Who can apply?
All permanent Australian residents between the ages of 16 and 55 can apply. You will need to answer some medical and lifestyle questions.
How do I apply?
There are 4 easy ways you can apply. Please choose the option which suits you:
- Call 13 77 87 and apply over the phone between 8am and 8pm AEST, or
- Complete the application form then;
- mail to Reply Paid 62, Carlton South VIC 3053, or
- fax to 1800 730 099, or
- scan and email to insuranceline@insuranceline.com.au
What am I covered for?
Once accepted for the Major Illness Plan you'll be covered for the 6 major conditions listed below, plus terminal illness and death. Claims will be paid upon satisfactory diagnosis of;
- Cancer
- Heart Attack
- Stroke
- Coronary Artery Bypass Surgery
- Paralysis
- Permanent Incapacity
Please refer to the
table below for full definitions of what is and what isn't covered.
What's not covered?
To keep our premiums as low as possible, a couple of exclusions apply;
- self inflicted injury at any time is not covered, and
- suicide within the first 13 months is not covered.
Please refer to the table below for full definitions of what is and what isn't covered.
How much cover can I get?
You can apply for cover up to $100,000 per person.
Where and when am I covered?
Cover provided is worldwide, 24 hours a day up to age 69, at which time your policy will cease.
What are the waiting periods?
The Major Illness Plan has a 90 day waiting period for cancer, heart attack, stroke and coronary artery bypass surgery. This means that you cannot claim where the condition occurred, was diagnosed, or the circumstances leading to the diagnosis became apparent, within the first 90 days.
If I cancel my policy, will I get any money back?
You get 30 days to make sure you are 100% happy with the policy.
If not, simply return it for a full refund - there's no risk to you! The Major Illness Plan is not a savings plan, so if you cancel after the first 30 days you will not get any money back.
How much does it cost?
Premiums depend on the amount of cover you apply for, your age, gender, health, and whether or not you smoke. The minimum premium is $2.95 a week, and you can choose to pay fortnightly, monthly, or annually. Discounts apply if you cover more than one person or if you pay annually. The easiest way to get a personalised quote is to call 13 77 87.
What questions will I be asked?
The application process includes some simple questions about your occupation, pastimes and health background. As long as you answer these truthfully and completely, then any future claims will be processed more quickly - even if your lifestyle and health changes. So you'll be covered by a policy that provides real peace of mind and more certainty.
Are my premiums tax deductible?
Generally, the premiums paid will not be tax deductible nor will any payout be assessable for income tax purposes. The taxation information in this Product Disclosure Statement is based on the continuation of present laws and their current interpretation and is a general statement only.
When will my premiums change?
The premium rates will be provided with your policy documentation, so you can budget from year to year. The underlying premium rates are not guaranteed, but once your cover has started, you'll never be singled out for a premium rate increase, and any increase will be applied to all policyholders to which the same premium rate table applies, with 30 days written notice.
Premiums increase;
- as the life insured moves to the next age band,
- if you increase cover,
- if you add another person to your Plan.
Unless otherwise requested, your cover also increases each year, by the change in the CPI or 5%, whichever is greater, to allow for the automatic adjustment for inflation. As you'd expect your premiums increase. This means your payout remains relevant to your future financial requirements.
What happens if I don't pay my premiums?
The cover provided by the Major Illness Plan will cease. You will be informed in writing when your cover has ceased if this is the case.
It's important to let us know immediately if you cannot pay a premium, so we can help to work out an alternative arrangement.
How do I claim?
Simply call InsuranceLine on 13 77 87 and request a claim form (or download a claim pack from www.insuranceline.com.au). All you have to do is return it with the relevant information. InsuranceLine and TAL will guide you from there.
TAL will need confirmation of diagnosis by a relevant medical practitioner, including the results of any tests, which can be checked against your medical history. Once a claim has been paid, all cover for that life insured ceases, but cover continues for any other life insured remaining on the same policy.
Your satisfaction is important
Upon issue of your policy you will receive a Policy Document and a Policy Schedule, together with your Confirmation of Application. You should read these documents carefully to ensure they accurately reflect your situation, and then keep them together in a safe place.
Who do I contact if I have a query?
On behalf of TAL, InsuranceLine also administers the products it promotes under a separate agreement. The service provided is flexible to your needs. If you have any billing issues, or wish to change your level of cover, add a second person or any other queries, please call InsuranceLine on 13 77 87.
Who do I contact if I have a complaint?
On behalf of TAL, InsuranceLine will also try to resolve any issues you may have in the first instance. Please refer to the Financial Services Guide for the complaints processes.
| |
Explanation |
Evidence Requiried |
Conditions not covered |
| Cancer means |
The presence of one or more malignant tumours |
This requires the malignant tumour to be characterised by the uncontrolled growth and spread of malignant cells and the invasion and destruction of normal tissue.
*Carcinoma in situ of the breast is covered if it results directly in the removal of the entire breast. The procedure must be performed specifically to arrest the spread of malignancy, and be considered the appropriate and necessary treatment.
|
The following tumours are excluded:
- Tumours showing the malignant changes of carcinoma in situ (including cervical dysplasia CIN-1, CIN-2 and CIN-3) or which are histologically described as premalignant*;
- All skin cancers, unless there is evidence of metastases;
- Melanoma of the skin at Stage 1A (tumour thickness of less than or equal to 1.00mm, Clark level II or III, without ulceration);
- Prostatic cancers which are histologically described as TNM Classification T1 or are of another equivalent or lesser classification, unless resulting in the surgical removal of the prostate;
- Papillary Micro-Carcinoma of the Thyroid or Bladder; and
- Chronic Lymphocytic Leukaemia less than Rai Stage 1
|
| Heart Attack means |
The occurrence of an acute myocardial infarction, which means the death of a portion of heart muscle due to inadequate blood supply. |
This requires clear evidence of:
- New electrocardiograph (ECG) changes associated with myocardial infarction, and
- The elevation of biochemical markers (such as troponin or cardiac enzymes) of myocardial necrosis.
If the above tests are inconclusive, consideration will be given to any other medical evidence in support of a diagnosis.
|
The following are excluded:
- Non-cardiac chest pain, and
- Angina, which is a more common but temporary heart condition with no death of the heart muscle.
|
| Stroke means |
A cerebrovascular event producing neurological deficit, which means the malfunction of the brain due to bleeding or a blood clot on the brain. |
This requires clear evidence on a CT, MRI or other appropriate scanning device of an:
- infarction of brain tissue caused by intracranial and/or subarachnoid haemorrhage, or
- embolisation from an extracranial source.
|
The following are excluded:
- Transient ischaemic attacks,
- Reversible neurological deficit,
- Cerebral symptoms due to migraine,
- Cerebral injury resulting from trauma or hypoxia, and
- Vascular disease affecting the eye, optic nerve or vestibular functions.
|
| Coronary Artery Bypass Surgery means |
Bypass grafting surgery performed to correct or treat coronary artery disease. |
As per explanation |
|
| Paralysis means |
The total and permanent loss of function of 2 or more limbs. |
This requires permanent damage to the nervous system due to sickness
or injury. This includes, but is not limited to, quadriplegia, paraplegia, diplegia and hemiplegia. |
|
| Permanent Incapacity means |
The loss of ability to look after yourself. |
This requires the total and irrecoverable loss of ability to perform at least 2 of the following activities without the physical assistance of another person.
- Bathing - the ability to shower and bathe;
- Dressing - the ability to put on and take off clothing;
- Toileting - the ability to get on and off, and use, the toilet;
- Mobility - the ability to get in and out of bed and a chair;
- Feeding - the ability to get food from a plate into the mouth.
|
|
This summary describes how the direct debit request system works. Upon issue of your policy, you will also receive a full copy of the Direct Debit Request Service Agreement - Terms and Conditions. You should read the Agreement carefully as it explains your rights and obligations relating to your ongoing direct debits.
When you complete your bank details and sign the authority, you are instructing the insurer to directly debit the appropriate premiums from your nominated account. Your authority will be kept confidential at all times.
If your premium cannot be paid (for example there's not enough money in your nominated account) your bank may dishonour that payment, in which case your policy may lapse and all cover cease.
If you have concerns about its operation or you subsequently need to change any aspects of the authority, please notify us.