5. Your insurance options

Transcription

1 5. Your insurance options You work hard for your super savings, so it makes sense to protect it with insurance. At Child Care Super, we provide you with great value insurance cover at some of the best rates in the market. When you join Child Care Super, you ll automatically receive Death, Total and Permanent Disablement, and Income Protection insurance cover. Fast facts about Child Care Super insurance: On joining, members who are employed and aged between 15 and 70 receive Default Cover. Plus we ll give your Default Cover a boost before you turn 25. You can apply to increase or reduce your cover at any time. For a limited time after you join, you can apply for extra cover without supplying any medical evidence. You can also transfer any similar cover you have with any other provider to Child Care Super (some conditions apply). And you can apply to top-up your cover when your circumstances change with our Life Events feature. The information on pages 21 to 39 of this document forms part of the Product Disclosure Statement for Child Care Super issued on 1 July Cover provided by Child Care Super Insurance cover is an important part of your Child Care Super account. MetLife Insurance Limited ABN AFSL (the Insurer) provides insurance services to Child Care Super under the group life and income protection policies. There are two parts to your insurance cover Default Cover and Additional Cover. Default Cover is provided on joining as soon as a contribution or rollover is made into your account. You can increase your cover at any time by applying for Additional Cover. Default Cover On joining Child Care Super as an employed member, you will be eligible to automatically receive Default Cover if you are aged between 15 and 70. The type and amount of cover and the number of units you receive will depend on your age and occupation. Your Default Cover is based on your age next birthday (on the last 1 July to have passed prior to you joining Child Care Super). Some new members will not be eligible for Default Cover (see page 22). And an automatic boost We know that your commitments and responsibilities change as you go through different stages in your life mortgage, marriage and kids to name a few. But not many of us remember to change our insurance to match. At Child Care Super, we do this for you by automatically giving your default cover a boost with an extra unit of Death and TPD cover and an extra two units of IP cover, effective 1 July if you are aged 24 as at that date. It s our way of helping to make sure your insurance cover keeps up with your changing responsibilities and commitments. There are costs associated with insurance cover and these costs will form part of the fees we charge you. The cost of insurance includes the administration costs incurred in providing insurance and the insurance premium. Insurance cover is paid for out of your super account. You may reduce or cancel your Default Cover at any time by completing an Insurance Alteration Form available from Member Services or on our website. Additional Cover Purchasing additional insurance cover through Child Care Super may be a cost-effective way to protect you and your family. You can apply for the following types of cover which will be subject to the provision of medical information: Additional Death Only cover, or Additional Death and TPD cover, and/or Additional Income Protection cover (2 year benefi t period), or Long-Term Income Protection cover (to age 65 benefi t period). Insurance Transfer Facility Our Insurance Transfer Facility lets you transfer similar insurance cover from any other provider to Child Care Super without undergoing any medicals, (some conditions and exclusions to the type of insurance you are able to transfer apply). This will help when consolidating your super to make sure you don t lose any insurance cover. The maximum cover available via this feature (including any cover you already have with Child Care Super) is $1 million of Death and TPD and $10,000 benefi t per month of Income Protection cover. 21

2 5. Your insurance options continued What are you covered for? Child Care Super s insurance cover provides a payment(s) in the following circumstances: If you: Description of when an insured benefit is payable You or your beneficiary(ies) receive: Die Are totally and permanently disabled Are totally and temporarily disabled Are terminally ill Death cover is paid on your death, provided you have this cover when you die. Generally, TPD cover is paid if you are unable to work and are not expected to be able to ever return to work again due to sickness or injury. Different defi nitions of TPD apply depending on your age and how many hours a week you work. See page 30 for the defi nitions. Income Protection payments are paid if you are temporarily unable to work due to sickness or injury, but are expected to recover and return to work at some time in the future. See page 32 for a more detailed defi nition. A Terminal Illness payment may be paid if you are diagnosed by a medical practitioner and a specialist in the condition suffered and not expected to survive for more than 12 months. A lump sum payment is paid to your benefi ciaries. This is on top of your super account balance. The amount paid will vary depending on the number of units of Death cover you hold and your age, gender and occupation. A lump sum will be paid to you subject to conditions of release. This payment will be in addition to the balance of your super account and subject to the preservation rules. Monthly payments will be paid directly to your bank account. A lump sum payment will be paid to you. This may be up to 100% of your Death benefi t, less any TPD or interim accident benefi t already paid. Benefi ts are only payable when the relevant insurance cover is held and the claim requirements are met. Unitised or fixed cover Unitised cover is the amount of cover you receive for a fi xed cost. The amount of cover per unit generally decreases as you get older but the amount you pay stays the same. In the case of Fixed cover, the amount of cover nominated stays the same as you get older, but the amount you pay increases each year. For your Death and TPD insurance, you can choose between unitised cover and fi xed cover (not a combination of both). The insurance cover for each type of insurance shown in the following pages (including the Default Cover) is called Unitised cover. Paying for your insurance The Trustee deducts the cost of your insurance cover from your superannuation account so you don t have to worry about monthly payments. If your account does not have suffi cient funds to cover the next month s premiums, your cover will lapse. There are costs associated with insurance cover and these costs will form part of the fees we charge you. The cost of insurance includes the fees paid to the insurance provider and the administrator s costs incurred in insurance administration. The cover and costs stated in this document are indicative only. Who receives your money if you die with a Child Care Super account? Generally, your benefi ciaries receive your account balance plus any insurance cover if you die. There are some rules about who can be your benefi ciary see page 44 for more details. Default Cover Who receives Default Cover? On joining Child Care Super as an employed member, you will automatically receive Default Cover if: you are aged between 15 and 70 you have had a contribution or rollover paid into your account you have suffi cient money in your account to pay for your insurance cover you have not received a TPD benefi t through a superannuation fund or insurance policy at any time previously, and you are not currently claiming or are eligible to claim a TPD benefi t. Please see When will my Default Cover begin? opposite for more details. Default Cover is provided without the need to supply any medical evidence. 22

3 The type and amount of Default Cover you receive will depend on your age. A summary of the type and cost for Default Cover is shown in the following table: Age next birthday (at last 1 July) Cover type Total cost per week units of Death and TPD, PLUS 2 units of Income Protection $2 $ units of Death and TPD, PLUS 4 units of Income Protection $3 $ units of Death and TPD $3 Over 70 No insurance cover N/A Can I apply for extra insurance cover without providing any medical information? Yes. If you are eligible, you may apply for up to four extra units of each kind of default cover on top of the Default Cover already provided to you without providing any medical evidence. To take advantage of this offer let us know by completing Section 3 of the Member Application within six months of joining Child Care Super and sending the form to us. How much cover is provided by Default Cover? Your Default Cover is based on: your age next birthday (at last 1 July), and your occupation. To see how much cover you are entitled to, refer to the table on page 24 for Death and TPD cover and page 32 for Income Protection cover. If, on the date you join Child Care Super, we are not notifi ed of your occupation, you will be placed in the Standard occupation classifi cation. Your occupation classifi cation is important in determining how much cover you have. See page 38 for further information. You can update your current occupation information by completing the Occupational Classifi cation Form available from Member Services or on our website. When will my Default Cover begin? Your Default Cover starts when either a contribution or a rollover is received into your account to pay for your insurance. If you are not in Active Employment on the day your cover commences, you will receive cover for New Events only (that is, in relation to an illness that fi rst becomes apparent, or an injury that fi rst occurs, on or after the date your cover commences) until you, as a member, are in Active Employment for 30 days, after which Full Cover will apply. This is provided you meet the other criteria (e.g. you have suffi cient funds in your account to pay premiums). You are considered to be in Active Employment if you are employed by an employer and in our opinion are capable of performing your identifi able duties without restriction by any illness or injury for at least 35 hours per week (whether or not you are actually working those hours). We will notify you in writing of the commencement date of your Default Cover. You should not cancel any existing insurance arrangements until you have received notifi cation that your Default Cover has started. We recommend you seek fi nancial advice before you cancel any existing insurance arrangements as you may subsequently fi nd it diffi cult to replace this cover without providing satisfactory health evidence. Can I cancel my Default Cover? Yes. You can cancel your Default Cover at any time by completing and returning the Insurance Alteration Form available online at childcaresuper.com.au or from Member Services. If you notify us in writing that you do not want Default Cover within 60 days of your Default Cover commencing we will cancel the cover and refund the costs. 23

4 5. Your insurance options continued Default Death and TPD cover The table below shows the Default Death and TPD cover provided (at a cost of $1 per unit per week). For example, Default Death and TPD cover for a white collar member whose age next birthday is 30, will be $528,906 at a cost of $3 per week. The Trustee will deduct the cost of your Default Cover from your superannuation account monthly in arrears. The amount of cover per unit you ll receive will differ depending on your age and occupational classifi cation (see page 38 for more information about occupational classifi cations). Table 1: Default Death and TPD cover for $1 per unit per week Age next birthday Default Death and TPD cover No. of units (at last 1 July) Professional White Collar Standard , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,978 99, , ,268 91, , ,000 90, , ,000 90, ,684 97,482 69, ,825 87,402 62, ,981 79,884 57, ,446 75,180 53, ,446 75,180 53, ,055 60,396 43, ,124 55,356 39, ,886 50,904 36, ,747 46,536 33, ,093 43,428 31, ,644 39,648 28, ,198 35,868 25, ,752 32,088 22, ,044 28,938 20, ,339 25,788 18, ,700 15,900 12, ,700 15,900 12, ,700 15,900 12, ,700 15,900 12, ,700 15,900 12,000 24

5 Additional Death and TPD cover The table below shows the amount of cover for one unit of Death and TPD cover. You will be charged $1 per week for each additional unit of cover. The cost of your insurance will be deducted from your superannuation account monthly in arrears. The amount of cover per unit you ll receive will differ depending on your age and occupational classifi cation (see page 38 for more information about occupational classifi cations). Table 2: Additional Death & TPD cover for $1 per unit per week Age next birthday Additional Death and TPD cover per unit (at last 1 July) Professional White Collar Standard , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,000 90, , ,320 83, , ,408 71, ,000 95,200 68, ,353 93,800 67, ,529 93,100 66, ,706 92,400 66, ,647 72,800 52, ,000 71,400 51, ,353 70,000 50, ,706 68,600 49, ,059 67,200 48, ,466 48,846 34, ,501 46,326 33, ,301 42,756 30, ,412 42,000 30, ,412 42,000 30, ,228 32,494 23, ,275 29,134 20, ,327 26,628 19, ,482 25,060 17, ,482 25,060 17, ,685 20,132 14, ,708 18,452 13, ,962 16,968 12, ,249 15,512 11, ,031 14,476 10, ,548 13,216 9, ,066 11,956 8, ,584 10,696 7, ,348 9,646 6, ,113 8,596 6, ,900 5,300 4, ,900 5,300 4, ,900 5,300 4, ,900 5,300 4, ,900 5,300 4,000 25

6 5. Your insurance options continued Additional Death Only cover The table below shows the cover for one unit of Death Only cover. You will be charged $1 per week for each additional unit of cover. The cost of your insurance will be deducted from your superannuation account monthly in arrears. The amount of cover per unit you ll receive will differ depending on your age and occupational classifi cation (see page 38 for more information about occupational classifi cations). Table 3: Death Only cover for $1 per unit per week Age next birthday Death Only cover per unit (at last 1 July) Professional White Collar Standard , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,780 99, , ,170 91, , ,080 83, , ,380 80, ,930 97,140 76, ,550 93,200 73, ,830 88,050 69, ,780 83,500 66, ,700 77,130 60, ,460 70,620 55, ,400 65,160 51, ,990 58,490 46, ,260 52,430 41, ,210 47,890 37, ,320 43,490 34, ,120 39,700 31, ,070 36,070 28, ,710 33,040 26, ,840 30,460 24, ,150 28,040 22, ,790 25,910 20, ,440 23,790 18, ,910 21,520 17, ,380 19,250 15, ,030 17,120 13, ,010 15,310 12, ,490 13,940 11, ,310 12,880 10, ,130 11,820 9, ,120 10,910 8, ,110 10,000 7,900 26

7 Additional Death Only or Death and TPD insurance cover You may apply to increase your cover by purchasing additional units of Death Only or Death and TPD cover up to a maximum of $5 million for Death cover and $3 million for TPD cover at any time. If you currently have Death Only or Death and TPD cover you can apply for (subject to underwriting): Additional Death Only cover (see the table on page 26). You will be charged $1 per week for each additional unit of cover purchased, or Additional Death and TPD cover (see the table on page 25). You will be charged $1 per week for each additional unit of cover purchased. Note: If you apply for Additional Cover, your Default Cover will continue. Additional Death Only or Death and TPD benefi ts are payable in the same circumstances as Default Death and TPD benefi ts (that is, the benefi ts are payable if permitted by the insurance policy, the relevant law and the Trust Deed). For information about the defi nition of TPD see page 30. Who is eligible for Additional Cover? If you currently have cover, Additional Cover of the same type is available up to age 70 for Death Only cover and Death and TPD cover. Please note that different defi nitions of TPD apply under the insurance policy depending on how many hours you work in a week. When will Additional Death Only or Death and TPD cover begin? Additional Cover does not start until your application is assessed and approved by the Insurer. Depending on your medical history, occupation, employment status or hazardous pursuits, your Additional Cover may be accepted, rejected, deferred or have special conditions and rates applied. This may mean that you will have to supply further information and/or undertake some medical tests. Provided the balance in your superannuation account can cover the cost of your cover, your Additional Cover starts on the later of: in the case where cover is accepted by the Insurer at standard premium rates, the date that the Insurer accepts your application, and in the case where cover is accepted by the Insurer at other than standard premium rates or on modifi ed terms and conditions, the date when the Insurer issues confi rmation of your written acceptance of the terms proposed. Child Care Super will notify you in writing of the outcome of your application. Additional information requirements Regardless of the amount of Additional Cover you apply for, you need to complete the Application for Insurance (included at the back of this booklet). To learn more about the medical information required please visit childcaresuper.com.au or call Member Services. The Insurer will cover the costs of any tests. Am I covered while my application is being processed? If you apply for Additional Death Only cover, or Additional Death and TPD cover you will be provided with Death and TPD (if applicable) by Accident Cover (at no cost) from the date the Insurer receives your fully completed Application for Insurance Form. The Death and TPD by Accident Cover is the lesser of the amount of cover you are applying for or $1.5 million. This cover will cease on the earlier of 90 days from the date your Application for Insurance Form is received by the Insurer, or when your application is rejected or accepted. Death and/or TPD by Accident means death and/or total and permanent disablement results due to an injury where the death or disablement occurs within 365 days of the injury occurring. No Death and/or TPD by Accident benefi t is payable if death or total and permanent disablement is directly or indirectly caused by any intentional self-infl icted injury or any attempt to commit suicide, whether or not you were sane at the time and where the injury is directly or indirectly caused by war outside Australia. 27

8 5. Your insurance options continued How to calculate your cover Death and TPD cover Below is an example and worksheet to help you calculate your insurance cover costs: Example Your details Age next birthday 36 Occupation classification (see page 38) Death & TPD cover per unit for your age (see page 25) White collar $100,408 Total cover required $500,000 Required cover / cover per unit $500,000 / $100,408 Total number of units required 5 Number of Default Cover units already held 3 Number of Additional Cover units required 2 Weekly cost of Default Cover 3 units x $1 = $3 Weekly cost of Additional Cover 2 units x $1 = $2 TOTAL COST Death Only cover $5 per week for $502,040 of Death & TPD cover Below is an example and worksheet to help you calculate your insurance cover costs: Example Your details Age next birthday 50 Occupation classification (see page 38) Death Only cover per unit for your age (see page 26) White collar $65,160 Total cover required $450,000 Required cover / cover per unit $450,000 / $65,160 Total number of units required 7 Number of Default Cover units already held 3 Number of Additional Cover required 4 Weekly cost of Default Cover 3 units x $1 = $3 Weekly cost of Additional Cover 4 units x $1 = $4 TOTAL COST How much does fixed cover cost? $7 per week for $456,120 of Death Only cover The amount of insurance cover you have does not generally change; however, your insurance premium will increase as you get older. Please note that for members aged 61 or more, tapering on the TPD insured amount applies. After you turn 61, your TPD benefi t will reduce on 1 July each year in accordance with the table below. Age next birthday (at last 1 July) Percentage of TPD cover held Age next birthday (at last 1 July) Percentage of TPD cover held % 66 50% 62 90% 67 40% 63 80% 68 30% 64 70% 69 20% 65 60% 70 10% All cover will cease on your 70th birthday. 28

9 Fixed cover The table below shows the annual insurance cost per $1,000 sum insured for a white collar worker. The cost of your cover will differ depending on your age, gender and occupational classifi cation (see page 38 for more information about occupational classifi cations). If you choose Fixed cover, the amount of cover you nominate stays the same as you get older; however the amount you pay will increase over time. Age next birthday Males Females (at last 1 July) Death TPD Death & TPD Death TPD Death & TPD

10 5. Your insurance options continued Life Events top-up Insured members can apply for one unit of Additional Death and TPD cover without the need to supply any medical evidence if one of the following Life Events occurs: Your marriage Your divorce Birth or adoption of your child Your child is turning 12 years of age Enrolment of your child in private education, or You take out a mortgage on your fi rst home. This is subject to a maximum of one increase in any 12 month period with a maximum of four increases over the lifetime of a member. To be eligible for a Life Event top-up, members must be under age 55, have not made a claim or be eligible to make a claim (with any insurer) at the time of applying for this top-up, provide relevant documentary proof of the event within 60 days of the event occurring and be in Active Employment. Should you not be in Active Employment on the day the Insurer receives your application to increase cover, New Events cover will apply to the amount of the increase in cover until you return to Active Employment for 30 consecutive days. Members must have cover on standard terms with no exclusions and have not been declined for cover previously. To apply for a Life Events top-up please complete the Insurance Alteration Form available from Member Services or at childcaresuper.com.au. The following exclusions apply: 13 month suicide exclusion from the date your extra cover is approved, and For TPD cover, a 13 month exclusion relating to self-infl icted injuries from the date your extra cover is approved. When are TPD benefits payable? TPD benefi ts are payable if you meet the defi nition of Total and Permanent Disablement in the insurance policy and the Trustee is also satisfi ed that payment is consistent with the requirements of the Trust Deed and relevant law. A summary of the defi nition of Total and Permanent Disablement contained in the insurance policy is shown opposite (you can request a copy of the insurance policy for more detailed information about the defi nition of Total and Permanent Disablement). Different defi nitions of TPD apply depending on your age and the number of hours you work prior to claiming. Assessment of a TPD claim is subject to you having been off work for a period of three consecutive months due to a sickness or injury. * If you can perform the activity by using special equipment, you will be considered able to undertake that activity. ** Domestic Duties mean duties normally performed by a person who remains at home who is not working in regular employment for income; these duties include cleaning the home, laundry, shopping for food, cooking meals, and, where applicable, looking after a Dependant. TPD definition You will be eligible for a Total and Permanent Disablement benefi t if: 1. You are under age 65 and have been employed in permanent occupation for at least 15 hours per week within the 6 months prior to your date of disablement, or have been on employer approved leave for less than 24 months, and: you have been absent from your occupation with your employer through Injury or Illness for 3 consecutive months; and you have provided proof to our satisfaction, that you are incapacitated to such an extent that you are unlikely ever to engage in work for reward in any occupation or work for which you are reasonably qualifi ed by education, training or experience. 2. You are aged 65 or older, or have not been employed in permanent employment for at least 15 hours per week within the last 6 months prior to the date of disablement, or you are not employed, or have been on employer approved leave for 24 months or more and: you have been absent from your occupation with your employer through Injury or Illness for 3 consecutive months, or you are suffering the permanent loss of use of 2 limbs or the sight of both eyes or the loss of use of one limb and the sight of one eye (where limb is defi ned as the whole hand or the whole foot); or you have provided satisfactory proof that, through Illness or Injury, you are permanently unable to perform two (2) of the following six (6) basic activities of everyday living*: - Bathing to shower or bathe; - Dressing to dress or undress; - Toileting to use the toilet including getting on and off; - Feeding to eat and drink; - Mobility to get out of a bed or a chair or a wheelchair; or - Continence to control bladder or bowel function; or you have provided proof to our satisfaction that, through Illness or Injury, you are suffering from the permanent deterioration or loss of intellectual capacity that has required you to be under continuous care and supervision by another adult person for 3 consecutive months and this care is likely to be on a permanent daily basis; and you have provided proof to our satisfaction that you are incapacitated to such an extent that you are unlikely ever to engage in or work for reward in any occupation or work for which you are reasonably qualifi ed by education, training or experience. 3. You are engaged in full time unpaid Domestic Duties in your own residence and: you are suffering the permanent loss of use of 2 limbs or the sight of both eyes or the loss of use of one limb and the sight of one eye (where limb is defi ned as the whole hand or the whole foot); or you, through Illness or Injury, are under the care of a medical practitioner and are unable to perform your normal domestic duties**, or leave your residence unaided or engage in or work for reward in any occupation or work for 3 consecutive months and you have provided proof to our satisfaction, that you are incapacitated to such an extent that you are unlikely ever to be able to perform your normal domestic duties or engage in work for reward in any occupation or work for which you are reasonably qualifi ed by education, training or experience. 30

11 Income Protection insurance cover Child Care Super offers the following Income Protection (IP) options: Insurance type Waiting period (days) Benefit period Method Default IP cover 90* 2 years Automatic Additional IP cover 30, 60, 90 2 years Application Long-Term IP cover 30, 60, 90 To age 65 Application * Default Cover for Income Protection has a 90 day waiting period with a 2 year benefi t period. Income Protection cover provides you with a monthly payment following a specifi ed waiting period (30, 60 or 90 days), for a period of up to two years or to age 65 depending on which option you choose. The benefi t is payable should sickness or injury leave you unable to work in your usual occupation (for more information see Payment of benefi ts on page 32). Default Income Protection provides eligible members with the following cover: Age next birthday Cover type Waiting period (days) Benefit period Total cost per week units of Income Protection 90 2 years $ units of Income Protection 90 2 years $2 Over 65 No cover The default waiting period is 90 days, however you can elect to reduce the waiting period to either 30 or 60 days by completing an Application for Insurance Form. All applications for Long-Term Income Protection to age 65 are also subject to full underwriting. Waiting period The waiting period is the number of consecutive days that you must be disabled before any payment is made. It begins from the date when you cease work and are fi rst examined and certifi ed as suffering a Disability, provided that this date is after your insurance cover starts. On application, you can choose between either a 30, 60 or 90 day waiting period. The longer the waiting period, the higher the monthly insured benefi t will be. The Trustee will deduct the cost of your Income Protection cover from your superannuation account monthly in arrears. If a further claim arises from the same or related cause of a previous claim within six months of the previous claim, no further waiting period will apply. However, the maximum benefi t period will be adjusted taking into account the elapsed period where previous claim payments, including any offsets, have been made. For any new claim or a claim from the same or a related cause of a previous claim (if your condition recurs six months or more after you have returned to work in an unrestricted capacity), a new waiting period and benefi t period will apply. Who is eligible? You can apply for Additional Income Protection cover up to age 65 next birthday (at last 1 July) provided you are eligible for Death and TPD cover with Child Care Super and are in Active Employment. To be eligible for Long-Term Income Protection cover you must be permanently and employed for 15 hours or more per week. When will Additional Income Protection cover begin? Where you have applied for Additional Income Protection, cover starts only when approved by the Insurer. Depending on your medical history, occupation, employment status or hazardous pursuits, your application for Income Protection insurance cover may be accepted, rejected, deferred or have special conditions and rates applied. This may mean that you will be required to supply further information and/or be subject to medical tests. Provided you have suffi cient funds in your superannuation account to meet the cost of cover, your Additional Income Protection cover under Child Care Super will commence from: in the case where cover is accepted by the Insurer at standard rates, the date that the Insurer accepts your application, and in the case where cover is accepted by the Insurer at other than standard premium rates or on modifi ed terms and conditions, the date when the Insurer issues acceptance of your written acceptance of the terms proposed. We will notify you in writing of the outcome of your application Additional information requirements When applying for Additional Income Protection cover regardless of the amount of cover, an Application for Insurance (included at the back of this booklet) must be completed. Further information may also be required depending on the amount of insurance cover you have applied for. 31

12 5. Your insurance options continued To learn more about the medical information required please visit childcaresuper.com.au or call Member Services. Additional information may also be requested by the Insurer depending upon their assessment of your Underwriting Application. The costs of any tests will be paid by the Insurer. Am I covered while my application is being processed? If you apply for Additional Income Protection cover you will be provided with Interim Accident Cover (at no cost) from the date the Insurer receives your completed application for insurance. The Interim Accident Cover is the lesser of the insured percentage of your monthly income, the amount of cover you are applying for or $15,000. This cover will cease on the earlier of 90 days from the date your application for insurance is received by the Insurer, if you withdraw your application or when your application is rejected or accepted. You will be eligible to make a claim under this Interim Accident Cover if you become disabled or partially disabled as a result of injury within 365 days of the accident causing the injury. Payment of benefits Income Protection payments are only made where the waiting period has expired and you meet the policy defi nition of Disability or Partial Disability. The Trustee must also be satisfi ed that the payment of Income Protection benefi ts is consistent with the requirements of the Trust Deed and relevant law. Disabled or Disability means solely as a result of illness or injury occurring you are: unable to perform at least one income producing duty of your occupation; and not working in any occupation, whether or not for reward; and under the regular care and following the advice of a medical practitioner. Partially Disabled or Partial Disability means you: have been Disabled for at least seven days out of the fi rst 12 working days of the waiting period; and are unable to work in your occupation as a result of the illness or injury resulting in Disability; and are under the regular care and following the advice of a medical practitioner. If benefi ts are payable, they will be paid monthly in arrears from the end of the nominated waiting period. Payments will then continue until one of the following occurs: you are no longer Disabled or Partially Disabled, or your death, or the date of your 65th birthday, or you reach the end of the two year or to age 65 benefi t period (whichever applies to you). If you are not working in any occupation for gain or reward when you become Disabled or Partially Disabled you will not be entitled to payment of Income Protection benefi ts. How do we define your income? If you are permanently employed (this includes when you are on employer approved leave for less than 24 months), your income will be the salary you get from your employer for your usual occupation (including salary sacrifi ce amounts but excluding overtime, commission, bonuses, profi t distributions, director s fees and any other non-regular payments). If you do not fall into the above category, your income is the average of your salary as per above over the previous 12 months or the actual period if less, subject to a minimum averaged period of six months. We use this amount to help calculate your level of Income Protection cover. For more information about what constitutes income, please contact Member Services or refer to the insurance policy. Amount of Income Protection cover The table below shows the monthly cover for one unit of cover (at a cost of $0.50 per week inclusive of stamp duty). For example, the IP cover for a white collar member whose age next birthday is 30 will be $2,800 per month at a cost of $2 per week. The Trustee will deduct the cost of your Default Cover from your superannuation account monthly in arrears. Your cover will differ depending on your age and occupational classifi cation (see page 38 for more information about occupational classifi cations). Income Protection cover for $0.50 per unit per week 2 year benefit period Age next birthday (at last 1 July) Default no. of units units units Waiting period Monthly benefit Professional White Collar Standard 90 days (default) $1,550 $1,400 $1, days $1,100 $1,000 $ days $439 $395 $ days (default) $3,100 $2,800 $2, days $2,200 $2,000 $1, days $878 $790 $540 32

13 Long-Term Income Protection rates (up to age 65) The table below shows the annual insurance cost per $1,000 sum insured up to age 65 for a white collar worker. The cost of your cover will differ depending on your age, gender and occupational classifi cation (see page 38 for more information about occupational classifi cations). Waiting period Age next birthday (at last 1 July) Male Male Male Female Female Female

14 5. Your insurance options continued How to calculate the cost of your Income Protection cover Unitised Income Protection cover (2 year benefit period) The cost of Income Protection will be determined by: the waiting period selected, the number of units selected, and your occupation (please refer to page 38). The table on page 32 shows the default amount of cover for Income Protection (excluding any assessment of your pastimes and medical conditions). The Insurer may apply special loadings on your premiums impacting the cost of insurance depending on the Insurer s assessment of your circumstances where your application for insurance cover is being underwritten. The Default Income Protection cover is for a 90 day waiting period with a two year benefi t period where the Trustee charges $0.50 per week for each additional unit of cover. You must determine the units of cover that you wish to apply for. It is then simple to calculate the amount for which you will be covered (if your application is accepted by the Insurer). For example, the calculation for Susan is shown below. In the example it is assumed that Susan has a white collar occupation and is not subject to any insurance underwriting premium loading. Susan, female, 25 years old next birthday, white collar Insurance cover selected Income Protection (Automatic) Waiting period selected 90 days Number of units 4 Annual charge $104 (4 units x $0.50 x 52 weeks) IP monthly benefit $2,800 (4 units x $700 per unit) IP annual benefit $33,600 (12 months x $2,800) Annual salary before tax $50,000 IP cover percentage 67.2% ($33,600 divided by $50,000 x 100) Long-Term Income Protection cover (to age 65 benefit period) The cost of Long-Term Income Protection cover is calculated as an annual rate per $1,000 yearly benefi t. This annual rate will change with your age. The cost of your Income Protection cover will be based upon: your age next birthday (at last 1 July) your gender the waiting period selected the amount of cover selected your occupation (please refer to page 38), and an assessment based upon your medical condition and pastimes (hazardous pursuits). The table on page 33 shows the base insurance rates (excluding any assessment on your occupational, pastime and medical conditions). These rates may alter depending on the Insurer s assessment of your circumstances. How to calculate the cost of your Long-Term Income Protection cover To calculate the annual cost of your Long-Term Income Protection cover, multiply your Income Protection amount (in multiples of $1,000) by the relevant rate in the table on the previous page, depending upon your age, gender, occupation and waiting period selected (30, 60 or 90 days). To be able to apply for Long-Term Income Protection cover, you will have to be employed for at least 15 hours per week. 34

15 For example, the calculation for Andrew is shown below. In the example it is assumed that Andrew has a white collar occupation and is not subject to any insurance underwriting premium loadings. Andrew, male, 30 years old next birthday, white collar Insurance cover selected Income Protection (Long-Term) Waiting period selected 30 days Annual salary (before tax) $30,000 IP cover percentage 60% (You can choose to protect any amount up to 85% of your salary. Any amount over 75% will be paid into your superannuation account.) IP annual benefit $18,000 ($30,000 x 60%) IP annual benefit (in $1,000s) 18 ($18,000 divided by $1,000) Annual premium rate per $1,000 cover $8.57 (see table on page 33) IP annual premium $ ($8.57 x 18) IP monthly benefit $1,500 ($18,000 divided by 12) The above examples are guides only. Before making a decision based on the above you should consider the appropriateness of any cover having regard to your objectives, financial situation and needs. Other important insurance information When will my insurance cover cease? Death and TPD cover ceases as soon as one of the following occurs: you write to us and cancel your cover, or when a benefi t has been paid to you (or your benefi ciary), or you cease to be a member of Child Care Super, or you attain the maximum insurable age (i.e. 70 years), or you commence duty with the military services (other than the Australian Armed Forces Reserve and are not on active duty outside Australia) of any country, or the policy between the Trustee and the Insurer is cancelled or terminated for any reason, or the date there is insuffi cient money in your account to cover the next premium payment. Income Protection cover ceases as soon as one of the following occurs: you write to us and cancel your cover, or you die, or you cease to be a member of Child Care Super, or you attain the maximum insurable age (i.e. 65 years), or you commence duty with the military services (other than the Australian Armed Forces Reserve and are not on active duty outside Australia) of any country, or the policy between the Trustee and the Insurer is terminated, or the date there is insuffi cient money in your account to cover the next premium payment. Although your Income Protection Cover will not cease, if you are not working in any occupation for gain or reward when you become Disabled or Partially Disabled you will not be entitled to payment of Income Protection benefi ts. To ensure that your insurance cover is calculated correctly, you must advise Child Care Super of any changes to your employment status or number of hours worked, by completing the Occupational Classifi cation Form available at childcaresuper.com.au so that the cost of your insurance and the amount of your cover can be adjusted accordingly. Insurance cover limits and restrictions Death and TPD You may select a level of insurance cover subject to the following: the minimum amount payable for Death and TPD cover is $1 per week, however you may cancel your cover at any time. See page 23 for details. the maximum amount of insurance cover available is $5 million for Death cover and $3 million for TPD cover (see How to calculate your cover or page 28), and the amount of TPD insurance cover must be equal to the amount of Death cover when Death and TPD cover is selected. Death and TPD exclusions also apply (see over for more information). 35

16 5. Your insurance options continued Insurance cover limits Income Protection The maximum amount of cover available is the lowest of: the amount of cover you are insured for (which includes Default Cover and any Additional Cover) 85% of income (of which 75% will be paid as income and 10% will be paid directly into the member s superannuation account), or $30,000 per month (see How to calculate the cost of your Income Protection cover on page 34). Death and TPD cover exclusions No insured amount will be paid in respect of a Death or TPD claim if it is caused as a result of: war outside Australia whether directly or indirectly, or any intentional, self-infl icted act by you, whether sane or insane, within 13 calendar months from the date that any Additional Death or Additional TPD cover commences for you. If you hold New Events Cover, no benefi t is payable where a claim is caused by: any intentional, self-infl icted act by you, whether sane or insane, within 13 calendar months from the date that any Additional Death cover or Additional TPD cover commences for you any illness that you were aware of or diagnosed with before the New Events cover commenced, or any injury that occurred before the New Events cover commenced. New Events cover only covers you for an illness or injury that becomes apparent or fi rst occurs after the cover commences. Income Protection cover exclusions Income Protection payments will not be made if the event giving rise to the claim is caused directly or indirectly by any of the following: any intentional self-infl icted injury or any attempt to commit suicide, or war, or normal or uncomplicated pregnancy, caesarean birth, threatened miscarriage, participation in IVF or other medically assisted fertilisation techniques and normal discomforts of pregnancy, including but not limited to morning sickness, back ache, varicose veins, ankle swelling and bladder problems. No benefi t will be paid if it contravenes any provision of the Health Insurance Act 1973 (Cth) or the National Health Act 1953 (Cth) or any other related Australian legislation as amended or replaced or any preceding health insurance legislation. No benefi t will be paid if you are not working in any occupation for gain or reward when you become Disabled or Partially Disabled. Reduction of Income Protection benefit payments If a Disability or Partial Disability benefi t is payable, then the insured monthly benefi t will be reduced by other payments received by you by: the amount of any income (other than benefi ts received under this Policy) and the commutation of income paid or payable to you as a result of Disability, Partial Disability or Disability by Accident, or any amounts payable under legislation such as workers compensation or motor accident, or any benefi ts payable under any other disability, illness or injury insurance policy (except for lump sum benefi ts received for total and permanent disablement under such an insurance policy). Any income described above that you may receive in addition in the form of a lump sum, or is exchanged for a lump sum has a monthly income equivalent of 1/60th of the lump sum (i.e. the lump sum is amortised over a period of 60 months). The Insurer will only pay the benefi ts for one Disability, Partial Disability (or related Disability) at a time for the Maximum Benefi t Period. The Insurer will reduce the Superannuation Contribution Benefi t by: the amount of any employer Superannuation Contributions paid to the Covered Person s superannuation account; and the amount of any benefi ts payable under any other income protection policy but only to the extent that the benefi t payable under any other income protection policy is designed to replace in whole or in part the compulsory employer superannuation entitlements the Covered Person would have benefi ted from had he or she not been Disabled. If a Covered Person is Disabled while on Employer Approved Leave, Disability Benefi ts will commence on the later of his or her Employer s written notifi cation of expected return date or the expiry of the waiting period. If no written notifi cation is available, it will be deemed to be a period of 24 months. Ongoing cover Once cover has started, your cover will continue as long as: you remain eligible for insurance cover there is enough in your account to meet the cost of your insurance cover each month, and none of the events referred to in When will my insurance cover cease? occurs. If your account balance is insuffi cient to pay the next month s premium, your cover will cease. If you wish your cover to recommence after insurance has ceased, you will need to re-apply, subject to the terms and conditions of the Insurer at that time. 36

17 Reinstatement of cover Your insurance cover can be reinstated only in the following situations: Your cover ceased because you commenced active duty outside Australia with the Australian Armed Forces Reserve and you are not in active duty for more than 12 months. Your Default Cover (and any automatic cover you previously held) will be reinstated as New Events cover on the later of: the date you are no longer on active duty outside Australia, and if you are returning to work for the same employer, the date you are fi rst At Work after ceasing active duty outside Australia. At Work shall mean, you are employed and not on any period of leave including, annual leave, long service leave, sick leave (paid or unpaid), leave without pay, bereavement leave, or otherwise absent from your place of employment. Where, if you are not in Active Employment after 12 consecutive months since your cover was reinstated, then New Events cover shall continue until you return to Active Employment for 30 consecutive days. If you were in active duty for more than 12 consecutive months, reinstatement of cover is not available. You will be required to be underwritten and accepted, for cover to apply. Your cover ceased, for a period of less than six consecutive months, as a result of there being insufficient money in your account to cover the next premium payment. Your cover will be reinstated as Full Cover on the same terms as previously applied, effective from the receipt date of any contribution including any rollover amounts received, provided: you are in Active Employment on the date the outstanding premium is received. Where you are not in Active Employment on this date, New Events cover will apply until you return to Active Employment for 30 consecutive days, and the contribution and all outstanding premiums are received into your account within six months of your cover stopping; and you are still a member of Child Care Super. Reinstatement is not available when your cover stopped for a period of more than six months as a result of there being insuffi cient money in your account to cover the next premium payment. You will be treated like a new member applying for cover. Benefit payments Any insurance payment, to which you or your dependants may be entitled, will depend upon you remaining eligible for insurance cover when the claimable event happens. The payment of an insurance benefi t is dependent on the Insurer accepting the claim and subsequently paying the benefi t to Child Care Super, and on you fulfi lling the requirements of the Trust Deed and relevant law. Occupational rating factor The cost of insurance cover will depend on your occupational classifi cation, age and gender. The occupational rating factor is based on your occupational duties. The relevant occupational groupings are listed below. The rating factor for each occupational classifi cation is a percentage (%) of the insurance costs as shown on pages 29 and 33. Occupational classification Death (Fixed) Death & TPD (Fixed) IP (Long-Term) Professional 90% 85% 90% White collar 100% 100% 100% Standard 127% 145% 180% 37

18 5. Your insurance options continued What is my occupational classification? Your occupation classifi cation is determined by the Insurer. If you do not provide us with your occupation, or your occupation does not fall within the White collar or Professional classifi cations, you will be placed in the Standard occupational classifi cation. Eligibility for White Collar classification You may be eligible for this classifi cation provided the duties of your occupation are limited to professional, managerial, administrative, clerical, secretarial or similar white collar tasks which do not involve manual work and are undertaken entirely (or at least 80%) within an offi ce environment (excluding travel time from one offi ce environment to another). Eligibility for Professional rating You may be eligible for this classifi cation provided you: satisfy the eligibility criteria for the white collar classifi cation; earn in excess of $100,000 per annum; and hold a tertiary qualifi cation and are a member of a professional institute or registered by a government body, or are a member of your company s executive leadership team with greater than 10 years experience in the industry. It is in your best interests to make sure that we have your occupation correctly recorded. Your occupation will directly impact the level of cover you receive. In the event that your occupation has been misclassifi ed, the Insurer reserves the right to review the occupation category and adjust the sum insured and/or premium cost, as applicable. To update your occupation, please contact Member Services on or complete and return the Occupational Classifi cation Form. What if my occupation is not provided? If, on the date you join Child Care Super, we are not notifi ed of your occupation, you will be classed in the Standard occupational classifi cation. Informing us of your occupation will ensure you receive the insurance cover you are entitled to. In the event of a claim, the occupation we have on record will determine the level of cover you receive. Increasing benefit option Members receiving a Long-Term Income Protection benefi t may be entitled to an annual increase to the benefi t. The increase would be the lesser of the Consumer Price Index (CPI) or 5% per annum, once a benefi t has been paid for more than 12 months. How to make a claim? You must advise the Trustee of any claim, or potential claim, as soon as it is reasonably possible for you to do so. The Trustee will send you claim forms. If you do not notify the Trustee in accordance with this provision, the Insurer may reduce insurance payments to the extent that their assessment of your claim has been prejudiced by the delay. The Insurer also reserves the right to conduct surveillance in the assessment of your claim. All correspondence about claims should be directed to: Child Care Super Member Services GPO Box 2788, Melbourne VIC 3001 Fax: Worldwide cover Subject to the terms of the relevant policies (in particular, your ongoing eligibility for insurance cover), the Insurer provides worldwide cover. In the event of a claim that arises whilst you are overseas, the Insurer may require you to return to Australia at your own expense for assessment and examination during the claims assessment process. However, no benefi t will be paid if your illness or injury is directly or indirectly caused by war outside of Australia. Will my cover and/or the cost of the insurance cover change over time? Your cover and/or the cost of the cover will be reviewed annually on 1 July and will be adjusted to take into account your age on your next birthday. 38

19 Duty of Disclosure The following section on Duty of Disclosure applies to members who are applying for Additional Cover. Insurance Contracts Act 1984 (please read carefully) Before you enter into a contract of insurance with an Insurer, you have a duty, under the Insurance Contracts Act 1984, to disclose to the Insurer every matter that 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. You have the same duty to disclose those matters to the Insurer before you extend, vary or reinstate a contract of life insurance. This duty, however, does not require disclosure of a matter: that diminishes the risk to be undertaken by the Insurer that is common knowledge that the Insurer knows or, in the ordinary course of his/her business, ought to know, and to which compliance is waived by the Insurer. Non-Disclosure If you fail to comply with this Duty of Disclosure and the Insurer would not have entered into the contract on any terms if the failure had not occurred, the Insurer may avoid the contract within 3 years of entering into it. For applications accepted from 28 June 2014 onwards, the Insurer can exercise the right to avoid the contract even if it would have provided you with cover on different terms. If your non-disclosure is fraudulent, the Insurer may avoid the contract at any time. The Insurer who is entitled to avoid a contract of life insurance may, within 3 years of entering into it, elect not to avoid it but to reduce the sum you have been insured for in accordance with a formula that takes into account the premium that would have been payable if you had disclosed all relevant matters to the Insurer. We have the same rights if you make a misrepresentation to the Insurer. The Insurer is required to treat some policies as comprising of 2 or more separate contracts of life insurance and elect whether to apply its rights to each contract separately. For example, TPD and income protection benefi ts may be treated as separate contracts. Additionally, Default Cover and any Additional Cover will also be treated separately. Additional rights from 28 June 2014 For all cover except Death Cover received by members from 28 June 2014, the insurer has the following additional rights if you fail to comply with your duty of disclosure or make a misrepresentation to us or the insurer: Elect to reduce the sum insured according to a formula prescribed by the law at any time; If the insurer has not avoided the contract or varied the sum insured, we can vary the contract in a way that places us in the same position we would have been if the non-disclosure or misrepresentation had not occurred. The Insurer also has these additional rights for policies issued before 28 June 2014 if it agrees to: increase the sum insured; or provide additional kinds of insurance cover; but only to the extent of the variation. Group insurance policies This Member Guide summarises the terms and conditions contained in the policy documents issued by the Insurer to the Trustee. A copy of the policy documents is available from Member Services. Helpful insurance hints: If you are already a Child Care Super member: Check the type and amount of insurance cover you have. Call Member Services or visit childcaresuper.com.au to work out what you need and if it is enough. If you want to apply for more insurance, complete the Application for Insurance Form at the back of this booklet, or download one from childcaresuper.com.au. If you aren t a Child Care Super member yet, when you join: If you want to apply for more insurance, consider applying for the four extra units of insurance cover available without supplying any medical evidence (only if you apply within six months of joining). Alternatively you can apply for Additional Cover by completing the Application for Insurance Form at the back of this booklet, or download from childcaresuper.com.au. Remember: Provided you meet the eligibility requirements of the Insurer, you can transfer any insurance you hold with another fund before you close that account by simply completing an Insurance Transfer Form (conditions apply). 39