Money when it matters most

INSURANCE IN YOUR SUPER

Effective 28 October 2017

This document is part of the Product Disclosure Statement (PDS) dated 28 October 2017 for the Public Sector Division of AustralianSuper

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788

Trustee of AustralianSuper ABN 65 714 394 898 AustralianSuper MySuper Authorisation 65 714 394 898 856

26/50 Lonsdale St, Melbourne VIC 3000

Contents Page

Why you need cover 5

Income Protection cover 8

Death and TPD cover 16

Terminal illness benefit 24

Nominate your beneficiaries 26

Useful things you should know 28

Words and terms used 32

Forms 34

We use our size and scale to provide the best possible insurance cover for our members.

With insurance through your super you can protect your income and prepare for the future. We’ve paid over $2.2 billion in insurance claims in the past ten years.

You can have peace of mind knowing we’ve got you covered when you need it most.

What’s in this guide

About this guideThis guide contains important information about your insurance cover through AustralianSuper.It provides general information only. It doesn’t take into account your financial situation or specific needs. Please read this guide carefully because it is important that you fully understand the terms and conditions before you apply for or change your insurance cover. It provides details of the terms and conditions you need to satisfy when applying for or changing your insurance cover for Death, Total & Permanent Disablement or Income Protection.

The information in this guide is only a summary of the main features of the insurance policy terms. You can ask for a copy of the actual insurance policy documents if you require complete details of the policy terms and conditions. Copies of the policy documents are available from AustralianSuper on request.

You’ll find the things you need to know to help you make the best decisions about your insurance.

4

Why you need cover

5

Build a secure future for you and your family. Having the right insurance gives you peace of mind that you’ll have an income when you need it.

Money when it mattersMost people need insurance and being able to earn a future income is their biggest asset. So just like your car or home you should protect it. If you were injured or ill and couldn’t work – would you be able to pay your bills? For how long could you manage without an income? Very few of us could say that we don’t need any cover at all – and most of us need more cover than we think.

Our insurance calculator can help you work out how much cover you need and what it will cost. Visit australiansuper.com/calculators

We provide members with:› Cover 24 hours a day, seven days a week

(not just when you’re at work)› Income Protection cover› Death and Total & Permanent Disablement

(TPD) cover (which includes cover for terminal illness).

Money when it matters

Here you’ll find:

Do you need cover and how

much?

Benefits of cover through

super

Do you need cover and how much?When making this decision think about now and the future:› the day-to-day expenses that your salary covers (such as bills, food, transport)

› all your debts – mortgages, credit cards, personal loans› how much income you and your family need to live comfortably

› the future costs of your children’s care and education or for anyone you support financially.

We’ve built our insurance for everyday AustraliansWe recognise how important it is to have insurance cover. That’s why we work hard to keep costs down and provide affordable cover for our members. When they join, most members are provided with more than the minimum level of cover that’s required by legislation. It can be increased, reduced or cancelled anytime.

Your cover choices

$

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Income Protection cover If you were injured or became ill, how many weeks or months could you manage without an income to pay for day-to-day expenses? Income Protection may give you a monthly income for a period of time to help you get back on your feet. We offer benefit payment periods up to two years, up to five years or up to age 65.

Total & Permanent Disablement (TPD) cover TPD cover may provide you with a lump sum payout if you become totally and permanently disabled and can no longer work.It can provide you and your dependants with money to live on. It can help you pay for medical expenses and aids, modifications to your home, or extra support you might need.

Death cover What are your ongoing financial obligations? This cover is designed to provide your dependants with money to live on or to repay your debts and final expenses. If you die, Death cover may provide a lump sum payout to:› your dependants or nominated beneficiaries (for example, your children or partner) or › your legal personal representative (executor of your estate).

Terminal illness benefit You’re also covered for terminal illness if you have Death or TPD cover. If you’re suffering from a terminal medical condition, you may be able to claim your Death or TPD cover amount, whichever is more. It can help ease some of the stress and trauma for you and your family during this difficult period.

Your cover choicesYou can choose the types of cover you need

$

Stay up-to-date with your insurance We review our insurance yearly to ensure that the cost and amount of cover provided to members is the best possible value, now and in the future.As part of this review the cost of your insurance cover may change (increase or decrease), and there could also be changes to our terms and conditions.

If the cost of your cover increases, or if we make any changes to the terms and conditions that negatively impact your cover, we’ll let you know 30 days in advance. To stay up-to-date with your insurance cover and related policies, you can download our most recent guide at australiansuper.com/InsuranceGuide

Benefits of cover through super › We work with our Insurer to negotiate discounted

bulk insurance rates for members. › We run only to profit members, so you only pay for

what it costs to provide your insurance. › Your insurance costs (also called premiums) are

deducted from your super account each month not your take home pay. So payments are hassle free.

› You can decrease, increase or cancel your cover anytime so it meets your needs. Usually if you’re increasing your cover you’ll need to provide some health information.

In the 2017 financial year, we paid $463 million in insurance claims to our members and their families.

AustralianSuper insurance for the Public Sector Division is provided by MetLife Insurance Limited ABN 75 004 274 882 AFSL 238 096 (‘MetLife’ or ‘Insurer’).

7

Income Protection cover

Feel confident knowing you’ve insured your income if you become disabled or ill and are temporarily unable to work.

8

Income Protection coverIncome Protection is available from age 15 until you turn 70. You can apply for cover up to the maximum limit of $30,000 a month or 85% of your salary, whichever is lower. A maximum of 75% of your salary is paid to you and 10% is paid into your AustralianSuper account.Your benefit could be payable for up to two years, up to five years, or up to age 65. See below for what you’re covered for with basic Income Protection.

Basic cover when you joinWhen most members join us, they receive a basic level of age-based Income Protection cover. It’s provided automatically from ages 25 to 69, and no health information is required. If you don’t get automatic Income Protection cover when you join, you can apply.Here are some things you should know: › your basic Income Protection cover is based on

your age, and the cost and amount of cover will change as you get older. See our cost table on page 12.

› basic Income Protection cover starts automatically when you turn 25. If you’re under 25, you can apply for fixed cover earlier.

› if you’re age 25 or older and don’t have Income Protection cover, you can apply for age-based or fixed cover (see page 10 for details).

› if you’re over age 65 and you want to increase your Income Protection, you’ll need to apply by completing the Change your insurance form in this guide or go to australiansuper.com/forms

› your benefit payment period will provide payments for up to two years. You can apply for a longer period of up to five years or up to age 65 (see page 13 for details).

› benefit payment periods of up to five years or up to age 65 will stop at age 65.

› you can choose a waiting period of 30 or 60 days. If you don’t choose, your waiting period will be 60 days (see page 13 for details).

› if you’d like to increase or decrease your cover, your cover will be fixed.

› your cover may be limited cover (see page 31 for details).

When cover startsIf you’re eligible, your cover starts on the latest of these dates: › the day you joined your employer, or › the beginning of the period of your first employer

super contribution, or › 120 days before we receive your first employer

super contribution.If you’re not in active employment on the date your cover starts with us, your cover may be limited. See page 31 for more information on limited cover.

If you’re under 25 when you joinBasic Income Protection starts when you turn 25. If you want cover earlier you can apply for fixed cover. You choose a total amount of fixed cover which will stay the same unless you change it. Age-based cover won’t start automatically if you’ve fixed (or cancelled) your cover.

Claiming a benefit payment

Here you’ll find:

Income Protection cover

The cost of cover

$

Changing your cover

Waiting and benefit payment periods and

work ratings

Income Protection cover designsOur insurance options are flexible and you can change your cover to suit your needs. For Income Protection you can apply for age-based or fixed cover.

Age-based (basic cover)

The basic level of cover we provide is based on your age. This means the amount of cover you get and the cost of it changes as you get older.

Fixed cover

The amount of cover you have stays the same unless you change it and generally the cost of it increases as you get older.

See the tables on pages 12 and 13 for cost and cover amounts.

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Changing your Income Protection coverYou can change your Income Protection cover or apply for it anytime.

Apply to increase your cover anytimeYour application will be assessed by our Insurer and you’ll need to provide detailed health information. The maximum amount of cover you can apply for is:

Type of cover Maximum amount of cover available

Income ProtectionUp to $30,000 a month or 85% of your salary* (whichever is lower)

*Salary is your annual (before-tax) salary, excluding employer contributions

Increase your cover when you join offerIf you’re eligible for basic cover when you join AustralianSuper you can apply to increase your cover without the usual health checks. You’ll need to apply within 120 days of the date on your offer letter and maximum limits apply (see table below).

CoverTotal cover you can apply for with no health checks

Total cover you can apply for with a few health questions

Income Protection

Up to $10,000 a month or 85% of your salary* (whichever is lower).

Up to $20,000 a month or 85% of your salary* (whichever is lower).

*Salary is your annual (before-tax) salary, excluding employer contributions

Do you have more than one Income Protection arrangement?You may already have Income Protection with another super fund or through private cover you’ve arranged. Or you may have cover through an enterprise agreement which your employer may pay for. If so, this means that your Income Protection with us may be in addition to cover you already have. Having Income Protection cover with us may let you extend the period of time that you can receive payments. See page 13 for more information on extended waiting periods. If you already have Income Protection elsewhere, you should think about whether you need both. Consider their features, who pays for them (you or your employer) and how (costs deducted through your super or your take home pay).

Salary is your annual (before-tax) salary, excluding employer super contributions. If you receive a benefit payment it will be no more than 85% of your salary, even if your insured amount is higher.

RequirementsYou must apply within 120 days of the date on your offer letter and complete the form we send you. You can apply for extra cover without providing detailed health information as long as you’ve never previously applied to: › change your Income Protection work rating, or › change your Income Protection benefit payment

period or waiting period, or › transfer your cover, or › change your amount or insurance design including

your Death and TPD insurance.Your extra cover will be limited cover for at least two years. See page 31 for details.You can still apply for cover even if you don’t meet the requirements or want higher amounts of cover.You’ll need to provide detailed health information and your application will be assessed by the Insurer. Complete the Change your insurance form in this guide or at australiansuper.com/forms

Increase your cover when your life changesWith our Life Events cover, you can apply to increase your Income Protection cover once every 12 months and you’ll only need to answer a few health questions. You must already have insurance with us and apply to increase your Income Protection cover within 60 days of one of these life events occurring: › you get married › you get divorced › you have a child or adopt a child › you start a de facto relationship › you end a de facto relationship › you take out a mortgage to purchase or build your

main home in Australia › your spouse or de facto dies.Each increase in cover: › can’t cause your total cover to exceed $20,000

a month or 85% of your salary. For cover above $20,000 a month, you’ll need to apply online when you log into your account at australiansuper.com or complete the Change your insurance form at australiansuper.com/forms

› will have the same exclusions and other special conditions that apply to the rest of your cover.

To apply for more cover due to a life event, complete the Application for Life Event insurance cover form in this guide or at australiansuper.com/forms Any increase in cover due to a life event will be limited cover for at least two years from the date the cover increased (see page 31 for details).

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Increase your cover when your salary increasesIf you already have insurance with us, you can apply to increase your Income Protection cover when your salary increases. You’ll only need to answer a few health questions, so long as: › you haven’t applied to increase your Income

Protection cover due to an increase in salary in the past 12 months, and

› you apply to increase cover within 30 days of the effective date or notification date of a salary/income increase, whichever is later, and

› your employer confirms your salary/income increase, and

› the level of your total cover is no greater than $20,000 a month or 85% of your salary.

To increase your level of cover, complete the Application to increase Income Protection cover after a salary increase form in this guide or at australiansuper.com/formsAny increase in cover is based on your existing individual work rating. Limited cover may apply (see page 31 for details). The following table shows the maximum increase possible in one salary review year.

Individual work rating Maximum increase

Standard $1,000

Low Risk $1,500

Professional $2,000

Reduce or cancel your coverYou can reduce or cancel part or all of your cover anytime, but check your cover details first. If you do cancel your cover and decide to apply for cover in the future, you must provide detailed health information and your application will be assessed by the Insurer.

Interim accident coverWhen you apply for insurance for a life event or you provide detailed health information you may receive interim accident cover. With interim accident cover, you’re insured during the time that your application for cover is being assessed by the Insurer.If you have an accident (during the interim accident period) and you become disabled within 120 days of your application you’ll receive a benefit payment. The interim accident benefit is payable only once. If it’s paid, your insurance application will be cancelled.The interim accident cover period will start on the date that we receive your application for insurance and will end when:

1. your application is withdrawn, accepted or rejected

2. the policy is terminated3. the Insurer cancels your interim accident

cover in the event of fraud, or4. 120 days has passed since AustralianSuper

received your application for insurance,whichever is earlier.The amount you’d be paid in this situation is the amount you have applied for or $15,000 a month, less any cover you already have – whichever is lower. This will generally be paid in addition to the cover amount you already have. Accident means bodily injury caused solely and directly by accidental, external and visible means, independent of any other cause.

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What’s the amount and cost of Income Protection cover?How much you’ll pay for Income Protection cover depends on your age, Income Protection work rating, waiting period, benefit payment period and amount of cover.

Weekly cost (in dollars) for $100 a month of Income ProtectionTo find your weekly cost of cover below, you’ll need to know your Income Protection work rating, benefit payment period and waiting period.

Total weekly costs are rounded to the nearest cent.

Age

Standard work ratingBenefit payment period

Up to two years

Up to five years Up to age 65

Waiting period (days)30 60 30 60 30 60

15 0.026 0.019 0.039 0.027 0.089 0.06316 0.026 0.019 0.039 0.027 0.089 0.06317 0.026 0.019 0.039 0.027 0.089 0.06318 0.026 0.019 0.039 0.027 0.089 0.06319 0.026 0.019 0.039 0.027 0.089 0.06320 0.026 0.019 0.039 0.027 0.089 0.06321 0.030 0.021 0.045 0.032 0.104 0.07322 0.036 0.025 0.054 0.038 0.124 0.08623 0.040 0.028 0.060 0.042 0.138 0.09724 0.043 0.030 0.064 0.045 0.147 0.10325 0.049 0.034 0.073 0.051 0.166 0.11726 0.055 0.038 0.081 0.057 0.189 0.13327 0.058 0.041 0.088 0.062 0.208 0.14628 0.064 0.045 0.098 0.068 0.233 0.16329 0.065 0.046 0.101 0.071 0.242 0.16930 0.078 0.055 0.121 0.085 0.294 0.20631 0.086 0.059 0.134 0.094 0.325 0.22732 0.095 0.067 0.151 0.105 0.367 0.25733 0.104 0.073 0.165 0.116 0.404 0.28334 0.112 0.079 0.180 0.126 0.441 0.30935 0.121 0.085 0.195 0.137 0.478 0.33536 0.130 0.091 0.211 0.147 0.515 0.36037 0.139 0.097 0.227 0.160 0.557 0.38938 0.149 0.104 0.246 0.173 0.597 0.41839 0.159 0.111 0.264 0.185 0.637 0.44640 0.171 0.121 0.287 0.201 0.687 0.48141 0.183 0.129 0.308 0.216 0.731 0.51242 0.197 0.138 0.334 0.234 0.783 0.54843 0.209 0.147 0.358 0.251 0.828 0.58044 0.225 0.158 0.387 0.271 0.883 0.61845 0.241 0.168 0.416 0.292 0.935 0.65546 0.258 0.181 0.448 0.314 0.988 0.69247 0.277 0.194 0.483 0.339 1.043 0.73148 0.295 0.206 0.519 0.363 1.094 0.76549 0.315 0.221 0.560 0.393 1.149 0.80550 0.337 0.236 0.602 0.421 1.199 0.83951 0.359 0.252 0.646 0.453 1.246 0.87352 0.386 0.270 0.697 0.487 1.294 0.90653 0.411 0.287 0.747 0.523 1.333 0.93354 0.439 0.308 0.804 0.563 1.367 0.95755 0.468 0.328 0.865 0.605 1.393 0.97556 0.500 0.350 0.928 0.651 1.406 0.98457 0.533 0.373 0.996 0.697 1.405 0.98358 0.568 0.397 1.069 0.748 1.388 0.97359 0.606 0.425 1.149 0.804 1.353 0.94760 0.646 0.452 1.238 0.866 1.289 0.90361 0.687 0.482 1.195 0.837 1.195 0.83762 0.733 0.513 1.047 0.733 1.047 0.73363 0.780 0.546 0.887 0.621 0.887 0.62164 0.831 0.581 0.645 0.317 0.645 0.31765 0.884 0.619 n/a n/a n/a n/a66 0.941 0.659 n/a n/a n/a n/a67 1.000 0.700 n/a n/a n/a n/a68 1.010 0.707 n/a n/a n/a n/a69 0.683 0.478 n/a n/a n/a n/a

Professional work ratingBenefit payment period

Up to two years

Up to five years Up to age 65

Waiting period (days)30 60 30 60 30 60

0.012 0.009 0.020 0.014 0.045 0.0320.012 0.009 0.020 0.014 0.045 0.0320.012 0.009 0.020 0.014 0.045 0.0320.012 0.009 0.020 0.014 0.045 0.0320.012 0.009 0.020 0.014 0.045 0.0320.012 0.009 0.020 0.014 0.045 0.0320.014 0.010 0.023 0.016 0.053 0.0370.017 0.012 0.027 0.019 0.062 0.0430.019 0.013 0.031 0.021 0.069 0.0480.019 0.014 0.033 0.023 0.074 0.0520.022 0.016 0.037 0.025 0.083 0.0590.024 0.018 0.041 0.028 0.095 0.0660.026 0.019 0.044 0.032 0.104 0.0740.029 0.020 0.049 0.035 0.117 0.0820.030 0.021 0.051 0.036 0.121 0.0850.035 0.025 0.061 0.043 0.147 0.1030.039 0.027 0.067 0.047 0.163 0.1140.043 0.030 0.076 0.053 0.184 0.1280.047 0.033 0.083 0.058 0.202 0.1420.051 0.036 0.091 0.063 0.221 0.1550.055 0.038 0.098 0.068 0.239 0.1670.058 0.041 0.105 0.074 0.258 0.1800.063 0.044 0.114 0.080 0.279 0.1950.067 0.048 0.123 0.086 0.299 0.2090.072 0.051 0.133 0.093 0.319 0.2230.078 0.055 0.144 0.101 0.344 0.2410.083 0.058 0.155 0.108 0.365 0.2560.089 0.062 0.167 0.117 0.392 0.2750.094 0.066 0.179 0.125 0.415 0.2910.101 0.071 0.194 0.136 0.442 0.3090.109 0.076 0.208 0.146 0.467 0.3270.116 0.082 0.224 0.157 0.495 0.3460.125 0.088 0.242 0.169 0.522 0.3650.132 0.093 0.260 0.182 0.547 0.3830.142 0.100 0.280 0.197 0.575 0.4030.152 0.106 0.301 0.211 0.600 0.4200.162 0.114 0.323 0.226 0.623 0.4370.173 0.122 0.348 0.244 0.647 0.4540.185 0.130 0.374 0.262 0.666 0.4660.198 0.138 0.402 0.282 0.684 0.4790.211 0.148 0.433 0.303 0.697 0.4870.225 0.158 0.464 0.325 0.703 0.4930.240 0.168 0.498 0.348 0.703 0.4920.256 0.179 0.535 0.375 0.695 0.4860.273 0.191 0.575 0.402 0.677 0.4740.290 0.204 0.619 0.434 0.645 0.4520.310 0.217 0.598 0.419 0.598 0.4190.330 0.231 0.524 0.366 0.524 0.3660.352 0.246 0.444 0.311 0.444 0.3110.374 0.262 0.323 0.159 0.323 0.1590.398 0.278 n/a n/a n/a n/a0.424 0.297 n/a n/a n/a n/a0.451 0.315 n/a n/a n/a n/a0.457 0.319 n/a n/a n/a n/a0.342 0.240 n/a n/a n/a n/a

Low Risk work ratingBenefit payment period

Up to two years

Up to five years Up to age 65

Waiting period (days)30 60 30 60 30 60

0.014 0.010 0.023 0.017 0.054 0.0380.014 0.010 0.023 0.017 0.054 0.0380.014 0.010 0.023 0.017 0.054 0.0380.014 0.010 0.023 0.017 0.054 0.0380.014 0.010 0.023 0.017 0.054 0.0380.014 0.010 0.023 0.017 0.054 0.0380.016 0.012 0.027 0.019 0.063 0.0440.019 0.013 0.033 0.023 0.075 0.0530.020 0.015 0.036 0.025 0.083 0.0580.021 0.017 0.039 0.027 0.088 0.0620.024 0.019 0.043 0.031 0.100 0.0710.027 0.019 0.049 0.035 0.114 0.0800.029 0.021 0.054 0.038 0.125 0.0880.032 0.023 0.059 0.041 0.140 0.0980.033 0.025 0.061 0.043 0.145 0.1020.039 0.027 0.073 0.052 0.177 0.1240.043 0.030 0.08 0.057 0.196 0.1370.048 0.033 0.091 0.063 0.221 0.1550.053 0.036 0.099 0.069 0.243 0.1710.056 0.040 0.108 0.076 0.265 0.1850.060 0.043 0.117 0.082 0.287 0.2010.065 0.046 0.126 0.088 0.309 0.2170.070 0.049 0.137 0.096 0.334 0.2340.075 0.052 0.147 0.103 0.359 0.2520.080 0.056 0.159 0.112 0.382 0.2680.086 0.059 0.173 0.121 0.413 0.2890.092 0.065 0.185 0.129 0.439 0.3070.099 0.069 0.201 0.141 0.471 0.3290.105 0.074 0.215 0.151 0.498 0.3480.113 0.080 0.233 0.163 0.531 0.3720.121 0.085 0.249 0.175 0.561 0.3930.130 0.091 0.269 0.188 0.593 0.4150.138 0.096 0.291 0.203 0.626 0.4380.148 0.103 0.312 0.218 0.657 0.4600.159 0.110 0.337 0.236 0.689 0.4830.169 0.130 0.361 0.253 0.720 0.5040.180 0.133 0.388 0.272 0.747 0.5230.193 0.136 0.418 0.293 0.777 0.5440.205 0.144 0.448 0.315 0.800 0.5600.220 0.154 0.483 0.338 0.821 0.5750.235 0.165 0.519 0.363 0.836 0.5850.250 0.174 0.558 0.391 0.844 0.5910.267 0.187 0.598 0.419 0.843 0.5910.284 0.200 0.642 0.449 0.834 0.5830.304 0.212 0.689 0.483 0.812 0.5680.323 0.226 0.743 0.520 0.774 0.5420.345 0.241 0.717 0.502 0.717 0.5020.367 0.257 0.628 0.440 0.628 0.4400.390 0.280 0.533 0.373 0.533 0.3730.416 0.290 0.387 0.191 0.387 0.1910.443 0.317 n/a n/a n/a n/a0.471 0.329 n/a n/a n/a n/a0.501 0.351 n/a n/a n/a n/a0.547 0.384 n/a n/a n/a n/a0.410 0.291 n/a n/a n/a n/a

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Age-based Income Protection cover amounts

Age Income Protection cover a month ($)

15 - 17 018 - 20 0

21 022 023 024 025 1,90026 2,00027 2,20028 2,30029 2,40030 2,50031 2,60032 2,70033 2,80034 2,90035 3,00036 3,00037 3,00038 3,10039 3,10040 3,10041 3,10042 3,10043 3,10044 3,10045 3,10046 3,10047 3,00048 3,00049 3,00050 3,00051 3,00052 2,90053 2,90054 2,90055 2,80056 2,80057 2,80058 2,80059 2,70060 2,700

61-63 2,60064 2,500

65-66 2,40067 2,300

68-69 2,200

How to work out your weekly Income Protection cover cost:1. Divide the amount of cover you have, or wish to apply for, by 100.2. Then multiply by the cost of cover based on your age, Income Protection

work rating, waiting period and benefit payment period.

Waiting period Your waiting period starts on either the date you stopped working because of an illness or injury, or the date a medical practitioner certifies you as unable to work due to illness or injury, whichever date is later.You must be totally disabled for the first 14 days of your waiting period to qualify for a benefit payment. No benefits are paid for the waiting period.You can choose a waiting period of 30 or 60 days. If you choose 30 days it will cost more. If you don’t choose, your waiting period will be 60 days.

Benefit payment periodUp to two yearsIf you receive basic Income Protection cover when you join or apply for it later, it will be based on a two year benefit payment period. This means benefits may be paid up to a maximum of two years. The two year benefit payment period is available until you turn 70.

At age 63, if you have an up to five year or up to age 65 year benefit payment period, you may change it to an up to two year benefit payment period. Apply by logging into your account at australiansuper.com or completing the Change your insurance form in this guide at australiansuper.com/formsUp to five years or up to age 65You can also apply to change your maximum benefit payment period to up to five years. Or, depending on your occupation, you can also apply to change it to up to age 65. Your Income Protection cover will end when you turn 65 if you have a benefit payment period of up to five years or up to age 65.After you’ve received payments for one year, your payment may increase each year with the consumer price index (up to a maximum of 5% a year) as costs increase.There are some occupations where you can’t have a benefit payment period of up to age 65. These occupations are listed at australiansuper.com/PSOccupations

Income Protection work ratingWhat sort of work do you do? We provide three different Income Protection work ratings – Standard, Low Risk and Professional. The type of work you do will determine your Income Protection work rating. This can make a difference to how much you pay for your Income Protection. If we don’t know what work you do, your Income Protection work rating will be Standard, which is the most expensive cover. If you spend at least 80% of your time in an office environment and don’t do any manual work, you may be eligible for a Low Risk or Professional Income Protection work rating. This means you could pay less for your Income Protection.Changing your work rating › You can apply for a Low Risk or Professional rating anytime by

completing the Application to change Income Protection work rating form in this guide or at australiansuper.com/forms

› If your application to change your Income Protection work rating is accepted, changes to the cost of your cover will start from the date your application is accepted

› If you change your Income Protection work rating, you will no longer be eligible to increase your cover without needing to provide detailed health information.

Example: Sam, aged 30, has an up to two year benefit payment period, a 60 day waiting period and a Standard Income Protection work rating.

2,500 100

x 0.055 = $1.38 a week

13

Income from other sourcesYour monthly Income Protection benefit payments will be reduced by the amount of income you receive from any one of these sources:1. Any income or commutation of income (lump sum

payments) you receive or are entitled to receive as a result of your illness or injury including:

› sick leave payments › amounts payable under legislation such as workers’

compensation, social security benefits (other than Centrelink and Department of Veterans’ Affairs payments) or motor accident compensation, and

› benefits payable under other Income Protection insurance policies.

2. Employer super contributions.3. Income earned from working while disabled.4. Any income that, in the opinion of the Insurer,

you could reasonably be expected to earn in your occupation while disabled.

Sick leave benefits will reduce your Income Protection benefit. But you can make a claim for an Income Protection benefit before your sick leave is used up.

Extended waiting periodDo you have two Income Protection insurance policies? If you do, it generally doesn’t mean you get paid twice as much if you make a claim. But with AustralianSuper you can extend your waiting period while you’re receiving benefit payments from another policy. This means you may get payments from us after payments from your other insurance provider stop.If you make a claim on another Income Protection policy, payments from us will start: › at the end of your chosen waiting period, or › on the date you last received payment from the other

policy, provided you continue to be totally or partially disabled (see page 33 for definitions), or

› on an earlier day that you choose after the date of your selected waiting period

whichever is later.Call us on 1300 667 387 if you wish to extend the start of Income Protection payments.

An Income Protection benefit is payable if you’re totally or partially disabled after the waiting period has ended. No benefits are paid for the waiting period.You can be insured for up to 85% of your salary. The maximum payment you can receive is the lowest of: › your level of cover, or › 85% of your pre-disability income (the salary you

earned before you were ill or injured), or › $30,000 a month.

Any amount above 75% of your pre-disability income will be paid to your AustralianSuper account.If you’re totally or partially disabled and a benefit is paid, you don’t pay Income Protection premiums from the end of the waiting period while Income Protection payments are being made.

How much will you get paid each month?You’ll receive a payment letter with each payment showing how much your payment is and any tax that’s been deducted. You’ll either get a full or partial payment.Full paymentYou get paid the full amount of your Income Protection benefit, less tax, if you’re totally disabled, not working and don’t receive income from other sources (see page 14 for details).Partial paymentYou get paid part of your Income Protection benefit, less tax, if you’re partially disabled, able to work part time or receive other income from other sources. Your payment is based on your reduced income. See page 33 for definitions of total disability, partial disability and pre-disability income.

When does payment stop?Your benefit payments are paid monthly, in arrears, from the end of the waiting period until one of the following happens: › you’re no longer totally disabled or partially disabled. › you reach the end of your benefit payment period. › you reach the maximum payment period where you’re

totally or partially disabled and you’re outside of Australia. The maximum payment period will depend on your circumstances.

› if you are receiving a partial disability benefit and your total income exceeds 85% of your pre-disability income for three months in a row.

› you reach age 70 or 65 depending on your maximum benefit payment period, or

› you die.

Claiming an Income Protection benefit payment

Call us on 1300 667 387 to make a claim for Income Protection payments. You can also download our fact sheet on Income Protection payments at australiansuper.com/FactSheets

14

Recurring disabilityIf you become totally or partially disabled again from the same or a related sickness or injury within six months of the period for which you were eligible to receive an Income Protection benefit, the disability will be treated as a continuation of the original claim and a new waiting period will not apply, provided you have active cover.After six months, the waiting period will apply. The subsequent period(s) of disability will be added to the initial period to determine if the maximum benefit period is reached.

Returning to work during the waiting period After you’ve completed the initial 14 day period (where you’ve been totally disabled), you can return to work at full capacity for up to five days in a row without your waiting period starting again. The number of days you returned to work will be added to the end of your waiting period.

Rehabilitation serviceIf you become disabled, the best outcome is that you recover and are able to earn your full income for the rest of your career. That’s why we may ask you to take part in our Insurer’s rehabilitation service if you become disabled. This may include training, retraining or re-skilling to help you return to work. The Insurer will pay the cost of this service direct to the service provider. If you refuse to take part in the rehabilitation service, or delay your participation in it, your payments may be reduced.

Income Protection cover exclusionYou won’t be paid an insurance benefit if an illness or injury is directly or indirectly caused by: › intentional self-inflicted act or suicide attempt,

whether sane at that time or not › your service in the armed forces of any country, other

than service in the Australian Armed Forces Reserve › normal pregnancy or childbirth or assisted fertilisation

techniques, or › war.War includes any act of war (whether declared or not), revolution, invasion, rebellion or civil unrest.The maximum time the Insurer will pay a benefit for a disability resulting from the same or related condition is up to two years, up to five years or up to age 65.

Income Protection and taxA few things you should know about Income Protection and tax: › Our Income Protection insurance is a benefit provided

through the AustralianSuper Fund and your premiums are deducted from your super account. So, you can’t claim a personal tax deduction for the premiums.

› Tax deductions are generally available for your personal super contributions, including any additional contributions you make to your AustralianSuper account to cover the premiums paid for insurance (contribution caps apply).

› Benefit payments under Income Protection insurance that are paid directly to you are paid as taxable income and attract Pay As You Go (PAYG) withholding tax, the same as salary and wages. PAYG withholding tax will be deducted from the benefit payment before it’s paid, and forwarded to the Australian Taxation Office.

› If you receive Income Protection insurance benefits you’ll be asked to provide your Tax File Number (TFN) to AustralianSuper. If you don’t provide your TFN, tax will be deducted at the highest PAYG withholding tax rate.

› The portion of your Income Protection benefit that’s paid as super will be paid to your AustralianSuper account and will count towards your before-tax contribution cap.

These statements in relation to taxation are based on interpretation of present Australian tax law, which may change anytime. You should consult a professional taxation adviser for a full explanation and advice on your individual circumstances.

15

Death and TPD cover

Life is full of uncertainties. Death and TPD insurance can provide financial security for your family if you die or your future if you become totally and permanently disabled and can never work again.

1616

You can have Death cover from age 15 up until you turn 70. TPD cover is available from age 15 to 65.

Basic coverMost members automatically receive a basic level of age-based Death and Total & Permanent Disablement (TPD) cover. This means no health information is required. This automatic cover is designed to provide you with a basic level of financial protection for death and permanent disablement. Here are some things you should know: › Your basic cover is based on your age and the cost

and amount of cover will change as you get older. See our cost and cover tables on page 21.

› Basic Death and TPD cover is provided automatically once you turn 20 years old.

› If you don’t get Death and TPD insurance automatically when you join you can still apply for cover by completing the Change your insurance form in this guide or at australiansuper.com/forms

› You can add additional Death and TPD cover, but the amount will be fixed on top of your basic cover or you can apply for a total amount of fixed cover.

› Your cover may be limited cover (see page 31 for details).

Cover when you join us

Here you’ll find:What your Death and TPD insurance covers

Cover when you join us

Changing your cover

The cost of cover

$

Claiming a TPD benefit

When cover startsIf you’re eligible, your cover starts on the latest of these dates: › the day you joined your employer, or › the beginning of the period of your first employer

super contribution, or › 120 days before we receive your first employer

super contribution.If you’re not in active employment on the date your cover starts with us, your cover may be limited. See page 31 for more information on limited cover.

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Apply for extra coverIf you have basic Death and/or TPD cover, you can increase your total cover amount by applying for: › Extra cover: you can top up your basic Death and

TPD cover amount by applying for extra cover. This means your basic cover amount will change as you get older, but your extra cover amount remains the same (fixed) until you change it or your cover stops.

› Fixed cover: you can apply for a total amount of fixed cover. This means your total amount of cover stays the same (fixed) as you get older but the cost will change.

Your application will be assessed by our Insurer and you’ll need to provide detailed health information. The maximum amount of cover you can apply for is:

Type of cover Maximum amount of cover available

Death No maximum

TPD $3 million

* Salary is your annual (before-tax) salary, excluding employer contributions.

Increase your cover when you join offerIf you’re eligible for basic cover when you join AustralianSuper, you can apply once, within 120 days of the date on your offer letter, to increase your total amount of cover up to a set limit, without the usual health checks. Or by answering a few questions, you can apply for even more cover.

CoverCover you can apply for without health checks

Cover you can apply for with a few health questions

Death and/or TPD

Up to $600,000

Up to $1 million (cover above $600,000 will be capped at the lower of $1 million or 10 times your salary*)

* Salary is your annual (before-tax) salary, excluding employer contributions.

RequirementsYou must apply within 120 days of the date on your offer letter and complete the Set up your account form we send you. You can apply for extra cover without providing detailed health information as long as you’ve never previously applied to: › change your Income Protection work rating, or › change your Income Protection benefit payment

period or waiting period, or › transfer your cover, or › change your amount or insurance design including

your Death and TPD cover.Your extra cover will be limited cover for at least two years. See page 31 for details.

You can still apply for cover even if you don’t meet the requirements or want higher amounts of cover.You’ll need to provide detailed health information and your application will be assessed by the Insurer. Complete the Change your insurance form in this guide or at australiansuper.com/forms

If you’re under 20 when you joinBasic age-based Death and TPD cover starts when you turn 20. If you want cover earlier, you can apply for: › an extra amount of fixed Death and/or TPD

cover on top of your basic cover. This means when you turn 20, your basic age-based cover will start and your extra cover will continue.

› fixed Death and/or TPD cover. You choose a total amount of fixed cover which will stay the same unless you change it. Age-based cover won’t start automatically if you’ve fixed or cancelled your cover.

Changing your Death and TPD cover You can change your Death and TPD cover or apply for it anytime.

Age-based (basic cover)The basic level of cover we provide is based on your age. This means the amount of cover you get and the cost of it changes as you get older.

Age-based (basic cover) + extra (fixed amount)You can get basic age-based Death and TPD cover and add more to this by applying for an extra fixed amount. Your basic cover will continue to change as you get older, but your extra cover amount will stay the same, unless you change it.

Fixed coverThe amount of cover you have stays the same unless you change it and generally the cost of it increases as you get older.If you have fixed TPD cover, when you turn 61, it will be reduced each year until you turn 65 when it reaches zero.See our cost and cover tables on page 21.

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Increase your cover when your life changes With our Life Events cover, you can apply to increase your Death and TPD cover up to certain limits once every year by answering just a few health questions. You must already have insurance with us and apply to increase your cover within 60 days of one of these life events occurring: › you get married › you get divorced › you have a child or adopt a child › you start a de facto relationship › you end a de facto relationship › you take out a mortgage to purchase or build your

main home in Australia › your spouse or de facto dies.

Each increase in cover: › can’t be higher than $500,000. › can’t cause your total cover to exceed $1 million

or ten times your salary (if your total cover exceeds $600,000). For cover above these limits you’ll need to apply by completing the Change your insurance form in this guide or at australiansuper.com/forms

› will have the same exclusions and other special conditions as apply to the rest of your cover.

› will be limited cover for at least two years (see page 31 for details).

For more details or to apply for more cover due to a life event, complete the Application for Life Event insurance cover form in this guide or at australiansuper.com/forms

Reduce or cancel your coverYou can reduce or cancel part or all of your cover anytime. If you do cancel your cover and decide to apply for cover in the future, you must provide detailed health information and your application will be assessed by the Insurer.

Interim accident coverWhen you apply for insurance for a life event or you provide detailed health information you may receive interim accident cover. With interim accident cover, you’re insured during the time that your application for cover is being assessed by the Insurer.If you have an accident (during the interim accident period) you’ll be paid a benefit if you die, or become totally and permanently disabled, within 120 days of your application. The interim accident benefit is payable once. If it’s paid, your application for insurance will be cancelled.The interim accident cover period will start on the date that we receives your application for insurance and will end when:

1. your application is withdrawn, accepted or rejected, or

2. the policy is terminated, or

3. the Insurer cancels your interim accident cover in the event of fraud, or

4. 120 days has passed since AustralianSuper received your application for insurance,

whichever is earlier.

The amount you’d be paid in this situation is the amount you have applied for or $1 million, less any cover you already have – whichever is lower. This will generally be paid in addition to the cover amount you already have. Accident means bodily injury caused solely and directly by accidental, external and visible means, independent of any other cause.

19

Example of how our new cover design options workTom’s 30 when he joins AustralianSuper. These examples show what his Death cover looked like when he first joined at 30, and how it may change by the time he’s 40, based on his choice of cover design.

Basic age-based cover

When Tom joins AustralianSuper he’ll be automatically provided with a basic level of age-based cover unless he chooses to change his cover.

Death cover amount if Tom stays on age-based cover:At aged 30: $178,000At aged 40: $160,000

Basic age-based cover + extra cover

Tom wants the basic age-based cover amount of $178,000 but would like to add $50,000 of extra cover.

Death cover amount if Tom stays with basic age-based cover, plus the extra $50,000 fixed amount:At aged 30: $228,000 ($178,000 + $50,000) At aged 40: $210,000 ($160,000 + $50,000)

Fixed cover

Tom wants to fix his Death cover at $178,000.

Death cover amount if Tom keeps fixed cover:At aged 30: $178,000At aged 40: $178,000

Dea

th c

over

($

)

Age-basedcover50

100

150

200250

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2010 30 40 50 60 70 Age (years)

Age-based cover

Extra cover:$50,000

Dea

th c

over

($

)

50

100

150

200250

K

2010 30 40 50 60 70 Age (years)

Fixed cover

Age-based coverD

eath

cov

er (

$)

50

100

150

200250

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2010 30 40 50 60 70 Age (years)

20

What is the amount and cost of Death and TPD cover?

Death and TPD – cover amount provided by ageThis table shows the amount of insurance cover provided, based on your age.

Age Death cover ($)

TPD cover ($)

15-19 0 0

20 50,000 25,000

21 51,000 28,000

22 66,000 33,000

23 82,000 38,000

24 100,000 44,000

25 116,000 48,000

26 132,000 52,000

27 147,000 56,000

28 161,000 58,000

29 175,000 61,000

30 178,000 61,000

31 182,000 60,000

32 183,000 59,000

33 183,000 57,000

34 183,000 56,000

35 180,000 53,000

36 178,000 51,000

37 174,000 49,000

38 171,000 47,000

39 166,000 45,000

40 160,000 43,000

41 154,000 40,000

42 146,000 37,000

43 140,000 34,000

44 131,000 32,000

45 124,000 29,000

46 115,000 27,000

47 107,000 23,000

48 98,000 21,000

49 90,000 19,000

50 80,000 17,000

51 72,000 15,000

52 63,000 13,000

53 54,000 11,000

54 46,000 10,000

55 37,000 9,000

56 30,000 7,000

57 22,000 6,000

58 15,000 6,000

59 9,000 6,000

60 9,000 5,000

61-63 9,000 5,000

64 9,000 5,000

65-66 9,000 0*

67 9,000 0*

68-69 9,000 0*

Age-based cover amounts

* If you were born on or after 1 January 1953, your TPD cover will end when you turn 65. If you were born before 1 January 1953 and already have TPD cover before 28 October 2017, your TPD cover will continue until you turn 70 or you cancel it.

Weekly cost (in dollars) for $1,000 of Death and TPD cover If you were born on or after 1 January 1953, your TPD cover will end when you turn 65. Costs shown below for TPD cover after age 65 only apply if you were born before 1 January 1953 and already had TPD cover before 28 October 2017.

Age Death TPD

15 0.007 0.00516 0.007 0.00517 0.007 0.00518 0.007 0.00519 0.007 0.00520 0.007 0.00521 0.007 0.00522 0.007 0.00523 0.007 0.00524 0.007 0.00525 0.007 0.00526 0.007 0.00527 0.008 0.00528 0.008 0.00529 0.008 0.00530 0.008 0.00531 0.009 0.00632 0.009 0.00633 0.010 0.00734 0.010 0.00735 0.010 0.00836 0.011 0.00937 0.012 0.01038 0.012 0.01139 0.013 0.01340 0.013 0.01441 0.015 0.01642 0.016 0.01743 0.017 0.01944 0.018 0.02145 0.020 0.02446 0.022 0.02647 0.024 0.02948 0.026 0.03249 0.028 0.03550 0.031 0.03951 0.034 0.04352 0.037 0.04853 0.041 0.05254 0.045 0.06055 0.050 0.07156 0.056 0.08157 0.062 0.09258 0.069 0.10059 0.078 0.11560 0.088 0.12161 0.096 0.14762 0.100 0.18563 0.105 0.21264 0.109 0.25065 0.113 0.28266 0.117 0.31967 0.121 0.36168 0.126 0.40869 0.130 0.461

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Death insurance provides a lump sum to your dependants or legal personal representative if you die (see page 27 for details). A Death benefit may also be prepaid if you’re terminally ill. TPD insurance provides a lump sum to you if you become totally and permanently disabled. A TPD benefit may also be paid if you’re terminally ill. See page 25 for more details on terminal illness benefit.

Claiming a TPD benefitIf you have TPD cover, you can make a TPD claim if something happens and you: › won’t work again in any occupation, or › can’t do everyday working activities.Our Insurer will decide if you’re eligible.

You won’t work again in any occupationThis applies if, immediately before you became totally and permanently disabled because of your illness or injury, you were: › working (including being self-employed), or › unemployed for less than six months in a row.

You’ll be considered totally and permanently disabled if: › solely because of your illness or injury you haven’t

been able to work in any job for at least three months in a row since you became ill or injured, and

› you’re getting treated by and following the advice of a medical practitioner* for your illness or injury, and

› at the end of the three months in a row, your injury or illness means that you’re incapable of ever working in any job that you’re suited to based on your previous education, training or experience, or any job that you may reasonably become suited to with further education, training or experience.

This will be decided by considering things such as: › what re-skilling, training or voluntary work you’ve

done already › any retraining or reskilling you reasonably could be

expected to do, and › any rehabilitation you’ve done already or any

rehabilitation you reasonably could be expected to do.

The decision will be based on all relevant information available from the time you become ill or injured, and information up to the date that the Insurer makes a decision about your claim.

You can’t do everyday working activitiesThis applies if, immediately before you became totally and permanently disabled because of your injury or illness, you’ve been unemployed for at least six months in a row.You’ll be considered totally and permanently disabled if solely because you become ill or injured after your cover starts:

› you’ll never be able to do at least two of five everyday working activities, without physical help from another person, even with the use of medication and appropriate aids. You must have been unable to do the everyday working activities for at least six months in a row since you became ill or injured, and

› you’re getting treated by and following the advice of a medical practitioner* for your illness or injury, and

› because you’re ill or injured and you’re unable to work in any job that you’re suited to based on your education, training or experience.

* For mental health conditions the treating practitioner must be a registered psychiatrist.

The everyday working activities include:1. Mobility – you can’t do one of these: › walk more than 200m on a level surface without

stopping because of breathlessness or severe discomfort

› bend, kneel or squat to pick something up from the floor and straighten up again, or get in and out of a standard sedan car.

2. Communicating – you can’t do one of these: › speak in your first language so that you’re understood

in a quiet room, or hear (with or without a hearing aid or other aid) an instruction given in a normal voice in your first language in a quiet room

› understand a simple message in your first language and pass on that message to another person.

3. Vision Even if you’re wearing glasses or contact lenses, you can’t read ordinary newsprint and pass the standard eyesight test for a car licence.4. LiftingYou can’t lift, carry or move objects weighing up to 5kg with at least one hand.5. Manual dexterity You can’t use your hands or fingers to handle small objects with precision (such as picking up a coin, fastening shoelaces or buttons, using cutlery, or using a pen or keyboard to write a short note).

Death and TPD cover exclusionAn exclusion will apply if more than six months after you start work with your AustralianSuper employer you: › join AustralianSuper, or › increase your cover without providing detailed health

information.

Under the exclusion, you won’t be paid benefit if, within 12 months of your basic or increased cover starting, you: › commit suicide, or › become terminally ill or totally and permanently

disabled as a result of harming yourself (or attempting to harm yourself) on purpose (including attempted suicide), whether or not you’re sane at the time.

What your Death and TPD insurance covers

Call us on 1300 667 387 to make a Death or TPD claim. You can also download our fact sheet at australiansuper.com/FactSheets

22

23

If you have Death or TPD cover with us, you may receive a benefit for terminal illness. This can help reduce some of the stress and hardship that you and your family are going through at an already difficult time. You may also be able to access your super account balance.

Terminal illness benefit

24

Claiming a benefit for a terminal illness You’ll be able to apply for a terminal illness benefit payment if your Death or TPD cover is current and: › two of your treating doctors (one must specialise

in your condition) believe that despite medical treatment for your condition, your life expectancy is less than 24 months from the date of their written certification, and

› it’s been less than 24 months since the medical certificates were provided.

What gets paid if you have a terminal illness?If you’re eligible for a payment it will be made up of: › the greater of your Death or TPD cover, plus › an early release of your super account balance.The insurer will assess your eligibility to claim terminal illness benefit and make the decision on your claim.AustralianSuper will assess your eligibility for an early release of your super.If you have a terminal illness and don’t have insurance, you can still apply for an early release of your super if you’re eligible.

Here you’ll find:

Claiming a benefit

What gets paid Do you have Income Protection cover?

$ $SUPER

Do you have Income Protection cover? You may choose to continue working even if you’ve claimed your terminal illness benefit. But if the medical condition that your terminal illness benefit was paid for causes you to stop work within 24 months you may be able to claim an Income Protection benefit payment if you have cover. This applies even if your account was closed when you claimed your terminal illness benefit.The waiting period for your Income Protection benefit may still apply, be reduced or waived. The time between your written certification and the date you stopped work will count towards your waiting period.Call us on 1300 667 387 for more information or to check if you can make a claim.

25

Nominate your beneficiaries

Deciding who will receive your super and insurance money if the worst happens is an important decision for you.

26

What’s paid if you die?If you die, the amount payable to your dependants, nominated beneficiaries, or legal personal representatives (executor of your estate) is made up of: › your super account balance. This may include super

contributions made by your employer or by you, and any amounts rolled over from other super funds (less any appropriate charges and taxes), and

› any insurance amount which may be payable, the amount of which depends on your level of insurance cover with us and your age at the time of your death.

Decide what happens to your moneyYou have two options when deciding what happens to your money.Non-binding nominationYou can nominate who you’d prefer your money to be paid to. This nomination is not legally binding. We (AustralianSuper) are legally responsible for deciding who to make payments to after your death and must follow the laws about this. We’ll consider all nominated beneficiaries, but we’re not bound by the nominations if we decide we have an obligation under our Trust Deed and current legislation to pay someone else. You can make a non-binding nomination when you log into your account at australiansuper.com and you can change your nominations anytime.Binding nominationWith binding nominations, you provide formal written direction to AustralianSuper to tell us who you want your account balance and death benefit paid to. As long as it’s valid, your nomination is legally binding and we must follow it. This means that we must pay the people nominated, as long as they qualify as a beneficiary – see list opposite. A correctly completed binding nomination comes into effect from the date we accept it and expires three years from the date you sign the form. The expiry date of your binding nomination is shown on your member statement and we’ll also send you a reminder before your nomination expires.You can set up or change your binding nomination anytime. You’ll need to complete a valid Binding death benefit nomination form available at australiansuper.com/forms

Who can be nominated?You can nominate these people as beneficiaries: › a spouse (including de facto and same-sex) › children of any age (including adopted and

step-children) › interdependants (someone who lives with you and

shares a close personal relationship where one or both of you provide for the financial and domestic support and personal care of the other)

› other financial dependants (such as someone who relies on you financially)

› your legal personal representative (who will be the executor of your estate).

Special conditions for childrenChildren aged between 18 and 25, who are financially dependent on you, may choose to receive your benefit as regular income payments until they reach 25 (unless your account runs out earlier). The remaining account balance will be paid out to them when they turn 25. If your child is permanently disabled, they may continue to receive regular payments until the money runs out, regardless of their age. Beneficiaries should consider seeking financial advice before making a decision.What if my nomination is invalid?If your binding nomination is invalid we’ll consider your wishes but use our discretion when paying out your account balance. Examples of an invalid nomination include: › your nomination was made more than three years ago › your form was not correctly signed and witnessed › any of the people nominated dies before you do › the individuals nominated no longer qualify as your

dependants at the time of your death.

Our responsibilityWhen one of our members dies, we have a responsibility to pay out the member’s account balance to the person or people entitled to it. We decide who to pay by following legislative guidelines and the AustralianSuper Trust Deed. We must decide who receives a payment within strict legal guidelines even if the decision is an unpopular one.

Here you’ll find:

What’s paid if you die?

Decide what happens to your money

Who can be nominated?

Our responsibility

$

Claims for a Death, terminal illness or TPD benefit can be lodged by calling us on 1300 667 387. For more information, contact us or download a fact sheet on claiming a Death or TPD payment at australiansuper.com/FactSheets

27

Useful things you should know

There’s a few more important things that we need to tell you about our insurance and how it works.

2828

Insurance for Death, TPD or Income Protection will stop as a result of the earliest event below: › you reach age 65 (for TPD cover and Income

Protection cover with a benefit payment period up to five years or up to age 65) or age 70 (for Death and Income Protection cover with a benefit payment period of up to two years).

› your AustralianSuper Public Sector Division membership ends.

› Income Protection cover will stop 13 months from the date we receive your last super contribution from your employer.

› Death and TPD cover will stop when your account balance* falls below $10,000 on or after 13 months since your last employer super contribution is received.

› the conclusion of the day on which , if you’re a member of the Australian Armed Forces Reserve, you’re called to active duty (applies to Death and TPD cover only).

› the date we receive your written request to cancel your insurance cover.

› the date an insured Death, TPD or terminal illness benefit becomes payable from the Insurer. If a TPD insurance benefit is paid to you, and the amount of the payment is less than your Death cover – then your TPD cover may end, and your Death cover will continue, but it will be reduced by the amount of your TPD payment. Any Income Protection cover you hold will also stop, other than Income Protection cover for the same condition for which a terminal illness benefit was paid.

› the end of the day in which you don’t have enough money in your account to pay the insurance premiums.

› the date the insurance policy is terminated or cancelled for any reason.

› the date you transfer your cover into another division of AustralianSuper or fund.

If for any reason no insurance benefit is payable, then any benefit paid to you will consist solely of your account balance.

Continued cover periodFor most members if we don’t receive an employer super contribution for 13 months, Income Protection cover will stop. Death and TPD cover stops if we don’t receive an employer super contribution for 13 months and your account balance* is below $10,000.

While your account balance* is above $10,000 your Death and TPD cover will continue and premiums will be deducted from your account.During the 13 month period, premiums will continue to be deducted from your account and your cover will stop if there isn’t enough money in your account to pay the premiums.When 12 months have passed since your last employer super contribution was made, we’ll write to you and ask if you want to continue your Income Protection cover, as long as your account balance* is more than $1,000. We’ll write to you and ask if you want to continue your Death and/or TPD cover if your balance* is below $10,000 (and is more than $1,000).

Extension of Death, TPD and/or Income Protection coverIf we write to you and offer the option of extending your Death, TPD and/or Income Protection cover, you can take up the option as long as: › you do so within the required time frame, and › no other benefit is payable.If you don’t take up this option you won’t be able to restart your cover until you receive an employer super contribution.

If your cover starts againIf your insurance cover stops (and if the policy permits), your Death, TPD and/or Income Protection cover may restart when we receive new super contributions from your employer. You’ll get the basic cover for your age at the time – even if it’s higher or lower than the cover you had before.If you receive basic Income Protection cover, it will be on a Standard Income Protection work rating, a benefit payment period of up to two years and a 60 day waiting period. Any type of cover that’s previously been cancelled won’t start again. You can reduce or cancel your cover anytime.If you have any questions, call us 1300 300 273.

When does your cover stop?

Here you’ll find:

Limited coverWhen your cover stops

Cover while on leave

Transferring cover Worldwide cover

* Your account balance excludes any estimated earnings accrued since the start of the financial year.

29

Transferring cover From another division of AustralianSuper Already have insurance with us? If you do, you may be eligible to transfer any insurance you have between our divisions. You must transfer the whole amount of your existing cover. Your cover will have the same conditions and exclusions that applied previously and it may be limited cover (see page 31 for details).

From another Insurer or fund You can apply to transfer any existing Death, TPD or Income Protection cover from your individual insurance or employer sponsored super arrangement to AustralianSuper. The maximum amount of cover that can be transferred is $2 million for Death and TPD cover and $20,000 a month for Income Protection. Your total cover after transfer can’t exceed the maximum levels – $3 million for TPD and $30,000 a month or 85% of your salary (whichever is lower) for Income Protection.What happens when you transfer your cover?The transferred Death and TPD cover will be added to your existing cover. You’ll have an amount of fixed cover for Death and/or TPD to replace the level of cover you have with your other fund, rounded up to the next $1,000.For Income Protection the higher of your existing cover or transferred cover applies.You can also apply to have your Income Protection cover matched to your work rating for either Low Risk or Professional by answering the work questions included in the Insurance transfer form.For Income Protection: › the waiting period will be 60 days, unless 30 days

applied under your previous policy or you’ve applied for 30 days.

› if your AustralianSuper insurance cover has the same benefit payment period as your cover with the other insurer or fund, it will remain unchanged. If not, an up to two year benefit payment period will be applied.

Your transferred cover with AustralianSuper can only start once your basic cover has started and you’ve: › received written confirmation that your transfer

request has been accepted by AustralianSuper, and › cancelled your previous cover.If you transfer your cover from another fund and you get extra cover because AustralianSuper rounds up your amount of cover, the extra cover will be limited cover (see page 31 for details). To transfer your existing cover to AustralianSuper, complete the Insurance transfer form in this guide or at australiansuper.com/forms

Maximum coverThe maximum cover available refers to the maximum cover allowable with AustralianSuper. Your total Income Protection cover can’t exceed $30,000 a month or 85% of your salary (whichever is lower), and your total TPD cover can’t exceed $3 million. There is no maximum for Death cover.

Worldwide coverWith your insurance you’re covered for travel overseas. › You’re not required to let us know before you go › The Insurer may ask you to return to Australia for an

assessment if you make a claim overseas › If you’re overseas when you’re receiving Income

Protection payments, the time that you receive payments may be restricted to a maximum of six months or the end of your benefit payment period, whichever happens first.

If you have any questions call us on 1300 667 387.

Investment of insured benefitsFrom the date we receive the insured benefit from the Insurer and until it’s paid to you or your beneficiaries, the insured component of the benefit is invested in a low risk investment option. The account balance component of any benefit remains invested in the options you’ve chosen.

Cover while on leave Your insurance cover will continue unchanged while you’re on parental leave or leave without pay. Cover will be maintained and premiums will continue to be deducted until cover ends based on the rules regarding when Death, TPD and Income Protection cover stops. You don’t need to notify AustralianSuper of this leave.

If you become disabled while you’re on employer-approved unpaid leave and you’re eligible for an Income Protection payment, payments will commence when you’re due to return to work as agreed with your employer or at the end of the waiting period, whichever is later.

30

Limited coverWhat does limited cover mean?Limited cover means that you won’t be covered for any illnesses or injuries that you already had before you got your cover. You’ll be covered for an illness that becomes apparent or an injury that occurs, on or after the date that your cover starts, restarts or increases.

When your cover will be limited cover How long limited cover will last

› You’re not in active employment on the date your basic cover starts, restarts or increases.

› You’ve been unable to work because you’re ill or injured, for ten days in a row in the 12 months before your basic cover starts or restarts.

Your basic cover and any automatic increases will be limited cover. Full cover will start once you have been in active employment for two months in a row.See page 33 for an explanation of active employment.

› Your basic cover starts (or restarts) more than six months after starting employment with your AustralianSuper employer

› You get extra cover without providing detailed health information Limited cover will start from the date your cover increases and will only apply to any extra cover you get because you : - join AustralianSuper and apply for cover without

health checks or you only have to answer a few health questions (see pages 10 and 18)

- change your Income Protection cover when your salary increases (see page 11)

- increase your cover using AustralianSuper’s Life Events cover (see page 10 and 19)

- change your cover between age-based cover and fixed cover, and this causes your cover to increase

- transfer your cover from another fund or AustralianSuper division, and you get extra cover because AustralianSuper rounds up your amount of cover.

Limited cover will last for at least two years.At the end of two years, you must be in active employment for full cover to start. If you’re not, then limited cover will continue until you have been in active employment for two months in a row.See page 33 for an explanation of active employment.

› You’re being paid income support payments On the date your cover starts, you’re getting or are entitled to get, income support payments from any source. Examples of income support payments are workers’ compensation, statutory transport accident payments and disability insurance payments.

Limited cover will apply to your basic cover and any extra cover you get without health checks.Limited cover will continue for at least two years from the day that your income support payments stop.At the end of two years, you must be in active employment for full cover to start. If you’re not, then limited cover will continue until you have been in active employment for two months in a row (see page 33 for an explanation of active employment).

› You transfer cover from another fund that is already limited cover This cover will still be limited cover.

Limited cover will continue at AustralianSuper for the rest of the limited cover period you had at the previous fund.

› TPD or terminal illness payment If you’ve ever been paid, or are entitled to be paid, a TPD or terminal illness payment from us, another super fund or insurance policy.

Limited cover will apply to your basic cover and any extra cover you get without health checks, and it will be limited cover for the life of your membership.

› You apply for more Income Protection cover after a salary increase and you’re not in active employment

Your increased cover will be limited cover. Full cover will start once you have been in active employment for two months in a row.

31

Words and terms used

32

AccidentMeans bodily injury caused solely and directly by accidental, external and visible means, independent of any other cause.

Active employmentActive employment means: › you’re employed or self-employed, and › illness or injury is not restricting you from doing the

normal duties of your job full-time (at least 30 hours a week), even if you’re not working full-time. The Insurer makes this assessment.

Employer super contributionsThese are super contributions that your employer pays into your account. They include: › Superannuation Guarantee contributions › additional employer contributions, and › salary sacrifice contributions.

Income producing dutyAn income producing duty is a duty that is part of your usual occupation, which generates 20% or more of your pre-disability income. You won’t be considered unable to perform an income producing duty if you refuse to accept: › any reasonable omission, modification or substitution

of that duty, or › the use of any appropriate assistive aids that would

enable you to perform that duty.

Partial disabilityTo receive a partial disability benefit you must be unable to perform at least one income producing duty, but: › you’re able to perform at least one other income

producing duty of your usual occupation, or › you’ve returned to work in your own occupation, or › you’re working in another occupation.

You must also meet each of the following requirements: › you’ve been totally disabled for the first 14 days of

your waiting period › you’re earning, or only capable of earning, a monthly

income that is less than your pre-disability income, and

› you’re under the regular care of, and following the advice and treatment of, a medical practitioner*.

PremiumA premium is the sum of money paid periodically, to purchase and maintain insurance cover in AustralianSuper.

Pre-disability incomeBusiness ownersIf you own all or part of a business in which you perform your regular occupation, your pre-disability income is the total amount earned by that business as a direct result of your personal exertion, less your share of business expenses, but before income tax is deducted for the same period.EmployeesIf you’re employed on a permanent or casual basis or work as a contractor, pre-disability income means monthly salary immediately before date of disablement (before-tax and excluding super contributions of 10% or less) earned by you from all regular occupations, including:a. fringe benefits that you receive from your employer

through salary sacrifice, and will benefit from for at least six months after the date that the salary, which you sacrificed for the fringe benefit, would have been paid by your employer,

b. performance related annual bonuses and commissions, (averaged over the previous three years or the period that you’ve been receiving these payments, whichever is shorter), and

c. overtime payments and shift allowances (averaged over the previous 12 months or period of employment, whichever is shorter).

Total disabilityTo receive a total disability benefit you must: › be totally unable to perform all income producing

duties of your usual occupation › be under the regular care of, and following the advice

and treatment of, a medical practitioner*, and › not be working in any occupation (paid or unpaid).

Words and terms

AaBbCc

Here you’ll find:

* For mental health conditions the treating practitioner must be a registered psychiatrist.

33

Forms

InsGd PSD 10/17 ISS4

I want to… What form to use

Apply for insurance or change my cover, such as:

• increase, reduce or cancel my insurance

• change my Income Protection waiting period and benefit payment period

• switch my age-based cover to fixed cover

Change your insurance

Increase my cover after a life event such as:

• the birth/adoption of a child

• marriage or divorce

• start or end of a de facto relationship

• new mortgage or construction of my home in Australia

• death of a spouse/de facto

• becoming eligible for carer’s allowance from Centrelink

Application for Life Event insurance cover

Transfer insurance cover from outside of AustralianSuper Insurance transfer

Let you know what type of work I do Application to change Income Protection work rating

Increase my cover after a salary increase Application to increase Income Protection cover after a salary increase

Please read the Privacy Collection Statement on the next page to see how AustralianSuper uses your personal information.

australiansuper.com 1300 300 273

FormsThis handy booklet contains all the forms you need to manage your insurance with AustralianSuper.

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898

Please read this Privacy Collection Statement to see how AustralianSuper uses your personal information.

AustralianSuper Pty Ltd (ABN 94 006 457 987) of 26/50 Lonsdale Street, Melbourne, Victoria, collects your personal information (PI) to run your super account (including insurance), improve our products and services and keep you informed. If we can’t collect your PI we may not be able to do these tasks. PI is collected from you but sometimes from third parties like your employer. We will only share your PI where necessary to perform our activities with our administrator, service providers, as required by law or court/tribunal order, or with your permission. Your PI may be accessed overseas by some of our service providers. A list of countries can be found at the URLs below. Our Privacy Policy details how to access and change your PI, as well as the privacy complaints process. For complete details on the above go to australiansuper.com/CollectionStatement and australiansuper.com/privacy or call us on 1300 300 273.

Privacy Collection Statement

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898 PSDInsGd01 10/17 ISS4 page 1 of 6

Change your insurance

When you join AustralianSuper you receive basic age-based Death, Total & Permanent Disablement (TPD) and Income Protection cover (age limits and conditions apply). Our insurance options allow you to apply for, adjust or switch your cover to suit your needs. You can choose from the following cover options:

Cover optionsCover available

Death and TPD Income Protection

Basic age-based cover Both the amount of cover you get and the cost of it changes as you get older. ✔ ✔

Basic age-based cover + extra (fixed) cover

You can add an extra amount of cover on top of your age-based cover. The extra amount is provided as fixed cover and will stay the same as you get older (unless you change it) but the cost will change.

✔ n/a

Fixed cover You can apply for a total amount of fixed cover. This means your total amount of cover stays the same as you get older (unless you change it) but the cost will change.

✔ ✔

Use this form to apply for new cover or to increase, reduce, change or cancel your cover. AustralianSuper will only make changes to each type of cover you change on this form.

1. YOUR PERSONAL DETAILS

Last name Mr Ms Mrs Miss Dr

First name

Date of birth Your member number Gender

D D M M Y Y Y Y M F

Street address

Suburb State Postcode

Postal address (if different)

Suburb State Postcode

Telephone (business hours) (after hours) Mobile

Preferred time of contact Morning (9am–12pm) Afternoon (12pm–6pm)

To process your application, MetLife Insurance Limited ABN 75 004 274 882 AFSL 238 096 (the Insurer) may ask you to complete specific questionnaires regarding your health. Please provide your email address below to receive any required questionnaires by email.

Email

You must provide your salary to apply for additional cover or to change your Income Protection work rating.

What’s your annual (before-tax) salary, excluding employer super contributions? $ , , . 0 0What industry do you work in?

What’s the average number of hours you work each week in your main occupation?

If you’re applying to change your Income Protection work rating, you must also provide your occupation.

What’s your job title/occupation?

Use our Insurance calculator at

australiansuper.com/calculators to work out the right level of cover for you.

Please complete in pen using CAPITAL letters and print 7 to mark boxes where applicable. Read the Privacy Collection Statement on this form to see how AustralianSuper uses your personal information.

Before you change your cover, you should check your latest statement or log into your account at australiansuper.com/login to understand what type and how much cover you have. You should also read this guide, it contains all of the terms and conditions about insurance, including how much you can apply for, your eligibility for cover, cost of cover, when cover starts and stops, and any limitations or exclusions.

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com PSDInsGd01 10/17 ISS4 page 2 of 6

2. DEATH AND TPD COVER

Complete this section to:

• apply for age-based (basic) cover

• top up your basic cover with extra (fixed) cover, or change your extra (fixed) cover amount

• apply for or change your fixed cover (includes switching your age-based cover to fixed cover), or

• remove multiples of cover.

You can apply for an unlimited amount of Death cover and up to $3 million of TPD cover. Print (7) to confirm what you want to do. If you want to cancel any part of your cover (or all of it), go to Section 5.

Cover options Type of cover Cover amount (in multiples of $1,000)

Apply for basic cover Basic Death

Basic TPDYour cover amount will be based on your age.

Apply for or change my extra (fixed) cover

Extra Death

Extra TPD

$ , , 0 0 0

$ , , 0 0 0

The amount you write here will be added to your basic cover, or replace your existing extra cover.

Apply for or change my fixed cover

Fixed Death

Fixed TPD

$ , , 0 0 0

$ , , 0 0 0

The amount you write here will replace your existing cover (including basic age-based cover).

Remove my multiple Death

TPD

If your multiple is greater than 1.0 your cover will reduce and any extra (fixed) cover you have will stay the same. If it is less than 1.0 your total cover amount (and any extra cover you have) will be fixed.

If you’re applying for, or increasing your Death or TPD cover, please complete Sections 6 - 9. You don’t need to complete Sections 6 - 9 if you’re only switching your age-based cover to fixed cover.

3. INCOME PROTECTION COVER

The maximum amount of Income Protection you can apply for will be the lower of:

• 85% of your monthly salary* (up to 75% can be paid to you and up to 10% to your super), or • $30,000 a month.

* Salary is your annual (before-tax) salary, excluding employer super contributions. This will be different for self-employed people.

Here’s an example to help you work out the maximum amount of Income Protection cover you can apply for.

Ben earns $78,000 a year (before-tax), excluding employer super contributions. The maximum cover amount he can apply for is:

$78,000 x 0.85 = $5,525 a month Ben can apply for cover up to $5,600 a month.

12 (months) (rounded up to the nearest $100)

Complete this section to apply for or change your Income Protection cover (includes switching your age-based cover to fixed cover). Print (7) below to confirm what you want to do. If you want to cancel your cover, go to Section 5.

Cover options Type of cover Cover amount (in multiples of $100)

Apply for basic cover Basic Income Protection Your cover amount will be based on your age.

Apply for or change my fixed cover Fixed Income Protection

$ , 0 0 a month

The amount you write here will replace your existing cover (including basic age-based cover).

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898 PSDInsGd01 10/17 ISS4 page 3 of 6

3. INCOME PROTECTION COVER (CONTINUED)

Complete this section to nominate or change your waiting period and/or benefit payment period. Print (7) below to confirm what you want to do.

If you want to keep your existing waiting period or benefit payment period, go to Section 4.

The cost of cover will depend on the waiting period and benefit payment period that you choose. Read this guide for more information including the cost of cover for different waiting periods and benefit payment periods.

Waiting period The waiting period is the minimum time you must wait before you’ll start receiving an Income Protection benefit payment (as long as you’re eligible). Payments are made one month in arrears. If you’re applying for Income Protection cover your waiting period will be 60 days. You can change your waiting period to 30 days. A shorter waiting period will cost more.

30 days

60 days

Your new waiting period is effective from the date we accept your application plus the number of days of your current waiting period. For example if you change your waiting period from 60 days to 30 days and then you claim within 30 days of making the change, you’ll need to complete a 60 day waiting period.

Benefit payment period

If you’re applying for Income Protection cover your benefit payment period is up to two years. This means benefits may be paid a maximum of two years if you’re temporarily unable to work due to illness or injury. You can apply for a benefit payment period of up to five years or up to age 65*. A longer benefit payment period will cost more. * There are some occupations where you can’t have a benefit period of up to age 65. These occupations are listed

at australiansuper.com/PSoccupations

Up to two years

Up to five years

Up to age 65*

Please complete Section 6 - 9 if you’re:

• applying for, or increasing your Income Protection cover amount,

• applying for a benefit payment period of up to five years or up to age 65, or

• aged 63 or 64 and reducing your benefit payment period to up to two years (extending your cover after age 65).

You don’t need to complete Sections 6 - 9 if you’re only switching your age-based cover to fixed cover, or changing your waiting period.

4. YOUR INCOME PROTECTION WORK RATING

If you want to be considered for an Income Protection work rating other than Standard, complete this section.

1. Are the usual activities of your job ‘white collar’? Yes No

This means: • you spend more than 80% of your job doing clerical or administrative activities in an office-based environment, or • you’re a professional using your university qualification in a job that has no unusual work hazards (some examples

of unusual work hazards include: working underground, working underwater, working at heights or working in the air).

2. Are you earning more than $100,000 a year from your job? Yes No

3. Do you have a university qualification? Yes No

4. Do you have a management role in your company? Yes No

5. CANCEL YOUR COVER

Complete this section to cancel all or part of your cover. Put an (7) next to each type of cover that you wish to cancel.

If you put an (7) next to a cover type below, you won’t be insured for that cover from the date your cancellation is accepted. So, you (or your beneficiaries) won’t be able to make an insurance claim for that type of cover, in the event of illness, injury or death. If you decide to apply for cover in the future, you’ll need to supply detailed health information as part of your application.

I want to cancel ALL of my cover Death TPD Income Protection

I only want to cancel my extra cover Extra Death Extra TPD

If you’re only cancelling your cover (part or all of it) AND not applying to increase any of your cover, or change your Income Protection work rating, benefit payment period or waiting period, go to Section 11.

6. ABOUT YOUR INSURANCE HISTORY

1. Has an application for life, disability, trauma, accident or illness insurance on your life ever been declined, deferred or accepted with a loading, exclusion or special terms? Yes No

2. Have you ever made a claim for or received sickness, accident or disability benefits, Workers’ Compensation, or any other form of compensation due to illness or injury? Yes No

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com

PSDInsGd01 10/17 ISS4 page 4 of 6

7. ABOUT YOUR HEALTH

1. What’s your height? Height (cm) OR (ft/in)

What’s your weight? Weight (kg) OR (st/lb)

2. Are you currently pregnant? (Females only) Yes No

3. Have you smoked in the last 12 months? Yes No 4. In the last three years have you suffered from, been diagnosed with or sought medical advice or treatment for any of the following?

Please mark (7) to all that apply.

Headache or migraine (eg. tension or cluster headaches or migraines)

Trapped nerves (eg. carpal tunnel syndrome, pinched nerve, tennis elbow)

Lung or breathing conditions (eg. asthma, sleep apnoea) Infectious diseases (excluding cold and flu)

Eyesight conditions (does not include contact lenses or glasses for near or far sightedness)

Gout

Ear or hearing conditions (eg. hearing loss, tinnitus or swimmer’s ear)

None of the above conditions

If you have selected any of the above conditions in question 4, please give details in the table below.

Condition Details (including dates, symptoms, treatment)

5. In the last five years have you suffered from, been diagnosed with or sought medical advice or treatment for any of the following?Please mark (7) to all that apply.

High blood pressure High cholesterol Chronic fatigue / Fibromyalgia

None of the above conditions

If you have selected any of the above conditions in question 5, please give details in the table below.

Condition Details (including dates, symptoms, treatment)

6. Have you ever suffered from, been diagnosed with or sought medical advice or treatment for any of the following?Please mark (7) to all that apply.

Bone, joint or limb conditions Back or neck pain Digestive conditions

Brain or nerve conditions (incl. stroke) Psychological or emotional conditions Cancer, cyst, growth, polyp or tumour

Thyroid conditions Skin disorder Genitourinary conditions

Autoimmune disease Heart related conditions Kidney or liver conditions

Diabetes Blood conditions

None of the above conditions

If you have selected any of the above conditions in question 6, please give details in the table below.

Condition Details (including dates, symptoms, treatment)

7. What’s the name of your usual doctor/medical centre?

Address

Contact Number

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898 PSDInsGd01 10/17 ISS4 page 5 of 6

8. ABOUT YOUR LIFESTYLE

1. Have you within the last five years used any drugs that were not prescribed to you (other than over the counter drugs) or have you exceed the recommended dosage of any medication? Yes No

If ‘Yes’, please give details in the table below:

Drug/Medicine Reason for use

2. a. On average how many standard alcoholic drinks do you consume each week (a standard drink is equivalent to either a 125ml glass of wine, a schooner of light beer, a middy/pot of full strength beer or a 30ml shot of spirits)?

/ week

b. Have you ever been advised by a health professional to reduce your alcohol consumption? Yes No 3. a. Do you currently have HIV (Human Immunodeficiency Virus) that causes AIDS (Acquired Immune

Deficiency Syndrome)? Yes No

b. If ‘No’, are you in a high risk category for contracting HIV? Yes No 4. Are you currently awaiting for the results of any medical tests, or has a medical professional recommended

that you undertake a medical test that has not yet been conducted? If yes, please provide details below. Yes No

Test Reason for test

5. Are you currently seeking or contemplating seeking medical advice or treatment? If yes, please provide details below. Yes No

Condition Details

9. EXTRA INFORMATION ABOUT YOU

If you answer ‘Yes’ to any of the following questions, you’ll need to complete Section 9 (below):

• Will your total Death or TPD cover (existing plus applied for) exceed $800,000 if this application is accepted? Yes No • Will your total Income Protection cover (existing plus applied for) exceed $10,000 a month if this application

is accepted? Yes No

• Are you applying for an Income Protection benefit payment period of up to five years or up to age 65? Yes No

• Have you answered Yes to any questions, or listed any conditions, in Sections 7 - 8 (above) of this form? Yes No

1. Has your natural mother, father, any brother or sister been diagnosed under the age of 55 years, with any of the following conditions: Alzheimer’s disease, Cancer, Dementia, Diabetes, Familial polyposis, Heart disease, Huntington’s disease, Polycystic kidney disease, Multiple sclerosis, Muscular dystrophy, Stroke or any inherited or hereditary disease? Yes No Unknown

If yes, please provide details below.

Relationship to proposed insured Age at diagnosis Specific condition(s)

2. Do you regularly engage in or intend to engage in any of the following activities? Please mark (7) to all that apply.

None of the above activities

Please provide details for any activities you have selected above:

Activity Details

Water sports (eg. underwater diving, rock fishing)

Aviation (other than as a fare paying passenger on a commercial airline)

Field sports (eg. hockey or football including touch or tag and soccer)

Motor sports (eg. motorcycle, auto, motor boat)

Horse sports (eg. polo, horse riding, rodeo, dressage, jumping)

Hunting (of any kind)

Sky sports (eg. skydiving, hang gliding, parachuting, ballooning)

Combat sports or Martial arts (eg. martial arts, boxing, fencing)

Any activity not mentioned (eg. base jumping, caving, outdoor rock climbing)

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com PSDInsGd01 10/17 ISS4 page 6 of 6

10. DUTY OF DISCLOSURE

Sign here: Date

D D M M 2 0 Y Y

Print full name

As part of your overall assessment process, the Insurer will contact you on your preferred phone number if further information is needed.

I have read the Duty of Disclosure (in Section 10 of this form) and I am aware of the consequences of non-disclosure. I understand that the Duty of Disclosure continues after I have completed this statement until my application for cover has been accepted in writing by AustralianSuper and the Insurer (MetLife Insurance Limited ABN 75 004 274 882 AFSL 238 096). I understand that information contained in this guide should be read in conjunction with all reference material.

I authorise:

• the Insurer to refer any statements that have been made in connection with my application for cover and any medical reports to other entities involved in providing or administering the insurance (for example reinsurers, medical consultants, legal advisers)

• the Insurer and any person appointed by the Insurer to obtain information on my medical claims and financial history from the Insurance Reference Association and any other body holding information on me, and

• any hospital, doctor or other person who has treated or examined me to give to the Insurer any information on my illness or injury, medical history, consultation, prescription or treatment or copies of all hospital or medical reports.

A photocopy of this authorisation is as valid as the original.

I declare that:

• the answers to all the questions and the declarations on this form are true and correct (including those not in my own handwriting)

• I have not withheld any information which may affect any decision to provide insurance

• I understand that I may need to provide further medical authorities if requested

• I have read and understood the Product Disclosure Statement

• I have read and understood the Insurance in your super guide to which this application was attached, and

• I have read the Privacy Collection Statement and I agree with how AustralianSuper will use my personal information.

AustralianSuper’s Privacy Collection Statement is at the front of this form booklet. Our Privacy Collection Statement and Privacy Policy may change from time to time. The latest versions will be available online at australiansuper.com/CollectionStatement and australiansuper.com/privacyFor information on the Insurer’s privacy and information-handling practices, read their Privacy Policy Statement at metlife.com.auI acknowledge that:

• insurance cover will only be provided on the terms and conditions set out in the contract of insurance with the Insurer and as agreed between AustralianSuper and the Insurer from time to time

• the answers I have provided, together with any special conditions, will form the basis of the contract of insurance

• if I fix any of my cover, my cover amount will not change but the cost will increase with age

• if I have chosen to cancel any of my cover, I’ll no longer be insured for that cover, and if I decide to apply for cover in the future, I’ll need to supply detailed medical information as part of my application, and

• any change in cover will start from the later of the date it is accepted by the insurer (as long as my employer is paying contributions) or, I have received confirmation that my cover has started or restarted, and hasn’t stopped. Please refer to the Public Sector Division Insurance in your super guide for details.

Your duty of disclosure to the insurer Before you enter into a life insurance contract, you have a duty to tell the insurer anything that you know, or could reasonably be expected to know, may affect its decision to insure you and on what terms.You have this duty until the insurer agrees to insure you.You have the same duty before you extend, vary or reinstate your insurance cover.You do not need to tell the insurer anything that:

• reduces the risk it insures you for, or

• is common knowledge, or

• the insurer knows or should know as an insurer, or

• the insurer waives your duty to tell it about.

If you do not tell the insurer somethingIn exercising the following rights, the insurer may consider whether different types of cover can constitute separate contracts of life insurance. If they do, the insurer may apply the following rights separately to each type of cover.

If you do not tell the insurer anything you are required to, and the insurer would not have insured you if you had told the insurer, the insurer may avoid the contract to provide you with that insurance within three years of entering into it.

If the insurer chooses not to avoid the contract, the insurer may, at any time, reduce the amount you have been insured for. This would be worked out using a formula that takes into account the premium that would have been payable if you had told the insurer everything you should have. However, if the contract provides cover on death, the insurer may only exercise this right within three years of entering into the contract.

If the insurer chooses not to avoid the contract or reduce the amount you have been insured for, the insurer may, at any time vary the contract in a way that places the insurer in the same position it would have been in if you had told the insurer everything you should have. However, this right does not apply if the contract provides cover on death.

If your failure to tell the insurer is fraudulent, the insurer may have the right to refuse to pay a claim and treat the contract as if it never existed.

Our duty of disclosureThe Trustee has a similar duty to tell the insurer anything that it knows that may affect the insurer’s decision to provide you with insurance, and if the Trustee fails to do so the consequences are comparable.

11. DECLARATION

This section must be completed in all circumstances.

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898 PSDInsGd02 10/17 ISS4 page 1 of 4

Application for Life Event insurance cover

1. YOUR PERSONAL DETAILS

Last name Mr Ms Mrs Miss Dr

First name

Date of birth Your member number Gender

D D M M Y Y Y Y M F

Other/previous names

Street address

Suburb State Postcode

Postal address (if different)

Suburb State Postcode

Telephone (business hours)† (after hours)† Mobile†

Email

You must provide your salary to apply for additional cover.

What’s your annual (before-tax) salary, excluding employer super contributions? $ , , . 0 0

What’s your job title/occupation?

† While processing your application, we or the Insurer may contact you by telephone to clarify any answers you have provided.

Your application won’t be accepted if:

• the application and relevant attachments are received by AustralianSuper more than 60 days after the Life Event

• you’ve successfully applied for new or increased cover for a Life Event in the last 12 months (as at the date of the more recent Life Event).

Cover under this application won’t start until you receive written confirmation that your Life Event cover application has been accepted. Any additional cover you receive will be limited cover for a period of at least two years. See this guide for details.

If you’re not eligible to apply for or increase cover using this form, you can still apply to increase your cover using the Change your insurance form in this guide.

Please complete in pen using CAPITAL letters. Print 7 to mark boxes where applicable.

Only use this form if you’re currently insured for Death, Total & Permanent Disablement (TPD) or Income Protection cover and wish to apply for more cover after one of the following Life Events:

• birth/adoption of a child

• marriage or divorce

• start or end of a de facto relationship

• new mortgage on purchase or construction of your primary residence in Australia

• death of a spouse/de facto

• you first become eligible for a Centrelink carer’s allowance.

You must attach a certified photocopy of the relevant document(s) outlined in Section 5.

The maximum amount of cover available for each Life Event can’t exceed $500,000, and your increased cover can’t cause the total of your cover to exceed the following maximum cover amounts:

Type of cover Maximum cover available

Death and/or TPD $1 million (cover above $600,000 will be capped at $1 million or 10 times your salary*, whichever is lower).

Income Protection Up to $20,000 a month or 85% of your salary*, whichever is lower.

* Salary is your annual (before-tax) salary, excluding employer super contributions. This will be different for self-employed people.

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com

2. LIFE EVENT

3. ADDITIONAL COVER REQUIRED

You can use this form to apply for more cover as long as you already have cover with us.

Check your latest statement or log into your account at australiansuper.com/login to understand what type and how much cover you have.

3.1 Death and TPD cover

Complete this section to apply for, or increase your Death and/or TPD cover. Additional Death and TPD cover will be added as a fixed amount on top of your existing cover.

Type of cover Additional cover amount (in multiples of $1,000)

Death

TPD

$ , 0 0 0

$ , 0 0 0

The amount you write here will be added to any existing cover you have.

3.2 Income Protection cover

Complete this section to apply for, or increase your Income Protection cover. When you increase your Income Protection cover, your total cover will be fixed (even if you currently have basic cover).

Type of cover Additional cover amount (in multiples of $100)

Income Protection $ , 0 0 a month The amount you write here will be added to any existing cover you have and all of your cover will be fixed.

Choose your preferred waiting period 30 days 60 days

If you want to keep your existing waiting period go to Section 4.

If you change your waiting period from 60 days to 30 days and then submit a claim within 30 days of making this change, you’ll need to complete a 60 day waiting period. A 30 day waiting period will cost more.

If you don’t have Income Protection cover and you’re applying for it you’ll receive a benefit payment period of up to two years. If you already have Income Protection cover you’ll keep your existing benefit payment period. If you want to change your benefit payment period you’ll need to complete the Change your insurance form in this guide.

1. For what Life Event are you applying for increased cover? Print (7) below to confirm which Life Event applies.

Type of Life Event

Birth of a child

Adoption of a child

Marriage

Divorce

2. When did this Life Event occur?

Date of Life Event

D D M M Y Y Y Y

Start or end of a de facto relationship

New mortgage on purchase or construction of your primary residence in Australia

Death of a spouse/de facto

First become eligible for a Centrelink carer’s allowance

PSDInsGd02 10/17 ISS4 page 2 of 4

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898

4. A FEW HEALTH QUESTIONS

All questions must be completed in this section.

1. Are you:

• unemployed • employed and off work because you are ill, injured or have had an accident • unable to do all the duties of your usual occupation (without any limitation) full-time

(at least 30 hours a week), even if you are working full-time, part-time or casually, or • in your usual occupation but your duties have changed or been modified in the last 12 months,

because of an illness, accident or injury? Yes No

2. Have you:

• in the last 12 months, been away from work for more than 10 working days in a row because you were ill or injured, or

• been advised by, or discussed with your medical practitioner that because of an illness or injury you’ll need to take at least 10 working days in a row off work (regardless if diagnosed) in the next 12 months? Yes No

3. Have you been diagnosed with an illness or injury that reduces your life expectancy to less than 12 months? Yes No

4. Have you ever been declined Death, TPD or Income Protection cover, or been excluded from insurance cover for a specific medical condition or injury? Yes No

5. Have you ever made or satisfied the requirements to make a claim for an injury or illness either in Australia or overseas through:

• AustralianSuper or another super fund • Workers’ Compensation • an illness benefit or invalid pension • an insurance Policy that provides Terminal illness, TPD cover, or Income Protection

(including accident or illness cover), or • a common law settlement? Yes No

Your answers to the questions above will determine if you are eligible for additional cover.

5. ATTACHMENTS

The table below lists the documents you need to attach to this application.

Type of Life Event Certified copy of document required

Birth of a child Birth certificate

Adoption of a child Order effecting an adoption or an entry in a public official record of the adoption of a child

Marriage Australian marriage certificate or equivalent overseas marriage certificate recognised in Australia

Divorce Divorce Decree Absolute

Start of a de facto relationship

Written co-habitation or personal or domestic relationship agreement, or completed Providing proof of your de facto relationship form available from australiansuper.com/forms

End of a de facto relationship Completed Providing proof of your de facto relationship form available from australiansuper.com/forms

New mortgage for purchase or construction of your primary residence in Australia

All of the following (if applicable): • Any loan documents including loan application and credit contract • Stamped front page of the contract of sale, and • Statutory declaration by the applicant declaring that the property described is/will be the

applicant’s principal place of residence

Death of a spouse/de facto Death certificate and a completed Providing proof of your de facto relationship form available from australiansuper.com/forms

First become eligible for a Centrelink carer’s allowance

Letter from Centrelink confirming the date you become eligible for a carer’s allowance

All copies must be certified. A certified copy is a copy of an original document that has been certified by any of the following acceptable persons: legal practitioner, Justice of the Peace, magistrate, notary public, police officer, dentist, veterinary practitioner, pharmacist, accountant, Member of Parliament, minister of religion, and medical practitioner.

A certified copy must be noted as follows: ‘I certify that I have sighted the original document and this is a true copy of it.’ This certification must have the certifier’s full name, title, registration number (where applicable) and be signed and dated.

PSDInsGd02 10/17 ISS4 page 3 of 4

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com PSDInsGd02 10/17 ISS4 page 4 of 4

7. DECLARATION

This section must be completed in all circumstances.

• I have read the Duty of Disclosure (in Section 6 of this form) and I am aware of the consequences of non-disclosure

• I understand that the Duty of Disclosure continues after I have completed this statement until my application for cover has been accepted in writing by AustralianSuper and the Insurer, and

• I understand that information contained in the Product Disclosure Statement should be read in conjunction with all reference material.

I authorise:

• the Insurer to refer any statements that have been made in connection with my application for cover and any medical reports to other entities involved in providing or administering the insurance (for example reinsurers, medical consultants, legal advisers)

• the Insurer and any person appointed by the Insurer to obtain information on my medical claims and financial history from the Insurance Reference Association and any other body holding information on me, and

• any hospital, doctor or other person who has treated or examined me to give to the Insurer any information on my illness or injury, medical history, consultation, prescription or treatment or copies of all hospital or medical reports.

A photocopy of this authorisation is as valid as the original.

I declare that:

• I have read and understood the Product Disclosure Statement and this guide

• the answers to all the questions and the declarations on this form are true and correct (including those not in my own handwriting)

• I have not withheld any information which may affect any decision to provide insurance

• I understand that I may need to provide further medical authorities if requested, and

• I have read the Privacy Collection Statement and I agree with how AustralianSuper will use my personal information.

AustralianSuper’s Privacy Collection Statement is at the front of this form booklet. Our Privacy Collection Statement and Privacy Policy may change from time to time. The latest versions will be available online at australiansuper.com/CollectionStatement and australiansuper.com/privacy

For information on the Insurer’s privacy and information-handling practices, read their Privacy Policy Statement at metlife.com.au

I acknowledge that: • insurance cover will only be provided on the terms and

conditions set out in the contract of insurance with the Insurer and as agreed between AustralianSuper and the Insurer from time to time

• the answers I have provided, together with any special conditions, will form the basis of the contract of insurance, and

• any change in cover I make using this form will only start from the date this form is accepted by the Insurer.

6. DUTY OF DISCLOSURE

Your duty of disclosure to the insurerBefore you enter into a life insurance contract, you have a duty to tell the insurer anything that you know, or could reasonably be expected to know, may affect its decision to insure you and on what terms.

You have this duty until the insurer agrees to insure you.

You have the same duty before you extend, vary or reinstate your insurance cover.

You do not need to tell the insurer anything that:

• reduces the risk it insures you for, or

• is common knowledge, or

• the insurer knows or should know as an insurer, or

• the insurer waives your duty to tell it about.

If you do not tell the insurer somethingIn exercising the following rights, the insurer may consider whether different types of cover can constitute separate contracts of life insurance. If they do, the insurer may apply the following rights separately to each type of cover.

If you do not tell the insurer anything you are required to, and the insurer would not have insured you if you had told the insurer, the insurer may avoid the contract to provide you with that insurance within three years of entering into it.

If the insurer chooses not to avoid the contract, the insurer may, at any time, reduce the amount you have been insured for. This would be worked out using a formula that takes into account the premium that would have been payable if you had told the insurer everything you should have. However, if the contract provides cover on death, the insurer may only exercise this right within three years of entering into the contract.

If the insurer chooses not to avoid the contract or reduce the amount you have been insured for, the insurer may, at any time vary the contract in a way that places the insurer in the same position it would have been in if you had told the insurer everything you should have. However, this right does not apply if the contract provides cover on death.

If your failure to tell the insurer is fraudulent, the insurer may have the right to refuse to pay a claim and treat the contract as if it never existed.Our duty of disclosure

The Trustee has a similar duty to tell the insurer anything that it knows that may affect the insurer’s decision to provide you with insurance, and if the Trustee fails to do so the consequences are comparable.

Sign here: Date

D D M M 2 0 Y Y

Print full name

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898

Insurance transfer

Please complete in pen using CAPITAL letters. Print 7 to mark boxes where applicable.

1. YOUR PERSONAL DETAILS

Last name Mr Ms Mrs Miss Dr

First name

Date of birth Your member number Gender

D D M M Y Y Y Y M F

Street address

Suburb State Postcode

Telephone (business hours) (after hours) Mobile

You must provide your salary to apply for additional cover or an insurance transfer.

What’s your annual (before-tax) salary, excluding employer super contributions? $ , ,

If you’re applying to change your Income Protection work rating, you must also provide your occupation.

What’s your job title/occupation?

2. PERSONAL STATEMENT AND CONFIRMATION OF REQUIREMENTS

1. Please confirm (by marking (7) in the box below) that the following statements are true and correct:

a) For Death and TPD cover – I will cancel all insurance cover with my former insurer within 60 days of receiving confirmation from AustralianSuper of my successful transfer application (even if I’m not transferring all types and amounts of cover).

b) For Income Protection cover – I will cancel the amount of cover I’m transferring with my former insurer within 60 days of receiving confirmation from AustralianSuper that my transfer application has been successful (even if I’m not transferring all of my cover).

c) I won’t be transferring the level of cover I’ve requested on this form under my former insurer to any other fund other than AustralianSuper.

d) I won’t continue, reinstate or start the level of cover I’ve requested on this form with my former insurer.

I confirm that all four statements are true and correct and agree to abide by these requirements. Yes No

If you’re an AustralianSuper member you can apply to transfer additional Death, Total & Permanent Disablement (TPD) and/or Income Protection insurance cover you have:

• outside of AustralianSuper, or

• through another AustralianSuper account.

You need to complete all sections of this form and will need to provide evidence of your current cover by attaching one of the following:

your last member statement (within 45 days of it being issued)

a current print-out of your online member account

a statement from the insurer of your individual policy

The maximum amount of Death and TPD cover you can transfer is $2 million (for each type of

PSDInsGd03 10/17 ISS4 page 1 of 4

Important

Stay covered while we assess your application. Don’t cancel any cover you have with your old fund, AustralianSuper division or insurer until you’ve received written confirmation that your transfer request has been accepted by AustralianSuper and that your basic cover has started.

If you’re not sure, please give us a call before you cancel your cover.

cover), and the maximum amount of Income Protection cover you can transfer is $20,000 a month. Also, after it’s transferred, your total cover can’t exceed the following maximum cover amounts:

Type of cover Maximum total cover amounts (after transfer)

Death Unlimited

TPD $3 million

Income Protection

Up to $30,000 a month or 85% of your salary*, whichever is lower.

* Salary is your annual (before-tax) salary, excluding employer super contributions.

Your transfer request is subject to the Insurer (MetLife) accepting your application and some limitations apply (see Section 5 of this form). Any additional cover you receive as a result of the conversion will be limited for at least two years. Please refer to this guide for more information on limited cover.

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com

2. PERSONAL STATEMENT AND CONFIRMATION OF REQUIREMENTS (CONTINUED)

2. Are you: • unemployed • employed and off work because you are ill, injured or have had an accident • unable to do all the duties of your usual occupation (without any limitation) full-time

(at least 30 hours a week), even if you are working full-time, part-time or casually, or • in your usual occupation but your duties have changed or been modified in the last

12 months, because of an illness, accident or injury? Yes No

3. Have you: • in the last 12 months, been away from work for more than 10 working days in a row because you

were ill or injured, or • been advised by, or discussed with your medical practitioner that because of an illness or injury you’ll

need to take at least 10 working days in a row off work (regardless if diagnosed) in the next 12 months? Yes No

4. Have you been diagnosed with an illness or injury that reduces your life expectancy to less than 12 months? Yes No

5. Have you ever been declined Death, TPD or Income Protection cover, or been excluded from insurance cover for a specific medical condition or injury? Yes No

6. Have you ever made or satisfied the requirements to make a claim for an injury or illness either in Australia or overseas through: • AustralianSuper or another super fund • Workers’ Compensation • an illness benefit or invalid pension • an insurance Policy that provides Terminal illness, TPD cover, or Income Protection

(including accident or illness cover), or • a common law settlement? Yes No

Your answers to the questions above will determine if you are eligible to transfer your cover.

7. Is your cover under the former insurer subject to any premium loadings and/or exclusions, including but Yes No

not limited to pre-existing condition exclusions, or restrictions in regards to medical or other conditions?

If YES, please provide details of the premium loading, exclusion or restriction, including a copy of the advice you received from the former insurer advising you of the acceptance of your cover subject to these additional terms.

3. ABOUT THE INSURANCE I AM TRANSFERRING

When you transfer insurance, your additional Death and/or TPD cover will be applied as a fixed amount on top of your existing cover. If your Income Protection cover is higher elsewhere we’ll match your cover amount, and your total cover will be fixed.

Name of former fund/individual insurer Former fund member/individual policy number

USI* * Unique Superannuation Identifier (USI)

I confirm that under my former insurer, this is the level and type of cover that I have (in dollars), and want to transfer:

Death cover $ , , Date cover started D D M M Y Y Y Y

TPD cover $ , , Date cover started D D M M Y Y Y Y

Income Protection cover $ , a month Date cover started D D M M Y Y Y Y

Income Protection waiting period under former insurer (such as 30 days, 60 days, 90 days, 180 days) If you’re transferring Income Protection cover with a 30 or 60 day waiting period, you’ll keep your waiting period. If you’re transferring Income Protection cover with a waiting period greater than 60 days, you’ll be given a 60 day waiting period. You can choose a 30 day waiting period below. A shorter waiting period will cost more.

Choose your preferred waiting period 30 days 60 days

Income Protection benefit payment period under former insurer (such as two years, five years, to age 65) If your AustralianSuper insurance cover has the same benefit payment period as your cover with the other insurer or fund, it will remain unchanged. If not, an up to two year benefit payment period will be applied. For example, if the cover you’re transferring has a benefit payment period of up to age 65 and your AustralianSuper benefit payment period is up to two years, your new benefit payment period will be reduced to up to two years.If you want to apply for a benefit payment period of up to five year or up to age 65, complete the Change your insurance form. You’ll need to provide detailed health information to the Insurer.

I have attached an up-to-date statement (within 45 days of it being issued) from my former fund Yes No

I understand that my cover above, once accepted, will be subject to the terms and conditions of AustralianSuper’s insurance arrangements and my Death, TPD or Income Protection cover will be set up as explained in Section 5 of this form.

PSDInsGd03 10/17 ISS4 page 2 of 4

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898

4. INCOME PROTECTION WORK RATING

If you have Income Protection cover with us, or you’re transferring the cover to your AustralianSuper account, you could pay less if your work is rated as Low Risk or Professional.

Complete the questions below if you want to apply to change your Income Protection work rating to Low Risk or Professional.

1. Are the usual activities of your job ‘white collar’? Yes No This means:

• you spend more than 80% of your job doing clerical or administrative activities in an office-based environment, or

• you’re a professional using your university qualification in a job that has no unusual work hazards (some examples of unusual work hazards include: working underground, working underwater, working at heights or working in the air).

2. Are you earning more than $100,000 a year from your job? Yes No 3. Do you have a university qualification? Yes No 4. Do you have a management role in your company? Yes No Please note

Eligibility for a Low Risk or Professional work rating is subject to acceptance by the Insurer.

If accepted, all Income Protection cover will be converted to the accepted work rating.

If your application for a Low Risk or Professional Income Protection work rating is not successful – the cost of your total Income Protection cover will be based on your previous work rating with AustralianSuper, or a Standard work rating if you don’t already have Income Protection with us.

5. DUTY OF DISCLOSURE

Your duty of disclosure to the insurer

Before you enter into a life insurance contract, you have a duty to tell the insurer anything that you know, or could reasonably be expected to know, may affect its decision to insure you and on what terms.

You have this duty until the insurer agrees to insure you.

You have the same duty before you extend, vary or reinstate your insurance cover.

You do not need to tell the insurer anything that:

• reduces the risk it insures you for, or

• is common knowledge, or

• the insurer knows or should know as an insurer, or

• the insurer waives your duty to tell it about.

If you do not tell the insurer something

In exercising the following rights, the insurer may consider whether different types of cover can constitute separate contracts of life insurance. If they do, the insurer may apply the following rights separately to each type of cover.

If you do not tell the insurer anything you are required to, and the insurer would not have insured you if you had told the insurer, the insurer may avoid the contract to provide you with that insurance within three years of entering into it.

If the insurer chooses not to avoid the contract, the insurer may, at any time, reduce the amount you have been insured for. This would be worked out using a formula that takes into account the premium that would have been payable if you had told the insurer everything you should have. However, if the contract provides cover on death, the insurer may only exercise this right within three years of entering into the contract.

If the insurer chooses not to avoid the contract or reduce the amount you have been insured for, the insurer may, at any time vary the contract in a way that places the insurer in the same position it would have been in if you had told the insurer everything you should have. However, this right does not apply if the contract provides cover on death.

If your failure to tell the insurer is fraudulent, the insurer may have the right to refuse to pay a claim and treat the contract as if it never existed.

Our duty of disclosure

The Trustee has a similar duty to tell the insurer anything that it knows that may affect the insurer’s decision to provide you with insurance, and if the Trustee fails to do so the consequences are comparable.

PSDInsGd03 10/17 ISS4 page 3 of 4

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com PSDInsGd03 10/17 ISS4 page 4 of 4

Sign here Date

D D M M 2 0 Y Y

Print full name

6. DECLARATION

I acknowledge that:

• if I do not fully complete, sign and date this application, I will not be eligible to transfer my existing cover to AustralianSuper (Public Sector Division)

• if the Insurer accepts my application, I will receive

a) Death cover and TPD cover equal to the amount of my existing cover under my former insurer in addition to any cover that I currently have. Additional cover is allocated as fixed cover (rounded up to the next $1,000), and/or

b) the greater amount of my existing Income Protection cover under my former insurer or any Income Protection cover that I currently have. My total Income Protection cover will be fixed (rounded up to the next $100 a month)

• if the Insurer accepts my application, any individual conditions (other than premium loadings), exclusions or restrictions that applied to my transferred cover will continue to apply

• the maximum cover that can be transferred is $2 million for Death and TPD, and $20,000 a month for Income Protection (subject to AustralianSuper’s maximum cover limits)

• my transferred cover with AustralianSuper can only start once my basic cover has started and I’ve:

– received written confirmation that my transfer request has been accepted by AustralianSuper, and

– cancelled my previous cover (claims will not be paid if cover has not been cancelled). For more details, please refer to the Insurance in your super guide for Public Sector Division.

• AustralianSuper and the Insurer may undertake appropriate enquiry and investigation to verify the answers I have provided

• AustralianSuper and the Insurer may investigate whether any restrictions that may have applied within the terms of the policy document were applicable to the type and/or level of cover stated on the up-to-date statement from the former insurer

• I agree to provide AustralianSuper or the Insurer with access to the health evidence or other information I provided to my former insurer in my application for cover and any non-disclosure to a former insurer may be acted upon by AustralianSuper or their Insurer

• the total of my transferred cover and existing cover with AustralianSuper (Public Sector Division) doesn’t exceed $3 million for TPD and $30,000 a month for Income Protection (there is no maximum for Death cover), and

• should it become apparent to AustralianSuper or the Insurer that I have not undertaken the requirements that I confirmed in Section 2 of this form, then any insured benefit that may be payable from AustralianSuper may be reduced by the insured amount paid or payable from my former insurer; an associated section or division of the former insurer; or other fund; or any policy issued under any option that I exercised, as a consequence of my failure to abide by these conditions. But this reduction in benefit will be limited to the extent that my benefit from AustralianSuper is no less than I would have been eligible to receive under the terms of the policy between AustralianSuper and the Insurer had I not applied for a transfer of cover.

I declare that:

• I have read and understood the Product Disclosure Statement

• I have read and understood the Insurance in your super guide for Public Sector Division

• the answers to all the questions and the declarations on this form are true and correct (including those not in my own handwriting)

• I have not withheld any information which may affect any decision to provide insurance

• I understand that I may need to provide further medical authorities if requested, and

• I have read the Privacy Collection Statement and I agree with how AustralianSuper will use my personal information.

AustralianSuper’s Privacy Collection Statement is below. Our Privacy Collection Statement and Privacy Policy may change from time to time. The latest versions will be available online at australiansuper.com/CollectionStatement and australiansuper.com/privacy

For information on the Insurer’s privacy and information-handling practices, read their Privacy Policy Statement at metlife.com.au

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898

Application to change Income Protection work rating

You could pay less for Income Protection cover if your work is classified as Low Risk or Professional. To apply to have your Income Protection insurance cover changed to a Low Risk or Professional work rating, you must complete all parts of this form.

Please complete in pen using CAPITAL letters and print 7 to mark boxes where applicable. Read the Privacy Collection Statement on this form to see how AustralianSuper uses your personal information.

1. YOUR PERSONAL DETAILS

Last name Mr Ms Mrs Miss Dr

First name

Date of birth Your member number Gender

D D M M Y Y Y Y M F

Street address

Suburb State Postcode

Postal address (if different)

Suburb State Postcode

Telephone (business hours) (after hours) Mobile

Email

To change your Income Protection work rating you must provide your salary and occupation.

What’s your annual (before-tax) salary, excluding employer super contributions? $ , , . 0 0

What’s your job title/occupation?

2. ELIGIBILITY FOR LOW RISK OR PROFESSIONAL WORK RATING

1. Are the usual activities of your job ‘white collar’? Yes No

This means:

• you spend more than 80% of your job doing clerical or administrative activities in an office-based environment, or

• you’re a professional using your university qualification in a job that has no unusual work hazards (some examples of unusual work hazards include: working underground, working underwater, working at heights or working in the air).

2. Are you earning more than $100,000 a year from your job? Yes No

3. Do you have a university qualification? Yes No

4. Do you have a management role in your company? Yes No

Please note:

• Eligibility for a Low Risk or Professional work rating is subject to acceptance by MetLife ABN 75 004 274 882 AFSL 238 096 (the Insurer).

• If accepted, all Income Protection cover will be at the accepted work rating.

• If your application is not successful, your Income Protection cover will continue to be based on your previous work rating.

PSDInsGd04 10/17 ISS4 page 1 of 2

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com

3. DUTY OF DISCLOSURE

PSDInsGd04 10/17 ISS4 page 2 of 2

Sign here: Date

D D M M 2 0 Y Y

Print full name

Your duty of disclosure to the insurer

Before you enter into a life insurance contract, you have a duty to tell the insurer anything that you know, or could reasonably be expected to know, may affect its decision to insure you and on what terms.

You have this duty until the insurer agrees to insure you.

You have the same duty before you extend, vary or reinstate your insurance cover.

You do not need to tell the insurer anything that:

• reduces the risk it insures you for, or • is common knowledge, or • the insurer knows or should know as an insurer, or • the insurer waives your duty to tell it about.

If you do not tell the insurer something

In exercising the following rights, the insurer may consider whether different types of cover can constitute separate contracts of life insurance. If they do, the insurer may apply the following rights separately to each type of cover.

If you do not tell the insurer anything you are required to, and the insurer would not have insured you if you had told the insurer, the insurer may avoid the contract to provide you with that insurance within three years of entering into it.

If the insurer chooses not to avoid the contract, the insurer may, at any time, reduce the amount you have been insured for. This would be worked out using a formula that takes into account the premium that would have been payable if you had told the insurer everything you should have. However, if the contract provides cover on death, the insurer may only exercise this right within three years of entering into the contract.

If the insurer chooses not to avoid the contract or reduce the amount you have been insured for, the insurer may, at any time vary the contract in a way that places the insurer in the same position it would have been in if you had told the insurer everything you should have. However, this right does not apply if the contract provides cover on death.

If your failure to tell the insurer is fraudulent, the insurer may have the right to refuse to pay a claim and treat the contract as if it never existed.

Our duty of disclosure

The Trustee has a similar duty to tell the insurer anything that it knows that may affect the insurer’s decision to provide you with insurance, and if the Trustee fails to do so the consequences are comparable.

4. DECLARATION

I declare that:

• all answers provided by me on this form are true and correct

• I have read and understand the Duty of Disclosure (in Section 3) and I am aware of the consequences of non-disclosure. I understand that the Duty of Disclosure continues after I have completed this statement until my application for cover has been accepted in writing by AustralianSuper and the Insurer

• I have not withheld any information that may affect the Insurer’s decision as to whether to accept my application to change my Income Protection work rating

• I am currently employed and am able to carry out all of the identifiable duties of my employment without restriction due to injury or illness, on a full-time basis, and

• I have read the Privacy Collection Statement and I agree with how AustralianSuper will use my personal information.

AustralianSuper’s Privacy Collection Statement is at the front of this form booklet. Our Privacy Collection Statement and Privacy Policy may change from time to time. The latest versions will be available online at australiansuper.com/CollectionStatement and australiansuper.com/privacy

For information on the Insurer’s privacy and information handling practices, read their Privacy Policy Statement at metlife.com.au

Furthermore

• I acknowledge that if I don’t complete this application correctly, or I don’t sign and date this form, my previous rating will remain in force

• I acknowledge that insurance cover will only be provided on the terms and conditions set out in the contract of insurance with AustralianSuper’s Insurer and as agreed between AustralianSuper and its Insurer from time to time, and

• I acknowledge that any change in cover I make using this form will only start from the date this form is accepted by the Insurer.

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898 PSDInsGd05 10/17 ISS4 page 1 of 6

Application to increase Income Protectioncover after a salary increase

1. YOUR PERSONAL DETAILS

Last name Mr Ms Mrs Miss Dr

First name

Date of birth Your member number Gender

D D M M Y Y Y Y M F

Street address

Suburb State Postcode

Postal address (if different)

Suburb State Postcode

Telephone (business hours) (after hours) Mobile

Email

What’s your job title/occupation?

What’s the average number of hours you work each week in your main occupation?

Please complete in pen using CAPITAL letters. Print 7 to mark boxes where applicable. Read the Privacy Collection Statement on this form to see how AustralianSuper uses your personal information.

Only use this form if you’re currently insured for Income Protection and wish to increase your cover as a result of a pay increase.

You must attach either:

• the Employer confirmation of salary increase form (page 5 of this form), or

• copies of your previous and new pay slips with details of your new salary and effective date, or

• a copy of the letter advising you of your salary increase, or a notice from your employer or union announcing the pay increase.

Your application won’t be accepted if:

• this form and relevant attachments are received more than 30 days after the effective date or notification of your salary increase, or

• you’ve successfully applied for increased Income Protection cover as a result of a salary increase in the last 12 months.

When you increase your Income Protection cover, you’ll get a fixed amount of cover (even if you currently have basic

age-based cover). Any increase in cover will be based on your existing work rating and will be limited cover for at least two years. See this guide for details on limited cover.

The table below shows the maximum increase possible in any one salary review year. For example, if you have a Low Risk work rating and $2,000 of Income Protection cover a month, you can apply to increase to a maximum of $3,500 of cover a month.

Income Protection work rating Maximum increase

Standard $1,000

Low Risk $1,500

Professional $2,000

Also your increased cover can’t cause the total of your Income Protection cover to exceed the lower of $20,000 a month or 85% of your salary*.

* Salary is your annual (before-tax) salary, excluding employer super contributions.

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com PSDInsGd05 10/17 ISS4 page 2 of 6

2. NEW INCOME PROTECTION COVER

The cover you apply for must be an increase on the existing amount of cover you have. The maximum monthly benefit you can apply for can’t be higher than 85% of your monthly salary* (up to 75% can be paid to you and up to 10% to your super) or $20,000 a month, whichever is lower. See page 1 of this form for the maximum amount you can increase by.

What’s your annual (before-tax) salary, excluding employer super contributions? $ , , a year You must provide your salary* to apply for extra cover.

Write the total amount of Income Protection cover you want (in multiples of $100) $ , 0 0 a month

Your Income Protection waiting period and benefit payment period won’t change. If you want to change them complete the Change your insurance form in this guide.

* Salary is your annual (before-tax) salary, excluding employer super contributions. This will be different for self-employed people.

3. A FEW HEALTH QUESTIONS

All questions must be completed in this section.

1. Are you:

• unemployed

• employed and off work because you are ill, injured or have had an accident

• unable to do all the duties of your usual occupation (without any limitation) full-time (at least 30 hours a week), even if you are working full-time, part-time or casually, or

• in your usual occupation but your duties have changed or been modified in the last 12 months, because of an illness, accident or injury? Yes No

2. Have you:

• in the last 12 months, been away from work for more than 10 working days in a row because you were ill or injured, or

• been advised by, or discussed with your medical practitioner that because of an illness or injury you’ll need to take at least 10 working days in a row off work (regardless if diagnosed) in the next 12 months? Yes No

3. Have you been diagnosed with an illness or injury that reduces your life expectancy to less than 12 months? Yes No

4. Have you ever been declined Death, TPD or Income Protection cover, or been excluded from insurance cover for a specific medical condition or injury? Yes No

5. Have you ever made or satisfied the requirements to make a claim for an injury or illness either in Australia or overseas through:

• AustralianSuper or another super fund

• Workers’ Compensation

• an illness benefit or invalid pension

• an insurance Policy that provides Terminal illness, TPD cover, or Income Protection (including accident or illness cover), or

• a common law settlement? Yes No

Your answers to the questions above will determine if you are eligible for additional cover.

How do I work out my maximum Income Protection cover amount?

Here’s an example to help you.

Ben earns $78,000 a year (before-tax), excluding employer super contributions. The maximum cover amount he can apply for is:

$78,000 x 0.85 = $5,525 a month 12 (months)

Ben can apply for cover up to $5,600 a month (rounded up to the nearest $100).

Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898 PSDInsGd05 10/17 ISS4 page 3 of 6

4. DUTY OF DISCLOSURE

Your duty of disclosure to the insurerBefore you enter into a life insurance contract, you have a duty to tell the insurer anything that you know, or could reasonably be expected to know, may affect its decision to insure you and on what terms.

You have this duty until the insurer agrees to insure you.

You have the same duty before you extend, vary or reinstate your insurance cover.

You do not need to tell the insurer anything that:

• reduces the risk it insures you for, or • is common knowledge, or • the insurer knows or should know as an insurer, or • the insurer waives your duty to tell it about.

If you do not tell the insurer somethingIn exercising the following rights, the insurer may consider whether different types of cover can constitute separate contracts of life insurance. If they do, the insurer may apply the following rights separately to each type of cover.

If you do not tell the insurer anything you are required to, and the insurer would not have insured you if you had told the insurer, the insurer may avoid the contract to provide you with that insurance within three years of entering into it.

If the insurer chooses not to avoid the contract, the insurer may, at any time, reduce the amount you have been insured for. This would be worked out using a formula that takes into account the premium that would have been payable if you had told the insurer everything you should have. However, if the contract provides cover on death, the insurer may only exercise this right within three years of entering into the contract.

If the insurer chooses not to avoid the contract or reduce the amount you have been insured for, the insurer may, at any time vary the contract in a way that places the insurer in the same position it would have been in if you had told the insurer everything you should have. However, this right does not apply if the contract provides cover on death.

If your failure to tell the insurer is fraudulent, the insurer may have the right to refuse to pay a claim and treat the contract as if it never existed.

Our duty of disclosureThe Trustee has a similar duty to tell the insurer anything that it knows that may affect the insurer’s decision to provide you with insurance, and if the Trustee fails to do so the consequences are comparable.

Sign here: Date

D D M M 2 0 Y Y

Print full name

This section must be completed in all circumstances.

I have read the Duty of Disclosure (in Section 4 of this form) and I am aware of the consequences of non-disclosure. I understand that the Duty of Disclosure continues after I have completed this statement until my application for cover has been accepted in writing by AustralianSuper and the Insurer. I understand that information contained in this guide should be read in conjunction with all reference material.

I authorise:

• the Insurer to refer any statements that have been made in connection with my application for cover and any medical reports to other entities involved in providing or administering the insurance (for example reinsurers, medical consultants, legal advisers)

• any employer to divulge to AustralianSuper or the Insurer any or all information concerning a salary increase. Photocopies are as valid as the original, and

• AustralianSuper or the Insurer to contact the employer to obtain confirmation of information provided on this form and to obtain copies from my employer and/or union of any relevant documents.

A photocopy of this authorisation is as valid as the original.

I declare that:

• I am currently employed and am able to carry out all of the identifiable duties of my employment, without restriction due to injury or illness, on a full time basis

• the answers to all the questions and the declarations on this form are true and correct (including those not in my own handwriting)

• I have not withheld any information which may affect any decision to provide insurance

• I understand that I may need to provide further medical authorities if requested

• I have read and understood the Product Disclosure Statement

• I have read and understood the Insurance in your super guide to which this application was attached, and

• I have read the Privacy Collection Statement and I agree with how AustralianSuper will use my personal information.

AustralianSuper’s Privacy Collection Statement is at the front of this form booklet. Our Privacy Collection Statement and Privacy Policy may change from time to time. The latest versions will be available online at australiansuper.com/CollectionStatement and australiansuper.com/privacy

For information on the Insurer’s privacy and information-handling practices, read their Privacy Policy Statement at metlife.com.au

I acknowledge that:

• insurance cover will only be provided on the terms and conditions set out in the contract of insurance with the Insurer and as agreed between AustralianSuper and the Insurer from time to time

• the answers I have provided, together with any special conditions, will form the basis of the contract of insurance, and

• any change in cover I make using this form will only start from the date this form is accepted by the Insurer.

5. DECLARATION

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com PSDInsGd05 10/17 ISS4 page 4 of 6

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Issued by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788 Trustee of AustralianSuper ABN 65 714 394 898 PSDInsGd05 10/17 ISS4 page 5 of 6

Please complete in pen using CAPITAL letters. As an AustralianSuper member, your employee has the opportunity to increase their Income Protection cover with AustralianSuper, within 30 days of the effective date or notification of their salary increase by completing a few health questions.Please provide confirmation of their salary increase by completing and returning this form to your employee or AustralianSuper as soon as you can, to help your employee take advantage of this offer.

1. MEMBER’S DETAILS

Last name Mr Ms Mrs Miss Dr

First name

Date of birth Gender

D D M M Y Y Y Y M F

2. EMPLOYER’S DETAILS

Employer trading name Employer ABN

Employer’s business name (if different)

Address

Suburb State Postcode

Telephone (business hours) Telephone (after hours) Mobile

Email

Name of person completing this form

Position of person completing this form Employer number

3. SALARY DETAILS

Member’s previous salary* Member’s new salary*

$ , , a year $ , , a year * Salary is annual (before-tax) salary, excluding employer super contributions.

Effective date of new salary: Notification date of new salary:

D D M M Y Y Y Y D D M M Y Y Y Y

4. EMPLOYER’S DECLARATION

Employer confirmation of salary increase

Sign here: Date

D D M M 2 0 Y Y

I declare that:

• all answers provided by me on this form, including those not in my own hand-writing, are true and correct

• the member (named in Section 1) is currently employed by the employer noted above and is currently carrying out all the identifiable duties of their employment without restriction due to injury or illness, and

• I have read the Privacy Collection Statement and I understand how AustralianSuper will use the personal information provided on this form.

AustralianSuper’s Privacy Collection Statement is at the front of this form booklet. Our Privacy Collection Statement and Privacy Policy may change from time to time. The latest versions will be available online at australiansuper.com/CollectionStatement and australiansuper.com/privacy

Please return this completed form to: AustralianSuper, GPO Box 1901, MELBOURNE VIC 3001 Telephone 1300 300 273 Web australiansuper.com PSDInsGd05 10/17 ISS4 page 6 of 6PSDInsGd05 10/17 ISS4 page 6 of 6

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This guide was issued in October 2017 by AustralianSuper Pty Ltd ABN 94 006 457 987 AFSL 233788, Trustee of AustralianSuper ABN 65 714 394 898. This document is of a general nature and does not take into account your personal objectives, situation or needs. Before making a decision about AustralianSuper, consider your financial requirements and read our Product Disclosure Statement, available at australiansuper.com/pds or by calling 1300 300 273. For information about the methodology used by Chant West, see chantwest.com SuperRatings does not issue, sell, guarantee or underwrite this product. Go to superratings.com.au for details of its ratings criteria. More information about our awards is available at australiansuper.com/ratings

Choose the cover that’s right for you.

We have insurance options to help you protect your tomorrow.

Find out more.

Call

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Visit

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Mail

GPO Box 1901 Melbourne VIC 3001