Orlando Harmon
NGS Super offers life insurance and total and permanent disability (TPD) insurance, providing financial protection for you and your family in the event of death, terminal illness, or inability to work due to injury or illness. NGS Super also offers income protection insurance to safeguard your ability to earn an income. To check your NGS insurance benefits, you can contact NGS Super, who will guide you through the required forms and claims process. Claims can be made over the phone or by logging into the TAL insurance portal.
| Characteristics | Values |
|---|---|
| Type of Insurance | Life Insurance, Total and Permanent Disablement (TPD) Insurance, Income Protection Insurance |
| Provider | NGS Super |
| Partner Insurer | TAL, a leading Australian life insurer |
| Payment Method | Premiums deducted from super account |
| Benefits | Affordable, reliable insurance cover with minimal impact on retirement savings |
| Claims Process | Contact NGS Super, complete relevant forms, provide certified proof of age and identity, post completed forms |
| Claim Decision Review | Review by Fund's Claims Review and Insurance Committee, written outcome provided |
| Claim Decision Appeal | Submit new evidence, appeal to NGS Super's Complaints Officer, further review by Australian Financial Complaints Authority (AFCA) if necessary |
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What You'll Learn
Life and Total and Permanent Disablement (TPD) insurance
When considering Life and TPD insurance, it is important to evaluate your expenses and the potential costs you or your family may face if you are unable to work. These expenses could include medical expenses, daily living costs, long-term care, or home modifications. You should also consider any existing insurance policies you have, such as private health insurance or income protection insurance, which can help cover some of these costs.
Life and TPD insurance can provide a lump sum payment if you become totally and permanently disabled due to injury or illness. This payout can be used to fund out-of-pocket expenses and maintain financial stability during a difficult time. It is important to note that the definition of "total and permanent disability" may vary among insurance companies, but it generally refers to a condition where an individual is unable to work full-time ever again due to their injuries or illness.
When deciding on the level of cover, you can choose between variable age-stepped premiums, which are based on your current age and adjusted at each policy renewal, and variable premiums, which start higher but increase more slowly over time and are not directly influenced by age. You should also check if you already have TPD insurance through your super fund, as most super funds offer default TPD cover at a cheaper rate than purchasing it directly.
Finally, it is crucial to provide honest and complete information when applying for Life and TPD insurance. Misleading or incomplete answers may result in the insurer cancelling, varying, or declining your cover or claim.
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Death benefits
NGS Super offers life insurance to provide financial protection for you and your family in the event of your death, terminal illness, or inability to work due to injury or illness. This insurance is provided in partnership with TAL, a leading Australian life insurer.
The death benefit is distributed to the member's legal representative or directly to the beneficiary. To start the claim process, beneficiaries can call 1300 133 177 or log in to the TAL insurance portal via the insurance section in Member Online. Making a claim over the phone through the tele-claim process is usually the quickest option, as the insurer will verbally ask tailored questions to gather information.
Terminal illness cover sits within life cover. If you have this cover and need to make a claim, contact NGS Super to confirm your cover is valid and to receive the necessary forms. Terminal illness is defined as a condition that is likely to result in death within 24 months, as certified by two medical practitioners, one of whom must specialize in that illness.
Premiums for NGS Super insurance are deducted from your super account, not your take-home pay, which is a tax-effective, automatic way to pay for protection without impacting your monthly budget or retirement savings.
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Terminal illness claims
If you have been diagnosed with a terminal illness, you may be able to claim your accrued superannuation benefits. This will include your superannuation account balance and insurance benefits (if applicable). If you have death cover, you will also be automatically insured for terminal illness.
To start the claims process, your provider will first need to confirm your eligibility. You will need to provide:
- Your name and date of birth (member number, if possible)
- Details about your terminal illness diagnosis, including the date your illness was first identified
- Any other supporting documentation
At least two registered medical practitioners, one of whom must be a specialist in a field related to your condition, need to determine that your illness is terminal and that your life expectancy is less than 24 months. The certification period must be current.
The duration for processing a claim can vary, and the insurer may consult additional sources or independent experts. If your claim is accepted, you will be informed, and you can decide on payment instructions. If your claim is declined, you will be informed of the reasons, and you may appeal the decision by providing additional evidence.
It is important to note that if your diagnosis falls within 12 to 18 months of the end date of your life insurance policy, it may be more difficult to claim. Some life insurance products might contain an exclusion clause for terminal illness claims close to your policy expiry date, so it is important to check the terms and conditions.
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Premiums deducted from your super account
NGS Super provides Death, Terminal Illness, Total and Permanent Disability, and Income Protection as a member benefit. When you open your first NGS Accumulation account and meet certain criteria, you will be provided with default insurance cover. Generally, you will need to opt in to agree to receive Default Cover, or it will be provided to you automatically when you have reached at least 25 years of age and your account balance exceeds $6,000.
Your level of cover and premiums will depend on your age and insurance category (a category based on the type of work you do). Premiums are deducted automatically from your NGS Accumulation account. You can find out more about Default Cover in the NGS Insurance Guide.
For Accumulation accounts, you can nominate how you would like your death benefit to be distributed. It can be paid to your estate to be distributed according to your will, for example. Similar options are available for Transition to Retirement and Income accounts.
After joining NGS Super, most members will have the opportunity to opt in to receive a default level of insurance cover or wait until they become eligible to automatically receive this cover. Choosing to be insured can provide you with a safety net for life’s most challenging times. Premiums are deducted from your super account, not your take-home pay. It's a tax-effective, automatic way to pay for protection, and there's no need to adjust your monthly budget to cover the costs.
If you chose to increase your benefit payment period from 2 years to 5 years, this would increase the cost of your cover, but your Income Protection payments would continue for up to 5 years. Your Income Protection cover would also move from Default to Fixed Cover insurance.
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Appealing a rejected claim
If your insurance claim has been rejected, there are several steps you can take to appeal the decision. Firstly, it is important to understand why your claim was denied. Review the denial letter from your insurance plan, which should include detailed information about the reason for denial, how long you have to appeal, and how to begin the appeal process. Common reasons for claim denial include billing errors, missing or incomplete information, or the service not being covered by your insurance plan.
Once you understand the reason for the denial, you can start the appeal process by calling your insurance provider and asking for more details about the denial and your appeal options. Your insurance agent can guide you through the specific steps of the appeals process, which may vary depending on your insurance company. Make sure to ask about any forms or deadlines associated with the appeal. It is important to keep records of all communications and decisions made during this process.
You can also send in additional information to support your claim, such as a letter from your doctor explaining the medical necessity of the treatment. If your claim was denied due to missing information or an error on the claim form, you can ask your doctor to resubmit the claim with the necessary corrections. Additionally, you can request that your doctor's office hold off on sending you bills until the appeal process is completed.
The first step in the appeal process is typically an internal review, where employees of the insurance company who were not involved in the original decision will review your claim. If your internal appeal is rejected, you have the right to request an external review from an independent third party. This involves having your claim reviewed by someone who does not work for your insurance company, and they will provide a final answer. You can find information about your external review options in your Explanation of Benefits (EOB).
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Frequently asked questions
You can check your NGS insurance benefits by calling 1300 133 177 or logging in to the TAL insurance portal via the insurance section in Member Online.
Making a claim over the phone through the tele-claim process is usually the quickest option. The insurer will ask you questions verbally, tailored to your circumstances.
If your claim is accepted, you may be paid an ongoing benefit on a monthly basis during the benefit period. The insurer will monitor your recovery by requesting a completed progress form and a doctor's statement each month.
If your claim is rejected, you can provide any new evidence to support your claim and request a review of the decision. If you are still dissatisfied, you can lodge a complaint with the Australian Financial Complaints Authority (AFCA) within 2 years.
NGS offers Life Insurance, Total and Permanent Disablement (TPD) Insurance, and Income Protection Insurance.
