Members

Protect the things that matter

As a health or community services worker, you’ve probably seen first hand just how devastating the unexpected can be. When something unforeseen happens, be it illness or accident; it’s comforting to know that you and your loved ones are financially protected.
Eligible members of Health Super have access to Death, Total and Permanent Disablement (TPD) and Income Protection insurance.

types of insurance cover available

who is eligible?

how much cover do I need?

Here are just a few of the benefits that Health Super’s insurance provides:

You have the flexibility to increase your cover at any time to suit your individual needs (subject to meeting the insurer’s health evidence requirements)
If eligible, cover is provided 24 hours a day, seven days a week (subject to the conditions of cover in the Policy Documents) – so you can rest assured that you’re protected around the clock no matter where you are

From 1 August 2007 you have many more insurance options available to you. You can:

Apply for increases in your Death only or Death and TPD cover on the occurrence of certain life events – called Life Events Top-Up;
If you are a Professional or White Collar worker, apply for an “Own Occupation” TPD Definition;
Apply for fixed Death and TPD cover;
Apply for additional unit based Death and TPD cover. You have always had this option but the premium rates have reduced;
Apply for a 30 or 60 day waiting period in respect of Income Protection benefits (default waiting period is 90 days);
Apply for additional units of Income Protection cover. You have always had this option but the premium rates have reduced and maximum benefits increased.

Insurance provider

Health Super’s insurance benefits are provided by American International Assurance Company (Australia) Ltd ABN 79 004 837 861 AFSL No 230043, trading as ‘AIG Life’. AIG Life is part of American International Group Inc.
Insurance benefits are underwritten by AIG in accordance with insurance policies between Health Super and AIG Life. Insurance benefits and terms are subject to change.

Types of insurance cover available

If you are an eligible Health Super member you have access to a range of insurance cover options to suit your needs:

Type of cover	When the insured benefit is paid
Death only.	An insured benefit is paid in the event of your death. If you become terminally ill your insured Death benefit may be paid earlier.You can increase your Death cover up to a maximum cover of $5 million. Automatic acceptance limits also apply.
Death and Total and Permanent Disablement (TPD).	An insured benefit is paid in the event of your death or becoming Totally and Permanently Disabled (TPD).You can increase your cover up to a maximum cover of $5,000,000 for Death and $2,000,000 for TPD. Automatic acceptance limits also apply.
Income Protection	A monthly insured benefit may be paid if you are totally disabled due to sickness or injury for longer than the 90 day waiting period. You have the option to reduce your waiting period to a 30 or 60 day waiting period (subject to the payment of higher premiums and underwriting).The maximum cover you can receive is 85% of your pre-disability income or $20,000 per month, whichever is the lesser.

An insured benefit can only be paid if permitted under the Health Super Trust Deed and superannuation legislation.

Life Events Top-Up

If you are eligible for Death and TPD insurance cover, you will have the option to apply for additional voluntary insurance cover for Death and TPD upon the occurrence of certain life events listed below:

Life event	Additional units	Evidence required*
Marriage	2	Copy of marriage certificate
Birth of Child	2	Copy of child's birth certificate
Child turns 12	1	Copy of child's birth certificate
New Mortgage	1	Mortgage documents signed by member

* Evidentiary requirements do not require independent certification.

There is no requirement to provide satisfactory evidence of health, however, the increase in units will only occur upon providing proof of the occurrence of the life event within 60 days. Please note that Life Events Top-Up is not available if you have fixed cover and other restrictions may apply.

For more information regarding Life Events Top-Up please refer to Health Super’s current Product Disclosure Statement for further details.

“Own Occupation”

If you’re eligible for Death and TPD insurance cover and you are a Professional or White Collar worker, you can now apply to the Insurer for an “Own Occupation” TPD definition to apply to any assessment of a TPD insurance claim that may be made by you. Any application is subject to the Insurer’s underwriting requirements and you should refer to Health Super’s current Product Disclosure Statement for further details.

The definition of Professional and White Collar worker are detailed below:

Professional worker

Means a member who:

Is an accountant, doctor, lawyer and other like professional; and
Typically holds a tertiary qualification; and
Holds membership of a professional body or association
OR
Is a senior executive of a company with at least 20 staff; and
i. has an annual salary in excess of $100,000;
and
ii. who satisfies the definition of White Collar worker.

White collar worker

Means a member whose duties are:

Professional, managerial, administrative or similar white collar sedentary natured tasks; and
Do not involve any manual labour; and
Undertaken entirely within an office or similar environment (excluding travel time to and from one office or similar environment to another).

“Own Occupation” definition (professional and white collar workers only)
If you have been granted TPD cover based on an “Own Occupation” definition, you are Totally and Permanently Disabled if the Insurer and Health Super is satisfied on medical or other evidence that as a result of injury, sickness or disease you:
• Have not performed any work for an uninterrupted period of at least 6 consecutive months solely due to the same injury, sickness or disease; and
• Are attending, and under the regular care and following the advice of a registered Medical Practitioner and have undergone all reasonable and usual treatment including rehabilitation for the injury, sickness or disease; and
• After consideration of all the medical evidence and other evidence as the Insurer may require, have become incapacitated to such an extent as to render you unlikely ever to be able to engage in your own occupation.
OR
You have suffered the total and irrecoverable loss of use of:
• Both hands; or
• Both feet; or
• One hand and one foot; or
• The sight of both eyes; or
• One hand and the sight of one eye; or
• One foot and the sight of one eye.

Only one insured benefit is payable if you are determined as being TPD by the Insurer and Health Super and the amount payable cannot exceed the insured Death benefit.

Who is eligible?

Death cover

TPD cover

Income Protection

Automatic Cover¹

2 units of Death cover.

2 units of TPD cover.

2 units of Income Protection cover.

Eligibility²

To be eligible for Death cover you must be aged between 15 next birthday and 70 next birthday.In addition to the above, for automatic cover you must be in active employment on the date that you joined Health Super.

To be eligible for TPD cover you must be aged between 15 next birthday and 65 next birthday.In addition to the above, for automatic cover you must be in active employment on the date that you joined Health Super.

To be eligible for Income Protection cover you must be aged between 15 next birthday and 65 next birthday.In addition to the above, for automatic cover you must be in active employment on the date that you joined Health Super.

1. Automatic cover is not provided to members with a Health Super Spouse account or any other members who are not eligible for default cover.

2. Special conditions apply if you are working for an affirmative action employer or for a sheltered workshop.

How much cover do I need?

The level and type of insurance cover you need depends upon a number of factors.

To work out how much insurance cover is right for you, you should consider seeking the advice of an appropriately qualified financial adviser. Health Super provides members with access to discounted financial planning services. For more information click here.

To increase your insurance cover, click here.

You may already be automatically covered. Click here to learn about Health Super’s default cover.