MLC MasterKey Business Super
Insurance Guide Category C members
This Insurance Guide is for MLC MasterKey Business Super Insured Members who were transferred
into the MLC Super Fund from The Universal Super Scheme on 1 July 2016 and,
• who are 'Ex-National FlexiSuper Plus Insured Members'.
Preparation date Preparation date Preparation date Preparation date 30 September 2016
Issued by the Trustee Issued by the Trustee Issued by the Trustee Issued by the Trustee NULIS Nominees (Australia) Limited ABN ABN ABN ABN 80 008 515 633 AFSL AFSL AFSL AFSL 236465
The InsurerThe InsurerThe InsurerThe Insurer MLC Limited ABNABNABNABN 90 000 000 402 AFSLAFSLAFSLAFSL 230694
The FundThe FundThe FundThe Fund MLC Super Fund ABNABNABNABN 70 732 426 024
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This guide gives you information about the insurance available
through your super.
A financial adviser can help you decide if this insurance is right for
you.
Important information
The information in this document is general information only and doesn’t take into account your
objectives, financial situation or individual needs. Because of that, before acting on this information,
you should consider its appropriateness, having regards to your objectives, financial situation and
needs. For more information please contact us, speak with your financial adviser or go to the online
copy of this document on mlc.com.au/pds/mkbsop
Information in this document may change from time to time. Updates in relation to information that
are not materially adverse may be made available on mlc.com.au but you may not be directly
notified of these updates. You may, however, obtain a paper copy of these change communications
on request free of charge by contacting us.
Please read the latest applicable Product Disclosure Statement and any incorporated materials
before making any decision about a product.
Neither NAB, nor any of its related bodies corporate guarantees or accepts liability in respect of the
insurance cover offered in MLC MasterKey Business Super.
An interest issued by NULIS Nominees (Australia) Limited in the Fund does not represent a deposit or
liability with NAB or other related bodies corporate of NAB.
Any statement made by a third party or based on a statement made by a third party in this
document has been included in the form and context in which it appears with the consent of the
third party, which has not been withdrawn as at the date of this document.
References to mlc.com.au in the online copy of this document link directly to the additional
information available.
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Contents
Insurance with MLC Limited 4
Insurance you select yourself 5
Death insurance 7
Death and TPD insurance 9
Income Protection insurance 14
Insurance – the details 24
Definitions 30
For more information please contact us, speak with your financial adviser or go to the online
copy of this document on mlc.com.au/pds/mkbsop
MLC Master Policy
You can find specific details about the terms and conditions of your insurance in the MLC
Master Policy.
A copy of the MLC Master Policy is available by contacting us.
This Insurance Guide summarises the terms and conditions that apply to a claim for a Benefit with a
Date of Claim occurring on or after 12 December 2011 under the MLC Master Policy. If your Date of
Claim precedes this date, different terms and conditions may apply. Please contact us for further
details.
MLC Limited (Insurer) is the insurer
and receives your insurance
premiums. We can change the
insurer at any time if we believe this
is in the best interests of members.
The information in this Insurance
Guide forms part of the
MLC MasterKey Business Super
Product Disclosure Statement dated
30 September 2016. Together with
the Fee Definitions Flyer and
Investment Menu, these documents
should be considered before making
a decision about whether to acquire
or continue to hold the product.
They are available at
mlc.com.au/pds/mkbsop
Proposed sale of MLC Limited
In 2015 the NAB Group announced a plan to sell 80% of its insurance business (MLC Limited) to
Nippon Life Insurance Company. The planned sale has not been finalised at this stage. It is
proposed this sale will take place on a date between 1 October 2016 and 31 December 2016.
There are no changes to the insurance benefits, terms and conditions detailed in the PDS and in this
document as a result of the proposed sale. In the future, should your benefits or terms and
conditions change, we'll notify you as required by law.
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Insurance with MLC Limited
With over 125 years of insurance experience in Australia, insurance with MLC Limited provides long-
term, sustainable insurance to customers.
Worldwide insurance
Your insurance travels with you, which means you’re covered 24 hours a day anywhere in the world.
However, some additional limits apply to Income Protection benefits if you are not continuously
resident in an Approved Country – see the Definitions section for details.
Affordable insurance
Insurance through super may be tax effective for you and may be a more affordable way for you to
take care of your beneficiaries.
MLC MasterKey Business Super Insurance
Description of the insurance
Your insurance in the Plan can include Death and Total and Permanent Disablement (TPD) insurance,
and Income Protection insurance.
Your cover
We’ll tell you the amount of insurance you have each year in your Annual statement.
To confirm your monthly premium, please refer to your most recent Annual Statement, or log into
your account online at mlc.com.au. You can contact us to obtain a quote for the cost of insurance
that will apply if you wish to change your cover.
Insurance eligibility
You were deemed to have been eligible for insurance when you were transferred into MLC
MasterKey Business Super. So, we’ll automatically deduct premiums from your account for so long
as your cover remains in force.
If your cover is terminated due to non-payment of premiums, you may apply for your cover to be
reinstated. The Insurer may, at its discretion, reinstate cover on such terms as it determines subject
to underwriting.
Insurance definitions
Some words in insurance have specific meanings such as Illness. You can see more about these
terms in the Definitions section.
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Insurance you select yourself
Everybody has different needs and insurance is no exception.
That’s why we help you create an insurance solution to suit you and your family’s needs.
You can choose to apply for or change your:
� Death insurance
� Death and TPD insurance, and
� Income Protection insurance.
Your application for cover will be subject to you providing Evidence of Insurability and acceptance by
the Insurer, who may set such terms and conditions and request information as it reasonably
requires.
How much insurance do you need?
While nobody likes to dwell on the negatives, without enough insurance you could put your, and
your family’s, lifestyle at risk.
Your financial adviser can go through the types of insurance on offer, and assess how much you may
need. Alternatively, an insurance calculator is available on mlc.com.au
Then you can get on with enjoying life, rather than worrying about what may or may not happen.
Family matters
If members of your family join your Plan they can also take advantage of:
� Death insurance
� Death and TPD insurance, and
� Income Protection insurance.
Please see the How to Guide at mlc.com.au/howto/mkbs to find out more
How much insurance can you apply for?
Insurance type You can apply for up to
Death Unlimited. The maximum benefit limit for Terminal Illness is $3 million.
Death and TPD Unlimited Death insurance and up to a maximum of $5 million of TPD
insurance. The maximum benefit limit for Terminal Illness is $3 million.
Income Protection Generally up to 75% of the first $40,000 of your Monthly Income, and up
to 50% of the next $40,000 of your Monthly Income.
The maximum you can apply for includes any existing policies you have, including the insurance
provided through your account in the Fund.
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Insurance consolidation
You can apply to consolidate any existing insurance cover held by you through another
superannuation fund or issued by another insurer (Existing Insurance Cover) with your insurance
cover in MLC MasterKey Business Super. To do this, you can access the Consolidate your insurance
form available on mlc.com.au
Any application for consolidation of cover is subject to underwriting and you may be required to
provide medical or other insurability evidence as part of your application.
You must meet all of the following requirements to be eligible to apply for consolidation of
insurance cover:
� your Existing Insurance Cover must have been in place for at least 12 months,
� you must be age 55 or younger at the date your insurance consolidation application is
completed and dated,
� you must be At Work on:
� the date the insurance consolidation application is completed and dated, and
� the day immediately preceding the day the transferred insurance cover is due to start in
MLC MasterKey Business Super,
� you must not be eligible for, must not have received, and must not be applying for a total
and permanent disablement or disability type benefit, permanent or temporary incapacity
benefit, terminal illness benefit or a salary continuance benefit under any workers'
compensation scheme, superannuation fund or insurance policy.
If your insurance consolidation application is accepted by us and the Insurer, the following special
conditions will apply together with any other conditions as notified to you from time to time:
� you must cancel your Existing Insurance Cover immediately after the transferred cover is
issued,
� in the event you fail to cancel your Existing Insurance Cover, any benefit in relation to the
transferred cover that would otherwise have become payable by the Insurer will be reduced
by the amount that represents the benefit payable under the Existing Insurance Cover, and
� the same premium loadings and exclusions, if any, that applied to your Existing Insurance
Cover will apply to the transferred cover.
Replacing your existing insurance
Before you consider cancelling any insurance, you need to make sure your insurance will be right for
you. Please wait for us to confirm you're insured before you cancel any other existing insurance
arrangements you may have.
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Death insurance
Helps your family pay their expenses when you can’t be there.
How does it work?
This insurance pays a lump sum to your beneficiaries if you die, or to you if you’re diagnosed with a
Terminal Illness.
If we pay a Terminal Illness benefit to you, your Death insurance will reduce by the amount of the
payment. Where your Death insurance is greater than the amount of the Terminal Illness benefit
paid, the residual Death insurance will continue, and your ongoing premiums will reduce
accordingly.
The amount of your benefit will be determined on the relevant Date of Claim.
When benefits won’t be paid
Self-harm
For all insurance or increases to insurance commencing on and from 5 December 2014 (except
Automatic Cover or automatic increases to cover):
� No Death Benefit is payable where the death is due to suicide within the first 24 months of
starting or reinstating your insurance.
� No part of an increase to a Death Benefit is payable where the death is due to suicide within
the first 24 months after the commencement of the increased cover.
� No Terminal Illness Benefit is payable where the Terminal Illness is due to any intentionally
self-inflicted injury within the first 24 months of starting or reinstating your insurance.
� No part of an increase to a Terminal Illness Benefit is payable where the Terminal Illness is
due to self-inflicted injury within the first 24 months after the commencement of the
increased cover.
For insurance that commenced between 1 April 2009 and 4 December 2014 (except Automatic
Cover):
� No Death Benefit is payable where the death is due to suicide within the first 13 months of
starting or reinstating insurance.
� No part of an increase to a Death Benefit is payable where the death is due to suicide within
the first 13 months after the commencement of the increased cover.
� No Terminal Illness Benefit is payable where the Terminal Illness is due to any intentionally
self-inflicted injury.
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Pre-existing Conditions
For all cover or increases to cover commencing on or after 5 December 2014:
No benefit will be payable for death or Terminal Illness caused directly or indirectly by any Pre-
existing Condition if, prior to the most recent date you became insured under the Master Policy you
were paid, or were entitled to be paid, a TPD or Terminal Illness benefit from the Insurer or another
superannuation fund or insurer.
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Death and Total and Permanent Disablement (TPD)
insurance
Gives you financial security for the unexpected.
How does it work?
This insurance pays a lump sum if you die, are diagnosed with a Terminal Illness or become Totally
and Permanently Disabled.
If we pay a Terminal Illness benefit to you, your Death and TPD insurance will each reduce by the
amount of the payment. Where your Death or TPD insurance is greater than the amount of the
Terminal Illness benefit paid, the residual insurance will continue, and your ongoing premiums will
reduce accordingly.
Your TPD Benefit or Terminal Illness Benefit can't exceed the amount of your Death Benefit, except
where otherwise agreed by the Insurer.
The amount of your benefit will be determined on the relevant Date of Claim.
Eligibility
To be eligible for this insurance, you must be between ages 15 and 69.
TPD insurance can continue up to age 70. Your insurance may end earlier depending on the
arrangements of your former employer plan.
If you are age 65 or over, you will only be eligible for a TPD Benefit if you satisfy the 'Activities of
Daily Living' definition of TPD (see the Definitions section for details).
Eligible occupations
A TPD benefit is only payable if:
� on the last working day prior to your Date of Claim, you were not working in an Uninsurable
Occupation; or
� on the day prior to the Date of Claim, you were a 'Homemaker' or unemployed.
When benefits won’t be paid
Self-harm
For all insurance or increases to insurance commencing on and from 5 December 2014 (except
Automatic Cover or automatic increases to cover):
� No Death Benefit is payable where the death is due to suicide within the first 24 months of
starting or reinstating your insurance.
� No part of an increase to a Death Benefit is payable where the death is due to suicide within
the first 24 months after the commencement of the increased cover.
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� No Terminal Illness Benefit or TPD Benefit is payable where the Terminal Illness or TPD (as
applicable) is due to any intentionally self-inflicted injury within the first 24 months of
starting or reinstating your insurance.
� No part of an increase to a Terminal Illness Benefit or TPD Benefit is payable where the
Terminal Illness or TPD (as applicable) is due to any self-inflicted injury within the first 24
months after the commencement of the increased cover.
For insurance that commenced between 1 April 2009 and 4 December 2014 (except Automatic
Cover):
� No Death Benefit is payable where the death is due to suicide within the first 13 months of
starting or reinstating insurance.
� No part of an increase to a Death Benefit is payable where the death is due to suicide within
the first 13 months after the commencement of the increased cover.
� No Terminal Illness Benefit or TPD Benefit is payable where the Terminal Illness or TPD (as
applicable) is due to any intentionally self-inflicted injury.
Pre-existing conditions
For all cover or increases to cover commencing on or after 5 December 2014:
No benefit will be payable for death, TPD or Terminal Illness caused directly or indirectly by any Pre-
existing Condition if prior to the most recent date you became insured under the Master Policy, you
were paid, or were entitled to be paid, a TPD or Terminal Illness benefit from the Insurer or another
superannuation fund or insurer.
Tapering of TPD Benefits
If you:
� were transferred into MLC MasterKey Business Super on the commencement date of your
Plan (11 April 2006) or were eligible to transfer at that time but transferred at a later time;
� held TPD cover immediately prior to the transfer,
then your TPD insurance will remain at the same level after age 61 until the date cover ceases.
For all other members, unless the Insurer otherwise agrees, the Insurer will reduce your TPD cover
beginning from when you attain age 61 by equal amounts each year until the age your TPD insurance
ends.
Early payment
Where it can be clearly established to the Insurer's satisfaction that you are likely to be Totally and
Permanently Disabled, the Insurer may, at its discretion, pay the TPD Benefit before you are absent
from your Occupation for six consecutive months (see the definition of 'Totally and Permanently
Disabled' for details about when the six month period will apply).
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Features of Death insurance and Death & TPD insurance
Terminal Illness benefits
We’ll pay you a Terminal Illness benefit if you’re diagnosed with a Terminal Illness. Your Terminal
Illness benefit is calculated as your Death Benefit less any TPD benefit you may have already
received, up to a maximum of $3 million. Your insurance (consisting of any cover you have for death,
Terminal Illness or TPD) will then be reduced by the amount of this payment. Where your Death or
TPD insurance is greater than the amount of the Terminal Illness benefit paid, the residual insurance
will continue, and your ongoing premiums will reduce accordingly.
You won’t have to repay the Terminal Illness benefit if you live longer than 24 months.
The amount of your Terminal Illness benefit will be determined on the relevant Date of Claim.
Leave of absence/parental leave
You can take up to 24 months’ Leave of Absence from your Employment with or without pay and
keep your insurance on the same terms and conditions as if you had remained in active
Employment, provided:
� you continue to pay your premiums,
� remain employed by your employer,
� continue to be an Insured Member of MLC MasterKey Business Super,
� do not join any armed forces (excluding the Australian Defence Force Reserves not deployed
overseas), and
� comply with the other terms of the Master Policy.
Your employer's approval of your leave must be in writing and be provided to the Insurer on
request.
You can also apply to extend this period by giving us at least 60 days’ notice before your Leave of
Absence ends, which is subject to acceptance by the Insurer, at its discretion.
Any benefit payable will be based on the level of insurance notified to and accepted by the Insurer
before commencement of your Leave of Absence.
If you apply for additional cover while on Leave of Absence, your application will be subject to
underwriting and any additional cover will not commence until the Insurer provides written notice of
acceptance and you return to work.
If you do not return to your employment on or before the nominated return to work date as agreed
with your employer before you went on Leave of Absence and the Insurer has not granted an
extension, your insurance will continue provided premiums continue to be paid. However, your
insurance will be based on your Occupation and employment status immediately prior to the Date of
Claim.
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Interim Accident Insurance
If you apply for Death insurance or an increase in Death insurance and die as a result of, in the
Insurer's opinion, an Injury occurring while your application is being assessed by the Insurer and
within 365 days of the Injury occurring, a lump sum Interim Accident Benefit of the amount you have
applied for will be paid,
If you apply for TPD insurance or an increase in TPD insurance, you will be paid a lump sum Interim
Accident Benefit of the amount you’ve applied for up to a maximum of $3 million if you suffer any of
the following conditions:
� Quadriplegia;
� Major Brain Injury; or
� the total and irreversible inability to perform at least two of the Activities of Daily Living as a
result of an Injury occurring during the period of Interim Accident cover.
You will be covered for an Interim Accident Benefit from the date the Insurer receives a properly
completed application in the required form for the insurance or increase in insurance applied for.
We must also have received superannuation contributions for your benefit for Interim Accident
cover to commence.
Your Interim Accident cover will cease on the earliest of the following events:
� on the Insurer's acceptance or rejection of your application,
� on the withdrawal of your application,
� 180 days from the commencement of your Interim Accident cover,
� the day you cease to be insured (where you already hold insurance) or the day you cease to
meet the eligibility criteria
� the date the Insurer ceases to be liable under the Master Policy.
If your Interim Accident cover is for Death and TPD, you will only be eligible for one Interim Accident
Benefit, whichever is the first you become eligible for. The Insurer will only pay out one Interim
Accident Benefit for any one Accident.
In respect of insurance which commenced on or after 21 November 2011, an Interim Accident
benefit is not payable in certain circumstances, including:
� for death, Quadriplegia, Major Brain Injury or the total and irreversible inability to perform
at least two of the Activities of Daily Living as a result of an Injury occurring during the
period of Interim Accident cover, arising from an Injury caused by engaging in any
Uninsurable or Special Risk Occupation, pastimes or sports that would not be covered under
the Insurer's normal assessment guidelines,
� if the cover applied for would have been declined under the Insurer's normal assessment
guidelines,
� if the application is for an event or condition that would have been excluded under the
Insurer's normal underwriting process, and
� death, Quadriplegia, Major Brain Injury or the total and irreversible inability to perform at
least two of the Activities of Daily Living as a result of an Injury occurring during the period
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of Interim Accident cover, from an Injury occurring prior to the date Interim Accident cover
commenced.
In addition, the general exclusions in the 'When won’t a benefit be paid?' sections above also apply
to Interim Accident cover.
The Interim Accident Certificate is available in the How to Guide on mlc.com.au/howto/mkbs
Increases without medical evidence
From ages 15 to 64 you can apply to increase your Death and TPD insurance without further medical
evidence, subject to acceptance by the Insurer, when you:
� adopt or have a child
� get married or divorced
� complete your first undergraduate degree at an Australian Government-recognised
institution
� have a dependent child who starts secondary school for the first time
� are granted a loan from a financial institution for your first ever purchase of a principal place
of residence,
� are granted an increased loan from a financial institution to renovate your principal place of
residence,
� lose a spouse through death, or
� become a carer for the first time,
referred to as a Specific Life Event.
The increase can be up to 25% of your original insurance amount, but it can’t be more than $200,000
(or such other limit set by the Insurer from time to time). To apply for the increase, you must
complete and return the 'Increases without medical evidence' form available on mlc.com.au,
together with evidence acceptable to the Insurer of the Specific Life Event.
You must also apply within 90 days of the event occurring. You can only use this feature once in any
12-month period, and up to three times in total. The Insurer may reject an application or reduce the
amount applied for to the extent it exceeds the limit on the increase in insurance that can be
obtained using this feature or would increase your insurance beyond $1 million (or such other
amount as the Insurer may agree). No automatic increases in cover (other than under the Specific
Life Event feature) will apply from the date a Specific Life Event increase becomes effective.
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Income Protection insurance
Helps you concentrate on getting better, without worrying about bills.
How does it work?
This insurance provides a monthly benefit of up to 75% of your Monthly Income while you’re Totally
Disabled or Partially Disabled.
If you are engaged in Permanent Full Time Employment or Permanent Part Time Employment, you
or your employer can choose a Benefit Period of:
� two years
� five years, or
� age 65,
or as agreed by the Insurer.
If you’re engaged in Fixed-term Contract Employment and have a:
� two or five-year Benefit Period, as selected or agreed by the Insurer, your Benefit Period will
end of the earlier of:
� the end of your 2 year or 5 year Benefit Period (as applicable),
� the end of your contracted period of employment last agreed with the employer before
the date of the event leading to a claim for the benefit, or
� you attaining the age of 65;
� Benefit Period until age 65, as selected or agreed by the Insurer, your Benefit Period will end
on the later of:
� 2 years, and
� the expiry of your contracted period of employment last agreed with the employer
before the date of the event leading to a claim for the benefit,
but subject to the maximum insurance age of 65.
You can also choose from a range of Waiting Periods, being the period that you are Totally Disabled
or Partially Disabled during which no Total Disability or Partial Disability Benefits are payable. The
Waiting Period starts on the Date of Claim and requires the Insured Member to be Totally Disabled
for at least 14 consecutive days from the start of the Waiting Period.
Waiting Periods include 30, 60 and 90 days, and you can also choose a waiting period of 180 days if
you have a Benefit Period of 5 years or to age 65.
A Total Disability Benefit is only payable in the event you were in Covered Employment on the last
working day prior to the Date of Claim, were Totally Disabled for the first 14 consecutive days of the
Waiting Period, Totally or Partially Disabled for the remainder of the Waiting Period and Totally
Disabled at the end of the Waiting Period.
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A Partial Disability Benefit is only payable in the event you were in Covered Employment on the last
working day prior to the Date of Claim, were Totally Disabled for the first 14 consecutive days of the
Waiting Period, Totally or Partially Disabled for the remainder of the Waiting Period and Totally or
Partially Disabled at the end of the Waiting Period.
An Income Protection Benefit other than a Bereavement Benefit is payable monthly in arrears. An
Income Protection Benefit payable for only part of a month will be payable at a rate of one-thirtieth
of the monthly benefit payable.
An Income Protection Benefit payable in relation to a particular Illness or Injury will cease on expiry
of the Benefit Period applicable to the Insured Member, but only in relation to that Illness or Injury.
You may also have a Superannuation Contribution Benefit, subject to you, the Trustee or your
employer having submitted an application that is acceptable to the Insurer. A Superannuation
Contribution Benefit provides an additional benefit paid into your MLC MasterKey Business Super
account or another complying superannuation fund of your choice, while you’re Totally Disabled or
Partially Disabled.
Maximum monthly benefit payable
The maximum monthly benefit payable to you is the lesser of the following:
� up to 75% of the first $40,000 of your Monthly Income, and up to 50% of the next $40,000 of
your Monthly Income; and
� the insured percentage of your Monthly Income (which may not exceed 75%)
The maximum monthly benefit payable is subject to an overall total maximum benefit of $50,000
per month for the first two years of your Benefit Period, including any Superannuation Contributions
Benefit.
If your benefit payment continues beyond two years, the overall total maximum benefit payable is
$30,000 per month for the remaining Benefit Period including any Superannuation Contribution
Benefit.
Total Disability Benefit
If your Date of Claim is prior to 1 July 2016, the Total Disability Benefit will be your monthly benefit.
If your Date of Claim is on or after 1 July 2016, the Total Disability Benefit will be the lesser of your
monthly benefit or 1/12th of your Pre-Disability Income in the 12 months prior to your Total
Disability.
A Total Disability Benefit will commence from the expiration of the Waiting Period.
Partial Disability Benefit
The Partial Disability Benefit will be calculated using the following formula:
(Monthly Income – Actual Monthly Income) x monthly benefit
Monthly Income
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A Partial Disability Benefit will commence at the latest of the expiration of the Waiting Period or the
date you cease to be Totally Disabled if you are Partially Disabled at that date.
Making sure you’re eligible
To be eligible for Income Protection insurance you must be between ages 15 and 64 and must not be
engaged in Excluded Employment.
To be eligible for an Income Protection Benefit, you must be:
� engaged in Covered Employment, and
� not engaged in Excluded Employment,
on the last working day prior to the Date of Claim.
Income Protection insurance ends at age 65.
When will benefits be reduced?
Any Total or Partial Disability Benefit payable will be reduced to the extent you are, during the
period of Total Disability or Partial Disability:
� receiving any regular income (including sick leave but excluding payments made pursuant to
statutory or contractual annual leave accrued prior to the date you ceased working, long
service leave or redundancy entitlements) from your employer;
� receiving payments made under any other similar policies, and
� entitled to payments made under workers’ compensation and/or similar legislation. This
doesn’t include Centrelink payments or benefits at common law, where such benefits are
payable on a periodic basis (whether paid or not).
The reduction will be sufficient to ensure that:
� the Total Disability Benefit or Partial Disability Benefit payable, together with the aggregate
of the other payments or entitlements, will not exceed your insured percentage of Monthly
Income.
� the amount the Insurer pays in Total Disability Benefits or Partial Disability Benefits,
together with the aggregate of the other payments or entitlements (including arising under
the Policy other than rehabilitation expenses and Superannuation Contribution Benefits),
will not exceed the amount derived by your Income Protection benefit formula.
Any income from other sources which is in the form of a lump sum or is commuted for a lump sum
will be treated as a monthly amount equivalent to one sixtieth of the lump sum over a period of 60
months, to calculate the reduction in monthly benefits (one twenty-fourth (1/24) over 24 months for
a two year benefit period).
Income from other sources does not include:
� income earned from investments; and
� any lump sum total and permanent disablement benefit.
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When your worker's compensation entitlement is in dispute, the Insurer will pay the full amount of
the Total Disability Benefit or the Partial Disability Benefit on a conditional basis until the dispute is
resolved. If you are successful and are declared entitled to workers' compensation benefits, it is a
condition of this insurance cover that:
� you will repay to the Insurer that part of any Total Disability Benefit or Partial Disability
Benefit which would otherwise not have been paid if not for the conditional payment; and
� the Insurer may at any time recover this amount by offsetting it against any amounts that
may subsequently become due in respect of you under the Policy including any TPD Benefit
or Terminal Illness Benefit.
When won’t Income Protection benefits be paid?
Income Protection Benefits won’t be paid to you for Total or Partial Disability due to:
� an intentional self-inflicted Injury or any attempt to commit suicide irrespective of whether
you are sane or insane; or
� any other event or matter in the Policy or notified by the Insurer.
Further, if you have applied for and been granted any new or increased Income Protection cover
since the commencement date of your Plan (11 April 2006), Income Protection Benefits also won’t
be paid to you for Total or Partial Disability due to:
� normal and uncomplicated pregnancy or childbirth; or
� any act of war (whether declared or not) or service in armed forces (not including Australian
Defence Force Reserves not employed overseas),
in respect of that new or increased cover.
Benefits are available worldwide, however payment is limited to one year if you are not continuously
a resident in Australia or an Approved Country.
Pre-existing conditions
Where automatic acceptance applies, if you do not have New Events Cover, the Insurer will pay
Income Protection Benefits for Total Disability resulting from a Pre-existing Condition. Where
applicable, the Insurer will pay Income Protection Benefits in excess of the automatic acceptance
limit provided the Pre-existing Condition has been disclosed to and accepted by the Insurer.
For all cover commencing or increases to cover commencing on or after 5 December 2014:
No Income Protection Benefit will be paid for Total Disability or Partial Disability caused directly or
indirectly by any Pre-existing Condition if prior to the most recent date you became insured under
the Policy, you were paid, or are entitled to be paid, a TPD or Terminal Illness benefit from us or
another superannuation fund or insurer.
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When payments cease
Payment of any monthly benefit for Total Disability will end at the earliest of:
� the end of your Benefit Period;
� when you are no longer Totally Disabled;
� when you attain 65 years of age;
� on your death;
� when you are no longer under the regular and continuous care of a Doctor;
� the date there is a failure to provide the Insurer with all requested information and other
evidence reasonably required to assess your claim; or
� you make a fraudulent claim.
Payment of any Partial Disability Benefit will end at the earliest of:
� when you are no longer Partially Disabled;
� the occurrence of any of the events that would cause a monthly benefit for Total Disability
to cease (except the end of your Total Disability); or
� you earn a level of income equal to or greater than your Pre-Disability Income that you were
earning immediately prior to the start of your Total Disability or Restricted Monthly Income
(whichever is lesser).
Other
Overseas Travel
Cover for Income Protection Benefits applies worldwide. However, Income Protection Benefits will
be limited to 12 months if you are not continuously resident in an Approved Country.
The 12 month limited period commences from:
� if you ceased to be continuously resident in an Approved Country after the start of your
Total Disability, the later of the date when you last continuously resided in an Approved
Country and the end of your Waiting Period; or
� if you were not residing in an Approved Country as of the start of your Total Disability, the
end of the Waiting Period.
After the 12 month limited period, no Income Protection Benefits will be payable unless and until
you return to an Approved Country. If you return to an Approved Country and are still Totally or
Partially Disabled, your Income Protection Benefits may be reinstated effective from the date of your
return to the Approved Country and will be payable while you are continuously resident in an
Approved Country.
For two year and five year Benefit Periods, the Benefit Period will only accrue while Income
Protection Benefits are being paid.
19
Features of Income Protection insurance
Choice of waiting period
You pay a lower premium the longer the Waiting Period. You can select a 30, 60 or 90-day Waiting
Period when you apply. You also have the option of a 180-day Waiting Period if you have a Benefit
Period of 5 years or to age 65.
Interim Disability Accident Insurance
If you are eligible for Income Protection insurance and apply for Income Protection insurance or an
increase in Income Protection insurance and suffer a Total Disability which in the Insurer's opinion is
a result of an Injury occurring during the period of interim cover, you will be paid an Interim
Disability Accident Benefit.
You will be covered for an Interim Disability Accident Benefit from the date the Insurer receives a
properly completed personal statement and declaration of health to the earliest of the following
dates:
� the date the Insurer gives notice that it accepts (on any terms) or rejects the application;
� the date you that your application for cover (or an increase in cover) is cancelled or
withdrawn;
� the date you cease to be eligible for Income Protection insurance;
� the date cover otherwise ceases under the Master Policy; or
� 90 days after the commencement of interim cover.
The Interim Disability Accident Benefit provides a benefit of up to the monthly benefit applied for,
subject to the maximum monthly benefit applicable to Income Protection insurance. For Insured
Members whose cover commenced after 1 April 2009 a maximum of $50,000 per month applies.
The Interim Disability Accident Benefit is payable for as long as the Total Disability continues or to
the end of the Benefit Period, whichever occurs first, subject to a maximum of 2 years.
An Interim Disability Accident Benefit is not payable:
� for an Injury is caused by the Insured Member engaging in an Uninsurable or Special Risk
Occupation pastime or sport that would not be covered under the Insurer's normal
assessment guidelines; or
� where cover would have been declined under the Insurer's normal assessment guidelines; or
� where a claim is lodged for an event or condition that would have been excluded under the
Insurer's normal underwriting process; or
� where the Injury occurs before the person becomes an Eligible Member.
The Insurer will not pay more than one Benefit under this Interim Disability Accident Benefit for any
one Accident to any person.
The Interim Accident Certificate is available in the How to Guide on mlc.com.au/howto/mkbs
20
Returning to work during the waiting period
Prior to 29 November 2013
You can return to work during the Waiting Period for up to five days at Full Capacity without your
Waiting Period being restarted. Your Waiting Period will be extended by the amount of days you
return to work at Full Capacity. If you return to work for more than five days at Full Capacity, your
Waiting Period will start again. These days don’t have to be consecutive.
On and from 29 November 2013
You can return to work during the Waiting Period, for up to:
� five days if your Waiting Period is not more than 30 days, or
� ten days if your Waiting Period is more than 30 days,
without your Waiting Period being restarted.
Your Waiting Period will be extended by the amount of days you return to work at Full Capacity. If
you return to work at Full Capacity for more than the maximum days above, your Waiting Period will
start again. These days don’t have to be consecutive.
Salary-linked insurance increases
Your insurance may increase in line with any salary increase you receive, by up to 30% within any 12-
month period provided the increase remains within automatic acceptance limits or forward
underwriting limits (where applicable) and the evidence of salary increase is considered sufficient by
the Insurer. The Insurer may not require you to provide Evidence of Insurability.
Where your salary increase exceeds 30% or would otherwise cause the level of Income Protection
Benefits to exceed the automatic acceptance limits or forward underwriting limits (where
applicable), any increase will be subject to underwriting.
Insuring super contributions (Superannuation Contributions Benefits)
You can insure the super contributions your employer makes for you, up to 15% of your Monthly
Income, subject to you, the Trustee or your employer having submitted an application that is
acceptable to the Insurer.
A Superannuation Contribution Benefit provides an additional benefit paid into your MLC MasterKey
Business Super account or another complying superannuation fund of your choice, while you’re
Totally Disabled or Partially Disabled.
The Superannuation Contribution Benefit payable is:
� for Total Disability, an amount equal to the Super Contribution Benefit Percentage of your
Monthly Income; or
� for Partial Disability, an amount equal to the Super Contribution Benefit Percentage of your
Monthly Income less your Actual Monthly Income in that month.
The amount of the Superannuation Contribution Benefit will not exceed:
21
� 15% of your Monthly Income; or
� the maximum monthly benefit when combined with the Total Disability Benefit.
The Superannuation Contribution Benefit shall cease to be payable when you cease to be entitled to
a Total Disability or Partial Disability Benefit.
CPI-linked benefits
If you have a '5 year' or 'to age 65' Benefit Period and you receive monthly benefits for 12
consecutive months, the monthly benefits will be increased (indexed) annually by the lesser of 5%
and the percentage increase (if any) in the CPI for the previous 12 months. This does not apply for
the two-year Benefit Period.
If Total Disability or Partial Disability Benefits cease to be payable, for the purposes of any future
payments, Total Disability and Partial Disability Benefit entitlements will revert to the original
percentage of Monthly Income or other amount replaced or varied in accordance with the other
clauses of the Master Policy
Rehabilitation expenses benefit
Where you are being paid a Total Disability or Partial Disability Benefit, where permitted by law, the
Insurer will pay for expenses which are:
� incurred to directly assist you to return to work in a gainful occupation or in undertaking a
vocational retraining program because of your Total or Partial Disability;
� approved in advance in writing by the Insurer; and
� approved by your Doctor,
such as the cost of a formal rehabilitation course or the cost of special equipment such as a
motorised wheelchair to help you return to work.
The Insurer will not pay any money directly or indirectly to you or the Fund, but will pay the
rehabilitation expenses to the service providers directly or provide the rehabilitation services itself.
The maximum amount of rehabilitation expenses payable is six times the monthly benefit (less any
amount that may be claimed from any other source as reimbursement), or such greater amount as
the Insurer determines in its absolute discretion.
Evidence of the cost of the rehabilitation program or other expense will be required.
Bereavement Benefit
If you die whilst in receipt of a Total Disability Benefit or Partial Disability Benefit and no Death
Benefit is payable under this insurance cover, subject to the expiry of the Benefit Period, the Insurer
will pay an amount after the date of death of:
� 3 months of Total Disability Benefits (Benefit Period of 2 or less years or of 5 or less years),
or
� 6 months of Total Disability Benefits (Benefit Period to age 65).
22
Recurring disability
Your Waiting Period will not recommence if your Total Disability or Partial Disability recurs within six
months of the date you ceased to be Totally or Partially Disabled due to returning to your usual
Occupation or a different Occupation, provided that the cause of the recurrent Total Disability or
Partial Disability is the same or related to the cause of the original Total Disability. The Policy and
your Income Protection cover must both be in force when the Total or Partial Disability recurs.
Regardless of whether a Total Disability or Partial Disability recurs within the 6 month period, the
same Benefit Period will apply to the entire period of Total Disability and Partial Disability including
the original claim and any recurrent claim where the cause of the recurrent Total Disability or Partial
Disability is the same or related to the cause of the original Total Disability.
If you become an Insured Member after 1 July 2016 and have a 2 or 5 year Income Protection
Benefit Period, once your Benefit Period expires, a new Benefit Period will only commence if:
� you suffer an Injury or Illness which is different to that which caused or contributed to your
Total or Partial Disability in the previous Benefit Period; and
� you returned to Covered Employment prior to the Date of Claim applicable to the new
Benefit Period.
Waiver of premiums
While you receive monthly benefits, you don’t pay any Income Protection insurance premiums. On
cessation of payment of the Total or Partial Disability Benefit, premiums will be charged again unless
your Income Protection cover has ended.
Leave of absence/parental leave
You can take up to 24 months’ Leave of Absence from your Employment with or without pay and
keep your insurance on the same terms and conditions as if you had remained in active
Employment, provided:
� you continue to pay your premiums,
� remain employed by your employer,
� continue to be an Insured Member of MLC MasterKey Business Super,
� do not join any armed forces (excluding the Australian Defence Force Reserves not deployed
overseas), and
� comply with the other terms of the Master Policy.
Your employer's approval of your leave must be in writing and be provided to the Insurer on
request.
You can also apply to extend this period by giving us at least 60 days’ notice before your Leave of
Absence ends, which is subject to acceptance by the Insurer, at its discretion.
Any benefit payable will be based on the Monthly Income notified to and accepted by the Insurer
before commencement of your Leave of Absence.
23
If you apply for additional cover while on Leave of Absence, your application will be subject to
underwriting and any additional cover will not commence until the Insurer provides written notice of
acceptance and you return to work.
If you do not return to your employment on or before the nominated return to work date as agreed
with your employer before you went on Leave of Absence and the Insurer has not granted an
extension, your insurance will continue provided premiums continue to be paid. However, your
insurance will be based on your Occupation and employment status immediately prior to the Date of
Claim.
If you suffer a Total Disability and you are entitled to cover whilst on Leave of Absence, the Insurer
will pay a benefit at the rate of your Total Disability Benefit or Partial Disability Benefit as applicable.
Payment of any benefit will start from the later of:
� your nominated return to work date as agreed to by the employer before you go on Leave of
Absence, or the date last agreed to by the employer prior to your Total Disability; and
� the end of the Waiting Period,
and end in accordance with the 'When payments cease' section above.
24
Insurance – the details
How to apply for increases
Everybody has different needs and insurance is no exception.
That’s why we help you create an insurance solution to suit you and your family’s needs.
You can apply to change your cover. Your application for a change in cover will be subject to you
providing Evidence of Insurability and acceptance by the Insurer, who may set such terms and
conditions and request information as it reasonably requires.
How to apply
To apply for insurance, or to apply to increase your insurance, please log in to your account online,
or complete the Short form insurance application available on mlc.com.au.
Your financial adviser can help you alter your insurance.
During the application process for new or additional cover, you will be required to provide
information about your occupation, lifestyle, leisure activities and medical history.
We'll let you know if the Insurer has accepted or declined your application, or if the Insurer is only
willing to accept your application subject to special terms and conditions.
Any increase or decrease that has been accepted will take effect from the date of the Insurer's
written acceptance.
You can contact us or your financial adviser to find out what the additional premiums will be.
Cancelling your insurance
If you want to cancel your insurance, please call us on 132 652.
What you need to tell us
It’s important you disclose every matter you know, or could reasonably be expected to know, that
could be relevant to the decision to accept your application. If the Insurer is provided with an
incorrect date of birth, the Insurer may revise the Insured Member's benefits. In the event of any
failure to comply with a duty of disclosure, or a misrepresentation being made to the Insurer, the
Insurer may avoid or vary the Insured Member's cover.
You must also let us know if any of the information you provide changes prior to your application
being accepted (for example you have an Accident) or if your existing insurance is extended, varied
or reinstated. If you don’t, your insurance may not be valid.
25
About your premium
Premiums are deducted from your account balance in your investment options other than MySuper.
If you have no balance in those investment options, it’s deducted from your balance in MySuper.
Your insurance cover is shown in your Annual Statement each year. You can see your premiums paid
and insurance cover at any time by going to mlc.com.au and logging in to view your account online.
It’s calculated based on the type and amount of insurance you have, depending on your individual
circumstances such as age and Occupation.
The latest Occupation ratings guide for insurance is available on mlc.com.au/occupation
If we ask you to provide evidence of your health, your premium can also be influenced by factors
such as your:
� medical history, and
� lifestyle and leisure activities.
How often do you pay your premiums?
Premiums are deducted monthly from your account.
Will premiums change?
Your premiums may be adjusted for:
� your age
� changes to your insurance, or
� changes in your circumstances, such as changes to your Occupation.
The Insurer may also make changes to premium rates, which could increase or decrease your
premiums. We’ll tell you about any material increases to premium rates at least 30 days before they
take effect. Notification of any non-material changes may be made available online on mlc.com.au,
but you may not be directly notified of these updates. You may, however, obtain a paper copy of
these change communications on request free of charge.
Fees may be charged if you request a service not currently offered. To the extent that the premiums
do not incorporate any applicable taxes or charges, these taxes and charges may be deducted from
your account in addition to the premiums. The Insurer may change the premium rates at any time in
the event of a change in any government charge, licence fee, tax or other impost that relates directly
to the premiums, sums insured or risks of the Policy and in the event of invasion or outbreak of war.
We may charge members or the Fund generally, with actual or estimated costs of running the Fund.
These may include costs resulting from government legislation or fees that are charged by third
parties.
26
Keep your details up to date
You need to let us know about changes to your personal details, such as a change in your Occupation
within 130 days.
If you don’t notify us within this time, any claims may be declined.
Different TPD definitions may apply and Income Protection cover may change or may cease to be
available if you change your Occupation and/or your working capacity.
If you change from an Insurable Occupation to an Uninsurable Occupation, you may retain your
Death and TPD cover (if any). However, in the event of a claim for TPD, you will be assessed under
the Activities of Daily Living definition.
When your insurance will end
Your insurance will end on the earlier of any of the following events:
� except in respect of a Death Benefit or Bereavement Benefit, on your death
� you’re no longer eligible for insurance
� you don’t have enough funds in your account to cover the cost of insurance as at a premium
due date. You’ll continue to be covered for 30 days after the premium due date as long as
you are a member of the Plan
� you take a Leave of Absence for more than 24 months (or such other period as accepted by
the Insurer) without getting approval for continued insurance or you stop paying premiums
during the period of Leave of Absence
� on the day before you commence duty with any armed services of any country, except for
the Australian Defence Force Reserves not deployed overseas
� you reach the maximum insurable age
� in respect of a Death Benefit, Terminal Illness Benefit, TPD Benefit or Interim Accident
Benefit, the benefit is paid
� when the total of any Terminal Illness Benefit, TPD Benefit or Interim Accident Benefit (for
Quadriplegia, Major Brain Injury or the total and irreversible inability to perform at least two
of the Activities of Daily Living as a result of Injury occurring during the period of interim
cover) is equal to or exceeds your Death cover
� in respect of an Income Protection Benefit payable in relation to a particular Illness or Injury,
on the expiry of the applicable Benefit Period, but only in relation to that Illness or Injury
� you cease to be a member of the Fund
� you cancel your insurance or your insurance or the Master Policy is otherwise cancelled or
terminated for any reason
� any other event or matter referred to in the Master Policy as bringing about the cessation of
cover occurs.
If your Policy or cover is cancelled, the Insurer will only pay a claim if the claimant was an Insured
Member at the date of cancellation, the Date of Claim of the Insured Event which gave rise to the
claim occurred before the date of cancellation and any arrears of Premiums have been paid up to
the date of cancellation.
27
If you have Income Protection insurance with either the two year or five year Benefit Period, it will
end on the date the Insurer pays a lump sum TPD or Terminal Illness benefit, subject to the
following:
� Where your Total Disability commenced on a Date of Claim prior to the date the TPD or
Terminal Illness benefit was paid and you were entitled to an Income Protection Benefit on
that date, or at the end of the Waiting Period after that date, Income Protection Benefits will
continue to be payable while you continue to be Totally Disabled or Partially Disabled due to
the same Illness or Injury during the Benefit Period but your Income Protection cover will
cease in all other respects.
The Insurer's liability to pay any benefits which have not already accrued will cease on the date a
fraudulent claim is made, in respect of the claim for that benefit.
Cessation of your cover does not affect the Insurer's liability to pay a benefit that has accrued prior
to the date of cessation of the cover.
More detail on when your insurance will end can be found in the MLC Master Policy. Please call us if
you’d like a copy.
What happens when you leave your employer?
Once your employer tells us you're no longer their employee, we'll transfer your account to MLC
MasterKey Personal Super where all of your insurances will continue and will become fixed amounts.
You can apply to increase these amounts. Your premiums may be higher in MLC MasterKey Personal
Super.
Continuation option
If:
� you are an Insured Member and employment with your Participating Employer ends, or you
are a 'Family Insured Member' who ceases to meet that definition and does not transfer out
of the Fund; and
� you are not eligible for cover under MLC MasterKey Personal Super; and
� your cover has not ceased because of duty with any armed forces (excluding the Australian
Defence Force Reserves not deployed overseas),
you may apply to exercise an option for continuation of your cover. If accepted, the cover will
be of a type available from the Insurer at the time of the exercise of the option.
The following conditions apply in relation to term life insurance continuation policies:
• you must be at least 5 years younger than the Maximum Insurable Age for the relevant type
of cover applied for;
• none of the Trustee, Participating Employer (on your behalf) or you may be claiming,
receiving or entitled to receive or claim insurance payments for total and permanent
disablement or any Illness or Injury under the MLC Master Policy or any other insurance
policy issued by any insurance company; and
• you must have had cover for TPD Benefits under the MLC Master Policy immediately prior to
becoming eligible to exercise the continuance option, and if you were an employee of a
28
Participating Employer under the MLC Master Policy you must engage in Permanent Part
Time Employment acceptable to the Insurer within 90 days of ceasing employment with the
Participating Employer. The Insurer may require the person to supply satisfactory
occupation and earnings information.
In addition, the following conditions apply in relation to income protection continuation policies:
• you must be under 60 years old;
• you must have had Income Protection cover in place immediately prior to ceasing
employment with a Participating Employer;
• you must have started Permanent Part Time Employment in a similar Occupation in a
capacity acceptable to the Insurer for income protection insurance;
• if you apply for cover after 21 November 2011, you have not ceased to be an Australian
Resident; and
• none of the Trustee, Participating Employer (on your behalf) or you may be claiming,
receiving or entitled to receive or claim any Total Disability or Partial Disability Benefits
under the MLC Master Policy or similar benefits under any other insurance policy issued by
any insurance company, and you must not have previously received Total Disability Benefits
for the Insured Member's Maximum Benefit Period.
The Insurer may refuse to provide cover under the continuation option in the event the Insurer does
not market a term life insurance continuation policy or income protection policy which covers the
occupational risk of the person applying for the continuation option.
What happens if you leave the Fund?
If you transfer your super to another fund, your insurance will continue for up to 60 days. During
this time, you can let us know if you wish to apply for similar insurance with a personal MLC
insurance policy.
Making a claim
The Trustee must promptly notify the Insurer of an event giving rise to a claim under the Policy. The
Insurer will then provide you with a claim form which must be fully completed and returned as soon
as possible. Your Occupation category and employment type at the Date of Claim will be
determined by the Insurer to assess your eligibility for cover, type of cover and applicable Policy
terms. If there is a delay of more than one year after the event giving rise to the claim before the
claim form is provided to the Insurer, then the Insurer's liability will be reduced to the extent the
delay prejudices the Insurer's interests.
Prior to paying a claim, the Insurer must receive satisfactory:
� proof of age; and
� proof of the occurrence of the Insured Event, including:
� the completed claim form;
� evidence to substantiate the claim and additional evidence reasonably required by the
Insurer, at your expense;
� evidence obtained from medical examinations or assessments the Insurer reasonably
requires you to participate in, at the Insurer's expense;
� for Death Benefit claims, a post-mortem examination report if required by the Insurer;
29
� for Terminal Illness and TPD claims, medical reports from two treating Doctors,
and payment will be subject to any other terms and conditions of the MLC Master Policy.
Income Protection claims
Income Protection Benefits are only payable while you are under the regular care and attendance of
an appropriately qualified Doctor and comply with reasonable advice for treatment given by that
Doctor.
Where a claim is ongoing, Income Protection Benefit entitlements will be regularly reviewed and:
� any further evidence is to be provided by you as the Insurer requires; and
� the Insurer may conduct a reconciliation of benefits to determine any overpayment or
underpayment in each year; and
� from 1 July 2016, where an overpayment is identified that arises from, or is contributed to
by, you providing incorrect information or failing to provide information:
� the Insurer will provide us with written notice that it wishes to seek recovery of the
overpayment and evidence as reasonably required that the overpayment arose from, or was
contributed to, by you providing incorrect information or failing to provide information; and
� subject to the Insurer proving to our reasonable satisfaction that the overpayment arose
from, or was contributed to, by you providing incorrect information or failing to provide
information, either:
� we may at our discretion either:
� appoint the Insurer as our agent to recover at the Insurer's discretion the amount of the
overpayment (irrespective of when the overpayment arose) and the Insurer may retain any
such amounts it recovers; or
� pay the Insurer the amount of the overpayment; or
� the Insurer may, after consulting with us, instead recover the amount of the overpayment by
offsetting it against any amounts that may subsequently become due in respect of you
under the Policy, including any TPD or Terminal Illness Benefit.
30
Definitions
Introduction
You can find the specific details about the terms and conditions of your insurance in the MLC Master
Policy. Just call us and we’ll send you a copy.
Accident
Means an event where bodily Injury is caused directly and solely by external and visible means,
independent of all other causes.
Activities of Daily Living
Means:
(a) bathing and showering;
(b) dressing;
(c) moving from place to place, including into and out of bed and into and out of a chair;
(d) eating or drinking; or
(e) using the toilet.
Actual Monthly Income
Means:
i. the income you derive from your Occupation, during the month you are Partially Disabled,
including the value of any non-cash remuneration taken as a salary sacrifice approved by the
Insurer in the calculation of your Monthly Income; or
ii. where you are self-employed, a working director or a partner in a partnership, the income
generated by the business or practice due to your personal exertion or activities less your
share of necessarily incurred business expenses during the month in which you are Partially
Disabled, but does not include:
(a) director's fees, overtime payments, penalty or shift allowances, investment income,
income received from deferred compensation plans, disability income policies,
retirement plans or income not derived from vocational activities;
(b) commissions or bonuses generated by your personal efforts unless approved by the
Insurer in calculating your Monthly Income; or
(c) employer superannuation contributions.
Approved Country
Means Australia, Belgium, Canada, Denmark, France, Germany, Hong Kong, Italy, Japan,
Netherlands, New Zealand, Singapore, Sweden, the United Kingdom, the United States of America or
any other country which the Insurer may agree in writing.
31
At Work
Means:
i. for cover commencing, or increases to cover occurring, before 5 December 2014:
You are at work for your normal daily hours of work and are actively performing the full
duties of your normal Occupation for which you were employed or would have been had the
day not been a day of leave (other than due to Illness or Injury), public holiday or weekend
day.
ii. for new cover commencing, or increases to existing cover occurring, on or after 5 December
2014:
You are actively performing, or capable of actively performing all of the duties of your usual
occupation with your employer for at least 30 hours per week and are performing your
duties free from any limitation due to Illness or Injury.
Australian Resident
Means a person who is an Australian citizen, or has come to Australia to live and has a current and
valid Australian visa permitting employment in Australia.
(A person who goes overseas temporarily is an Australian Resident for the purpose of this
definition.)
Automatic Cover
Means cover provided without Evidence of Insurability except for cover provided under the Future
Insurance Benefit terms.
Benefit
Means any of the Death, Terminal Illness, TPD, Interim Accident and Income Protection Benefits
(comprising Total Disability, Partial Disability, Rehabilitation Expense, Superannuation Contribution,
Bereavement and Interim Disability Accident Benefits) payable under the Policy.
Benefit Period
Means, in respect of Income Protection Benefits, the maximum period for which Total Disability
Benefits and Partial Disability Benefits combined may be payable. The Benefit Period commences
on the first day of the Insured Member's Total or Partial Disability after the end of the Insured
Member's Waiting Period.
Benefit Review Date
Means, in respect of Income Protection Benefits, the anniversary of the commencement of the
continuous payment of the Total Disability Benefits and Partial Disability Benefits combined in
respect of an Insured Member.
32
Casual Employment
Means being engaged in employment of a temporary nature (other than on a contract basis through
an employment agency) where continuity of employment is not guaranteed by the employer,
regardless of hours worked or the period of employment.
Commencement Date
Means the date your cover commenced under the Master Policy.
Covered Employment
Means, for Income Protection Benefits cover, the Insured Member is engaged in:
(a) Permanent Full Time Employment;
(b) Permanent Part Time Employment working at least 15 hours per week; or
(c) Fixed-term Contract Employment working at least 15 hours per week,
in an Occupation that is not a Special Risk Occupation or Uninsurable Occupation.
CPI
Means the Consumer Price Index (weighted average of eight capital cities combined) as published by
the Australian Bureau of Statistics or its successor.
This is based on the 12-month period concluding at the end of the last quarter prior to the Benefit
Review Date. If the index is not published, the increase shall be calculated by reference to another
retail price index that most nearly replaces it (in the Insurer’s opinion).
Date of Claim
Means, for a:
Total and Permanent Disablement Benefit:
� If 'Specific Loss' applies, the date on which you first suffered 'Specific Loss', being:
� the permanent loss of use of two limbs or the sight of both eyes; or the permanent loss
of use of one limb and the sight of one eye (where limb is defined as the whole hand or
the whole foot); or
� If the 'Homemaker' definition applies, the first day of the six month consecutive period that
you (for TPD cover commencing):
� ((on or after 1 July 2016) are incapacitated from performing any Normal Physical
Domestic Household Activities solely through Injury or Illness;
� (between 29 November 2013 to 30 June 2016) have been incapacitated through Injury
or Illness;
� (between 21 November 2011 to 28 November 2013) are absent from your Occupation
solely through Injury or Illness; or
� (before 21 November 2011) have been incapacitated through Injury or Illness; or
33
� under any other TPD definitions, the first day of the six consecutive month period that you
are absent from your Occupation solely through Illness or Injury;
Terminal Illness Benefit
� On and from 1 April 2016, the date, or if two different dates, the later of the dates, on which
two registered medical practitioners, at least one of whom is a specialist practicing in an
area related to the Illness or Injury suffered by you, certify that your life expectancy is
reduced to less than 24 months;
� From 1 July 2014 to 1 April 2016, the date, or if two different dates, the later of the dates, on
which two registered medical practitioners, at least one of whom is a specialist practicing in
an area related to the Illness suffered by you, certify that your life expectancy is reduced to
less than 12 months; or
� Prior to 1 July 2014, the date the Insurer receives medical evidence which supported the
view that your life expectancy is reduced to less than 12 months. However, if:
(a) you suffer an Illness which would be reasonably expected to reduce your life
expectancy, to less than 12 months, while covered for an Insured Death Benefit; and
(b) the Insurer receives the medical evidence (referred to earlier) after cover has ceased in
respect of you,
then the Date of Claim will be taken to be the date cover ceased.
Death Benefit: the date of your death.
Interim Accident Benefit: the date of the Injury causing the death, Quadriplegia, Major Brain
Injury or total and irreversible inability to perform at least two of the Activities of Daily Living.
Income Protection Benefit: the later of:
� the first day of the first period of 14 consecutive days that you are Totally Disabled; and
� the date on which you first receive medical advice and are confirmed by a Doctor to suffer
from an Illness or Injury that is the cause of the Total Disability.
Death Benefit
A lump sum paid in the event of your death or Terminal Illness, subject to the provisions in the MLC
Master Policy. The amount of the Death Benefit will be determined on the relevant Date of Claim.
Employed/Employment
Means you are engaged in Permanent Full-time Employment, Permanent Part-time Employment,
Fixed-term Contract Employment, or (on and from 21 November 2011) Casual Employment, or (on
or from 29 November 2013) Seasonal Employment or Contract Employment.
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Evidence of Insurability
Means a completed personal statement or other form as the Insurer may require and any other
evidence of health or insurability that the Insurer may require such as medical examinations and
reports, medical tests and health and activity statements and information about Occupation,
location, finances, lifestyle and leisure activity.
Excluded Employment
Means, for Income Protection cover, you are:
(a) engaged in Employment working less than 15 hours per week;
(b) engaged in Casual Employment;
(c) engaged in Seasonal or Contract Employment, unless you commenced cover prior to 31
October 2000;
(d) engaged in a Special Risk Occupation or Uninsurable Occupation;
(e) a Homemaker
Fixed-term Contract Employment
Means a person engaged for a fixed period of employment of at least three months’ duration, which
was determined at the start of your employment.
You must also be entitled to conditions and benefits such as leave, sick leave and superannuation
normally associated with Permanent Full-time Employment.
Full Capacity
Means engaging in the normal level and nature of work undertaken by you prior to suffering from a
Total Disability.
Future Insurance Benefit
Means the option under the Master Policy to obtain automatic increases to your Death cover and
TPD cover at the time when a Specific Life Event occurs.
Heath Condition
Means any physical or mental condition, Illness or Injury however arising or caused.
Homemaker
Means an Insured Member who:
(a) is not in paid Employment and has been classified by the Insurer as occupation category
Homemaker when underwritten; or
(b) permanently or temporarily ceases work for the purpose of performing all Normal Physical
Domestic Household Duties and not due to Injury, Illness or unemployment and who has not
resumed paid Employment.
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Illness
Means a sickness, disease or disorder.
Important Duties
Means the duties essential in producing a Salary.
Income Protection Benefit
Means one or more of a Total Disability, Partial Disability, Interim Disability Accident, Bereavement,
Superannuation Contribution or Rehabilitation Expense Benefit.
The amount of the Total Disability or Partial Disability Benefit will be determined based on your
agreed benefit, subject to the maximum monthly benefit, your Monthly Income at the Date of Claim
and your Benefit Period.
Insurable Occupation
Means an Occupation that is not an Uninsurable Occupation.
Insured Member
Means a person who has been accepted for insurance by the Insurer under the terms of the Master
Policy and whose cover has not ceased.
Interim Accident Benefit
Means the Interim Accident Benefit described in the section of this Insurance Guide titled 'Interim
Accident Insurance'.
Interim Disability Accident Benefit
Means the Interim Disability Accident Benefit described in the section of this Insurance Guide titled
'Interim Disability Accident Insurance'.
Leave of Absence
Means maternity leave, paternity leave, or other employer approved extended leave, but does not
include leave to join any armed forces, excluding the Australian Defence Force Reserves not
deployed overseas, or leave leading to engagement in other gainful employment or business activity,
unless otherwise specified in the Policy or agreed to in writing with the Insurer.
Major Brain Injury
Means physical head injury that results in permanent loss of at least 25% of either the brain's mental
function or its physical control function.
36
Medical Practitioner or Doctor
Means:
i. prior to 5 December 2014, a registered medical practitioner who is acceptable to the Insurer
and who is not you or your spouse, family member, business partner, employee or
employer;
ii. on and from 5 December 2014, a registered medical practitioner who is qualified in an
appropriate specialty and who is not you or your Relative, business partner, employee or
employer.
Monthly Income
Means:
i. one-twelfth of your annual income derived from your Occupation, which may include the
value of any non-cash remuneration taken as salary sacrifice (e.g. voluntary employee
superannuation contributions and company vehicles) as approved by the Insurer,
ii. where you are self-employed, a working director or a partner in a partnership, 1/12th of the
income generated by the business or practice due to your personal exertion or activities less
your share of necessarily incurred business expenses, for the previous 12 months prior to
you becoming disabled.
Monthly Income does not include:
� director’s fees, overtime payments, penalty or shift allowances, investment income, income
received from deferred compensation plans, disability income policies, retirement plans or
income not derived from vocational activities; or
� commissions or bonuses generated by the personal effort of the member unless approved
by the Insurer on a case by case basis; or
� employer superannuation contributions.
Monthly Income is to be determined at the commencement of cover, or where there has been a
subsequent alteration to the level of Monthly Income that has been agreed to by the Insurer, then at
the date of the most recent alteration.
New Events Cover
Means cover for a Health Condition which is not a Pre-existing Condition.
Normal Physical Domestic Household Activities
Means:
(a) Normal Physical Domestic Household Duties; and
(b) leaving the house without the assistance of another person.
37
Normal Physical Domestic Household Duties
Means:
(a) cleaning the family home;
(b) shopping for food or household items;
(c) meal preparation and laundry services;
(d) looking after dependent children under the age of 16 years or in full time secondary
education, where applicable.
Occupation
Means your profession, trade, line of work, vocation, calling or other occupation at the relevant
time, or if you have more than one such occupation, the main occupation at the relevant time
(whether engaged in with one or more employers). If you are not Employed, it means the main
occupation you engaged in immediately prior to not being Employed.
Partial Disability
Means, solely by reason of Illness or Injury, you are working in a restricted capacity in your usual
Occupation or a different Occupation, earning Actual Monthly Income less than your Pre-Disability
Monthly Income and under the regular care and following the regular and reasonable advice for
treatment from, a Doctor in relation to that Illness or Injury.
Permanent Full-time Employment
Means being engaged in permanent employment for a minimum of 30 hours per week where the
employer guarantees continuity of employment and where that person is entitled to conditions and
benefits normally associated with full time employment.
Permanent Part-time Employment
Means being engaged in permanent employment for only part of the normal working day or week
(irrespective of the number of hours worked) and being entitled to conditions and benefits normally
associated with Permanent Full- time Employment but on a pro-rata basis.
Pre-Disability Income
Means:
i. the income you derive from your Occupation, before you become Totally Disabled, including
the value of any non-cash remuneration taken as a salary sacrifice (e.g. voluntary employee
superannuation contributions, company vehicle etc.) approved by the Insurer; or
ii. where you are self-employed, a working director or a partner in a partnership, the income
generated by the business or practice due to your personal exertion or activities less your
share of necessarily incurred business expenses prior to you becoming disabled,
38
but does not include:
(a) director's fees, overtime payments, penalty or shift allowances, investment income, income
received from deferred compensation plans, disability income policies, retirement plans or
income not derived from vocational activities;
(b) commissions or bonuses generated by your personal efforts unless approved by the Insurer
on a case by case basis; or
(c) employer superannuation contributions.
Pre-existing Condition
Means a Health Condition that existed prior to the commencement of your insurance or variation in
insurance, of which you were aware before becoming insured or before the variation in your
insurance, or of which a reasonable person in the circumstances could have been expected to have
been aware.
Quadriplegia
Means the permanent and total loss of use of both arms and both legs resulting from an Injury.
Relative
Means parent, child, spouse, de facto spouse, brother or sister
Restricted Monthly Income
Means (in respect of the Income Protection Benefit terms) only that part of the Monthly Income that
has been taken into account to derive either the maximum monthly benefit where the maximum
monthly benefit applies to you or the automatic acceptance limit where your monthly benefit is
restricted to that limit.
Seasonal or Short-term Contract Employment
Means you are not in Fixed-term Contract Employment but are employed or contracted:
� in your own name;
� in your business name; or
� through an agency;
to complete a specific job without guarantee of continuity of employment, irrespective of the hours
worked or the period of employment.
Special Risk Occupation
Means a hazardous occupation or an occupation which presents special difficulties in assessing the
Insurer's risk as described in the most recent 'Occupation Guide', as amended and published by the
Insurer from time to time.
Specific Life Event
Has the meaning given in the section of this document titled 'Increases without medical evidence'.
39
Superannuation Contribution Benefit
Means a benefit paid monthly in arrears into your MLC MasterKey Business Super account or
another complying superannuation fund of your choice, while you are Totally Disabled or Partially
Disabled. The amount of monthly benefit will be determined based on your agreed benefit, subject
to the maximum monthly benefit and your Monthly Income at the Date of Claim.
Super Contribution Benefit Percentage
Means the percentage equal to the percentage paid by the participating employer as the
superannuation contribution in respect of you, as nominated by the employer and accepted by the
Insurer.
Terminal Illness
Means, for a Date of Claim:
(a) (on or after 1 April 2016):
i. you suffer an Illness or Injury that two registered medical practitioners (at least one
of whom is a specialist practising in an area related to the Illness or Injury suffered
by you) have certified, jointly or separately, is likely to result in your death within a
period (Certification Period) that ends not more than 24 months after the date of
the certification; and
ii. the Certification Period in each of the certificates has not yet expired; and
iii. the reduced life expectancy occurs while you are covered for an insured Death
Benefit under the Policy.
(b) (between 1 July 2014 and 1 April 2016):
i. you suffer an Illness that two registered medical practitioners (at least one of whom
is a specialist practising in an area related to the Illness or Injury suffered by you)
have certified, jointly or separately, is likely to result in your death within a period
(Certification Period) that ends not more than 12 months after the date of the
certification; and
ii. the Certification Period in each of the certificates has not yet expired; and
iii. the reduced life expectancy occurs while you are covered for an insured Death
Benefit under the Policy.
(c) (before 1 July 2014) an Illness you suffer which in the Insurer’s opinion, after consideration
of medical evidence, would reasonably be expected to reduce your life expectancy to less than
12 months. The reduced life expectancy must occur while you are covered for an insured
Death Benefit under the Policy.
40
Total Disability
Means:
if you ceased work before 1 April 2009 by reason of Illness or Injury, in the Insurer's opinion, you
being continuously:
� unable to perform your Occupation solely by reason of Illness or Injury; not otherwise
gainfully employed or engaged in any gainful business activity; and are under the care of
and following the regular and continuous advice for treatment from a Doctor in relation
to that Illness or Injury;
� if your cover commenced before 12 December 2011 and you cease work on or after 1 April
2009 by reason of Illness or Injury, in the Insurer's opinion, you being continuously:
� unable solely by reason of Illness or Injury to perform the Important Duties of your
Occupation; not otherwise gainfully employed or engaged in any gainful business
activity; and under the care of and following the regular and continuous advice for
treatment from a Doctor in relation to that Illness or Injury;
� if your cover commenced on or after 12 December 2011 and you ceased work between 12
December 2011 and 1 July 2016, in the Insurer's opinion, you being continuously:
� unable solely by reason of Illness or Injury to perform the Important Duties of your
Occupation; not otherwise employed or engaged in any Occupation (whether paid or
unpaid); and under the care of and following the regular and continuous advice for
treatment from a Doctor in relation to that Illness or Injury;
� if your cover commenced on or after 12 December 2011 and you cease work by reason of
Illness or Injury on or after 1 July 2016, in the Insurer's opinion, you being continuously:
� unable to perform the Important Duties of your Occupation solely by reason of Illness or
Injury; not otherwise employed or engaged in any Occupation (whether paid or unpaid);
and under the care of and following the regular and continuous advice for treatment
from a Doctor in relation to that Illness or Injury.
However, if you:
• were transferred into MLC MasterKey Business Super on the commencement date of your
Plan (11 April 2006) or were eligible to transfer at that time but transferred at a later time;
and
• held salary continuance benefit cover immediately prior to the transfer,
you may claim the Total Disability Benefit by reference to either the above definition of Total
Disability or the definition of Total and Temporary Disablement that applied in National FlexiSuper
Plus, which was:
“Total and Temporary Disablement: the continuous and total inability of a Member, because of
injury or sickness, to perform all of the important duties of the Member’s normal duties, where the
Member is under continuous and professional care of a medical practitioner and the Member is not
engaged in any occupation for wage or profit.”
41
All defined terms used in this definition have the meaning given to them in the FlexiSuper Plus Policy
Document.
Total and Permanent Disablement Benefit or TPD Benefit
A lump sum benefit payable in the event of you becoming Totally and Permanently Disabled, subject
to the provisions of the MLC Master Policy. The amount of the Total and Permanent Disablement
Benefit will be determined on the relevant Date of Claim.
Where it can be clearly established to the Insurer's satisfaction that you are likely to be Totally and
Permanently Disabled, the Insurer may, at its discretion, pay the TPD Benefit before you are absent
from your Occupation for six consecutive months (see the definition of 'Totally and Permanently
Disabled' for details about when the six month period will apply).
Totally and Permanently Disabled
Employment at Date of Claim*:
Permanent Full Time
Permanent Part Time at least 15 hours/week
Fixed Term Contract (at least 15 hours/week
(A) (Any Occupation definitions)
Totally and Permanently Disabled means, in relation to cover commencing:
� At any time (Date of Claim on or after 5 December 2014): You:
� have been absent from your Occupation solely through Injury or
Illness for six consecutive months;
� have been regularly attending an appropriately qualified Medical
Practitioner and undertaking medical treatment reasonably
recommended by an appropriately qualified Medical Practitioner with
respect to that Illness or Injury since ceasing work in your Occupation
solely through Illness or Injury; and
� are incapacitated to such an extent that, in the Insurer's opinion, after
consideration of medical and other relevant evidence you were, as at
the end of the initial period of six consecutive months absence from
your Occupation, unable to ever engage in or work in any occupation
on a full-time or part-time basis, for which you are reasonably suited
by education, training or experience.
For the purposes of this definition ‘medical and other relevant evidence’
includes, but is not limited to:
� the prospect of improvement in your capacity after treatment and
rehabilitation that could reasonably be expected to be undertaken by
you, and
� whether reasonable retraining or reskilling would render you able to
engage in or work in any occupation on a full-time or part-time basis.
� On or after 29 November 2013 (Date of Claim before 5 December 2014):
You were absent from your Occupation solely through Injury or Illness for
a period of six consecutive months and are incapacitated to such an
extent that, in the Insurer's opinion, after consideration of medical and
other relevant evidence , you, as at the end of the six month period were
unlikely ever to engage in or work for reward in any occupation for which
you are reasonably suited by reason of education, training or experience.
42
� On or after 21 November 2011 to 28 November 2013 (Date of Claim
before 5 December 2014): You were absent from your Occupation solely
through Injury or Illness for six consecutive months and being
incapacitated to such an extent that based on medical and other relevant
evidence, you, as at the end of the six month period were unlikely ever
to engage in any gainful profession, trade or occupation for which you
are reasonably qualified by reason of education, training or experience.
� Before 21 November 2011 (claim before 5 December 2014): You were
absent from your Occupation solely through Injury or Illness for six
consecutive months and after which time you became in the Insurer's
opinion, after consideration of all evidence obtained, incapacitated to
such an extent as to render you unlikely ever to engage in any gainful
profession, trade or Occupation for which you are reasonably qualified
by reason of education, training or experience.
� Before 11 April 2006* (claim before 5 December 2014): You suffered a
disability through injury or illness that has prevented you from engaging
in your normal occupation for a continuous period of six months and, in
the opinion of the Insurer after consideration of all medical evidence, the
injury or illness has rendered you unable ever to engage in your normal
occupation or any similar occupation for which you are fitted by
education, training or experience.
* this definition applied in the National All in One Superannuation Fund
Consolidated Group Life Insurance Policy Document dated 13 December
1999 and may be substituted for any definition applying where the Date of
Claim is before 5.12.14 if it gives a more favourable assessment decision.
Employment at Date of Claim:
Permanent Part Time less than 15 hours/week
Casual
Seasonal/Contract
Unemployed
(B) (ADL definition)
Totally and Permanently Disabled means, in relation to cover commencing
on or after 1 July 2016 (Date of Claim on or after 1 July 2016): You have
been absent from your Occupation solely through Injury or Illness for six
consecutive months and after which time you have, in the Insurer's opinion
after consideration of all evidence obtained:
• suffered a total and irreversible inability to perform at least two of
the Activities of Daily Living; and
• are unlikely to ever engage in or work for reward in any occupation
for which you are reasonably suited by education, training or
experience.
Permanent Part Time less than 15 hours/week
Casual
Seasonal/Contract
Unemployed
(B) (ADL definition)
Totally and Permanently Disabled means, in relation to cover commencing
between 29 November 2013 to 30 June 2016 (Date of Claim on or after 29
November 2013): You were absent from your Occupation solely through
Injury or Illness for six consecutive months and after which time you have, in
the Insurer's opinion after considering all evidence obtained, suffered a total
and irreversible inability to perform at least two of the Activities of Daily
Living.
43
Employment at Date of Claim:
Seasonal/contract
(B) (ADL definition)
Totally and Permanently Disabled means, in relation to cover commencing
between 21 November 2011 to 28 November 2013 (Date of Claim on or after 29
November 2013): You were absent from your Occupation solely through Injury or
Illness for six consecutive months and being incapacitated to such an extent that
based on medical and other relevant evidence, you, as at the end of the six month
period, had suffered a total and irreversible inability to perform at least two of the
Activities of Daily Living.
Employment at Date of Claim:
Permanent Part Time less than 15 hours/week
Casual
Unemployed
(B) (ADL definition)
Totally and Permanently Disabled means, in relation to cover commencing
between 21 November 2011 to 28 November 2013 (Date of Claim on or
after 21 November 2011): You were absent from your Occupation solely
through Injury or Illness for six consecutive months and being incapacitated
to such an extent that based on medical and other relevant evidence, you,
as at the end of the six month period, had suffered a total and irreversible
inability to perform at least two of the Activities of Daily Living.
Employment at Date of Claim:
Permanent Part Time less than 15 hours/week
Casual
Unemployed
(B) (ADL definition)
Totally and Permanently Disabled means, in relation to cover commencing
before 21 November 2011 (Date of Claim – at any time^): You were absent
from your Occupation solely through Injury or Illness for six consecutive
months and after which time you have, in the Insurer's opinion, after
consideration of all evidence obtained, suffered a total and irreversible
inability to perform at least two of the Activities of Daily Living.
^ For Casual employees, this definition only applies if the Date of Claim was after 21
November 2011. No cover was provided for Dates of Claim prior to this date for Casual
employees. For Seasonal/contract employees, this definition only applies if the Date of Claim
was on or after 29 November 2013. No cover was provided for Dates of Claim prior to this
date for Seasonal/contract employees.
Employment at Date of Claim:
Homemaker
(C) (Home Duties definition)
Totally and Permanently Disabled means, in relation to cover commencing:
� On or after 1 July 2016 (Date of Claim on or after 1 July 2016): You have
been incapacitated from performing any Normal Physical Domestic
Household Activities solely through Injury or Illness for a period of six
consecutive months, and at the end of the six month period, in the
Insurer's opinion, after consideration of medical and other relevant
evidence, are incapacitated to the extent that you are completely unable
to perform any Normal Physical Domestic Household Activities and
unlikely to ever engage in or work for reward in any occupation for which
you are reasonably suited by education, training or experience.
� Between 29 November 2013 to 30 June 2016 (Date of Claim on or after
29 November 2013): You have been incapacitated through Injury or
Illness for six consecutive months and after which time you were
rendered, in the Insurer's opinion, after consideration of all evidence
obtained, completely unable to do any Normal Physical Domestic
Household Activities.
44
� Between 21 November 2011 to 28 November 2013 (Date of Claim on or
after 21 November 2011): Your Occupation is classified as 'Homemaker'
and you have been absent from your Occupation solely through Injury or
Illness for six consecutive months and being incapacitated to such an
extent that based on medical and other relevant evidence, you, as at the
end of the six month period, were unable to ever again attend to any
Normal Physical Domestic Household Activities.
� Before 21 November 2011 (Date of Claim – at any time): Your Occupation is
classified as 'Homemaker' and, having been incapacitated through Injury or
Illness for six consecutive months and after which time you are rendered, in the
Insurer's opinion after consideration of all evidence obtained, unable to ever
again attend to any Normal Physical Domestic Household Activities.
(D) (Specific Loss definition)
Totally and Permanently Disabled means, in relation to cover commencing:
� Before 29 November 2013 (Date of Claim – at any time): You have suffered the permanent loss of use of two limbs or the sight of both eyes
or the permanent loss of use of one limb and the sight of one eye (where
limb is defined as the whole hand or the whole foot).
� Before 11 April 2006* (Date of Claim – at any time): You have suffered
the permanent loss of use of two limbs or the sight of both eyes or the
permanent loss of use of one limb and the sight of one eye (where limb is
defined as at least a whole hand or a whole foot).
* this definition applied in the National All in One Superannuation
Fund Consolidated Group Life Insurance Policy Document dated 13
December 1999 and may be substituted for the definition listed
above if it gives a more favourable assessment decision.
Age 65 years or older
On or after 29 November 2013, you will be assessed under TPD definition (B)(ADL) above.
Uninsurable Occupation
Means an Occupation so hazardous that the Insurer is unable to accept the risk, as notified by the
Insurer to the Trustee from time to time.
Waiting Period
Means the period that you are Totally Disabled or Partially Disabled during which no Total Disability
or Partial Disability Benefits are payable. The Waiting Period starts on the Date of Claim and
requires the Insured Member to be Totally Disabled for at least 14 consecutive days from the start of
the Waiting Period.
45
For more information visit mlc.com.au or
call us from anywhere in Australia on 132 652 or
contact your financial adviser.
Postal address
PO Box 200
North Sydney NSW 2059
Registered office
Ground Floor, MLC Building
105 – 153 Miller Street
North Sydney NSW 2060
Website
mlc.com.au