Defined Benefits Fund guide

Transcription

1 Defined Benefits Fund guide Queensland local government employees other than Brisbane City Council, Queensland Urban Utilities and associated employees Closed to new members from 1 July 1998 Date prepared: 29 June 2015 Date issued: 28 July 2015

2 Contents About LGsuper and your membership 1 How the Defined Benefits Fund works 2 Contributing to your super 6 How we invest your money 8 Fees and costs 9 How super is taxed 9 Insurance in your super 10 Accessing your super 19 What happens if you die? 20 Additional information 20 LGsuper privacy statement 21 OnePath privacy statement 23 Insurance application form Life events application form Occupational risk rating change form Application to reduce insurance cover Insurance cancellation form Contact LGsuper on or visit our website at if you would like any further information.

3 About LGsuper and your membership For 50 years we ve looked after the financial future of Queensland local government employees and their spouses. During this time we ve quietly become a known and trusted Queensland superannuation fund with a unique understanding of local government and the needs of our members while they work and in the years beyond. Today LGsuper looks after over $9.5 billion in retirement savings for around 90,000 members. And we do this while offering genuine value-for-money products and services without sacrificing quality or standards. From solid investment returns to strong governance and cost-effectiveness, there are many reasons why LGsuper members choose us to look after their financial future. As a member of LGsuper s Defined Benefits Fund, you have: A defined benefit Calculated as a multiple of final average salary (FAS) or as contributions plus earnings. An accumulation account Made up of extra contributions and money transferred into LGsuper from other funds. This amount grows with investment earnings, which may be positive or negative. Higher employer contribution You are required to contribute 6% standard member contributions, and your employer is required to contribute 12% of your salary. The employer contribution may be changed by the LGsuper Board of Directors to ensure the Defined Benefits Fund remains in a satisfactory financial position. Fees Fees are taken into account before setting the multiple and investment earnings rate for your defined benefit calculations. Insurance You have automatic death and disability insurance that covers you 24 hours a day, 7 days a week. Death and Total and Permanent Disablement cover continues after you leave local government employment (Total and Temporary Disablement cover ceases). Cover is subject to eligibility requirements. Personal service LGsuper is committed to giving you personal service you can count on. When you phone or visit us you speak to someone who cares about you and knows super. Information Come along to our free seminars, get our regular newsletter, or check out our wide range of publications and website. Register for LGsuper online and you can view your account balance and update your details whenever you want. Financial advice Our knowledgeable staff can show you how to make your super work harder and give you information to help you actively make informed decisions on a range of topics while you re working and when you stop. You can also meet with an authorised representative for more comprehensive personal advice. Voluntary contributions We can accept voluntary contributions if you want to add to your accumulation benefit by lump sum, salary sacrifice or transfers from other funds. Flexible pension products LGsuper offers a Transition to Retirement Pension account (some restrictions apply) and if you re retired you can access our Pension account. See our Pension accounts Product Disclosure Statement (PDS) for details. 1

4 How the Defined Benefits Fund works As a member of the Defined Benefits Fund, your employer s 12% of superannuation salary contribution, your 6% standard member contribution and investment earnings are pooled to provide benefits for all members of the fund. Your retirement benefit is calculated as the higher of your: multiple of salary calculation a multiple of your final average salary (FAS), based on your years of fund membership, or contributions plus earnings calculation your contributions plus/minus investment returns, less tax, fees and insurance costs. A third calculation takes place to ensure your benefit is at least the minimum requisite benefit. This minimum benefit consists of employer superannuation guarantee contributions, your contributions and investment earnings, less tax and insurance costs. You are unable to select how your defined benefit is invested, as contributions are pooled to provide benefits for all members based on these calculations. Multiple of salary calculation Using the multiple of salary calculation, your benefit is based on a formula of your final average salary times a pre determined multiple. The multiple increases with your days of service. It grows at a rate of 0.18 times your FAS per year while you are working full-time. Before 1 January 1986, it increased by for each year of full-time employment while a member of the fund. For example, if you started employment on 1 January 1998 and retired on 1 January 2008, your multiple would have been 1.8 times your FAS (0.18 x 10 years). Your annual benefit statement will show your multiple at 30 June each year, along with projected multiples for retirement based on you continuing to work the same number of hours. What is my final average salary (FAS)? The FAS in LGsuper is generally the average of your superannuation salary over the final 12 months of employment. This FAS cannot be greater than 120% of your superannuation salary 3 years prior, unless your average salary over the last 3 years of employment is greater than 120% of your superannuation salary 3 years ago. In this situation, the higher 3-year averaged salary applies. For example, if a member finished work on 31 December 2009 when their superannuation salary had been $29,000 at 1 January 2009 and $31,000 at 1 July 2009, the FAS would be $30,000 (6 months at $29,000 and 6 months at $31,000), provided this was not greater than 120% of their superannuation salary at 1 July The 3-year average salary calculation is assumed to not apply in this example. What if I change to part-time employment? LGsuper always uses the full-time equivalent salary in FAS calculations. This ensures that members reducing their working hours do not experience a drop in the benefit they accrued while working full-time. Instead, the multiple will grow more slowly during periods of part time work. For example, if you are working 3 days a week (60% of full-time hours) your multiple would accrue at a rate of per year (60% x 0.18) while you are working part time, instead of the 0.18 you would receive each year working full-time. Contributions plus earnings calculation Using the contributions plus earnings calculation, your benefit is calculated based on the contributions you and your employer have made to the fund plus or minus investment returns, less tax, fees and insurance costs. The final average salary used in this calculation is based on your salary as reported by your employer from time to time. 2

5 Examples Bob Bob joined the Defined Benefits Fund on 1 January 1987 and retired at age 65 on 31 December He worked full-time and did not make any voluntary contributions or transfer other super to LGsuper. Bob s multiple 22 years William William joined the Defined Benefits Fund on 31 March 1998 and retired at age 60 on 31 March He worked full-time and did not make any voluntary contributions or transfer other super to LGsuper. William s multiple 12 years Bob s final average salary 1 July 2008 $47,500 1 January 2008 $42, December 2005 $40,000 (based on 1 July 2005) 184/365 days $47,500 $23, /365 days $42,500 $21,075 Final average salary $45,020 This does not exceed 120% of the $40,000 from 3 years prior to retirement ($48,000). Bob s multiple of salary calculation 3.96 $45,020 $178,279 Bob would have received a benefit of $178,279 on retirement, unless his contributions plus earnings calculation was higher at that time. Isobel Isobel has been working full-time for the past 17 years. She is considering working 2 days per week (15 hours) from 1 July 2015 for the next 2 years leading up to her retirement. She currently works full time, and wants to know how this will affect her defined benefit. Isobel s multiple Multiple at 30 June years Multiple growth during part-time work (40%) 40% per year William s salary history 1 January 2010 $160,000 1 July 2009 $145,000 1 January 2009 $140,000 1 July 2008 $130,000 1 January 2008 $127,000 1 July 2007 $120,000 1 January 2007 $100,000 William s final average salary 90/365 days $160,000 $39, /365 days $145,000 $73,095 91/365 days $140,000 $34,904 Final average salary $147,451 However, William s salary 3 years prior to retirement was $100,000. The capping at 120% of this amount is $120,000. In this situation, the third calculation of an average salary over the previous 3 years would take place. William s average salary over 3 years is $131,968 higher than the $120,000 cap. William s 3 year average annual salary of $131,968 applies. William s multiple of salary calculation 2.16 $131,968 $285,050 William would have received a benefit of $285,050 on retirement, unless his contribution plus earnings calculation was higher at that time. Multiple at 30 June years

6 How the Defined Benefits Fund works (cont.) What benefit is payable on resignation before age 55? If you resign from local government employment before age 55 you will receive the higher of your multiple of salary calculation and your contributions plus earnings calculation. In practice, calculations for the pre and post 1986 periods are compared separately and you will get the higher amount for each period. A third calculation also takes place to ensure your benefit is at least the minimum requisite benefit. Multiple of salary calculation The multiple of salary calculation is discounted by 2% for each year prior to 55. For example, if a member resigned at age 45 (10 years short of the retirement age of 55), the discount would be 20% (10 x 2%). The calculation for a member with an FAS of $30,000 who resigned at age 45 after 15 years of membership, would be: $30, % $64,800 Contributions plus earnings calculation The contributions plus earnings calculation for resignation is based on your standard member contributions (generally 6%) and the minimum level of employer contributions required to satisfy the superannuation guarantee (SG) legislation. SG contribution rates started at 4% in 1992 and have increased to the current rate of 9.5% from 1 July Your contributions plus earnings balance receives a smoothed earning rate from the Defined Benefit Fund. Contribution tax, fees and insurance premiums are deducted. Your contribution plus earnings balance is compared to your multiple times salary calculation and your benefit is the higher of the two calculations. Minimum requisite benefit calculation Your minimum requisite benefit is the minimum benefit amount you will receive when you leave the Defined Benefit fund. It is compared to the multiple of salary and contributions plus earnings calculations and you receive the higher amount. A minimum requisite benefit consists of pre-1992 vested benefits (if applicable), employer superannuation guarantee contributions, member contributions (generally 6%) plus investment earnings at the minimum requisite benefit earning rate less contributions tax and insurance premiums. What benefit is payable on failure of health? Failure of health is defined as an injury or illness which, in the opinion of the LGsuper Board of Directors, permanently incapacitates you from carrying out your ordinary work with your employer, and any reasonably available and suitable alternative work with your employer, but does not constitute total and permanent disablement. You must be aged under 55 to be eligible for this benefit. Your failure of health benefit is the amount of your retirement benefit that has built up in the fund as at the date of your failure of health retirement. It may be higher than your resignation benefit as no discounting applies. Unlike the TPD benefit, it does not include an insured amount based on future service through to your insured age. The benefit is paid into an Accumulation account. What benefit is payable at normal retirement age (between ages 55 70)? If you retire from local government employment after age 55 you will receive the higher of your multiple of salary calculation and your contributions plus earnings calculation. In practice, calculations for the pre and post 1986 periods are compared separately and you will get the higher amount for each period. A third calculation also takes place to ensure your benefit is at least the minimum requisite benefit. Multiple of salary calculation At retirement, the multiple of salary calculation is simply the multiple times FAS, without discounting. For example, if a member s FAS is $30,000 after a membership period of 15 years, the retirement benefit is: $30, $81,000 What benefit is payable on retirement after age 70? The multiple of salary calculation stops at age 70 when it is compared with the contributions plus earnings equivalent (as per retirement 55 70) and minimum requisite benefit. The defined benefit at age 70 is then transferred to an LGsuper Accumulation account. All subsequent contributions go to this Accumulation account. The benefit at final retirement is simply the balance of your Accumulation account. You can access your super when you reach your preservation age and in some other situations. See the Accessing your super section on page 19. 4

7 Contributing to your super Your defined benefit grows with the higher of a multiple times your salary, or with contributions and investment earnings. Defined benefit contributions are generally from: your employer yourself Any other contributions add to your accumulation account and grow with investment earnings. These could be from: your employer yourself your spouse the Australian Government, if you are eligible to receive the super co-contribution Employer contributions Your employer generally contributes 12% of your salary to the Defined Benefits Fund. There may be some occasions when your employer is required to contribute more than 12% to ensure the Defined Benefits Fund remains in a satisfactory financial position. Standard member contributions You are required to contribute 6% of your salary in standard member contributions toward your defined benefit. Standard member contributions can be made from after tax pay, or if your employer agrees, by salary sacrifice. See Salary sacrifice in this section for more information. Voluntary contributions Voluntary contributions are extra amounts that add to your accumulation account and grow with investment returns. They do not form part of your defined benefit. You can make these contributions regularly from your pay or as a one-off lump sum. Once you are aged between 65 and 74, you can only make contributions to your account if you have been gainfully employed for at least 40 hours over 30 consecutive days during the current financial year. When you reach age 75 you are unable to contribute to your super at all. You can make voluntary contributions by: payroll deduction. Ask your employer to pay an amount from your salary to LGsuper each pay period. BPAY from your bank account. Use the member BPAY generator on the LGsuper website to find out the biller code and reference number. cheque. Send it to us with a completed Voluntary contribution deposit form, available from the LGsuper website or by calling us. Salary sacrifice Salary sacrificing contributions is where your employer agrees to pay a certain amount of money into your super from your before-tax pay instead of paying that amount to you as salary. You can salary sacrifice your standard member contributions and/or extra contributions if your employer allows it. Because your super contributions are taken from your before-tax salary you will not have to pay income tax on them. And if you re paying less income tax then you should receive an increase in your take-home pay. That said, salary sacrifice contributions are still taxed, but they are treated like employer contributions and have a 15% contributions tax (subject to contributions caps, see page 7 and higher income earners tax page 9) deducted on their way into superannuation. If you choose to salary sacrifice your standard member contribution, it increases from 6% to just over 7% so that a full 6% is left to fund your defined benefit after the deduction of the 15% contributions tax. Salary sacrificed amounts are not eligible to receive the super co-contribution from the Australian Government. So, if you are eligible, you might like to do a combination of salary sacrifice and after-tax voluntary contributions. See the Super co-contribution section following for more information. Super co-contribution The super co contribution is an incentive offered by the Australian Government to encourage you to save for retirement. Here s how it works The government will put in up to 50 cents for each $1 you contribute to super, if you are employed and your total income is less than the limit set each year. The maximum co-contribution is $500 each year. The 6% standard member contribution may be eligible for the co-contribution if paid from your after-tax salary. Salary sacrificed contributions do not attract the co contribution. For more information on this government incentive, including current limits, get a copy of our Super contributions guide from our website or give us a call. You can also find out more from the Australian Taxation Office website at 5

8 Contributing to your super (cont.) Spouse contributions Opening an LGsuper account for your spouse with as little as $100 means you can both enjoy the benefits of being an LGsuper member. You can contribute to your spouse s super as long as they are under the age of 65. Between the ages of 65 and 69, your spouse must be gainfully employed for at least 40 hours over 30 consecutive days in the current financial year to have spouse contributions paid to their account. Once your spouse reaches age 70 spouse contributions can no longer be received. Spouse contributions are not eligible to receive the super co-contribution, but you could receive a tax offset of up to $540 if your spouse earns less than $10,800 annually. The offset reduces for incomes over $10,800 and cuts out completely at $13,800 per annum. LGsuper can accept contributions from your spouse s employer too, so your spouse can move all their super to LGsuper. Contributions splitting Any additional salary sacrifice contributions made to your accumulation account can be split with your spouse. You can do this once a year for contributions made in the previous financial year. You are unable to split the 12% employer contribution or the standard member contribution as these go toward your defined benefit. For more information get a copy of our Contributions splitting info sheet. Transfers from other super funds Keeping all your super in the one super fund is so much easier than having the hassle of juggling multiple accounts with multiple funds. By transferring your other super to LGsuper you could save money on fees and time on paperwork. And it s so easy to do. Simply complete the Transfer to LGsuper form available from our website or by calling us, and return it to LGsuper. We ll do the rest for you. For more information, get a copy of our Spouse account Product Disclosure Statement (PDS). How do I read my Annual benefit statement? Your benefit is calculated for separate periods of membership, for example Pre-1986 benefit, Post-1986 benefit, Post-1992 benefit. These periods are based on the dates when changes occurred in the Defined Benefits Fund (e.g. contribution rates). Your total defined benefit is the sum of the highest values (multiple of salary or contributions plus earnings) for each period of membership. Final average salary $43, Salary-based benefit Contributionbased comparison Highest value Pre-1986 benefit x FAS $69, $87, $87, Post-1986 benefit x FAS $182, $182, $182, Total benefit $270,

9 Contribution caps There are limits on amounts that you and your employer can contribute to super each year. Concessional (before-tax) contributions The cap on concessional contributions (including employer contributions and any salary sacrifice contributions) is $30,000 for the 2015/16 financial year, with a higher $35,000 cap for people aged 49 and over at 30 June Contributions up to this cap are taxed at 15%, while amounts above it are taxed at your marginal tax rate (including the Medicare levy). Note: From 1 July 2014 the Medicare levy increased to 2%. Special rules apply for members of the Defined Benefits Fund. A notional taxed contribution based on a formula prescribed in the Income Assessment Act 1997 counts toward your concessional cap. This formula is generally: NTCC = 1.2 x (NER x S x D/365 - M) Where: NER is the New Entrant Rate, which is 13% if you make 5% compulsory member contributions or 14% if you make 6% compulsory member contributions Also, if you salary sacrifice additional amounts, these will be added to your notional taxed contributions and you may exceed your concessional cap and be taxed at the higher rate. You should contact LGsuper for further information. Additional contributions tax may apply to concessional contributions for high income earners. Refund of excess concessional contributions If you exceed your cap for you can withdraw your excess contributions from super. If you are likely to exceed the cap you should seek advice from a financial planner or talk to us on Non-concessional (after-tax) contributions The amount of non-concessional contributions (including 6% standard member contributions and voluntary contributions not salary sacrificed) you can pay into super is capped at $180,000 for the 2015/16 financial year. This amount is set at six times the concessional contributions cap. If you are under age 65 you can make larger payments of up to $540,000 by using your limit for up to 3 years. You can elect to withdraw any excess non-concessional contributions from your account. Contributions above the cap left in the fund will be taxed at 49% including the Medicare levy and Temporary Budget Repair levy. S D M is your superannuation salary on the first day of the financial year in which you had a defined benefit in LGsuper; is the number of days in the financial year that your defined benefit accrued; is the amount of post-tax (non-concessional) compulsory contributions you made to fund your defined benefit during the financial year. If you make your compulsory contribution via salary sacrifice for the entire financial year, M will be equal to nil. The above calculation is modified if you work parttime, go on extended leave without pay or where there is a change in your defined benefit. To find out how we calculate your notional taxed contributions, please call us. 7

10 How we invest your money Members of the Defined Benefits Fund do not have a choice about how their defined benefit is invested. The investment strategy for the Defined Benefits Fund is set by the LGsuper Board of Directors. Their goal is to ensure that there are always sufficient funds available to meet the payment of benefits for all members. The long-term objective of the Defined Benefits Fund investment strategy is to achieve a positive margin of 1.5% over salary growth. Members with an Accumulation account have a choice of investment options for this portion of their benefit. Refer to our Investment choice guide for more information. Closing your defined benefit When we are notified by your employer that you have ceased working with them, we will close your Defined Benefit account (effective the date your employment stopped) and convert it to a Retained Benefit account. We will send you a letter that clearly explains what will happen to your money and the timeframes involved after we are notified by your employer that you no longer work for them. We briefly discuss this process below. Your defined benefit When your defined benefit account is closed, the defined benefit component is calculated as at the date you ceased employment. The resulting balance is then transferred to a Retained Benefit account with your accumulation money (see below) and the entire balance will grow with investment returns (note returns can be positive or negative) and any other contributions we may receive for you in future. We will initially invest your former defined benefit money in the Cash investment option until we have given you the opportunity to make an investment choice. If we don t hear from you within the nominated period advised to you by us, we will switch your investment in the Cash option to the LGsuper MySuper Lifecycle option at the next available switch date after the expiry of the nominated period. Your accumulation money When your defined benefit account closes any accumulation money you have will be transferred to a Retained Benefit account with your defined benefit money and invested as below: If you have previously made an investment choice for your accumulation money, it will stay invested as it was immediately prior to the transfer to a Retained Benefit account. If you have not previously made an investment choice for your accumulation money, it will be invested in the LGsuper MySuper Lifecycle option from the day we open your Retained Benefit account. If you make an investment switch any time after closing your defined benefit it will apply to all money in your accumulation account including the former defined benefit money that is invested in the Cash option. For further information about the risks and benefits of the Retained Benefit account, please see our Accumulation account, Retained Benefit account, Spouse account Product Disclosure Statement available on our website. 8

11 Fees and costs This section of the document shows fees and other costs you may be charged. These fees and costs are deducted from the investment returns on your money. Your employer pays all the administration costs of the defined benefit section and insurance premiums for your Death and Total and Permanent Disablement cover. Investment management costs are deducted from the investment returns on your accumulation accounts. Fees and costs are deducted from investment earnings to determine the earning rate applied to your accumulation accounts and will vary each year. If you have exercised investment choice on your accumulation accounts, the investment fees applicable to your investment option will apply. See the Investment choice guide available from or by calling us. Fees are taken into account before setting the multiple and investment earnings rate for your defined benefit calculations. Administration and Investment fees If you have an Accumulation account, it will be charged the fees and other costs applicable to the investment option in which it is invested. Refer to the Investment choice guide available from our website for more information. Insurance fee An insurance fee is included in the premiums you pay. Please see the Insurance section of this Guide for more details. Financial advice fees LGsuper does not charge a fee for the provision of general advice, or for limited single issue personal advice (e.g. salary sacrifice, super co-contribution) where a limited Statement of Advice is provided following face-to-face or phone consultation with an LGsuper representative. An LGsuper member who receives more comprehensive personal advice and/or meets with an LGsuper advice representative will be charged on the following basis. Type of advice Single issue advice on contributions or investment choice Superannuation health check, transition to retirement and redundancy (pre- retirement) Retirement planning, income sources, Centrelink entitlements and estate planning issues Appt. fee Advice fee $220 No charge Total fee $220 $220 $220 $440 $220 $440 $660 A minimum fee of $220 will apply and maximum fee of $660 may be charged, depending on the level of advice required. Charges include GST. The fee charged for advice directly related to your LGsuper account may be deducted from your LGsuper account on request. The fees will be explained to you in detail if you ask for this advice. How super is taxed Super is taxed at much lower tax rates than other types of investments. To avoid paying more tax than you need to though, you should make sure: you and your employer do not exceed the concessional (before-tax) cap or non-concessional (after-tax) cap on contributions. Amounts above the cap are taxed at much higher rates. Read our Super contributions guide for more information. you or your employer provide your tax file number (TFN) to LGsuper. Without your TFN, LGsuper is required to tax employer contributions at the top marginal tax rate of 49% including the Medicare levy and Temporary Budget Repair levy. You could claim this extra tax back by providing your TFN to LGsuper within 4 years, but it s best to make sure we have your TFN in the first place. What s more, without your TFN we are unable to accept nonconcessional (after-tax) contributions. What may be taxed Tax rate How paid On entry to super Contributions (Concessional only) Generally 15% Deducted by the fund. Income earners $300,000+ (concessional contributions) Additional 15% ATO to assess and provide options. While invested Investment earnings Up to 15% Deducted before investment earnings are applied to your account. When paid to you Taxable component Age 60 plus Tax free Not applicable. of your benefit Age First $195,000 tax free (2015/16), then 17% Deducted by the fund. including the Medicare levy Under age 55 Taxed at 22% including the Medicare levy Deducted by the fund. 9

12 Insurance in your super LGsuper s insurance benefits can protect you, your family and your lifestyle against the unexpected, 24 hours a day, 7 days a week. Your insurance cover could help you meet the cost of living if you are temporarily unable to work due to injury or illness, provide you with a lump sum if you are permanently incapacitated or give your family financial security in the event you die. What am I covered for? You are automatically covered for the following up to age 60 (or for some members, age 55): Type of cover What is it? How is it paid? Death cover Terminal Illness cover Total and Permanent Disablement (TPD) cover Total and Temporary Disablement cover Pays a one-off, lump sum payment to your LGsuper account when you die. An early payment of the Death benefit, which pays to your LGsuper account a one-off lump-sum when you are diagnosed with a terminal illness. Pays a one-off lump-sum to your LGsuper account when you are totally and permanently disabled due to sickness and injury. A benefit up to 12.5% p.a. of your TPD benefit paid to you for up to 2 years to replace part of your income if you become totally or partially disabled due to sickness or injury. Paid as a lump sum as part of your Death benefit Generally paid to your dependants It will be paid to your nominated beneficiaries if you have a valid binding death benefit nomination Paid to you as a lump sum as part of your Death benefit Paid to you as a lump sum as part of your TPD benefit Paid into your nominated bank account each month Benefits are payable monthly after a 90 day waiting period. See LGsuper s Insurance guide for the definition of Total and Permanent Disablement. 10

13 Death, Total and Permanent Disablement (TPD) cover If you suffer total and permanent disability or die you or your beneficiaries will get a lump-sum insurance benefit on top of the amount of money you have in your LGsuper account at the time a claim is made and accepted. This is not a savings plan it s simply a way to protect you and your loved ones financially should the unexpected happen. A Death or TPD benefit is only paid once and the amount payable on TPD cannot be more than your Death benefit. How much cover do I get? The benefit payable in the event of your death or TPD is calculated in two parts by reference to: 1. your past service up to the date of your death or disablement. This part of the benefit is calculated in a similar way as your normal retirement benefit, except the most recent salary provided by your employer is used instead of FAS (see page 2). 2. your future service from the date of your death or disablement up to age 60 (or for some members, age 55). The total benefit payable equals the sum of the two parts. For example, if a member was totally and permanently disabled at age 50 when their most recent salary was $30,000, the future service benefit (payable in addition to the normal retirement benefit) would be $54,000 if they were covered to age 60 ($30,000 x 0.18 x 10). How much does it cost? No insurance premiums are charged as the cost of the Death and TPD cover you receive as part of your defined benefit is built into your multiple. Premiums will be charged for any additional Death and TPD or Death only cover you may have see below for details. Additional Death and TPD cover If the cover you automatically receive as part of your defined benefit is not enough, you can apply for additional Death and TPD cover through life events (see Life events on page 13) or a regular application to the Insurer (see the back of this guide for forms). The Insurer will assess your application for cover and may impose a medical exclusion on any additional risk associated with providing you cover. You will be advised if this happens. Additional cover is purchased in units, which decrease in value as your age increases. Whatever you choose, cover generally ends once you reach age 60 (or for some members, age 55). If you have Total and Temporary Disablement (TTD) cover and are working 14.5 hours or more per week, your TTD cover will automatically increase when you purchase additional units of Death and TPD cover (up to a maximum of 75% of your salary plus the same rate of superannuation contributions paid immediately before your disablement, with the maximum monthly benefit being $20,000). Additional Death only or Death and TPD insurance units Age Cover per unit Age Cover per unit Up to 30 $65, $22, $62, $20, $58, $18, $55, $17, $52, $15, $48, $14, $45, $12, $42, $10, $39, $9, $37, $7, $34, $6, $32, $5, $30, $3, $28, $3, $26, $2, $23,920 Note: unless you die or are disabled on your birthday, your insured amount will be between the amount shown for your age and one year older. This is because your insured amount reduces each day, based on the proportion of days since your last birthday divided by 365 days. The amount shown for age 60 is only used to calculate your benefit if you claim after turning 59 but before you reach age 60. Premiums will be charged for any additional Death and TPD or Death only cover you have, and will be deducted from your Accumulation account. You should make additional voluntary contributions if you do not have enough money in this account to cover premiums. If you do not have enough money in your account, we would continue to deduct premiums and this would result in a negative account balance that would grow with earning rates and be deducted from your benefit on leaving the Defined Benefits Fund. The premium you pay for your additional Death and TPD insurance is directly related to the risk of your occupation. All LGsuper members automatically default into the standard occupational risk premium rate. If you tell us you work in a low risk or professional occupation you could receive a discount on your premium on your additional cover as long as you complete the Occupational risk rating change form at the back of this guide. 11

14 Insurance in your super (cont.) Low-risk occupation If you work in a low-risk job you might be in an administrative or clerical type role and spend at least 80% of your total working time in an office or similar environment carrying out office based duties. Professional occupation (a) You are a professional white-collar worker with a university degree qualification relevant to your field (e.g. lawyer, doctor, solicitor, accountant, any member of a professional institute or a member registered by a government body) and you spend at least 80% of your total working time in an office or similar environment carrying out those office based duties OR (b) You are an executive or senior managerial white-collar worker employed by an independent employer earning an annual salary package in excess of $100,000 (including any superannuation contributions made by, or on behalf of, your employer) and you spend at least 80% of your total working time in an office or similar environment carrying out those office based duties. Premiums per week per unit of cover Occupational risk rating Weekly Death and TPD cover premium per unit of cover Standard $1.32 $0.67 Low risk $1.02 $0.51 Professional $0.87 $0.43 Weekly Death only cover premium per unit of cover The above premium rates include an Insurance fee and any applicable Stamp Duty and GST. What is the maximum amount of cover I can have? The maximum levels of cover you can have with underwriting are: Type of cover Death Terminal Illness Death and TPD Maximum level of cover $5 million $2.5 million or your Death cover, whichever is less $5 million: Death $3 million: TPD These limits exclude life event increases and any special offers. Whether or not your occupation qualifies you for an occupational premium discount is at the discretion of the Insurer. The discount will apply from the date the Insurer determines you qualify for a premium discount. 12

15 Life events As long as you are under age 55, permanently employed and have not chosen to fix your additional Death and TPD cover you can apply for an extra 2 units of cover without underwriting as you experience the milestones listed in the Types of life events table. Underwriting will apply if you wish to increase your cover outside a life event or in excess of the life event maximum (2 units of cover per event). To apply for an increase in your units of cover when you experience a life event, you must complete a Life events application form available at the back of this guide. You will also need to show proof you have experienced the life event as detailed below. What is an interdependent relationship? The Australian Government defines an interdependent relationship as being one of the following: a close personal relationship, living together with one or each person providing the other with financial support and one or each person providing the other with domestic support and personal care using the disability test, if there is a close personal relationship, and they do not satisfy one or more of the other elements of the definition because either or both person/s suffer from a physical, intellectual or psychiatric disability Types of life events Life events available to you are You or your spouse giving birth to or adopting a child Getting married or divorced Taking out a new mortgage or increasing your existing mortgage by $100,000 or more on your principal place of residence with an accredited mortgage provider* Two years or more in an interdependent relationship (see the definition on this page) Your spouse s death As long as you can show this proof... A copy of your child s birth certificate or adoption documentation A copy of your full marriage or divorce certificate If you take out a new mortgage: written confirmation from your accredited mortgage provider(s)* detailing the amount and effective date of the mortgage If you increase your mortgage with your existing or different mortgage provider: written confirmation from your accredited mortgage provider(s)* detailing the amount of your mortgage immediately before you increased it, the effective date of the increase and the amount of the mortgage after the increase Bank statements, phone, electricity bills or any other evidence to show you have been in this relationship for at least 2 years A copy of your spouse s death certificate * Accredited mortgage provider means an authorised deposit-taking institution (as defined by the Banking Act 1959) or other reputable financial services business, program or trustee which provides mortgage loans as part of its ordinary business activities and is accredited with the Mortgage Industry Association of Australia. How life event increases work All life events are subject to the following conditions: you must already have some cover you can only apply for a maximum of 2 additional units of cover you can only increase TPD cover if you already have TPD cover you can only apply once in any 12 month period, subject to a maximum of three life events during your membership you must not have lodged a claim at the time you apply for a life event increase all the conditions of the life event must be met and the Insurer accepts your application you must apply to increase your cover within 60 days of experiencing your life event any exclusions you have will continue to apply to your cover you cannot apply if you have had an underwriting application denied by the Insurer you must be under age 55 your increased cover will start from the date all requirements are received and your application has been accepted by the Insurer, and not at the time you experienced the event 13

16 Insurance in your super (cont.) When does my Death and TPD insurance cover end? You are unable to cancel the Death and TPD cover provided as part of your defined benefit. Your cover will end on your 60th (or for a small number of members, 55th) birthday. Your cover will also end if you: have your account balance fall below $50 and no contributions are being received leave LGsuper are paid a TPD benefit which is equal to your Death benefit are paid a Terminal Illness benefit, equal to your Death benefit have an LGsuper Retained Benefit account and cancel your insurance in writing to the Board are a non-australian resident who holds a visa and temporarily leave Australia for more than 3 months are a non-australian resident who holds a visa and permanently leave Australia (your cover will end 30 days from the time you permanently leave Australia) if you are a non-australian resident and your visa is no longer valid have a Retained Benefit account and your superannuation account balance falls below $1,000 commence Active Service with the armed forces of any country (except if you are a member of the Defence Force Reserve, in which case, cover will cease only when you become the subject of a call-out order under the Defence Act (Cth) 1903) no longer satisfy the eligibility requirements die. Total and Temporary Disablement (TTD) If you are temporarily unable to work due to sickness or injury, you may be eligible for a Total and Temporary Disablement (TTD) benefit if you are working 14.5 or more hours per week on a permanent basis. This benefit is based on 12.5% p.a. of your TPD benefit and is paid as a monthly sum for up to 2 years. A 90 day waiting period applies. Income Protection cover You can apply for Income Protection that will give you a monthly benefit based on 75% of your pre-disability salary for a benefit period up to 2 years if you suffer total disability or partial disability. You must be under age 65, working permanently and for at least 14.5 hours per week to have this cover. You can find the Insurance application form you need to complete at the back of this guide. We will recalculate your Income Protection cover each year based on your salary at 1 July if it s provided by your employer, while you are working for Queensland local government (includes entities, water businesses and associated employers). How do I work out my level of cover? Income Protection cover is for: 75% of your monthly salary, paid directly to you Your cover is calculated as follows: 75% of your annual salary (pro-rated and paid each month in arrears) Example Annual salary $40,000 75% of annual salary $30,000 Monthly benefit (75% of salary) $2,500 ($30, months) Maximum amounts The maximum Income Protection cover you can receive on showing the Insurer you are in good health by providing medical evidence is $30,000 per month if your income requires it. If you are receiving worker s compensation, the TTD benefit is limited so that the benefit plus worker s compensation cannot exceed 75% of your total salary. TTD cover ends at age 60, or for some members age 55 and when paid a TPD or Terminal Illness benefit, or when you cease employment with your employer under the Trust Deed. TTD benefits do not reduce your resignation or retirement benefits. If your TTD benefit is not enough to meet your needs, or if you would like a shorter waiting period or cover up to age 65, you can apply for Income Protection cover. 14

17 How much will my cover cost? The premium you pay for your Income Protection insurance is directly related to the risk of your occupation, your gender and your waiting period. All LGsuper members automatically default into the standard occupational risk premium rate (see the table on page 17). However, if you tell us you work in a low risk or professional occupation you could receive a discount on your premium. Whether or not your occupation qualifies you for an occupational premium discount is at the discretion of the Insurer. Your discount will apply from the date the Insurer determines you qualify for a premium discount. Low-risk occupation If you work in a low-risk job you might be in an administrative or clerical type role and spend at least 80% of your total working time in an office or similar environment carrying out office based duties. Professional occupation (a) You are a professional white-collar worker with a university degree qualification relevant to your field (e.g. lawyer, doctor, solicitor, accountant, any member of a professional institute or a member registered by a government body) and you spend at least 80% of your total working time in an office or similar environment carrying out those office based duties OR (b) You are an executive or senior managerial white-collar worker employed by an independent employer earning an annual salary package in excess of $100,000 (including any superannuation contributions made by, or on behalf of, your employer) and you spend at least 80% of your total working time in an office or similar environment carrying out those office based duties. Income Protection premiums are deducted monthly from your accumulation account in arrears. You should make additional voluntary contributions if you do not have enough money in this account to cover premiums. If you do not have enough money in your account, we will continue to deduct premiums and this would result in a negative account balance that would grow with earning rates and be deducted from your benefit on leaving the Defined Benefits Fund. Your premium will depend on your insured benefit, your age, your gender, your occupation and the waiting period you choose. Your annual Income Protection premium is calculated as follows: Your monthly insured benefit 100 x the premium rate (as per your age, gender and occupation) x your waiting period multiple If your annual Income Protection premium is based on a 90 day waiting period it is calculated as follows: Your monthly insured benefit (see How do I work out my level of cover? on page 14) 100 x the premium rate (as per your age, gender and occupation) x 1.00 Waiting period multiples Waiting period 30 days days days days days days 0.70 Premium multiple How long will I receive an Income Protection benefit for? If you claim an Income Protection benefit it is payable for a maximum of 2 years and will stop if you reach age 65, are no longer totally or partially disabled, or if your cover ends. See When does my Income Protection cover end? Do waiting periods apply? Yes, you can apply for a different waiting period (options include 30, 60, 90, 120, 180 or 395 days). Premiums vary accordingly. When could my benefit be reduced? If you receive other income payments from disability or insurance policies (i.e. other personal insurance policies, workers compensation or insured benefits provided by your employer) while you are on claim your benefit payment may be reduced or not paid so that the amount we pay plus the other payment(s) is not more than your monthly benefit and 75% of your pre-disability salary, whichever is greater. The application of any reduction of your Income Protection benefit as a result of the receipt of other income is as specified in the Insurer s policy. 15

18 Insurance in your super (cont.) Income Protection premium rates Annual premiums ($) per $100 per month in cover Waiting period Benefit period 90 days 2 years current age Standard Low risk Professional Male Female Male Female Male Female 15 $1.75 $1.93 $1.32 $1.44 $1.06 $ $1.75 $1.93 $1.32 $1.44 $1.06 $ $1.75 $1.93 $1.32 $1.44 $1.06 $ $1.75 $1.93 $1.32 $1.44 $1.06 $ $1.75 $1.93 $1.32 $1.44 $1.06 $ $1.97 $1.93 $1.47 $1.44 $1.19 $ $1.84 $1.93 $1.38 $1.44 $1.10 $ $1.73 $1.95 $1.29 $1.47 $1.04 $ $1.63 $1.97 $1.21 $1.47 $0.97 $ $1.54 $1.99 $1.14 $1.49 $0.93 $ $1.47 $1.99 $1.10 $1.49 $0.89 $ $1.42 $2.12 $1.08 $1.60 $0.87 $ $1.38 $2.20 $1.04 $1.67 $0.82 $ $1.38 $2.29 $1.04 $1.73 $0.82 $ $1.38 $2.35 $1.04 $1.78 $0.82 $ $1.40 $2.42 $1.06 $1.82 $0.84 $ $1.44 $2.51 $1.08 $1.88 $0.87 $ $1.49 $2.58 $1.12 $1.93 $0.89 $ $1.56 $2.68 $1.17 $2.01 $0.93 $ $1.63 $2.81 $1.21 $2.12 $0.97 $ $1.71 $2.96 $1.27 $2.23 $1.02 $ $1.82 $3.16 $1.36 $2.38 $1.08 $ $1.95 $3.37 $1.47 $2.53 $1.17 $ $2.10 $3.64 $1.58 $2.73 $1.25 $ $2.27 $3.96 $1.71 $2.96 $1.36 $ $2.46 $4.30 $1.86 $3.22 $1.47 $ $2.71 $4.72 $2.03 $3.55 $1.63 $ $2.96 $5.19 $2.23 $3.89 $1.78 $ $3.24 $5.71 $2.44 $4.28 $1.95 $ $3.59 $6.31 $2.71 $4.74 $2.16 $ $3.98 $6.96 $2.98 $5.23 $2.38 $ $4.43 $7.68 $3.33 $5.76 $2.66 $ $4.95 $8.45 $3.72 $6.33 $2.96 $ $5.52 $9.32 $4.13 $6.99 $3.31 $ $6.18 $10.23 $4.65 $7.68 $3.72 $ $6.92 $11.20 $5.19 $8.41 $4.15 $ $7.74 $12.26 $5.82 $9.19 $4.65 $ $8.70 $13.38 $6.54 $10.03 $5.21 $ $9.73 $14.56 $7.31 $10.92 $5.84 $ $10.92 $15.79 $8.19 $11.85 $6.56 $ $12.24 $17.08 $9.19 $12.83 $7.35 $ $13.71 $18.42 $10.29 $13.82 $8.22 $ $15.33 $19.81 $11.51 $14.86 $9.19 $ $17.15 $21.26 $12.87 $15.94 $10.29 $ $19.16 $22.73 $14.38 $17.04 $11.51 $ $21.36 $24.22 $16.02 $18.16 $12.83 $ $23.81 $25.76 $17.86 $19.31 $14.29 $ $26.32 $27.10 $19.75 $20.33 $15.79 $ $21.26 $21.08 $15.94 $15.81 $12.76 $ $6.92 $6.71 $5.19 $5.04 $4.15 $ * The above premium rates include an Insurance fee and any applicable Stamp Duty and GST.

19 Are there exclusions on my insurance? For Income Protection you are excluded for any injury or illness caused by: your intentional act or omission (whether sane or insane) pregnancy, giving birth, miscarrying, pregnancy complications or a termination, unless you are totally disabled for longer than 3 months from when your pregnancy ends declared or undeclared war or any act of war active service in the armed forces of any country or international organisation What if I take approved leave, parental leave or travel or work overseas? We all need a break from time-to-time without being penalised for it. So it s great to know that if you take annual or long-service leave, maternity or paternity leave, leave without pay, a mid-career break, or travel overseas your Income Protection insurance cover will continue for up to 24 months from the date your leave starts. Any cover beyond 24 months must be requested by you before your 24 months leave expires and is subject to approval by the Insurer. Your leave must be approved by your employer and you must continue to pay premiums during that time. When does my Income Protection cover end? If you have Income Protection cover it will end on your 65th birthday. Your cover will also end if: your account balance falls below $50 and no contributions are being received you are a member with a Retained Benefit account and your balance falls below $1,000 you leave LGsuper you permanently retire your TPD or Terminal Illness claim is approved you cancel your insurance in writing to LGsuper by completing an Insurance cancellation form you are a non-australian resident who holds a visa and temporarily leave Australia for more than 3 months you are a non-australian resident who holds a visa and permanently leave Australia (your cover will end 30 days from the time you permanently leave Australia) you are a non-australian resident and your visa is no longer valid you are no longer employed for at least 14.5 hours each week as a permanent employee or contractor, except where you start working at least 14.5 hours per week with a new employer as a permanent employee or as a contractor within 60 days you commence Active Service with the armed forces of any country (except if you are a member of the Defence Force Reserve, in which case, cover will cease only when you become the subject of a call out order under the Defence Act (Cth) 1903) you are on employer approved paid or unpaid leave for longer than 24 consecutive months you die. Are commissions paid on my insurance premiums? No. There are no commissions paid on any of your insurance premiums through LGsuper. However an Insurance fee of 1% (including GST) of all Death, Total and Permanent Disablement and Income Protection premiums is retained by LGsuper to partially offset the administration cost of managing the insurance arrangements. The Insurance fee is included in the insurance premiums deducted from your account monthly in arrears and does not affect your sum insured. What happens to my insurance cover when I leave the Defined Benefits Fund? Any Death and TPD cover you have as part of your defined benefit will continue in your Accumulation or Retained Benefit account up to age 65. We do this by converting the dollar amount of cover to the next whole unit of Death and TPD cover (rounded up) as set out in the Insurance guide. Premiums will be deducted accordingly. Any Income Protection cover you have will automatically continue at the same level unless you apply to change it. If you do not have any Income Protection you can apply for cover to replace part of your salary if you were temporarily unable to work due to sickness or injury. For more information get a copy of our Insurance guide at the time you leave the Defined Benefits Fund or see the Income protection cover section of this guide now to find out how to apply. Your TTD cover will end upon leaving the Defined Benefits Fund. What if my hours reduce to less than 14.5 hours a week? If this occurs your Income Protection will need to be cancelled. While we will endeavour to get this information from your local government employer, you can also cancel your income protection yourself by completing an Insurance cancellation form. You don t want to be paying tor insurance you can t claim against. 17

20 Insurance in your super (cont.) Other important information The conditions under the policy LGsuper has with OnePath This guide aims to give you a comprehensive summary of the terms and conditions of your insurance cover. However all insurance benefits provided by LGsuper are subject to the terms and conditions detailed in the Group Life and Group Salary Continuance policies LGsuper has with OnePath. Please contact us if you would like a copy of the policies. Making a claim We hope you never have to make a claim, but if the unthinkable does happen you can count on LGsuper to process your application as quickly as possible. When making a claim, there are six important things to remember. See below. If you make a claim for Income Protection or TTD, but subsequently return to work and suffer a reoccurrence of the same disability within 6 months of the claim ending, your new claim will be considered a continuation of the earlier one. This means you will not have to serve another waiting period, but the further period of disability will be seen as a continuation of the previous and count towards your 2 year benefit period. For more information, or to advise LGsuper of a claim, phone us on As superannuation is designed specifically to fund your retirement, there are restrictions on when you can access your money. Important things to remember when making a claim 1 Be aware of the waiting periods that apply before your Income Protection or TPD claim can be assessed and paid. 2 Tell LGsuper about your illness or injury as soon as possible as the end of your waiting period approaches and if you are likely to make a claim because of it. Your Income Protection waiting period will start from the date you are medically certified as being unfit for at least one of your normal work duties. A benefit cannot be paid if you return to work before the end of your waiting period. 3 If you cease with your employer due to disability on or after 1 July 2011 you have 6 years from that date to lodge a claim for Total Permanent Disablement, otherwise your claim cannot be considered by the Board. 4 Complete the claim form in full and return it to us as soon as possible (we will send it to you as soon as you tell us about your injury or illness). 5 Supply all additional information to support your claim at the time you make your claim. This will help us assess your claim fairly and quickly. You will need to include medical reports, health certificates, employer reports and other relevant evidence. The Insurer will generally meet the costs associated with any other medical requests that are required. 6 If you die, a relative or legal personal representative should notify LGsuper as soon as possible so the claim process can begin. 7 Keep in mind that once a Death or TPD claim is approved the benefit is invested in the Cash option. Contact us for more information. 18

21 Accessing your super Retirement You can access your super as a lump sum, pension or combination of these methods when you permanently retire after reaching your preservation age. Your preservation age is set by the Australian Government and is based on your date of birth. Date of birth Preservation age Before July July June July June July June July June From July 1964 on 60 You can also access your super when: you reach age 60 and then stop work or change jobs, or you turn 65 (whether you are working or not). Family law and superannuation Superannuation held by many couples who have separated or divorced can be divided by agreement or court order. If you were to split your superannuation in this way, a separate account would be created for your former spouse, and they could then remain a member of LGsuper or transfer this money to another fund. Contact us for more information. Transition to retirement Did you know you can access your superannuation as a regular income stream (but not as a lump sum) when you reach your preservation age, even if you are still working? LGsuper offers a Transition to Retirement Pension account for members wanting to take advantage of the transition to retirement provisions. Special conditions apply for members of the Defined Benefits Fund. Contact us for more information or get a copy of our Pension accounts Product Disclosure Statement (PDS). Other limited circumstances There are only a few situations where you can access your preserved superannuation as a lump sum before retirement. These are: death terminal illness total and permanent disability temporary residents permanently leaving Australia (excluding NZ residents) severe financial hardship, as defined by the Australian Government compassionate grounds, approved by the Department of Human Services If you think any of these situations apply to you, contact LGsuper for further information on accessing your super. Non-preserved benefits Some super contributions and investment earnings made before 1 July 1999 may be accessible before your preservation age. These amounts will be shown on your annual benefit statement as unrestricted non-preserved amounts that can be accessed now, or as restricted non preserved amounts that can be accessed when you leave your employer (conditions apply). If you choose to leave unrestricted non-preserved money with LGsuper, or transfer some unrestricted money to LGsuper from another super fund, it will always be accessible. However, if you choose to withdraw non-preserved money from your defined benefit (conditions apply), you will be required to close your defined benefit and transfer your remaining balance to an accumulation account. What happens if you die? When you die, your superannuation and any insurance payable can help support your dependants. There are rules set out in the LGsuper trust deed and in Australian Government legislation that allow us to pay death benefits to: your spouse married, defacto or same-sex partner your children including step-children, adopted children, mature-age children or a child of a de facto spouse someone in an interdependent relationship with you, as defined by the Australian Government your legal personal representative (i.e. the executor of your Will or the administrator of your estate) some other person. For more information on how death benefits are paid, visit our website or call us for a copy of our Death benefits info sheet. Administration and Investment fees If you have an Accumulation account, it will be charged the fees and other costs applicable to the investment option in which it is invested. Refer to the Investment choice guide available from our website for more information. Nominating your beneficiary You can nominate who you would prefer to receive your super and any insurance benefit payable in the event of your death by making a preferred or binding death benefit nomination. See our Nominating your beneficiary guide for more information and forms. Payment of the death benefit In the event of your death a lump sum benefit would be paid generally to your dependants or your estate. The LGsuper Board of Trustees will generally decide who to pay the benefit to unless a binding death benefit nomination is in place. 19

22 Enquiries, concerns and complaints LGsuper is passionate about providing the personal service you want. We do our best to look after your wellbeing with individual attention, personal advice and quick responses to your needs. How do I get my questions answered? Whatever your question, we can answer it. Simply visit our website at call us on , [email protected] or send us a letter. Our enquiries procedure Note Where member is mentioned it includes a former member and/or a beneficiary who is not a member of LGsuper. Definition of enquiry Request for information concerning a person s membership of the fund. When an LGsuper member makes an enquiry, the following action is taken: Verbal enquiry A verbal enquiry (telephone or face-to-face) will be answered immediately where possible. If further research is needed to answer the query, the member will be contacted with a response by close of business the following day. In that case, an interim response will be given in the time frame outlined above, with an indication of when full details will be available. What do I do if I have a concern or complaint? As a member of LGsuper you are part of the local government family. All families have their ups and downs. If you have a concern or if we do something you are unhappy about, we want you to tell us straight away so we can resolve the matter quickly. Our complaints process If you are unhappy with the financial service provided by LGsuper or its representatives we have an internal complaints handling process. You can contact our Complaints Officer as follows: Post Complaints Officer LGsuper GPO Box 264 Brisbane Qld [email protected] Phone Fax (07) Written enquiry A written enquiry will be answered within 14 days from the date of receipt. If no answer is possible within this time, an interim response will be provided. If you believe our internal complaints process has not satisfactorily resolved your complaint, you can contact the Superannuation Complaints Tribunal (SCT). This is an independent body set up by the Australian Government to help members resolve certain types of complaints with fund trustees. To find out whether the SCT is able to handle a complaint you can contact them on the details below. Post The Superannuation Complaints Tribunal Locked Mail Bag 3060 Melbourne Vic 3001 Website [email protected] Phone Fax (03) You can find out more on our procedures by downloading a copy of our Enquiries, concerns and complaints info sheet from our website or call us and we can post a free copy to you. Family law and superannuation Superannuation held by many couples who have separated or divorced can be divided by agreement or court order. If you were to split your superannuation in this way, a separate account would be created for your former spouse, and they could then remain a member of LGsuper or transfer this money to another fund. Contact us for more information. 20

23 Privacy statement As an LGsuper member you are part of the local government family. Like all families we understand each member s need for privacy that s why we have stringent measures in place to protect your personal information. But why do we need these details in the first place and what do we do with your information once we get it? About LGsuper s privacy statement LGsuper is bound by the Australian Privacy Principles (APPs) which are legally binding principles that support the privacy protection framework in the Privacy Act 1988 (Act). The APPs set out standards, rights and obligations for organisations in relation to handling, holding, accessing and correcting personal information. This Privacy statement is intended to give you an understanding of how we deal with the personal information we collect in order to offer our products and services to you. What is personal information? Personal information is defined under the Act as any information or an opinion about an identified individual, or an individual who is reasonably identifiable: whether the information or opinion is true or not; and whether the information or opinion is recorded in a material form or not. Personal information usually includes your name, date of birth, gender, address, contact details including address and telephone numbers, occupation, financial information, salary, tax file number and employment history. Personal information may also contain sensitive information. Sensitive information relates to things such as your racial or ethnic origin, political opinions, membership of a political association, religious beliefs or affiliations, philosophical beliefs, membership of a professional or trade association, membership of a trade union, sexual preferences or practices, criminal record, health information, genetic information, biometric information or templates. Why does LGsuper collect my personal information? LGsuper only collects your personal information to offer and administer our products and services and to keep you up-to-date with important changes that could affect your super or your insurance. We handle your information with the highest level of care and in line with the Act and the APPs. If you decide not to provide your personal information to us, we may not be able to provide you with our products or services. Many of our products and services require us by law to collect your personal information to identify who we are dealing with and we generally do not allow anonymity or the use of pseudonyms. How do you collect my personal information? Where reasonable and practical, we collect personal information about you directly from you. Usually this information comes from forms that you complete or information you provide through the LGsuper website (including the use of cookies ). Your employer also gives us personal information about you when you start employment with them. If we collect personal information about you from somebody else, we will take reasonable steps to make sure you and the other party are aware of this statement in relation to the information we collect. What do you do with my personal information? We only collect personal information which is reasonably necessary to administer or offer you our products and services, or provide you with employment. Your personal information is primarily used by us to: start and maintain a correct superannuation account/record for you identify you and your superannuation entitlements accurately calculate the amount of benefit you should receive assess, manage and pay any claims you may be entitled to, including claims that contain an insured component communicate with you and provide advice about your superannuation and insurance cover assess and manage an employment application and your ongoing employment if you are offered a position of employment with LGsuper. Your personal information may also be: disclosed by us to our insurers so we can give you death and disability insurance cover used by us or a trusted supplier to undertake market research with you used by us to search the Australian Taxation Office s lost member register disclosed by us to our trusted suppliers such as mailing houses or market research organisations so they can complete a business activity for us disclosed by us to government agencies to comply with legislation (like the Income Tax Assessment Act 1997) used or disclosed for another purpose that is related to LGsuper s functions or activities. If you do not want us to use your personal information for marketing and research purposes you can opt out at any time by contacting us. 21

24 Privacy statement (cont.) Why do you collect sensitive information? We only collect sensitive information about you if: you consent to it it is required for one or more of the purposes previously outlined the collection is authorised under the Act. We know this information is deeply personal and private and take extreme care handling and protecting it from unauthorised access. When collecting sensitive information, we will specify the purpose for its collection and provide an undertaking to use the information for that purpose only. How do you keep my information safe? Your personal information is protected from unauthorised access at all times. We have a number of measures in place to protect it such as information technology systems and internal personnel processes. In addition, we destroy or permanently de-identify personal and sensitive information that is no longer needed for the primary or secondary purposes above or no longer required to be kept by law. Do you send my personal information overseas? LGsuper does not outsource any of its functions or activities to a service provider located overseas. However, our insurers for death and disability benefits have advised that they may disclose information to recipients (including service providers and related companies) which are located outside Australia and/or are not established in or do not carry on business in Australia. You can find out details about the location of these recipients in the insurer s privacy policy and in LGsuper s privacy policy. Can I access and correct my information? If you have registered, you can access your personal account information through LGsuper online at any time. In this secure member area on our website you can check details such as your date of birth, address and account information. You can also make some changes to some of these details if you need to. If you don t have internet access or have not yet registered to use LGsuper online, you can check and change your details by contacting us on If you believe additional information we hold about you is not accurate, complete or up-to- date, we will take steps to correct it at no charge. Sometimes changes to information cannot be made. If we do not correct or change the information we hold about you when you ask us to we will tell you why. If you are not satisfied with the reasons given you may submit a written complaint to LGsuper s Complaints Officer. Will LGsuper withhold information from me? LGsuper will give you access to personal information wehold about you unless: providing access poses a serious threat to the life, health or safety of any individual, or to public health or public safety providing access would have an unreasonable impact on the privacy of other people the request for access is frivolous or vexatious providing access gives you information relating to existing or anticipated legal proceedings between you and LGsuper and the information would not be accessible by the process of discovery in those proceedings providing access would reveal the intentions of LGsuper in relation to negotiations with you in such a way as to prejudice those negotiations providing access would be unlawful denying access is required or authorised by law providing access is likely to prejudice an investigation of possible unlawful or improper activities providing access is likely to prejudice an enforcement related activity providing access would reveal sensitive information in connection with a commercially sensitive decisionmaking process. What are identifiers? An identifier is a unique code or number or combination of both used to distinguish one person or business or agency from another. We will not adopt as our own identifier, an identifier of a person assigned by another agency and disclosed by the person unless adoption of the identifier is required or authorised by law. Nor will we disclose to a third party the identifier assigned by another agency unless doing so is consistent with LGsuper s functions or activities. What if I have a privacy concern? Like you, we take your privacy seriously. If you have a concern about the way your privacy has been managed please contact our Complaints Officer immediately by: Phone: [email protected] Post: LGsuper GPO Box 264 BRISBANE QLD 4001 If, after raising your concerns you are not happy with the outcome you can contact the Office of the Australian Information Commissioner at or on (for the cost of a local call). Where can I get more information? LGsuper is passionate about giving you the personal service you want. You can download a copy of our full privacy policy from our website. Contact us on or visit to have your questions answered. 22

25 OnePath Life s Privacy statement In this section we, us and our refers to OnePath Life Limited and other members of the ANZ Group. You and your refers to policy owners and life insured s. We collect your personal information from you in order to manage and administer our products and services. Without your personal information, we may not be able to process your application or provide you with the products or services you require. We are committed to ensuring the confidentiality and security of your personal information. Our Privacy Policy details how we manage your personal information and is available on request or may be downloaded from onepath.com.au/privacy-policy In order to undertake the management and administration of our products and services, it may be necessary for us to disclose your personal information to certain third parties. Unless you consent to such disclosure we will not be able to consider the information you have provided. Providing your information to others The parties to whom we may routinely disclose your personal information include: an organisation that assists us and/or ANZ to detect and protect against consumer fraud any related company of ANZ which will use the information for the same purposes as ANZ and will act under ANZ s Privacy Policy organisations performing administration and/or compliance functions in relation to the products and services we provide organisations providing medical or other services for the purpose of the assessment of any insurance claim you make with us (such as reinsurers) our solicitors or legal representatives organisations maintaining our information technology systems organisations providing mailing and printing services persons who act on your behalf (such as your agent or financial adviser) the policy owner regulatory bodies, government agencies, law enforcement bodies and courts. We will also disclose your personal information in circumstances where we are required by law to do so. Examples of such laws are:. The Family Law Act 1975 (Cth) enables certain persons to request information about your interest in a superannuation fund There are disclosure obligations to third parties under the Anti-Money Laundering and Counter- Terrorism Financing Act Information required by law ANZ may be required by relevant laws to collect certain information from you. Details of these laws and why they require us to collect this information are contained in our Privacy Policy at onepath.com.au/privacy-policy Life risk - sensitive information For life risk products, where applicable, we may collect health information with your consent. Your health information will only be disclosed to service providers or organisations providing medical or other services for the purpose of underwriting, assessing the application or assessing any claim. Privacy consent Where you wish to authorise any other parties to act on your behalf, to receive information and/ or undertake transactions please notify us in writing. If you give us or ANZ personal information about someone else, please show them a copy of this document so that they may understand the manner in which their personal information may be used or disclosed by us or ANZ in connection with your dealings with us or ANZ. Privacy Policy Our Privacy Policy contains information about: when we or ANZ may collect information from a third party how you may access and seek correction of the personal information we hold about you how you can raise concerns that we or ANZ has breached the Privacy Act or an applicable code and how we and/or ANZ will deal with those matters. You can contact us about your information or any other privacy matter as follows: In writing: GPO Box 75 Sydney NSW [email protected] We may charge you a reasonable fee for this. If any of your personal information is incorrect or has changed, please let us know by contacting Customer Services on More information can be found in our Privacy Policy which can be obtained from our website at onepath.com.au/privacy-policy 23

26 OnePath Life s Privacy statement (cont.) Privacy law changes from 12 March 2014 From 12 March 2014, we and the ANZ Group must provide you with the following information about overseas recipients of personal information. Overseas recipients We or ANZ may disclose information to recipients (including service providers and related companies) which are (1) located outside Australia and/or (2) not established in or do not carry on business in Australia. You can find details about the location of these recipients in ANZ s Privacy Policy at anz.com/privacy 24

27 Insurance application form Benefit withdrawal form B01 IA Use this form to apply for or increase your Death or Death and Total and Permanent Disablement (TPD) cover or to apply for Income Protection cover or reduce your current waiting period. Important information Increasing your Death only or Death and TPD cover, or reducing your waiting period, will increase your premiums. Limits There is a limit to the amount of Death or Death and TPD cover you can apply for. The maximum amounts are below. Type of insurance cover Maximum amount The waiting period is the amount of time you must be totally or partially disabled before any Income Protection benefit can be paid. You cannot receive any Income Protection benefit during the waiting period. Unless we have a low-risk or professional occupation already recorded for you, the occupational category of standard risk will apply to your cover. If you wish to change your occupational category, you will need to complete the Occupational risk rating change form available from or at the back of the Insurance guide. If you have a defined benefit you can use this form to apply for additional cover. Please refer to the Defined Benefits Fund guide or Defined Benefit account (former City Super) guide for information on the insurance benefits available to you. You should read LGsuper s Insurance guide for a summary of the terms and conditions of the Policy. For a copy visit our website at or call us on Death only Death and TPD Income Protection $5 million $5 million (Death) $3 million (TPD) Maximum monthly benefit (if your income justifies it): $30,000 Minimum waiting period: 30 days Personal details LGsuper respects your privacy. All personal information collected is protected in line with LGsuper s Privacy statement. Surname Given name/s Member number Date of birth Current age Gender M F Telephone (b/h) Telephone (a/h) Postal address Suburb State Postcode Country I authorise OnePath Life s underwriting service to contact me if further information is needed: Yes No Please contact me on my: Home Work Mobile Between : am/pm and : am/pm Monday Tuesday Wednesday Thursday Friday Any business day 07/15 OnePath Life Limited (OnePath Life) ABN AFSL The Queensland Local Government Superannuation Board ABN AFS Licence No Local Government Superannuation Scheme ABN Toll free Facsimile [email protected] GPO Box 264 Brisbane Qld 4001 page 1 of 12

28 1 Insurance instructions Please tick the appropriate box/boxes and indicate the level of cover you need. For the value of each unit of cover, please refer to the LGsuper Insurance guide. If you choose a dollar ($) amount it will be converted to the nearest units of cover rounded up to the nearest whole unit. Note: To fix your cover please complete the Application to convert or fix insurance cover form at the back of this guide. Insurance application details Please tick one Please tick Total amount of cover required (including your existing cover): more than one New Death only Number of units or Amount $ Increase Death and TPD Number of units or Amount $ Income Protection To a maximum of 75% of current income Amount $ Income Protection only: Waiting period: 30 days 60 days 90 days 120 days 180 days 395 days Annual salary $ Note: While you are working for Queensland local government or a local government entity or associated employer your Income Protection cover will be recalculated each year at 1 July, as long as your employer provides an updated salary. 2 About your lifestyle a. Height and weight Height cm Weight kg Has your weight varied by more than 10kg (22 pounds) in the past 12 months? Yes No b. Smoking Have you smoked tobacco, cigars or a pipe within the past 12 months, Yes No or used a nicotine replacement treatment within the past three months? If Yes, please state the type and quantity consumed each day. Type Quantity Have you ever been advised to stop smoking due to a medical condition? Yes No If Yes, please complete Section 6, Personal health statement Part B. c. Alcohol Do you consume alcohol? Yes No If Yes, please state the type (e.g. beer, wine) and quantity consumed each day? Type Quantity Have you ever been advised to stop or reduce your alcohol intake due to a medical condition? Yes No If Yes, please complete Section 6, Personal health statement Part B. page 2 of 12

29 3 Residency a. Are you a permanent resident of Australia? Yes No b. Are you currently residing in Australia? Yes No If Yes, please go to question c below. If No, please tell us where you currently reside and how long you intend to reside there. c. If you currently reside in Australia but are not a permanent resident what type of visa do you hold? Not applicable because I m a permanent resident of Australia OR The visa I hold is 4 Your employment What is your current employment status? Permanent full time Permanent part time Casual Self employed Contractor Homemaker or on parental leave Unemployed How many hours do you work each week on average? What is your usual occupation? What is your current annual income from your usual occupation, including tax but excluding superannuation contributions and business expenses? Please list your daily duties below and indicate the percentage (%) of time spent doing each duty. Duties % of time each week Total 100% page 3 of 12

30 5 Personal health statement Part A Please complete all questions below by ticking the Yes or No boxes. a. At the date you sign this application, are you off work due to injury or illness Yes No or restricted from performing any of the usual duties of your occupation due to injury or illness (other than for colds or flu)? b. Are you currently receiving any form of medical treatment or taking any form Yes No of medication (other than for cold or flu)? c. Have you taken more than a total of 7 consecutive days off work in the past Yes No 12 months due to illness or injury (other than for cold or flu)? d. Have you ever received a Total and Permanent Disability (TPD) or are you eligible Yes No to claim a TPD benefit from any other source? e. Have you ever received medical advice, consulted a doctor, undergone medical treatment, investigations or operations for, or suffered from any of the following: High blood pressure, high cholesterol, heart complaint, murmur, palpitations Yes No or chest pain, stroke, diabetes, thyroid or glandular disorder, cancer, tumour or growth including breast lumps or skin lesions/moles (even if you have not seen a doctor)? Back or neck pain/disorder, musculo-skeletal symptoms or any joint disorder, Yes No gout, arthritis, repetitive strain syndrome, paralysis of any kind or chronic fatigue syndrome, epilepsy or neurological disorder, mental/nervous disorder including stress, anxiety or depression? Kidney, bowel, bladder, gall bladder, liver disease or disorder, hepatitis, hernia, Yes No blood disorder, sleep apnoea, asthma, persistent cough or any lung complaint, any abnormality of hearing, speech or eyesight (excluding glasses or contact lenses)? f. Have you ever tested positive for HIV (Human Immunodeficiency Virus), Yes No which causes AIDS (Acquired Immune Deficiency Syndrome), or are you suffering from AIDS or any AIDS related condition? If you answered Yes to any of the questions in Section 5, Personal health statement Part A, please go to and complete Section 6, Personal health statement Part B. If you answered No to all the questions in Section 5, Personal health statement Part A, please go to Section 8, Declaration. 6 Personal health statement Part B Only complete this section if you answered Yes to any of the questions in Section 5, Personal health statement Part A AND/OR you are applying for: Death or Death and TPD Cover of $1,000,001 or greater if 55 years of age or less Death or Death and TPD Cover of $750,001 or greater if aged over 55 years a monthly Income Protection benefit of $10,000 or more Otherwise, please go to Section 8, Declaration. Please complete all questions below by ticking the Yes or No boxes. 1. Do you have, or have you previously applied for any life, TPD, trauma, income Yes No protection or living expense cover with OnePath Life or any other company? (Note, this includes insurance through your superannuation fund and insurance your employer may have arranged for you.) 2. Do you intend to replace all or part of an existing insurance policy or insurance policy Yes No cancelled within the past two months? page 4 of 12

31 If Yes to question 1 or 2, please indicate which insurance(s) and provide details of the date the policy was last fully underwritten in the table below: Name of company Type of cover Amount insured $ Date commenced (dd/mm/yyyy) Will this policy be discontinued/ replaced? Yes No Date last fully underwritten (replacement policies only) (dd/mm/yyyy) 3. Have you ever had an application for insurance on your life declined, deferred, Yes No accepted with a higher than normal premium or issued with restrictions or exclusions? If Yes, please provide name of company, alteration, date and reason (if known). 4. Have you ever made a claim for or received sickness, accident or disability benefits, Yes No Veterans Affairs benefits, Workers Compensation, unemployment benefits or any other form of compensation? If Yes, please provide details i.e. when, amount, period paid, type of disability suffered, date claim finalised etc. 5. Have you any intention of engaging in: a) motorcycle/motor racing other than as a means of transportation to and from work? Yes No b) any hazardous activities or sports, e.g. motor or water sports (such as canoeing), Yes No football, parachuting, recreations involving heights, underwater sports, caving, body contact sports, gliding, hang gliding etc c) aviation/flying, other than as a fare-paying passenger? Yes No If you answered Yes to any of questions a, b or c above, please continue completing this section below for the relevant activity. Motorcycle/motor racing Vehicle type Number of races each year Engine size Maximum speed (km/h) Class Recreational Amateur Professional Scuba/skin diving Average depth (m) Maximum depth (m) Number of dives each year Do you use explosives? Yes No Do you dive in caves or potholes? Yes No If Yes, give details. page 5 of 12

32 Football/soccer/aussie rules, etc. Code played and grade Number of games played each year Recreational Amateur Professional Do you receive any income participating in football/soccer/aussie rules etc.? Yes No If Yes, provide amount and details. Other sports or pastimes a) Please provide details and frequency of any other hazardous activities or sports you participate in (e.g. boxing, competitive riding, mountain climbing, body contact sports, caving, etc.). Name of sport or pastime Frequency b) On what basis do you participate in this activity? Recreational Amateur Professional Aviation/flying Do you hold a Civil Aviation Safety Authority (CASA) licence? Yes No If Yes, state type and period held. Do you intend to change the scope of your present licence? Yes No Have you ever had an accident or been charged with violating CASA regulations? Yes No Do you always use authorised landing areas? Yes No Please complete the table below. No. of hours flown Crew Passenger Past 12 months Future annual average Crew Passenger Commercial airline Charter Private Aero club/flying school Agriculture Helicopter Ultralight aircraft Do you intend to engage in any form of aviation other than the above categories Yes No (e.g. ballooning, aerobatics, parachuting, paragliding)? If Yes, please provide frequency and details. page 6 of 12

33 6. To be completed for your blood relatives only (if adopted and family history unknown, please answer No ). Have any of your parents, brothers or sisters (alive or deceased): a) suffered from Huntington s disease, muscular dystrophy, familial polyposis, Yes No polycystic disease, Alzheimer s disease, dementia or any other hereditary or familial disorder? b) prior to age 60 been diagnosed with diabetes, heart disease, mental illness, Yes No high blood pressure, high cholesterol, breast cancer, bowel cancer or any other cancer (please specify type in space below), stroke or kidney disease? If you answered Yes to this question, please state the relationship of the relative to you, the condition and age of the diagnosis. 7. Have you ever been diagnosed with, had symptoms or signs of, or sought (or intend to seek) medical advice, treatment or investigations for any of the following: a) asthma, sleep apnoea, bronchitis, persistent cough or any other chest or lung condition Yes No b) heart condition, murmur, high blood pressure, high cholesterol, chest pain, Yes No rheumatic fever, palpitations, stroke or vascular disorder? c) diabetes (including gestational diabetes), thyroid or glandular disorder or condition? Yes No d) ulcers, bowel trouble or recurring indigestions? Yes No e) epilepsy, fits or dizziness of any kind, persistent headaches or any conditions or Yes No symptoms affecting physical mobility or muscular power (e.g. multiple sclerosis)? f) stress, anxiety, depression, any diagnosed intellectual disability, cognitive impairment Yes No or any other mental health condition? g) kidney or bladder problem, hernia, renal colic or stone nephritis, lupus nephritis, Yes No pyelitis, cystitis? h) back, neck, shoulder or knee pain or strain, sciatica or any other disorder of the spine Yes No or neck or any other condition not already disclosed affecting any joint (e.g. shoulder, hip, hand, wrist, knee, ankle or foot), muscle, ligament, cartilage, or limb or any other part of the body (e.g. skull, face, jaw, ribs, arm or leg), including broken or fractured bones or the permanent loss of use of a limb or joint, or a missing limb? (Do not include any superficial cuts, scrapes or bruises.) i) arthritis, osteoporosis, gout, fibromyalgia, tendonitis, tenosynovitis, RSI or any regional Yes No pain syndrome, or Chronic Fatigue Syndrome (Myalgic Encephalomyelitis)? j) cancer, tumour, cyst, growth of any kind, or have you noticed or become aware of any Yes No unidentified lump, whether or not you have consulted a doctor? k) varicose veins, skin trouble or any burns that require treatment at a hospital or Yes No any other specialist medical facility? l) any abnormality affecting eyesight (other than that corrected by glasses, contact Yes No lenses or successful corrective laser eye surgery for long or short sightedness, or astigmatism), hearing, speech (not including stuttering or cleft palate) or physical mobility? m) anaemia, haemophilia or any other disease of the blood? Yes No n) bowel, liver or gall bladder disease, or hepatitis? Yes No o) have you ever had, or are you considering having, a genetic test where you received Yes No or will receive an individual result? (Please do not include any test conducted solely for the purpose of a trial or study and where the result of the test has not been, or will not be, provided to you.) p) have you within the last five years had any other illness, injury, operation, x-ray, Yes No electrocardiogram, blood transfusion, any other special tests or been advised to have a blood test for any reason? page 7 of 12

34 q) due to illness or injury have you ever been off work for more than 7 consecutive days Yes No (if not already answered)? r) do you now have any symptoms of ill health or disability or do you intend to consult Yes No a doctor or seek any medical treatment or advice? s) coughing of blood or passing of blood from the bowel or in the urine? Yes No t) are you currently receiving or considering receiving medical attention, or taking Yes No prescribed drugs (other than for contraceptive purposes)? u) are you suffering from unintentional weight loss, persistent night sweats, Yes No persistent fever, diarrhoea or swollen glands? v) (i) Have you ever tested positive for HIV (Human Immunodeficiency Virus), Yes No which causes AIDS (Acquired Immune Deficiency Syndrome), or are you suffering from AIDS or any AIDS-related condition? (ii) Have you received or are you expecting to receive treatment, or undergo Yes No a medical consultation for a sexually transmitted disease including but not limited to HIV (AIDS), gonorrhoea or syphilis? (iii) In the past 5 years have you: had sex without a condom with a person you know or suspect to be either Yes No HIV positive or who uses non-prescribed drugs intravenously had sex without a condom with or as a sex worker Yes No had anal intercourse without a condom (except with someone who you have Yes No been in a monogamous relationship for 5 years or more and who you believe to be HIV negative)? If you answered Yes to question v(iii) a private and confidential questionnaire will be sent to you. w) Do you take, or have you ever taken drugs or any medications on a regular or Yes No ongoing basis (if not already mentioned)? x) Have you ever used or injected any medications or drugs not prescribed for you Yes No by a medical attendant (this does not include cough/cold medications or other non-prescription medications)? y) Other than any condition, injury or disorder which has already been mentioned, Yes No within the last 5 years have you had any other illness, injury, operation or have you had or been advised to have any test or investigation for any reason? 8. Only complete this question if you are a female. a) Are you currently pregnant? Yes No If Yes, date of expected delivery b) Have you had any complications with pregnancy or childbirth? Yes No If Yes, please provide details below: c) Have you ever had an abnormal pap smear, breast ultrasound or mammogram? Yes No If Yes, please provide details below: d) Have you ever had any symptom(s) of, or sought advice or treatment for any condition Yes No of the cervix, ovary, uterus, breast, or endometrium? If Yes, please provide details below: page 8 of 12

35 9. a) Usual doctor or medical centre details. Please tell us the full name of your usual doctor/medical centre. Full name of doctor/medical centre Date of last consultation Address State Postcode Telephone Facsimile Reasons for last consultation Outcome b) If you have attended your usual doctor for less than 12 months, please advise name, number and address of the doctor who has details of your medical history. Full name of doctor/medical centre Date of last consultation Address State Postcode Telephone Facsimile Reasons for last consultation Outcome c) If you have more than one usual doctor, please provide details of additional doctors below: Full name of doctor/medical centre Date of last consultation Address State Postcode Telephone Facsimile Reasons for last consultation Outcome If you answered Yes to any of the questions in Section 6, Personal health statement Part B, please go to and complete Section 7, Details of personal health questions in Personal health statement Part B. If you answered No to all the questions in Section 6, Personal health statement Part B, please go to Section 8, Declaration. page 9 of 12

36 7 Details of personal health questions in Personal health statement Part B Only complete this section if you answered Yes to any of the questions numbered 1 to 7 in Section 6, Personal health statement Part B. Note: There is only enough space below for you to provide answers to two of the questions (numbered 1 to 7) you answered Yes to in Section 6, Personal health statement Part B. If you answered Yes to more than two questions in Section 6, Personal health statement Part B you will need to photocopy this section (Section 7, Details of personal health questions in Personal health statement Part B) before completing it and fill in a photocopied version for each other question you answered yes to. Which question in Section 6, Personal health statement Part B did you answer Yes to? Please advise if illness, injury or test: Main symptoms/causes: Date commenced Time off work Please tick Yes or No for each of the following questions: Has the condition recurred? Yes No If Yes, state date range: From To If No, please provide degree of recovery Full details of treatment: % Date of last symptom Further treatment recommended: Yes No If Yes, please give details: Full name and address of doctor or hospital consulted: Full name of doctor/hospital Address Full details of treatment Does your usual doctor have details of this condition? Yes No Other information page 10 of 12

37 Which question in Section 6, Personal health statement Part B did you answer Yes to? Please advise if illness, injury or test: Main symptoms/causes: Date commenced Time off work Please tick Yes or No for each of the following questions: Has the condition recurred? Yes No If Yes, state date range: From To If No, please provide degree of recovery Full details of treatment: % Date of last symptom Further treatment recommended: Yes No If Yes, please give details: Full name and address of doctor or hospital consulted: Full name of doctor/hospital Address Full details of treatment Does your usual doctor have details of this condition? Yes No Other information page 11 of 12

38 Important information About this insurance Insurance cover is provided by OnePath Life Limited (OnePath Life) (ABN AFSL ) and subject to the terms and conditions of the insurance policy issued to Queensland Local Government Superannuation Board (ABN AFSL ) (LGsuper) by OnePath Life. You should read the LGsuper Insurance guide for a summary of the terms and conditions of the insurance policy. You can download the PDS from www. lgsuper.org or contact LGsuper on if you would like a copy of the policy. Your application will be assessed by OnePath Life and LGsuper will notify you of the outcome in writing. Your duty of disclosure Before you enter into a contract of insurance with an insurer, you have a duty under the Insurance Contracts Act 1984 (Cth) 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 insurance and, if so, on what terms. You have the same duty to disclose those matters to the insurer before you renew, extend, vary or reinstate a contract of insurance. Your duty, however, does not require disclosure of a matter that diminishes the risk to be undertaken by the insurer is of common knowledge that the insurer knows, or in the ordinary course of business, ought to know or we have waived. Non-disclosure If you do not disclose to the insurer every matter that you know or could reasonably be expected to know, that would be relevant to the insurer s decision whether to accept the risk of the insurance and if so, on what terms, the insurer may avoid the contract, or avoid your cover within three years of entering into it, provided that the insurer would not have entered into that contract or accepted cover for you had full disclosure been made. Where the insurer is entitled to avoid a contract of insurance, the insurer may elect not to avoid it but apply either of the following options: reduce the sum that you would 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; or vary the contract in such a way as to place the insurer in a position that the insurer would have been had you disclosed all relevant matters or not made a misrepresentation. Where your contract is in respect of death cover, the insurer may only apply the first of the two options and the insurer must do so within three years of you entering into the contract or the insurer providing cover to you. 8 Declaration I declare that: I understand my duty of disclosure and the effect of non-disclosure under the Insurance Contracts Act I have answered all questions in this application truthfully and correctly (to the best of my knowledge), and have disclosed everything I know that could affect OnePath Life s decision to accept my application. I understand that I must advise OnePath Life of any changes in my health from now until I am notified in writing that my application has been accepted. I understand that insurance cover through LGsuper will be provided to me on the terms contained in LGsuper s insurance policy as changed from time to time. I have read and understood LGsuper s Insurance guide or LGsuper s Defined Benefit account guide or Defined Benefits Fund guide (for members with a defined benefit). I consent to the collection, use and disclosure of my personal information in accordance with the LGsuper Privacy statement and the OnePath Life Privacy statement set out in LGsuper s Insurance guide. I understand that if my application is accepted I will be notified in writing and my insurance cover will change in accordance with the direction I have made in this form. The change will be effective from the date OnePath Life accepts this application and provided my member account has adequate funds to meet the premium payable. I understand that OnePath Life may require additional information or medical tests to enable assessment of this application and I authorise any medical practitioner or other health professional to release to OnePath Life or any other organisation appointed by OnePath Life any medical information needed in connection with this application. I understand that if I fail to attend any medical appointments, my application may not be finalised and insurance cover not offered. Signature Date Now you have completed this form and signed the declaration, please send it to us by: page 12 of 12 Post LGsuper (scanned copy) Fax GPO Box 264 [email protected] Brisbane Qld 4001

39 Life events application form Benefit withdrawal form B01 LEA Use this form if you are a permanent employee (of any employer within or outside Queensland local government) and have recently experienced a life event. By completing this form you can increase your Death only cover or Death and Total and Permanent Disablement (TPD) cover by 2 extra units without having to give any information about your health or answer lengthy questionnaires. The specific life event you have experienced must have happened after your Death or Death and TPD insurance cover through LGsuper started. You must be less than 55 years of age at the time you experienced the life event. If you have fixed your insurance to a dollar amount you are not eligible for extra cover when you experience a life event. Personal details LGsuper respects your privacy. All personal information collected is protected in line with LGsuper s Privacy statement. Surname Given name/s Member number Postal address Suburb/town State Postcode Country Telephone (b/h) address Date of birth Eligibility Please answer the following questions by inserting a in the relevant box. If you answer Yes to any of the below questions, you cannot proceed with your life events application to obtain more cover. You can still apply for extra cover by completing the Insurance application form. 1. At the time of making this application, have you lodged or are you Yes No entitled to make a claim in relation to any life insurance policy? 2. Has the life event occurred more than 60 days ago? Yes No 3. Have you had a life event application approved within the last 12 months? Yes No Specific life event Yes, I have experienced a life event and would like to increase my cover by 2 units (please tick box if correct). Please select the life event you have experienced from the list in the table over the page. You can only apply for one life event increase in any 12 month period and a maximum of three events during your membership. You will need to enclose the corresponding documentation with this application form to receive the increase in cover. 07/15 OnePath Life Limited (OnePath Life) ABN AFSL The Queensland Local Government Superannuation Board ABN AFS Licence No Local Government Superannuation Scheme ABN Toll free Facsimile [email protected] GPO Box 264 Brisbane Qld 4001 page 1 of 3

40 Within the last 60 days I have experienced this life event It happened on the following date I have enclosed this documentation as proof I got married / / A copy of my marriage certificate I got divorced / / A copy of my divorce certificate I (or my spouse) gave birth to or adopted a child I took out or increased my mortgage on my principal place of residence by more than $100,000 At least 2 years in an interdependent relationship / / A copy of my child s birth certificate or adoption documentation / / Written confirmation from my accredited* mortgage provider(s) that shows: the amount and effective date of the mortgage, or the amount of the mortgage immediately before the increase, the effective date of the increase and the current level of the increased mortgage / / Copies of bank statements, phone, electricity bills or any other evidence that shows I have been in this relationship for at least 2 years My spouse died / / A copy of the death certificate * Accredited mortgage provider means an authorised deposit-taking institution (as defined by the Banking Act 1959) or other reputable financial services business, program or trustee which provides mortgage loans as part of its ordinary business activities and is accredited with the Mortgage Industry Association of Australia. Important information You should read LGsuper s Insurance guide for a summary of the terms and conditions of the Policy. For a copy visit our website at or call us on Duty of disclosure Before you enter into a contract of insurance with an insurer, you have a duty under the Insurance Contracts Act 1984 (Cth) 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 insurance and, if so, on what terms. You have the same duty to disclose those matters to the insurer before you renew, extend, vary or reinstate a contract of insurance. Your duty, however, does not require disclosure of a matter that diminishes the risk to be undertaken by the insurer is of common knowledge that the insurer knows, or in the ordinary course of business, ought to know or we have waived. Non-disclosure If you do not disclose to the insurer every matter that you know or could reasonably be expected to know, that would be relevant to the insurer s decision whether to accept the risk of the insurance and if so, on what terms, the insurer may avoid the contract, or avoid your cover within three years of entering into it, provided that the insurer would not have entered into that contract or accepted cover for you had full disclosure been made. Where the insurer is entitled to avoid a contract of insurance, the insurer may elect not to avoid it but apply either of the following options: reduce the sum that you would 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; or vary the contract in such a way as to place the insurer in a position that the insurer would have been had you disclosed all relevant matters or not made a misrepresentation. Where your contract is in respect of death cover, the insurer may only apply the first of the two options and the insurer must do so within three years of you entering into the contract or the insurer providing cover to you. page 2 of 3

41 Declaration I declare that: I understand my duty of disclosure and the effect of non-disclosure under the Insurance Contracts Act I have answered all questions in this application truthfully and correctly (to the best of my knowledge), and have disclosed everything I know that could affect OnePath Life s decision to accept my application. I understand that insurance cover through LGsuper will be provided to me on the terms contained in LGsuper s insurance policy as changed from time to time. I have read and understood LGsuper s Insurance guide or LGsuper s Defined Benefit account guide or Defined Benefits Fund guide (for members with a defined benefit). I consent to the collection, use and disclosure of my personal information in accordance with the LGsuper Privacy statement and the OnePath Life Privacy statement set out in LGsuper s Insurance guide. I understand that the additional 2 units of cover will not become effective until my application is accepted in writing and provided my member account has adequate funds to meet the premium payable. I understand that increases. I understand that the information I provide in this application form, along with any other statements made or evidence provided in connection with this application, will be used by OnePath Life to assess whether to accept the application and issue the increased amount of insurance. Signature Date Now you have completed this form and signed the declaration, please send it to us by: Post LGsuper (scanned copy) Fax GPO Box 264 [email protected] Brisbane Qld 4001 page 3 of 3

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43 Occupational risk rating Benefit change withdrawal form form B01 IOR Use this form to change the occupational risk rating that applies to your insurance cover with LGsuper. Unless we have a low-risk occupation already recorded for you, the occupational rating of standard risk will apply to your cover. You can apply to change your rating to one of the two options below: Low risk Professional risk You are engaged in an occupation which is administrative, clerical or sedentary and you spend at least 80% of your total working time in an office or similar environment carrying out those office based duties. (a) You are a professional white-collar worker with a university degree qualification relevant to your field (e.g. lawyer, doctor, solicitor, accountant, any member of a professional institute or a member registered by a government body) and you spend at least 80% of your total working time in an office or similar environment carrying out those office based duties; or (b) You are an executive or senior managerial white-collar worker employed by an independent employer earning an annual salary package in excess of $100,000 (including any superannuation contributions made by, or on behalf of, your employer) and you spend at least 80% of your total working time in an office or similar environment carrying out those office based duties. The cost of your voluntary insurance will be matched to your occupational risk rating. For the full definitions of the occupational ratings and costs, please refer to the LGsuper Insurance guide. If you are a member with a defined benefit your occupational discount only applies to any additional Death and TPD cover or Income Protection cover you may have. 1 Personal details Member number Surname Given name/s Title Date of birth Age next birthday Gender Address Suburb/town State Postcode Country Postal address (Write as above if same as residential) Suburb/town State Postcode Telephone (b/h) Telephone (a/h) 07/15 OnePath Life Limited (OnePath Life) ABN AFSL The Queensland Local Government Superannuation Board ABN AFS Licence No Local Government Superannuation Scheme ABN Toll free Facsimile [email protected] GPO Box 264 Brisbane Qld 4001 page 1 of 3

44 2 Change your operational risk rating To change your occupational classification, please answer all the following questions. 1. What is the name of your current employer? 2. What is your main occupation? 3. Are you engaged in any other occupations? Yes No If yes, please specify your occupation(s). 4. Do you spend at least 80% of your total working time in an office or similar environment performing administrative, clerical or sedentary type duties? (This includes the total amount of time spent in all occupations as advised in questions 2 & 3 above) Yes No 5. Only complete this question if you are applying for a professional risk rating Do you have a university degree qualification relevant to the field of your main occupation or, are you an executive or senior managerial white-collar worker employed by an independent employer earning an annual salary package in excess of $100,000 (including any superannuation contributions made by your employer on your behalf to the fund)? Yes No Important information Insurance cover is provided by OnePath Life Limited (OnePath Life) (ABN AFSL ) and subject to the terms and conditions of the insurance policy issued to Queensland Local Government Superannuation Board (ABN AFSL ) (LGsuper) by OnePath Life. You should read the LGsuper Insurance guide for a summary of the terms and conditions of the insurance policy. You can download the PDS from or contact LGsuper on if you would like a copy of the policy. Your application will be assessed by OnePath Life and LGsuper will notify you of the outcome in writing. Changing your occupational risk rating will change the premium you pay, but not the amount of your cover. Your duty of disclosure Before you enter into a contract of insurance with an insurer, you have a duty under the Insurance Contracts Act 1984 (Cth) 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 insurance and, if so, on what terms. You have the same duty to disclose those matters to the insurer before you renew, extend, vary or reinstate a contract of insurance. Your duty, however, does not require disclosure of a matter that diminishes the risk to be undertaken by the insurer is of common knowledge that the insurer knows, or in the ordinary course of business, ought to know or we have waived. Non-disclosure If you do not disclose to the insurer every matter that you know or could reasonably be expected to know, that would be relevant to the insurer s decision whether to accept the risk of the insurance and if so, on what terms, the insurer may avoid the contract, or avoid your cover within three years of entering into it, provided that the insurer would not have entered into that contract or accepted cover for you had full disclosure been made. Where the insurer is entitled to avoid a contract of insurance, the insurer may elect not to avoid it but apply either of the following options: reduce the sum that you would 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; or vary the contract in such a way as to place the insurer in a position that the insurer would have been had you disclosed all relevant matters or not made a misrepresentation. page 2 of 3 Where your contract is in respect of death cover, the insurer may only apply the first of the two options and the insurer must do so within three years of you entering into the contract or the insurer providing cover to you.

45 3 Declaration I declare that: I understand my duty of disclosure and the effect of non-disclosure under the Insurance Contracts Act I have answered all questions in this application truthfully and correctly (to the best of my knowledge), and have disclosed everything I know that could affect OnePath Life s decision to accept my application. I understand that if OnePath Life rejects my application, all my cover in LGsuper will be based on my existing occupational risk rating. I understand that if OnePath Life accepts my application, the new occupational rating will apply to all my cover in LGsuper from the date OnePath Life accepts this application in writing, and provided my LGsuper account has enough money in it to pay the premiums. I have read and understood LGsuper s Insurance guide or LGsuper s Defined Benefit account guide or Defined Benefits Fund guide (for members with a defined benefit) and understand that, if I am a member with a defined benefit, the occupational discount only applies to any additional Death and TPD cover or Income Protection cover I have. I consent to the collection, use and disclosure of my personal information in accordance with the LGsuper Privacy statement and the OnePath Life Privacy Statement set out in the Insurance Guide. Signature Date Now you have completed this form and signed the declaration, please send it to us by: Post LGsuper (scanned copy) Fax GPO Box 264 [email protected] Brisbane Qld 4001 page 3 of 3

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47 Application to reduce Benefit insurance withdrawal cover form B01 ARI Use this form to reduce your Death only or Death and Total and Permanent Disablement (TPD) cover or increase the length of the waiting period that applies to your Income Protection cover through LGsuper. For details on the premium that will apply, please refer to the LGsuper Insurance guide. If you have a defined benefit you are unable to reduce your standard insurance cover as it is provided as part of the package of benefits you receive. Personal details LGsuper respects your privacy. All personal information collected is protected in line with LGsuper s Privacy statement. Surname Given name/s Member number Postal address Suburb/town State Postcode Country Telephone (b/h) address Date of birth Insurance instructions I would like to: Reduce my Death only or Death and TPD insurance cover Complete Section 1 and Declaration Increase my Income Protection insurance cover waiting period Complete Section 2 and Declaration 1 Reduce my Death only or Death and TPD insurance cover For the value of each unit of cover, please refer to the LGsuper Insurance guide. I would like to reduce my insurance cover as follows: Reduce my Death only cover to: units (insert the number of units) Reduce my Death and Total and Permanent Disablement cover to: units (insert the number of units) Reduce my insurance cover to Death cover only (no Total and Permanent Disablement cover is needed) Note: To reduce your Death and Total and Permanent cover to a dollar ($) amount you will need to fix your cover. Please complete the Application to convert or fix insurance cover. 2 Increase my Income Protection cover waiting period I would like to increase my Income Protection insurance waiting period to: 60 days 90 days 120 days 180 days 395 days 07/15 OnePath Life Limited (OnePath Life) ABN AFSL The Queensland Local Government Superannuation Board ABN AFS Licence No Local Government Superannuation Scheme ABN Toll free Facsimile [email protected] GPO Box 264 Brisbane Qld 4001 page 1 of 2

48 Important information You should read LGsuper s Insurance guide for a summary of the terms and conditions of the Policy. For a copy visit our website at or call us on Declaration I declare that: I understand that insurance cover through LGsuper will be provided to me on the terms contained in LGsuper s insurance policy as changed from time to time. I have read and understood LGsuper s Insurance guide and/or the Defined Benefit account guide or Defined Benefits Fund guide (for members with a defined benefit). I understand that my insurance cover and premium payable will change according to the instructions I have given in this form from the date that LGsuper receives this fully completed application. If I have chosen to reduce all or part of my insurance cover, I will no longer be insured for that cover and I (or my beneficiaries) will not be able to claim a benefit under the cancelled cover for any disability which occurs after the date LGsuper receives this fully completed application. Should I wish to apply for or increase my insurance cover through LGsuper in the future, I will be required to provide health information to the Insurer and my insurance cover will not commence until the Insurer accepts my application for cover. Signature Date Now you have completed this form and signed the declaration, please send it to us by: Post LGsuper (scanned copy) Fax GPO Box 264 [email protected] Brisbane Qld 4001 page 2 of 2

49 Insurance cancellation form Benefit withdrawal form B01 IC Use this form to cancel all or part of your insurance cover. If you have a defined benefit you are unable to cancel your standard insurance cover as it is provided as part of the package of benefits you receive. Personal details LGsuper respects your privacy. All personal information collected is protected in line with LGsuper s Privacy statement. Surname Given name/s Member number Postal address Suburb/town State Postcode Country Telephone (b/h) address Date of birth Insurance instructions I would like to cancel my insurance cover as follows: Death and Total and Permanent Disablement cover Total and Permanent Disablement cover (I will keep my Death cover only) Income protection cover Important information You should read LGsuper s Insurance guide for a summary of the terms and conditions of the Policy. For a copy visit our website at or call us on Declaration I declare that: I have read and understood LGsuper s Insurance guide and/or the Defined Benefit account guide or Defined Benefits Fund guide (for members with a defined benefit). I understand that my insurance cover and premium payable will change according to the instructions I have given in this form from the date that LGsuper receives this fully completed application. if I have chosen to cancel all or part of my insurance cover, I will no longer be insured for that cover and I (or my beneficiaries) will not be able to claim a benefit under the cancelled cover for any disability that occurs after the date LGsuper receives this fully completed application. if I would like to apply for or increase my insurance cover through LGsuper in the future I will be required to provide health information to the Insurer and my insurance cover will not start until the Insurer accepts my application for cover. Signature Date Now you have completed this form and signed the declaration, please send it to us by: Post LGsuper (scanned copy) Fax GPO Box 264 [email protected] Brisbane Qld /15 OnePath Life Limited (OnePath Life) ABN AFSL The Queensland Local Government Superannuation Board ABN AFS Licence No Local Government Superannuation Scheme ABN Toll free Facsimile [email protected] GPO Box 264 Brisbane Qld 4001 page 1 of 1

50 Level Ann Street Brisbane Qld 4000 GPO Box 264 Brisbane Qld 4001 Toll free Facsimile The Queensland Local Government Superannuation Board ABN AFS Licence No Local Government Superannuation Scheme ABN RSE Registration No. R Disclaimer: This Defined Benefits Fund guide has been produced by the Queensland Local Government Superannuation Board (ABN AFSL ) (LGsuper) as Trustee of the Local Government Superannuation Scheme (ABN ) and provides general information for LGsuper members. LGsuper recommends that you should, before acting on this information, consider your own personal objectives, financial needs and situation. LGsuper recommends you consult a licensed financial advisor if you require advice that takes into account your personal circumstances. LGsuper has representatives that are authorised to provide personal advice on LGsuper products and superannuation in general. The information in this document is up to date at the date of preparation of the document. Some of the information may change following its release. If the change is not significant we may not update the document immediately. Current information about investment performance and other issues will be published on our website and in our newsletters. We will send you a free printed copy at your request. Where there is an inconsistency between this document and the Fund s rules as per the LGsuper Trust Deed and Government regulations, the rules in the Trust Deed and Government regulations shall prevail.