Insurance options to protect you and your family - Hesta
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Insurance options to protect you and your family 1 October 2018 The information in this document forms part of the following product disclosure statements: • HESTA product disclosure statement issued 1 October 2018 • HESTA personal super product disclosure statement issued 1 October 2018 ensure insure and
what’s inside? Welcome to HESTA 3 Issued by H.E.S.T. Australia Ltd ABN 66 006 818 695 AFSL No. 235249 Trustee of Health Employees Superannuation Trust Australia (HESTA) ABN Help at your fingertips 4 64 971 749 321. Information in this document forms part of the Insurance through HESTA 5 HESTA Product Disclosure Statement (PDS) issued 1 October 2018 and the HESTA Personal Super Product Disclosure Statement issued 1 October 2018. Income Protection (IP) Cover 10 The information is current at the date of preparation 10 September 2018 and may change from time to time. Where a change is materially adverse we will Death Cover 15 issue a supplementary or replacement document. This document includes information that has Lump-sum TPD Cover 19 changed from previous Insurance Options booklets. Changes that are not materially adverse are available free of charge at hesta.com.au or by Other things you should know calling 1800 813 327. To access other parts of the relevant PDS visit hesta.com.au/pds, or call 1800 813 327. Before making a decision about HESTA – Important information about insurance through HESTA 25 products you should read the relevant Product – Important information about IP Cover 30 Disclosure Statement, and consider any relevant risks (hesta.com.au/understandingrisk). – Important information about Death Cover 36 This document does not relate to the HESTA Income – Important information about Lump-sum TPD Cover 38 Stream. Refer to the HESTA Income Stream PDS for information about that product. – Insurer’s disclosure and privacy information 41 The information provided in this document is HESTA education and advice – how can we help? 42 general information only and does not take account of your personal financial situation or needs. You should look at your own financial position and Forms Included within requirements before making a decision. You may wish to consult an adviser when doing this. The information in this document is a guide only. At the date of this publication, insurance is available Low-cost to HESTA members through AIA Australia Ltd ABN 79 004 837 861 AFSL No. 230043 (‘HESTA’s standard insurance insurer’, ‘the insurer’, ‘our insurer’). Part of the insurance fees will be used to pay insurance from the moment you administration costs. All cover provided is subject to the terms and become an eligible conditions contained in the insurance policies between the Trustee of HESTA and the insurer. HESTA member The full terms and conditions, including any exceptions or offsets as well as detailed definitions and requirements contained in the policies, take precedence over this guide. Fees quoted include stamp duty and taxes which may change over time, affecting the amount of fees. For up-to-date information visit hesta.com.au or call 1800 813 327. This document has been produced to international environmental management standard ISO14001 MySuper by a certified green printing company using recycled paper. authorised H.E.S.T. Australia Limited has engaged Industry 24/7 account access default option strength in numbers Fund Services Limited (IFS) ABN 54 007 016 195 AFSL No 232514 to facilitate the provision of financial advice to members of HESTA. Advice is provided by one of our financial planners who are Authorised income Representatives of IFS. Fees may apply. Information about these advice services are set out in the protection relevant Financial Services Guide, a copy of which is available by calling 1300 138 848. IFS is responsible for any advice given to you by its Authorised all the way Representatives. H.E.S.T. Australia Ltd has shares in the company that owns IFS, but does not receive to age 67 any commissions as a result of members using their services. HESTA Associate Superannuation. a truly national fund Advisers and HESTA Superannuation Advisers are representatives of H.E.S.T. Australia Limited. contact us hesta@hesta.com.au | 1800 813 327 | Locked Bag 5136, Parramatta NSW 2124 | hesta.com.au Product ratings are only one factor to be considered when making a decision. See hesta.com.au/ratings for more information. 2
welcome to HESTA HESTA is the largest fund in Australia dedicated to health and community services. As a HESTA member, you can access low-cost, flexible insurance cover through your super. This guide provides important information about insurance cover through HESTA, including fees, benefits, limitations and exclusions. It also provides information on the full suite of insurance options available to you and how you can apply for different levels of cover. Strength in numbers HESTA has more than 850,000 members and $46 billion in assets, and is the largest industry super fund dedicated to health and community services. Our size means we can keep fees low and provide education and advice to members about their super – at no extra cost. Find out more at hesta.com.au Strong long term investment performance Since its inception in 1987, our default investment option – Core Pool – has delivered well above its target return over the long term.* Visit hesta.com.au/returns for information on the current and historical performance of all HESTA investment options. A truly national fund Our team of Client Relationship Managers, Member Education Managers, Superannuation Advisers and Financial Planners supports HESTA members and employers throughout Australia. Find out more at hesta.com.au/service 24/7 access to your account Update and check your HESTA account online 24/7. Log in or register for online access today at hesta.com.au/mol Added extras Access valuable extra services like low-cost banking and discounted health insurance. Visit hesta.com.au/extras for more details. The recognition you deserve We work with key organisations to present awards to Australia’s top nurses, midwives, early childhood educators and people working in aged care, the community sector and primary health care. Visit hestaawards.com.au for more information on the programs we run to recognise your industry. *Past performance is not a reliable indicator of future performance 3
at your fingertips A quick guide to help you on your insurance path I want to... Call us Member Online Paper form Increase my standard cover for death and/or Increase your standard IP cover to 6 units within 6 months of joining 3 8 cover on joining form (HESTA super members under 55 years) Apply for insurance cover Insurance cover — 3 application form Increase my cover Insurance cover — 3 application form Convert my death cover and lump sum TPD cover Insurance alteration form — 8 (if any) from units to fixed cover Convert my death cover and lump sum TPD cover Insurance alteration form — 8 (if any) from fixed cover to units Apply to change my occupational classification Insurance alteration form — 3 to management Transfer insurance cover from another fund — 8 Insurance transfer form Apply for fee free insurance cover while on Ask your employer to parental leave — 8 complete the notification of parental leave form Remove New Events Cover restriction within Removing new events 6 months of joining (HESTA Personal Super — 8 cover restriction on members under 55 years) joining form Remove New Events Cover restriction Insurance cover — 3* (members over 55 years on joining) application form Reduce my cover 3 3 Insurance alteration form Cancel my cover 3 3 Insurance alteration form Supported worker – insurance alterations Supported workers 3 8 insurance alterations form Change my nominated beneficiaries Change of member — 3 details form Make or change a binding death benefit Binding death benefit — 8 nomination nomination form *Complete Adjust current cover via the insurance portal tab. Call us on 1800 813 327 Log into your Member Online account – hesta.com.au/mol Find and complete a paper form available at – hesta.com.au/forms 4
insurance through HESTA This section details the key features and benefits of death and disability insurance through HESTA – including the insurance fees, benefit limits and available cover. Is insurance through HESTA right for me? Do you want a flexible insurance option you can tailor to suit your needs? yes no Are you looking for low-cost, flexible insurance cover you won’t have to pay yes no for from your weekly budget? Do you want death, temporary disability cover or total and permanent yes no disablement cover 24/7 for injury and ill health, not just when you’re at work? Thinking of starting a family and need cover that continues during parental yes no leave? If you answered ‘yes’ to any of the above questions, insurance through HESTA may suit your needs. Read on to find out more about the low-cost convenient options available to you as a HESTA member. Check your cover Find out what existing cover you may have by either: • logging into your Member Online account at hesta.com.au/mol • checking your Annual statement • calling 1800 813 327. HESTA members and HESTA Personal Super members In this guide 'HESTA members' refers to members who join through the HESTA product disclosure statement issued 1 October 2018 (HESTA super), or who joined as 'HESTA members' before 1 October 2018. In this guide 'HESTA Personal Super members' refers to members who join through the HESTA Personal Super product disclosure statement issued 1 October 2018 (HESTA Personal Super), or who joined as 'HESTA Personal Super members' before 1 October 2018. 5
overview Insurance through HESTA helps protect you and your family About insurance through HESTA Cover 24 hours a day, seven days a week It is important you read all Insurance through HESTA provides cover for injury, of the information in this guide illness or death anytime, anywhere (subject to eligibility). before making decisions about insurance through HESTA. You’re covered for longer Standard Income Protection (IP) Cover right up to the This guide provides information Age Pension age of 67. about the terms and conditions of our insurance policies from Standard Death Cover until age 75. I March 2018. If you had insurance Lump-sum Total and Permanent Disablement (TPD) through HESTA before that date Cover to age 70, subject to approval by the insurer. some of the terms and conditions Your cover continues throughout your HESTA membership are different. unless you cancel it, but cover may not apply to you in all To be eligible for insurance circumstances (see later sections of this guide for details). cover through HESTA, you must meet the terms and conditions It’s convenient listed under Eligibility criteria Insurance fees are automatically deducted from your HESTA on page 25. super or HESTA Personal Super account every month, so you don’t have to remember to renew your insurance every year. If you’re eligible for cover, there are specific terms and It’s low cost conditions about when your HESTA buys its insurance in bulk and we pass on any cover will start and what insurance tax savings we're eligible to receive straight back happens if you have more than to our members, meaning insurance through us is generally one account with HESTA. See cheaper than insuring individually. pages 25 and 27 respectively for detailed information. It’s flexible This information is only a guide. You can tailor your type and level of cover to suit your Insurance cover is provided changing needs. solely on the basis of our group policies with the insurer and is Cover during approved parental leave subject to the conditions of We won’t charge insurance fees for your insurance cover those policies. Insurance fees while you take up to 12 months of approved parental leave and cover provided may be while working for an employer. See page 28 for terms and subject to future variation. conditions. 6
available cover through HESTA Income Protection Cover Lump-sum Total and Income Protection Cover (IP) provides a monthly benefit to assist Permanent Disablement you and your family in meeting ongoing living expenses, in the (TPD) Cover event you are sick or injured and cannot work. You also have the option of See pages 11-14 for more information on IP Cover. applying for Lump-sum TPD Cover, which provides a lump- sum benefit to assist you and Death Cover your family in meeting ongoing Death Cover provides a lump-sum benefit to help with ongoing and one-off costs, in the event expenses and one-off costs your family may face in the event of you are totally and permanently your death or in some cases, terminal illness. disabled and unlikely ever to be able to return to work. See pages 15-18 for more information on Death Cover. See pages 19-21 for more Comparing your insurance options information on Lump-sum TPD Cover. Income Lump-sum Death Benefit Protection TPD Cover Cover Cover Low cost 3 3 3 Cover for death (including terminal illness) – 3 – Cover for partial disability 3 – – Cover for total and temporary disability 3 – – Cover for total and permanent disability 3 – 3 Unitised cover 3 3 3 Fixed cover option – 3 3 Monthly benefit 3 – – Lump-sum benefit – 3 3 Lump-sum Permanent Incapacity Support Benefit 3 – – (after a qualifying period) Option to reduce waiting periods and change the 3 – – benefit period 7
insurance fees and benefits Insurance cover is provided in units unless you choose fixed cover. Each unit provides a set benefit amount for an insurance fee which is calculated weekly and deducted monthly from your HESTA super or HESTA Personal Super account. Benefit amounts and insurance fees may vary depending on your age and income. For Death Cover and Lump-sum TPD Cover, you can apply to fix your benefit amount. This is subject to agreement by the insurer. Fixed cover means your insurance fees will generally increase as you age while your sum insured will typically remain the same. As insurance fees increase as you age, the cost of cover would be expected to be greater than if you select unitised cover, where the sum insured will tend to decrease as you age. You can also apply for extra units of cover, up to the maximum limits listed below. Total insurance fees per week for two units of standard cover varies with your age. Please see the table below: Age at Gross Income Protection Gross Death Cover Total gross Estimated net last insurance fee per week $ insurance fee per week $ insurance fee insurance fee birthday (2 units)# (2 units)# per week $ per week $* 15-24 0.44 0.32 0.76 0.65 25-34 1.14 0.94 2.08 1.77 35-44 3.30 2.36 5.66 4.81 45-54 5.38 2.68 8.06 6.85 55-64 6.42 2.60 9.02 7.67 65-66 0.78 1.36 2.14 1.82 67-74 N/A 1.36 1.36 1.16 # Weekly insurance fee for two units of standard Death and IP Cover. IP Cover ceases at age 67. Fees shown are for the standard occupational insurance fee scale. IP Cover provides cover and benefits to age 67 after a 90 day waiting period. * Amounts have been rounded to the nearest cent for disclosure only. Gross lump-sum Estimated Net lump-sum Cover Type insurance fee per week per unit* insurance fee per week per unit^ Optional Lump-sum TPD Cover $1.56 $1.33 *Amounts have been rounded to the nearest cent for disclosure only. ^Fees shown are for the standard occupational insurance fee scale. Cover available Cover Type Cover per unit Maximum cover Income Protection $25,000 per month capped at 85% of your $475 per month per unit Cover Pre-Disability Income Varies with age (see page 18) $5 million for death Death Cover reducing to $0 at age 75 $3 million for terminal illness Optional Lump-sum $85,000 until age 39, $3 million TPD Cover reducing to $0 at age 70 How many units of cover you have will depend on whether you have standard cover, or whether you have chosen standard extra cover. Gross and net insurance fees As you read through this guide you’ll notice we quote both the gross and net insurance fees. This is because we are legally required to show the gross insurance fee. The good news is, generally members actually pay the net insurance fee, which is up to 15% less than the gross insurance fee. This is because HESTA is able to claim a tax deduction for the cost of providing insurance, which we pass on to members, resulting in a lower net insurance fee. 8
Standard cover Cover Units This is the cover you receive automatically if you don’t make an alternative insurance choice when you first join HESTA. Standard cover includes two units of IP Cover and two units of Death Cover. IP Cover IP 2 for this option is cover and benefits available to age 67 after a 90-day waiting Death 2 period. Standard cover for members may provide New Events Cover only in some circumstances. (See below to understand what New Events Cover means.) Standard extra cover available when you first join HESTA Units Cover (including (through your employer) standard cover) Under age 55 If you are under age 55, within six months of joining HESTA complete the Short Personal Health Statement (Section 6B) in the New HESTA member application form IP Up to 6 (contained in the HESTA PDS) to apply for up to four additional units of IP Cover to Death Up to 6 age 67 with a 90-day waiting period and/or Death Cover. This allows a total of up to 6 units including standard cover. This cover is subject to approval by the insurer. Aged 55 and over If you are aged 55 and over, complete the full Insurance cover application form within this guide to apply for standard extra cover. – – Note: HESTA Personal Super members are not eligible for this standard extra cover on joining but can apply for standard extra cover by completing the full Insurance cover application form at any time. This is subject to approval by the insurer. New Events Cover New Events Cover means the member is only covered for claims arising from a sickness which first becomes apparent or an injury which first occurs on or after the date cover last commenced, or was reinstated in respect of the member. Management occupation classification Please note, AIA (the Insurer) has approved a set number of professional institutes or bodies. If you When joining, HESTA members and HESTA Personal Super don’t hold a degree or work in a management members automatically receive cover at the standard position and are unsure if you qualify, contact occupational insurance fee scale. If a member is eligible, AIA on 1800 043 782 or for further information they can apply to pay for cover at a rate which better please read Insurance cover for management reflects their circumstances. The change in insurance fees available at hesta.com.au/forms will take effect from the date their application is approved and is subject to the same terms and conditions applying Changing your cover to their standard or standard extra cover. New and existing members can apply for any Where a member changes their occupational scale to mix of IP Cover, Death Cover or Lump-sum TPD management their cover is known as management or Cover (up to the maximum cover shown in the management extra cover. table on page 8) at any time by completing the The following criteria applies for the management full insurance cover application form (within this insurance fee occupational scale: guide). Alternatively, you can also apply through a) the member is engaged in a white collar occupation Member Online at hesta.com.au/mol This cover and is earning at least $100,000 per annum including is subject to the approval of the insurer. fringe benefits* (pro rata for part time)^, and The term 'standard extra cover' refers to any b) the duties of the member's occupation are limited to variation to standard cover. This may be cover professional or managerial duties (at least 80% within greater than standard cover, and for IP Cover also an office environment), and refers to cover that has a benefit payment period other than to age 67 or a waiting period other c) the member meets one of the following: than 90 days. Standard extra cover starts from • holds a degree which is necessary for performing when your application is approved by the insurer. my occupation, or Before you make changes to cover • is a member of a professional or government institute or body which is necessary for performing Insurance fees will vary depending on the level my occupation, or and type of insurance you have. Increasing your insurance fees will reduce your retirement • has 10 years of service in a senior management savings, so it’s important to consider this when or executive role. changing your cover. * This amount can include fringe benefits, but excludes any superannuation guarantee contributions by your employer. You must have enough funds in your HESTA super ^ For example, if the member works three days per week and earns $63,000 per annum, their full time equivalent would be $105,000, which is more than the minimum amount. or HESTA Personal Super account to cover the insurance fees or your cover will stop. In some circumstances you may need to top up your account in advance. 9
income protection cover This section details the key features and benefits of Income Protection (IP) Cover through HESTA – including the insurance fees, benefit limits and available cover. Is IP Cover through HESTA right for me? Would you struggle to pay the bills if you had to take time off work due to injury or yes no illness? Is your job your only source of income? yes no Do you want to be able to maintain your current lifestyle if you’re sick or injured and yes no unable or unlikely to work? Are you looking for low-cost, flexible Income Protection Cover you won’t have to yes no deduct from your weekly budget? If you answered 'yes' to any of the above questions, IP Cover through HESTA may be right for you. Read on to find out how you can protect your income if you are injured or ill. What do IP Cover and benefits to age 67 mean for me? This means if you're totally disabled, you may be eligible to receive a benefit every month until age 67. See pages 30-35 for full details. Key features What's covered? • low gross insurance fee between $0.22 per unit Unitised cover 3 per week and $3.21 per unit per week (depending on your age) for standard cover and benefits to Fixed cover 8 age 67 (with a 90 day waiting period). This is the Cover for total and temporary disability 3 cover received automatically on joining • monthly disability payments Cover for total and permanent disability 3 • also provides cover if you’re only partially disabled Cover for partial disability 3 or temporarily disabled Monthly disability payments 3 • the flexibility to change your cover expiry age to 60, apply for a two-year benefit period or reduce Option to reduce waiting periods 3 the waiting period from 90 to 60 or 30 days. These changes may be subject to approval by the insurer. Lump-sum Permanent Incapacity Support Benefit (after a qualifying period) 3 10
income protection cover at a glance Limitations Eligibility Each unit provides a maximum To be eligible for IP Cover you must be a member, at least age 15 and monthly benefit of $475. As such, less than age 67, and not have previously received a Lump-sum TPD standard IP Cover provides you with or terminal illness benefit. HESTA Personal Super members and other a maximum monthly benefit of $950 members over age 55 are provided with New Events Cover when (i.e. two units). joining. HESTA members ( joining through their Fund Employer) not in You can apply for more units. Active Employment when their cover starts receive New Events Cover Benefits are limited to 85% of your until they return to Active Employment. Members who have previously Pre-Disability Income up to a opted out of being covered (or provided a written request for cover maximum monthly benefit of $25,000 to cease) when previously a member also receive New Events Cover. (see pages 30-35 for details). HESTA members joining more than six months after they first started IP Cover stops at age 67 unless you’ve employment with their Fund Employer* or their employer becoming a opted for cover to age 60. Different Participating Employer* are also subject to New Events Cover. HESTA benefit expiry ages may apply to Personal Super members are only entitled to standard cover if they those currently claiming IP benefits. satisfy the At Work requirement. New Events Cover may also apply in other circumstances. See page 25-27 for full eligibility requirements. Members receiving IP benefits or on claim for an event prior to Qualifying for an income benefit 1 March 2012 are subject to additional limitations (see page 33). To qualify for payment of benefits, you must meet the policy definitions listed under Important information about IP Cover on If you’ve chosen a two-year benefit pages 30-35. Our insurer will pay you a benefit in circumstances period, payments will cease at the where you are Totally or Partially Disabled after the end of the end of the two-year payment period. relevant waiting period. In addition, partial disability benefit payments will only be paid for a Exclusions maximum of 24 months in aggregate IP benefits will not be paid if your claim is caused directly or indirectly (i.e. the total of total disability and by: any war or an act of war; an intentional self-inflicted act; or partial disability benefits). Refer to pregnancy, childbirth or miscarriage (in some circumstances). page 31 for further details. In some See additional information on exclusions page 33. circumstances, disability benefit payments will be reduced or totally Other terms and conditions offset (see page 32). Additional terms and conditions apply. For information on the full terms and conditions applicable see pages 30-35. * Refer to page 26 for these definitions. 11
Permanent Incapacity Support Benefit From 1 March 2018, HESTA has introduced a unique feature to our IP Cover which will allow eligible members to claim a lump-sum payment to support them when they are unable to return to work in certain circumstances. Members with IP Cover who suffer a disabling event on or after 1 March 2018 will be eligible to claim $10,200: • after receiving IP benefits for a qualifying period of two years; and • where they meet the relevant policy definition. Or, for a member with IP Cover who is ineligible to make an IP claim because: • their IP Cover started after 1 July 2014; and • they are unemployed for more than 90 days at the time the disabling event occurs. if they suffer a disabling event which gives rise to a claim that occurs on or after 1 March 2018, they may be eligible to claim $10,200 after a three month qualifying period where they meet the relevant policy definition. The relevant policy definition is: The member suffers an injury or illness and as a result of that injury or illness, they are: a) totally unable to engage in any occupation, business, profession or employment at the end of the qualifying period; and b) determined at the end of the qualifying period to be permanently incapacitated to such an extent as to render them unlikely ever to engage in any gainful occupation, business, profession or employment for which they are reasonably suited by education, training or experience. Where eligible, this benefit will be paid to your superannuation account rather than as income and will be accessible as a lump sum. Where a member's IP Cover is New Events Cover, any Permanent Incapacity Support Benefit will also be provided as New Events Cover. The Permanent Incapacity Support Benefit can only be claimed once, even if you leave and re-join HESTA at a later date. If you are over age 65 and become eligible to claim a disability benefit you will be ineligible to claim a Permanent Incapacity Support Benefit in these circumstances. Members who are ineligible to claim a disability benefit at this age may be eligible to claim a Permanent Incapacity Support Benefit in some circumstances. 12
work out your IP cover IP Cover insurance fees Weekly gross and estimated net insurance fee for one unit of Income Protection Cover for the relevant age band and occupational insurance fee scale providing a maximum benefit of $475 per month. These fees are in $ and inclusive of stamp duty. To age 67 benefit payment period 90 day 60 day 30 day 90 day 60 day 30 day waiting period waiting period waiting period waiting period waiting period waiting period Age last Gross fee per unit $ per week Estimated net fee per unit $ per week^ birthday Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. 15-24 0.22 0.15 0.28 0.20 0.47 0.33 0.19 0.13 0.24 0.17 0.40 0.28 25-34 0.57 0.40 0.72 0.51 1.22 0.85 0.48 0.34 0.61 0.43 1.04 0.72 35-44 1.65 1.16 2.09 1.47 3.53 2.47 1.40 0.99 1.78 1.25 3.00 2.10 45-54 2.69 1.88 3.36 2.35 5.65 3.95 2.29 1.60 2.86 2.00 4.80 3.36 55-64 3.21 2.24 3.91 2.74 6.56 4.60 2.73 1.90 3.32 2.33 5.58 3.91 65-66 0.39 0.28 0.51 0.36 0.87 0.61 0.33 0.24 0.43 0.31 0.74 0.52 To age 60 benefit payment period 90 day 60 day 30 day 90 day 60 day 30 day waiting period waiting period waiting period waiting period waiting period waiting period Age last Gross fee per unit $ per week Estimated net fee per unit $ per week^ birthday Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. 15-24 0.16 0.11 0.21 0.15 0.35 0.24 0.14 0.09 0.18 0.13 0.30 0.20 25-34 0.40 0.28 0.53 0.37 0.89 0.62 0.34 0.24 0.45 0.31 0.76 0.53 35-44 1.16 0.81 1.54 1.08 2.58 1.81 0.99 0.69 1.31 0.92 2.19 1.54 45-54 1.87 1.31 2.47 1.73 4.13 2.89 1.59 1.11 2.10 1.47 3.51 2.46 55-59 2.19 1.53 2.89 2.02 4.81 3.37 1.86 1.30 2.46 1.72 4.09 2.86 Two-year benefit payment period (Cover expiry age of 67) 90 day 60 day 30 day 90 day 60 day 30 day waiting period waiting period waiting period waiting period waiting period waiting period Age last Gross fee per unit $ per week Estimated net fee per unit $ per week^ birthday Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. 15-24 0.07 0.05 0.09 0.06 0.16 0.11 0.06 0.04 0.08 0.05 0.14 0.09 25-34 0.17 0.12 0.23 0.16 0.41 0.29 0.14 0.10 0.20 0.14 0.35 0.25 35-44 0.48 0.34 0.66 0.46 1.19 0.83 0.41 0.29 0.56 0.39 1.01 0.71 45-54 0.78 0.55 1.07 0.75 1.92 1.34 0.66 0.47 0.91 0.64 1.63 1.14 55-64 0.93 0.65 1.26 0.89 2.24 1.57 0.79 0.55 1.07 0.76 1.90 1.33 65-66 0.11 0.08 0.16 0.11 0.29 0.20 0.09 0.07 0.14 0.09 0.25 0.17 Two-year benefit payment period (Cover expiry age of 60) 90 day 60 day 30 day 90 day 60 day 30 day waiting period waiting period waiting period waiting period waiting period waiting period Age last Gross fee per unit $ per week Estimated net fee per unit $ per week^ birthday Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. Std. Mgmt. 15-24 0.05 0.03 0.08 0.06 0.15 0.10 0.04 0.03 0.07 0.05 0.13 0.09 25-34 0.12 0.08 0.21 0.15 0.37 0.26 0.10 0.07 0.18 0.13 0.31 0.22 35-44 0.34 0.24 0.60 0.42 1.08 0.76 0.29 0.20 0.51 0.36 0.92 0.65 45-54 0.55 0.39 0.98 0.68 1.75 1.22 0.47 0.33 0.83 0.58 1.49 1.04 55-59 0.66 0.47 1.16 0.81 2.05 1.43 0.56 0.40 0.99 0.69 1.74 1.22 Please note the use of 'Std. gross' above refers to 'Standard gross' and 'Mgmt. gross' refers to 'Management gross'. ^Estimated net insurance fees have been rounded to the nearest cent for disclosure. 13
IP Cover insurance fees Step 1 Step 2 Determine the monthly Using the table below, put in the units of cover from calculation at left to cover units you need. determine your weekly insurance fee. 85% of your income# Number of IP units Gross insurance Est. net insurance Weekly per month for your cover choice fee per week for fee per week for insurance fee your age your age $ (A) X (or) = (your before-tax income per month x 0.85) Visit hesta.com.au/covercalculator to work out your net IP insurance fee online. ÷ $475 = Total IP units required (A) (payments are limited to 85% of your income, round units to the nearest whole number) # Employment income includes employer superannuation contributions and fringe benefits and self employed income includes concessional contributions. Self-employed income is reduced by business expenses. 14
death cover This section details the key features and benefits of Death Cover through HESTA – including the insurance fee, benefit limits and available cover. Is Death Cover through HESTA right for me? Would your family struggle to pay the mortgage if you died suddenly? yes no Would your partner need to cover the cost of child care and home help if you yes no died? Do you want to make sure your family isn't left with expenses when you die? yes no Do you want to leave something for your loved ones? yes no Do you want cover for death, but dislike having to remember to renew policies yes no and pay insurance fees from your weekly income? If you answered ‘Yes’ to any of the above questions, Death Cover through HESTA may be right for you. Read on to find out how you can help provide for your loved ones if you die. What if I want my benefits to remain the same as I age? If you want your benefits to remain the same as you age, you can fix your Death Cover. See page 22 for more information about fixing your benefits. 15
death cover at a glance Limitations Key features Standard cover is offered in units with an insurance fee which is age based, • low gross insurance generally in 10 year age bands (see page 18 for details). fee per unit which is generally age based Each unit provides a set level of cover depending on your age. You can apply in 10 year age bands for up to $5 million of Death Cover. • cover to age 75 Terminal illness benefits are limited to a maximum of $3 million (or the insured (benefit expiry age) value if lesser). • provides a lump-sum You can apply for and hold more optional Lump-sum TPD Cover than Death benefit increasing Cover however, you are required to hold at least some Death Cover in order progressively from age to apply for optional Lump-sum TPD. 15–39 before decreasing If you become eligible to claim a terminal illness benefit, any Lump-sum TPD from age 40 you hold will be reduced by any terminal illness benefit paid. See terminal • choose between illness benefits on page 36 for more information. unitised and fixed cover. Any payment of a Lump-sum TPD will reduce your Death Cover by the same amount (potentially to zero if your Lump-sum TPD payment is equal to or greater than your Death Cover amount). Death Cover reduces to zero at age 75. Eligibility Qualifying What's covered? To be eligible for Death Cover you must To qualify for terminal illness be a member, at least age 15 and less benefits under your Death Unitised cover 3 Cover, you must meet the than age 75, and not have previously received a Lump-sum TPD or terminal terms and conditions outlined Option to fix cover 3 illness benefit. HESTA Personal Super on page 36. members and other members over age Cover for 8 55 are provided with New Events Cover Exclusions disablement when joining. HESTA members ( joining Death benefits will not be paid through their Fund Employer) not in if your claim is caused directly Cover for death 3 Active Employment when their cover or indirectly by war outside of starts receive New Events Cover until they Australia. A death benefit will return to Active Employment. Members Benefit payable for however be payable, if you die 3 who opted out of being covered (or terminal illness while on war service. In some provided a written request for cover circumstances, a pandemic to cease) when previously a member Lump-sum benefit 3 illness exclusion may apply, also receive New Events Cover. HESTA see page 37 for full details. members joining more than six months Monthly benefits 8 after they first started employment with their Fund Employer* or their employer Other terms Option to reduce becoming a Participating Employer* are and conditions 8 waiting periods also subject to New Events Cover. HESTA Additional terms and Personal Super members are only entitled conditions apply. For to standard cover if they satisfy the At information on the Work requirement. New Events Cover may full terms and conditions also apply in other circumstances. See applicable see pages 36-37. page 25-27 for full eligibility requirements. * Refer to page 26 for these definitions. 16
work out your death cover Work out your weekly Death Cover insurance fee Benefit amount you would like cover for $ ÷ Benefit amount for one unit at your age (see table on page 18) $ = Number of units (round up units to nearest whole number) x Unit insurance fee for your age (see page 18) = Your Death Cover weekly insurance fee ✓✓Visit hesta.com.au/covercalculator to work out your Death Cover Why do unitised benefits decrease from age 40? Insurance in super is about balance. When you’re starting out, you will have a lower super balance, so we provide insurance to help you cover the gap as your super grows. 17
Death Cover Age Total standard Cover $ Gross fee per unit $ per week Estimated net fee per unit $ per week^ (last birthday) cover $ (2 units) per unit Standard Management Standard Management 15 50,000 25,000 0.16 0.11 0.14 0.09 16 50,000 25,000 0.16 0.11 0.14 0.09 17 50,000 25,000 0.16 0.11 0.14 0.09 18 50,000 25,000 0.16 0.11 0.14 0.09 19 50,000 25,000 0.16 0.11 0.14 0.09 20 50,000 25,000 0.16 0.11 0.14 0.09 21 50,000 25,000 0.16 0.11 0.14 0.09 22 50,000 25,000 0.16 0.11 0.14 0.09 23 50,000 25,000 0.16 0.11 0.14 0.09 24 50,000 25,000 0.16 0.11 0.14 0.09 25 134,900 67,450 0.47 0.33 0.40 0.28 26 134,900 67,450 0.47 0.33 0.40 0.28 27 134,900 67,450 0.47 0.33 0.40 0.28 28 134,900 67,450 0.47 0.33 0.40 0.28 29 134,900 67,450 0.47 0.33 0.40 0.28 30 134,900 67,450 0.47 0.33 0.40 0.28 31 134,900 67,450 0.47 0.33 0.40 0.28 32 134,900 67,450 0.47 0.33 0.40 0.28 33 134,900 67,450 0.47 0.33 0.40 0.28 34 134,900 67,450 0.47 0.33 0.40 0.28 35 185,600 92,800 1.18 0.82 1.00 0.70 36 185,600 92,800 1.18 0.82 1.00 0.70 37 185,600 92,800 1.18 0.82 1.00 0.70 38 185,600 92,800 1.18 0.82 1.00 0.70 39 185,600 92,800 1.18 0.82 1.00 0.70 40 170,000 85,000 1.18 0.82 1.00 0.70 41 168,000 84,000 1.18 0.82 1.00 0.70 42 153,000 76,500 1.18 0.82 1.00 0.70 43 138,000 69,000 1.18 0.82 1.00 0.70 44 124,800 62,400 1.18 0.82 1.00 0.70 45 114,000 57,000 1.34 0.94 1.14 0.80 46 103,800 51,900 1.34 0.94 1.14 0.80 47 97,200 48,600 1.34 0.94 1.14 0.80 48 90,300 45,150 1.34 0.94 1.14 0.80 49 84,000 42,000 1.34 0.94 1.14 0.80 50 76,800 38,400 1.34 0.94 1.14 0.80 51 70,200 35,100 1.34 0.94 1.14 0.80 52 64,200 32,100 1.34 0.94 1.14 0.80 53 59,100 29,550 1.34 0.94 1.14 0.80 54 54,600 27,300 1.34 0.94 1.14 0.80 55 50,400 25,200 1.30 0.91 1.11 0.77 56 46,500 23,250 1.30 0.91 1.11 0.77 57 43,200 21,600 1.30 0.91 1.11 0.77 58 39,900 19,950 1.30 0.91 1.11 0.77 59 36,900 18,450 1.30 0.91 1.11 0.77 60 34,200 17,100 1.30 0.91 1.11 0.77 61 31,500 15,750 1.30 0.91 1.11 0.77 62 28,800 14,400 1.30 0.91 1.11 0.77 63 26,100 13,050 1.30 0.91 1.11 0.77 64 23,700 11,850 1.30 0.91 1.11 0.77 65 17,400 8,700 0.68 0.47 0.58 0.40 66 15,300 7,650 0.68 0.47 0.58 0.40 67 13,200 6,600 0.68 0.47 0.58 0.40 68 11,400 5,700 0.68 0.47 0.58 0.40 69 10,200 5,100 0.68 0.47 0.58 0.40 70 8,400 4,200 0.68 0.47 0.58 0.40 71 7,500 3,750 0.68 0.47 0.58 0.40 72 6,600 3,300 0.68 0.47 0.58 0.40 73 5,700 2,850 0.68 0.47 0.58 0.40 74 4,800 2,400 0.68 0.47 0.58 0.40 75 0 0 N/A N/A N/A N/A 18 Please note the use of 'Std. gross' above refers to 'Standard gross' and 'Mgmt. gross' refers to 'Management gross'. ^Net Insurance fees have been rounded to two decimal places for disclosure only. #Where a member applies for and is accepted for management cover their cover will be known as management or management extra cover.
lump-sum total and permanent disablement (TPD) cover This section details the key features and benefits of Lump-sum TPD Cover through HESTA – including the insurance fee, benefit limits and available cover. Our Lump-sum TPD cover is commonly referred to as ‘Any Occupation’ cover. Is Lump-sum TPD Cover through HESTA right for me? Would you struggle to pay the bills if you suffered an injury or illness that meant you yes no could never work again? If you were injured and permanently unlikely to work again, would you need yes no a lump-sum payment to cover medical and home care? Would you need to modify your home if you suffered total and permanent disablement? yes no Are you looking for low-cost, flexible insurance cover you won’t have to deduct from your yes no weekly budget? If you answered ‘Yes’ to any of the above questions, Lump-sum TPD Cover through HESTA may be right for you. Read on to find out how you can cover yourself for total and permanent disablement. Why would I get Lump-sum TPD Cover if I already have IP Cover? Lump-sum TPD Cover provides a lump-sum benefit if you are sick or injured and unlikely to ever work again. This can be useful if you need to cover large one-off medical expenses, modify your home or obtain care. 19
lump-sum TPD cover at a glance Limitations Key features You need to apply for Lump-sum TPD Cover (see the Insurance cover • low insurance fee of $1.56 application form in this guide or hesta.com.au/mol). gross per unit, per week ($1.33 est. net) for cover under You cannot take Lump-sum TPD Cover as a stand alone cover; the standard occupation it must be combined with Death Cover. insurance fee scale Offered in units with a set weekly insurance fee per unit • cover to age 70 (benefit (see page 21 for details). Each unit provides a lump-sum level expiry age) of cover depending on your age. • provides a lump-sum benefit Your Lump-sum TPD Cover can exceed the amount of your Death Cover of up to $85,000 per unit, however, you are required to have at least some Death Cover in order decreasing from age 40, to be eligible to apply for Lump-sum TPD Cover. in the event of total and If you have Death and Lump-sum TPD Cover and you receive a Lump- permanent disablement sum TPD benefit payment this will reduce your remaining Death Cover • choose between unitised by the same amount (potentially to zero if your Lump-sum TPD payment or fixed cover (subject to is equal to or greater than your Death Cover amount). agreement by the insurer). Any payment of a terminal illness benefit will also reduce any Lump-sum TPD Cover by the same value. Lump-sum TPD Cover does not provide a benefit if you’re only partially or temporarily disabled. What's covered? Lump-sum TPD Cover reduces to zero at age 70. Unitised cover 3 Eligibility To be eligible for Lump-sum TPD Cover you must be a member, or Option to fix cover 3 applying to be a member, at least age 15 but less than age 70, and not have already received a Lump-sum TPD or terminal illness benefit under Cover for total and any insurance policy. See page 25 for full eligibility requirements. 8 temporary disability Qualifying Cover for total and To qualify for payment of Lump-sum TPD benefits, you must meet the permanent disability 3 requirements listed on pages 38-40 under Important information about Lump-sum TPD Cover. Cover for partial disability 8 Exclusions Lump-sum TPD benefits will not be paid if your claim is caused directly Monthly benefits 8 or indirectly by: an act of war outside of Australia; or your intentional self-inflicted act. Lump-sum benefits 3 Other terms and conditions Additional terms and conditions apply. For information on some of the key terms and conditions applicable see pages 38-40. Occupational fee scale Where you are able to satisfy the criteria on page 9 you can apply for cover at the management occupational fee scale. For Lump-sum TPD Cover the insurance fee for management cover is $1.09 per unit per week (gross), $0.93 per unit per week (estimated net). 20
work out your lump-sum TPD cover Work out your weekly insurance fee Lump-sum TPD Cover for Lump-sum TPD Cover Age Lump-sum TPD benefit (last birthday) for each unit $ Benefit amount you would like cover for $ Up to 39 85,000 ÷ 40 41 84,000 76,500 Benefit amount for one unit at your age (see table on right) $ 42 69,000 = 43 44 62,400 57,000 Number of units (round up units to nearest whole number) 45 54,750 46 51,900 x 47 48,600 $1.56 gross standard insurance fee ($1.33 est. net standard insurance fee per week) 48 45,150 = 49 50 42,000 38,400 Your Lump-sum TPD Cover weekly insurance fee 51 35,100 *If you satisfy the criteria for management insurance fee scale $1.09 gross 52 32,100 ($0.93 est. net) would apply, subject to insurer approval. 53 29,550 54 27,300 55 25,200 56 23,250 57 21,600 58 19,950 59 18,450 60 17,100 61 15,750 62 14,400 63 13,050 64 11,850 65 8,700 66 7,650 67 6,600 68 5,700 69 5,100 70 0 21
fixing your death cover and lump-sum TPD cover Insurance cover is offered in units. Insuring in units means your insurance fees Key features generally don't increase as much when you age. Your benefit amount will • Maintain the change and will decrease from age 40. benefit amount of For example, though Death Cover starts at a lower value and increases to age your Death Cover 39 the benefit per unit for Death Cover then decreases from $92,800 to $85,000 and optional on your 40th birthday and continues to decrease progressively until your benefit Lump-sum TPD expiry age. Insurance fees for each unit of Death Cover is age based (generally) Cover as you age. in 10 year age bands. For Lump-sum TPD the insurance fee per unit is the same • Cover for a regardless of your age. Just the cover amount changes as you age. specific dollar See the tables on pages 18 and 21 for full details of the benefit per unit at value. various ages for Death Cover and Lump-sum TPD Cover. • Insurance fees If you don’t want your cover to vary as you age, you can fix your Death Cover usually increase and Lump-sum TPD Cover. Fixing your cover means your benefits stay the same as you age. as you age up until age 75 for Death Cover and age 61 for Lump-sum TPD Cover. As your sums insured stay the same this means that your insurance fees will tend to increase with your age. cover* cover* Unitised Death Unitised Death $400,000 $400,000 Lump-sum Lump-sum Cover TPD TPD Cover FixedFixed CoverCover $300,000 $300,000 $200,000 $200,000 $100,000 $100,000 $0 $0 30 30 35 35 40 40 45 45 50 50 55 55 60 age 60 age *This graph compares four units of cover against $300,000 of fixed cover. Limitations If you fix your Lump-sum TPD Cover, your benefit amount will be fixed until you reach age 61 at which point your cover amount will decrease in equal amounts, 10% for each full year until age 70 when cover stops. If applicable, the insurance fee payable will be based on the reduced Lump-sum TPD Cover. Fixed cover is available in multiples of $1,000. Changing between fixed and unitised options You can switch between unitised and fixed. Death and Lump-sum TPD Cover at any time by completing the Insurance alteration form available at hesta.com.au/forms If you change from the unitised to the fixed option, your existing cover will be rounded up to the nearest $1,000 fixed value. If you switch from the fixed to the unitised option, you will be provided the same number of units to equate to your current level of fixed cover (rounded up to the nearest unit value). Where your level of cover increases because you switch from the fixed option to the unitised option, the increased cover will be New Events Cover only. 22
fixing your death & lump-sum TPD cover Work out your weekly fee for fixed cover Step 1 Look up the insurance fee for fixed Death Cover and/or Lump-sum TPD Cover you want at your current age. Your current age Death Cover sum insured needed $ (A) Lump-sum TPD Cover sum insured needed $ (B) Death Cover insurance fee $ (C) Lump-sum TPD Cover insurance fee $ (D) Refer to table on page 24 Step 2 Your calculations $ (A) Death Cover insurance fee $1,000 x $ (C) = $ (E) per week $ (B) Lump-sum TPD Cover insurance fee $1,000 x $ (D) = $ (F) per week Step 3 Total weekly insurance fee $ (E) + $ (F) = $ Visit hesta.com.au/covercalculator to work out your insurance fee online ✓✓The insurance fee for fixed cover will generally increase significantly as you grow older, reducing your retirement savings. 23
Fixed cover insurance fee per week for $1,000 sum insured Age Gross Death $ Gross Lump-sum TPD $ Est. net Death^ $ Est. net Lump-sum TPD^ $ (last birthday) Standard Management Standard Management Standard Management Standard Management 15 0.0133 0.0093 0.0030 0.0021 0.0113 0.0079 0.0026 0.0018 16 0.0133 0.0093 0.0030 0.0021 0.0113 0.0079 0.0026 0.0018 17 0.0133 0.0093 0.0030 0.0021 0.0113 0.0079 0.0026 0.0018 18 0.0133 0.0093 0.0030 0.0021 0.0113 0.0079 0.0026 0.0018 19 0.0133 0.0093 0.0030 0.0021 0.0113 0.0079 0.0026 0.0018 20 0.0127 0.0089 0.0034 0.0023 0.0108 0.0076 0.0029 0.0020 21 0.0121 0.0085 0.0038 0.0026 0.0103 0.0072 0.0032 0.0022 22 0.0112 0.0079 0.0038 0.0026 0.0095 0.0067 0.0032 0.0022 23 0.0105 0.0073 0.0041 0.0029 0.0089 0.0062 0.0035 0.0025 24 0.0097 0.0068 0.0042 0.0029 0.0082 0.0058 0.0036 0.0025 25 0.0090 0.0063 0.0043 0.0030 0.0077 0.0054 0.0037 0.0026 26 0.0086 0.0061 0.0046 0.0032 0.0073 0.0052 0.0039 0.0027 27 0.0084 0.0059 0.0049 0.0035 0.0071 0.0050 0.0042 0.0030 28 0.0083 0.0058 0.0054 0.0038 0.0071 0.0049 0.0046 0.0032 29 0.0083 0.0058 0.0059 0.0041 0.0071 0.0049 0.0050 0.0035 30 0.0084 0.0059 0.0068 0.0047 0.0071 0.0050 0.0058 0.0040 31 0.0086 0.0061 0.0075 0.0053 0.0073 0.0052 0.0064 0.0045 32 0.0088 0.0062 0.0087 0.0061 0.0075 0.0053 0.0074 0.0052 33 0.0095 0.0066 0.0101 0.0070 0.0081 0.0056 0.0086 0.0060 34 0.0102 0.0071 0.0113 0.0080 0.0087 0.0060 0.0096 0.0068 35 0.0108 0.0075 0.0130 0.0091 0.0092 0.0064 0.0111 0.0077 36 0.0117 0.0082 0.0148 0.0104 0.0099 0.0070 0.0126 0.0088 37 0.0124 0.0087 0.0173 0.0121 0.0105 0.0074 0.0147 0.0103 38 0.0134 0.0094 0.0198 0.0138 0.0114 0.0080 0.0168 0.0117 39 0.0146 0.0102 0.0231 0.0161 0.0124 0.0087 0.0196 0.0137 40 0.0159 0.0111 0.0269 0.0189 0.0135 0.0094 0.0229 0.0161 41 0.0173 0.0121 0.0312 0.0218 0.0147 0.0103 0.0265 0.0185 42 0.0185 0.0130 0.0354 0.0248 0.0157 0.0111 0.0301 0.0211 43 0.0195 0.0136 0.0400 0.0280 0.0166 0.0116 0.0340 0.0238 44 0.0206 0.0145 0.0446 0.0312 0.0175 0.0123 0.0379 0.0265 45 0.0217 0.0152 0.0498 0.0349 0.0184 0.0129 0.0423 0.0297 46 0.0228 0.0160 0.0560 0.0392 0.0194 0.0136 0.0476 0.0333 47 0.0244 0.0171 0.0635 0.0444 0.0207 0.0145 0.0540 0.0377 48 0.0261 0.0182 0.0725 0.0507 0.0222 0.0155 0.0616 0.0431 49 0.0282 0.0198 0.0833 0.0584 0.0240 0.0168 0.0708 0.0496 50 0.0308 0.0216 0.0953 0.0667 0.0262 0.0184 0.0810 0.0567 51 0.0337 0.0237 0.1082 0.0757 0.0286 0.0201 0.0920 0.0643 52 0.0369 0.0258 0.1218 0.0852 0.0314 0.0219 0.1035 0.0724 53 0.0401 0.0281 0.1363 0.0955 0.0341 0.0239 0.1159 0.0812 54 0.0435 0.0304 0.1504 0.1052 0.0370 0.0258 0.1278 0.0894 55 0.0471 0.0329 0.1640 0.1148 0.0400 0.0280 0.1394 0.0976 56 0.0508 0.0355 0.1785 0.1249 0.0432 0.0302 0.1517 0.1062 57 0.0550 0.0385 0.1940 0.1357 0.0468 0.0327 0.1649 0.1153 58 0.0594 0.0416 0.2105 0.1473 0.0505 0.0354 0.1789 0.1252 59 0.0641 0.0449 0.2285 0.1599 0.0545 0.0382 0.1942 0.1359 60 0.0693 0.0485 0.2487 0.1741 0.0589 0.0412 0.2114 0.1480 61 0.0754 0.0527 0.2723 0.1906 0.0641 0.0448 0.2315 0.1620 62 0.0826 0.0577 0.3004 0.2102 0.0702 0.0490 0.2553 0.1787 63 0.0910 0.0637 0.3334 0.2334 0.0774 0.0541 0.2834 0.1984 64 0.1004 0.0703 0.3709 0.2596 0.0853 0.0598 0.3153 0.2207 65 0.1456 0.1019 0.4134 0.2894 0.1238 0.0866 0.3514 0.2460 66 0.1674 0.1172 0.4624 0.3237 0.1423 0.0996 0.3930 0.2751 67 0.1926 0.1349 0.5192 0.3634 0.1637 0.1147 0.4413 0.3089 68 0.2206 0.1544 0.5870 0.4109 0.1875 0.1312 0.4990 0.3493 69 0.2510 0.1757 0.6687 0.4681 0.2134 0.1493 0.5684 0.3979 70 0.2510 0.1757 0.2134 0.1493 71 0.2510 0.1757 0.2134 0.1493 72 0.2510 0.1757 0.2134 0.1493 73 0.2510 0.1757 0.2134 0.1493 74 0.2510 0.1757 0.2134 0.1493 ^Estimated net insurance fees have been rounded to four decimal places for disclosure only. 24
important information about insurance through HESTA Eligibility criteria When cover stops You are eligible for: Cover will stop on the earlier date of: • IP Cover if you are between the ages of 15 and 67 • when the HESTA policy ends • Death Cover if you are between the ages of 15 and 75 • you reach the benefit or cover expiry age • Lump-sum TPD Cover if you are between the ages • you don’t have enough money in your of 15 and 70 HESTA account to pay your insurance fees. and only if you have not previously received a Cover will cease 63 days after the date you lump-sum total and permanent disablement benefit had a positive balance that was sufficient or terminal illness benefit under any insurance policy. to enable insurance fees to be deducted • you’re no longer a member with HESTA When cover starts • when we receive your request to cancel For HESTA members (joining through your Fund insurance (or on a later date if requested) Employer), if you’re eligible for standard cover, it will commence on the date you join the fund. The date you • you die join the fund is the earlier of: • Lump-sum TPD Cover will cease if you • the date the first contribution or rollover is received receive a terminal illness benefit where your into your account, and Death Cover is equal to or greater than your • the later of: Lump-sum TPD Cover i. the first day of the period that the first contribution • Death Cover will cease if you receive a from your Fund Employer (see page 26) relates to; lump-sum TPD benefit greater than or equal and to your Death Cover. ii. the date you commenced employment with a Fund Employer where this date is notified to HESTA. Reinstatement of cover Where cover ceases because you don't have For HESTA Personal Super members standard cover enough money in your HESTA account to pay commences on the date the first contribution or rollover your insurance fees, cover may be able to be is received if At Work* on that day. If not At Work, reinstated. If within 183 days of the insurance cover commences when you are next At Work. fee being last deducted, you have a positive balance sufficient to enable an insurance fee, *At Work: cover will be reinstated. For employed members, or self-employed Cover will be reinstated from when it originally members, At Work means the member is: ceased. However, cover for any IP or lump-sum TPD (where eligible) will not apply to any new a) performing, without restriction due to injury or injury or illness which arose between cover illness, all of the usual identifiable duties and ceasing and when your HESTA account has a hours of the occupation from which they earn positive account balance. This means where an their regular income; injury or illness occurs between cover ceasing or and your HESTA account having a positive b) is capable of performing, without restriction due balance, you may not be able to make a claim to injury or illness, all of the usual identifiable for that injury or illness. For Death Cover a duties and hours of the occupation from which benefit will not be paid in circumstances where they earn their regular income. a member’s death occurs within the period after cover has ceased but before a member’s HESTA For members who are not employed or self- account has a positive balance that enables employed, At Work means the member is capable of insurance fees payable to be deducted. performing, without restriction due to injury or illness, all of the usual identifiable duties and hours of the last occupation from which they earned an income. 25
Standard cover *Active Employment: HESTA members (joining through For employed members, or self-employed their Fund Employer) members, Active Employment means that New members who are eligible for cover receive the insured member is: standard cover automatically upon joining HESTA. a) actively preforming all of the usual Your standard cover may be limited to injuries or identifiable duties and hours of the illnesses that occur after commencement of cover occupation from which they earn their (i.e. New Events Cover) if, on the day you join HESTA: regular income; and • you do not meet the Active Employment* b) in our insurer's opinion, not restricted requirement (if you are not in Active Employment by injury or illness from being capable on the day you join the fund, the New Events of actively performing those identifiable Cover restriction will no longer apply when you duties and any other duties of their usual are again in Active Employment); or occupation on a full-time basis (even if • you are age 55 or over; or not working on a full-time basis). • you have previously been a member of HESTA A person who is on employer approved who opted out or cancelled insurance cover leave, for reasons other than injury or (see Cover for previous members on page 27); or illness, will meet this Active Employment • it is more than six months after the later of#: requirement if in our insurer's opinion they – starting employment with a are not restricted by injury or illness from Fund Employer; or being capable of actively performing all – your employer becoming a the duties of their occupation on a full-time Participating Employer; basis without restriction due to injury or illness (even if not then working on a full-time basis). unless a full insurance cover application for cover not to be restricted is accepted by the insurer. A person who is not employed or self- employed will meet this Active Employment #Where you are under 55 years and join HESTA more than six months after you join your Fund Employer (or more than six months after your employer becomes a Participating requirement if in our insurer's opinion they are Employer) your New Events Cover restriction will be limited to two years if you can not restricted by injury or illness from being satisfy the Active Employment requirement* on your second anniversary as a member or alternatively for a period of two consecutive months thereafter. capable of actively performing all the duties of their usual occupation, or, if in our insurer's opinion they do not have a usual occupation, Fund Employer their last occupation on a full-time basis A Fund Employer can either be a: without restriction due to injury or illness (even if not then working on a full-time basis). Participating Employer • an employer (including any related body A person who is not employed or self- corporate of that employer) whom HESTA employed and is engaged in domestic duties has accepted to participate in, and who on a full-time basis, will meet this Active contributes to HESTA, in respect of employees Employment requirement if in our insurer's who are admitted as members; or opinion they are able to actively perform their domestic duties on a full-time basis Non-Participating Employer without restriction due to injury or illness. • an employer of a member (including any For the purposes of this Active Employment related body corporate of that employer) definition, full-time basis means working at who has not completed a Participating least 35 hours per week. Employer application but contributes employer superannuation contributions to HESTA in respect of that member. This excludes people who are self employed (sole traders, partners and contractors or employees of the member's own company or trust). 26
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