Accelerated Protection
with Health Sense
QUESTIONS & ANSWERS
ADVISER INFORMATION
Health Sense offers customers a lifetime policy discount to their Life insurance, Critical Illness
insurance and/or TPD insurance premiums, where their BMI falls within the Health Sense Range.
General Q&A
1. What is an eligible BMI for the Health Sense discount?
Your client needs to have a BMI between 19 and 28
(inclusive) to be eligible for a discount.
2. Are there different levels of discount available?
The following Health Sense discounts apply to Life
Insurance, Critical Illness and/or TPD insurance.
1 or 2 benefits:
7.5%
3 benefits:
12.5%
4 benefits:
15%
3 Life or CI or TPD
3 Life, TPD & CI
3 Life, CI, TPD and IP
3 Life & TPD
3 Life, TPD & IP
3 Life & CI
3 Life, CI & IP
3 TPD & CI
3 TPD, CI & IP
3 Life & IP
3 TPD & IP
3 CI & IP
Minimum sums insured apply and Income Protection may be
substituted with Business Expense insurance.
3. What are the minimum sums insured for the discount
to apply?
Benefit
Minimum Sum Insured
Life insurance
$100,000
TPD insurance
$100,000
Critical Illness insurance
$50,000
Income Protection & Business Expense
$2,000 per month
Benefits not meeting minimum sum insured requirements
will not be discounted or contribute to packaging
discounts. Benefits are not combined for the minimum sum
insured check.
4. W
hat if my client is physically healthy, but their height/
weight ratio (BMI) means they fall outside the eligible
Health Sense range (e.g. athletes)?
The Health Sense discount is only available to customers
with a BMI of 19-28 (inclusive). No concessions are available
where the applicant falls outside this range.
5. Why is BMI being used as an eligibility factor? Are there
not more accurate indicators of health?
BMI is a measure widely used by the life insurance industry,
and is a proven indicator of mortality and morbidity risk.
6. I s commission available on the premium before the
discount?
Commission is payable on the premium after the discount
has been applied (i.e. net of).
New Business
1. I s the discount applied even if it has not been included in
a quote?
Yes. If your client is eligible for the Health Sense discount
it will be applied regardless of whether it was selected at
quote stage.
2. What happens to the discount if it is included in a quote
but a customer is no longer eligible after underwriting?
The discount will be removed.
3. What happens to the discount if a medical loading or a
special term is applied during underwriting?
The Health Sense discount is applied regardless of any
underwriting special terms, including medical loadings.
4. I s the discount available for pregnant applicants?
As per our standard application process, a client’s BMI at
time of application is used to determine eligibility for the
Health Sense discount.
5. How do I know if the discount applies on a quote/
application/policy?
Quote through TAL Adviser Centre: if the discount is
selected, this will be indicated in the Life Insured Details
panel.
•
•Application through TAL Adviser Centre: if the discount
applies, this will be shown in the Quote Summary PDFs
and on the Application Summary screen.
•Policy: The Health Sense discount will be displayed in the
Accelerated Protection Welcome Pack that we send to
your client.
Accelerated Protection with Health Sense
1
In Force
1. C
an existing customers obtain the discount?
Any existing TAL customers may apply, however a new
application is required and a new policy may be issued.
Where a policy was fully underwritten less than 6 months
ago (180 days), a short-form application may be used.
Download the Health Sense Declaration from Forms and
Documents on TAL Adviser Centre. A replacement policy
may be required.
2. What happens in the event of a claim?
Standard disclosure requirements apply. If a claim is
accepted, and a benefit is reduced or removed, this may
impact the discount size or eligibility for the remaining
cover. For example, if a sum insured is reduced below the
minimum sum insured for the Health Sense discount,
the discount may be reduced or removed.
3. Is any ongoing reassessment required to keep the
discount?
No, the discount applies for the life of a policy.
4. W
ill the discount ever change?
Reductions in sum insured or benefit removal may
impact the multi-benefit discount or the minimum sum
insured rules, and result in discount reduction or removal.
Reinstatements may also impact discount eligibility.
5. Will the discount drop-off on reinstatements?
If a policy is reinstated and does not require a
reinstatement form, then any discounts on the policy will
be retained. If the reinstatement requires a reinstatement
application then discount eligibility will be reassessed and
may change.
6. W
hen does the Health Sense discount not apply?
Buy Backs
•
•Transfers of ownership
•Upgrades
•Continuation options
•Any other scenarios where the policy was not fully
underwritten
Standard rates apply in these situations. Where the
discount is requested, a full reapplication and cancel/
replace is required (standard responsibility period
rules apply).
7.My client is eligible for Health Sense but not all their
eligible cover is discounted?
The Health Sense discount offer may have changed since
your client’s policy commenced. The original terms
provided to your client will not be altered, but if you would
like the latest Health Sense terms to be applied then
underwriting and a new policy may be required. Contact
[email protected] for more information.
For more information, contact your local TAL Sales team
or our Adviser Service Centre:
1300 286 937 Monday to Friday, 8am – 7pm AEST
[email protected]
www.tal.com.au
Important Information: This information has been prepared for use by advisers only and is not intended to be provided to clients. Before making any decision about the products, advisers and their
clients should consider the Accelerated Protection or Accelerated Protection for Investment Platforms Product Disclosure Statements and/or Policy Documents. Current as at: April 2017
This document is issued by TAL Life Limited ABN 70 050 109 450 AFSL 237 848 (TAL).
Accelerated Protection with Health Sense
TALR7822/0417
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