SUPERANNUATION TOTAL AND PERMANENT DISABILITY (TPD) INSURANCE CLAIMS
WHAT IS A 'TPD' SUPERANNUATION INSURANCE CLAIM?
The Law requires that your Superannuation fund provide cover for member of that fund who can no longer work and is unlikely ever to work again due to physical or mental illness or injury.
This is referred to as a TPD benefit.
Each superannuation fund has its own governing rules and policy that will contain TPD definitions that the member must meet to get paid the benefit
Most TPD definitions requires an assessment about whether or not, in the opinion of the Superfund and insurer following an injury or illness, the member will ever again be able to work for reward or engage in any gainful occupation for which he/she is reasonably qualified by education, training or experience.
Usually to obtain a TPD benefit, a member’s condition must be permanent.
EXAMPLES OF ILLNESSES/INJURIES THAT MAY TRIGGER A TPD CLAIM?
The following are some examples of illnesses/injuries which may be eligible for TPD Claim
central nervous system;
chronic brain syndromes;
emotional disorders: psychoses, depression and post traumatic stress;
cardiovascular disorders: hypertension, congenital heart problems and peripheral vascular disorders;
musculoskeletal disorders: osteoarthritis, rheumatoid arthritis and chronic overuse syndrome;
ear and eye disorders: labyrinthitis and retinal detachment;
gastrointestinal disorders: ulcerative colitis;
endocrine disorders: diabetes;
respiratory disorders; and
pulmonary fibrosis and emphysema.
post-traumatic stress disorder (PTSD)
depression and
severe anxiety
heart failure,
chronic lung problems,
kidney disease,
stroke,
AIDS,
neurological conditions like Parkinson's disease,
the last stages of Alzheimer's
some rare diseases and genetic disorders
ARE YOU ELIGIBLE FOR A TPD CLAIM?
This depends on certain criteria being met which are summarised below;
Whether the member is covered for a TPD benefit.
A member must be at work or in active employment at all relevant times.
A member is Unlikely ever to work again– no real chance or it is improbable that the member will ever work again in a job for which that person is reasonably qualified or reasonably suited.
The Medical Evidence considered must prove that the member suffered an illness/injury that makes him/her Totally and Permanently Disabled.
Some other conditions under the policy may have to be met and each case depends on each set of facts.
WHAT HAPPENS WHEN MY TPD CLAIM IS SUCCESSFUL?
You will be paid out the insurance amount to the maximum amount which the Superannuation Fund has covered you for.
CALL US TODAY ON (02) 8188 2070 OR EMAIL MEMA@MEMCORPLAW.COM.AU
