class IV – symptoms with any physical activity and may occur at rest, symptoms increased in severity with any physical activity. Major Head Trauma means: An accidental head injury resulting in permanent neurological deficit, resulting in you suffering at least a 25% impairment of whole person function as defined in “Guides to the Evaluation of Permanent Impairment 5th edition”, American Medical Association. Diagnosis must be confirmed by a consultant neurologist. Motor Neurone Disease means: The unequivocal diagnosis of motor neurone disease confirmed by a consultant neurologist. Multiple Sclerosis means: The unequivocal diagnosis of multiple sclerosis confirmed by a consultant neurologist. Muscular Dystrophy means: The unequivocal diagnosis of muscular dystrophy confirmed by a consulting neurologist. Dementia / Alzheimer’s Disease means: The diagnosis of dementia as confirmed by a consultant neurologist or geriatrician resulting in significant cognitive impairment. Significant cognitive impairment means deterioration in your mini-mental state examination, or equivalent thereof, scores to 20 or less. Parkinson’s Disease means: The unequivocal diagnosis of idiopathic Parkinson’s disease as confirmed by a consultant neurologist. All other types of Parkinsonism are excluded (e.g. secondary to medication or Parkinson-plus syndromes). Chronic Lung Disease means: End stage respiratory failure requiring permanent oxygen therapy with FEV 1 test results consistently showing less than one litre. Medical Practitioner Medical Practitioner means a legally qualified and registered doctor of medicine. It does not include your Employer, you, an Employee of your Employer or a member of your or your Employer’s immediate family or business partner/s. New Assessment Date New Assessment Date means the date a claim is lodged for a TPD Assist benefit with Sunsuper under the TPD Assist Part B2 definition and provides all mandatory documentation required by the insurer in relation to the claim to commence assessment, and cannot be less than 12 months after the later of: (a) the date your claim is accepted following the Date of Lodgement; and (b) the previous New Assessment Date at which you met the TPD Assist Part B2 definition. 13 11 84 sunsuper.com.au 59 10 DEFINITIONS (continued) Term Definitions Term Definitions Occupational Categories The following Occupational Categories apply within Tailored cover. Professional and White will also apply to White Collar cover. Total and Permanent Disablement (TPD) Assist Total and Permanent Disablement (TPD) Assist means: Professional White collar professionals performing no manual duties (e.g. doctor, lawyer, accountant). Usually those with a tertiary qualification or registered with a professional body (and they must be using these qualifications in their occupation). White Clerical, administration and managerial occupations involving office duties only. Includes those who do less than 10% light manual duties (e.g. administrator, bookkeeper, computer operator). Light Blue Certain light manual skilled workers (e.g. photocopy/TV repairers), purchasing officers, travelling sales representatives, claims/loss assessors, business owners in non-hazardous industries involved in light manual work (e.g. coffee shop owner) and supervisors of workers in Medium Blue occupations. Medium Blue Qualified tradespeople involved in non-hazardous industries doing light manual work (e.g. qualified tradespeople such as cabinetmaker, carpenter, plumber, mechanic). Heavy Blue Heavy manual workers, unskilled or performing higher risk occupations, tradespeople involved in heavier manual work (e.g. brick layer (qualified), interstate bus driver, warehouse worker, carpet layer, house removalist). Hazardous There are other occupations classified as hazardous including airline crew and pilots, fire fighters, professional sports people, police, underground workers, miners, abalone divers, asbestos workers, bouncers and those working at heights above 10 metres. For hazardous occupations, the insurer reserves the right to assess applications for cover on a different premium basis to the five categories listed above. Occupational Rehabilitation Program Occupational Rehabilitation Program means any program which, at the Date of Lodgement and each New Assessment Date or any other date the Insurer deems appropriate, the Insurer in its sole discretion determines will assist you to improve your ability to work in your own occupation or another occupation for which you are, or may be at the conclusion of rehabilitation or retraining, reasonably suited by education, training or experience through the skills acquired during any Occupational Rehabilitation Program. In determining these rehabilitation services, the insurer may take into account the following criteria and any other criteria the insurer considers appropriate: i) your current or potential vocational abilities; and ii) available medical evidence; and iii) the nature, scope, objective and costs of any rehabilitation or re-training program. The insurer may require at its own cost an independent examination(s) to assist in designing and implementing an Occupational Rehabilitation Program that is appropriate for you to participate in. You will not be required to pay for any Occupational Rehabilitation Program. Any Occupational Rehabilitation Program must be designed in accordance with any criteria agreed between the insurer and Sunsuper and amended or replaced from time to time. Any Occupational Rehabilitation Program will not include any program providing ‘hospital treatment’ or ‘general treatment’ within the meaning of the Private Health Insurance Act 2007 (Cth) or any other program which might cause the policy to cease to be exempt from the relevant health insurance legislation. Partial Disability or Partially Disabled (IP) Partial Disability means that, following a period of Total Disability (for 7 out of the first 10 working days of the Waiting Period) and while you continue to be either Totally or Partially Disabled during the Waiting Period you: (a) have returned to work in your usual or an alternative occupation, and (b) are under the care of and complying with the reasonable advice given by a registered medical practitioner, and (c) as a result of the disability, you have suffered and continue to suffer loss of income as a direct result of the injury or sickness. The income benefit paid during Partial Disability will be calculated in line with the proportionate loss of income from the end of the Waiting Period. Permanent Incapacity Permanent Incapacity is a superannuation benefit paid as a condition of release under the Superannuation Industry (Supervision) Regulations 1994 (Cth). A member of a superannuation fund is taken to be suffering permanent incapacity if the trustee of the fund is reasonably satisfied that the member’s ill-health (whether physical or mental) makes it unlikely that the member will engage in gainful employment for which the member is reasonably qualified by education, training or experience. Pre-Disability Income (IP) Pre-Disability Income means the higher of the gross monthly income you earned at the Date of Disablement or an average of the gross monthly income earned by you over the 3 months immediately prior to the Date of Disablement. If you are a casual or contract employee, or unemployed, the Pre-Disability Income means the average of the gross monthly income earned over the 12 months (or if employed less than 12 months, over your period of employment) immediately prior to the Date of Disablement. If you are Self-Employed, Pre-Disability Income means the greater of the average of the gross monthly income earned over the 12 months and the latest financial year immediately prior to the Date of Disablement. Self-Employed Person A Self-Employed Person means a person who operates a business or profession as a sole proprietor, partner in a partnership, independent contractor or consultant and reports income earned from self-employment. Terminal Illness Terminal Illness means you are suffering from an illness, or have incurred an injury, that is likely to result in your death within a period of 24 months from the date of certification of the Terminal Illness by two registered Medical Practitioners (one being a specialist physician in the particular medical field), both acceptable to the insurer and the certification periods have not ended. The benefit the insurance policy pays out is termed as a Terminal Illness benefit. Terminal Medical Condition Terminal Medical Condition is a superannuation benefit paid as a condition of release under the Superannuation Industry (Supervision) Regulations 1994 (Cth). For more information refer to the Sunsuper for life guide. 60 Sunsuper for life Insurance guide Part A (a)As a result of an injury or sickness you have suffered, at the Date of Disablement, the total and irrecoverable loss of: • the use of two limbs; or • the use of the sight of both eyes; or • the use of one limb and the sight of one eye; or the loss of Cognitive Function (this has a three consecutive month Waiting Period). (where limb is defined as the whole hand or the whole foot); and (b) the insurer, after considering all relevant evidence which is reasonably available, then determines that you will be unable ever again to be gainfully employed in any occupation for which you are reasonably suited by education, training or experience; or Part B1 Where you were Employed immediately prior to the Date of Disablement and solely by reason of an injury or sickness: (a)you have been continuously unable to perform your occupational duties since the Date of Disablement and remain so at the Date of Lodgement solely due to the injury or sickness; and (b) you are under the care of, and following the advice and treatment of a Medical Practitioner; and (c)the insurer determines in its opinion that you, as at the Date of Lodgement, will be unable ever again to be gainfully employed in any occupation for which you are reasonably suited by education, training or experience. The determination by the insurer under paragraph (c) is to be made after considering all relevant evidence which is reasonably available to the insurer as at the Date of Lodgement, including any education, training or experience acquired by you up to the Date of Lodgement. Part B2 Where you were Employed immediately prior to the Date of Disablement and solely by reason of an injury or sickness: (a)you have been continuously unable to perform your occupational duties since the Date of Disablement and remain so at the New Assessment Date solely due to the injury or sickness; and (b) you are under the care of, and following the advice and treatment of a Medical Practitioner; and (c)either: (i) you have not been required by the insurer to participate in an Occupational Rehabilitation Program; or (ii) you have been required by the insurer to participate in an Occupational Rehabilitation Program and are fully participating in the Occupational Rehabilitation Program to the satisfaction of the insurer*; and (d)the insurer determines in its opinion that you, as at the New Assessment Date, will be unable ever again to be gainfully employed in any occupation for which you are reasonably suited by education, training or experience. The determination by the insurer under paragraph (d) is to be made after considering all relevant evidence which is reasonably available to the insurer as at the relevant New Assessment Date, or subsequently given to the insurer and relevant to the assessment of you as at the relevant New Assessment Date, including any Occupational Rehabilitation Program and any education, training or experience acquired by you up to the relevant New Assessment Date; or * Where you cease to participate in a required Occupational Rehabilitation Program on the advice of your treating Medical Practitioner, the insurer will consider whether it should vary the Occupational Rehabilitation Program or withdraw its requirement that you participate in the Occupational Rehabilitation Program and in doing so will consider any independent evidence in its consideration as well as any written documentation from your treating Medical Practitioner addressing the following: (i) outlining the reasons that you have been advised to cease participation in the Occupational Rehabilitation Program; and (ii) stipulating the duration of any required period of cessation and the anticipated timeframe for return to participation in the Occupational Rehabilitation Program; and (iii) whether any variations can be made to the Occupational Rehabilitation Program that would enable you to participate; and (iv) all medical information relied upon by the treating Medical Practitioner in forming their opinion. Part C Where you were not Employed immediately prior to the Date of Disablement and solely by reason of an injury or sickness: (a)you have not been able to perform at least three of the following Activities; Mobility, Hearing, Communicating through speech, Seeing, Lifting & Carrying and Manual dexterity for a period of three consecutive months after the Date of Disablement; and (b) you are under the care of, and following the advice and treatment of a Medical Practitioner; and (c)the insurer, after considering all relevant evidence which is reasonably available, then determines that it is likely, due to the injury or sickness, that you are totally and permanently unable to perform (with Aids and adaptations) at least three Activities in paragraph (a) above; and (d)the insurer, after considering all relevant evidence which is reasonably available, then determines that you will be unable ever again to be gainfully employed in any occupation for which you are reasonably suited by education, training or experience; or Part D Where you were Employed immediately prior to the Date of Disablement and are absent from all work and have been certified by a Medical Practitioner as being unable to perform your occupational duties since the Date of Disablement: (a)solely as a result of suffering one or more of the following; Primary Pulmonary Hypertension, Major Head Trauma, Motor Neurone Disease, Multiple Sclerosis, Muscular Dystrophy, Dementia and Alzheimer’s Disease, Parkinson’s Disease or Chronic Lung Disease; and (b)the insurer, after considering all medical evidence which is reasonably available, then determines that you will be unable ever again to be gainfully employed in any occupation for which you are reasonably suited by education, training or experience. Note: a different TPD definition may apply to some members and if this applies to you, you will have been informed separately. 13 11 84 sunsuper.com.au 61 10 DEFINITIONS (continued) 4 Transfer of insurance cover I confirm that the existing level of cover under my previous fund or policy is as follows: It’s simple, you can apply to transfer cover anytime. 13 11 84 Use this form to apply to transfer your current insurance cover from an existing superannuation fund (“previous fund”) or an individual insurance policy (“previous policy”) to Sunsuper. Term Definitions Tailored Total and Permanent Disablement (TPD) Tailored Total and Permanent Disablement (TPD) means: Part A (a)As a result of an injury or sickness you have suffered, at the Date of Disablement, the total and irrecoverable loss of: • the use of two limbs; or • the use of the sight of both eyes; or • the use of one limb and the sight of one eye; or • the loss of Cognitive Function (this has a three consecutive month Waiting Period) (where limb is defined as the whole hand or the whole foot); and (b) the insurer, after considering all relevant evidence which is reasonably available, then determines you will be unable ever again to be gainfully employed in any occupation for which you are reasonably suited by education, training or experience; or Part B Where you were Employed immediately prior to the Date of Disablement and solely by reason of an injury or sickness: (a)you are unable to perform your occupational duties for a period of three consecutive months since the Date of Disablement solely due to the injury or sickness, and (b) you are under the care of, and following the advice of, a registered Medical Practitioner; and (c)the insurer, after considering all relevant evidence which is reasonably available, then determines you will be unable ever again to be gainfully employed in any occupation for which you are reasonably suited by education, training or experience; or Part C Where you were not Employed immediately prior to the Date of Disablement and solely by reason of an injury or sickness: (a)you have not, as a result of an injury or sickness, been able to perform at least three of the following Activities; Mobility, Hearing, Communicating through speech, Seeing, Lifting & Carrying and Manual dexterity, for a period of three consecutive months after the occurrence of the Date of Disablement; and (b) you are under the care of, and following the advice and treatment of, a registered Medical Practitioner; and (c)the insurer, after considering all relevant evidence which is reasonably available, then determines that it is likely, due to the injury or sickness, that you are totally and permanently unable to perform (with Aids and adaptations) at least three (3) Activities in paragraph (a) above; and (d)the insurer, after considering all relevant evidence which is reasonably available, then determines you will be unable ever again to be gainfully employed in any occupation for which you are reasonably suited by education, training or experience. Note: a different TPD definition may apply to some members and if this applies to you, you will have been informed separately Total Disability Total Disability means that, as a direct result of injury or sickness, you are: or Totally (a)continuously and completely unable to perform at least one of the major duties of your usual occupation based on the work Disabled (IP) performed at the time of injury or sickness, and (b)under the regular care of and complying with the reasonable advice given by a registered medical practitioner in respect of that injury or sickness, and (c)not in any occupation for which a person would normally expect to receive remuneration or profit. A major duty is an income-producing duty of your regular occupation, which involves at least 20% of your overall occupational tasks. For those on Unpaid Leave, the above definition applies for up to 24 months while you are on Unpaid Leave if you were working an average of 15 hours or more per week in the 3 months immediately prior to going on Unpaid Leave. Unpaid Leave Waiting Period Unpaid Leave means leave (not being cessation of employment) without pay from your employer. This leave must be: (a) approved by your employer or authorised by: • the Commonwealth, a State or a Territory, or • a certified agreement or award made by a tribunal or body having the authority to do so under the law of the Commonwealth, a State or a Territory. (b) in relation to which you have a statutory or contractual right to resume employment at the end of the leave, and (c) in relation to which you are not being paid by the employer. Unpaid Leave excludes leave: (a) that is due to your injury or sickness, or (b) during which you receive or are entitled to receive: • income benefits, or • disability income benefits, or • social security sickness benefits, or (c) due to strike or lockout. The Waiting Period is the number of continuous days which you must remain off work due to an injury or sickness before the Total Disability benefit or Partial Disability benefit begins to accrue. The Waiting Period commences from the date you are Totally Disabled and unable to work, as certified by a registered Medical Practitioner. Death cover sunsuper.com.au Reply Paid 2924 Brisbane Qld 4001 Death cover Member number You should not cancel your existing cover until you have received confirmation from Sunsuper that your transfer request has been accepted by Sunsuper. if already a member Your transferring cover will be fixed cover (your cover stays the same and your premiums will increase on each birthday). $ $ TPD cover Fixed YES premium^ $ NO ^ Your premium remains the same and your cover will generally reduce on each birthday. I understand that any transferred Death and TPD cover will be subject to the terms and conditions of the Sunsuper insurance policy (including definition of Total and Permanent Disablement), and subject to a maximum dollar value of $1,000,000 in total. Transferred cover is in addition to existing cover. Important: Please provide us with as much information as possible. Please tick box where appropriate. Use BLOCK letters and dark ink when completing this form and ensure it is signed and dated. If you are under 18 please contact us on 13 11 84 before completing this form. 5 Personal details First name* TPD cover Note: When Tailored Death and TPD cover is approved any Death and TPD cover/premium you had will be replaced by cover/premium based on your occupation classification. Please complete all mandatory sections. *DENOTES MANDATORY FIELD. Title $ If you want to replace your transferring cover with a lower amount of cover or prefer fixed premiums^ to apply to your transferring cover, please specify below: IMPORTANT 1 Death and/or TPD cover Income Protection (IP) cover IP cover Middle name $ monthly benefit Benefit Period Waiting Period days I do NOT want to have my IP cover indexed on 1 July each year Last name* Date of birth (DD/MM/YYYY)* Gender* M Note: When Tailored IP cover is approved any IP cover/premium you had will be replaced by cover/premium based on your occupation classification. F I understand that any transferred IP cover will be subject to the terms and conditions of the Sunsuper insurance policy (including definition of Totally Disabled). A $10,000 maximum monthly benefit limit applies (subject to 85% of your salary). Where the Waiting Period offered under my previous fund / policy is different to the available Waiting Periods under the Sunsuper Insurance policy, my Waiting Period will be rounded up to the next longest Waiting Period. Where the Benefit Period offered is different to the available Benefit Period under the Sunsuper insurance policy, my Benefit Period will be limited to the next shortest Benefit Period available. Country of Birth* Street Address / PO Box* Important information Suburb /Town* State* Postcode* Home phone number Daytime phone number# Personal email address Your application for transfer of cover will be assessed by our insurer and we will notify you of the outcome. Our insurer may need to contact your previous fund or the insurer of your previous policy in completing its assessment of your application. If your application to transfer existing Death and Total and Permanent Disablement (TPD) cover is accepted, you will be allocated additional Sunsuper Tailored cover (up to a maximum dollar value of $1,000,000 for this transfer) to replace your Death and TPD cover under your previous fund or previous policy. This replacement cover will be fixed cover unless you specify otherwise. Any automatic cover amount you were eligible to receive on joining Sunsuper (and any existing additional Tailored cover) will not be affected by our insurer’s acceptance of this application. Mobile phone number # Please provide a daytime phone number where we can reach you if we have additional questions about your application. Note: Unless you have elected to receive printed information, Sunsuper will confirm this change electronically if we can. We’ll email or SMS you if you have information to view in Member Online. If you would prefer information is posted to you in the future, change your preferences in Member Online or call us on 13 11 84. 2 2A Details of your occupation Are you currently working? If ‘No’, go to Section 2B YES Degree/Trade qualified Your occupation NO YES Industry (e.g. Mining, Manufacturing, Construction, Agriculture, Retail) Name of your employer Your annual Income $ Refer to page 59 of the Sunsuper for life Insurance guide for the definition of ‘Income’. % 2 % 3 % List the primary locations of your occupation, and the percentage of time at each location (e.g. office 20%, home 30%, suburban driving 50%) 1 % 2 % 2B Permanent What is your employment status? full time Permanent part time Self employed 2C Hours that you work Under a week (on average): 15 hours 15 hours to 60 hours Greater than 60 hours 3 Previous cover details Casual 3 Contractor % Please specify if you are unemployed, a student, home duties, or retired Please note: if you are a casual or a contractor you will only be eligible to apply for a 2-year Income Protection Benefit Period. Please note: if you are working less than 15 hours per week you will not be eligible to apply for Income Protection. Applying to transfer cover from a super fund or an individual policy Previous Super fund or Life Insurance Company name Member/Policy number However, premiums may vary. If your application to transfer existing underwritten Income Protection (IP) insurance is accepted, you will be allocated Tailored IP cover (up to a maximum of $10,000 monthly benefit and 85% of your salary). We will advise you of the Waiting Period available to you (30, 60, 90 or 180 days), upon acceptance of your application. If you have applied for additional cover through Sunsuper and been declined or been eligible for a TPD Assist claim, this Transfer of insurance cover application will not be accepted. The cost of approved transferred cover will be based on the applicable premium rates applying under the relevant membership division of Sunsuper and will reflect your occupation category and any premium loadings or exclusions that may have applied to your previous cover. 6 Personal statement/Confirmation of requirements 6A Please confirm (by ticking the box below) that the statements are true and correct and you agree to abide by the requirements set out in these statements: NO List the principal duties of your occupation, and the percentage of time at work spent doing each (e.g. office work 20%, site inspection 80%) 1 You should not cancel your existing cover until you have received confirmation that your transfer request has been accepted by Sunsuper. For transfer of cover from an existing superannuation fund or an individual retail insurance policy: i. the existing insurance cover under my previous fund or retail insurance policy will be cancelled, upon acceptance of this request; iii. I will not exercise a continuation option or subsequently reinstate cover within the previous fund or any associated fund or previous insurance policy; ii. I will not be transferring the cover under my previous fund or retail insurance policy to any other division of that previous fund or insurer or to any other fund (other than Sunsuper) or insurer; iv. I will provide supporting evidence of my current insurance cover (a letter or certificate of currency from your previous Super fund or Life Insurance provider). Please note, your supporting evidence for IP cover must include the Waiting Period and Benefit Period of your current cover. 6B Please answer yes or no to the following questions: YES NO YES NO YES NO 4. Within the past 12 months have you seen or have you been advised to see within the next 12 months a medical specialist? (your GP is not a medical specialist) YES NO 5. Have you ever had any special conditions or restrictions (loadings or exclusions) placed on any Death, TPD or IP insurance? If yes, please provide all details you have received from the insurer or fund with this application YES NO 1. Due to illness or injury are you absent from work or restricted from carrying out all your usual duties on a full time basis for at least 30 hours per week (even if you are currently working on a part-time basis)? 2. Have you ever been paid/ lodged or are eligible to lodge any TPD, Terminal Illness or IP claims or received a benefit as a result of Permanent Incapacity or a Terminal Medical Condition from any superannuation fund or life insurance policy? 3. Have you been diagnosed with an illness that reduces your life expectancy to less than 24 months from today? If you answered “Yes” to question 4 or 5 above please provide full details on page 4 of this form. If you answered Yes to Questions 1, 2 or 3 you are not eligible to transfer your existing cover to Sunsuper. If you wish to increase your current cover, please go to sunsuper.com.au/forms and complete the applicable Tailored insurance application. Please provide: - a letter or certificate of currency from your previous super fund or Life Insurance provider detailing your current insurance cover, - details of any loadings, exclusions and restrictions applicable to that cover, and - the confirmation must have been issued within the last 30 days. YES 62 Sunsuper for life Insurance guide NO I confirm that these documents show details of my existing cover, Waiting and Benefit Periods (if applicable) and any loadings or exclusions. I confirm that my cover remains valid at the date of this application. Page 1 of 4 FRM-P-S0013C-0716 1875 (07/16) Please continue over page Page 2 of 4 Please continue over page Notes/Additional information 7 Authorisation and declaration Sign this application form and return to Sunsuper: I acknowledge that: Duty of disclosure i. A person who enters into a life insurance contract in respect of your life has a duty, before entering into the contract, to tell the insurer anything that they know, or could reasonably be expected to know, that may affect the insurer’s decision to provide the insurance and on what terms. if I do not fully complete, sign and date this application, or do not attach any additional information requested, I will not be eligible to transfer my existing cover to Sunsuper, ii. if the insurer accepts my application, the existing amount of insurance cover as at the effective transfer date under my previous fund or previous policy will be replaced by an equivalent allocation (or such lower amount as I have specified) of additional voluntary insurance cover (up to a maximum amount of $1,000,000 for Death and TPD and a maximum of $10,000 monthly benefit) under my Sunsuper account. This cover will be in addition to any existing insurance cover I may hold through Sunsuper. Maximum cover limits will apply, iii. my replacement cover will not commence in Sunsuper until the later of: a. the date the insurer accepts my application, and b. the date of cancellation of my existing insurance cover under the previous fund or previous policy, iv. Sunsuper and its insurer may undertake appropriate enquiry and investigation to verify the answers I have provided (including contacting my previous fund or life insurance company to obtain additional details of my current insurance cover), v. Sunsuper and its insurer may investigate whether any premium loadings, restrictions and exclusions may have applied in the previous fund/previous policy, vi. I agree to provide Sunsuper and its insurer with access to any health and/or financial evidence I have provided to the previous fund and their insurer or retail insurer in an application for the cover. Any non-disclosure to the previous fund or its insurer may be acted upon by Sunsuper and/or its insurer, vii. Should it become apparent to Sunsuper or its insurer that I have not undertaken the requirements that I have agreed to in Section 6A above, then any insurance benefit that may be payable to me, my dependants or my estate from Sunsuper may be reduced by the insurance amount paid or payable from my previous fund, another division of the previous fund, another fund, my previous policy or any policy issued under any continuation option that I exercised, as a consequence of my failure to abide by these requirements. This reduction in benefit will, however, be limited to the extent that my benefit from Sunsuper is no less than I would have been eligible to receive under the terms of the policy between Sunsuper and its insurer had I not made this application for transfer of cover, viii. I hereby declare that the information contained in this Transfer of insurance cover form application (whether written by hand or not) is true and correct and that no information material to this application for transfer has been withheld, ix. If the insurer accepts my application, the terms and conditions as outlined in Sunsuper’s insurance policy document will apply, and the terms and conditions of my former policy/fund and/or former insurer will not apply, x. I have read the duty of disclosure notice and understand its contents and what is meant by my duty to disclose. I also understand that my duty to disclose continues after I have completed this application for transfer until the insurer has accepted the risk. The person entering into the contract has this duty until the insurer agrees to provide the insurance. The person entering into the contract has this same duty before they extend, vary or reinstate the contract. The person entering into the contract does not need to tell the insurer anything that reduces the risk you are insured for; or is common knowledge; or the insurer knows or should know as an insurer; or the insurer waives your duty to tell them about. If you do not tell the insurer something that you know, or could reasonably be expected to know, may affect the insurer’s decision to provide the insurance and on what terms, this may be treated as a failure by the person entering into the contract to tell the insurer something that they must tell the insurer. If you require additional space to answer 6B or any of the questions on this form please use the space provided below. The information I have given in this application and any separate statements I have given with it are true. I have disclosed everything about me and my health that Sunsuper and its insurer need to know when deciding whether to accept my application for transfer of cover. I will notify Sunsuper of any changes to my health before my cover transfer application has been assessed. I have read and understood my Duty of Disclosure and accept the above acknowledgements. I authorise my previous fund or the insurer of my previous policy to provide Sunsuper and/or its insurer with any information about my current insurance cover. For this authority, a photocopy of this Declaration is as valid as the original. Member to sign here* If you do not tell us something In exercising the following rights, the insurer may consider whether different types of cover can constitute separate contracts of life insurance. If they do, the insurer may apply the following rights separately to each type of cover. If the person entering into the contract does not tell the insurer anything they are required to, and the insurer would not have provided the insurance if they had told the insurer, the insurer may avoid the contract within 3 years of entering into it. If the insurer chooses not to avoid the contract, the insurer may, at any time, reduce the amount of insurance provided. This would be worked out using a formula that takes into account the premium that would have been payable if they had told the insurer everything they should have. However, if the contract has a surrender value, or provides cover on death, the insurer may only exercise this right within 3 years of entering into the contract. If the insurer chooses not to avoid the contract or reduce the amount of insurance provided, they may, at any time vary the contract in a way that places them in the same position the insurer would have been if the person entering in to the contract had told the insurer everything they should have. However, this right does not apply if the contract has a surrender value or provides cover on death. Full name (print in BLOCK letters)* Date application completed (DD/MM/YYYY)* Please return the form and supporting documentation to Sunsuper Reply Paid 2924 Brisbane Qld 4001 or insurance@sunsuper.com.au I have attached a separate signed third party authority for my financial adviser to access information on my Sunsuper account/s. If the failure to tell the insurer is fraudulent, the insurer may refuse to pay a claim and treat the contract as if it never existed. Please ensure all applicable questions are fully answered. Privacy By completing this form you consent to the collection, use and disclosure of any personal information, including information that may be of a sensitive nature we or AIA Australia may collect about you and exchange with third parties located in Australia and overseas, in the manner outlined in our and AIA Australia’s respective privacy policies as updated from time to time. Policies are available by visiting sunsuper.com.au/privacy and aia.com.au. These policies are consistent with the requirements of the Privacy Act 1988. Sunsuper Pty Ltd ABN 88 010 720 840 AFSL No. 228975 Trustee of the Sunsuper Superannuation Fund ABN 98 503 137 921 MySuper Authorisation 98 503 137 921 996 Page 3 of 4 Please continue over page Page 4 of 4 Contacting us is easy: 13 11 84 (+61 7 3121 0700 when overseas) GPO Box 2924 Brisbane QLD 4001 sunsuper.com.au twitter.com/sunsuper Facebook “f ” Logo CMYK / .ai Facebook “f ” Logo CMYK / .ai facebook.com/sunsuper linkedin.com/company/sunsuper The Sunsuper for life Insurance guide is prepared and issued by Sunsuper Pty Ltd, the issuer and Trustee of the Sunsuper Superannuation Fund (referred to as ‘the Fund’ or ‘Sunsuper’): Sunsuper Pty Ltd Sunsuper Superannuation Fund ABN 88 010 720 840 ABN 98 503 137 921 AFSL No. 228975 SPIN SSR 0100 AU MySuper Authorisation 98 503 137 921 996 Unique Super Identifier (USI) 98 503 137 921 001 IO NS N UN S T BA D PEN SE O Canstar, Chant West, SuperRatings and The Heron Partnership have given their consent and have not withdrawn it in relation to the inclusion of references to their ratings throughout the PDS and guides. They do not make, or purport to make, any statement in the PDS and guides other than these references. For further information about the ratings methodology used and awards, refer to sunsuper.com.au/ratingsagencies 4 3 Sunsuper is a member of The Association of Superannuation Funds of Australia Limited (ASFA). Copyright ©2016 Sunsuper Pty Ltd 1875 (07/16) CO AC S UP IO ERA NNUAT NDING VA STA L UT UE NDING VA STA L UT UE O Ratings agency information