These definitions and policy terms apply from 1 July 2019 and should be read with the existing Insurance Guide.

ACTIVE CONTRIBUTION

Active Contribution means an amount received by the Fund on an Employer Sponsored Member’s or Personal Member’s behalf that the Fund determines is sufficient for the continued provision of life insurance cover under the Superannuation Industry (Supervision) Act 1993 (Cth).

COVER WHEN ON LEAVE WITHOUT PAY

While on employer approved leave without pay, your Income Protection insurance will continue for a period of up to 24 months after your leave starts, provided you:

  • continue to pay your premiums

  • ensure that active contributions are regularly made into your account to prevent it from becoming an inactive account or have made a valid election to continue your insurance cover even if your account is inactive.

If you are disabled while you are on leave without pay, an Income Protection benefit will not be paid until the later of cessation of your leave without pay, or the expiry of the
waiting period. In the absence of written notification from your employer of the cessation of leave without pay, the period of leave without pay will be deemed to be a period of 24 months.

EMPLOYER CONTRIBUTION

Employer Contribution means an on-time mandated Superannuation Guarantee or Award contribution made to the Fund for the Covered Person by their Employer (an employer who engages the Covered Person in their Occupation, and can include the Covered Person if they are Self-Employed).

INACTIVE ACCOUNTS

An inactive account is one which has not received an active contribution for a continuous period of 16 months.

REINSTATEMENT OF COVER

The following wording will replace the wording under the heading ‘Reinstatement of Cover’ for Death, Death & TPD (on page 10 of the Insurance Guide) and IP insurance (on page 13 of the Insurance Guide) as indicated below.

If your Death or Death & TPD or IP insurance ceases, you may be able to reinstate your cover by meeting the requirements set out below.

If your cover ceases due to unpaid premiums for a period of 90 days

You can reinstate your insurance cover if:

1. you are still a member of the Fund and

2. you make an Active Contribution into your account to increase your account balance to a level sufficient to allow for payment of the outstanding premiums and

3. the outstanding premiums are paid by the next premium deduction date (end of month).

Your insurance cover will be reinstated at the previous level (with the same loading’s, exclusions and occupation category) and there will be no gaps in cover. However your cover will be subject to Active Employment requirements.

If your cover ceases due to active service in the military

You can reinstate your insurance cover if:

      • 1. you are still a member of the Fund and

      • 2. you either made an Active Contribution into your account in the previous 16 months or have previously made a Valid Election in relation to your insurance cover and

      • 3. your period of active duty is less than 12 consecutive months.

Your cover will recommence at the previous level and type of cover from the date you cease to be in active service in the military, subject to Active Employment requirements.

If your cover ceases due to your account becoming inactive

There are two ways in which you can reinstate your cover if your cover had ceased due to your account becoming inactive:

      1. by request by making a valid election within a specified time frame or

      2. by making an Employer Contribution to your account.

Reinstatement by request

You can reinstate your insurance cover via a request by making a Valid Election within 30 days of your cover ceasing. If you do so, your insurance cover will be reinstated at the previous level (with the same previous loading’s, exclusions and occupation category) and there will be no gaps in cover. You are not required to satisfy Active Employment requirements when you reinstate your cover via request.

Special offer for Members whose cover ceased on 1 July 2019 due to inactive account:

If your cover ceased between 1 July 2019 and 31 July 2019 due to your account becoming inactive, you can reinstate your insurance cover via a request by making a Valid Election within 60 days of your cover ceasing. If you do so, your insurance cover will be reinstated at the previous level (with the same previous loading’s, exclusions and occupation category) and there will be no gaps in cover and no Active Employment requirements.

Reinstatement by Employer Contribution

You can also reinstate your insurance cover by arranging your Employer Contributions to be made into your account. Certain conditions may apply to your reinstated insurance cover depending on when the Employer Contribution is received into your account.

Within 6 months of cover ceasing

If the Fund receives your Employer Contribution within 6 months of your cover ceasing, your insurance cover will be reinstated at the previous level (with the same previous loading’s, exclusions and occupation category) from the date your Employer Contribution is received. However your reinstated cover will be subject to Active Employment requirements.

After 6 months of cover ceasing

If the Fund receives your Employer Contribution after 6 months of your cover ceasing, but within 6 months of you commencing employment with that contributing employer, then your insurance cover will recommence as Default ‘Standard’ from the date the Employer Contribution is received with no access to automatic additional insurance. However your reinstated cover will be subject to Active Employment requirements.

If the Fund receives your Employer Contribution after 6 months of your cover ceasing and this is also after 6 months of you starting your new job with that employer, your cover will recommence as Default ‘Standard’ (no access to automatic additional insurance) and New Events Cover will apply for 24 months.

(For IP only) Reinstatement via Employer Contribution within 6 months

You can also reinstate your insurance cover by arranging your Employer Contributions to be made into your account.

If the Fund receives your Employer Contribution within 6 months of your cover ceasing, your insurance cover will be reinstated at the previous level (with the same previous loading’s, exclusions and occupation category) from the date your Employer Contribution is received. However your reinstated cover will be subject to Active Employment requirements.

Unfortunately, you will not be able to reinstate your cover if your Employer Contribution is received outside of 6 months from your cover ceasing. If you still wish to be provided with Income Protection insurance and you have missed the time frame to reinstate your cover, you will need to apply for Income Protection insurance by answering full underwriting questions, subject to approval by the Insurer and with no access to new member offer.

Active Employment requirements for reinstatement

Where you are required to satisfy Active Employment, if you are not in Active Employment when your cover is reinstated, New Events Cover will apply until you are in Active Employment for 30 consecutive days.

VALID ELECTION

Valid Election means the Covered Person has either:

1.  After 8 May 2018 and before 1 April 2019, elected in writing to be provided with insurance cover through the Fund (including a request to change or maintain their existing insurance cover) or

2. from 1 April 2019, elected in writing that cover will continue even if an Active Contribution has not been received in their account with the Fund for a continuous period of 16 months.

An election will only be valid in relation to the type of insurance cover that is covered by that election.

WHEN COVER ENDS*

The date when your account becomes inactive (i.e. not received an active contribution for a continuous period of 16 months) and you have not made a valid election before this date.

*An above condition will be added under the heading ‘When cover ends’ on page 10 & 12 of the Insurance Guide.