Sunsuper for life. Insurance guide. Learn more about your insurance Identify your insurance needs
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1 Sunsuper for life Insurance guide Learn more about your insurance Identify your insurance needs Preparation date: 9 June 2015 Issue date: 1 July 2015
2 INSURANCE IN YOUR SUPER Contents 1 Why have insurance? 3 Why should I insure through Sunsuper? 4 Competitive Rates saving you money 4 Use your super to pay your insurance 4 Tax breaks 4 Your cover continues even if your job doesn t 4 Bring your current cover with you 4 Features at a glance 5 2 What types of insurance can I have? 6 What types of insurance can I have through Sunsuper? 7 Insurance in your Super-savings account 8 3 Am I eligible for insurance cover? 9 Eligibility for automatic Standard and TPD cover, and Standard IP cover 10 Other important Eligibility Terms and Conditions 10 and TPD 10 Income Protection 10 Self-Employed, unemployed or unpaid Domestic Duties 10 When does my insurance cover start? 11 4 and TPD cover 12 Standard Cover 13 How much Standard and TPD cover do you get? 13 What is the cost of Standard cover and when is it paid? 13 Exclusions and restrictions 13 New Member options increase your and TPD cover by 50% 14 Exclusions and restrictions 14 White Collar cover 15 When does White Collar cover start? 15 Exclusions and restrictions 15 Life and Age Events options 16 Change your Standard or White Collar cover without complicated forms and medical information 16 Life Event options 16 Age Event options 16 Increasing your cover with Life or Age Event options 16 Exclusions and restrictions 16 What is the cost if I change my cover with Life and Age Event options and when is it paid? 17 Tailored and TPD cover 18 Types of cover available 18 How much can I apply for? 18 Interim Accident cover 18 What are the Occupational Categories? 18 Can you change your Occupational Category? 18 How is the premium calculated? 19 Amount and basis for insurance cover 19 TPD cover reduction on fixed cover basis 19 Transferring your and TPD insurance cover 19 Can your health affect your insurance cover? 20 When does Tailored and TPD insurance cover start? 20 Can Tailored and TPD cover restart if it lapses? 20 Restrictions and exclusions 20 Conditions & Exclusions 20 When does and TPD insurance cover stop? 20 What happens if I want to reduce or cancel my cover? 20 What happens during Unpaid Leave or parental leave? 21 What happens if your work situation changes or you leave your employer? 21 What happens if you are employed under the terms of a Class 457, 422 or 418 visa? 21 What happens if you have a Terminal Illness? 21 What happens if you travel overseas on paid leave? 21 What happens if you temporarily reside overseas? 21 What benefits are paid out if you die or become TPD? 21 General exclusion 21 5 Income Protection (IP) cover 22 New Member options Standard IP cover 23 Exclusions and restrictions 23 White Collar IP cover 24 When does White Collar cover start? 24 Exclusions and restrictions 24 Tailored IP cover 25 Maximum amount of Tailored IP cover 25 Interim Accident cover 26 Indexation of Tailored IP cover 26 What happens to my Standard or White Collar IP cover? 26 What are the Occupational Categories? 26 How much is the premium and when is it paid? 26 Sunsuper for life Insurance guide
3 Exclusions and restrictions 27 Transferring your IP insurance cover 27 Can your health affect your insurance cover? 27 Conditions & Exclusions 28 When does IP cover start? 28 When does IP cover stop? 28 What happens if I want to reduce or cancel my cover? 28 What happens if your work situation changes or you leave your employer? 28 What happens if you return to work during the Waiting Period? 28 What happens during Unpaid Leave or parental leave? 28 What happens if you travel overseas on paid leave? 29 What happens if you temporarily reside overseas? 29 Can your IP cover restart? 29 What benefit is paid out? 29 Recurrent event 29 Updating your IP cover 29 Will there be offsets to my benefit payment? 29 Payment of benefits 30 Indexation of Tailored IP benefits 30 Partial Disablement 30 When does payment of the benefit stop? 30 General exclusions 30 6 How to apply and getting financial advice 31 How much insurance will I need? 32 Need help? 32 Nominating your beneficiaries 32 Worksheet to help determine your and TPD insurance needs 33 Worksheet examples 34 How do you apply? 36 7 Premium Rates 38 Standard and White Collar & TPD cover (Premium table 1) 39 New Member options 50% increase in & TPD and Standard and White Collar IP cover (Premium table 2) 40 Life and Age Event options cover and premiums (Premium table 3) 41 Tailored and TPD cover (Premium table 4) 42 Tailored Income Protection cover 2-year Benefit Period (Premium table 5) 43 Tailored Income Protection cover 5-year Benefit Period (Premium table 6) 44 Tailored Income Protection cover Benefit Period to-age-65 (Premium table 7) 45 8 Facts about making a claim 46 Let us help you 46 Do you need a lawyer to assist with your claim? 46 Nominating your beneficiaries 46 How to make a claim 46 claims 46 Disablement claims (TPD and IP) 46 Rehabilitation in Sunsuper Work is Good Medicine 47 Other important information 47 Financial advice 47 If your claim is declined 47 Incorrect information and eligibility for cover 47 Claims after your cover has stopped 47 Your duty of disclosure 47 9 Definitions 48 Tailored insurance application form Tailored insurance (full application) form Transfer of insurance cover form Important information This is the Sunsuper for life Insurance guide. The information in this guide forms part of the Sunsuper for life Product Disclosure Statement (PDS) issued 1 July The PDS references important information contained in this guide by. This guide may reference important information contained in the Sunsuper for life Investment guide and Sunsuper for life guide. The PDS, this guide, Sunsuper for life Investment guide and Sunsuper for life guide should be read in their entirety before making a decision to acquire or continue to hold an interest in Sunsuper. General advice disclaimer The information in the PDS and guides is general information only and doesn t take into account your personal objectives, financial situation or needs. You should consider the appropriateness of any general information in the PDS and guides having regard to your own personal objectives, financial situation and needs. You should obtain financial advice tailored to your personal circumstances. Call us if you would like to speak with one of our qualified financial planners. Protecting your privacy Sunsuper respects the privacy of the information you give us. If you require a copy of our Privacy Policy visit sunsuper.com.au/privacy or call Financial Services Guide (FSG) Visit sunsuper.com.au/fsg or call us on for a copy of the FSG which provides you with information about the financial services Sunsuper Pty Ltd provides and will help you decide whether to use these services sunsuper.com.au 1
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5 1 Why have insurance? Even the most carefully made financial plans can fail due to unexpected circumstances. So it makes sense to protect your greatest asset you! 3
6 1 WHY HAVE INSURANCE? (continued) While most people take out insurance for their car and home, unfortunately when it comes to personal insurance many people are underinsured. Having the right insurance cover can ensure a tragedy will not be made worse by financial burden. Through Sunsuper you have the opportunity to protect yourself, your family and your lifestyle if something happens to take away your earning power. Whether you re starting out, getting set up or starting to plan your retirement, insurance is important for everyone. With the, Total and Permanent Disability (TPD) and Income Protection (IP) cover available through Sunsuper you can be covered, no matter what stage of life you re at. It makes sense to have a safety net in place. You can use your insurance benefits to help pay your credit card bills, cover your mortgage or pay the rent, get your children through school and cover the cost of any unexpected medical treatment you may need. Also in the unfortunate event of your death, insurance can ensure your family s financial future is looked after. Why should I insure through Sunsuper? Competitive rates saving you money You don't have to buy insurance cover privately because of our size, we can negotiate competitive rates with our insurer. Use your super to pay your insurance Linking your insurance with your super fund can make sense because the premiums are deducted from your Super-savings account. That means you won t feel the impact in your take-home pay. Tax breaks Super funds receive tax deductions for paying insurance premiums, which in Sunsuper s case are passed on to you. Not all funds pass on this deduction, but we do. Your cover continues even if your job doesn t If you leave your employer your and TPD and IP insurance cover will continue automatically in Sunsuper for life. If you leave your employer and don t wish to continue your cover that s ok just let us know. Please refer to Sections 4 and TPD cover and 5 Income Protection (IP) cover for details of when your cover will stop or a benefit may not be paid. Bring your current cover with you You may be eligible to transfer existing and/or TPD cover (from other super funds or insurance policies up to 1,000,000 per transfer and 2,000,000 in total transfers), and/or IP cover (up to a maximum 10,000 per month per transfer and 20,000 per month in total transfers) to Sunsuper. To transfer your existing cover please complete and return the Transfer of insurance cover form found in the back of this guide. It s important you include all required documentation. If you are thinking about changing super funds, make sure you find out what will happen to your existing cover before you leave your current fund. If accepted by the Sunsuper insurer you will be subject to the terms and conditions outlined in the policy. 4 Sunsuper for life Insurance guide
7 Features at a glance The benefits, features and options for insurance cover in Sunsuper for life are summarised in the table below. More information on each item can be found in this guide. Features cover TPD cover Income Protection cover Terminal Illness cover Standard cover New Member options White Collar cover Life and Age Events Tailored cover Indexation of Tailored IP cover Worldwide cover Cover during paid and Unpaid Leave Cover during overseas employment Automatic continuation of cover Transfer of insurance cover Financial advice Claims support Indexation of Tailored IP benefits Rehabilitation work is good medicine Binding Nominations vs. Preferred Beneficiaries Description Provides a lump sum benefit on the death of a member; members can have only cover Provides a lump sum benefit where a member becomes TPD and meets the conditions of the relevant part of the TPD definition; members can have TPD only cover Provides a replacement income where a member becomes totally disabled and cannot work as a result Provides a lump sum benefit where a member is diagnosed as having a terminal illness and forms part of the cover and TPD cover automatically provided to eligible members on joining Sunsuper Additional and TPD cover and Standard IP cover available to new members Additional Standard and TPD cover is available to eligible members employed in White Collar occupations at no additional cost. Additional IP cover may also be available. Additional cover available for eligible members with Standard and White Collar and TPD cover if they experience a specified Life or Age Event, such as getting married or turning 30 You can tailor your, TPD and/or IP cover to suit your individual circumstances and needs Your Tailored IP cover will be automatically indexed each 1 July by a factor generally aligned to the increase in Average Weekly Ordinary Time Earnings (AWOTE) Cover is provided 24/7 anywhere in the world and TPD cover continues while a member is on leave; IP cover will continue for a period of 24 months during Unpaid Leave Cover continues while a member satisfies the eligibility requirement while working overseas Your and TPD cover continues regardless of your work status, while IP cover is subject to your employment status at the date of disablement We may agree to take over the cover provided by a previous insurer and provide equivalent benefits on Sunsuper s terms and conditions To assist members to determine the amount and type of insurance cover needed and assist members with the proceeds of claims Our experienced Claims Officers are here to help with your claim When on claim your IP benefits will be indexed by the lesser of CPI or 5% on each anniversary of a continuing IP claim If you have an injury, disability or health condition we can arrange work related rehabilitation to assist you back to meaningful work You can nominate your preferred beneficiaries or you can make a binding beneficiary nomination sunsuper.com.au 5
8 2 What types of Insurance can I have? 6
9 What types of insurance can I have through Sunsuper? Members have access to: cover, Total and Permanent Disability (TPD) cover, and Income Protection (IP) cover. Type of Insurance cover Type of benefit paid Is cover provided automatically? How will it protect me? cover Lump Sum Yes 1 If you die, your dependants or beneficiaries receive a lump sum, helping them to pay any debts or bills and provide ongoing income TPD cover Lump Sum Yes 1 to help you pay any debts and bills and fund disability related expenses If you are Totally and Permanently Disabled, you will receive a lump sum such as home modifications and special medical needs IP cover Monthly income No, but refer to New Member option Standard IP cover 1 You must be eligible for the cover. Please refer to When does my insurance cover start? on page 11. Provides an income for up to 2 years while you are unable to work due to sickness or injury to help you pay your expenses while you focus on your health and recovery Eligible members are automatically provided with Standard and TPD cover (for more information refer to 3 Am I eligible for insurance?). On joining you can choose to have an additional 50% Standard and TPD cover (New Member option), and if eligible, White Collar and TPD cover which provides 50% more cover than Standard cover at no additional cost. You can also increase your cover with a Life or Age Event. If you require more cover this can be provided within Tailored and TPD cover. On joining you can choose to have Standard IP cover, subject to acceptance by the insurer, and if eligible, White Collar IP cover which may provide more cover than Standard IP cover at no additional cost. If you require more cover, a different Benefit Period or Waiting Period, this can be provided within Tailored IP cover sunsuper.com.au 7
10 2 WHAT TYPES OF INSURANCE CAN I HAVE? (continued) Insurance in your Super-savings account Sunsuper provides access to flexible, TPD and IP insurance to keep you protected 24 hours a day, 7 days a week if something unfortunate were to happen to you. You have the flexibility to make sure your cover is right for you. Sunsuper offers easy ways for you to change your cover, apply for cover or cancel your cover. The summary below describes the insurance you can have through Sunsuper. Standard cover New Member options Increase and TPD by 50% Opt in Standard IP and TPD Section 4 White Collar cover Additional and TPD May provide additional Standard IP Life and Age Events Additional and TPD Life Events If you are ineligible for Standard cover Age Events OR You need more cover Tailored cover and TPD IP Section 4 Section 5 Section 4 Section 5 Section 4 Section 5 Section 4 Section 4 It s important to review your insurance needs and check whether Standard insurance cover is enough. The Trustee reserves the right to limit the amount of cover provided. Any increase or change is subject to acceptance by the Insurer. Satisfactory evidence of health may be required when you apply for increased or Tailored cover. In the event of a dispute the policy will override the information in the PDS and this guide. Insurance cover is provided through group life policies for and TPD, and Income Protection, issued by AIA Australia Limited ABN (AIA) to the Trustee of the Sunsuper Superannuation Fund. In conjunction with either a disablement claim application or an application for additional cover, Sunsuper members may be contacted directly by an AIA representative on behalf of the Fund to discuss or gather information relating to their application. If you have two or more Super-savings accounts in Sunsuper for life, you will only be entitled to insurance cover from one account (with the exception of Sunsuper for life Corporate Super-savings accounts and Sunsuper for life Business Super-savings accounts). 8 Sunsuper for life Insurance guide
11 3 It Am I eligible for insurance cover? is very important to check your eligibility for Standard cover. If you are not eligible for Standard cover you can apply for Tailored cover at any time. 9
12 3 AM I ELIGIBLE FOR INSURANCE COVER? (continued) Eligibility for automatic Standard and TPD cover, and Standard IP cover Types of Insurance Cover Age Eligible for Standard cover Not eligible for Standard cover You are actively employed 1 you are Self-Employed 2, or TPD You are actively employed 1 you are not employed, or you have previously received or are eligible to receive a Terminal Illness benefit, TPD benefit or a benefit as a result of Permanent Incapacity or a Terminal Medical Condition from Sunsuper or another fund or insurer. IP You are actively employed 1 on a permanent basis for a minimum of 15 hours per week you are a casual or contract employee, or you are Self-Employed 2, or you are employed under a Class 457, 422 or 418 working visa, or you are not employed; or you are working less than 15 hours per week. 1 You will be actively employed if you satisfy the At Work definition at the date your automatic Standard insurance cover starts refer to 9 Definitions for the At Work definition. 2 Self-Employed means a person who is predominantly working in their own business on a regular basis and earning an income refer to section 9 Definitions for the definition of Self-Employed Person. Other important Eligibility Terms and Conditions and TPD As a general rule, your eligibility for Standard or White Collar and TPD cover will not be assessed until you make a claim. If you are not At Work on the first day with your new employer Limited Cover will apply until you satisfy the At Work requirements for 30 consecutive days where you have joined Sunsuper and a Superannuation Guarantee (SG) contribution is received within 120 days of the date you joined your employer. Where you joined Sunsuper and an SG contribution is received more than 120 days after the date you joined your employer Limited Cover will apply to your cover for a period of 24 months and will cease to apply once you satisfy the At Work requirements for 30 consecutive days after the end of the 24-month period. If you were under age 15 when you joined Sunsuper, your cover will automatically commence upon receipt of an SG contribution after you have turned age 15. If your insurance cover start date is more than 120 days from the date you joined your employer or you have White Collar cover, a or TPD benefit will not be paid where or TPD is caused by suicide or any intentional self-inflicted act within 12 months of your insurance cover start date. If you are not eligible for Standard cover, or you want to change the basis of your cover or increase your level of cover, you can apply for Tailored cover. Any application will be subject to acceptance by the insurer (satisfactory evidence of health will be required). To avoid being charged premiums for cover that you are ineligible for, please ensure that you notify us if you are ineligible or contact us if you would like to discuss whether you are eligible for Standard cover. Members whose financial affairs are under the supervision of a third party due to their medical condition or incapacity, such as a public trustee office, are entitled to Standard only cover subject to satisfying the At Work requirements. Members not satisfying the At Work requirements will not be eligible for Standard only cover. They will also not be able to apply for New Member and Life and Age Event options or for White Collar cover. Some members may have other insurance offers made to them from time to time or you may be part of a group transfer from another fund. Your insurance arrangements and eligibility may differ from those contained in this guide. You will be advised if this applies to you. Income Protection As a general rule, your eligibility for Standard or White Collar IP cover will not be assessed until you make a claim. If you have Standard or White Collar cover Limited Cover will apply for the first 24 months and will cease after you satisfy the At Work requirements for 30 consecutive days after the initial 24-month period. An Income Protection benefit will not be paid if the injury or sickness is caused, wholly or partly, directly or indirectly, from: deliberate self-inflicted injury or attempted suicide or self destruction while sane or insane, uncomplicated pregnancy, childbirth or miscarriage, your deployment to a hostile environment as part of active military service, or a criminal act committed by you. You are not eligible for Standard or White Collar IP cover if your financial affairs are under the supervision of a third party such as the public trustee, due to your medical condition or incapacity. Self-Employed, unemployed or unpaid Domestic Duties If you are Self-Employed, unemployed or are engaged in unpaid Domestic Duties in your own home you are eligible to apply for Tailored cover. 10 Sunsuper for life Insurance guide
13 When does my insurance cover start? The following table outlines when your cover will start and the conditions applicable to that cover. For details on how you can apply for the insurance covers listed below, please refer to 6 How to apply and getting financial advice. Insurance cover or option What starts cover? Insurance cover start date 1 Limited Cover 2 At Work 3 Other important information Standard and TPD Receipt of your first SG contribution which is within 120 days from Date Joined Employer Receipt of your first SG contribution which is outside 120 days from Date Joined Employer Date Joined Employer 4 Date of the first SG contribution No 24 months on Date Joined Employer 30 days If you are not At Work on your insurance cover start date Limited Cover will apply until you satisfy the At Work requirements for 30 days. 5 Limited Cover will cease after you satisfy the At Work requirements for 30 days 5 after the initial 24-month period. New Member option Standard IP New Member option additional 50% Standard and TPD Receipt of your first SG contribution and you select this option within 120 days of joining Sunsuper Receipt of your first SG contribution and you select this option within 120 days of joining Sunsuper Date Standard cover starts 24 months 30 days Not Available n/a n/a Date Standard cover starts 24 months 30 days Not Available n/a n/a Limited Cover will cease after you satisfy the At Work requirements for 30 days 5 after the initial 24-month period. Not available as you select this option outside 120 days of joining Sunsuper. Limited Cover will cease after you satisfy the At Work requirements for 30 days 5 after the initial 24-month period. Not available as you select this option outside 120 days of joining Sunsuper. Receipt of your first SG contribution and you select this option within 120 days of joining Sunsuper Date Standard cover starts 24 months 30 days Limited Cover will cease after you satisfy the At Work requirements for 30 days 5 after the initial 24-month period. White Collar cover You apply for White Collar cover outside 120 days of joining Sunsuper using the White Collar cover form and you already have Standard cover Date of acceptance of your application by the insurer 24 months 30 days Limited Cover will cease after you satisfy the At Work requirements for 30 days 5 after the initial 24-month period. Life and Age Events Application by you not more than 180 days after the Life or Age Event Date of acceptance of your application by the insurer 24 months 30 days Limited Cover will cease after you satisfy the At Work requirements for 30 days 5 after the initial 24-month period. Restarting Standard and TPD after previous cover lapsed Receipt of an SG contribution Date of the SG contribution Yes 30 days Limited Cover will cease after you satisfy the At Work requirements for 30 days. 5 Tailored Cover Application by you at anytime Date of acceptance of your application by the insurer n/a n/a n/a 1 If Sunsuper is not notified of a Date Joined Employer (DJE) the date of your first SG contribution will be used to calculate your insurance cover start date. The DJE will be checked at the time a claim is made as part of the claims process. 2 Limited Cover please refer to 9 Definitions. 3 At Work please refer to 9 Definitions. 4 Date Joined Employer will be the first DJE recorded on your Super-savings account from the time you are recorded as a member of the Fund days are consecutive and are inclusive of days not scheduled for work (e.g. weekends, RDOs, etc.) and days where you are not precluded from work for reasons of injury or sickness sunsuper.com.au 11
14 4 If and TPD cover you die or become Totally and Permanently Disabled you may receive a lump sum to help you, your dependants or your beneficiaries pay debts or bills, provide an ongoing income or fund special medical needs. 12
15 Standard Cover Standard cover and TPD Section 4 New Member options Increase and TPD by 50% Opt in Standard IP Standard cover and TPD Section 4 White Collar cover Additional and TPD May provide Additional Standard IP Life and Age Events Additional and TPD Life Events If you are ineligible for Standard cover Age Events OR You need more cover Tailored cover and TPD IP Section 4 Section 5 Section 4 Section 5 Section 4 Section 5 Section 4 Section 4 Cover Amount Your Standard insurance cover is and TPD. This cover is provided automatically to eligible members without the need for you to provide evidence of your health or undergo a medical examination. How much Standard and TPD cover do you get? The amount of Standard insurance cover you receive depends on your age and type of cover and will generally change each year on your birthday. Between the ages of 15 and 29 (inclusive) eligible members are provided with a higher amount of TPD cover than cover. To find out which level of cover applies to you take a look at the Premium table 1 on page 39. To make sure your cover is right for you we offer easy ways for you to change your Standard cover. We will confirm your cover each year in your Annual statement. To confirm your cover amount at any time just visit Member Online or call us on The following graph summarises the Standard cover you receive automatically. Details can be found in Premium table 1. Standard cover levels by age (indicative) 250, , , ,000 50, TPD cover (TPD cover ends at age 67) What is the cost of Standard cover and when is it paid? The cost of your insurance cover will depend on your age and gender. Premiums are calculated weekly and normally deducted from your Super-savings account each month so you won t feel the impact on your take-home pay. To find out which level of cover applies to you and the premium take a look at the Premium table 1 on page An example of automatic Standard and TPD cover: Jayne is 30 years old when she joins Sunsuper. Her Standard cover commences on receipt of her first employer Superannuation Guarantee (SG) contribution. Her insurance cover start date will be the date of receipt of the SG contribution, or earlier date if the date she joins her employer (DJE) is earlier and within 120 days of the receipt of her first SG contribution. Jayne refers to Premium table 1 for details of her Standard cover and her weekly premium cost. Standard cover Age last Amount of cover () Premium per week () birthday TPD TPD Female , Exclusions and restrictions A or TPD benefit will not be paid where caused by suicide or any intentional self-inflicted act within 12 months of your insurance cover start date where it is more than 120 days after the date you joined your employer. If your insurance cover start date is within 120 days of the date you joined your employer and you were not At Work on the date you joined your employer, Limited Cover will apply until you have been At Work for 30 consecutive days. Limited Cover will also apply to your Standard and TPD cover where your insurance cover start date is more than 120 days after the date you joined your employer. Limited Cover will be for a period of 24 months and until you have been At Work for 30 consecutive days after the end of the 24-month period. Please refer to the definition of Limited Cover and At Work in 9 Definitions sunsuper.com.au 13
16 4 DEATH AND TPD COVER (continued) New Member options increase your and TPD cover by 50% Standard cover New Member options Increase and TPD by 50% Opt in Standard IP and TPD Section 4Standard cover New Member options Increase and TPD by 50% Opt in Standard IP Section 4 Section 5 and TPD Section 4 White Collar cover Additional and TPD May provide Additional Standard IP Section 4 Section 5 Life and Age Events Additional and TPD Life Events Age Events Section 4 Section 4 If you are ineligible for Standard cover OR You need more cover Tailored cover and TPD IP Section 4 Section 5 Section 4 Section 5 Within 120 days of joining Sunsuper you have the opportunity to increase your Standard or White Collar and TPD cover by 50% for an increase in premium of 50% without complicated forms and medical information. You can choose this option on joining Sunsuper when you join online or you can apply by completing and returning your Membership application form. If you change your cover using the New Member option, and are approved by the insurer, your changed cover levels and premiums will start from the day your Standard cover starts. Any premiums associated with the change will be charged in addition to your Standard cover premiums and will be calculated weekly and normally deducted from your Super-savings account monthly. To find out the premium take a look at the Premium table 2 on page 40. Exclusions and restrictions A or TPD benefit will not be paid where caused by suicide or any intentional self-inflicted act within 12 months of your insurance cover start date where it is more than 120 days after the date you joined your employer. Limited Cover will also apply to any increase in your and TPD cover as a result of you choosing the New Member option. Limited Cover will be for a period of 24 months and until you have been At Work for 30 consecutive days after the end of the 24-month period. Please refer to the definition of Limited Cover and At Work in 9 Definitions. An example of increasing your automatic Standard and TPD cover using the New Member option: When Jayne joins Sunsuper, she decides she would like an additional 50% of and TPD cover. She completes her Membership application form and ticks the appropriate box. Jayne refers to Premium table 2 for details of her new Standard cover and her weekly premium cost as a result of selecting the New Member option. Standard cover Age last Amount of cover () Premium per week () birthday TPD TPD Female , Sunsuper for life Insurance guide
17 White Collar cover Standard cover and TPD Section 4 White Collar cover Additional and TPD New Member options Increase Opt in May provide and Standard IP Additional TPD by 50% Standard Section IP 4 Section 5 Standard cover and TPD Section 4 White Collar cover Additional and TPD May provide Additional Standard IP Section 4 Section 5 Life and Age Events Additional and TPD Life Events Age Events Section 4 Section 4 If you are ineligible for Standard cover OR You need more cover Tailored cover and TPD IP Section 4 Section 5 Section 4 Section 5 White Collar cover entitles you to 50% more cover than Standard and TPD cover at no additional cost to you. White Collar cover can also apply to any increase in Standard and TPD cover as a result of your New Member option and your Life and Age Events. If you are permanently employed, work at least 15 hours per week and at least 80% of the work you perform is in an office environment (excluding travel from one job to another) and your duties are limited to clerical, administration, managerial (or similar) which do not involve more than 10% light manual duties, you can apply by completing the White Collar eligibility question on your Membership application form or by completing the questions when you join online. You can also complete the White Collar application form. You can get a copy of this form by visiting sunsuper.com.au/forms or calling When does White Collar cover start? If you apply within 120 days of joining Sunsuper, your White Collar cover will start from your insurance cover start date. If you apply for White Collar cover after 120 days of joining Sunsuper, your White Collar cover will start from the date the insurer accepts your application. An example of White Collar cover: Jayne is a technical writer and qualifies for White Collar cover. She ticked the appropriate box on her Membership application form. Jayne has now indicated on her Membership application form she wanted the New Member option to apply (50% increase on Standard cover) and she qualifies for White Collar cover. She has completed her Membership application form within 120 days of her joining Sunsuper. Jayne refers to Premium table 2 for details of her White Collar cover and her weekly premium cost. Age last birthday Standard cover with New Member option () White Collar cover White Collar cover () TPD TPD Premium per week for Standard or White Collar cover () TPD Female , , Exclusions and restrictions A or TPD benefit will not be paid where caused by suicide or any intentional self-inflicted act within 12 months of your White Collar cover commencement date where it is more than 120 days after the date you joined your employer. Limited Cover will also apply to any increase in your and TPD cover as a result of you being accepted for White Collar and TPD cover. Limited Cover will be for a period of 24 months and until you have been At Work for 30 consecutive days after the end of the 24-month period. Any Limited Cover applying to your Standard cover will continue to apply. Please refer to the definition of Limited Cover and At Work in 9 Definitions sunsuper.com.au 15
18 4 DEATH AND TPD COVER (continued) Life and Age Events options Standard cover and TPD Section 4 New Member options Standard cover and TPD Section 4 Life and Age Events White Collar cover Increase Opt in Additional Additional and Standard IP Standard IP TPD by 50% Additional and TPDand TPD Section 4 Section 5 Section 4 Section 5 Life Events Age Events Section 4 Section 4 Life and Age Events Additional and TPD Life Events Age Events Section 4 Section 4 If you are ineligible for Standard cover OR You need more cover Tailored cover and TPD IP Section 4 Section 5 When your life changes your Life and Age Event options give you opportunities to increase your and TPD cover at the times in your life when it matters the most. To increase your cover you can apply within 180 days following one of the Life or Age Events occurring. The Life and Age Event options apply to your existing Standard or White Collar cover, TPD cover or and TPD cover. Change your Standard or White Collar cover without complicated forms and medical information At Sunsuper we know how important it is to have the right amount of insurance which is why we offer easy ways for you to change your Standard or White Collar cover to make sure it s right for you. The options discussed here will allow you to change your Standard or White Collar cover while avoiding the complicated forms and medical checks often associated with insurance. Life Event options 1 you get married, 2 you have or adopt a child, or you take out a mortgage 3 to buy or build your home or you increase your current mortgage 3 by 100,000 or more. 1 You can only apply for Life Event options up to age Marriage as defined by the Marriage Act 1961 (Cth). 3 The mortgage must be with a financial institution and for your principal place of residence. Age Event options you turn 30, 40 or 50. Increasing your cover with Life or Age Event options You can apply to increase your cover within 180 days following one of the Life or Age Events occurring. You can apply up to four times for Life Events plus you have three opportunities to increase cover with the Age Events. For the Life Event option(s) you are applying for, you ll need to provide to us (as proof of the Life Event) a copy of your: marriage certificate, child s birth certificate or adoption papers, or signed mortgage agreement. If accepted by the insurer, each Life or Age Event will increase your Standard or White Collar cover by the Life and Age Event increase amount shown in the Premium table 3 on page 41. The amounts shown are equal to 25% of the Standard or White Collar cover you are eligible for at the age you are accepted for the increase. The increased amounts are based on your type of cover at the time of your application ( only, TPD only or and TPD) and do not apply to members with Tailored and/or TPD cover. Your new cover will start from the date you are accepted by the insurer. Have you had a Life or Age Event? Visit sunsuper.com.au/lifeevents to find out how to increase your cover or contact us for a copy of the relevant form. Exclusions and restrictions A or TPD benefit will not be paid where caused by suicide or any intentional self-inflicted act within 12 months of your Standard or White Collar covers increases as a result of a Life or Age Event. Limited Cover will apply to the increase in your Standard or White Collar and TPD cover as a result of a Life or Age Event for a period of 24 months and until you have been At Work for 30 consecutive days after the end of the 24-month period. Please refer to the definition of Limited Cover and At Work in 9 Definitions. 16 Sunsuper for life Insurance guide
19 What is the cost if I change my cover with Life and Age Event options and when is it paid? If you change your cover using one of the Life or Age Event options and are accepted by the insurer your changed cover levels and premiums will start from the date accepted by the insurer. Any premiums associated with the change will be charged in addition to your Standard cover premiums and will be calculated weekly and normally deducted from your Super-savings account monthly. Refer to Premium table 3 on page 41 for Life and Age Event options cover and premium tables. Examples of how to calculate your Life and Age Event option and premium: Tom has just turned 40. He has Standard and TPD cover of 186,000. He applies to increase his cover as a result of an Age Event. He will receive additional Standard cover of 46,500 on acceptance of his application. Tom refers to Premium tables 1 and 3 for details of his new Standard cover and his weekly premium cost as a result of the Age Event. Age last birthday Standard cover with Life or Age Event Current Standard cover () Life & Age Event () New Standard cover () TPD TPD TPD Premium per week for Standard cover () TPD Male ,000 46, ,500 ( ) = Age last birthday Maddie is 34 and has just given birth to Jake. She has White Collar cover only of 369,000. She applies to increase her cover as a result of her Life Event. She will receive additional White Collar only cover of 92,250 on acceptance of her application. Maddie refers to Premium tables 1 and 3 for details of her new White Collar cover and her weekly premium cost as a result of the Life Event. Current White Collar cover () White Collar cover with Life or Age Event Life & Age Event () New White Collar cover () only only only Premium per week for White Collar cover () only Female ,000 92, ,250 ( ) = sunsuper.com.au 17
20 4 DEATH AND TPD COVER (continued) Tailored and TPD cover New Member options Increase and TPD by 50% Opt in Standard IP Section 4 Section 5 Standard cover and TPD Section 4 White Collar cover Additional and TPD May provide Additional Standard IP Section 4 Section 5 Life and Age Events Additional and TPD Life Events Age Events Section 4 Section 4 If you are ineligible If you are ineligible for Standard cover for Standard cover Tailored OR cover You need more cover OR and TPD You IP Section 4 Section 5 need more cover Tailored cover and TPD IP Section 4 Section 5 If you re not eligible for Standard insurance cover, or you have previously cancelled your cover and want to reapply, or you simply want to increase the level or change the basis of insurance provided by Standard cover you may apply for Tailored cover. Sunsuper reserves the right to limit the amount of Tailored cover provided. Types of cover available only, TPD only, and TPD How much can I apply for? Any application for insurance cover is subject to acceptance by the insurer. Satisfactory evidence of health may be required. You can apply for either only cover or TPD only cover or and TPD cover up to the maximum levels. You can also apply for and TPD cover where the amounts of each type of cover differ. Sunsuper reserves the right to limit the amount of cover provided. You can apply for up to the following maximum cover levels: cover Unlimited Terminal Illness cover 5 million (this forms part of the cover) TPD cover 3 million Interim Accident cover Up to 90 days interim Accidental and/or Accidental TPD cover will apply immediately from the date we receive your completed Tailored Insurance cover application form. See 9 for the definition of Accident. No premium is charged for the interim Accident cover. The interim cover ends on the earlier of acceptance, deferral or rejection of your application for Tailored cover or 90 days from receipt of your application. The amount of interim Accident cover is the lesser of the amount of Tailored cover you are applying for and 2 million. No interim Accident cover will be paid if during the interim period, death or disability is caused directly or indirectly by engaging in any sport or pastime that the insurer would not normally cover at standard rates or any other exclusions under the policy. What are the Occupational Categories? When you apply for Tailored and TPD cover the insurer will determine your occupational category based on your occupation at the time. When calculating your insurance premium within Tailored cover, an occupational loading will be applied based on your occupational category. Refer to 9 Definitions which briefly describes how Occupational Categories are determined. Please note that Tailored cover may not be available for high-risk occupations. Can you change your Occupational Category? If your occupation changes so you are in a less manual or hazardous occupation, you can apply for a new Occupational Category by completing an Occupational rating form (visit sunsuper.com.au/forms). This may result in a reduction in your premiums (fixed cover) or increased cover (fixed premium). Where you currently have fixed premium and have an Occupational Category of Hazardous, a change in your Occupational Category may result in a lower premium, however your levels of cover will remain the same. It s simple, you can apply for Tailored cover anytime. You can apply for cover through Member Online, our secure online service. Just visit sunsuper.com.au and follow the prompts to Member Online. If you re not signed up for Member Online it s simple just contact us and we ll have you set up in no time. If you would prefer filling in a paper application we have included all the forms you need in the back of this guide. Make sure you read the information at the start of your form pack to make sure you fill out the form that is right for you. 18 Sunsuper for life Insurance guide
21 How is the premium calculated? If Tailored cover is approved and you already have Standard cover, the premium for your Standard insurance cover no longer applies. All of your cover will convert to a premium based on your occupational classification. This means you will pay a different premium to the premium you previously paid for the same amount of existing cover because of your occupation. The factors that determine the cost you will pay for your Tailored insurance cover are: the type of cover, the amount and basis of cover, your occupation (see page 49), your health (see page 20), your age, and your gender. Premium table 4 on page 42 shows the premiums for and TPD cover and the Occupational Categories as determined by the insurer. In calculating your premium, the premium is applicable to all your and TPD (or only or TPD only) cover and assumes you are in good health. The premium is normally deducted from your Super-savings account balance each month, which won t impact your take-home pay. To ensure you have sufficient money in your Super-savings account to pay premiums and to ensure your insurance cover does not lapse, you should keep a minimum Super-savings account balance of 1,500 at all times. An example of how to calculate Tailored and TPD premiums: Jayne decides she needs cover of 1,000,000 and applies for Tailored and TPD cover. She is in good health and is a technical writer. The insurer accepts her application for cover based on the occupational category of White. To calculate Jayne s weekly premium on cover of 1,000,000 you need to: 1. Use the Tailored and TPD cover Premium table 4 on page 42 to find the premium applicable for the type of cover, age and gender. 2. Use the Occupational rating categories table on page 42 to find the occupational category rates. 3. Calculate the and TPD premium: [ premium rate x ( cover / 1000) x occupational rating] / 52 + [TPD premium rate x (TPD cover / 1000) x TPD occupational rating] / 52 Remember Jayne is 30, female and falls into the occupational category of White. Therefore her premiums are: premium = [0.18 x (1,000,000 / 1,000) x 1.00] / 52 = 3.47 per week TPD premium = [0.18 x (1,000,000 / 1,000) x 1.00] / 52 = 3.47 per week Add the weekly and TPD premiums = ( ) Therefore Jayne s weekly premium for 1,000,000 of and TPD cover is 6.94 per week. Jayne now has to decide if she would like fixed cover or fixed premium insurance please refer to Amount and basis for Insurance cover on this page. Note: Rounding variations may occur when calculating premiums. Premiums per week are displayed as rounded up to the next whole cent. Amount and basis for insurance cover Pages 32 and 33 can help you work out the amount of insurance cover you need. Once you have decided on the amount of cover that best suits your circumstances and needs, you then need to determine the basis on which you want this insurance cover. For and TPD cover you can choose either a: fixed cover basis, or fixed premium basis. A fixed cover basis means your amount of insurance cover stays the same, but your weekly premium will generally increase as you get older. Using the previous example, Jayne s cover will remain 1,000,000 and her weekly premium will generally increase each year on her birthday. A fixed premium basis means your weekly premium stays the same, but your insurance cover will generally decrease as you get older. Jayne s premium would remain 6.94 a week but the amount she is covered for will generally decrease each year. If you don t make a choice, your cover will be provided on a fixed cover basis. The Worksheet examples (Case study 4) on page 35 provides examples of the changes over time for Jayne s fixed cover premiums or her fixed premium cover amounts. TPD cover reduction on fixed cover basis With cover provided on a fixed cover basis, the amount of your TPD cover will reduce by 10% each year from age 61. Your premiums are adjusted accordingly. An example is shown below. If you have 200,000 of fixed TPD cover, your TPD cover will reduce as follows: Age last birthday TPD cover , , , , , , , nil Transferring your and TPD insurance cover You may be eligible to transfer existing and/or TPD cover (from other super funds or insurance policies up to 1,000,000 per transfer and 2,000,000 in total transfers) to Sunsuper. To transfer your existing cover please complete and return the Transfer of insurance cover form found in the back of this guide. If you have previously had an application for additional insurance cover declined you will not be eligible to transfer your cover. It s important you include all required documentation, which will include: a member statement (superannuation fund), or your latest renewal notice (individual policy), and sunsuper.com.au 19
22 4 DEATH AND TPD COVER (continued) details of any loadings, exclusions and restrictions applicable to that cover. If accepted by the Sunsuper insurer: you will be subject to the terms and conditions outlined in the policy, the transferred cover will be additional to any existing insurance cover you have, you will need to cancel the cover you had under your previous fund or policy, and your cover will be fixed. If you are thinking about changing super funds, make sure you find out what will happen to your existing cover before you leave your current fund. Can your health affect your insurance cover? When the insurer assesses your application for Tailored insurance cover, they may ask for further details in relation to the information you disclose in your Tailored insurance cover application. As a condition of acceptance of the Tailored insurance cover, the insurer may apply a loading (a higher premium) for the increased amount of and/or TPD insurance cover. The insurer may also specify a benefit exclusion that will apply if a claim for the increased amount of insurance is related to a specified condition or pastime. Any premium loadings or benefit exclusions will be advised to you at the time the insurer accepts your application for Tailored insurance cover. You should advise Sunsuper within 30 days if you decide that you do not wish to proceed with the application for Tailored cover. Any loadings or exclusions will apply above the amount of any Standard or White Collar insurance cover you may have at the time of acceptance of your Tailored cover application. When does Tailored and TPD insurance cover start? Your Tailored and TPD insurance cover will start from the date the insurer accepts your application, provided you have enough money in your Super-savings account to pay insurance premiums. If you do not have enough money in your Super-savings account to pay premiums, you will be notified of the conditions that apply to you. The assessment process, known as underwriting, usually takes some time especially where additional medical information is required. The underwriting process depends on your level of cover and the amount of health evidence required. Can Tailored and TPD cover restart if it lapses? In general, once any cover in excess of Standard cover has stopped, satisfactory evidence of health to the insurer will be required to restart this cover. Restrictions and exclusions There is a benefit exclusion that applies for 12 months after acceptance of the additional Tailored insurance cover to any claim resulting from suicide or intentional self-inflicted injury. This means the and TPD cover that is accepted by the insurer will not be paid for a suicide or intentional self-inflicted injury related claim in the 12-month period from the date that your Tailored insurance cover is accepted by the insurer. This restriction applies only to the amount above your previous level of cover. Any restrictions or exclusions on your previous cover amounts will continue. Conditions & Exclusions When does and TPD insurance cover stop? Cover will stop when: you cancel it, you turn 70 years of age for cover, you turn 67 years of age for TPD cover, 1 you die, you receive a TPD insurance benefit, 2 you withdraw all monies from Sunsuper, the policy issued to the Trustee is cancelled or terminated for any reason, you are paid a Terminal Illness benefit where the full benefit cover is paid, you are employed under a Class 457, 422 or 418 working visa and the term of the Class 457, 422 or 418 visa expires, or you permanently depart Australia (whichever is earlier), your Super-savings account balance is low and inactive (normally this will be when your balance is less than 1,500 and employer contributions have not been received for 12 months, unless we have agreed otherwise). Where we have valid contact details, we will contact you advising the date your cover will stop. To avoid your cover stopping in this way, you should maintain your Super-savings account balance above 1,500 or ensure regular employer contributions are paid into your Super-savings account, or the premium is due and there is not enough money in your Super-savings account to pay the premiums, and it remains unpaid for 4 months. 1 Special conditions may apply to some members. 2 cover in excess of the TPD cover or Terminal Illness benefit will still continue. It is your responsibility to check there is always enough money in your Super-savings account to pay insurance premiums. What happens if I want to reduce or cancel my cover? If you don t want Standard, White Collar or Tailored cover, or you just want to reduce your cover, you need to let us know in writing or by calling us on , otherwise the premiums will normally be deducted from your Super-savings account each month. The cancellation or reduction will be effective from the 20 Sunsuper for life Insurance guide
23 date your instruction is received. You can reduce your automatic cover but must maintain a minimum level equal to 25% of the eligible Standard or TPD cover to qualify for the New Member options or Life and Age Event options. If you cancel your cover, evidence of health satisfactory to the insurer will be required before cover can restart from the date accepted by the insurer. What happens during Unpaid Leave or parental leave? Your and TPD cover will continue. During the first 24 months of leave, the TPD definition that will generally apply will be the definition that applied while you were working. If your period of leave continues past 24 months your cover will continue. However, you may be assessed under a different part of the TPD definition refer to 9 Definitions for the TPD definition. Premiums will continue to be deducted from your Super-savings account during the period of leave. You need to ensure you have enough money in your Super-savings account during the period of leave to pay your premiums. Where you temporarily reside overseas during a period of Unpaid Leave, your cover will continue as described on this page. Refer to the definition of Unpaid Leave in 9 Definitions. What happens if your work situation changes or you leave your employer? Your existing and TPD insurance cover will continue when you leave your employer. Premiums will continue to be deducted from your Super-savings account balance. However, it is important that you notify us if: you change occupation, your income changes, or you change employer, so that we can update your records and determine the impact of any changes. You must let us know if you wish to cancel your and TPD insurance cover. What happens if you are employed under the terms of a Class 457, 422 or 418 visa? Employees employed under the terms of a Class 457, 422 or 418 visa are eligible for automatic Standard insurance cover and may apply for Tailored cover. What happens if you have a Terminal Illness? Subject to providing all the required documentation to support your claim and approval by the Trustee and Insurer, if your cover is in force at the date of the most recent certification of the Terminal Illness by two registered Medical Practitioners as outlined in the definition on page 50, you will be paid a Terminal Illness benefit. If you have cover and the insurer accepts your claim for Terminal Illness, the benefit paid is the amount of your Sunsuper for life account balance plus the amount of your cover in force at the most recent certification (up to a maximum of 5 million). The remaining amount of cover (if any) is then your total cover, less the amount of insurance paid by the insurer on account of your Terminal Illness benefit. If you have received or are eligible to receive a Terminal Illness benefit or a benefit as a result of a Terminal Medical Condition from Sunsuper, or another fund or insurer when you join Sunsuper, you will not be eligible for or TPD cover with Sunsuper. What happens if you travel overseas on paid leave? Where you travel overseas while on paid leave from your Australian-based employer (or an international subsidiary or associated company of your Australian employer), your and TPD cover continues with no travel restrictions. What happens if you temporarily reside overseas? Your and TPD cover will continue while temporarily residing overseas. If you become disabled while based overseas you may be required to return to Australia at your own expense for assessment of any disablement claim. The TPD definition used in the event of a claim will depend on your employment status at the time of becoming disabled. It is your responsibility to check there is always enough money in your Super-savings account to pay insurance premiums. What benefits are paid out if you die or become TPD? Your benefit is the amount of your Sunsuper for life account balance plus the total amount of your cover. Your TPD benefit is the amount of your Sunsuper for life account balance plus the total amount of your TPD cover. Any or TPD cover benefit is subject to acceptance of the claim by the insurer. In limited circumstances you will not be eligible to claim on the automatic Standard insurance cover through Sunsuper. See 3 Am I eligible for insurance cover? and 9 Definitions for the Employed (TPD) definition. In the event of your death, your benefit may be paid to your nominated beneficiaries (subject to Trustee discretion unless you have a binding death benefit nomination). Within 12 months of the start of your Standard or White Collar and TPD cover, where your insurance cover start date is more than 120 days after the date you join your employer, or the start of your Tailored and TPD cover or increased cover as a result of a Life or Age Event, you will not be eligible to claim where your death or TPD results from suicide or from an intentional self-inflicted injury. General exclusion A, Terminal Illness or TPD benefit will not be paid if the injury or sickness is caused, wholly or partly, directly or indirectly, from you being deployed to a hostile environment as part of active military service sunsuper.com.au 21
24 5 IP Income Protection (IP) cover cover is designed to protect you by providing an income for a maximum period in the event you are unable to work due to sickness or injury. It can give you the peace of mind that you can pay your expenses while you focus on your health and recovery. 22
25 New Member options Standard IP cover Standard cover New Member options Increase and TPD by 50% Opt in Standard IP and TPD Section 4Standard cover New Member options Increase and TPD by 50% Opt in Standard IP Section 4 Section 5 and TPD Section 4 White Collar cover Additional and TPD May provide Additional Standard IP Section 4 Section 5 Life and Age Events Additional and TPD Life Events Age Events Section 4 Section 4 If you are ineligible for Standard cover OR You need more cover Tailored cover and TPD IP Section 4 Section 5 Section 4 Section 5 Within 120 days of joining Sunsuper you have the opportunity to add Standard IP cover without complicated forms and medical information. You can apply when you join online or by completing and returning your Membership application form. You must be permanently employed for at least 15 hours per week and aged 15 to 64. You are not eligible for Standard IP cover if: you are not permanently employed for at least 15 hours per week, you are a casual employee, you are a contract employee, you are Self-Employed, you are employed under a Class 457, 422 or 418 working visa, or your financial affairs are under the supervision of a third party, such as the public trustee, due to your medical condition or capacity. You are also not eligible to apply for Standard IP cover if you have previously received or are eligible to receive a Terminal Illness, TPD benefit or a benefit as a result of Permanent Incapacity or a Terminal Medical Condition from Sunsuper or another fund or insurer. Standard IP cover provides you with a monthly benefit, after a Waiting Period of 90 days, for up to 2 years if you are unable to work due to sickness or injury. Your amount of cover is a fixed monthly benefit amount. Your cover amount is calculated as 85% of your Income, rounded up to the next 500. The weekly cost per 500 of cover is shown on Premium table 2. To calculate your weekly premium simply divide your cover amount by 500 and multiply by the IP premium as shown in Premium table 2. The maximum monthly benefit for Standard IP cover is 5,000. You will be provided with a monthly benefit of 2,500 where you do not provide details of your Income. Example of how to calculate your Standard IP cover and premium: Jack is 45 when he joins Sunsuper. He applies for Standard IP cover on his Membership application form or when he joins online. Jack s salary is 80,000 p.a. To calculate Jack s Standard IP cover and his weekly premium, follow the steps below and refer to Premium table Determine Jack s monthly benefit Income x 85% / 12 (rounded up to the next 500). 2. Divide the monthly benefit by Multiply 2. by the weekly premium refer to Premium table 2. Jack s cover and weekly premium will be: 1. 80,000 x 85% / 12 = 5,666. Maximum monthly Standard IP cover = 5,000 monthly benefit. 2. 5,000 / 500 = x 0.53 = 5.30 per week. Exclusions and restrictions Limited Cover will apply to your Standard IP cover for a period of 24 months and until you have been At Work for 30 consecutive days after the end of the 24-month period. Please refer to the definition of Limited Cover and At Work in 9 Definitions. General exclusions will also apply please refer to General exclusions on page sunsuper.com.au 23
26 5 INCOME PROTECTION (IP) COVER (continued) White Collar IP cover Standard cover and TPD Section 4 White Collar cover Additional and TPD New Member options Increase Opt in May provide and Standard IP Additional TPD by 50% Standard Section IP4 Section 5 Standard cover and TPD Section 4 White Collar cover Additional and TPD May provide Additional Standard IP Section 4 Section 5 Life and Age Events Additional and TPD Life Events Age Events Section 4 Section 4 If you are ineligible for Standard cover OR You need more cover Tailored cover and TPD IP Section 4 Section 5 Section 4 Section 5 If you are eligible for Standard IP cover, being permanently employed and working at least 15 hours per week, and at least 80% of the work you perform is in an office environment (excluding travel from one job to another) and your duties are limited to clerical, administration, managerial (or similar) which do not involve more than 10% light manual duties, you may be eligible for White Collar IP cover. Just complete the White Collar eligibility question on your Membership application form or when you join online. You can also complete the White Collar application form. You can get a copy of this form by visiting sunsuper.com.au/forms or calling If accepted, White Collar cover may entitle you to more cover than Standard IP cover at no additional cost to you. The maximum monthly benefit for White Collar IP cover is 10,000. White Collar cover provides you with a monthly benefit, after a Waiting Period of 90 days, for up to 2 years if you are unable to work due to sickness or injury. When does White Collar cover start? If you apply within 120 days of joining Sunsuper, your White Collar cover will start from your insurance cover start date. If you apply for White Collar cover after 120 days of joining Sunsuper, your White Collar cover will start from the date the insurer accepts your application. Example of how to calculate your White Collar IP cover and premium: Olivia is 37 when she joins Sunsuper. She applies for Standard IP cover on her Membership application form and also indicates she is eligible for White Collar cover. Olivia s salary is 80,000 p.a. To calculate Olivia s White Collar IP cover and her weekly premium, follow the steps below and refer to Premium table Determine Olivia s monthly benefit Income x 85% / 12 (rounded up to the next 1,000). 2. Divide the monthly benefit by 1, Multiply 2. by the weekly premium refer to Premium table 2. Olivia s cover and weekly premium will be: 1. 80,000 x 85% / 12 = 5,666. Rounded up = 6,000 monthly benefit. 2. 6,000 / 1,000 = x 0.35 = 2.10 per week. Exclusions and restrictions Limited Cover will apply to your White Collar IP cover for a period of 24 months and until you have been At Work for 30 consecutive days after the end of the 24-month period. Please refer to the definition of Limited Cover and At Work in 9 Definitions. General exclusions will also apply please refer to General exclusions on page Sunsuper for life Insurance guide
27 Tailored IP cover New Member options Increase and TPD by 50% Opt in Standard IP Section 4 Section 5 Standard cover and TPD Section 4 White Collar cover Additional and TPD May provide Additional Standard IP Section 4 Section 5 Life and Age Events Additional and TPD Life Events Age Events Section 4 Section 4 If you are ineligible If you are ineligible for Standard cover for Standard cover Tailored OR cover You need more cover OR and TPD You IP Section 4 Section 5 need more cover Tailored cover and TPD IP Section 4 Section 5 If you re not eligible for the New Member option of Standard IP cover, or you have previously cancelled your cover and want to reapply, or you simply want to change the level of your IP insurance cover you may apply for Tailored IP cover. Any application for IP cover is subject to acceptance by the insurer. Satisfactory evidence of health will be required. Tailored IP cover will provide you with an income if you are unable to work because of your injury or sickness, known as becoming Totally Disabled. Totally Disabled (or Total Disability) is defined in 9 Definitions. You can choose the length of your Benefit Period and Waiting Period. IP cover provides you with monthly income for up to 2 years, 5 years or to-age-65 after a Waiting Period of either 30, 60, 90 or 180 days, upon acceptance by the insurer of your inability to work due to sickness or injury. Payments are made monthly in arrears after the conclusion of the Waiting Period. The total premium includes stamp duty and a 5% insurance fee to offset Sunsuper s cost of providing the cover, and is deducted from your Super-savings account balance. You are eligible for Tailored IP cover if you are aged 15 to 64 and working at least 15 hours per week and: you are permanently employed, or you are Self-Employed, or you are working in Australia under a Class 457, 418 or 422 working visa. Your Benefit Period will be limited to your legal eligibility to work in Australia. Casuals and contractors can apply for Tailored IP cover but restrictions may apply. Sunsuper reserves the right to limit the amount of Tailored IP cover provided. Contact us on for more information. Maximum amount of Tailored IP cover You can apply for an amount of cover up to 85% of your Income but not more than 50,000 per month for the first 2 years of payments and 30,000 per month for payments made after the first 2 years for a 5-year or age-65 Benefit Period. Income is defined in 9 Definitions. It s simple, you can apply for Tailored cover anytime. You can apply for cover through Member Online, our secure online service. Just visit sunsuper.com.au and follow the prompts to Member Online. If you re not signed up for Member Online it s simple just contact us and we ll have you set up in no time. If you would prefer filling in a paper application we have included all the forms you need in the back of this guide. Make sure you read the information at the start of your form pack to make sure you fill out the form that is right for you sunsuper.com.au 25
28 5 INCOME PROTECTION (IP) COVER (continued) Interim Accident cover Where you apply for Tailored IP cover, up to 90-days interim Accidental Income Protection cover will apply from the date of receipt of your completed Tailored insurance cover application form. See page 48 for the definition of Accident. No premium is charged for the interim Accident cover. The interim cover ends on the earlier of the acceptance, deferral or rejection of your application for Income Protection cover or 90 days from receipt of your application. The maximum interim Accident cover available is 15,000 per month or your calculated benefit, whichever is the lesser. Your chosen Benefit Period and Waiting Period will apply. No interim Accident cover will be paid if during the interim period, death or disability is caused directly or indirectly by engaging in any sport or pastime that the insurer would not normally cover at standard rates or any other exclusions under the policy. Indexation of Tailored IP cover Tailored IP cover will be indexed annually on 1 July, based on the annual trend adjusted increase in Average Weekly Ordinary Time Earnings (AWOTE) at the previous November. This means that the amount of your Tailored IP cover will increase at each 1 July. Any increase will be limited to a maximum of 5%. You can elect not to have your Tailored IP indexed each year by completing an Insurance variation form available at sunsuper.com.au/forms. Similarly, you could choose to opt back into automatic indexation of your Tailored IP cover by using the same form. If you choose to opt back into annual indexation the increased IP cover will be subject to Limited Cover for a period of 24 months and until you are At Work for 30 consecutive days after the end of the 24-month period. Example of how your Tailored IP cover will be indexed: Fiona is 28 years old when she applies for and is accepted for Tailored IP cover. Her Income is 60,000 p.a. and the date of acceptance is 1 March. The indexation rate for 1 July is 2.7%. Current cover: 60,000 x 85% = 51,000 p.a. = 4,250 p.m. New cover at 1 July: 51,000 x = 52,377 p.a. = 4,365 p.m. If Fiona had previously opted out of indexation and then chose to opt back into annual indexation, the increased cover of 1,377 p.a. will be subject to Limited Cover (see above). What happens to my Standard or White Collar IP cover? If Tailored IP cover is approved, the premium previously applied to your Standard or White Collar IP insurance cover will no longer apply and your total IP cover and premium will be based on your occupational classification. What are the Occupational Categories? When you apply for Tailored IP cover the insurer will determine your occupational category based on your occupation at the time. When calculating your insurance premium within Tailored cover, an occupational loading will be applied based on your occupational category. Refer to 9 Definitions which briefly describes how Occupational Categories are determined. How much is the premium and when is it paid? The premium payable for Tailored IP cover is based on your amount of cover, Benefit Period, Waiting Period, gender, occupation, health and age. The premium is recalculated with any change in your cover amount and on your birthday each year. Occupation is based on the six Occupational Categories shown on page 49. Income Protection cover may not be available for hazardous occupations and will be assessed on a case-by-case basis. The premium is normally deducted from your Super-savings account balance each month, which is great as it won t impact your take-home pay. To ensure you have sufficient money in your Super-savings account to pay premiums and to ensure your insurance cover does not lapse, you should keep a minimum Super-savings account balance of 1,500 at all times. The Premium tables 5 to 7 on pages 43 to 45 set out the annual premium for each 1,000 of annual insured benefit for the 2-year, 5-year and to-age-65 Benefit Periods. 26 Sunsuper for life Insurance guide
29 An example of how to calculate Tailored IP premiums: Michael is 41 years old. He is a travelling salesman and his Income is 60,000 p.a. He applies for Tailored IP cover with a 2-year Benefit Period and a 60-day Waiting Period. He is in good health and the insurer accepts his application with a Light Blue occupational category. To calculate Michael s weekly premium on cover of 60,000 p.a. you need to: 1. Use the IP Premium table 5 on page 43 for the desired length of Benefit Period to find the premium applicable for Michael s age, gender and benefit Waiting Period. 2. Use the Occupational rating categories table on page 43 to find the occupational category IP rating. 3. Calculate the cost of cover: [(amount of cover / 1000) x IP premium rate x IP occupational rating] / 52 Age last Waiting Periods for 2-year Benefit Period birthday 30 days 60 days 90 days 180 days Age Income Amount of cover 41 60,000 = 85% x 60,000 = 51,000 Annual cost of cover = (51,000 / 1,000) x 2.48 x 1.40 = Cost per week = / 52 = 3.41 Therefore for an IP premium of 3.41 p.w. (includes stamp duty and a 5% insurance fee) Michael would be covered for 51,000 for a 2-year Benefit Period, with a 60-day Waiting Period. In the event of a claim if Michael s income was 60,000 at the Date of Disablement, and he is eligible for a Total Disability benefit with no offsets, he would receive direct monthly payments of 3,750 (less PAYG tax) and 500 would be paid into his Super-savings account. Note: Rounding variations may occur when calculating premiums. Premiums per week are displayed as rounded up to the next whole cent. Premiums include stamp duty and a 5% insurance fee to offset Sunsuper s cost of providing the cover. Exclusions and restrictions General exclusions will apply to your Tailored IP cover please refer to General exclusions on page 30. Transferring your IP insurance cover You may be eligible to transfer existing IP cover (from other super funds or insurance policies up to 10,000 per month per transfer and 20,000 per month in total transfers) to Sunsuper. To transfer your existing cover please complete and return the Transfer of insurance cover form found in the back of this guide. If you have previously had an application for additional insurance cover declined you will not be eligible to transfer your cover. It s important you include all required documentation, which will include: a member statement (superannuation fund), or your latest renewal notice (individual policy), details of your Waiting Period and Benefit Period, and details of any loadings, exclusions and restrictions applicable to that cover. If accepted by the Sunsuper insurer: you will be subject to the terms and conditions outlined in the policy, the Waiting Period and Benefit Period you have will be transferred where they are offered under the policy, or where not available under the policy, the Waiting Period will be the next longest period and the Benefit Period the next shortest period offered by the policy, you will need to cancel the cover you had under your previous fund or policy, and the transferred cover will be additional to any existing insurance cover you have. If you are thinking about changing super funds, make sure you find out what will happen to your existing cover before you leave your current fund. Can your health affect your insurance cover? When the insurer assesses your application for Tailored insurance cover, they may ask for further details in relation to the information you disclose in your Tailored insurance cover application. As a condition of acceptance of the Tailored insurance cover, the insurer may apply a loading (a higher premium) for the increased amount of IP cover. The insurer may also specify a benefit exclusion that will apply if a claim for the increased amount of insurance is related to a specified condition or pastime. Any premium loadings or benefit exclusions will be advised to you at the time the insurer accepts your application for Tailored insurance cover. You should advise Sunsuper within 30 days if you decide that you do not wish to proceed with the application for Tailored cover. Any loadings or exclusions will apply above the amount of any Standard or White Collar IP insurance cover you may have at the time of acceptance of your Tailored IP cover application sunsuper.com.au 27
30 5 INCOME PROTECTION (IP) COVER (continued) Conditions & Exclusions When does IP cover start? Standard IP cover, White Collar IP cover and Tailored IP cover will start from the date the insurer accepts your application, provided you have enough money in your Super-savings account to pay insurance premiums. If you do not have enough money in your Super-savings account to pay premiums, you will be notified of the conditions that apply to you. When does IP cover stop? IP cover stops when: you withdraw all your money from Sunsuper, you turn 65, you cancel the cover, you die, your period of Unpaid Leave or parental leave exceeds 24 months, you are employed under a Class 457, 422 or 418 working visa and the term of the Class 457, 422 or 418 visa expires, or you permanently depart Australia (whichever is earlier), the premium is due and there is not enough money in your Super-savings account to pay the total premium (including stamp duty) and it remains unpaid for 4 months, your Super-savings account balance is low and inactive (normally this will be when your balance is less than 1,500 and employer contributions have not been received for 12 months). Where we have valid contact details, we will contact you advising the date that your cover will stop. To avoid your cover stopping in this way, you should maintain your Super savings account balance above 1,500 or ensure regular employer contributions are paid into your Super-savings account, or the policy issued to Sunsuper is cancelled or terminated for any reason. It is your responsibility to check there is always enough money in your Super-savings account to pay insurance premiums. What happens if I want to reduce or cancel my cover? If you don t want Standard, White Collar or Tailored IP cover, or you just want to reduce your cover, you need to let us know in writing or by calling us on , otherwise the premiums will normally be deducted from your Super-savings account each month. The cancellation or reduction will be effective from the date your instruction is received. What happens if your work situation changes or you leave your employer? Your existing IP insurance cover will continue when you leave your employer. Premiums will continue to be deducted from your Super-savings account balance. However, it is important that you notify us if: you change occupation, your income changes, you change employer, or you are no longer working so that we can update your records and determine the impact of any changes. Your cover may stop (refer to When does IP cover stop? on this page) or your premium may change if your circumstances change as outlined above. You should contact us to determine the impact of any changes. If you are unemployed at the Date of Disablement and have been unemployed for a period of more than 12 months, you will not be eligible to make a claim for an IP benefit. You must let us know if you wish to cancel your IP insurance cover. What happens if you return to work during the Waiting Period? If the Waiting Period you select is 30 days, you may return to work for up to 5 days during that time without having to start the Waiting Period again. If your Waiting Period is 60, 90 or 180 days, you may return to work for up to 10 days during that time without having to restart the Waiting Period. If you do return to work, the days returned to work will extend your original Waiting Period by the number of days you returned to work. If you return for longer than those periods specified your Waiting Period will restart. What happens during Unpaid Leave or parental leave? Total premiums (including stamp duty) will continue to be deducted from your Super-savings account during the period of leave. It is your responsibility to ensure sufficient monies are in your Super-savings account during the period of leave. Your IP cover will stop after 24 months (refer to 9 Definitions for the definition of Unpaid Leave). 28 Sunsuper for life Insurance guide
31 What happens if you travel overseas on paid leave? Where you travel overseas while on paid leave from your Australian-based employer (or an international subsidiary or associated company of your Australian employer), your IP cover continues with no travel restrictions. Total premiums (including stamp duty) will continue to be deducted from your Super-savings account during the period of leave. What happens if you temporarily reside overseas? Your IP cover will continue while temporarily residing overseas as long as you remain in the active employ of your Australian-based employer (or an international subsidiary or associated company of your Australian employer). If you become disabled while based overseas you may, at your expense, be required to return to Australia for assessment of any disability claim. Where you temporarily reside overseas during a period of Unpaid Leave, your Income Protection cover may continue for up to 24 months. Any disablement claim will be dependent on your employment status at the time of becoming disabled. Can your IP cover restart? Once cover has stopped, satisfactory evidence of health to the insurer and occupational information will generally be required to restart this cover. If accepted by the insurer, your IP cover will restart from the date the insurer accepts your application. What benefit is paid out? After the Waiting Period, the monthly benefit is payable for up to a maximum period of: 2 years, 5 years, or to age 65 depending on the Benefit Period you have chosen, while you continue to meet the insurer s definition of Total Disability. The monthly benefit payable will be the lower of: the level of cover selected by you less any offsets, and 75% of your monthly rate of Pre-Disability Income less any offsets, plus up to 10% superannuation contributions for Tailored cover or up to 25% superannuation contributions for Standard or White Collar cover. Income is defined on page 49 and is usually calculated at the first day of absence from your employment due to the injury or sickness resulting in you becoming Totally Disabled. Refer to Will there be offsets to my benefit payment? on this page. Recurrent event Following a claim, if you make a further claim arising from the same or related cause as the first claim, the further claim will be: a) treated as a separate claim if it occurred after you returned to work for at least 6 continuous months, or b) deemed to be a continuation of the original claim if made within 6 months from the end of payments from the earlier claim. A further Waiting Period will not apply in this case but the relevant Benefit Period will be adjusted to take into account prior benefits paid under this policy for the original claim. Updating your IP cover It is very important you keep your level of IP cover up to date. Apart from the indexation of your Tailored IP cover each 1 July, you will need to apply for any additional increase in the level of Tailored IP cover you require providing new income details alone does not increase the cover. Your application must be accepted by the insurer. With Standard or White Collar IP cover, you must apply for any increase and your total IP cover will be transferred to Tailored IP cover on acceptance by the insurer. Will there be offsets to my benefit payment? Your IP benefit payment may be reduced by the following payments: Workers Compensation or Transport Accident Compensation or similar legislation in relation to your sickness or injury, any other payments, statutory or otherwise, paid to you for loss of income in relation to your sickness or injury, any other payments made under any disability income type insurance policy; any other lump sum payment which relates to loss of income due to sickness or injury (other than a TPD or Terminal Illness benefit under this Policy), any paid sick leave from your employer (however the insurer does not require all sick leave to be used before commencement of the income benefit) sunsuper.com.au 29
32 5 INCOME PROTECTION (IP) COVER (continued) Payment of benefits The insurer will pay monthly benefits directly to you with a maximum payment of 75% of Pre-Disability Income. Any remaining cover will be paid to your Super-savings account. The benefit paid to you is taxable income and attracts PAYG tax (the same as salary and wages) which will be deducted from the benefit before it is paid to you. The definition of Total Disability you will be assessed against in the event of a claim is linked to the number of hours you are working prior to the claim event. If you are unemployed, or working on average less than 15 hours per week in the 3 months prior to becoming disabled, you will be assessed against the Limited Total Disability definition. If you were working on average 15 or more hours per week in the 3 months prior to becoming disabled, you will be assessed against the Total Disability definition. If your claim is accepted, payments (monthly in arrears) will start when the Waiting Period finishes. Any claim for your Income Protection benefit is assessed independently of any TPD claim. The IP benefit is subject to a maximum level based on your most recent Pre-Disability Income accepted by the insurer immediately before you become Totally Disabled. If you are on Unpaid Leave or parental leave, your benefit is based on your most recent Pre-Disability Income accepted by the insurer immediately prior to starting leave. Any insured superannuation contributions up to 10% for Tailored cover, or up to 25% for Standard or White Collar cover, will be paid directly to your Super-savings account on your behalf. These amounts count towards your concessional contributions cap. Payments will be made monthly in arrears. Indexation of Tailored IP benefits When on claim your IP benefits will be indexed by the lesser of the Consumer Price Index (CPI) or 5% on each anniversary of the commencement of your continuing Tailored IP claim. Partial Disablement A reduced monthly Income Protection benefit may be payable if you become Partially Disabled (see 9 Definitions for the definition of Partial Disability). When does payment of the benefit stop? Benefit payments start after the Waiting Period ends and are payable monthly in arrears until the first to occur of: you no longer satisfy the definition of Total Disability, Limited Total Disability or Partial Disability, as assessed by the insurer, the end of the benefit payment period, you are employed under a Class 457, 422 or 418 working visa and the term of the Class 457, 422 or 418 visa expires, or you permanently depart Australia (whichever is earlier), you reside overseas and have received 12 months of benefit payments, you reach age 65, or your death. The benefit will be paid even if the insurer assesses you to be TPD. The insurer will not require the payment of your IP premiums while income benefits are being paid to you. Providing you were an insured member of Sunsuper at the time you finished work due to the injury or sickness that gave rise to a claim, monthly income benefits will be payable or continue to be paid, regardless of whether you continue to be a member of Sunsuper. General exclusions An IP benefit will not be paid if the injury or sickness is caused, wholly or partly, directly or indirectly, from: deliberate self-inflicted injury or attempted suicide or self-destruction while sane or insane, uncomplicated pregnancy, childbirth or miscarriage, your deployment to a hostile environment as part of active military service, a criminal act committed by you, or any other exclusion imposed by the insurer as a result of underwriting. 30 Sunsuper for life Insurance guide
33 6 Different How to apply and getting financial advice people will have different needs depending on their individual circumstances. You may need more cover, you may want to cover yourself with Income Protection, or you might not want insurance at all. With Sunsuper you can apply for the cover you need. 31
34 6 HOW TO APPLY AND GETTING FINANCIAL ADVICE (continued) How much insurance will I need? Working out how much insurance is right for you can be a difficult task. The amount of insurance you need will depend on a combination of things such as your liabilities, assets, ongoing expenses and your expected standard of living. Once you have read through this guide for details on the insurance we offer you can work through the following steps and Worksheet to work out how much insurance is right for you. You can also check out our insurance needs analyser online at sunsuper.com.au/calculators STEP 1 How much money will I need? Generally, you should have enough money to pay all large debts and cover daily living expenses for a certain period of time. As a starting point, list the current financial commitments you have. Keep in mind your insurance needs will change as your life changes. STEP 2 How much money do I have? Consider your existing sources of income (other than your salary) and savings. STEP 3 How much insurance do I need? You may find your needs are greater than your savings. This is where insurance comes in. It can be used to meet the shortfall between your needs and your existing savings. Need help? Call to speak to one of our qualified financial planners 1 who can give you simple advice at no additional cost, quickly over the phone. If it s something more complex, you can meet with one of our qualified financial planners 1 face-to-face. More complex advice may incur a fee. We may also refer you to an accredited external financial planner. 2 1 Our qualified financial planners provide simple advice about super at no additional cost. More detailed advice, including that provided as part of the SunTracker program, may incur a fee. Sunsuper employees provide advice as representatives of Sunsuper Financial Services Pty Ltd (ABN AFSL No ) (SFS), wholly owned by the Sunsuper Superannuation Fund. 2 Sunsuper has established a panel of accredited external financial planners for our members. Sunsuper does not receive or pay any referral fees to these planners. Each of these planners will explain to you how their advice fees are determined. The accredited external financial planners are not employed by Sunsuper, and Sunsuper is not responsible for the advice provided by these planners. If you are already a member and registered for Member Online you can apply for Tailored cover online. Just go to sunsuper.com.au and log into Member Online. Nominating your beneficiaries In the unfortunate event of your death, the Sunsuper Trustee is required to pay your benefit to your beneficiaries, or where there are no eligible beneficiaries, to any person who has a fair claim. For your Super-savings account you can complete either: a preferred beneficiary nomination which acts as a guide for the Trustee in deciding how to pay your super as a benefit, or a binding death benefit nomination which binds the Trustee to pay your super as a benefit to the nominated beneficiary(s). 32 Sunsuper for life Insurance guide
35 Worksheet to help determine your and TPD insurance needs 1. Cover for expenses For, include funeral expenses, legal fees, etc. For TPD, include medical expenses or equipment, cost of modifying house or car, etc. 2. Cover for debts i) How much do you owe? (your debts) Include everything you would want paid off if you were to die or become disabled, such as mortgages, car loans, credit cards, other loans, etc. ii) How much money do you have? (your assets) Include superannuation, cash, investment property, shares and other investments. iii) Is there a shortfall? (your debts less your assets) (b) (c) = d (a) + (b) (c) = (d) 3. Cover for your dependants i) What future annual income will you and/or your dependants need (in today s dollars)? This is before tax and excludes income from other sources. ii) Include a factor based on how many years this income will be needed. Match the number of years needed to the factor below. Years needed Factor * 5 yrs 5 10 yrs 8 15 yrs yrs yrs 17 x (e) (f) * These factors take into account inflation of 3.75% p.a. and an expected investment return of 7.00% p.a. iii) Total income replacement required (e) x (f) = (g) 4. Estimated amount of and TPD insurance cover you need (a) + (d) + (g) = (h) You should take into consideration any existing and TPD insurance cover you already have outside of Sunsuper. = (g) = (h) Note: This Worksheet, and the results it generates, should not be taken as advice. It is only intended to be a helpful tool. For advice on insurance, we recommend you speak to your financial planner, or call one of our qualified financial planners on Our qualified financial planners provide simple advice about super at no additional cost. More detailed advice, including that provided as part of the SunTracker program, may incur a fee. Sunsuper employees provide advice as representatives of Sunsuper Financial Services Pty Ltd (ABN , AFSL No ), wholly owned by the Sunsuper Superannuation Fund sunsuper.com.au 33
36 6 HOW TO APPLY AND GETTING FINANCIAL ADVICE (continued) Worksheet examples CASE STUDY 1 CASE STUDY 2 Katherine and Trevor Katherine and Trevor are both aged 32, work, are in good health and have their superannuation with Sunsuper. Their salaries are similar. They have two young children, a mortgage and school fees looming. Together they work out that if something were to happen to either one of them, they want to be able to pay off their net debts of 300,000 and provide additional income of 30,000 a year (increasing with inflation) for 15 years. Using a factor of 12 from the Worksheet on page 33, Katherine and Trevor calculate they need insurance cover of: Net debts + (income per year x factor) 300,000 + (30,000 x 12) = 660,000 Katherine and Trevor decide they each need insurance cover of 660,000 and that they will review their level of cover annually. Katherine is a teacher and Trevor a librarian. They are both occupationally classified as being White for insurance purposes. The initial weekly premium for Katherine based on and TPD cover of 660,000 would be: [0.19 x (660,000 / 1,000) x 1.00] / 52 weeks per year + [0.22 x (660,000 / 1,000) x 1.00] / 52 weeks per year = 5.21 p.w. The initial weekly premium for Trevor based on and TPD cover of 660,000 would be: [0.43 x (660,000 / 1,000) x 1.00] / 52 weeks per year + [0.36 x (660,000 / 1,000) x 1.00] / 52 weeks per year = p.w. Richard and Liz Richard is 55 and in good health. Richard s income supports him and his wife, Liz, and they have just managed to pay off all their debts. Richard is planning to retire at age 65 and has decided to increase his contributions to his Super-savings account with Sunsuper. He is confident he will have sufficient superannuation when he retires to provide them with a reasonable level of income in retirement. Richard calculates that his contributions will total nearly 100,000 over the next 10 years. He decides he needs to protect their future retirement income by taking only cover of 100,000. He decides to apply for fixed premium cover, so his insurance costs remain constant each year. However his level of cover will decrease as he gets older. Richard is a cabinet maker and is occupationally classified as being Medium Blue for insurance purposes. His weekly premium based on his initial only cover of 100,000 would be: [2.27 x (100,000 / 1,000) x 1.30] / 52 weeks per year = 5.68 p.w. Male Age last birthday Occupational Category Medium Blue 1.30 Age last Female birthday TPD Age last Male birthday TPD Occupational Category TPD White Sunsuper for life Insurance guide
37 CASE STUDY 3 Wendy Wendy is 29 and is a sole parent with one child, Chloe, who has just started school. She owns her own house without a mortgage and is in good health. Wendy estimates that should she die or become disabled, an income of 40,000 a year (increasing with inflation) will be required to ensure Chloe is well educated and cared for over the next 20 years. Using a factor of 15 from the Worksheet on page 33, Wendy works out she needs and TPD insurance cover of: 40,000 x 15 = 600,000 Wendy works in a retail clothing store and is occupationally classified as being Light Blue for insurance purposes. Her initial weekly premium based on and TPD cover of 600,000 would be: [0.16 x (600,000 / 1,000 p.a.) x 1.20] / 52 + [0.15 x (600,000 / 1,000p.a.) x 1.60] / 52 = 4.99 p.w. Age last Female birthday TPD Occupational Category TPD Light Blue CASE STUDY 4 Jayne We ll revisit Jayne from the example shown earlier in this guide. Jayne is 30, a technical writer and is occupationally classified as White. She has applied and been accepted for 1,000,000 of and TPD cover. We previously calculated Jayne s premium as 6.94 per week. Jayne wants to understand the difference to her cover or premiums depending whether her cover is on a fixed cover basis or fixed premium basis. Fixed cover Jayne s cover will remain the same each year, but her weekly premium will generally increase when she has a birthday. Remember, we calculated Jayne s premium as: premium = 3.47 p.w. [0.18 x (1,000,000 / 1,000) x 1.00] / 52] TPD premium = 3.47 p.w. [0.18 x (1,000,000 / 1,000) x 1.00] / 52] Therefore Jayne s total weekly premium for 1,000,000 of and TPD cover is 6.94 per week. Jayne s weekly premium will change with age as follows: Age & TPD ( fixed cover) Increasing premium ( p.w.) 30 1,000, ,000, ,000, ,000, Fixed premium Jayne s premium will remain the same each year, but her and TPD cover will generally decrease when she has a birthday. Jayne s future cover will be calculated as: 1,000 / (premium rate x occupational rating) x weekly premium x 52 Remember, you will need to do the calculation for both and TPD. Calculating Jayne s and TPD cover at age 35: cover = 721,760 [1,000 / (0.25 x 1.00) x 3.47 x 52] TPD cover = 515,542 [1,000 / (0.35 x 1.00) x 3.47 x 52] Jayne s premium will remain 6.94 per week. Jayne s cover and TPD cover will change with age as follows: Age Fixed premium for ( p.w.) Decreasing cover () Fixed premium for TPD ( p.w.) Decreasing TPD cover () ,000, ,000, , , , , , ,206 At any time Jayne can apply (terms and conditions apply) to change from fixed cover to fixed premium, or vice versa, or request a reduction in her weekly premiums or cover sunsuper.com.au 35
38 6 HOW TO APPLY AND GETTING FINANCIAL ADVICE (continued) How do you apply? The following table shows you the type of cover you can apply for given your particular circumstances, and the various forms available for completion and where they can be found. What are you applying for? When you should apply How can you apply? Where can you go to apply? On joining Sunsuper Membership application form Sunsuper for life Product Disclosure Statement (PDS) sunsuper.com.au/pds Standard and TPD cover Join online sunsuper.com.au Within 120 days of joining Sunsuper Insurance options application form sunsuper.com.au/forms Nomination by your employer n/a (automatic) PDS Membership application form New Member option & Within 120 days of joining Sunsuper sunsuper.com.au/pds TPD (50% increase) (and you are eligible for Standard cover) Join online sunsuper.com.au Insurance options application form sunsuper.com.au/forms PDS Within 120 days of joining Sunsuper Membership application form sunsuper.com.au/pds (and you are eligible for Standard cover) White Collar & TPD Insurance options application form sunsuper.com.au/forms On joining Sunsuper Join online sunsuper.com.au Outside 120 days of joining Sunsuper and you have Standard cover White collar application form sunsuper.com.au/forms Life and Age Events Tailored cover & TPD New Member option Standard IP White Collar IP Tailored cover IP Not more than 180 days after the Life or Age Event, you are less than age 67 and you have either Standard or White Collar cover If you are less than 60 years old, applying for 1.25 million or less and TPD cover If you are older than 60 years old or are applying for more than 1.25 million and TPD cover Within 120 days of joining Sunsuper Within 120 days of joining Sunsuper (and you are eligible for Standard IP cover) Outside 120 days of joining Sunsuper and you have Standard IP cover If you are less than 60 years old and applying for 10,000 or less monthly IP cover If you are older than 60 years old or are applying for more than 10,000 monthly IP cover If you wish to change your Waiting Period or Benefit Period Life and Age Event insurance options form Tailored insurance application form Online application Tailored insurance (full application) form Online application Membership application form Join online Insurance options application form Membership application form Join online Insurance options application form White collar application form Tailored insurance application form Online application Tailored insurance (full application) form Online application By telephone In writing sunsuper.com.au/forms Member Online this guide sunsuper.com.au/forms PDS sunsuper.com.au/pds sunsuper.com.au sunsuper.com.au/forms PDS sunsuper.com.au/pds sunsuper.com.au sunsuper.com.au/forms Member Online this guide sunsuper.com.au/forms Reply Paid 2924 Brisbane, QLD, Sunsuper for life Insurance guide
39 What are you applying for? When you should apply How can you apply? Where can you go to apply? Tailored cover IP restarting IP cover on transfer from Sunsuper for life Corporate or Sunsuper for life Business Reducing or cancelling your insurance cover Tailored cover improving your occupational rating category Transfer of insurance cover to Sunsuper Nominating your preferred beneficiary/s Binding death benefit nomination Within 120 days of ceasing employment with your Sunsuper for life Corporate or Sunsuper for life Business employer. Anytime To reduce or cancel some or all of: & TPD only TPD only IP where you have: Standard cover White Collar cover Tailored cover Anytime To apply for a better occupational rating category than you have within Tailored cover Anytime (but do not cancel your existing cover until your transfer is accepted by the insurer) On joining Sunsuper Anytime To change your preferred beneficiary/s at anytime Anytime To make a binding death benefit nomination Income Protection transfer application form Insurance variation form by telephone in writing Occupational rating form Transfer of insurance cover form Membership application form Join online Member Online Change of details form Binding death benefit nomination form sunsuper.com.au/forms sunsuper.com.au/forms Reply Paid 2924 Brisbane, QLD, 4001 sunsuper.com.au/forms sunsuper.com.au/forms this guide PDS sunsuper.com.au/pds sunsuper.com.au sunsuper.com.au sunsuper.com.au/forms sunsuper.com.au/forms sunsuper.com.au 37
40 7 Premium Rates Work out your premium costs with the following tables 38
41 Standard and White Collar & TPD cover (Premium table 1) Use the table below to determine the amount of Standard and White Collar cover and premiums available to eligible members. Age last birthday Standard cover Amount of cover () White Collar cover TPD TPD Standard or White Collar premiums () per week only and TPD Male Female Male Female 15 to 21 62, ,000 93, , to , , , , to , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,000 99, ,000 85, ,000 72, ,000 63, ,000 54, ,000 48, ,000 43, ,000 40, ,000 37, ,000 34, ,000 31, ,000 28, ,000 25, to 66 16,000 24, to 69 1,2 16,000 Nil 24,000 Nil Cover from age 67 is only. 2 Different cover and premium arrangements may exist; you will have been informed separately if this applies sunsuper.com.au 39
42 7 PREMIUM RATES (continued) New Member options 50% increase in & TPD and Standard and White Collar IP cover (Premium table 2) Use the table below to determine the cover and premiums for Sunsuper s New Member options. The cover and premiums listed are inclusive of Standard or White Collar cover and premiums (as applicable). Age last birthday Standard cover Amount of cover White Collar Standard or White Collar premium () per week IP cover IP premium () per week (per monthly benefit) and TPD TPD TPD Male Female Male Female 15 to 21 93, , , , to , , , , to , , , , , , , , , , , , , , , , , , , , , , , , , , , , day Waiting , ,250 Period, 2-year Benefit Period: IP premium , ,750 cost per week per , , monthly benefit as Standard or per , , ,000 monthly , ,750 benefit White Collar 52 99, , , , , , ,000 94, ,000 81, ,000 72, ,500 65, ,500 60, ,500 56, ,500 51, ,500 47, ,500 42, ,500 38, to 66 24,000 24,000 36,000 36, to 69 1,3 24,000 n/a 36,000 n/a n/a n/a 1 Cover from age 67 is only. 2 Or 1,000 for White Collar. 3 Different cover and premium arrangements may exist; you will have been informed separately if this applies. 40 Sunsuper for life Insurance guide
43 Life and Age Event options cover and premiums (Premium table 3) Use the table below to determine the cover and premiums for Sunsuper s Life and Age Event options. The cover and premiums listed are in addition to your Standard or White Collar cover, including any New Member options cover and premiums once accepted by the insurer. Age last birthday Life and Age Event options Amount of cover () White Collar Life and Age Event options Standard or White Collar premium () per week TPD TPD TPD Male Female Male Female 15 to 21 15,625 31,250 23,438 46, to 29 31,250 43,750 46,875 65, to 33 62,500 93, ,500 92, ,000 90, ,500 86, ,750 82, ,250 78, ,250 73, ,500 69, ,000 66, ,750 61, ,000 57, ,500 53, ,000 49, ,500 45, ,250 42, ,750 38, ,250 34, ,750 31, ,750 28, ,500 24, ,250 21, ,000 18, ,500 15, ,000 13, ,000 12, ,250 10, ,750 10, ,250 9, ,750 8, ,250 7, ,750 7, ,250 6, to 66 4,000 6, sunsuper.com.au 41
44 7 PREMIUM RATES (continued) Tailored and TPD cover (Premium table 4) Annual premiums for each 1,000 insured benefit Age last birthday Male Female TPD TPD * * n/a 5.47 n/a 69* Occupational rating categories Occupational category TPD Professional White Light Blue Medium Blue Heavy Blue Hazardous *Different cover and premium arrangements may exist; you will have been informed separately if this applies. Notes: 1 TPD cover ends when you turn 67 and cover ends when you turn Cover is available on a fixed premium or fixed cover basis. 3 Rounding variations may occur when calculating premiums. 42 Sunsuper for life Insurance guide
45 Tailored Income Protection cover 2-year Benefit Period (Premium table 5) Annual premiums for each 1,000 insured benefit Age last birthday 30 days 60 days Male 90 days Waiting Period 180 days 30 days 60 days Female 90 days 180 days Occupational ratings table Occupational category IP Professional 0.85 White 1.00 Light Blue 1.40 Medium Blue 1.70 Heavy Blue 2.50 Hazardous This Occupational ratings table is applied to each of the 3 Benefit Periods and 4 Waiting Periods (Premium tables 5-7). These premiums: 1 Include stamp duty. 2 Include a 5% insurance fee to offset Sunsuper s cost of providing the cover. 3 Rounding variations may occur when calculating premiums sunsuper.com.au 43
46 7 PREMIUM RATES (continued) Tailored Income Protection cover 5-year Benefit Period (Premium table 6) Annual premiums for each 1,000 insured benefit Age last birthday Male Waiting Period Female 30 days 60 days 90 days 180 days 30 days 60 days 90 days 180 days These premiums: 1 Include stamp duty. 2 Include a 5% insurance fee to offset Sunsuper s cost of providing the cover. 3 Rounding variations may occur when calculating premiums. 44 Sunsuper for life Insurance guide
47 Tailored Income Protection cover Benefit Period to-age-65 (Premium table 7) Annual premiums for each 1,000 insured benefit Age last birthday Male Waiting Period Female 30 days 60 days 90 days 180 days 30 days 60 days 90 days 180 days These premiums: 1 Include stamp duty. 2 Include a 5% insurance fee to offset Sunsuper s cost of providing the cover. 3 Rounding variations may occur when calculating premiums sunsuper.com.au 45
48 8 Facts about making a claim Let us help you At Sunsuper, we understand that making a claim can sometimes be a stressful and difficult process. We understand that the circumstances of every claim are as different as the individuals making them. To help you and your family through this difficult time, we have experienced Claims Officers that can assist and guide you through the claims process from start to finish. All of our Claims Officers are trained to understand and explain our claims process. Once you make the initial contact with us to commence a claim, you will be assigned an individual Claims Officer to help you through the rest of the process and answer your questions. We are here to help. Please contact us as soon as you are able to on if you would like help making a claim or have any questions. Or visit sunsuper.com.au/factsheets for more information on making a claim. Do you need a lawyer to assist with your claim? Every insurance claim is different. Our claim process has been designed so that in most cases you or your family should not need the assistance of a lawyer when making a claim with Sunsuper. Our very experienced Claims Officers are here to assist you with your claim throughout the whole process. However, if you wish to engage the services of a lawyer to assist with your claim you can do so at any time. Remember, we are here to help, so call us on if you have any questions about how to make a claim. Nominating your beneficiaries As previously mentioned (page 32), you can choose to nominate preferred beneficiary/s (a non-binding nomination) or to complete a binding death benefit nomination form. If you ve nominated a preferred beneficiary, this is used by the trustee only as a guide when deciding who should receive your death benefit, as there may be restrictions on who the benefit can be legally paid to. There may also be lengthy investigations to determine who the benefit should be paid to. A valid binding death benefit nomination allows you to nominate who will receive your superannuation benefits in the event of your death and ensures that the trustee is legally bound by your wishes. Claims are generally processed faster when a valid binding death benefit nomination is in place. How to make a claim While we do hope that you never need to, the following information will assist you in understanding the claim process in the event that you do need to make a claim. Any claim process will involve: notification to us gathering information and providing it to us assessment of the insurance claim by the insurer assessment by the Sunsuper Trustee, including determination of the beneficiary/s decision by the Sunsuper Trustee payment of the claim, if approved. These steps do take some time, although our experienced Claims Officers will help you at every stage of the process. Further information may be requested at different stages of the process, and with disablement claims you may be required to undergo an examination by a medical practitioner or professional of the insurer s choice. The insurer will usually meet the costs associated with any additional information requests. claims It is important that in the event of your death, Sunsuper is notified by a relative or legal personal representative to enable the claims process to begin. Once we receive formal notification of your death, your Super-savings account will normally be transferred to the Cash option. Any insurance benefit paid into your Super-savings account will also be invested in the Cash option, and will remain invested there until the Trustee finalises payment of your benefit. Disablement claims (TPD and IP) Sunsuper should be notified as soon as reasonably possible after an event that is likely to give rise to a disablement or Terminal Illness claim. Please note that there is a 3-month Waiting Period before a TPD claim becomes assessable, and a Waiting Period applicable to you in the event of an IP claim. If you don t have insurance with us, you may still be able to claim your super balance under a Permanent Incapacity benefit. If you are suffering from a Terminal Medical Condition you may also be able to access your super balance. Please contact Sunsuper to discuss these options. 46 Sunsuper for life Insurance guide
49 Rehabilitation in Sunsuper Work is Good Medicine At Sunsuper we work with our insurer to offer you access to one of the largest and most experienced rehabilitation teams, so if you have an injury, disability or health condition we can arrange work related rehabilitation to assist you back to meaningful work. We work in partnership with you, your treating health professionals and employer to assist you back to suitable work as part of your recovery plan. If you are unemployed, we can assist you to improve your fitness for work or locate suitable employment. Returning to work restores more than your income. It helps to restore your identity and self-esteem. Rehabilitation services may include: initial meetings with a rehabilitation provider to identify your return to work needs work place visits to identify solutions in your return to work plan equipment to ensure you maintain your job career guidance to explore alternative work options if you can t work in your usual role improving your skills and capabilities so that your return to work is sustainable. Rehabilitation is not appropriate for everyone. If you would like further information about your rehabilitation options please speak with your Claims Officer at Sunsuper. Together we can assist you back to work and back to a fuller life! Other important information Financial advice When you make a claim, or receive an insurance benefit, not only is it likely to be a difficult time, but it can be hard to know what your next step is. You may need help with a tailored financial plan or help in moving into a new or different phase of your financial life after a major event and/or insurance payout. You don t need to panic and you don t need to be rushed into a course of action. If you need some financial advice and help deciding what you should do in the short term as well as a long-term plan, please don t hesitate to contact one of our qualified financial planners. 1 Call to speak to one of our qualified financial planners 1 who can give you simple advice at no additional cost, quickly over the phone. If it s something more complex, you can meet with one of our qualified financial planners 1 face-to-face. More complex advice may incur a fee. We may also refer you to an accredited external financial planner. 2 1 Our qualified financial planners provide simple advice about super at no additional cost. More detailed advice, including that provided as part of the SunTracker program, may incur a fee. Sunsuper employees provide advice as representatives of Sunsuper Financial Services Pty Ltd (ABN AFSL No ) (SFS), wholly owned by the Sunsuper Superannuation Fund. 2 Sunsuper has established a panel of accredited external financial planners for our members. Sunsuper does not receive or pay any referral fees to these planners. Each of these planners will explain to you how their advice fees are determined. The accredited external financial planners are not employed by Sunsuper, and Sunsuper is not responsible for the advice provided by these planners. If your claim is declined If your claim is declined by the insurer your claim will be referred to the Sunsuper Trustee for independent assessment. If the Sunsuper Trustee declines your claim and you disagree with this decision you may lodge a complaint, in writing, with Sunsuper. Your complaint will be investigated, and if the decision to decline your claim is confirmed by the Fund, you may ask the Superannuation Complaints Tribunal (SCT) whether you are eligible to submit a complaint. There are time limits on when you can make a complaint to the SCT about a TPD claim. Call the SCT on or visit their website for more information about these time limits. Incorrect information and eligibility for cover If your recorded age or gender is incorrect, the insurer has the right to adjust the premium or the benefit based on correct information. As a general rule, your eligibility for cover will not be assessed until you make a claim. Please refer to 3 Am I eligible for insurance cover? Claims after your cover has stopped If an event occurs before the date your cover stops or is terminated, and that event entitles you to make an insurance claim, you may still be eligible for that payment even after your cover has stopped. Your duty of disclosure When making an application for insurance cover and before you enter into a contract of life insurance with an insurer, you have a duty, under the Insurance Contracts Act 1984, to disclose to the insurer every matter you know, or could reasonably be expected to know, is relevant to the insurer s decision whether to accept the risk of the insurance, and if so, on what terms. Your duty extends not just from the time you sign your application form, but also up to the time that the insurer accepts your application for cover. If you fail to comply with your duty of disclosure and the insurer would not have entered into the contract on any terms, the insurer may have grounds not to pay a benefit in the event of a claim. Your duty of disclosure and what can occur in the event of non-disclosure are detailed in your application forms for insurance cover. For further information please call us on sunsuper.com.au 47
50 9 Definitions The following terms are used throughout this guide: Term Accident Activities Aids and adaptations Approved Leave At Work Benefit Period Cognitive Function Date of Disablement (IP) Domestic Duties Employed (TPD) Definitions Accident is defined as a physical injury that is caused solely and directly by violent, visible, external and unexpected means that is not traceable, even indirectly, to any pre-existing mental or physical condition. The definition of Activities means: (i) Rising/sitting: the ability to rise and sit using a chair with arms without the help of another person. (ii) Hearing: the ability to clearly hear (with a hearing aid or other aid if normally used) conversational speech in a quiet room in your first language. (iii) Communicating through speech: the ability to speak with sufficient clarity to be able to hold a conversation in a quiet room in your first language. (iv) Seeing: the ability to see such that, when tested with visual aids, vision is measured at better than 6/60 in the better eye using a Snellen chart. (v) Walking: the ability to walk more than 200 metres on a level surface without stopping due to breathlessness, angina or severe pain elsewhere in the body. (vi) Lifting and carrying: the ability to lift (from bench height) and carry a 2kg weight a distance of 10 metres and place the item back down at bench height. (vii) Communicating through written words: the ability to write legibly with a pen or pencil or use a keyboard with either hand. For the purpose of assessing a TPD claim, where you are unable to perform one or more of the Activities upon commencement of cover, that Activity shall not be taken into consideration for TPD assessment. Aids and adaptations mean equipment or fixtures to assist you without the assistance of another person to carry out Activities. Approved Leave means parental leave, annual leave, bereavement leave, long service leave or any other leave approved by your employer for reasons other than related to injury or sickness. For, TPD and IP cover At Work means you are: (a) actively performing or capable of performing all of your normal duties, without limitation or restriction due to injury or sickness, and where working you are working normal hours on the day cover is to commence, and (b) in the insurer s opinion, not restricted by sickness or injury from being capable of actively performing your full and normal duties on a full-time basis (for at least 30 hours per week) even though actual employment may be on a full-time, part-time, casual or contract basis, and (c) not in receipt of, or entitled to claim, any income support benefits from any source including workers compensation benefits, statutory transport accident benefits and disability income benefits (including government support benefits). You will be considered to be At Work on the applicable date, as the context requires, if you are on Approved Leave for reasons other than injury or sickness, and not taking into account the leave, is able to meet the At Work definition. In addition for and TPD cover only, At Work also means if you are not gainfully employed but are engaged in full-time Domestic Duties you will meet the At Work requirement if you are able to actively perform your normal full-time Domestic Duties without restriction due to injury or sickness. Benefit Period means the maximum period of time for which benefits will be paid for any one period of Total Disability, Limited Total Disability or one period of Total and Partial Disability. Cognitive Function means intellectual capacity, loss of which requires you to be under the continuous care and supervision of another adult person for at least 3 consecutive months and, at the end of that 3-month period, you are likely to require permanent ongoing continuous care and supervision by another adult person. The Date of Disablement is where you are: (a) working and then cease work as a result of a sickness or injury, the last day you worked provided this was as a result of a sickness or injury and which has been certified by a registered Medical Practitioner, or (b) on Approved Leave or unemployed and suffer a sickness or injury which prevents you from returning to work as a result of that sickness or injury, the Date of Disablement will be determined based on the certification provided by the registered Medical Practitioner as the date on which you became disabled. Domestic Duties means where you have chosen to remain at home and perform unpaid home duties as your primary occupation. The choice to remain at home should not be due to unemployment or as a result of a sickness or injury. Employed means: (i) you are engaged under a contract of employment with an Australian employer (which includes on secondment or transfer to an international subsidiary or an associated or affiliated company of an Australian employer), or (ii) you are Self-Employed and earning an income under an ABN registered entity, or (iii) you have been unemployed for less than 12 months, or (iv) you have been on Unpaid Leave for less than 2 years with an Australian employer, or (v) you are working for an overseas employer at least 15 hours per week, or (vi) you are engaged in unpaid Domestic Duties in your own home. 48 Sunsuper for life Insurance guide
51 Term Income (IP) Limited Cover Limited Total Disability (IP) Medical Practitioner Occupational Categories Partial Disability or Partially Disabled (IP) Permanent Incapacity Pre-Disability Income (IP) Self-Employed Person Definitions Income means your pre-tax income derived from your occupation, less any expenses incurred in deriving that income. Unless otherwise agreed with the insurer, Income does not include director s fees, overtime payments, commissions, bonuses, penalty or shift allowances, mandated superannuation contributions, investment income, income received from deferred compensation plans, disability income policies, retirement plans or any income derived from non-vocational activities. For Self-Employed Persons, Income means the income generated by the business or practice due to your personal exertion or activities, less your share of necessarily incurred business expenses and investment income. Income is determined when applying for Income Protection cover. Proof of Income is also required at the time of a benefit claim. For claims, Income is determined at the first day of absence from your employment due to the injury or sickness resulting in Total Disability. The amount of benefit will depend on the cover most recently accepted by the insurer. Limited Cover means you are only covered for claims arising from a sickness which first Manifests itself or an injury which occurred on or after the date your cover commenced, most recently commenced or increased (where applicable) under the policy and was not related to the condition that occurred before the date your cover commenced, most recently commenced or increased (where applicable) under the policy. Manifests means that symptoms exist which would cause an ordinary prudent person to seek diagnosis, care or treatment, or that medical advice or treatment has been recommended by or received from a Medical Practitioner. Limited Total Disability means as a result of sickness or injury, you: (a) have been incapacitated to such an extent as to render yourself unable to engage in your usual occupation or any occupation for which you are reasonably suited by education, training and experience, and (b) remain under the regular care, attendance and following the advice of a registered medical practitioner in relation to that sickness or injury, and (c) are not engaged in any occupation (whether paid or unpaid). The above definition applies for up to 24 months while you are on Unpaid Leave if you were working on average less than 15 hours per week in the 3 months immediately prior to going on Unpaid Leave. Medical Practitioner means a legally qualified and registered doctor of medicine. It does not include the Employer, the Insured Member, an Employee of the Employer, the Insured Member's immediate family or business partner/s. The following Occupational Categories apply within Tailored cover. Professional and White will also apply to White Collar cover. Professional White collar professionals performing no manual duties (e.g. doctor, lawyer, accountant). Usually those with a tertiary qualification or registered with a professional body (and they must be using these qualifications in their occupation). White Clerical, administration and managerial occupations involving office duties only. Includes those who do less than 10% light manual duties (e.g. administrator, bookkeeper, computer operator). Light Blue Certain light manual skilled workers (e.g. photocopy/tv repairers), purchasing officers, travelling sales representatives, claims/loss assessor, business owners in non-hazardous industries involved in light manual work (e.g. coffee shop owner) and supervisors of workers in Medium Blue occupations. Medium Blue Qualified tradespeople involved in non-hazardous industries doing light manual work (e.g. qualified tradespeople such as cabinetmaker, carpenter, plumber, mechanic). Heavy Blue Heavy manual workers, unskilled or performing higher risk occupations, tradespeople involved in heavier manual work (e.g. brick layer (qualified), interstate bus driver, warehouse worker, carpet layer, house removalist). Hazardous There are other occupations classified as hazardous including airline crew and pilots, fire fighters, professional sportspeople, police, underground workers, miners, and those working at heights above 10 metres. For hazardous occupations, the insurer reserves the right to assess applications for cover on a different premium basis to the five categories listed above. Partial Disability means that, following a period of Total Disability (for 7 out of the first 10 working days of the Waiting Period) and while you continue to be either Totally or Partially Disabled during the Waiting Period you: (a) have returned to work in your usual or an alternative occupation, and (b) are under the care of and complying with the reasonable advice given by a registered medical practitioner, and (c) as a result of the disability, you have suffered and continue to suffer loss of income as a direct result of the injury or sickness. The income benefit paid during Partial Disability will be calculated in line with the proportionate loss of income from the end of the Waiting Period. Permanent Incapacity as defined in the Superannuation Industry (Supervision) Regulations 1994 (Cth). Pre-Disability Income means the higher of the gross monthly income you earned at the Date of Disablement or an average of the gross monthly income earned by you over the 3 months immediately prior to the Date of Disablement. If you are a casual or contract employee, or unemployed, the Pre-Disability Income means the average of the gross monthly income earned over the 12 months (or if employed less than 12 months, over your period of employment) immediately prior to the Date of Disablement. If you are Self-Employed, Pre-Disability Income means the greater of the average of the gross monthly income earned over the 12 months and the latest financial year immediately prior to the Date of Disablement. A Self-Employed Person means a person who operates a business or profession as a sole proprietor, partner in a partnership, independent contractor or consultant and reports income earned from self-employment sunsuper.com.au 49
52 9 DEFINITIONS (continued) Term Terminal Illness Terminal Medical Condition Total and Permanent Disablement/ Disability (TPD) Total Disability or Totally Disabled (IP) Unpaid Leave Waiting Period Definitions Terminal Illness means you are suffering from an illness, or have incurred an injury, that is likely to result in your death within a period of 12 months from the date of certification of the Terminal Illness by two registered Medical Practitioners (one being a specialist physician in the particular medical field), both acceptable to the insurer. The benefit the insurance policy pays out is termed as a Terminal Illness benefit. Terminal Medical Condition is a condition of release under the Superannuation Industry (Supervision) Regulations 1994 (Cth). For more information refer to the Sunsuper for life guide. Total and Permanent Disablement/Disability (TPD) means: Part A You have suffered the total and irrecoverable loss of: (i) the use of two limbs; or (ii) the use of the sight of both eyes; or (iii) the use of one limb and the sight of one eye; or (iv) Cognitive Function. (where limb is defined as the whole hand or the whole foot); and the insurer, after considering all relevant evidence which is reasonably available, then determines you will be unable ever again to be gainfully employed in any occupation for which you are reasonably suited by education, training or experience; or Part B Where, at the date of disablement, you were Employed: (i) you are unable to perform your occupational duties based on the work performed at the time of disablement by reason of an injury or sickness for a period of three consecutive months as a result of the injury or sickness, and (ii) you are under the care of, and following the advice of, a registered Medical Practitioner; and (iii) the insurer, after considering all relevant evidence which is reasonably available, then determines you will be unable ever again to be gainfully employed in any occupation for which you are reasonably suited by education, training or experience; or Part C Where, at the date of disablement, you were not Employed: (i) you have not, as a result of an injury or sickness, been able to perform at least two Activities for a period of three consecutive months after the occurrence of the injury or sickness; and (ii) you are under the care of, and following the advice of, a registered Medical Practitioner; and (iii) the insurer, after considering all relevant evidence which is reasonably available, then determines that it is likely, due to the injury or sickness, that you are totally and permanently unable to perform (with Aids and adaptations) at least two Activities; and (iv) the insurer, after considering all relevant evidence which is reasonably available, then determines you will be unable ever again to be gainfully employed in any occupation for which you are reasonably suited by education, training or experience. Note: a different TPD definition may apply to some members and if this applies to you, you will have been informed separately. Total Disability means that, as a direct result of injury or sickness, you are: (a) continuously and completely unable to perform at least one of the major duties of your usual occupation based on the work performed at the time of injury or sickness, and (b) under the regular care of and complying with the reasonable advice given by a registered medical practitioner in respect of that injury or sickness, and (c) not in any occupation for which a person would normally expect to receive remuneration or profit. A major duty is an income-producing duty of your regular occupation, which involves at least 20% of your overall occupational tasks. For those on Unpaid Leave, the above definition applies for up to 24 months while you are on Unpaid Leave if you were working an average of 15 hours or more per week in the 3 months immediately prior to going on Unpaid Leave. Unpaid Leave means leave (not being cessation of employment) without pay from your employer. This leave must be: (a) approved by your employer or authorised by: i) the Commonwealth, a State or a Territory, or ii) a certified agreement or award made by a tribunal or body having the authority to do so under the law of the Commonwealth, a State or a Territory. (b) in relation to which you have a statutory or contractual right to resume employment at the end of the leave, and (c) in relation to which you are not being paid by the employer. Unpaid Leave excludes leave: (a) that is due to your injury or sickness, or (b) during which you receive or are entitled to receive: i) income benefits, or ii) disability income benefits, or iii) social security sickness benefits, or (c) due to strike or lockout. The Waiting Period is the number of continuous days which you must remain off work due to an injury or sickness before the Total Disability benefit or Partial Disability benefit begins to accrue. The Waiting Period commences from the date you are Totally Disabled and unable to work, as certified by a registered Medical Practitioner. 50 Sunsuper for life Insurance guide
53 FRM-P-S (10/13) 1 Title Last name* Date of birth (DD/MM/YYYY)* Gender* M F Street Address / PO Box* Suburb / Town* State* Postcode* Country of Birth* Day phone number Home phone number Personal address Mobile phone number 2 Your occupation Degree qualified Are you currently employed? NO Industry e.g. Mining, Manufacturing, Construction, Agriculture, Retail Name of your employer Your annual Income Details of your occupation 2A 1 1 Are you less than 60 years old? AND Are you applying for less than 1.25 million and TPD cover? AND/OR Are you applying for less than 10,000 monthly Income Protection cover? What is your employment staus? Permanent Permanent full time part time Casual Contractor Hours that you work Under hours Greater than a week (on average) hours to 60 hours 60 hours 3 I wish to apply for: (Please select Fixed cover OR Fixed premium) Fixed cover Please enter the and TPD cover AND TPD OR in equal amounts of cover of /OR cover of OR Fixed premium Please enter Total and AND TPD OR TPD Premium premium /OR premium 4 I wish to apply for: a Monthly Income a benefit 2 years 5 years to age 65 Protection benefit of period of: a waiting period of: 30 days 60 days 90 days 180 days Please turn over and continue 2B 2C 3A 3B 4A 4C IMPORTANT If you are under 18 please contact us on before completing this form. Personal details amount of cover you would like: your weekly amount: Write amount here % 2 % 2 *Denotes mandatory field. Please provide a day time phone number where we can reach you if we have additional questions about your application. If No, go to Section 2B Please specify if you are unemployed, a student, or home duties 4B Write amount here Write amount here full application YES Go to the yellow Tailored NO Complete and return this form insurance application form % 3 % 3 Please note: if you are working less than 15 hours per week you will not be eligible to apply for Income Protection. Write amount here Write amount here Tailored insurance a plication Call Web sunsuper.com.au Mail Reply Paid 2924 Brisbane Qld 4 01 Fax including the inside pages, please sign and return the form to: Once you fill this form, Go to the blue Tailored insurance full a plication form Complete this form (eg: office work 20%, site inspection 80%) (eg: office 20%, home 30%, suburban driving 50%) (If you are not a plying for and/or TPD cover, go to section 4) (If you are not a plying for Income Protection cover, go to section 5) Are you le s than 60 years old? Are you plying for le than 1.25 million and TPD cover? Are you a plying for le s than 10, monthly Income Protection cover? First Mi dle Title name name Date of birth Last name Gender Male Female ( d/ m/ y) Str et a dre s / PO Box Suburb / Town State Postcode Phone dre s Please provide a day time phone number where we can reach you if we have a ditional questions about your a plication. Lis the principal duties of your o cupation, and Lis the primary locations your o cupation, Are you cu rently the percentage of time at work spent doing each and the percentage of time each location Yes No employed? (if No go to section 3) 1 1 % % 2 2 % % Industry 3 3 e.g. Mining, Manufacturing, Construction Agriculture, Fishing, Retail, Tourism % % What is your employment status? Hours a w ek that you work (on average): Permanent Permanent Self Under 15 hours Casual Contractor full time par time employed 15 hours or more Please note: if you are a casual or a contractor you will only b eligible to a ply for a 2 year Income If you are working le s than 15 hours per w ek you Protection benefit period. will not b eligible to a ply for Income Protection. I wish to a ply for: (Please select Fixed cover OR Fixed premium) I wish to a ply for: Fixed cover enter the amount of cover you would like below: a Monthly Income Protection benefit of and TPD AND TPD OR cover in equal cover of /OR cover of a benefit period of: amounts of to age 2 years 5 years 65 OR a waiting period of: Fixed premium Pleas enter your w ekly amount Total AND TPD days days days days OR and TPD premium /OR premium Premium per wk per wk per wk Note: when Tailored cover is a proved any standard cover/premium you had will be replaced by cover/premium based on your o cupation cla sification. Sunsuper GPO Box 2924 Brisbane Qld 4 01 Please provide us with as much information as possible. Use BLOCK letters an dark ink when completing this form and ensure it i signed an dated. Sunsuper Pty Ltd ABN AFSL No Trust e of the Sunsuper Supera nuation Fund. If you are under 18 please contact us before completing this form. Member number O cupation Your a nual income Member details Details of your cupation 3 and/or TPD cover 4 Income Protection cover Please turn over Write your income here sunsuper.com.au Reply Paid 2924 Brisbane Qld 4001 Member Number Refer to page 44 of the Sunsuper for life guide for the definition of Income. Self employed % % Please note: if you are a casual or a contractor you will only be eligible to apply for a 2 year Income Protection benefit period. Write amount here Write amount here per week per week per week 1 2 Name of your employer IMPORTANT a b a a b c b The maximum Income Protection amount available is 85% of your income. This includes a 10% contribution to be paid to your super fund. if already a member 1163 (07/11) FRM NO YES The maximum Income Protection amount available is 85% of your income. This includes a 10% contribution to be paid to your super fund. Tailored insurance application It s simple, you can apply for Tailored cover anytime. You can apply for cover through Member Online, our secure online service. Just visit sunsuper.com.au and follow the prompts to Member Online. If you re not signed up for Member Online it s simple just contact us and we ll have you set up in no time. If you prefer filling in a paper application make sure you read the information below to fill out the form that is right for you sunsuper.com.au Reply Paid 2924 Brisbane Qld 4001 Member number if already a member IMPORTANT Tailored Insurance Please provide us with as much information as possible. Use BLOCK letters and dark ink when completing this form and ensure it is signed and dated. * Denotes mandatory field. Sunsuper Pty Ltd ABN AFSL No Trustee of the Sunsuper Superannuation Fund. First name* Middle name* Are you less than 60 years old? AND Are you applying for 1.25 million or less of and TPD cover? AND/OR Are you applying for 10,000 or less of monthly Income Protection cover? NO Go to the blue Tailored insurance full application form YES Complete and return this form YES YES NO List the principal duties of your occupation, and the percentage of time at work spent doing each eg: office work 20%, site inspection 80% List the primary locations of your occupation, and the percentage of time at each location eg: office 20%, home 30%, suburban driving 50% and/or TPD cover (If you are not applying for and/or TPD cover, go to section 4) Income Protection cover (If you are not applying for Income Protection cover, go to section 5) Note: when Tailored cover is approved any standard cover/premium you had will be replaced by cover/premium based on your occupation classification. Important: Please provide us with as much information as possible. Please tick box where appropriate. Use BLOCK letters and dark ink when completing this form and ensure it is signed and dated. * DENOTES MANDATORY FIELD. If you are under 18 years of age please contact us on before completing this form. 1 Personal details Title First name* Middle name Last name* Street Address / PO Box* Date of birth (DD/MM/YYYY)* Country of Birth* Gender* M F Suburb / Town* State* Postcode* Home phone number Daytime phone number # Personal address Mobile phone number # Please provide a daytime phone number where we can reach you if we have additional questions about your application. Note: Unless you have elected to receive printed information, Sunsuper will confirm this change electronically if we can. We ll or SMS you if you have information to view in Member Online. If you would prefer information is posted to you in the future, change your preferences in Member Online or call us on A 1 1 Details of your occupation Are you currently working? If No, go to Section 2B YES Industry (e.g. Mining, Manufacturing, Construction, Agriculture, Retail) NO YES NO 2 2 Your occupation Name of your employer List the principal duties of your occupation, and the percentage of time at work spent doing each (e.g. office work 20%, site inspection 80%) % List the primary locations of your occupation, and the percentage of time at each location (e.g. office 20%, home 30%, suburban driving 50%) % % % 3 3 Your annual Income Degree/Trade qualified Refer to page 49 of the Sunsuper for life Insurance guide for the defi nition of Income. % % 2B 2C What is your employment status? Hours that you work a week (on average): Permanent full time Under 15 hours Permanent part time 15 hours to 60 hours Self employed Greater than 60 hours Casual Contractor Please specify if you are unemployed, a student, home duties, or retired Please note: if you are a casual or a contractor you will only be eligible to apply for a 2-year Income Protection Benefit Period. Please note: if you are working less than 15 hours per week you will not be eligible to apply for Income Protection. Page 1 of 4 FRM-P-S0013A (07/15) Please continue over page
54 3 3B 4 4A 4C 4D 5 3 and/or and/or TPD TPD cover cover If you If are you not are applying not applying for for and/or and/or TPD cover, TPD cover, go to go section to section 4 4 I wish to I wish apply to for: apply (Please for: (Please select Fixed select cover Fixed OR cover Fixed OR premium) Fixed premium) Fixed cover Fixed cover Please enter Please the enter the and TPD and cover TPD cover 3A 3A amount of cover you would like: in equal amounts of amount of cover you would like: in equal amounts of Fixed premium Fixed premium Please enter Please enter your weekly your weekly amount: amount: 3B 4 Income Income Protection (IP) cover (IP) cover If you If are you not are applying not applying for Income for Income Protection Protection cover, cover, go to go section to section 5 5 I wish to I wish apply to for: apply for: a Monthly a Monthly Income Income Protection Protection benefit benefit of: of: 4A 4C a Waiting a Waiting Period Period of: of: 30 days30 days 4D Total Total and and TPD Premium TPD Premium 4B 60 days60 days AND ANDTPD TPD OR OR premium premium premium /OR /OR premium per weekper week per weekper week per weekper week a Benefit a Benefit 2 years2 years Period Period of: of: I do NOT I do want NOT to want have to my have IP cover my IP indexed cover indexed on 1 July on each 1 July year each year OR OR OR cover of cover of OR 90 days90 days 180 days 180 days 5 years5 years AND /OR to age 65 to age 65 ANDTPD TPD cover of cover /OR of Please Note: Please the Note: maximum the maximum Income Protection Income Protection amount available amount is available 85% of is your 85% of your income. income. This includes This a includes 10% contribution a 10% contribution to be paid to to be your paid super to your fund. super fund. Note: When Note: Tailored When Tailored cover is cover approved is approved any Standard any Standard cover/premium cover/premium you had you will had be will replaced be replaced by cover/premium by cover/premium based on based your on occupation your occupation classification. classification. 5 Personal Personal health health statement 4B a) Are a) you Are an you Australian an Australian or New or Zealand New Zealand citizen citizen or do you or do hold you a hold visa that a visa entitles that entitles you to you reside to reside permanently permanently in Australia in Australia (as approved (as approved by the by Department the Department of Immigration of Immigration and Citizenship)? and Citizenship)? If No, If please No, advise please what advise type what of type visa you of visa hold. you hold. YES YES NO NO b) At the b) date At the of date this application of this application are you are absent you absent from work from or work unable or unable to carry to out carry all out the duties all the of duties your of usual your occupation usual occupation on a full on time a full time basis, due basis, to due an injury to an or injury illness or (even illness if (even you are if you not are currently not currently working working on a full on time a full basis time or basis are unemployed)? or are unemployed)? YES YES NO NO If Yes, If Yes, please state please the state illness the or illness injury or that injury is preventing that is preventing you from you performing from performing all the duties all the of duties your of occupation. your occupation. c) Have c) you Have smoked you smoked tobacco tobacco or any or other any substance other substance in the last in the 12 last months? 12 months? YES YES NO NO If Yes If please Yes state please the state substance the substance and quantity and quantity e.g. 30 e.g. cigarettes 30 cigarettes per day per (Please day (Please note social note social is not sufficient is not sufficient detail) detail) d) How d) many How standard many standard drinks drinks do you do consume you consume per week per on week average? on average? One standard One standard drink = drink approximately: = approximately: one nip one (30 nip ml) (30 spirits, ml) or spirits, 100 ml or 100 wine, ml or wine, 10 oz/285 or 10 oz/285 ml full-strength ml full-strength beer beer Standard Standard drinks per drinks weekper week e) What e) is What your is height your height and weight? and weight? cm cm kg kg f) Do you f) Do engage, you engage, or do you or do intend you intend to engage to engage in any of in the any following: of the following: aviation aviation (other than (other as than a fare as paying a fare paying passenger passenger on a recognised on a recognised airline), airline), football football (all codes), (all codes), diving (deeper diving (deeper than 40m), than motor 40m), racing motor or racing any other or any hazardous other hazardous activity? activity? If Yes If please Yes provide please provide details: details: (If there (If is there not enough is not enough space please space provide please provide more information more information on page on 4 page of this 4 form.) of this form.) YES YES NO NO Activity Activity Frequency Frequency Professional Professional or amateur or amateur Max. height, Max. height, speed speed and/or and/or depth depth g) Have g) you Have ever you suffered ever suffered symptoms symptoms of, or been of, or told been you told have you had have or had received or received any advice any advice or treatment or treatment for: for: i) High i) blood High pressure, blood pressure, chest pains, chest high pains, cholesterol, high cholesterol, heart complaint heart complaint or stroke or stroke YES YES NO NO ii) Diabetes ii) Diabetes or abnormal abnormal blood sugar blood sugar YES YES NO NO iii) Mental iii) Mental or nervous or nervous disorder disorder including including stress, anxiety stress, anxiety or depression or depression YES YES NO NO iv) Epilepsy, iv) Epilepsy, fits of any fits kind, of any multiple kind, multiple sclerosis, sclerosis, paralysis paralysis or other or neurological other neurological condition condition YES YES NO NO v) Back v) or Back neck or disorder, neck disorder, joint disorder, joint disorder, arthritis arthritis or loss or of limb loss of limb YES YES NO NO vi) Loss vi) of Loss sight of or sight blindness or blindness YES YES NO NO vii) Cancer, vii) Cancer, tumour tumour of any type of any or type breast or lump breast lump YES YES NO NO viii) Liver viii) disease Liver disease (including (including hepatitis hepatitis B or C), B kidney or C), kidney or bladder or bladder disorder, disorder, bowel or bowel stomach or stomach disorder disorder YES YES NO NO For any For Yes any answers Yes answers please provide please provide full details full details on page on 4 page of this 4 form. of this form. h) Have h) you Have ever you suffered ever suffered from AIDS from or AIDS been or infected been infected with the with HIV the virus HIV or virus used or or used injected or injected yourself yourself with any with illicit any drugs illicit not drugs not prescribed prescribed by a medical by a medical practitioner? practitioner? YES YES NO NO i) In the i) past In the 5 past years 5 have years you: have you: i. Engaged i. Engaged in male in to male to sexual male activity sexual activity without without a condom a condom (except (except in a relationship in a relationship between between you and you only and only one other one person other person where neither where neither of you has of you had has sex had without sex without a condom a condom with anyone with anyone else in the else past in the 5 years) past 5 or years) or YES YES NO NO ii. Had sex ii. Had without sex without a condom: a condom: - with someone - with someone you know you or know suspect or suspect to be HIV to be positive HIV positive or or - with someone - with someone who injects who non injects prescribed non prescribed drugs or drugs or - with a - sex with worker a sex worker as a or sex as worker? a sex worker? YES YES NO NO Page Page 2 of 42 of 4
55 6 Authorisation and declaration Sign this application form and return to Sunsuper: Duty of disclosure A person who enters into a life insurance contract in respect of your life has a duty, before entering into the contract, to tell us anything that they know, or could reasonably be expected to know, that may affect the insurer s decision to provide the insurance and on what terms. The person entering into the contract has this duty until the insurer agrees to provide the insurance. The person entering into the contract has this same duty before they extend, vary or reinstate the contract. The person entering into the contract does not need to tell the insurer anything that reduces the risk you are insured for; or is common knowledge; or the insurer knows or should know as an insurer; or the insurer waives your duty to tell them about. For contracts of insurance entered into, renewed, extended, varied or reinstated from 28 December 2015, if you do not tell us something that you know, or could reasonably be expected to know, may affect our decision to provide the insurance and on what terms, this may be treated as a failure by the person entering into the contract to tell us something that they must tell us. If you do not tell us something In exercising the following rights, the insurer may consider whether different types of cover can constitute separate contracts of life insurance. If they do, the insurer may apply the following rights separately to each type of cover. If the person entering into the contract does not tell us anything they are required to, and the insurer would not have provided the insurance if they had told us, the insurer may avoid the contract within 3 years of entering into it. If the insurer chooses not to avoid the contract, the insurer may, at any time, reduce the amount of insurance provided. This would be worked out using a formula that takes into account the premium that would have been payable if they had told the insurer everything they should have. However, if the contract has a surrender value, or provides cover on death, the insurer may only exercise this right within 3 years of entering into the contract. If the insurer chooses not to avoid the contract or reduce the amount of insurance provided, they may, at any time vary the contract in a way that places them in the same position the insurer would have been if the person entering in to the contract had told the insurer everything they should have. However, this right does not apply if the contract has a surrender value or provides cover on death. If the failure to tell the insurer is fraudulent, the insurer may refuse to pay a claim and treat the contract as if it never existed. Please ensure all applicable questions are fully answered. Privacy By completing this form you consent to the collection, use and disclosure of any personal information, including information that may be of a sensitive nature we or AIA Australia may collect about you and exchange with third parties located in Australia and overseas, in the manner outlined in our and AIA Australia s respective privacy policies as updated from time to time. Policies are available by visiting sunsuper.com.au/privacy and aia.com.au. These policies are consistent with the requirements of the Privacy Act I declare that: I acknowledge and have read my Duty of Disclosure and all of my details on this Tailored insurance application are correct. I have received, read and accept the accompanying Sunsuper for life Insurance guide. I understand all the conditions I must meet to be eligible to obtain Tailored insurance cover, I agree that my Tailored insurance cover will not commence until my application for Tailored insurance cover has been accepted by the Insurer. I acknowledge insurance cover is provided by an external insurance company. By signing this Tailored insurance application, I consent to the collection and disclosure of information about me for the purposes shown above. Member to sign here* Full name (print in BLOCK letters)* Date (DD/MM/YYYY)* Please return the form to Sunsuper Reply Paid 2924 Brisbane Qld 4001 Adviser Code (if applicable) Sunsuper Pty Ltd ABN AFSL No Trustee of the Sunsuper Superannuation Fund ABN MySuper Authorisation Page 3 of 4 Please continue over page
56 Notes/Additional information If you require additional space to answer 5f and 5g or any of the questions on this form please use the space provided below. Page 4 of 4
57 1 Title First name* Middle name* Last name* Date of birth (DD/MM/YYYY)* Gender* M F Street Address / PO Box* Suburb / Town* State* Postcode* Country of Birth* Day phone number Home phone number Your occupation Degree qualified Are you currently employed? Industry e.g. Mining, Manufacturing, Construction, Agriculture, Retail Name of your employer Your annual Income What is your employment staus? Permanent Permanent Self full time part time Casual Contractor employed Hours that you work Under hours Greater than a week (on average) hours to 60 hours 60 hours I wish to apply for: (Please select Fixed cover OR Fixed premium) Fixed cover Please enter the and TPD cover AND TPD OR in equal amounts of cover of /OR cover of OR Fixed premium Please enter Total and AND TPD OR TPD Premium premium /OR premium I wish to apply for: a Monthly Income a benefit 2 years 5 years to age 65 Protection benefit of period of: a waiting period of: 30 days 60 days 90 days 180 days 2 Details of your occupation 2A 2B 2C 3A 3B 4A 4C FRM-P-S0013A (10/13) IMPORTANT Please provide us with as much information as possible. Use BLOCK letters and dark ink when completing this form and ensure it is signed and dated. If you are under 18 please contact us on before completing this form. if already a member Please provide a day time phone number where we can reach you if we have additional questions about your application. If No, go to Section 2B Please specify if you are unemployed, a student, or home duties amount of cover you would like: your weekly amount: Are you less than 60 years old? AND Are you applying for less than 1.25 million and TPD cover? AND/OR Are you applying for less than 10,000 monthly Income Protection cover? * Denotes mandatory field. Sunsuper Pty Ltd ABN AFSL No Trustee of the Sunsuper Superannuation Fund. Personal details % 2 % 2 4B NO Go to the blue Tailored YES Complete and return this form insurance full application form % 3 % 3 Please note: if you are working less than 15 hours per week you will not be eligible to apply for Income Protection sunsuper.com.au Please turn over to complete your application and sign Reply Paid 2924 Brisbane Qld 4001 Refer to page 44 of the Sunsuper for life guide for the definition of Income. Please note: if you are a casual or a contractor you will only be eligible to apply for a 2 year Income Protection benefit period. per week per week per week The maximum Income Protection amount available is 85% of your income. This includes a 10% contribution to be paid to your super fund FRM-P-S (10/13) Tailored Insurance fu l a plication IMPORTANT Reply Paid 2924 Brisbane Qld 4 01 Please provide a day time phone number where we can reach you if we have additional questions about your application. If No, go to Section 2B Write your income here Please specify if you are unemployed, a student, or home duties Write amount here Write amount here Write amount here amount of cover you would like: Write amount here Write amount here Write amount here your weekly amount: Write amount here Member Number Personal details Details of your cupation 2A (If you are not a plying for and/or TPD cover, go to section 4) 2B (If you are not a plying for Income Protection cover, go to section 5) 2C and/or TPD cover 3A 3B Income Protection cover 4A 4B 4C Title Str et A dre s / PO Box* Are you less than 60 years old? AND Are you a plying for less than 1.25 million and TPD cover? AND/OR Are you applying for less than 10,000 monthly Income Protection cover? Please provide us with as much information as possible. Use BLOCK letters and dark ink when completing this form and ensure it is signed and dated. Denotes mandatory field. Sunsuper Pty Ltd ABN AFSL No Trustee of the Sunsuper Superannuation Fund. If you are under 18 please contact us before completing this form. Refer to page 44 of the Sunsuper for life guide for the definition of Income. Please note: if are working less Please note: if you are a casual or a contractor than 15 hours per week you will not be you will only eligible to apply for a 2 year eligible to apply for Income Protection. Income Protection benefit period. per week per week per week The maximum Income Protection amount available is 85% of your income. This includes a 10% contribution to be paid to your super fund. First name* Mi dle name* Last name* Date of birth ( D/MM/ Y)* Gender* M F Suburb / Town* State* Postcode* Country of Birth* Day phone number Home phone number Personal a dre s Mobile phone number e.g. Mining, Manufacturing, Construction, Agriculture, Retail Your occupation Degr e qualified Are you currently employed? eg: office work YES 20%, NO site inspection 80% YES NO Industry Name of your employer Your a nual Income eg: office 20%, home 30%, suburban driving 50% List the principal duties of your o cupation, and the percentage of time at work spent doing each List the primary locations of your o cupation, and the percentage of time each location What is your employment staus? Permanent Permanent Self full time part time Casual Contractor employed Hours that you work Under hours Greater than Please enter the a w ek (on average) hours to 60 hours 60 hours Please enter I wish to a ply for: (Please select Fixed cover OR Fixed premium) Fixed cover and TPD cover AND TPD OR in equal amounts of cover of /OR cover of OR Fixed premium Total and AND TPD OR TPD Premium premium /OR premium I wish to ply for: a Monthly Income a benefit 2 years 5 years to age 65 Protection benefit of period of: a waiting period of: 30 days 60 days 90 days 180 days Note: when Tailored cover is a proved any standard cover/premium you had will be replaced by cover/premium based on your o cupation cla sification. Please turn over and continue *Denotes mandatory field. Go to the yellow Tailored Complete and return this form YES NO insurance a plication form % 2 % 3 % % 2 % 3 % sunsuper.com.au Member number % % Tailored insurance 1 Are you less than 60 years old? AND Are you applying for 1.25 million or less of and TPD cover? AND/OR Are you applying for 10,000 or less of monthly Income Protection cover? You can also apply through Member Online our secure online service. Title IMPORTANT Personal details First name* full application YES Go to the yellow Tailored insurance application form NO Complete and return this form Important: Please provide us with as much information as possible. Please tick box where appropriate. Use BLOCK letters and dark ink when completing this form and ensure it is signed and dated. * DENOTES MANDATORY FIELD. If you are under 18 years of age please contact us on before completing this form. Middle name Tailored insurance application Personal address Mobile phone number YES NO YES NO List the principal duties of your occupation, and the percentage of time at work spent doing each eg: office work 20%, site inspection 80% List the primary locations of your occupation, and the percentage of time at each location eg: office 20%, home 30%, suburban driving 50% and/or TPD cover (If you are not applying for and/or TPD cover, go to section 4) Income Protection cover (If you are not applying for Income Protection cover, go to section 5) Note: when Tailored cover is approved any standard cover/premium you had will be replaced by cover/premium based on your occupation classification sunsuper.com.au Reply Paid 2924 Brisbane Qld 4001 Member number if already a member Last name* Street Address / PO Box* Date of birth (DD/MM/YYYY)* Country of Birth* Gender* M F Suburb / Town* State* Postcode* Home phone number Daytime phone number # Personal address Mobile phone number # Please provide a daytime phone number where we can reach you if we have additional questions about your application. Note: Unless you have elected to receive printed information, Sunsuper will confirm this change electronically if we can. We ll or SMS you if you have information to view in Member Online. If you would prefer information is posted to you in the future, change your preferences in Member Online or call us on A 1 1 2B 3 3A 3B 4 2C 4A 4C 4D Details of your occupation Are you currently working? If No, go to Section 2B YES Industry (e.g. Mining, Manufacturing, Construction, Agriculture, Retail) NO YES NO 2 2 Your occupation List the principal duties of your occupation, and the percentage of time at work spent doing each (e.g. office work 20%, site inspection 80%) List the primary locations of your occupation, and the percentage of time at each location (e.g. office 20%, home 30%, suburban driving 50%) What is your employment status? Hours that you work a week (on average): 4B Name of your employer 3 3 Your annual income and/or TPD cover If you are not applying for and/or TPD cover, go to section 4 I wish to apply for: (Please select Fixed cover OR Fixed premium) Fixed cover Please enter the amount of cover you would like: Fixed premium Please enter your weekly amount: Income Protection (IP) cover If you are not applying for Income Protection cover, go to section 5 I wish to apply for: a Monthly Income Protection benefit of: a Waiting Period of: Permanent full time Under 15 hours 30 days % % Permanent part time 15 hours to 60 hours and TPD cover in equal amounts of Total and TPD Premium 60 days a Benefit Period of: I do NOT want to have my IP cover indexed on 1 July each year Self employed Greater than 60 hours 2 years OR 90 days 180 days cover of 5 years % % to age 65 AND /OR TPD cover of Degree/Trade qualified Refer to page 49 of the Sunsuper for life Insurance guide for the defi nition of Income. Casual Contractor Please specify if you are unemployed, a student, home duties, or retired Please note: if you are a casual or a contractor you will only be eligible to apply for a 2-year Income Protection Benefi t Period. Please note: if you are working less than 15 hours per week you will not be eligible to apply for Income Protection. OR AND TPD OR per week premium per week /OR premium per week Please note: the maximum Income Protection amount available is 85% of your income. This includes a 10% contribution to be paid to your super fund. Note: When Tailored cover is approved any Standard cover/premium you had will be replaced by cover/premium based on your occupation classification. % % Page 1 of 4 FRM-P-S (07/15) Please continue over page
58 5 Personal health statement a) a) Are Are you you an an Australian or or New New Zealand citizen or or do do you you hold hold a visa a visa that that entitles you you to to reside permanently in in Australia (as (as approved by by the the Department of of Immigration and and Citizenship)? (If No (If No please please advise advise what what type type of visa of visa you you hold) hold) YES YES NO NO b) b) How How many many standard drinks do do you you consume per per week week on on average? One One standard drink drink = = approximately: one one nip nip (30 (30 ml) ml) spirits, spirits, or or ml ml wine, wine, or or oz/285 ml ml full-strength beer beer Standard drinks drinks per per week week c) c) Have Have you you smoked tobacco or or any any other other substance during the the last last months? (If (If yes, yes, please please provide details details E.g. E.g cigarettes per per day) day) YES YES NO NO d) d) Have Have you you ever ever used used illicit illicit drugs drugs or or received advice, treatment or or counselling for for the the use use of of alcohol or or illicit illicit drugs? (If (If yes, yes, provide details including (i) (i) substance used, used, (ii) (ii) dates, dates, (iii) (iii) details of of the the advice, treatment or or counselling received) YES YES NO NO cm cm e) e) What What is your is your height and and weight? f) f) If If female, are are you you pregnant? (If (If yes, yes, please please provide estimated due due date date (DD/MM/YYYY)) YES YES NO NO / / / / kg kg g) g) Do Do you you intend to to travel travel or or reside reside overseas? (If (If yes, yes, please please provide details) YES YES NO NO Cities/Countries Duration of travel of travel Frequency of travel of travel Reason Reason for for travel travel Date Date of of departure h) h) Do Do you you engage in in or or intend to to engage in in any any of of the the following: abseiling, aviation (other (other than than as as a a passenger on on a a recognised airline), football (all (all codes), long long distance sailing, hang hang gliding, scuba scuba diving, motor motor racing, parachuting, powerboat racing, mountaineering, martial arts arts or or any any other other hazardous activity? (If (If yes, yes, please please provide details) YES YES NO NO Activity Activity Frequency Professional or or Amateur Maximum height, height, speed speed and/or and/or depth depth i) i) Have Have any any of of your your immediate family (father, mother, brother, sister), prior prior to to the the age age of of 60, 60, (living or or dead) dead) ever ever suffered from from heart heart disease, breast cancer, ovarian cancer, colon colon (bowel) cancer, polycystic kidney disease, diabetes, mental disorder, stroke, Huntington s chorea or any any hereditary disease? You You are are only only required to to disclose family history information pertaining to to first first degree blood blood related family members. (If (If yes, yes, please please provide details) YES YES NO NO Relationship Condition Approximate age age of onset of onset Age Age of death of death (if (if applicable) j) j) Have Have you you ever ever had had a a genetic test test where you you received (or (or are are currently awaiting) an an individual result result or or are are you you considering having a a genetic test? test? (If (If yes, yes, provide details of of test test including date, date, name name and and results of of the the test. test. Include name name and and address of of doctor doctor consulted (if (if other other than than your your usual usual doctor)) YES YES NO NO k) k) Have Have you you ever ever injected yourself with with any any illicit illicit drugs drugs not not prescribed by by a a medical practitioner? YES YES NO NO l) l) In the In the past past 5 years 5 years have have you: you: i. i. Engaged in male in male to to male male sexual sexual activity without a a condom (except in a in a relationship between you you and and only only one one other other person where where neither of of you you has has had had sex sex without a a condom with with anyone else else in the in the past past 5 5 years)? YES YES NO NO ii. Had ii. Had sex sex without a a condom: - with - with someone you you know know or or suspect to to be be HIV HIV positive or or - with - with someone who who injects injects non non prescribed drugs drugs or or - with - with a sex a sex worker or as as a sex a sex worker? YES YES NO NO Page 2 of 2 of 4 4 Please continue over over page page
59 5 Personal health statement continued m) Have you ever suffered symptoms of, or had, or been told you have, or received any advice, investigation or treatment for any of the following: i) High blood pressure, chest pains, high cholesterol, heart murmurs, rheumatic fever, any heart complaint or stroke YES NO ii) Asthma, chronic lung disease, sleep apnoea or other respiratory disorder YES NO iii) Indigestion, gastric or duodenal ulcer or any bowel disorder YES NO iv) Diabetes, abnormal blood sugar, gout or thyroid disorder YES NO v) Depression, anxiety/stress state, fatigue, panic attacks, psychiatric treatment/counselling, mental illness or nervous disorder YES NO vi) Epilepsy, fits of any kind, paralysis, migraines, tinnitus, dizziness or recurrent headaches, or any neurological disorder including multiple sclerosis YES NO vii) Arthritis, repetitive strain injury (RSI), chronic fatigue syndrome, fibromyalgia YES NO viii) Back or neck complaint, whiplash, sciatica or any other disorder of joints (excluding arthritis), bones or muscles YES NO ix) Psoriasis or eczema, skin disorder, defect in hearing or sight YES NO x) Cancer, cyst, mole or tumour of any kind YES NO xi) Liver, kidney or bladder disorder, renal colic or stone YES NO xii) Blood disorder, anaemia, haemochromatosis, haemophilia or leukaemia YES NO xiii) Hepatitis B or C or are a Hepatitis B or C carrier, Acquired Immune Deficiency Syndrome (AIDS) sufferer or infected with the HIV virus YES NO For completion by females only (xiv to xvi) Have you ever had or been advised to have treatment for: xiv) Any breast lump (even if you have not seen a doctor) or any abnormal mammogram or breast ultrasound? YES NO xv) An abnormal cervical smear (pap smear) test including the detection of Human Papilloma Virus (HPV) or any abnormality of the ovaries? YES NO xvi) Abnormal vaginal bleeding within the last 12 months? YES NO n) Any other illness, disease or disorder: (do not include: Colds, flu, hay fever, dental related matters, uncomplicated pregnancies (including caesarean sections, miscarriage), abortions and menopause.) YES NO o) Have you had any medical examinations, consultations, X-rays, pathology tests or procedures in the last 5 years relating to a matter not previously disclosed in this application? YES NO p) If not previously disclosed in this application, have you occasionally or regularly taken any stimulants, sedatives, medications or prescribed drugs in the last 5 years? (Do not include non prescription medications or drugs such as Panadol.) YES NO q) If not previously disclosed in this application, are you currently considering or have you been advised/referred to undergo further treatment, investigation or procedure? YES NO FOR EVERY YES ANSWER IN QUESTIONS 5M TO 5Q, PLEASE PROVIDE FULL DETAILS IN THE TABLE BELOW. Question number Illness, Injury or Tests Date of Injury/Illness Date of last symptoms Time off work Degree of recovery (%) What treatment did you receive? (e.g. medication, operation) Name and address of doctor, physiotherapist, chiropractor or hospital Page 3 of 4 Please continue over page
60 6 Medical practitioner details Name of Doctor Street Address / PO Box Suburb / Town State Postcode Phone number Fax number Address What was the date of your last consultation? (DD/MM/YYYY) / / How long have you been attending this surgery/practice? 7 External insurance Write the details of your existing policy State total number of existing policies and applications in progress (with any insurer) including life, disability or trauma insurance. Existing Policy number Year of commencement Policy owner Insurer Type of Insurance: cover Trauma TPD cover Income Protection cover Business Expenses 8 Insurance history Have you ever been declined, deferred or accepted on special terms for life, disability or trauma insurance? Have you ever claimed benefits from any source (excluding unemployment), e.g. accident, sickness, workers compensation, social security, disability insurance or disability pension? YES YES NO NO If yes, please provide type of cover and reason for decision If yes, please provide benefit type and reason 9 Authorisation and declaration Sign this application form and return to Sunsuper: Duty of disclosure A person who enters into a life insurance contract in respect of your life has a duty, before entering into the contract, to tell us anything that they know, or could reasonably be expected to know, that may affect the insurer s decision to provide the insurance and on what terms. The person entering into the contract has this duty until the insurer agrees to provide the insurance. The person entering into the contract has this same duty before they extend, vary or reinstate the contract. The person entering into the contract does not need to tell the insurer anything that reduces the risk you are insured for; or is common knowledge; or the insurer knows or should know as an insurer; or the insurer waives your duty to tell them about. For contracts of insurance entered into, renewed, extended, varied or reinstated from 28 December 2015, if you do not tell us something that you know, or could reasonably be expected to know, may affect our decision to provide the insurance and on what terms, this may be treated as a failure by the person entering into the contract to tell us something that they must tell us. If you do not tell us something In exercising the following rights, the insurer may consider whether different types of cover can constitute separate contracts of life insurance. If they do, the insurer may apply the following rights separately to each type of cover. If the person entering into the contract does not tell us anything they are required to, and the insurer would not have provided the insurance if they had told us, the insurer may avoid the contract within 3 years of entering into it. If the insurer chooses not to avoid the contract, the insurer may, at any time, reduce the amount of insurance provided. This would be worked out using a formula that takes into account the premium that would have been payable if they had told the insurer everything they should have. However, if the contract has a surrender value, or provides cover on death, the insurer may only exercise this right within 3 years of entering into the contract. If the insurer chooses not to avoid the contract or reduce the amount of insurance provided, they may, at any time vary the contract in a way that places them in the same position the insurer would have been if the person entering in to the contract had told the insurer everything they should have. However, this right does not apply if the contract has a surrender value or provides cover on death. If the failure to tell the insurer is fraudulent, the insurer may refuse to pay a claim and treat the contract as if it never existed. Please ensure all applicable questions are fully answered. Privacy By completing this form you consent to the collection, use and disclosure of any personal information, including information that may be of a sensitive nature we or AIA Australia may collect about you and exchange with third parties located in Australia and overseas, in the manner outlined in our and AIA Australia s respective privacy policies as updated from time to time. Policies are available by visiting sunsuper.com.au/privacy and aia.com.au. These policies are consistent with the requirements of the Privacy Act I declare that: I acknowledge and have read my Duty of Disclosure and all of my details on this Tailored insurance application are correct. I have received, read and accept the accompanying Sunsuper for life Insurance guide. I understand all the conditions I must meet to be eligible to obtain Tailored insurance cover, I agree that my Tailored insurance cover will not commence until my application for Tailored insurance cover has been accepted by the Insurer. I acknowledge insurance cover is provided by an external insurance company. By signing this Tailored insurance application, I consent to the collection and disclosure of information about me for the purposes shown above. Member to sign here* Full name (print in BLOCK letters)* Date application completed (DD/MM/YYYY)* Please return the form to Sunsuper Reply Paid 2924 Brisbane Qld 4001 Adviser Code (if applicable) Sunsuper Pty Ltd ABN AFSL No Trustee of the Sunsuper Superannuation Fund ABN MySuper Authorisation Page 4 of 4
61 Transfer of insurance cover Please read the important information Important: Please provide us with as much information as possible. Please tick box where appropriate. Use BLOCK letters and dark ink when completing this form and ensure it is signed and dated.*denotes MANDATORY FIELD. This Transfer of insurance cover application form is to be used to apply to transfer your current insurance cover from an existing superannuation fund ( previous fund ) or an individual insurance policy ( previous policy ) to Sunsuper. You need to complete all mandatory sections, read the Important Information, Declaration and Duty of Disclosure, sign and return along with all the supporting documentation to Reply Paid 2924 Brisbane QLD You should not cancel your existing cover until you have received confirmation that your transfer request has been accepted by Sunsuper. If you are under 18 please contact us on before completing this form sunsuper.com.au Reply Paid 2924 Brisbane Qld 4001 Member number if already a member 1 Title Personal details First name* Middle name Last name* Street Address / PO Box* Date of birth (DD/MM/YYYY)* Country of Birth* Gender* M F Suburb / Town* State* Postcode* Home phone number Daytime phone number # Personal address Mobile phone number # Please provide a daytime phone number where we can reach you if we have additional questions about your application. Note: Unless you have elected to receive printed information, Sunsuper will confirm this change electronically if we can. We ll or SMS you if you have information to view in Member Online. If you would prefer information is posted to you in the future, change your preferences in Member Online or call us on A Details of your occupation Are you currently working? If No, go to Section 2B YES NO Your occupation Degree/Trade qualified YES NO Industry (e.g. Mining, Manufacturing, Construction, Agriculture, Retail) Name of your employer Your annual Income List the principal duties of your occupation, and the percentage of time at work spent doing each (e.g. office work 20%, site inspection 80%) 1 % 2 % 3 Refer to page 49 of the Sunsuper for life Insurance guide for the defi nition of Income. % List the primary locations of your occupation, and the percentage of time at each location (e.g. office 20%, home 30%, suburban driving 50%) 1 % 2 % 3 % 2B What is your employment status? Permanent full time Permanent part time Self employed Casual Contractor Please specify if you are unemployed, a student, home duties, or retired 2C Hours that you work a week (on average): Under 15 hours 15 hours to 60 hours Greater than 60 hours Please note: if you are a casual or a contractor you will only be eligible to apply for a 2-year Income Protection Benefit Period. Please note: if you are working less than 15 hours per week you will not be eligible to apply for Income Protection. 3 Previous cover details Applying to transfer cover from a super fund or an individual policy Previous Super fund or Life Insurance Company name Member/Policy number If your insurance is with a super fund: You must provide all pages of a statement that was issued within the last twelve (12) months. If your insurance is with a retail insurer: You must provide all pages of a certificate of currency that was issued within the last thirty (30) days. YES NO I confirm that these documents show details of my existing cover, Waiting and Benefit Periods (if applicable) and any loadings or exclusions. I confirm that my cover remains valid at the date of this application. Page 1 of 4 FRM-P-S0013C (07/15) Please continue over page
62 54 Personal and/or health TPD statement cover a) Are I confirm you an that Australian the existing or New level Zealand of cover citizen under or my do previous you hold fund a visa or policy that entitles is as follows: you to reside permanently in Australia (as approved by the Department of Immigration and Citizenship)? (If No please advise what type of visa you hold) Your transferring cover will be fixed cover YES (your NO cover stays cover TPD cover the same and your premiums will increase on each birthday). If you want to replace your transferring cover with a lower amount of cover or prefer fixed premiums^ to apply to your transferring cover, please specify below: b) How many standard drinks do you consume per week on average? Fixed Standard ^ Your premium drinks per remains weekthe same One standard coverdrink = approximately: one nip (30 ml) spirits, or TPD 100 cover ml wine, or 10 oz/285 ml full-strength beer YES NO and your cover will generally premium^ reduce on each birthday. c) Have I understand you smoked that any tobacco transferred or any and other TPD substance cover will be during subject the to the last terms 12 and months? conditions (If yes, of the please Sunsuper provide insurance details policy E.g. (including 30 cigarettes definition per day) of Total and Permanent YES Disablement), NO and subject to a maximum dollar value of 1,000,000 per transfer and 2,000,000 in total transfers. Transferred cover is in addition to existing cover. 5 I understand that any transferred IP cover will be subject to the terms and conditions of the Sunsuper insurance policy (including defi nition of Totally Disabled). A 10,000 maximum monthly benefi t limit applies per transfer (subject to 85% of your salary and 20,000 in total transfers). Where the Waiting Period offered under my previous fund / policy is different to the available cmwaiting Periods under the Sunsuper Insurance kgpolicy, e) What my Waiting is your Period height will be and rounded weight? up to the next longest Waiting Period. Where the Benefi t Period offered is different to the available Benefi t Period under the Sunsuper insurance policy, my Benefi t Period will be limited to the next shortest Benefi t Period available. f) If female, are you pregnant? (If yes, please provide estimated due date (DD/MM/YYYY)) YES NO / / You should not cancel your existing cover until you have received Important information confirmation that your transfer request has been accepted by Sunsuper. g) Do you intend to travel or reside overseas? (If yes, please provide details) YES NO Your application for transfer of cover will be assessed by our insurer and we will notify you of However, premiums may vary. If your application to transfer existing underwritten Income Cities/Countries Duration of travel Frequency of travel Reason for travel Date of departure the outcome. Our insurer may need to contact your previous fund or the insurer of your previous policy in completing its assessment of your application. If your application to transfer existing and Total and Permanent Disablement (TPD) cover is accepted, you will be allocated additional Sunsuper Tailored cover (up to a maximum dollar value of 1,000,000 for this transfer) to replace your and TPD cover under your previous fund or previous policy. This replacement cover will be fixed cover unless you specify otherwise. Any automatic cover amount you were eligible to receive on joining Sunsuper (and any existing additional Tailored cover) will not be affected by our insurer s acceptance of this application. 6 Income Protection (IP) cover d) Have you ever used illicit drugs or received advice, treatment or counselling for the use of alcohol or illicit drugs? (If yes, provide details including (i) substance used, (ii) dates, (iii) details of the advice, treatment or counselling received) YES NO IP cover monthly Benefit Waiting benefit Period Period days Personal statement/confirmation of requirements Protection (IP) insurance is accepted, you will be allocated Tailored IP cover (up to a maximum for this transfer of 10,000 monthly benefit and 85% of your salary). We will advise you of the Waiting Period available to you (30, 60, 90 or 180 days), upon acceptance of your application. If you have applied for additional cover through Sunsuper previously and been declined, this Transfer of insurance cover application will not be accepted. The cost of approved transferred cover will be based on the applicable premium rates applying under the relevant membership division of Sunsuper and will reflect your occupation category and any premium loadings or exclusions that may have applied to your previous cover. h) Do you engage in or intend to engage in any of the following: abseiling, aviation (other than as a passenger on a recognised airline), football (all codes), long distance sailing, hang gliding, scuba diving, motor racing, parachuting, powerboat racing, mountaineering, martial arts or any other hazardous activity? (If yes, please provide details) YES NO Please confirm (by ticking the box below) that the statements are true and correct 6A Activity and you agree to abide by the Frequency requirements set out in these statements: Professional or Amateur Maximum height, speed and/or depth For transfer of cover from an existing superannuation fund or an individual retail insurance policy: i. the existing insurance cover under my previous fund or retail insurance policy will be cancelled and my entire account balance (if any) transferred to Sunsuper, upon acceptance of this request; ii. I will not be transferring the cover under my previous fund or retail insurance policy to any other division of that previous fund or insurer or to any other fund (other than Sunsuper) or insurer; iii. I will not exercise a continuation option or subsequently reinstate cover within the previous fund or any associated fund or previous insurance policy; iv. I will provide supporting evidence of my current insurance cover (a member statement for insurance in a superannuation fund or the latest renewal notice for an individual retail policy). Please note, your supporting evidence for IP cover must include the Waiting Period and Benefit Period of your current cover. i) Have any of your immediate family (father, mother, brother, sister), prior to the age of 60, (living or dead) ever suffered from heart disease, breast cancer, ovarian cancer, colon (bowel) cancer, polycystic kidney disease, diabetes, mental disorder, stroke, Huntington s 6B Please chorea answer or any yes hereditary or no to the disease? following You questions: are only required to disclose family history information pertaining to first degree blood related family members. (If yes, please provide details) 1. Due to illness or injury are you absent from work or restricted from carrying out all your usual duties on a full time basis for at least YES YES NO NO Relationship 30 hours per week (even if you are currently Conditionworking on a part-time basis)? Approximate age of onset Age of death (if applicable) 2. Have you ever been paid/ lodged or are eligible to lodge any TPD, Terminal Illness or IP claims or received a benefit as a result of YES NO Permanent Incapacity or a Terminal Medical Condition from any superannuation fund or life insurance policy? 3. Have you been diagnosed with an illness that reduces your life expectancy to less than 12 months from today? YES NO 4. Within the past 12 months have you seen or have you been advised to see within the next 12 months a medical specialist? (your GP is not a medical specialist) YES NO 5. Have you ever had any special conditions or restrictions (loadings or exclusions) placed on any, TPD or IP insurance? If yes, please provide all YES NO details you have received from the insurer or fund with this application j) Have you ever had a genetic test where you received (or are currently awaiting) an individual result or are you considering having If you answered a genetic test? Yes (If to yes, question provide 4 details or 5 above of test please including provide date, name full details and results on page of the 4 test. of this Include form. name and address of doctor consulted If you answered (if other Yes to than Questions your 1, usual 2 or 3 you doctor)) are not eligible to transfer your existing cover to Sunsuper. If you wish to increase your current cover, please go to sunsuper.com.au/forms and YES complete NO the applicable Tailored insurance application. k) Have you ever injected yourself with any illicit drugs not prescribed by a medical practitioner? YES NO l) In the past 5 years have you: i. Engaged in male to male sexual activity without a condom (except in a relationship between you and only one other person where neither of you has had sex without a condom with anyone else in the past 5 years)? YES NO ii. Had sex without a condom: - with someone you know or suspect to be HIV positive or - with someone who injects non prescribed drugs or - with a sex worker or as a sex worker? YES NO Page 2 of Page 4 2 of 4 Please Please continue continue over over page page
63 7 Authorisation and declaration Sign this application form and return to Sunsuper: I acknowledge that: i. if I do not fully complete, sign and date this application, or do not attach any additional information requested, I will not be eligible to transfer my existing cover to Sunsuper, ii. if the insurer accepts my application, the existing amount of insurance cover as at the effective transfer date under my previous fund or previous policy will be replaced by an equivalent allocation (or such lower amount as I have specified) of additional voluntary insurance cover (up to a maximum amount of 1,000,000 for and TPD and a maximum of 10,000 monthly benefit) under my Sunsuper account. This cover will be in addition to any existing insurance cover I may hold through Sunsuper. Maximum cover limits will apply, iii. my replacement cover will not commence in Sunsuper until the later of: a. the date the insurer accepts my application, and b. the date of cancellation of my existing insurance cover under the previous fund or previous policy, iv. Sunsuper and its insurer may undertake appropriate enquiry and investigation to verify the answers I have provided (including contacting my previous fund or life insurance company to obtain additional details of my current insurance cover), v. Sunsuper and its insurer may investigate whether any premium loadings, restrictions and exclusions may have applied in the previous fund/previous policy, vi. I agree to provide Sunsuper and its insurer with access to any health and/or financial evidence I have provided to the previous fund and their insurer or retail insurer in an application for the cover. Any non-disclosure to the previous fund or its insurer may be acted upon by Sunsuper and/or its insurer, vii. Should it become apparent to Sunsuper or its insurer that I have not undertaken the requirements that I have agreed to in Section 6A above, then any insurance benefit that may be payable to me, my dependants or my estate from Sunsuper may be reduced by the insurance amount paid or payable from my previous fund, another division of the previous fund, another fund, my previous policy or any policy issued under any continuation option that I exercised, as a consequence of my failure to abide by these requirements. This reduction in benefit will, however, be limited to the extent that my benefit from Sunsuper is no less than I would have been eligible to receive under the terms of the policy between Sunsuper and its insurer had I not made this application for transfer of cover, viii. I hereby declare that the information contained in this Transfer of insurance cover form application (whether written by hand or not) is true and correct and that no information material to this application for transfer has been withheld, ix. If the insurer accepts my application, the terms and conditions as outlined in Sunsuper s insurance policy document will apply, and the terms and conditions of my former policy/fund and/or former insurer will not apply, x. I have read the duty of disclosure notice and understand its contents and what is meant by my duty to disclose. I also understand that my duty to disclose continues after I have completed this application for transfer until the insurer has accepted the risk. Duty of disclosure A person who enters into a life insurance contract in respect of your life has a duty, before entering into the contract, to tell us anything that they know, or could reasonably be expected to know, that may affect the insurer s decision to provide the insurance and on what terms. The person entering into the contract has this duty until the insurer agrees to provide the insurance. The person entering into the contract has this same duty before they extend, vary or reinstate the contract. The person entering into the contract does not need to tell the insurer anything that reduces the risk you are insured for; or is common knowledge; or the insurer knows or should know as an insurer; or the insurer waives your duty to tell them about. For contracts of insurance entered into, renewed, extended, varied or reinstated from 28 December 2015, if you do not tell us something that you know, or could reasonably be expected to know, may affect our decision to provide the insurance and on what terms, this may be treated as a failure by the person entering into the contract to tell us something that they must tell us. If you do not tell us something In exercising the following rights, the insurer may consider whether different types of cover can constitute separate contracts of life insurance. If they do, the insurer may apply the following rights separately to each type of cover. If the person entering into the contract does not tell us anything they are required to, and the insurer would not have provided the insurance if they had told us, the insurer may avoid the contract within 3 years of entering into it. If the insurer chooses not to avoid the contract, the insurer may, at any time, reduce the amount of insurance provided. This would be worked out using a formula that takes into account the premium that would have been payable if they had told the insurer everything they should have. However, if the contract has a surrender value, or provides cover on death, the insurer may only exercise this right within 3 years of entering into the contract. If the insurer chooses not to avoid the contract or reduce the amount of insurance provided, they may, at any time vary the contract in a way that places them in the same position the insurer would have been if the person entering in to the contract had told the insurer everything they should have. However, this right does not apply if the contract has a surrender value or provides cover on death. If the failure to tell the insurer is fraudulent, the insurer may refuse to pay a claim and treat the contract as if it never existed. Please ensure all applicable questions are fully answered. Privacy By completing this form you consent to the collection, use and disclosure of any personal information, including information that may be of a sensitive nature we or AIA Australia may collect about you and exchange with third parties located in Australia and overseas, in the manner outlined in our and AIA Australia s respective privacy policies as updated from time to time. Policies are available by visiting sunsuper.com.au/privacy and aia.com.au. These policies are consistent with the requirements of the Privacy Act The information I have given in this application and any separate statements I have given with it are true. I have disclosed everything about me and my health that Sunsuper and its insurer need to know when deciding whether to accept my application for transfer of cover. I will notify Sunsuper of any changes to my health before my cover transfer application has been assessed. I have read and understood my Duty of Disclosure and accept the above acknowledgements. I authorise my previous fund or the insurer of my previous policy to provide Sunsuper and/or its insurer with any information about my current insurance cover. For this authority, a photocopy of this Declaration is as valid as the original. Member to sign here* Full name (print in BLOCK letters)* Date application completed (DD/MM/YYYY)* Please return the form to Sunsuper Reply Paid 2924 Brisbane Qld 4001 Adviser Code (if applicable) Sunsuper Pty Ltd ABN AFSL No Trustee of the Sunsuper Superannuation Fund ABN MySuper Authorisation Page 3 of 4 Please continue over page
64 Notes/Additional information If you require additional space to answer 6B or any of the questions on this form please use the space provided below. Page 4 of 4
65
66 Contacting us is easy: ( when overseas) GPO Box 2924 Brisbane QLD 4001 sunsuper.com.au twitter.com/sunsuper Facebook f Logo CMYK /.ai Facebook f Logo CMYK /.ai facebook.com/sunsuper linkedin.com/company/sunsuper The Sunsuper for life Insurance guide is prepared and issued by Sunsuper Pty Ltd, the issuer and Trustee of the Sunsuper Superannuation Fund (referred to as the Fund or Sunsuper ): Sunsuper Pty Ltd Sunsuper Superannuation Fund ABN ABN AFSL No SPIN SSR 0100 AU MySuper Authorisation Unique Super Identifier (USI) Ratings agency information For further information about the ratings methodology used and awards, refer to sunsuper.com.au/ratingsagencies Sunsuper is a member of The Association of Superannuation Funds of Australia Limited (ASFA). Copyright 2015 Sunsuper Pty Ltd 1815 (07/15) WINNER 2015 Canstar, Chant West, Conexus Financial, SuperRatings and The Heron Partnership have given their consent and have not withdrawn it in relation to the inclusion of references to their ratings throughout the PDS and guides. They do not make, or purport to make, any statement in the PDS and guides other than these references.
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