REST Select Insurance Guide

Transcription

1 REST Select Insurance Guide Including Application for insurance form Effective 1 October 2015 The information in this document forms part of the REST Select Product Disclosure Statement (PDS), effective 1 October You should read the PDS in conjunction with this Insurance Guide. Issued by Retail Employees Superannuation Pty Limited ABN AFSL Retail Employees Superannuation Trust ABN Unique Superannuation Identifier RES0101AU REST s current insurer is AIA Australia Limited ABN , AFSL rest.com.au

2 Contents Insurance in your super 3 Death cover 4 Total and Permanent Disablement (TPD) cover 5 Income Protection (IP) cover 6 Conditions of insurance cover 7 Calculate your insurance cover 11 Applying for cover Evidence of health 13 Table 1 Death cover and costs 14 Table 2 Total and Permanent Disablement cover and costs 15 Tables 3-5 Income Protection cover and costs Tables 6 and 7 Occupation categories and factors 19 This REST Select Insurance Guide is incorporated by reference material. The information in this document forms part of the REST Select Product Disclosure Statement (PDS), effective 1 October The REST Select PDS and its incorporated by reference material REST Select Member Guide, REST Select Insurance Guide, and Investment Guide are important information you should consider before making a decision to invest in this product. The information in this document is general information only and doesn t take into account your individual objectives, financial situation or needs. Accordingly, before acting on the contents of the PDS, you should consider whether it is appropriate to you, having regards to your objectives, financial situation and needs. You should read the PDS including the REST Select Member Guide, REST Select Insurance Guide and Investment Guide in its entirety before making any decision in connection with this product. You may wish to consult a licensed financial adviser to obtain financial advice that is tailored to suit your personal circumstances. If you are printing an electronic copy of the PDS, you must print all pages of the PDS and forms, this REST Select Insurance Guide, and the other incorporated by reference material that forms part of the PDS. An electronic copy is available at rest.com.au/selectpds REST Select, also referred to in this document as the Fund, is governed by a trust deed. As a member you will be bound by the terms of the trust deed and its rules, which may be amended, subject to superannuation law. The trust deed and rules provide for many of the rights, duties and responsibilities of the Trustee, members, other beneficiaries and employers. There is currently some uncertainty about the terms of the trust deed for the Fund. The Trustee is seeking to confirm the terms of the trust deed in the Supreme Court of South Australia. This might mean that the terms of the trust deed will change. The Trustee does not think that any changes or the court proceedings will have any practical effect on members or on our administration of the Fund. The information contained in the PDS is up to date at the time of preparation. However, the Trustee reserves the right to change the insurer and vary the benefits, insurance costs, procedures or terms and conditions from time to time. Some of the information may also be subject to change, such as information about other management costs, other fees or the investment strategy or asset allocation of a particular investment option. AIA Australia Limited (ABN , AFSL No ) has consented to the statement about its Privacy Policy on page 8 being included in the form and context in which it is included and has not withdrawn this consent as at the issue date of this REST Select Insurance Guide. From time to time there may be changes to non-materially adverse information, which may be updated through member communications other than the PDS or on our website at rest.com.au/governance Further information including a full paper copy of the PDS, the trust deed, any non-materially adverse updates to information in the PDS and any other important information that forms part of this PDS can be obtained free of charge on request by contacting REST Customer Service: Phone: (8am to 8pm) Web: rest.com.au Mail: PO Box 350, Parramatta, NSW 2124 The PDS has been issued by the Trustee company, Retail Employees Superannuation Pty Limited, ABN , referred to in the PDS as the Trustee, we, our, us or REST. REST Select is a product of the Retail Employees Superannuation Trust ABN (REST Industry Super). The Trustee s registered address is Level 7, 50 Carrington Street, Sydney NSW REST is administered by Australian Administration Services Pty Ltd, ABN (AAS), referred to in the PDS as REST Customer Service. REST Customer Service personnel are not representatives of the Trustee. Any general financial product advice given by REST Customer Service personnel is provided by AAS. The invitation to invest in this product is only available to persons receiving this product in Australia. It is not made, directly or indirectly, to persons in any other country, directly or indirectly, to persons in any other country. 2

3 Insurance in your super REST Select offers a range of flexible insurance options designed to provide protection for you and your beneficiaries against financial hardship if you are unable to work for a long period due to sickness or injury, or become permanently disabled or die. REST s large membership allows us to negotiate great insurance deals on behalf of our members. REST Select offers members Death, Total and Permanent Disablement and Income Protection insurance at competitive rates through AIA Australia. Your spouse can also apply for insurance cover as a spouse member with REST Select. It is important that you read the following information carefully because it outlines the options available to you and the conditions under which insurance is provided. If you have any questions, please contact REST Customer Service on The sooner the better The opportunity to get the right level of cover at competitive rates may never be better than it is today, given the range of options available to you. So don t put it off take care of your insurance as soon as you can. Cover available You can apply for one or more of the following insurance types: Death cover providing a lump sum, or if chosen, a pension in the event of death or terminal illness Total and Permanent Disablement (TPD) cover providing a lump sum, or if chosen, a pension, if you become sick or injured to the extent that you are not expected to ever work again Income Protection (IP) cover paying you an income in the event that you re unable to work for a prolonged period due to injury or sickness. Non-working members and spouse members are eligible to apply for Death and/or TPD cover. However, please note that TPD cover will only be provided for these members under parts 2 and 3 of the TPD definition (see page 5). Cover to suit your needs With flexible options, REST Select s insurance design allows you to insure yourself for the cover levels you need. You can apply for any combination of our cover types and choose between a wide range of waiting and benefit periods for Income Protection insurance. Our insurance costs are based on age, gender and occupation category meaning that you pay the insurance cost that s right for you. A summary of the options available to you is as follows: Cover Type Death Cover (includes Terminal Illness cover) TPD Cover IP Cover Minimum Age Maximum Age Minimum Cover 10,000 10,000 (less from age 60, see page 15) Maximum Cover Unlimited 5 million (1 million if aged 65 and over) 1,000 per month 30,000 per month Annual Cover Indexation Yes Yes No Waiting Period Not applicable 3 months Optional: 30/60/90 day Waiting Periods Benefit Period Not applicable Not applicable Optional: 2 year/5 year/ Age 65 Benefit Periods Worldwide Cover Yes Yes Yes Annual Indexation of Death and/or TPD Cover A feature of our insurance is annual indexation of Death and TPD cover. To keep up with the cost of living, your level of Death and TPD cover (whichever is applicable) will increase each 1 January (be indexed) by 5% (rounded up to the nearest unit of cover per age, if required). As a result of the increase in cover, insurance costs will also increase in line with the sum insured increase. This means that your Death and TPD REST Select Insurance Guide 3

4 insurance will automatically increase to help you keep up to date with cost of living increases. However, you will need to consider if this automatic increase is suitable for you, and to review your insurance when you have a significant change in circumstances. This feature will not apply to cover less than 250,000. For example, if at 1 January you have 250,000 Death cover and 200,000 TPD cover, only your Death cover will be indexed. Example Number of units as at 1 October 2015 Cover at 1 October 2015 Number of units as at 1 January 2016* Cover at 1 January 2016* Death cover (including Terminal Illness) Total and Permanent Disablement (TPD) cover , , , ,000 * After indexation of 5% and rounded up to the nearest 10,000 unit. You may opt out of this automatic indexation for one or both cover types by completing the form accompanying this guide. You should note that if you opt out, you will not be eligible for this automatic indexation for this cover type in the future. Managing your cover to suit your needs Applying for cover To apply for cover please read the information provided in this guide carefully, then complete the Application for Insurance form accompanying this guide. Increasing cover You can apply to increase your insurance cover at any time by: increasing the total number of Death, TPD or IP units you have extending your IP benefit period, for example from 2 years to 5 years or to age 65 shortening your IP waiting period, for example, from 60 days to 30 days. To increase your cover please read the information provided in this guide carefully, then complete the Application for Insurance form. Decreasing cover You can decrease your insurance cover at any time by: reducing the total number of Death, TPD or IP units you currently have shortening your IP benefit period, for example, from age 65 to 5 years or 2 years extending your IP waiting period, for example from 60 days to 90 days. You can also opt out of the automatic annual indexation of Death and/or TPD cover. Death cover (including Terminal Illness) To decrease your cover, or opt out of the automatic annual indexation, please consider your needs carefully and either notify us in writing by completing the relevant sections of the Application for Insurance form or contact us on Cancelling cover You can cancel your cover at any time. However, if you cancel your cover and decide that you want it back in the future, you will need to provide medical evidence and be assessed by the insurer. To cancel your cover, please consider your needs carefully and either notify us in writing or contact us on to cancel your cover over the phone. Each unit of Death cover provides 10,000 of cover ceasing at age 70. Subject to approval by the insurer, you can apply for any amount of Death cover. The cost of Death cover (see Table 1 on page 14) is based on your age, gender and occupation category (see Table 6 on page 19). Terminal illness benefit While we hope this will never be a situation you have to face, if you are diagnosed with an illness that means you have a life expectancy of less than 12 months, a terminal illness benefit may be payable that would match the value of your Death cover. Terminal illness means you are considered, in the opinion of the insurer, to suffer from an illness, or have incurred an injury, that is likely to result in your death within 12 months of the date of certification of the terminal illness by two registered medical practitioners (with one being a specialist in that particular medical field) acceptable to the insurer and the certification period has not ended. The terminal illness benefit is not a stand-alone benefit it is an early payment of the Death benefit. As detailed above, under the death cover insurance available in REST Select, you may qualify for payment of a terminal illness benefit if you have a life expectancy of less than 12 months. However, under superannuation law for release of account balance on grounds of terminal medical condition, the certification period is a life expectancy of 24 months or less. Therefore, there may be a situation where you qualify for release of your account balance on grounds of terminal medical condition (e.g. you have between 0-24 months to live) but not yet qualify for a terminal illness insured benefit (which requires that you have between 0-12 months to live). In this situation, to maintain your insured benefit you will need to leave sufficient funds in your account to continue to meet the insurance costs for death cover. Your insurance cover will cease if you withdraw your full account balance. 4

5 Total and Permanent Disablement (TPD) cover If you are sick or injured to the extent that you are not expected to ever work again, Total and Permanent Disablement (TPD) cover provides you or your dependants with a lump sum or, if chosen, a pension. Our TPD benefit aims to help protect you against the financial costs associated with a serious permanent disability. Definition of Total and Permanent Disablement TPD means disablement where the insurer is satisfied on medical or other evidence that you: Part 1 Part 2 Part 3 i) have been absent from employment for three (3) consecutive months because of sickness or injury; and ii) are so disabled at the start of those three (3) months and continuously since that time, that you are unlikely to ever engage in any reasonably suitable occupation. In determining whether an occupation is reasonably suitable for you, the insurer considers the skills you have acquired through education, training and experience. OR suffered the total and permanent loss of the use of: i) two hands*; or ii) two feet*; or iii) one hand* and one foot*; or iv) the sight in both eyes; or v) one hand* and the sight in one eye; or vi) one foot* and the sight in one eye. * Where hand means the whole hand below the wrist and foot means the whole foot below the ankle. OR as a result of sickness or injury, are permanently incapable of performing at least two (2) of the five (5) specified activities of daily living even with the use of a prosthetic device, mechanical aid or other machine or equipment without the hands on help of another person. The activities of daily living are: i) Dressing The ability to put on and take off clothing without assistance from another person; ii) Toileting The ability to use the toilet, including getting on and off without assistance from another person; iii) Mobility The ability to get in and out of bed and a chair without the assistance from another person; iv) Continence The ability to control bowel and bladder function; v) Feeding The ability to get food from a plate into the mouth without assistance from another person. For insured members who are non-working spouses and insured members who, at the incident date have not been At Work for the three (3) months immediately prior to the Incident Date, TPD will be assessed against TPD definition parts 2 and 3. All other insured members will be assessed against TPD definition parts 1, 2 and 3. You are not TPD under any of the definition parts 1, 2 or 3 if your sickness or injury could be expected, on reasonable grounds, to be reversed by surgery or other treatment so you would not then be TPD. For the purposes of the TPD cover, the incident date means, for Part 1, the first day of the three month period referred to in that Part and otherwise, the date on which the member satisfies the definition in Part 2 or 3, as applicable. In the case of Part 2 or Part 3 where the incident date is on or after 1 July 2014, the Insurer must also be reasonably satisfied that your ill-health (whether physical or mental) makes it unlikely that you will engage in gainful employment for which you are reasonably qualified by education, training or experience. Death and TPD are linked benefits Death and TPD are linked benefits meaning that payment of a TPD benefit reduces your Death cover (including Terminal Illness) by the same amount and payment of the Terminal Illness benefit reduces your Death and TPD cover by the same amount. For example, if your Death and TPD cover are for equal amounts, and you are paid a TPD benefit, your Death and TPD cover will cease. However, if your Death cover is higher than your TPD cover, and you are paid a TPD benefit, you will continue to be insured for the balance of your Death cover. TPD cover You can apply for up to 5 million of TPD cover (1 million if you are age 65 or over). Each TPD unit provides 10,000 of TPD cover, with the value of the TPD units reducing from age 60 to be nil at age 70. The cost of TPD cover (see Table 2 on page 15) is based on your age, gender and occupation category (see Table 6 on page 19). REST Select Insurance Guide 5

6 Income Protection (IP) cover Income Protection (IP) cover provides an income in times of prolonged absence from work due to sickness or injury. Each IP unit is worth 1,000 per month. You can apply for cover up to 87% of your Income subject to a maximum of 30,000 per month. In the event of claim, the benefit payable to you will be the lesser of your amount insured, 87% of your Pre-Disablity Income (includes a 75% income benefit and a 12% superannuation component), and 30,000 per month. Here is an example of the claim calculation where cover is based on Pre-Disability Income: Pre-Disability Income per month 5,000 Total Benefit (87%) 5,000 x 87% = 4,350 Monthly Income Payment (75%) Monthly Super component (12%) 3, (paid to you before tax is deducted) (paid to your REST account) The above example, assumes the member has applied for cover of at least 5 units being 5,000 per month. The superannuation component will be paid into your REST Select account. If you close this account, the superannuation component of any IP benefit payable to you will cease. The cost of IP cover is based on the number of units of cover, your age, gender and occupation category (see Table 6 on page 19). You are eligible to receive an IP benefit if you are totally or partially disabled continuously for more than the waiting period. Benefits for Partial Disability are proportionately less than benefits for Total Disability (see definitions right). The benefit starts accruing after your waiting period has ended (30, 60 or 90 days depending on which option you chose) and continues while you are totally or partially disabled up to the end of the benefit period (up to 2 years, up to 5 years, or up to age 65, depending on what option you chose). IP benefits cease on the earliest of the end of the benefit period, the date you turn age 65, on your death or when you are no longer totally or partially disabled. The benefit is paid monthly in arrears from the end of the waiting period. For example, if you have chosen a waiting period of 60 days, benefits will start to accrue from the 61st day and the first monthly benefit will be paid to you a month later. The benefit is limited so that it, and any other income payments you receive or are entitled to receive as a result of the disability, are no more than 75% of your Pre-Disability Income from personal exertion. Other income payments may reduce the amount of any IP benefit payable. These other payments could include amounts you may receive while disabled such as sick leave, workers compensation, motor accident compensation, social security or other income benefits, including any income component of a lump sum entitlement. Other income payments also include income earned and income that you are capable of earning as a result of personal exertion. Definitions used for Income Protection Total Disability Total Disability means that due to sickness or injury the insured member: a. is unable to perform one or more Important Duties* of his or her own occupation b. remains under the regular care, attendance and following the advice of a registered medical practitioner in relation to that sickness or injury, and c. is not engaged in any occupation (whether or not for reward). Partial Disability If an insured member is partially disabled beyond the end of the waiting period, and the insured member has been totally disabled for at least 7 out of 12 consecutive days during the waiting period, a Partial Disability benefit will be payable. This benefit will be a proportion of the full monthly benefit. Partially disabled means that due to the sickness or injury that caused Total Disability the insured member: a. is unable to perform one or more Important Duties* of his or her own occupation b. is capable of working (whether or not for reward) c. is earning a monthly income which is less than his or her Pre-Disability Income, and d. remains under the regular care, attendance and following the advice of a registered medical practitioner in relation to that sickness or injury. Income that may be insured Income means: a. Where the insured member is either self-employed, a working director or partner in a partnership, the income generated by the business or practice due to his or her personal exertion or activities, less his or her share of necessarily incurred business expenses and investment income; or b. Where the insured member is other than that described in a) above, then the income is the total value of remuneration from personal exertion including salary, wages, fees, regular commission, regular bonuses, regular overtime, regular allowances and fringe benefits; or c. Where the insured member meets both paragraphs a) and b) above, the aggregate of both paragraphs. Income excludes investment income, business expenses and mandated superannuation contributions. Pre-Disability Income Pre-Disability Income means the average gross monthly Income earned by the insured member over the twelve (12) months (or if the insured member has been employed for less than twelve (12) months, over the insured member s period of employment) immediately before becoming totally disabled. * An Important Duty is one that involves 20% or more of the insured member s overall occupational tasks. 6

7 Conditions of insurance cover Paying the insurance costs The cost of cover (as shown in the tables on pages 14-18) is based on the number of units of cover, your age, gender and occupation category. Costs are deducted from your REST Select account at the end of each month. If your account balance is insufficient to cover your insurance costs, your cover will end without notice. It is your responsibility to ensure your account always has enough to pay the required insurance costs. If your cover ceases, you will need to provide evidence of your health that is satisfactory to the insurer before you can take up insurance in the future. When cover starts Cover starts when REST confirms to you in writing that the insurer has accepted your application for insurance. You must also have sufficient funds in your REST Select account for insurance cost deductions to be made. When cover ceases Insurance cover ceases on the earliest of: the last Friday of the month in which your account balance is insufficient to meet that month s insurance costs in full the date REST receives a written or telephone request from you for cover to end the date you cease to be a member of REST the date a TPD benefit becomes payable (except where your Death cover is higher than your TPD cover, in which case you will remain insured for the balance of your Death cover until the earlier of any other cessation condition) the date a Terminal Illness Benefit becomes payable (except where your TPD cover is higher than your Death cover, in which case you will remain insured for the balance of your TPD cover until the earlier of any other cessation condition) the date you: turn age 70 for Death and/or TPD cover turn age 65 for IP cover the date you die. Transferring insurance cover from another fund Death and/or TPD insurance cover you hold with your previous super fund may be transferred to your REST Select account (subject to limits and approval). You can download an Insurance transfer form from rest.com.au It is important that you maintain any current insurance until you have been advised by REST in writing that your application for insurance cover has been accepted. Cover while on leave without pay (including parental leave) Your insurance cover will continue on the same terms and conditions if you go on employer approved leave without pay or parental leave, provided you are not still on leave without pay beyond the earliest of: a) your agreed and scheduled return to work date, and b) two years. Note that IP benefits will not start accruing until the end of your waiting period or the day you are due to go back to work (whichever is the later). If you do not return to work within these periods, your coverage will change as follows: 1. You will still have Death and/or TPD cover, but you will only be eligible to be assessed under TPD definition parts 2 and Your IP cover will cease. Worldwide cover Subject to the terms and conditions outlined in this guide, in particular the Cover while on leave and Exclusions sections on this page, you are covered 24 hours a day, 7 days a week and may travel or work in any part of the world without restriction to your insurance cover. However, the insurer reserves the right to ask you to return to Australia for the purpose of their assessment of any Terminal Illness, TPD or IP claim for you. Exclusions Exclusions are conditions under which a benefit will not be paid due to certain circumstances. The insurer may impose special conditions or exclusions in relation to a particular member but there are also general exclusions, the main ones of which are summarised below. No Death, Terminal Illness, TPD or IP benefit is payable for a benefit arising directly from active service in the armed forces of any country or international organisation, other than the Australian Defence Forces Reserve. There are some further exclusions on your cover: cover for a Death benefit is not provided in respect to Death by suicide within 13 months of the date cover commenced, recommenced, was reinstated or increased. cover for a TPD benefit is not provided in respect to Total and Permanent Disablement, which was caused by intentional self-inflicted injury, whether or not sane at the time. Cover for IP benefits is not provided for: disability due to intentional, self-inflicted injury (whether illegal or not) or any such attempt by the insured member, whether or not sane at the time. normal pregnancy and childbirth. Accidental cover While your application is being assessed by the insurer, you will be provided with interim Accidental Death cover and interim Accidental TPD cover at the level of cover being sought (to a maximum of 1,000,000) and interim Accidental IP cover at the level of cover being sought (to a maximum of 10,000 per month). Interim Accidental cover for Death, TPD and/or IP will continue until the application for insurance is either accepted or declined or 90 days from the date we receive your application for insurance, whichever is earlier. In addition, interim Accidental IP cover will cease on the earlier of the date the IP cover application is withdrawn by you, or the date upon which an Accidental IP benefit becomes payable. Cooling off period for insurance If the insurer accepts your application for cover, we will write to you to confirm the type, level and cost of cover and any special acceptance terms. You will have 14 days from the date of our confirmation letter to cancel your application and have your previous level of cover (if any) reinstated. Any difference in insurance costs between the old and the new cover will be adjusted. REST Select Insurance Guide 7

8 Any request for reduction in your cover received after 14 days from the date of our confirmation letter will be effective from the date REST receives your advice. Any previous types or levels of cover will not be reinstated and no retrospective adjustment to your insurance costs will apply. AIA Australia Privacy Statement Your privacy is important to AIA Australia Limited ( AIA Australia ). The privacy policy of AIA Australia sets out how your personal information is managed by them, and is available at aia.com.au/en/privacy-statement REST Privacy Statement Your privacy is also important to REST. Our privacy policy sets out how your personal information is managed by us, and is available at rest.com.au Terms and conditions of your insurance cover A member s eligibility for insurance cover and the terms and conditions that apply to cover are set out in REST s contract with its insurer. Where REST and/or its insurer accepts insurance costs for a type or level of cover for which a member is ineligible, the relevant insurance costs will be refunded but no insurance cover will apply for any period. The insurance information in this guide relates to the insurance contract that commenced with effect from 1 July Provisions relating to insurance prior to this date may differ. Members who joined the Fund prior to 1 July 2014 must satisfy any relevant conditions applying from time to time to the member s insurance to be eligible for insurance cover or other benefits outlined in this guide. This document does not contain full details of the contract between REST and its insurer and only offers a general guide to the insurance offered by REST. The insurance is provided under a contract between the Trustee and AIA Australia Limited ABN , AFSL Number (trading as AIA Australia). If there is any conflict between this document and the insurance contract with AIA Australia, the insurance contract will prevail. Insurance costs, benefit levels and conditions of cover are not guaranteed and may vary from time to time without notice. When REST confirms your insurance, please check the amount and type of insurance cover we have recorded for you. If you believe it is less than you expected, you must contact us immediately or the cover recorded will be the cover assessed should you make a claim. This material is current as at 1 October 2015 but may be subject to change. This material has been prepared without taking into account your objectives, financial situation or needs. Before making a decision based on this material, you should consider the appropriateness of the advice having regards to your objectives, financial situation and needs. You should read the Product Disclosure Statement for REST Select available at rest.com.au/selectpds before making any decision about whether to acquire or to continue to invest in the product. When you become a member of REST Select you join the Retail Employees Superannuation Trust. REST Select is issued by the Trustee, Retail Employees Superannuation Pty Limited. All services are provided in REST s capacity as Trustee. The Trustee has no relationships or associations with any other product issuer that might reasonably be expected to influence us in the provision of the advice. Any advice is provided by REST s employees who are paid a salary and may receive a performance related bonus. No commissions or fees are paid for the financial product advice provided, either to representatives or to third parties. Registered office Level 7 50 Carrington Street Sydney NSW 2000 Further information If you need more information contact us at REST Customer Service PO Box 350 PARRAMATTA NSW 2124 Phone: Web: rest.com.au Concerns and complaints REST is committed to providing the highest standard of client service and maintaining our reputation for honesty and integrity. If our service or product quality fails to meet your expectations please tell us about your concerns. REST s complaint management process aims to ensure your concerns are treated seriously and addressed promptly and fairly. Have concerns? We re here to help If you have a concern, please contact us to see if we can solve your problem immediately. If you are not happy with our initial response, then you can make a formal complaint. How do I make a complaint? You can make a formal complaint to REST by , letter or phone, noting that you wish to lodge a complaint. To lodge your complaint by contact@rest.com.au with the subject line: Complaint To lodge your complaint by letter: Please address your concerns to: The Trustee Services Officer REST Industry Super PO Box 350 Parramatta NSW 2124 Please write Complaint on the envelope and the letter. To lodge your complaint by phone: Call us on between 8am and 8pm each weekday. How long will we take to respond to your complaint? REST is required to consider your complaint or dispute within 90 days of receiving it. We will acknowledge your complaint in this time, however, in some circumstances it may not be possible to completely resolve it within this period. 8

9 If the Trustee has not made a decision within 90 days of receipt of your complaint you may write and request written reasons for REST s failure to make a decision within that period. Written reasons for not making a decision within 90 days of your inquiry or complaint must be given within 28 days of receipt of your request. In the case of a decision as to payment of death benefits the Trustee must give the member written reasons for our decision. In the case of a decision on other complaints the member may request written reasons. The Trustee must give the member the reasons within 28 days of receipt of the member s request. If we fail to respond to you within 90 days, or you are not satisfied with the outcome, you may be able to seek an independent ruling from the Superannuation Complaints Tribunal. Who is the Superannuation Complaints Tribunal? The Superannuation Complaints Tribunal (SCT) is an independent body set up by the Federal Government to settle certain disputes between members and their super funds. The SCT can only become involved after the Trustee s efforts at reaching agreement have failed (you must first use REST s dispute procedures). While sincere attempts will be made to help resolve differences between members and funds, in some instances the SCT may need to make a binding ruling. The SCT does not charge members for its service and can be contacted at: Locked Bag 3060 Melbourne VIC 3001 Phone: info@sct.gov.au Web: sct.gov.au Applying for Cover how much do I need? To help you determine how much cover you need, the next section Calculate your insurance cover can provide some guidance. Seeking financial advice If you are unsure about your insurance needs you should seek professional financial advice. REST can put you in touch with a Money Solutions* coach. As a REST member, subject to superannuation law, REST will pay for your first single super-related question over the phone. * Money Solutions Pty Limited ABN , AFSL No Money Solutions personnel are not representatives of the Trustee. Any financial product advice given by Money Solutions is provided under the Money Solutions AFSL. The Trustee does not accept liability for any loss or damage incurred by any person as a result of using products or services provided by Money Solutions. REST Select Insurance Guide 9

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11 Calculate your insurance cover Having insurance cover is certainly a step in the right direction, but it s just as important to have the right insurance for your needs. Having enough helps protect your future, but too much insurance could mean you re paying costs for insurance you don t really need. The tables below illustrate how much insurance cover a member might consider getting. This illustration is based on the number of years a member has until retirement and is calculated by multiplying a member s current gross annual income by a rule of thumb factor, which is a suggested multiple of gross annual income based on our actuarial advice and our previous experience with insurance. Availability of insurance cover is subject to acceptance and approval of a completed application. The following calculations do not constitute an offer of insurance. Step 1 Calculate how much Death and TPD cover you may need x = Your current gross Rule of thumb factor Cover you may need annual income (from table on the right) When it comes to considering your current income, it s a good idea to consider what you have to spend it on, like outstanding debts, future financial expenses and a little extra for the unexpected. Rule of thumb factor Years to retirement Rule of thumb factor Step 2 Working out the cost Death cover (if required) A Your age Your sex Your occupation category (see page 19 for more details) B Cover you may need (from Step 1) ( 10,000) = Number of units C x = Cost of each unit of Death Number of units (from above) Cost of Death cover (from table on page 14) per week Step 3 Working out the cost TPD cover (if required) A Your age Your sex Your occupation category (see page 19 for more details) B Cover you may need (from Step 1) ( 10,000)* = Number of units C x = Cost of each unit of TPD Number of units (from above) Cost of TPD cover (from table on page 15) per week * If you are aged 60 or over, divide by the unit value shown on page 15 REST Select Insurance Guide 11

12 Step 4 Working out the cost IP cover (if required). This worksheet will help you work out how many units of IP cover you need for a benefit of up to 87% of your current income and the cost. A Your age Your sex Your Waiting Period Your Benefit Period B Your occupation category (please refer to Table 6 on page 19) Your occupation factor (please refer to Table 7 on page 19) C x 0.87 = How much do you earn each month before tax Monthly benefit D 1000 = Monthly Benefit Number of units (round up to nearest whole number) E x x = Number of units Cost of each unit Your occupation factor Cost of IP cover (from section D above) (refer to tables 3, 4 or 5, (as found in section per week depending on which B above) Benefit Period you have chosen in section A above) The Death, TPD and IP insurance calculations are for your illustrative purpose and for information only. They do not take into account any of your personal objectives, financial situation or needs. Before acting on this information you should consider your personal objectives, financial situation and needs and consider seeing a licensed financial adviser who may be able to assist you. 12

13 Applying for cover Evidence of health When you apply for insurance, you will be required to provide evidence of health satisfactory to the insurer (see the Application for insurance form accompanying this guide). Your completed form will be subsequently assessed by the insurer, who will either accept your cover on standard terms, accept your cover on special terms (ie. with exclusion/s) or decline your request for cover. Members applying for cover as per the tables on the next page will be required to provide additional evidence of health as outlined. After receiving medical or other information from you, the insurer may decide to not provide you with cover. You may not be covered, or your cover may be declined, if you do not provide all the medical or other information requested by the insurer, or if the information you provide is not a full, complete and honest disclosure that meets your obligations under the law. Underwriting requirements Death and TPD cover for applicants under age 45 Sum insured Standard underwriting requirements maximum # Up to 2,500,000 2,500,001 5,000,000 Above 5,000,000 Application for insurance Application for insurance, Blood test and Short Medical Examination Application for insurance, Blood test, Medical Examination, Stress Echocardiogram, PMAR, FBC Death and TPD cover for applicants aged 45 and over Sum insured Standard underwriting requirements maximum # Up to 1,250,000 1,250,001 1,500,000 1,500,001 5,000,000 Above 5,000,000 Application for insurance Application for insurance and Blood test Application for insurance, Blood test and Short Medical Examination Application for insurance, Blood test, Medical Examination, Stress Echocardiogram, PMAR, FBC, PSA (males over 50), Mammogram (females over 50) # Sum insured maximum is any amount for Death Cover and 5 million for TPD cover (1 million for TPD if aged 65 to 69). Income protection Sum insured maximum # Up to 10,000 per month 10,001 12,500 per month 12,501 20,000 per month 20,001 30,000 per month Standard underwriting requirements Application for insurance Application for insurance and Blood test Application for insurance, Blood test and PMAR Application for insurance, Blood test, PMAR and Short Medical Examination # Sum insured maximum is 30,000 per month Explanation of standard underwriting requirements * A Blood test will include HIV, Hepatitis B and C serology and Multiple Biochemical Analysis 20 * FBC means Full Blood Count * PMAR means Personal Medical Attendant s Report and is requested directly by the insurer from your doctor * PSA means Prostate Specific Antigen * Short Medical Examination consists only of a blood pressure test, height/weight details and a urine specimen REST Select Insurance Guide 13

14 Table 1 Death cover and costs Weekly cost per unit Age last birthday Amount per unit Cost per Unit per week () by gender and occupation category (see Table 6 on page 19) Male Female Death cover Prof White collar Light manual Blue collar Heavy manual Prof White collar Light manual Blue collar Heavy manual to age 15 10, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

15 Table 2 TPD cover and costs Weekly cost per unit Age last birthday Amount per unit Cost per Unit per week () by gender and occupation category (see Table 6 on page 19) Male Female TPD Prof White Light Blue Heavy Prof White Light Blue Heavy cover collar manual collar manual collar manual collar manual to age 15 10, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , REST Select Insurance Guide 15

16 Table 3 Income Protection cover and costs 2 year benefit period Income Protection (IP) You can apply for IP cover of up to 87% of your income, subject to a maximum of 30,000 per month. Each unit is a monthly benefit of up to 1,000. In the event of a claim, the benefit payable to you will be the lesser of your amount insured, 87% of your Pre-Disability Income and 30,000 per month. Tables 3, 4 and 5 of this Insurance Guide outline the weekly cost of IP cover per unit for benefit periods of 2 years, 5 years and to age 65 respectively. Weekly cost per unit 2 year benefit period These are White collar rates for other occupation classes, please multiply by the table of occupation factors provided in Table 7 on page 19 Age last birthday Amount per unit per month IP cover 30 Day Waiting Period 60 Day Waiting Period 90 Day Waiting Period Male Female Male Female Male Female , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,

17 Table 4 Income Protection cover and costs 5 year benefit period Weekly cost per unit 5 year benefit period These are White collar rates for other occupation classes, please multiply by the table of occupation factors provided in Table 7 on page 19 Age last birthday Amount per unit per month IP cover 30 Day Waiting Period 60 Day Waiting Period 90 Day Waiting Period Male Female Male Female Male Female , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , REST Select Insurance Guide 17

18 Table 5 Income Protection cover and costs to age 65 maximum benefit period Weekly cost per unit to age 65 maximum benefit period These are White collar rates for other occupation classes, please multiply by the table of occupation factors provided in Table 7 on page 19 Age last birthday Amount per unit per month IP cover 30 Day Waiting Period 60 Day Waiting Period 90 Day Waiting Period Male Female Male Female , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Male Female 18

19 Tables 6 and 7 Occupation categories and factors Table 6 Occupation Categories Occupation categories Professional (PROF) White Collar Light Manual Blue Collar Heavy Manual Professional occupations with no exposure to unusual hazards these occupations involve work in a sedentary* capacity in an office environment, in an office or retail building by members who: have an annual income from personal exertion that exceeds 80,000 a year, and belong to a professional association, have a university degree relevant to their profession or are a senior manager in a company with at least ten employees. Minimal injury/health risk these occupations are performed indoors, in an office or retail building in an office environment. Members only work in a sedentary* capacity with little or no physical activity and do not meet the criteria for the Professional category. Examples are administrative and clerical workers. Slight injury/health risk these occupations involve some light manual duties. Examples are most sales persons and occupations with some fieldwork. Moderate injury/health risk these occupations involve some manual work and the use of light machinery. Examples are qualified tradespeople. Appreciable injury/health risk these occupations can be unskilled, involve manual work or use of heavier equipment. Examples are night fillers, local drivers, non-qualified tradespeople and some occupations with a high level of risk. *Sedentary means not being involved in physical duties and spending 90% or more of time sitting at an office desk. Table 7 Occupation Factors Table of Occupation Factors to Apply to White Collar Rates Applicable to 2 Year Benefit Period and All Waiting Periods * Call REST Customer Service on for assistance Applicable to 5 Year and to Age 65 Benefit Periods and All Waiting Periods Occupation Class Male Female Male Female Professional 90% 90% 90% 90% White Collar 100% 100% 100% 100% Light Manual 130% 108% 130% 130% Blue Collar 180% 125% 180% 180% Heavy Manual 250% 175% 250% 250% Hazardous/Special Risk Individual Consideration* Individual Consideration* Some members may not be eligible for insurance cover due to risk factors, such as their condition of health or the high-risk nature of their occupation. The above classifications are guidelines only and the final determination is at the insurer s discretion. If you change occupations and believe your insurance costs will change as a result, it is your responsibility to notify REST. No retrospective refunds or adjustments will apply. REST Select Insurance Guide 19

20 Application for insurance REST Select Use this form to: apply for insurance cover increase your existing cover shorten your Income Protection (IP) Waiting Period or lengthen your Benefit Period. If you wish to reduce or cancel your insurance cover, opt out of automatic death and TPD indexation on existing cover, lengthen your IP Waiting Period or shorten your IP Benefit Period, please call REST Customer Service on Please write in BLOCK LETTERS and use a BLACK or BLUE pen. Print X to mark boxes where applicable. Please ensure you have completed all relevant sections and provided additional evidence (if required). Please note: If there is not enough room on this form, please provide information on a separate sheet of paper and attach it. You have a duty to disclose information in an honest and accurate manner. The information you provide in this application form will be used by the Insurer to determine the type and level of insurance cover offered to you. If you provide misleading or inaccurate information you may experience delays upon lodging a claim or be determined ineligible to claim benefits. In some cases your insurance cover may be avoided or cancelled. If you need clarification about any issue or the nature of the questions asked in this application form, please seek independent assistance before completing and submitting this application. Once you have completed and signed this form, please mail to: REST Select, PO Box 350, Parramatta NSW Section 1: Personal details Member number (if applicable) Date of birth (dd/mm/yyyy) Gender (M/F) Mr/Mrs/Ms/Miss/Dr Surname Given name(s) Unit number Street number Street name Suburb/Town State Postcode Mailing address (if different from above) Unit number Street number Street name Suburb/Town State Postcode Telephone (business hours) Mobile address Country of Birth Are you an Australian citizen or do you hold a visa that entitles you to reside permanently in Australia (as approved by the Department of Immigration and Citizenship)? If No, please advise what type of visa you hold. The Trustee company of Retail Employees Superannuation Trust ABN is Retail Employees Superannuation Pty Limited ABN , AFSL Registered Office: Level 7, 50 Carrington Street, Sydney NSW REST s current insurer is AIA Australia Limited ABN Australian Financial Services Licence Number: , trading as AIA Australia (Insurer). Office Use Issue date: 1 October 2015 Page 1 of 16