CHANGES AT A GLANCE. WHAT S NEW AND DIFFERENT? SEPTEMBER 2017.

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1 CHANGES AT A GLANCE. WHAT S NEW AND DIFFERENT? SEPTEMBER 2017.

2 Enhancements to CommInsure Protection: Income Protection more IP cover options to suit your circumstances Introducing Income Care Platinum, with a three-tier total disability definition Increasing Claims option available to heavy manual and specialist risk occupation groups Crisis benefit now also pays for Motor Neurone Disease Transportation Benefit increased to $500. Total & Permanent Disability cover more accessible with more TPD options Domestic Duties TPD for homemakers. Trauma Cover & Life Care greater coverage and improved definitions 23 clarified medical definitions (including terminal illness) 5 improved medical definitions 1 new definition relevant medical specialist, introduced to standardise all medical specialists listed under our medical definitions Earlier reinstatement of Life and Trauma cover after claim through Life Care and Trauma buy back Guaranteed Insurability option extended from ANB 45 to 55 (Life and Trauma).

3 Product enhancement summary Over 20 updated Trauma definitions With 23 clarifications, five improved and one new medical definitions, your clients have greater coverage and better medical definitions for new and existing Trauma, IP and TPD cover. What are the changes made to the clarified definitions? The table below shows the changes that have been made to definitions or policy wording relating to clarified definitions: Medical condition Terminal illness Coronary artery bypass surgery Motor Neurone disease Partial loss of hearing Loss of hearing (full) Muscular Dystrophy Cardiomyopathy Chronic lung disease Meningococcal disease Change The definition has been updated to offer more clarity. No change has been made to the intent nor the severity of the updated definition of terminal Illness. Changed from certification must occur while life insured is covered under the policy to prognosis was first made while Life Care applied Removal of including saphenous vein or internal mammary graft(s) Clarification of exclusions Consultant neurologist has been changed to relevant medical specialist The definition has been updated to offer more clarity specialist we consider appropriate has been changed to relevant medical specialist The definition has been updated to offer more clarity specialist we consider appropriate has been changed to relevant medical specialist Consultant neurologist has been changed to relevant medical specialist Removal of description of condition: Condition of impaired ventricular function of variable aetiology (often not determined) and replaced only with need for diagnosis of cardiomyopathy Addition of class 3 or greater under the New York Heart Association classification of cardiac impairment for clarification Addition of as confirmed by a relevant medical specialist for the diagnosis Removal of term consistently used for the FEV1 test result of less than one litre Change of unequivocal diagnosis to The diagnosis Consultant neurologist has been changed to relevant medical specialist 3

4 Medical condition Parkinson s disease (partial) Parkinson s disease with impairment Loss of use of one limb Loss of use of limbs or sight Multiple Sclerosis of limited extent (partial) Multiple Sclerosis with impairment (full) Paraplegia Quadriplegia Change Change of unequivocal diagnosis to The diagnosis Neurologist has been changed to relevant medical specialist Removed redundant requirements listed below: as the diagnosis will automatically confirm the below: muscular rigidity resting tremor bradykinesia; likely to continue progressing but for any treatment benefit The person must be following the advice and treatment of a specialist neurologist. where the medical specialist confirms that the condition has caused significant progressive physical impairment. Replaced reference from consultant neurologist to relevant medical specialist The word sustained has been replaced with suffered The definition has been updated to offer more clarity The word sustained has been replaced with suffered. Partial blindness replaced with: blindness in one eye Added: limb means the whole hand below the wrist or whole foot below the ankle Blindness means the permanent loss of sight to the extent that visual acuity is 6/60 or worse, or to the extent that the visual field is reduced to less than 20 degrees in diameter; complete and irrecoverable replaced with total and permanent Removal of unequivocal for consistency amongst neurological conditions, e.g. Muscular Dystrophy The definition has been updated to offer more clarity. No change has been made to the intent nor the severity of a defined condition Removal of unequivocal for consistency amongst neurological conditions, eg Muscular Dystrophy The definition has been updated to offer more clarity to the customers No change has been made to the intent nor the severity of a defined condition. 4

5 Medical condition Tetraplegia Hemiplegia Diplegia Coma Primary Pulmonary Hypertension Change Removal of function Addition of and permanent Removal of function Addition of and permanent Addition of the term continuous with reference to the condition to last at least 72 continuous hours Removal of word permanent from permanent significant physical impairment Removal of term: associated with right ventricular enlargement What are the changes made to the improved definitions? The table below details the improvements made to the improved definitions. Medical condition Stroke Heart attack Why an improvement? The definition now includes stroke caused due to spinal cord infarct improvement due to the removal of 99th percentile requirement of the cardiac biomarkers Changes Inclusion on the spinal cord infarct Clarification on the transient ischemic attacks Removal of 99th percentile upper reference limit requirement of the cardiac biomarkers Reference remains only to the upper reference limit Change reference from cardiologist to relevant medical specialist Clarification on the exclusion, any symptom which is not the death of the heart muscle is excluded 5

6 Medical condition Dementia & Alzheimer s Cardiac arrest Major head trauma Why an improvement? Removal of the drug and alcohol exclusion on Dementia Removal of Out of hospital requirement for the cardiac arrest Loosening of the definition as a MMSE score of 24 is comparatively easier to meet than the previous Whole Person Impairment (WPI) of 25% test Changes Removal of the word permanent from the diagnosis of the irreversible failure of brain function resulting in significant cognitive impairment Removal of impairment for which no other recognisable cause has been identified Consultant neurologist, psycho-geriatrician, psychiatrist or geriatrician have been changed to relevant medical specialist Removal of exclusion related to alcohol or drug abuse Change from Out of Hospital cardiac arrest to cardiac arrest The intention remains to exclude cardiac arrest related to any medical procedure Clarification around what else can be considered as an acceptable evidence if the electrocardiogram (ECG) report is not available to validate a cardiac arrest Whole person impairment (WPI) test criteria has been changed to Mini Mental State Examination (MMSE) assessment MMSE is a cognitive impairment assessment tool as against WPI, which is used to assess functional impairment, this aligns with major head trauma condition which is a cognitive impairment. MMSE score of 24 is easier to be assessed than WPI 25% and hence this change is an improvement What is the new definition? Relevant Medical Specialist: The introduction of the new Relevant Medical Specialist definition is to standardize the medical specialists listed in our PDS. 6

7 Introducing Income Care Platinum Income Care Platinum product is our new product, offering a generous total disability definition to our customers CommInsure Protection currently offers Income Care (standard) and Income Care Plus (extra benefits) products under an ordinary policy, Income Care Super within Total Care Plan Super and Income Protection SMSF Plan available to SMSF trustees. The new Income Care Platinum will offer all the benefits in Income Care Plus but with: a more generous three-tier total disability definition that allows you to claim the total disability benefit even if you re working in a reduced capacity. a more flexible waiting period (for waiting periods of 3 months or less) however, Income Care Platinum has a more rigorous method of determining partial disability. The three tiers of the more generous total disability definition are: duties based definition, income based definition, or an hour based definition. If the claimant satisfies any one of the three tiers, the claimant will be admitted as Totally Disabled and a total disability benefit will be paid. CommInsure has been working hard to bring you all these new features and options. We hope you are as excited as we are, and looking forward to working with us again. 7

8 Why CommInsure? CommInsure is a leader in the Australian Insurance industry with over three million customers. With roots dating back 140 years we have a history of financial strength and security. Want to know more? Please contact your CommInsure BDM or State office am 8 pm (Sydney time) Monday to Friday comminsureadviser.com.au/stronger CIL1983/24570/1017 Things you should know: This booklet was prepared by CommInsure, a registered business name of The Colonial Mutual Life Assurance Society Limited ABN AFSL (CMLA). CommInsure Protection life insurance products are issued by CMLA and the superannuation product by Colonial First State Investments Limited ABN AFSL (CFSIL), the trustee of the Colonial First State FirstChoice Superannuation Trust ABN (FirstChoice Trust) (the Fund). CMLA is responsible for the administration of the Fund and provides insurance benefits to the Fund as insurer. CMLA and CFSIL are both wholly owned but nonguaranteed subsidiaries of the Commonwealth Bank of Australia ABN This booklet is for adviser use only and is not to be distributed in full or in part to members of the public. This booklet contains factual information and general advice and should not be relied upon as substitute for seeking advice. It does not take into account individual objectives, financial situation or needs. The CommInsure Protection PDS is available from by calling or /1117