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Risk Protection Plan. Product Disclosure Statement. Glenelg, SA. Commencement date 1 June PDF
Download "Risk Protection Plan. Product Disclosure Statement. Glenelg, SA. Commencement date 1 June 2011"
Joella Lane
1 Risk Protection Plan Product Disclosure Statement Commencement date 1 June 2011 Glenelg, SA2 Important information Contents Who might need the Risk Protection Plan? 3 The Risk Protection Plan at a glance 5 All products offered under the Risk Protection Plan are provided under a master Group Life Policy held by Statewide Financial Management Services Limited ABN AFSL (hereafter referred to as SFMS). SFMS performs administrative functions in relation to the insurance, including receiving and processing applications and collecting premiums. SFMS is your point of contact. SFMS will advise you of any changes to your insurance cover offered by the master Group Life Policy. Metlife Insurance Limited, ABN , AFSL No is the insurer of the Group Life Policy. A closer look at the Risk Protection Plan for individuals 6 A closer look at the Risk Protection Plan for businesses/employers 7 A closer look at Income Protection Insurance 8 A closer look at Death and Total and Permanent Disablement (TPD) Insurance and Death Only Insurance 14 What else do you need to know about the Risk Protection Plan? 18 Tax 22 Fees and other costs 23 Other information you should know 24 SFMS will forward relevant premiums to the insurer as per the master Group Life Policy. Any benefit payable will be paid by the insurer to SFMS These products are not deposits in, nor liabilities of, and are not guaranteed by any company whether related to the insurer or not. General advice warning Please read this Product Disclosure Statement (PDS) carefully before deciding to buy the insurance cover. The information contained in this PDS is general information only. It does not take into account your individual objectives or financial situation. You should consider the appropriateness of the insurance arrangements in regard to your objectives, financial situation and needs. You should seek advice from your financial adviser before deciding on appropriate insurance cover. About Statewide Financial Management Services Statewide Financial Management Services Limited is a wholly owned subsidiary of Statewide Superannuation Pty Ltd ABN SFMS administers all divisions of StatewideSuper including employer sponsored, personal superannuation, pension, master trust (trading as Choice Plus) and also provides stand alone administration services. In addition SFMS holds an Australian Financial Services Licence. Who should read this PDS? This document was prepared by Statewide Financial Management Services Limited ABN and issued on I June 2011 as the PDS for the Risk Protection Plan. It provides an overview of the product, its benefits and any risks, as well as its fees and charges. The information in this PDS is up to date at the time of preparation. However, some of the information may change from time to time. We will issue a supplementary or replacement PDS if there is a materially adverse change or omission to the PDS. Other changes including updates may be obtained at any time by visiting our website at or calling Client Services on who will provide a printed copy free of charge. Page 2 Risk Protection Plan3 Who might need the Risk Protection Plan? The Risk Protection Plan (the Plan) offers a range of simple, flexible and cost effective insurances to provide financial security when you, your family or your business need it most. It s not a savings plan like superannuation; the sole purpose of this Plan is to provide an insurance benefit in the event of death or disablement. Let s look at who might need the Risk Protection Plan: Who needs Risk Protection? Individuals (see page 6) Businesses/employers (see page 7) OR Why? Many Australians have an insurance entitlement with their super fund. But if you don t, or you have your own Self Managed Super Fund (SMSF) or even no super at all provided you meet the eligibility criteria - you can have the peace of mind of having Death and Total and Permanent Disablement and Income Protection Insurance with our Risk Protection Plan. The Plan provides Keyperson Insurance, which simply means life insurance on a key person within a business. In a small business, this is usually the owner, the senior manager or one or more key employees. Should a key person in your organisation be unable to work due to ill health, then the business receives an insurance payment on that person, which can help ensure the business can cover the loss of a valuable key person. As an extra benefit of their employment you may wish to consider providing your staff with low cost Death Only, Death and Total and Permanent Disablement (TPD) and Income Protection Insurance. Risk Protection Plan Page 34 Page 4 Risk Protection Plan5 The Risk Protection Plan at a glance The Risk Protection Plan offers a range of flexible insurance options to meet your personal or business needs: Death Only Insurance (including a Terminal Illness benefit) Total and Permanent Disablement (TPD) Income Protection Insurance. Insurance at a glance Cover available Overview Benefit payable Minimum age to receive cover (next birthday) Maximum age to receive cover (next birthday) Death Only Provides a lump sum benefit paid to the policy owner in the event of death. See pages Agreed lump sum benefit to a maximum of $5,000, Terminal Illness* Provides a lump sum benefit for terminal illness (see below)*. Agreed lump sum benefit to a maximum of $5,000, Total and Permanent Disablement (TPD) - must be taken in conjunction with Death Insurance Provides a lump sum benefit if an illness or injury prevents you from ever working again, or see pages for more information. Agreed lump sum benefit to a maximum of $3,000, Income Protection Provides a regular income should you or your staff member/ partner/director (Keyperson Insurance) become temporarily disabled. Up to 75% of income to a maximum monthly payment of $30, *The Insurer will pay a Terminal Illness benefit where a person who has death cover suffers from an illness which: Two medical practitioners, one of whom specialises in the covered person s illness, certify in writing that despite reasonable medical treatment the member s death is expected within 12 months of the date of the certification, and The Insurer is satisfied, on medical or other evidence that despite reasonable medical treatment the member s death is expected within 12 months. See page 16 for more information. Risk Protection Plan Page 56 A closer look at the Risk Protection Plan for individuals The Risk Protection Plan offers a comprehensive range of insurance for those looking for cover outside of super or inside their Self Managed Super Fund (SMSF). And when it s outside of super (ie not an SMSF), the benefit can be paid according the policy and is not subject to the Superannuation Act dependency test. For example, as an adult child you could have a policy on your parent s life that would be automatically be paid to you upon their death. You may be self employed, ineligible for automatic acceptance insurance through your super fund, be a member of a SMSF or simply want to boost the cover you already have. Whatever the reason, the Risk Protection Plan provides a simple, cost effective solution. You re able to apply for Death and TPD, (including a Terminal Illness benefit), and Income Protection Insurance. Let s look at an example Meet Diana, she s an HR manager with a large accountancy firm. She has two young children and is buying a new home. Diana earns $125,000 per year. After speaking with her accountant, she has established a SMSF. She still wants to have her insurance through super (ie through her SMFS) and chooses to take advantage of the Risk Protection Plan for both her Death and TPD and Income Protection Insurance. Diana wants to ensure she has maximum Income Protection Insurance to cover her mortgage and to pay for the children s education until they leave school a long way off right now! To cover her expenses, Diana opts for cover of 75% of salary with a 30 day waiting period and a maximum benefit period to age 65. Should Diana get sick and be unable to work for an extended period of time, after a 30 day waiting period, which would be covered by the sick leave she has already accrued with her employer, based on her current income, she would receive an Income Protection benefit of $93,750 per year (75% x $125,000), paid monthly in arrears, up to her 65 th birthday, or when she returns to work (whichever is applicable). See pages 8-13 for more information on Income Protection. Page 6 Risk Protection Plan7 A closer look at the Risk Protection Plan for businesses/employers There are two different ways that the Risk Protection Plan can meet your business needs: Keyperson Insurance If you re a business owner you ve probably wondered what you would do if a key member of your staff, or one of your directors or perhaps your business partner, became ill and were unable to work for a period of time, or worse still, became permanently incapacitated or even died. What would be the impact on your business? Where would you find the money to employ new staff and bring them up to speed, or find temporary help? Keyperson Insurance offers you valuable cover in these unfortunate circumstances, at a time when your business would really need extra help. How? The amount that your key person is insured for is paid directly to your business, ensuring that it remains viable in the absence of your key person. An extra employment benefit for your staff Alternatively, you may want to offer your staff insurance cover as an additional benefit of their employment with you. The Risk Protection Plan provides a package that you can tailor to meet the needs of your team. Client Services or your financial planner will be able to help you put it all together. Let s look at an example Burt is an IT Consultant for an electrical supply company, Patty s Electrical. He has specialist knowledge of the company s IT systems and is relied upon for ongoing maintenance and troubleshooting. Burt s employers realise that they will be in serious trouble if anything should happen to him. The business owner chooses to take out Keyperson Death and TPD Insurance with the Risk Protection Plan to cover Burt should he be unable to work in the future. So should anything happen to Burt, the insurance cover will provide a lump sum to the company which will contribute towards paying for recruitment costs, salaries, temporary staff or any other expenses involved in covering his important role in the company. See pages for more information about Death and TPD. Risk Protection Plan Page 78 A closer look at Income Protection Insurance For individuals and group* members The ability to generate an income is one of your most important assets. If you re unable to work due to illness or injury you ll still need to pay bills, mortgage payments, credit card and other loan repayments. This is where Income Protection Insurance can really support you and/or your family. Income Protection Insurance pays a regular monthly benefit (calculated as a percentage of income) when you re absent from work due to injury or illness. For businesses If you re a business owner and you ve purchased Keyperson Insurance, if a key person in your business is on sick leave for an extended period of time, you re able to cover the costs associated with recruiting temporary staff to cover your team member while they are absent. You re also able to purchase Income Protection Insurance on behalf of your team as a staff benefit. How does Income Protection work? Generally, before a benefit is paid, a person needs to be disabled for the duration of the waiting period, which may be 30, 60 or 90 days depending on the type of cover (shorter waiting periods attract a higher premium). After the expiry of the waiting period, benefits begin to accrue and are paid monthly in arrears. Disabled means that a person is unable to perform the important duties of their normal occupation due to illness or injury, are not working in any occupation (either paid or unpaid) and are under the regular care and are following the advice of an approved medical practitioner. How much does it cost? Income Protection premiums are dependent on the level and type of cover, a person s age, gender, occupation, state of health and smoking status. Premium rates have been calculated to cover administration costs, and your financial adviser s remuneration (if applicable) and include GST. To find out what Income Protection Insurance premiums are, call the Client Services team on or contact your financial adviser (if applicable). *Group members are multiple members who are covered within the same Plan. Group members (more than 10) may be eligible for Automatic Acceptance. See pages 9 and 14 for more information. Page 8 Risk Protection Plan9 What options are available? You can tailor an Income Protection package to suit your personal or business requirements. Your options are to choose: your income replacement ratio (the percentage of your normal income that will be paid out in the event of a claim) you can choose either 50%, 66%, or 75% of income your waiting periods you can choose between 30, 60 or 90 days your maximum benefit payment period ie 2 years, 5 years, to age 60 or to age 65. If you fail to nominate a benefit payment period, the default payment period is two years. The maximum monthly benefit for Income Protection is $30,000 per month. Automatic Acceptance - eligible group* members only Automatic Acceptance of Income Protection Insurance may apply to eligible group* members who join the Plan within 120 days of commencing employment. Contact Client Services on for more information. If you did not join the Risk Protection Plan through your employer, but joined as an individual (eg as a member of a SMSF or as an individual purchasing Income Protection Insurance outside of super) there is no Automatic Acceptance for Income Protection Insurance and you ll have to apply for any level of cover, which is subject to approval by the Insurer. Applying for cover You can apply for, or increase your Income Protection Insurance by completing the Application form, available at Any additional cover will be subject to acceptance by the Insurer, and exclusions or premium loadings may apply. You may also wish to talk to you financial adviser. Maximum application age The covered person must be aged under 65 years to apply for this cover and must be working a minimum of 15 hours per week. *Group members are multiple members who are covered within the same Plan. Group members (more than 10) may be eligible for Automatic Acceptance. See pages 9 and 14 for more information. Risk Protection Plan Page 910 Page 10 Risk Protection Plan11 What else do you need to know about Income Protection Insurance? What definition of income is used for Income Protection Insurance? Employees who are in permanent employment. Income is defined as the total monthly regular income received from their employer for personal exertion for their usual occupation (including salary sacrifice amounts but excluding overtime, profit distributions, director s fees and any other non-regular payments). Where income includes commission and bonuses, these components will be averaged over three years. For employees not employed on a permanent basis. Income is the average of their total monthly regular income from their employer over the previous 12 months or the actual period of employment if less than 12 months, subject to a minimum averaging period of six months. If you directly or indirectly own part of or all of the business or professional practice from which you earn a regular income, earnings will include the gross revenue generated by the business as a result of your personal exertion less eligible business expenses. Earnings exclude investment income, business expenses and mandated super contributions. Monthly income will be averaged over the previous 12 months. What definition of disabled is used for Income Protection Insurance? A person will be regarded as being disabled or having a disability, if, solely as a result of an illness or injury occurring whilst the policy is in force, they are: unable to perform at least one income producing duty of their occupation not working in any occupation, whether or not for reward, and under the regular care as well as following the advice of a medical practitioner. When will Income Protection cover cease? Cover for Income Protection Insurance will cease from the earliest date of any of the following: the day a person ceases to be a member of the Plan a person s 65th birthday death the day a request that cover be cancelled is made upon commencement of duty with the military services (other than the Australian Armed Forces Reserve and not on active duty outside Australia) of any country the policy is cancelled or terminated for whatever reason, or if the policy renewal is not paid and a period of 30 days has elapsed. Risk Protection Plan Page 1112 When is an Income Protection benefit paid? Generally, a person must be disabled for the duration of the previously chosen waiting period before a benefit becomes payable. Benefits will be paid monthly in arrears and will be reduced by any payment made under a similar policy and by any Workers Compensation payments or any other statutory compensation. Social Security payments will also be offset in some circumstances. A benefit will not be paid where the disability is caused directly or indirectly by self inflicted injury, attempted suicide, an act of war, service in any armed forces, and for uncomplicated pregnancy, childbirth or miscarriage. Benefits may not be paid for longer than 12 months in some circumstances (eg if a person is a non resident of Australia, Canada, NZ, UK or USA). A proportional benefit is paid if a person resumes employment at a reduced rate of income while still partially disabled, provided the waiting period has ended (see below for more information on partial disablement). The waiting period is waived if a person suffers a recurrence of a disability from the same or related injury or illness within six months of ceasing to receive benefits. However, the claim will be treated as a continuation of the previous claim for benefits. Will the benefit increase to keep up with inflation? If a person has been disabled and receiving benefits continuously for 12 months after the expiry of the waiting period, the benefit will be automatically increased. If the maximum benefit period is greater than two years, the benefit will be further increased at the end of each 12 month period during which continuous benefits have been paid. The amount of the increase shall be the lesser of the following: 5% or the percentage increase in the CPI over the 12 month period concluding at the end of the last reported quarter prior to the benefit review date. Are benefits paid for a partial disability? A person is eligible to receive a monthly partial disability benefit if they are partially disabled and the waiting period has ended. The benefit will be paid monthly in arrears and the amount of your benefit accrues daily on a pro rata basis. The amount of any partial disability benefit depends on how many hours a person is able to continue in paid work. Partially disabled means a person: has been disabled for at least seven days of the first 12 working days of the waiting period, and is unable to work in their occupation at full capacity as a result of the illness or injury resulting in the disability, and is working in their occupation or any other occupation but only in a limited capacity, and is earning a monthly disability income less than their prior monthly income, and is under the regular care and following the advice of a medical practitioner. The amount of the partial disability benefit will depend on how much income a person is earning, according to the following formula: (previous monthly income current monthly disability income) x disability monthly benefit previous monthly income To help you understand let s have a look at Sarah. Sarah works on a full time basis as a hairdresser earning $3,000 per month. She is insured a maximum monthly benefit of $2,000. She recently became ill and as a result now, after temporarily ceasing work is only working 3 days a week in her normal job. She is therefore receiving a reduced salary of $1,800 per month from her employer. Page 12 Risk Protection Plan13 Sarah s partial benefit claim has been accepted by the Insurer. Her benefit will be calculated as follows: (previous monthly income current monthly disability income) x disability monthly benefit previous monthly income ($3,000 - $1,800) x $2,000 (her current insured cover) $3,000 Sarah will receive a partial disability benefit of $800 per month for the remaining benefit period. When will an Income Protection benefit cease? Disability benefits will cease to be paid where a person: is no longer disabled, or partially disabled dies reaches age 65 has been disabled or partially disabled from the end of the waiting period for the maximum benefit period, or is no longer under the regular care of a medical practitioner. Rehabilitation expense benefit If a person becomes disabled, they may be able to receive a rehabilitation expense benefit to cover the cost of rehabilitation expenses, up to a maximum of six times the amount of their monthly disability benefit. The rehabilitation benefit will be payable if a person is disabled or partially disabled and: the Insurer approves the rehabilitation expenses in writing before they are incurred, and the rehabilitation expenses are incurred to directly assist a person to return to work or undertake a vocational retraining program. The amount of the rehabilitation expenses benefit will be reduced by any amounts that can be claimed for the rehabilitation expenses from any other source and any rehabilitation expense benefit will be paid directly to the provider of the rehabilitation service. Death benefit If a person dies whilst receiving a disability benefit or partial disability benefit through Income Protection Insurance the policy owner will receive an amount equal to the sum of three times the insured person s disability monthly benefit. Income Protection Insurance checklist - individuals and eligible group* members Do you know what your weekly expenses would be with no regular income to rely on? Don t forget to regularly review Income Protection Insurance requirements Need help? Talk to one of our Client Services Officers on or your financial adviser. Get a quote to find out how much your insurance will cost you. Income Protection Insurance checklist - businesses seeking Keyperson Insurance How much would it cost you per week to keep your business running smoothly if one of your key people were unable to work for an extended period of time? Talk to one of our Client Services Officers on to get a quote. Need help working out your business needs? Talk to your financial adviser. *Group members are multiple members who are covered within the same Plan. Group members (more than 10) may be eligible for Automatic Acceptance. See pages 9 and 14 for more information. Risk Protection Plan Page 1314 A closer look at Death and Total and Permanent Disablement (TPD) and Death Only Insurance The Risk Protection Plan offers a high level of flexibility in respect of the level of Death and TPD Insurance available. Cover is provided for a fixed dollar amount, as opposed to an amount determined by your salary. In addition, because of the strong relationship that we have with our Insurer, MetLife Insurance Limited, insurance premiums are very competitive when compared to those available through other providers, eg through your bank. Insurance premiums have been calculated to cover administration costs, your financial adviser s remuneration (if applicable) and include GST. Premiums will reflect a person s age, gender, occupational risk, state of health and smoking status. To obtain Death and TPD Insurance premiums (rates) contact the Client Services team on , or talk to your financial adviser (if applicable). Automatic Acceptance for Death and TPD Insurance for eligible group* members only Automatic Acceptance for Death and TPD Insurance may apply to eligible group* members of 10 or more who join the Plan within 120 days of commencing employment. Talk to Client Services on or your financial adviser (if applicable) for more information. What is the maximum amount of Death and TPD Insurance? The maximum insurance cover available, subject to underwriting, is $3 million per person for TPD Insurance and $5 million for Death Only Insurance, however, your combined Death and TPD and Death Only Insurance cannot exceed $5 million. Applying for cover You can apply, or increase your Death and TPD Insurance by completing the Insurance Application and Personal Statement form, available at Any additional cover will be subject to acceptance by the Insurer, and exclusions or premium loadings may apply. Or you may wish to talk to your financial adviser. Maximum application age The covered person must be aged under 65 years to apply for this cover. Let s look at Jamie Jamie s 40, single and works as an occupational therapist in his own private practice. Jamie has taken out Death and TPD Insurance with the Risk Protection Plan as an Individual member. His mortgage is his major financial commitment and his expenses do not vary greatly from year to year. He has fixed his mortgage repayments so he knows that his repayments will stay the same for the next five years. He has fixed his insurance cover at the amount of $500,000. This amount covers his mortgage and also allows for any other debt he might incur, for example, buying a new car. Jamie is aware that his insured amount will stay at $500,000 and not decrease over time, and that the premium will increase each birthday. He will review his insurance again in five years to see if it would still meet his financial obligations should the worst happen. *Group members are multiple members who are covered within the same Plan. Group members (more than 10) may be eligible for Automatic Acceptance. See pages 9 and 14 for more information. Page 14 Risk Protection Plan15 What else do you need to know about Death and TPD Insurance? What is the definition for Total and Permanent Disablement? Total and Permanent Disablement means: Part 1: For a person who at the date of disablement was less than age 65 and in permanent employment working at least 15 hours per week, where one of the following Part 1 a, b, c or d applies: a) The person suffers the permanent loss of use of two limbs or the sight of both eyes or the loss of use of one limb and the sight of one eye (where limb is defined as the whole hand or the whole foot), b) The person is absent from their occupation through illness or injury for six consecutive months and provides proof to the satisfaction of the Insurer that they are incapacitated to such an extent as to render them unlikely ever to engage in or work for reward in any occupation or work for which they are reasonably qualified by reason of education, training or experience, c) Through illness or injury and having provided proof to the satisfaction of the Insurer, they are permanently unable to perform two of the following six basic activities of everyday living: bathing to shower or bathe dressing to dress or undress toileting to use the toilet including getting on and off feeding to eat and drink continence to control bladder and bowel functions mobility to get out of bed or chair or wheelchair. If a person is able to perform the activity using special equipment they will be considered able to perform the activity. d) Through illness or injury, they suffer the permanent deterioration or loss of intellectual capacity and provide proof to the Insurer s satisfaction that they are required to be under continuous care and supervision by another adult person for six consecutive months and that this care is likely to be on a permanent daily basis and ongoing. Part 2: Where a person is not in permanent employment working at least 15 hours per week at the date of disablement or is aged between 65 and 70 years at the date of disablement, if one of the following Part 2 a, b or c applies: a) A person suffers the permanent loss of use of two limbs or the sight of both eyes or the loss of use of one limb and the sight of one eye (where limb is defined as the whole hand or the whole foot), b) Through illness or injury and having provided proof to the satisfaction of the Insurer, they are permanently unable to perform two of the following six basic activities of every day living: bathing to shower or bathe dressing to dress or undress toileting to use the toilet including getting on and off feeding to eat and drink continence to control bladder and bowel functions mobility to get out of bed or chair or wheelchair. If a person is able to perform the activity using special equipment they will be considered able to perform the activity. c) Through illness or injury, a person suffers the permanent deterioration or loss of intellectual capacity and provides proof to the Insurer s satisfaction that they are required to be under continuous care and supervision by another adult person for six consecutive months and this care is likely to be on a permanent daily basis and ongoing. Risk Protection Plan Page 1516 Part 3: Where at the date of disability a person whose occupation is a home maker, one of the following Part 3 a, b, c or d applies: a) A person suffers the permanent loss of use of two limbs or the sight of both eyes or the loss of use of one limb and the sight of one eye (where limb is defined as the whole hand or the whole foot), b) Through illness or injury and having provided proof to the satisfaction of the Insurer, a person is permanently unable to perform two of the following six basic activities of everyday living: bathing to shower or bathe dressing to dress or undress toileting to use the toilet including getting on and off feeding to eat and drink continence to control bladder and bowel functions mobility to get out of bed or chair or wheelchair. If a person is able to perform the activity using special equipment they will be considered able to perform the activity. c) Through illness or injury, a person suffers from the permanent deterioration or loss of intellectual capacity and provides proof to the Insurer s satisfaction that they are required to be under continuous care and supervision by another adult person for six consecutive months and this care is likely to be on a permanent daily basis and ongoing. d) As a result of illness or injury a person who is under the regular care of a medical practitioner and for a minimum period of six consecutive months is unable to: perform normal domestic duties leave their home unaided, and be engaged in any employment and at the end of six months provide proof to the satisfaction of the Insurer that they have become incapacitated to such an extent as to render them likely to require permanent ongoing medical care and be unlikely ever to engage in normal domestic duties or any occupation. Home maker is defined as the duties normally performed by a person who remains at home and is not working in regular employment for income. These duties normally include cleaning the home, washing, shopping for food, cooking meals and caring for children and the family on a full time basis. Persons who meet the occupational definition under Part 3 will not be considered under Part 1 and Part 2. What happens in the case of terminal illness? The Insurer will pay a terminal illness benefit where a person who has death cover suffers from an illness which: Two medical practitioners, one of whom specialises in the person s illness, certify in writing that despite reasonable medical treatment the person s death is expected within 12 months of the date of the certification, and The Insurer is satisfied, on medical or other evidence that despite reasonable medical treatment the persons s death is expected within 12 months of the date of the certification referred to in the previous paragraph. When will Death and TPD and Death Only Insurance cease? Insurance will cease from the earliest date of any of the following: a person s 70 th birthday the day a written request that cover be cancelled is made upon commencement of duty with the military services (other than the Australian Armed Forces Reserve and are not on active duty outside Australia) of any country the date that premiums are not paid a TPD or Death benefit is paid the policy is cancelled or terminated for whatever reason, or if the policy renewal is not paid and a period of 30 days has elapsed. Page 16 Risk Protection Plan17 Death Insurance Death Insurance provides peace of mind, knowing that upon death before age 70, as long as insurance is maintained, a lump sum payment will be paid. TPD Insurance may be taken in conjunction with Death Insurance. This amount will be paid to the Policy owner. Your Death and TPD Insurance checklist individuals and eligible group* members Is your current Death and TPD Insurance enough to cover all your debt? Don t forget to regularly review your Insurance requirements. Receiving your Renewal Notice each year is a great reminder! Need help? Talk to one of our Client Services Officers on Get a quote to find out how much your insurance will cost you. Or talk to your financial adviser. Your Death and TPD Insurance checklist businesses seeking Keyperson Insurance How much would it cost you per week to keep your business running smoothly if one of your key people were unable to work again? Talk to one of our Client Services Officers on to get a quote. Need help working out your business needs? Talk to your financial adviser. *Group members are multiple members who are covered within the same Plan. Group members (more than 10) may be eligible for Automatic Acceptance. See pages 9 and 14 for more information. Risk Protection Plan Page 1718 What else do you need to know about the Risk Protection Plan? Providing evidence of health All applications for insurance are subject to acceptance by the Insurer, except in the case of Automatic Acceptance (see pages 9 and 14 for further information). The Insurer reserves the right to ask for additional medical evidence to be provided and we will contact the policy holder if this is required for the application. The Insurer will assess applications and advise whether or not cover will be granted. They may also impose special conditions of acceptance including exclusions and/or the payment of additional premiums. 24 hour worldwide cover Insurance cover is provided worldwide, 24 hours a day, subject to any terms and conditions noted on the membership certificate. The Insurer may require the person covered by the policy to return to Australia at the covered person s expense for assessment in the case of a disability claim. Income Protection benefits may be limited to payment over 12 months unless the person named on the policy is continuously resident in Australia, Canada, New Zealand, the United Kingdom, the United States of America or any other country to which the Insurer may agree. When does cover commence? Where Automatic Acceptance does not apply, insurance cover will usually commence once an application form is completed, an initial premium is paid and cover is accepted by the Insurer. If Automatic Acceptance applies (see pages 9 and 14 for eligibility), cover will normally commence on the day a person becomes eligible to join the Plan (which in most circumstances is on commencement of employment). This is providing the employee was in Active Employment (see below). What is Active Employment? Active Employment, for both Income Protection and Death and TPD Insurance, means a person who is employed by the employer and in the Insurer s opinion is capable of performing their identifiable duties without restriction by any illness or injury for at least 30 hours per week (whether or not they are actually working those hours). What is limited cover? Limited cover means that the person is only covered for an illness that first becomes apparent, or an injury that first occurs, on or after the date cover commenced. Increasing, reducing or cancelling insurance cover Any policy holder may request in writing for their cover levels to be increased or decreased. The Insurer will assess the increase requested by the completion of a personal statement and will advise if they have any additional requirements to be met and if the increase in cover is accepted or declined. Insurance may be cancelled at any time by giving written notice to SFMS. Such cancellation will be effective from the date the cancellation is received by SFMS. Although a proportionate premium refund will be available in respect to premiums paid there is no entitlement to any cash value this is not a savings or investment plan. Disability, Death and Total and Permanent Disablement by Accident benefit For individual members who have applied for Death or Income Protection Insurance, or a group* member applying for additional Death or Income Protection Insurance, interim accident cover** applies for an accident resulting in death, total and permanent disablement or disability. *Group members are multiple members who are covered within the same Plan. Group members (more than 10) may be eligible for Automatic Acceptance. See pages 9 and 14 for more information. ** If you have applied for insurance and your application has not yet been approved by the Insurer, you will still receive a benefit should you have an accident (if it occurs with 90 days of application), providing your application is later accepted. You will not receive a benefit if your original application is refused by the Insurer. Page 18 Risk Protection Plan19 The benefit payable will be limited to the amount of personal cover or total group* insurance cover applied for up to $1,000,000 for Death Insurance or $10,000 per month for Income Protection Insurance. Additionally, for Death and TPD accident cover, death or total and permanent disablement must occur within 365 days of the accident (other conditions apply). This cover starts from the date the Insurer receives the fully completed application and the initial premium and continues until: the application is withdrawn the application is accepted or denied, or 90 days have passed from the date the application is received. Any additional insurance cover requested will only commence when: a person is accepted for membership in accordance with the Risk Protection Plan rules and eligibility conditions as specified in the insurance policy, and the application is accepted by the Insurer. Are there any circumstances where you can increase your insurance without providing extra health information? A Death Only or Death and TPD covered person may elect to increase their cover without us assessing their insurability upon undergoing one of the following events: a) getting married b) adopting or becoming the natural parent of a child c) obtaining a mortgage on a newly purchased property in which the covered person intends to reside in immediately after its purchase. The covered person must apply for and provide us with evidence satisfactory to us to confirm that any of the above events has taken place within 60 days of the event occurring. Where a covered person is not in Active Employment on the day we receive their application to increase cover, Limited Cover will apply to the amount of the increase in cover until the Covered Person returns to Active Employment for 30 consecutive days. Any increase in cover is limited to the lesser of $100,000, 25% of the cover held by the covered person at the date of the event which was received under automatic acceptance or the amount of the mortgage. The election may only be used once per covered person during the term of the Policy. This option is not available in respect of Income Protection Insurance. Can current insurance held with another super fund or insurance company be transferred to the Risk Protection Plan? Yes, a person may apply to transfer Death and TPD, Death Only or Income Protection Insurance held in a super fund or individual insurance policy into the Risk Protection Plan, providing the external insurance is equivalent to what is available under the Risk Protection Plan. This may assist in reducing the fees paid and in simplifying insurance. Any restrictions (such as loadings or exclusions) that apply to any external cover will be maintained and if the transfer of insurance is successful, the applicant will not be eligible for any Automatic Acceptance cover. To transfer external Income Protection Insurance into the Risk Protection Plan, the waiting period and benefit period must both be available under the Risk Protection Plan. A maximum of $1,000,000 of Death and TPD or Death Only Insurance can be transferred and a maximum of $15,000 per month of Income Protection Insurance. Applications will need to be accompanied by additional information, including certified copies of statements from the fund(s) or the previous insurer being transferred from confirming the type and amount of insurance cover currently held. The Insurer will then consider this information and confirm whether the cover will be provided. Note: It will be the applicant s responsibility to cancel existing cover if the application to transfer cover is accepted by the Insurer. If it is not cancelled the Insurer may be able to reduce any insurance benefit payable having regard to the amount of insured cover provided through the other fund or policy. If you would like more information on continuation of cover contact Client Services on *Group members are multiple members who are covered within the same Plan. Group members (more than 10) may be eligible for Automatic Acceptance. See pages 9 and 14 for more information. Risk Protection Plan Page 1920 What if you leave your employer? If you re a group* member and you cease employment you can maintain your Death and TPD Insurance without any alteration of cover, as long as you continue to cover the cost of premiums. This is usually the most cost effective and flexible option especially in respect of maintaining existing benefits and insurance arrangements. Please contact Client Services on or your financial adviser (if applicable) if you have any questions. What if we have the wrong information in relation to insurance? If the recorded age or gender is incorrect, the Insurer has the right to adjust the premium or the benefit based on the correct information. The insurance certificate should be checked to see if all the details are correct. Are there any exclusions? Death and TPD cover In the case of an insured person: no death benefit will be payable if the individual commits suicide whether sane or insane within the first 12 months of the commencement, increase or reinstatement date of insurance cover and all premiums will be forfeited no terminal illness or TPD benefit will be payable if the individual submits a claim arising out of or in connection with any self-inflicted injury (or complications arising thereafter) whether sane or insane within the first 12 months. Income Protection No income protection benefit will be paid for a person if his or her illness or injury resulting in disability or partial disability is directly or indirectly caused by: any intentional self inflicted injury or any attempt to commit suicide war, or normal and uncomplicated pregnancy, including but not limited to morning sickness, backache, varicose veins and swelling and bladder problems. A benefit may not be payable if the death or disability is a result of: a physical condition which is known about prior to commencement of cover but was not disclosed on the application, or engaging in any pursuit or occupation that was not disclosed in the application that the Insurer would not normally cover. Duty of Disclosure (Insurance Contracts Act 1984) Please read the following section on Duty of Disclosure. It applies if you re applying for insurance or applying to increase insurance. Before you enter into a contract of insurance with an Insurer, you have a duty to disclose to the Insurer every matter that you know or could reasonably be expected to know that is relevant to the Insurer s decision whether to accept the risk of the insurance and if so, on what terms. You have the same duty to disclose those matters to the Insurer before you extend, vary or reinstate a contract of insurance. This duty, however, does not require disclosure of a matter: that diminishes the risk to be undertaken by the Insurer that is common knowledge that the Insurer knows or, in the ordinary course of his/her business, ought to know, or where the requirement for disclosure is waived by the Insurer. Please note that your Duty of Disclosure continues until we advise you or your employer of the Insurer s decision in relation to an application for insurance. *Group members are multiple members who are covered within the same Plan. Group members (more than 10) may be eligible for Automatic Acceptance. See pages 9 and 14 for more information. Page 20 Risk Protection Plan View more
The Tidswell Master Superannuation Plan INSURANCE GUIDE Issued on 2 July 2014 Contact details 50 Hindmarsh Square ADELAIDE SA 5000 Phone: (08) 8223 1676 Fax: (08) 8232 1675 Email: mail@tidswell.com.au More information Insurance in your super
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Insurance Guide Employer Sponsored Division AMIST Super Hotline 1800 808 614 The information in this document forms part of the Product Disclosure Statement for AMIST Super Employer Sponsored Division More information Insurance guide. Personal Division. This guide contains important information about your NSF Super insurance options.
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Insurance Guide 1 July 2015 REI Super Insurance Guide INDUSTRY SUPER FUND LOW FEES RUN ONLY TO BENEFIT MEMBERS CONTENTS 1. REI Super Insurance at a glance 2. Your insurance options 3. Death and Total and More information POLICY NO. MP9958, MP9959, MP9961 - ENDORSEMENT 01
AIA Australia Limited (ABN 79 004 837 861 AFSL 230043) PO Box 6111 St Kilda Road Central VIC 8008 Phone : 1800 333 613 Fax : 1800 832 266 AIA.COM.AU POLICY NO. MP9958, MP9959, MP9961 - ENDORSEMENT 01 This More information Insurance guide. SignatureSuper AMP Life fact sheet. Issued ₁ July ₂₀₁₅
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Personal Choice Private Insurance Service Product Disclosure Statement I Issue date: 28 March 2011 Life Protection Total & Permanent Disablement (TPD) Salary Continuance Please read this Product Disclosure More information ADDITIONAL DESCRIPTION DATE INSURANCE GUIDE FOR EMPLOYERS AND THEIR EMPLOYEES 25 MAY 2015. Tailored Employer Plans
ANZ Smart Headline Choice goes Super here ADDITIONAL DESCRIPTION DATE INSURANCE GUIDE FOR EMPLOYERS AND THEIR EMPLOYEES 25 MAY 2015 Tailored Employer Plans Legal entity referred to in this Guide Name of More information BT Business Super. Additional Information Booklet Part 3 Insurance. Dated: 1 July 2015 Last updated: 1 July 2015
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Energy Super Insurance Guide Prepared and issued 30 April 2013 Contents Insurance Overview 1 Death & Total and Permanent Disablement cover 1 Income Protection cover 9 Other insurance information 15 Definitions More information Insurance guide. SignatureSuper AMP Life Association and Personal fact sheet. Issued ₁ July ₂₀₁₅
Issued ₁ July ₂₀₁₅ Insurance guide SignatureSuper AMP Life Association and Personal fact sheet AMP Corporate Super Registered trademark of AMP Life Limited ABN 84 079 300 379. The information in this document More information Issued ₁ July ₂₀₁₅. Insurance Guide. SignatureSuper AIA fact sheet. AMP Corporate Super Registered trademark of AMP Life Limited ABN 84 079 300 379.
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Protecting you and your family Insurance guide Effective 1 April 2014 www.csf.com.au Issued by CSF Pty Limited ABN 30 006 169 286, AFSL 246664, Trustee of the Catholic Superannuation Fund ABN 50 237 896 More information NESS Super Insurance changes. NESS Super Insurance changes. NESS Super, we ve got you covered...
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Death and Total and Permanent Disablement (TPD) Cover Fact Sheet Who should read this fact sheet? The information in this fact sheet applies to most Defined Contribution (accumulation) members of Energy More information Simply Smarter Life Insurance. Budget Direct Life Insurance and Budget Direct Accidental Death Insurance Product Disclosure Statement
Simply Smarter Life Insurance Budget Direct Life Insurance and Budget Direct Accidental Death Insurance Product Disclosure Statement Budget Direct Life Insurance and Budget Direct Accidental Death Insurance More information Insurance guide. SignatureSuper MetLife fact sheet. Issued ₁ July ₂₀₁₅
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ANZ Smart Choice Super Insurance Guide For employers and their employees INSURANCe GUIDE 11 NOVEMBER 2013 ANZ Smart Choice Super Entity details in this Insurance Guide Name of legal entity Registered numbers More information Insurance and your PSSap super
Insurance and your PSSap super Issued 1 July 2013 The information in this document forms part of the Product Disclosure Statement for the Public Sector Superannuation accumulation plan (PSSap), sixth edition, More information Specimen copy of the Master Policy. Life Protection for Superannuation Accounts
Specimen copy of the Master Policy Life Protection for Superannuation Accounts Asgard Capital Management Limited ABN 92 009 279 592 AFSL 240695 is the Trustee and Administrator and is the owner of this More information Changes to UniSuper products. AA Leah Heiss, RMIT NOVEMBER 2013. INSURANCE AA What will happen while we transfer our external insurance arrangements
Changes to UniSuper products NOVEMBER 2013 Read this brochure to find out about: What will happen while we transfer our external arrangements from Hannover Life Re of Australasia (Hannover) to TAL Life More information Product Information GROUP INSURANCE PRODUCT DISCLOSURE STATEMENT. Steadfast 1
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SMSF Comprehensive life insurance cover for members of self managed super funds Product Disclosure Statement Issued: 18 April 2013 Contents About Insure Me Now 3 About Hannover 3 Explaining this Product More information Sunsuper for life. Insurance guide. Learn more about your insurance Identify your insurance needs
Sunsuper for life Insurance guide Learn more about your insurance Identify your insurance needs Preparation date: 9 June 2015 Issue date: 1 July 2015 INSURANCE IN YOUR SUPER Contents 1 Why have insurance? More information Reliance Super (a membership category of Maritime Super) Maritime Super Division Insurance Supplement
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Insurance Guide 1 July 2015 NESS Super... we ve got you covered Insured Benefits for Self-Employed Members Issued 1 July 2015 by NESS Super Pty Ltd ABN 28 003 156 812 RSE Licence No L0000161 as trustee More information Income Protection Fact Sheet
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An introduction to Group Insurance Plans - Members Booklet Welcome to the AYSF Group Insurance Plans. Important note: This document is provided by AYSF and has been prepared with the assistance of Certainty More information LIFE, DISABILITY AND INCOME PROTECTION
This document forms part of the NGS Super Member Guide (Product Disclosure Statement) dated 14 August 2015 LIFE, DISABILITY AND INCOME PROTECTION * FACT SHEET 6 14 AUGUST 2015 It s vital that you re prepared More information Insurance in your superannuation 3. Death and Total and Permanent Disablement (TPD) cover 3. Income protection cover 8. The Insurer s definitions 12
1 July 2014 JUMP TO Insurance in your superannuation 3 Death and Total and Permanent Disablement (TPD) 3 Income protection 8 The Insurer s definitions 12 Nominating your beneficiary 16 The information More information PERPETUAL WEALTHFOCUS SUPER PLAN
PERPETUAL WEALTHFOCUS SUPER PLAN Insurance Book INSURANCE BOOK Dated 17 April 2015 Issued by Perpetual Superannuation Limited ABN 84 008 416 831 AFSL 225246 RSE L0003315 IMPORTANT NOTES This Insurance More information REST Corporate Insurance Guide
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Insurance guide Employer Sponsored Division This guide contains important information about your NSF Super insurance options. Contents Contents 1. Automatic Death and TPD insurance cover... 3 2. Voluntary More information AXA Group Insurance. Group Income Continuance Insurance Policy. Fonterra Welfare Fund. Important Note
AXA Group Insurance Group Income Continuance Insurance Policy Fonterra Welfare Fund Important Note Cover will not commence under this Policy until all of the following applies: 1. You accept our (the Insurer More information Your life your fund REI Super Insurance Guide
Your life your fund REI Super Insurance Guide 1 July 2016 CONTENTS 1. REI Super Insurance at a glance 2. Your insurance options 3. Death and Total and Permanent Disablement (TPD) Insurance 4. Changing More information ANZ Super Advantage INSurANce GuIde
ANZ Super Advantage Insurance Guide 27 February 2012 ANZ Super Advantage Entity details in this Insurance Guide Name of legal entity Registered numbers Abbreviated terms used throughout this Guide OnePath More information Tasplan Super Insurance Booklet ISSUED JANUARY 2015
Tasplan Super Insurance Booklet ISSUED JANUARY 2015 TASPLAN INSURANCE BOOKLET Contact Details Head Office: Level 8, 1 Franklin Wharf Hobart TAS 7000 Postal Address: GPO Box 1547 Hobart TAS 7001 Telephone: More information Westpac Protection Plans
Westpac Protection Plans Supplementary Product Disclosure Statement and Policy Addendum (SPDS) Dated 1 July 2014 This SPDS is dated 1 July 2014 and supplements the information contained in the Westpac More information The Insurer s definitions 12. Nominating your beneficiary 16
Russell iq Super 1 July 2014 JUMP TO Insurance in your superannuation 3 The Insurer s definitions 12 Nominating your beneficiary 16 The information in this document provides additional information to the More information INCOME PROTECTION DEFINITIONS
INCOME PROTECTION (IP) COVER DEFINITIONS We can provide a copy of our full Group Income Protection Policy document upon request. Please contact 1300 133 177 if you would like us to send you a copy. DEFINITIONS More information Issued by T.I.S. Pty Ltd ABN 73 065 319 735 AFSL 247249
The Transport Industry Superannuation Fund Insurance Guide Prepared and issued 1 July 2014 Issued by T.I.S. Pty Ltd ABN 73 065 319 735 AFSL 247249. This information in this guide forms part of the Product More information DISABILITY INCOME PROTECTION BENEFIT INDEMNITY
OPTIONAL BENEFIT APPENDIX TOTALCAREMAX Personal DISABILITY INCOME PROTECTION BENEFIT INDEMNITY This appendix only applies if cover under the policy schedule includes the Disability Income Protection Benefit More information SAMPLE ONLY. TotalCare Max Personal. Optional Benefit Appendix DISABILITY INCOME PROTECTION BENEFIT AGREED VALUE
TotalCare Max Personal Optional Benefit Appendix DISABILITY INCOME PROTECTION BENEFIT AGREED VALUE This appendix only applies if cover under the policy schedule includes the disability income protection More information Asgard Personal Protection Package
Asgard Personal Protection Package Supplementary Product Disclosure Statement (SPDS) This SPDS is dated 1 February 2009 and relates to the Product Disclosure Statement (PDS) dated 18 February 2008 for More information Inside... Back cover. 1: Your insurance options at a glance 03 2: Death and TPD cover 04 3. Payment of TPD benefits 06 4: Income Protection cover 10
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 98 056 047 324, AFSL More information Wealthpac Superannuation Service Insurance Options
Date Issued: 12 October 2009 SUPPLEMENTARY PRODUCT DISCLOSURE STATEMENT Wealthpac Superannuation Service Insurance Options Important Notice For Members and Employers This notice is supplementary to the More information BT Protection Plans. Product Disclosure Statement and Policy Document (PDS)
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Product Disclosure Statement For NAB Mortgage Protect Preparation Date: 23 June 2012 Issue No. 1 This Product Disclosure Statement (PDS) is issued by: MLC Limited, ABN 90 000 000 402 AFSL 230694 You ve More information Important changes to insurance
Important changes to insurance Effective 1 July 2013 rest.com.au 1800 063 627 Contents Why have these changes been made? 2 New cover levels 2 New insurance costs 5 Access to higher cover under the new More information Core Super MySuper. Insurance & Other Important Information 3 August 2015
Core Super MySuper Insurance & Other Important Information 3 August 2015 As a Core Super MySuper member you have Income Protection as well as Life and Total and Permanent Disablement [TPD] Insurance available More information Insurance Booklet. IOOF Portfolio Service Corporate Superannuation IOOF Portfolio Service Employer Superannuation
Insurance Booklet IOOF Portfolio Service Corporate Superannuation IOOF Portfolio Service Employer Superannuation Part 3: Insurance Booklet Supplementary Product Disclosure Statement Dated: 1 November 2007 More information Death & Total and Permanent Disablement (TPD) insurance cover (Prime division)
FACT SHEET Death & Total and Permanent Disablement (TPD) insurance cover (Prime division) 1 May 2014 Please note before reading this fact sheet: As a member of Prime Super, you will generally be allocated More information SAMPLE ONLY. TotalCare Max - Personal. Optional Benefit Appendix DISABILITY INCOME PROTECTION BENEFIT INDEMNITY
TotalCare Max - Personal Optional Benefit Appendix DISABILITY INCOME PROTECTION BENEFIT INDEMNITY This appendix only applies if cover under the policy schedule includes the disability income protection More information Insurance in your super
Insurance in your super The information in this document forms part of the: UniSuper Accumulation 1 Product Disclosure Statement issued on 3 January 2015 UniSuper Defined Benefit Division and Accumulation More information INSURANCE GUIDE INSIDE. Rebecca Farrell QIEC Super member
INSURANCE GUIDE INSIDE Cover your family How much insurance do you need? Discount insurance products Insurance basics Rebecca Farrell QIEC Super member Prepared 1 June 2012 by the Trustee QIEC Super Pty More information AIA Australia Limited (ABN 79 004 837 861 AFSL 230043) PO Box 6111 St Kilda Road Central VIC 8008 Phone : 1800 333 613 Fax : 1800 832 266 AIA.COM.AU POLICY NO. MP 9926 ENDORSEMENT 3 To be attached to and More information Insurance Guide. Superannuation Master Fund. 1 June 2015. Super Accelerator Super Wrap. Issuer/trustee details: netwealth Investments Limited
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Issue Date: 21 December 2015 Zurich Wealth Protection Product Disclosure Statement including policy conditions This PDS, prepared on 25 November 2015, is provided in two parts: Part 1 Policy information More information Protection Plans for Mortgage Customers
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Aus Income Protection, Life and Total and Permanent Disablement Insurance for Avant Doctors Combined Financial Services Guide and Product Disclosure Statement Avant Insurance Limited ABN 82 003 707 471 More information Group Insurance. Product Disclosure Statement. pr tect. Depend on our people to. your people
Group Insurance Product Disclosure Statement pr tect Depend on our people to your people This booklet contains Product Disclosure Statements for: Group Life Group Salary Continuance Issue number 9, 28 More information AIA Australia Limited (ABN 79 004 837 861 AFSL 230043) PO Box 6111 St Kilda Road Central VIC 8008 Phone : 1800 333 613 Fax : 1800 832 266 AIA.COM.AU POLICY NO. MP 9926 ENDORSEMENT 4 To be attached to and More information SignatureSuper Insurance Guide Fact Sheet Association and SignatureSuper Personal Plans AMP Life Limited
SignatureSuper Insurance Guide Fact Sheet Association and SignatureSuper Personal Plans AMP Life Limited Issued 30 June 2014 AMP Corporate Super The information in this Fact Sheet forms part of the SignatureSuper More information Insurance Guide Date of issue: 1 March 2015
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Russell SuperSolution General Division 1 July 2015 JUMP TO Insurance in your superannuation 3 Types of insurance cover within Russell SuperSolution 4 Death and Total and Permanent Disablement (TPD) cover More information Zurich Life Risk Zurich Income Replacement
Product Summary Issued 1 March 2015 Zurich Life Risk Zurich Income Replacement Adviser use only Summary These tables outline the in-built benefits, optional extras and product parameters for Zurich Income More information Smartsave Group Salary Continuance Policy Document
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Optional Income Protection Insurance Cover Members of AMIST Super may apply for Income through the fund. This insurance provides benefits in the event that you are unable to work in your current occupation More information sample Gold Disability Income Cover
Gold Disability Income Cover Here is some important information about Gold Disability Income Cover. Please read this policy document and then keep it in a safe place. 1 Please take the time to read this More information Includes Tips & Tricks that could save you substantial $$$ and help make sure your claims get paid.
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