Inside... Back cover. 1: Your insurance options at a glance 03 2: Death and TPD cover Payment of TPD benefits 06 4: Income Protection cover 10

Transcription

1 Issued 1 July 2015 Insurance in Your Super booklet The information in this document forms part of the Mercy Super Product Disclosure Statement (PDS) Issued by Mercy Super Pty Ltd (ABN , AFSL ) Trustee of Mercy Super (ABN ) MySuper Unique Identifi er: SPIN: MES0002AU USI: PO Box 8334, Woolloongabba, QLD 4102 Telephone: Website: mercysuper.com.au

2 02 Inside... 1: Your insurance options at a glance 03 2: Death and TPD cover Payment of TPD benefits 06 4: Income Protection cover 10 5: Payment of Income Protection benefits 13 6: Other important information 15 Contact us Back cover The information in this document is general information only and does not take into account your personal fi nancial situation or needs. You should obtain fi nancial advice tailored to your own personal circumstances. Mercy Super s on-site fi nancial advisers can explain the insurance options available within the Fund and help set up a strategy based on your personal circumstances. The details provided in this document relate to the insurance benefi ts provided to Contributory Accumulation, SG/Award and Spouse member categories. Members of the Defi ned Benefi t category were provided with different insurance benefi ts when they fi rst joined.

3 03 1: Your insurance options at a glance LIKE MANY AUSTRALIANS, YOU PROBABLY HAVE YOUR HOME AND CAR INSURED. BUT WHAT ABOUT YOUR MOST IMPORTANT ASSET YOU? INSURANCE COVER GIVES YOU PEACE OF MIND THAT IF THE WORST HAPPENS, YOU AND YOUR FAMILY ARE PROTECTED. Mercy Super provides you with three types of insurance cover: Death cover provides a lump sum benefi t to your benefi ciaries in the event of your death or terminal illness before age 70. Total and Permanent Disablement (TPD) cover provides a lump sum benefi t in the event of you becoming totally and permanently disabled before age 70. Income Protection cover provides a monthly income benefi t up to a maximum period should you be unable to work due to sickness or injury. If you re eligible*, standard insurance cover will be provided to you automatically without the need to provide medical evidence when you fi rst join Mercy Super. You can also apply for additional cover at any time which will be subject to acceptance by the Fund s insurer and may require the completion of medical questionnaires and the provision of health evidence. Your Mercy Super insurance cover is provided 24 hours a day, seven days a week on a worldwide basis through group insurance policies provided by MLC Ltd (ABN ) AFSL * Note: If you re joining the Spouse category, standard insurance cover will not be provided automatically. You will need to apply for any insurance cover you require which will be provided on acceptance by the Fund s insurer. Mercy Super insurance key features: On joining, most members automatically receive the standard Death, TPD and Income Protection cover without the need for any medical evidence. Our premiums exclude commissions and mark-ups. We have an enviable track record for the payment of claims. You can increase*, reduce, cancel and alter your cover at any time. You may be able to transfer any similar cover you have in another fund or policy. You can apply to top up your cover without providing additional medical evidence when certain life events occur. *Any increase may be subject to acceptance by the Fund s insurer.

4 04 2: Death and TPD cover Standard Cover Your standard level of Death and TPD cover is provided in units with each unit providing a specifi c amount of cover depending on your age. You pay a set premium of 1.12 per week (0.56 for Death cover and 0.56 for TPD cover) for each unit deducted from your account at the end of each month. The number of units of standard cover is based on your age on joining the Fund as follows: Age last birthday on joining 15 to and over Standard Death cover (cost) 4 units (2.24 per week) 4 units (2.24 per week) Standard TPD cover (cost) 6 units (3.36 per week) 4 units (2.24 per week) Each unit provides a set amount of Death and TPD cover that varies according to your age as follows: Age last birthday 1 unit Death & TPD () Age last birthday 1 unit Death & TPD () , , , ,450 Eligibility Standard Death and TPD cover is provided automatically from the day you fi rst join the Contributory Accumulation or SG/Award category of the Fund as long as you are: aged less than 70, and At Work* when you fi rst become eligible, and nominated to join by your employer within 120 days of fi rst becoming eligible. This cover is provided to all eligible members who are Australian residents whether working full-time, part-time or on a casual basis (provided you work at least 10 hours per week on a regular basis). If you are not At Work* when you fi rst become eligible, you will be provided with Limited Cover. You will only be covered for claims arising out of a sickness which fi rst becomes apparent, or injury which fi rst occurs, on or after the date you fi rst become eligible for cover. Full standard Death and TPD cover will be reinstated automatically once you have returned to work in your normal occupation for two consecutive months. * At Work means you are at work for the normal daily hours of work and you are actively performing the full, unrestricted or unmodifi ed duties of your normal occupation, or would have been had the day not been a day of leave (other than due to illness or injury), public holiday or weekend day , , , , , , , , , , , , , , , , , , , , , , , , , Example: Sarah is 34 when she fi rst joins the Fund. She is automatically provided with 294,000 in Death cover (4 units) and 441,000 in TPD cover (6 units) on joining. The cost of this cover is 5.60 per week (2.24 for Death cover and 3.36 for TPD cover). The cost of this cover remains the same as Sarah gets older, however the level of cover provided will vary based on Sarah s age. TIP: Mercy Super s standard insurance cover gives you peace of mind knowing that your family is protected. But as your life changes, so may your insurance needs. That s why it s important to regularly review your insurance cover to make sure your cover is right for you. Contact us and we ll help you make the most of your super. Increasing or reducing your cover When you fi rst join the Fund, you can choose to increase the level of Death and TPD cover to a maximum of 6 units within 90 days of joining subject to satisfactory assessment of a short health statement. You can also apply for an additional number of units at any time, up to a maximum level of 10 million for Death cover and 3 million for TPD cover. Your application will require assessment by the insurer before you can be accepted for additional cover. While the insurer considers your application, you will be provided with Interim Accident Cover for the lesser of the benefi t being applied for and 1 million. No benefi t will be payable for an injury caused by engaging in hazardous pastimes or sports that would not normally be covered or where the insurer would have declined your application for additional cover or applied an exclusion for that injury.

5 05 Interim Accident Cover will expire on the earliest of: 90 days after the commencement of Interim Accident Cover; The date on which the insurer gives notice that the request for insurance is accepted or declined; The date you cancel or withdraw the request for insurance; The date you cease to be a member of the Fund or cease to be an Eligible Person under the Policy. Fixed Cover You can choose to fi x the level of Death and TPD cover at the current value for your age. The cost of this cover will increase each year on your birthday (see Fixed Cover premium rates on page 9). Note: Fixed TPD cover reduces each year from age 61 by 10% and is nil at age 70. Example: Sarah is 34 when she fi rst joins the Fund and is automatically provided with 4 units (294,000) in Death cover and 6 units (441,000) in TPD cover. Sarah can choose to fi x that level of cover at the current dollar value. The level of cover remains the same as Sarah gets older, however the premium will vary based on Sarah s age. Your flexible Death and TPD cover options Transfer of your existing cover If you have Death or Death and TPD insurance with another super fund, group insurer or individual policy, you can apply to transfer that insurance to Mercy Super, subject to a maximum cover of no more than 1.5 million under Mercy Super (including your existing cover through Mercy Super). This will help when consolidating your super to make sure you don t lose any insurance cover. To apply to transfer your existing cover, contact us for a Transfer Application form or go to mercysuper.com.au. First Mortgage Completion of fi rst undergraduate degree at an Australian university Dependent children starting secondary school To apply for this increased cover you must provide proof of the event satisfactory to the insurer. Increases are subject to the same underwriting decisions, e.g. exclusions, that apply to your existing cover. You can elect up to a maximum of four additional units in special events cover during your membership of Mercy Super. Option to continue insurance You can apply to the Fund s insurer within 60 days of ceasing employment to take out an individual insurance policy for Death and TPD cover up to the sum insured at the date you cease employment. For TPD insurance you must recommence full time employment within 90 days of ceasing employment. You are not eligible to apply for continuation of cover if: You have reached age 60; You are not a permanent resident of Australia; You have ceased employment for reasons of ill health; You commence duty with the armed forces of any country (excluding the Australian Army Reserve not deployed overseas); You have received or are eligible to receive any TPD payments or similar payments under any other policy; Terminal Illness If you have Death Insurance Cover and you suffer an illness and two medical practitioners (at least one being a specialist practicing in an area related to the illness) certify that this illness is likely to result in your death within a period of 12 months, you will be paid a terminal illness benefi t equal to the lesser of your death cover benefi t, or 3 million. Special Life Events cover You are able to apply to increase your Death and TPD insurance cover by up to two additional units, without the need to provide medical evidence within 90 days of one of the following events: Marriage Divorce Birth of Child Adoption

6 06 3. Payment of TPD benefits TPD benefi ts are payable if the Trustee and the Fund s insurer determine that you have satisfi ed the defi nition of TPD in the Fund s insurance policy. The Trustee also needs to be satisfi ed that the payment is consistent with the requirements of the Fund s trust deed and relevant law. Make sure you ve also read Rules relating to when super benefi ts can be accessed in our Accessing your super fact sheet Information on who can receive a death benefi t in our Nominating your benefi ciaries fact sheet These documents can be found at mercysuper.com.au TPD definition The following is a summary of the defi nition of total and permanent disablement within the Fund s insurance policy. Different defi nitions apply depending on your age and the number of hours you work prior to making a TPD claim. You can contact us for a copy of the insurance policy. Payment of TPD benefits Members who join the Fund or are first insured on or after 1 July 2014 A summary of the criteria to qualify for a TPD benefi t is: Age Hours per week worked TPD Criteria Less than age 65 Less than age 65 Age 65 or more At least 10 hours per week Work less than 10 hours per week or your occupation is Home Duties Not applicable Activities of Daily Living, or Any Occupation Activities of Daily Living, or Home Duties Activities of Daily Living The following provides a more detailed explanation of the TPD criteria. 1. You are aged less than 65 and employed for at least 10 hours per week: To qualify as totally and permanently disabled you must meet one the following defi nitions: Activities of Daily Living You are, as a result of illness or injury, totally unable to perform without the physical assistance of another person any two of the following activities of daily living and you are permanently and irreversibly unable to do so for life: Or Dressing the ability to put on and take off clothing; Toileting the ability to use the toilet, including getting on and off; Mobility the ability to get in and out of bed and chair; Continence the ability to control bowel and bladder function; Feeding the ability to get food from a plate into the mouth; Any Occupation You have been absent from your Occupation through injury or illness for six consecutive months and are incapacitated to such an extent that in the opinion of the Fund s insurer, after consideration of medical and other relevant evidence, you are unlikely to ever engage in or work for reward in any occupation for which you are reasonably suited by education, training or experience. 2. You are aged less than 65 and employed for less than 10 hours per week or your Occupation is classified as Home Duties : To qualify as totally and permanently disabled you must meet one the following defi nitions: Activities of Daily Living You are, as a result of illness or injury, totally unable to perform without the physical assistance of another person any two of the following activities of daily living and you are permanently and irreversibly unable to do so for life: Dressing the ability to put on and take off clothing; Toileting the ability to use the toilet, including getting on and off; Mobility the ability to get in and out of bed and chair; Continence the ability to control bowel and bladder function; Feeding the ability to get food from a plate into the mouth; Or

7 07 Home Duties Where your Occupation is classifi ed as Home Duties, if you have been absent from your Occupation solely through injury or sickness for a period of six consecutive months and are incapacitated to such an extent that, in the Fund insurer s opinion, after consideration of medical and other relevant evidence, you are unlikely to ever again attend to at least two normal physical domestic household duties. For the purpose of this defi nition, normal physical domestic household duties means: Cleaning the family home; Shopping for food and household items; Meal preparation and laundry services; Leaving the house without the assistance of another person; Looking after dependent child/children under sixteen years of age or in full time secondary education, where applicable; Providing full time care for a disabled person(s) who is a member of your immediate family, where applicable. If you are able to perform the normal physical domestic household duties with the assistance of another person or with the use of assistive devices, you are deemed to be able to perform these duties. You must be under the regular care and attention and following the advice of a Doctor for that injury or sickness. Evidence that you carried out the duties on a daily basis prior to your period of disability will be required. 3. You are aged 65 or more: To qualify as totally and permanently disabled you must meet the following defi nition: Activities of Daily Living You are, as a result of illness or injury, totally unable to perform without the physical assistance of another person any two of the following activities of daily living and you are permanently and irreversibly unable to do so for life: Dressing the ability to put on and take off clothing; Toileting the ability to use the toilet, including getting on and off; Mobility the ability to get in and out of bed and chair; Continence the ability to control bowel and bladder function; Feeding the ability to get food from a plate into the mouth; Members who joined the Fund and are insured before 1 July 2014 Because of legislation changes, the following defi nitions can only apply to members who had joined Mercy Super and were insured before 1 July A summary of the criteria to qualify for a TPD benefi t is: Age Hours per week worked TPD Criteria Less than age 65 Less than age 65 Age 65 or more At least 10 hours per week Work less than 10 hours per week or your occupation is Home Duties Not applicable See below for further explanation Specifi c Loss, or Activities of Daily Living, or Any/Own Occupation Specifi c Loss, or Activities of Daily Living, or Home Duties Specifi c Loss, or Activities of Daily Living 1. You are aged less than 65 and employed for at least 10 hours per week: To qualify as totally and permanently disabled you must meet one the following defi nitions: Specifi c Loss You suffer, as a result of sickness or injury: The total and permanent loss of the use of two limbs*; or Blindness* in both eyes; or The total and permanent loss of the use of one limb and blindness in one eye. * limb means the whole hand below the wrist or whole foot below the ankle and blindness means the permanent loss of sight to the extent that visual acuity is 6/60 or less, or to the extent that the visual fi eld is reduced to twenty (20) degrees or less of arc. Or (continued on next page)

8 08 Activities of Daily Living You are, as a result of illness or injury, totally unable to perform without the physical assistance of another person any two of the following activities of daily living and you are permanently and irreversibly unable to do so for life: Or Dressing the ability to put on and take off clothing; Toileting the ability to use the toilet, including getting on and off; Mobility the ability to get in and out of bed and chair; Continence the ability to control bowel and bladder function; Feeding the ability to get food from a plate into the mouth; Any/Own Occupation You were employed on a permanent or casual basis for at least 10 hours per week immediately prior to the date of disablement, and As a result of sickness or injury, you have been absent from all employment for six consecutive months from the date of disablement and the Fund s insurer considers on the basis of medical and other evidence, that at the end of six consecutive months absence from employment, you are unlikely to ever engage in any Occupation, whether or not for reward. Occupation means: For a Professional or Senior Manager, your occupation is based upon your general area of expertise; For other members, an occupation that you can perform, on a full time or part time basis, based on the skills and knowledge you have acquired through previous education, training or experience. A Professional means a person who: Has a university degree; Belongs or is eligible to belong to a professional body; Earns a salary greater than 80,000 per annum, and Only works in an offi ce environment and in a sedentary capacity or as part of their duties practices as a medical professional in a clinical environment. A Senior Manager means a person who: Is part of the senior management of the employer; Earns a salary greater than 80,000 per annum, and Only works in an offi ce building and in a sedentary capacity. 2. You are aged less than 65 and employed for less than 10 hours per week or your Occupation is classified as Home Duties : To qualify as totally and permanently disabled you must meet one the following defi nitions: Specifi c Loss You suffer, as a result of sickness or injury: The total and permanent loss of the use of two limbs*; or Blindness* in both eyes; or The total and permanent loss of the use of one limb and blindness in one eye. * limb means the whole hand below the wrist or whole foot below the ankle and blindness means the permanent loss of sight to the extent that visual acuity is 6/60 or less, or to the extent that the visual fi eld is reduced to twenty (20) degrees or less of arc. Or Activities of Daily Living You are, as a result of illness or injury, totally unable to perform without the physical assistance of another person any two of the following activities of daily living and you are permanently and irreversibly unable to do so for life: Or Dressing the ability to put on and take off clothing; Toileting the ability to use the toilet, including getting on and off; Mobility the ability to get in and out of bed and chair; Continence the ability to control bowel and bladder function; Feeding the ability to get food from a plate into the mouth; Home Duties Where your Occupation is classifi ed as Home Duties, if you have been absent from your Occupation solely through injury or sickness for a period of six consecutive months and are incapacitated to such an extent that, in the Fund insurer s opinion, after consideration of medical and other relevant evidence, you are unlikely to ever again attend to at least two normal physical domestic household duties. For the purpose of this defi nition, normal physical domestic household duties means: Cleaning the family home; Shopping for food and household items; Meal preparation and laundry services; Leaving the house without the assistance of another person; Looking after dependent child/children under sixteen years of age or in full time secondary education, where applicable; Providing full time care for a disabled person(s) who is a member of your immediate family, where applicable.

9 9 If you are able to perform the normal physical domestic household duties with the assistance of another person or with the use of assistive devices, you are deemed to be able to perform these duties. You must be under the regular care and attention and following the advice of a Doctor for that injury or sickness. Evidence that you carried out the duties on a daily basis prior to your period of disability will be required. 3. You are aged 65 or more: To qualify as totally and permanently disabled you must meet the following defi nition: Specifi c Loss You suffer, as a result of sickness or injury: The total and permanent loss of the use of two limbs*; or Blindness* in both eyes; or The total and permanent loss of the use of one limb and blindness in one eye. * limb means the whole hand below the wrist or whole foot below the ankle and blindness means the permanent loss of sight to the extent that visual acuity is 6/60 or less, or to the extent that the visual fi eld is reduced to twenty (20) degrees or less of arc. Or Activities of Daily Living You are, as a result of illness or injury, totally unable to perform without the physical assistance of another person any two of the following activities of daily living and you are permanently and irreversibly unable to do so for life: Dressing the ability to put on and take off clothing; Toileting the ability to use the toilet, including getting on and off;0 Mobility the ability to get in and out of bed and chair; Continence the ability to control bowel and bladder function; Feeding the ability to get food from a plate into the mouth; Fixed Cover premium rates Fixed Cover means that cover remains fi xed while the premium increases with your age. Age Last Birthday Annual Premium per 1,000 sum insured of fixed cover Death TPD Age Last Birthday Death TPD * * * * * * If you joined the Fund before 1 July 2014, Parts (a) Specific Loss and (b) Activities of Daily Living of the TPD defi nition apply to TPD cover from age 65. If you joined the Fund after 1 July 2014, Part (b) Activities of Daily Living of the TPD defi nition apply to TPD cover from age 65.

10 10 4: Income Protection cover Standard cover Your standard level of Income Protection cover is a benefi t of 85% of your salary subject to a maximum benefi t of 30,000 per month. This benefi t has a maximum benefi t period of two years, payable after a 30 day waiting period. The cost of your standard Income Protection cover depends on the level of your cover and age. The table below shows the cost of each 1,000 p.a. of your standard Income Protection cover benefi t. Annual Premium per 1,000 of income protection (2-year benefit period)* Age Last Birthday 30 Day Waiting Period Age Last Birthday 30 Day Waiting Period * * * * * *Where the date of the event giving rise to a claim is on or after your 65th birthday, the benefi t period is limited to a maximum of 1 year and the maximum benefi t is limited to 5,000 per month. IMPORTANT: If we are not advised of your salary when you first join Mercy Super, your standard Income Protection cover will be defaulted to a benefit of 5,000 per month. As your Income Protection cover cannot exceed 85% of your actual income, it s important to keep us informed of your salary to ensure you are only charged premiums for the correct level of cover. Example: Sarah is 34 and on a salary of 70,000 p.a. when she fi rst joins the Fund. She is automatically provided with 59,500 p.a. in Income Protection cover (85% x 70,000). The initial cost of this cover is p.a. (5.25 x 59,500/1,000). If Sarah (or her employer) does not provide her salary when she fi rst joins the Fund, Sarah is automatically provided with 60,000 p.a. in Income Protection cover. The initial cost of this cover is p.a. (5.25 x 60,000/1,000). This is why it is important that you provide your salary details at time of joining. Note: the cost of cover will vary based on the level of cover and age. Eligibility If you join within 120 days of fi rst becoming eligible and are an Australian resident, the standard Income Protection cover of up to 10,000 per month is provided automatically from the day you fi rst join the Contributory Accumulation or SG/Award category of the Fund as long as you are At Work when you fi rst become eligible. To be eligible you must be: engaged in regular employment and working more than an average of 10 hours per week be under age 65 years when you fi rst join the Fund. If you are not At Work when you fi rst become eligible the limited cover conditions applying to standard Death and TPD cover also apply to your standard Income Protection cover. If 85% of your salary is more than 10,000 per month, any cover over that amount will be subject to assessment and approval by the Fund s insurer. Your Income Protection insurance cover options We recognise that the Standard Income Protection cover may not suit all members so you can choose the benefi t period and waiting period that applies to your Mercy Super Income Protection cover from the following options (all with a maximum benefi t of up to 85% of salary): Benefit Period Waiting Period 2 years* 30 days* or 90 days 5 years 30 days or 90 days Until age days or 90 days *Standard Income Protection insurance cover options

11 11 Waiting and Benefit Period The Waiting Period is the period of continuous disability that must elapse before any Income Protection payment can be made. It begins when you fi rst started leave due to illness or injury as verifi ed by a doctor. The Benefi t Period is the maximum length of time that your Income Protection benefi t will be paid. It begins as soon as your Waiting Period has expired. If a further claim arises from the same or a related cause of a previous claim within six months of the previous claim, no further Waiting Period will apply. However, the maximum Benefi t Period will be adjusted to take into account the previous claim payments. For any new claim or a claim from the same or a related cause of a previous claim (if your condition recurs six months or more after you have returned to work in an unrestricted capacity), a new Waiting Period and Benefi t Period will apply. Any new claims between the ages of 60 to 65 are subject to a maximum of 24 monthly payments before cover ceases. New claims after the age of 65 are subject to a maximum of 12 monthly payments before cover ceases. Cost of Income Protection insurance cover Your options will have an impact on the cost of cover provided to you. Increasing your Income Protection Benefi t Period generally increases the cost of cover while increasing the Waiting Period generally reduces the cost of your Income Protection cover. The table on the next page provides the cost of each 1,000 p.a. of Income Protection cover benefi t for different Benefi t and Waiting Period options. Salary increases If you provide your salary when you fi rst join Mercy Super, you can be insured for up to 85% of that salary. If you subsequently notify the Fund of a salary increase, you can increase your cover up to a maximum total of 10,000 per month without the need for health evidence. If however, we are not advised of your salary at the time of joining, you will be provided with default Income Protection cover of 5,000 per month. Unless you advise us of your salary within 90 days of joining, any increase in cover up to 10,000 per month is Limited Cover subject to you providing satisfactory health evidence. This means that you will only be covered for claims arising from the sickness which fi rst becomes apparent, or injury which fi rst occurs, on or after the date you fi rst become eligible for cover. Limited cover on the increase can be removed on satisfactory completion of a short health statement. Cessation of employment If you cease employment, your Income Protection cover can be continued provided you recommence regular employment of at least 10 hours per week. Alternatively, you may take out a personal insurance policy. See the Option to continue insurance section for more information. TIP: Getting your insurances in order is a key part of protecting you and your family fi nancially. Mercy Super can explain the options available within the Fund and help set up an insurance strategy based on your personal circumstances. It s part of the personal service we provide contact us and we ll help you get the most out of your super.

12 12 Annual Premium Rate per 1,000 Income Protection 30 Day Waiting Period 90 Day Waiting Period Benefit Period Benefit Period Age Last Birthday 2 Years 5 Years To age 70 2 Years 5 Years To age * * * * * ** ** ** ** ** *Where the date of the event giving rise to a claim is on or after your 60th birthday, the Benefi t Period is limited to a maximum of 2 years. **Where the date of the event giving rise to a claim is on or after your 65th birthday, the Benefi t Period is limited to a maximum of 1 year and the maximum benefi t is limited to 5,000 per month.

13 5: Payment of Income Protection benefits 13 Income Protection benefi ts are only payable where the Waiting Period has elapsed and the Fund s insurer has determined that you have satisfi ed the defi nition of Total or Partial Disability in the Fund s Income Protection insurance policy. The Trustee also needs to be satisfi ed that the payment is consistent with the requirements of the Fund s trust deed and relevant law. Total Disability definition Total Disability means you suffer a sickness or an injury and as a result are: unable to perform one or more Important Duties* of your Own Occupation*; and under the continuous care and following the advice for treatment of a doctor in relation to that sickness or injury; and not engaged in any occupation, paid or unpaid. Partial Disability definition Partial Disability means that immediately following a period of at least 14 consecutive days of Total Disability, and as a direct result of injury or sickness which caused your Total Disability, you returned to work in your own or other occupation and you are: continuously unable to perform the Important Duties of your Own Occupation; and earning less than your Monthly Income prior to Total Disability; and under the continuous care and following the advice for treatment of a doctor in relation to that sickness or injury. * Own Occupation under the Fund s Income Protection insurance policy means: the normal occupation or work carried out by you immediately before becoming Totally Disabled. Important Duties under the Fund s insurance policy means: the duties of your Own Occupation that could reasonably be regarded as necessary to producing your pre-disability Income. How you perform your Own Occupation will be taken into account when determining the important duties. Income Protection benefit amount The benefi t payable on Total Disability is your monthly benefi t. This is calculated by multiplying your annual income by 85% (up to the maximum of the insured amount) and dividing it by 12 (to obtain the monthly benefi t). The benefi t payable on Partial Disability is determined by the formula [(A B)/A] x C where: A. is your Monthly Income immediately prior to your Total Disability commencing, B. is the actual Monthly Income you earned during the month you became Partially Disabled C. is your monthly benefi t payment. Additional benefits If you are receiving Income Protection benefi ts, you may also be eligible for additional benefi ts including: Rehabilitation Expense Benefi t where the insurer may meet your expenses if you are participating in an approved rehabilitation program Family Carer Benefi t where a maximum amount of 2,000 per month for up to six months may be paid to eligible members of your family should they have to leave permanent employment to take care of you if you suffer Total Disability Workplace Modifi cation Benefi t where you may be paid an additional benefi t of up to 2.5 times your monthly benefi t in order to have your workplace modifi ed to facilitate your return to work Emergency Transport Benefi t you may be reimbursed for up to 500 to cover your emergency transport costs Bereavement Benefi t where a lump sum amount equivalent to three months of your insured monthly benefi t will be paid to your benefi ciaries on your death Indexation of Benefi t Payments The indexation of benefi t payments is designed to help offset the impact of infl ation. At the end of every 12 month period of receiving either a Total or Partial Disability benefi t, the Fund s insurer will increase your disability benefi t and pre-disability income by the lower of the increase in the Consumer Price Index (Weighted Average of 8 Cities Combined Index) or 5% per annum. There are conditions and eligibility criteria that may apply before accessing these additional benefi ts which are detailed within the Fund s Income Protection insurance policy. You can contact us for a copy of the insurance policy.

14 14 Reduction of Income Protection payments If an Income Protection benefi t is payable, it will be reduced or may be totally offset if you are eligible for certain other payments, whether you actually receive that income or not. This includes income such as: workers or accident compensation payment for loss of income (under legislation or otherwise) Centrelink benefi ts where Centrelink does not offset benefi ts payable payment under any statutory accident compensation fund payment under any other disability, injury or sickness insurance policy (except for lump-sum benefi ts received for total and permanent disablement) payments from settlement or commutation amounts or common law settlements made in respect of loss of past or future income, and payments from settlement of disputed claims in relation to any of the above. These payments are offset against the maximum 85% of pre-disability income cover provided. Lump-sum payments are converted to a monthly amount at the rate of 1/60 of the lump sum per month. Your monthly Income Protection benefi t will be decreased by this amount for a maximum of 60 months. Sick leave, long service leave entitlements and investment income you receive do not affect your benefi t. How Income Protection benefits are paid Any Income Protection benefi ts you are entitled to will be paid monthly in arrears and calculated on a daily basis. If, for example, you were claiming for 16 days of a month, then your monthly benefi t would be calculated on a 16/30 basis. Any taxation, or duty or other payment that is required to be deducted by law, will be deducted from your benefi t and forwarded to the relevant authority. The Fund s insurer will issue you with a Payment Summary for taxation purposes if any taxation is deducted. Income Protection payments will stop: when you are no longer Totally or Partially Disabled if you are no longer under the regular and continuous care of a registered medical practitioner when your Benefi t Period expires when you reach age 70 if you die (subject to the Bereavement Benefi t if applicable), or if you do not provide the insurer with all the relevant information required to assess your claim. Note: Maximum benefi t period is 24 months if age 60 or more, or 12 months if age 65 or more at the time of the event giving rise to the claim and the maximum benefi t is limited to 5,000 per month, if age 65 or more. Income Protection exclusions An Income Protection benefi t will not be paid where the disability arises in connection with: intentional self-infl icted injury or attempted suicide (whether or not you are sane at the time) war or warlike operations service in the armed forces (excluding Australian Army Reserve not deployed overseas), or normal and uncomplicated pregnancy or childbirth. Your Mercy Super Income Protection insurance covers you 24 hours a day on a worldwide basis. However, unless you are continually residing in Australia, or one of the Fund s insurer s approved countries (detailed within the Fund s insurance policy - you can contact us for a copy) the payment of your benefi ts may be restricted. Option to continue insurance You can apply to the Fund s Insurer within 60 days of ceasing your current employment to take out a personal insurance policy for Income Protection Cover. Conditions apply, as detailed in the funds insurance policy. Contact us for a copy.

15 6: Other important information 15 Accident cover while your application is being processed If you apply for additional Death, TPD or Income Protection insurance cover that requires assessment by the Fund s insurer you will be provided with Interim Accident Cover (at no cost) from the date the Insurer receives your fully completed Request for Insurance form and any other declaration of health that the Fund s insurer may require. The Accident cover is the lesser of the amount of cover you are applying for or: for Death and TPD cover - 1 million for Income Protection cover the amount you would normally qualify for under the insurer s assessment guidelines and 15,000 per month. Respecting your privacy Mercy Super abides by the Australian Privacy Principles under the Privacy Act and has a Privacy Policy that sets out in detail how we handle our members personal information. Go to mercysuper.com.au or contact us for a copy. Mercy Super group insurance policy This booklet summarises the terms and conditions contained in the policy documents issued by the Fund s insurer (MLC Ltd) to the Trustee. You can contact us for a copy of the insurance policy documents. This cover will cease on the earlier of 90 days after the earliest of the date your Request for Insurance form is received by the Fund s Insurer, when your application is accepted or declined, when you cancel or withdraw your application or when you no longer satisfy the eligibility criteria for insurance within the Fund. There are some exclusions that apply to the payment of benefi ts from the Accident cover which are detailed within the Fund s insurance policies. You can contact us for a copy of the relevant insurance policy. When does cover cease? Your Mercy Super insurance cover ceases on the earliest of the following: 90 days after the date your member account balance is insuffi cient to pay premiums you are no longer a member of the Fund the date you provide written advice that you no longer wish to have insurance cover the date you reach age 70 the date of your death the day before you commence active service with the armed services of any country (excluding Australian Army Reserve not deployed overseas) the date you effect a continuation option the date the Policy that governs these insurance arrangements is terminated or cancelled, and for Death and TPD insurance cover; the date you are paid a TPD benefi t the level of Death cover will be reduced by the TPD Insurance cover amount, and the date you are paid a Terminal Illness benefi t which is not less than the amount of your Death benefi t. for Income Protection insurance cover; the date a total of 24 times the monthly benefi t has been paid, where the events giving rise to the claim is on or after your 60th birthday the date a total of 12 times the monthly benefi t has been paid, where the event giving rise to the claim is on or after your 65th birthday.

16 16 Contact us IN PERSON MAIL PHONE FAX Kelly Building Ground Floor Mater Health Services Raymond Terrace South Brisbane QLD PO Box 8334 Woolloongabba QLD or (07) (07) WEB mercysuper.com.au The information in this document may change from time to time. Changes that are not materially adverse may be updated on Mercy Super s website mercysuper.com.au. A copy of any updated information can be obtained on request free of charge at any time by contacting the Fund on INSGUIDE072015