What is a Total & Permanent Disability Insurance?

Total & Permanent Disability (TPD) insurance pays a lump sum on the insured person becoming permanently disabled due to illness or accident.

Most families are carrying significant financial risk should the unexpected happen. The big question you have to ask yourself is:

Would your family be able to maintain their lifestyle if you could no longer earn an income due to you becoming permanently disabled?

If your answer to this question is no, you need to consider transferring that financial risk to an insurance company.

Your financial adviser can help you do that, as well as answer any questions you have about TPD insurance, and then calculate how much TPD insurance you need to safeguard you and your family in the event something should happen to you or your spouse. And, if you wish, your adviser will use our sophisticated computer program to ‘broker’ the major insurers to find you the right cover at a competitive price.*

What is TPD insurance typically used for?

If you become permanently disabled, a TPD insurance payout can help free you and your family from financial worry by paying for things such as:

  • Medical treatment, pharmaceutical items, specialised therapies and rehabilitation costs that are not covered by your health fund
  • A carer or care support
  • Modifications to your home arising from the disability (e.g. replacing stairs with ramps)
  • Repaying debt
  • Additional disposable income
  • A cash reserve to boost your retirement saving.

Why TPD definitions are important

Most TPD policies generally offer one of two definitions, either ‘own occupation’ or ‘any occupation’. An ‘own occupation’ definition means your claim will be paid if you are unlikely to ever return to your own occupation, which is the one you were engaged in at the time of the injury or illness.

An ‘any occupation’ definition means your claim will be paid if you are unlikely to ever return to any occupation that you may be suited to by experience or education. An ‘own occupation’ definition is usually preferable, however its premiums are higher, and this option is not available for all occupations.

Where should your TPD insurance be held?

You can hold TPD insurance in your name, or in your superannuation fund. Both options have pros and cons. 

For example, holding TPD insurance in your name means that the payout may usually be directed to you quickly and with certainty, and free of tax.

However, you cannot obtain a tax deduction on the annual premiums you pay. 

Conversely, if your TPD insurance is held in your superannuation fund, paying your annual premiums via employer or self-employed superannuation contributions can provide you with an effective tax deduction on the cost of insurance. In addition, because your superannuation fund pays those premiums, it means you have cover without eating into your family budget. So this option is usually the more affordable for most people. Note the government also puts a limit in term of how much contribution you can make into super, contributions into super to fund for insurance premiums will also count towards these limits.

However, the legislation governing superannuation funds provides a strict definition of ‘permanent disability’ and superannuation funds can only pay a claim according to an ‘any occupation’ definition (as described above).

Choice of premium options

‘Stepped’ premiums increase each year in line with your age. 

‘Level’ premiums generally remain constant until you’re 65 or 70, depending on which ‘Level’ premium option you have selected, at which point they convert to ‘Stepped’. 

In other words, Stepped’ premiums are more affordable in the early years, while ‘Level’ premiums tend to be more affordable in the later years (before they convert to ‘Stepped’).

How do the insurance companies view you as a risk?

Some insurance companies may charge you significantly less than other companies for the same cover, simply because they see you – or your occupation – as a lower risk. 

That’s why you should use a financial adviser who has the ability to ‘shop around’ the reputable insurers to get the best solution for your particular situation.

Case Study

Denise is a surgeon who has permanently lost the use of her hand and obviously can no longer continue as a surgeon. 

If Denise has an ‘any occupation’ definition in her TPD policy, the insurance company could assert that although Denise cannot continue as a surgeon, she could still find suitable employment, for example as a hospital supervisor or university lecturer. Therefore, the claim would most likely not be paid. 

However, if Denise has an ‘own occupation’ definition in her TPD policy, her claim would be paid. And she could, if she wished, find suitable employment when she was ready. Denise could use the lump sum payout to help her top up her income, pay off her mortgage, and pay for medical and rehabilitation expenses.

  1. AIHW (2018) Australia’s health 2018, section 5.4 Cat. no. AUS 221, Canberra.
  2. Stroke Foundation (2018) Facts and figures about stroke, https://strokefoundation.org.au/About-Stroke/Facts-and-figures-about-stroke, viewed December 2018.
  3. AIHW (2018) Australia’s health 2018, section 5.4, Cat. no. AUS 221, Canberra.

*Insurance cover is subject to eligibility criteria.

 

Disclaimer: This information has been produced by Australian Unity Personal Financial Services Ltd (‘AUPFS’) ABN 26 098 725 145, AFSL & Australian Credit Licence 234459. Any advice in this document is general advice only and does not take into account the objectives, financial situation or needs of any particular person. It does not represent legal, tax, or personal advice and should not be relied on as such. You should obtain financial advice relevant to your circumstances before making investment decisions. AUPFS is a registered tax (financial) adviser and any reference to tax advice contained in this document is incidental to the general financial advice it may contain. You should seek specialist advice from a tax professional to confirm the impact of this advice on your overall tax position. Nothing in this document represents an offer or solicitation in relation to securities or investments in any jurisdiction. Where a particular financial product is mentioned, you should consider the Product Disclosure Statement before making any decisions in relation to the product and we make no guarantees regarding future performance or in relation to any particular outcome. Whilst every care has been taken in the preparation of this information, it may not remain current after the date of publication and AUPFS and its related bodies corporate make no representation as to its accuracy or completeness. Published: November 2018 © Copyright 2018