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