Simple Life provides three types of cover, with benefits paid as a lump sum – Life Cover up to $1 million, Total and Permanent Disability Cover up to $500,000 and Critical Illness Cover up to $200,000.
Existing Simple Life customers will continue to be covered for claimable events for the life of the policy.
If you have any questions or want to make a claim, please call 13 3982 between 8am and 8pm, Sydney time, Monday to Friday.
How to Make a Claim
Call 13 3982 between 8am and 8pm, Sydney time, Monday to Friday.
Our claims team may send you a claim form and a letter outlining the supporting evidence required for us to assess your claim.
This can pay a benefit of up to $1 million if you pass away, or become terminally ill. It’s designed to help with debt, to put dependents through school and to provide financial support for your partner or to help maintain your family’s lifestyle. This lump sum benefit will be paid once only – if you become terminally ill, or if you pass away.
Our definition of terminal illness
You’ll receive your lump sum benefit if a medical practitioner is able to certify you have an illness or injury that will result in death within 24 months.
You can find more information on these definitions in the Simple Life Product Disclosure Statement (PDS).
This can pay a benefit of up to $500,000 if you become permanently disabled. It’s designed to help with lost income, immediate medical treatment and ongoing lifestyle changes. This lump sum benefit will only be paid once.
Permanently disabled means a medical practitioner has certified you meet one of the following criteria:
- Loss of function
- Loss of independent existence
- Unlikely to ever work
- Unlikely to ever perform home duties
This can pay a benefit of up to $200,000 if you suffer a critical illness. It’s designed to help with out-of-pocket-costs like medical bills and lifestyle expenses, such as relocation costs for your family while you’re under medical care. This lump sum benefit will only be paid once.
- Coronary artery disease requiring bypass surgery
- Heart attack
Critical illness conditions have specific meanings and a benefit is only payable if you meet the precise meaning of the definition set out in the Simple Life Product Disclosure Statement and the Simple Life Medical Definitions Reference Guide.
No claim period
Critical Illness Cover has a 90 day no claim period from the cover start date. This means a benefit won’t be paid if a critical illness or related event (such as becoming aware of symptoms of an illness) occurs in this time.
It’s important you’re aware of the situations where a policy benefit won’t be paid. This is where death, terminal illness, permanent disablement or critical illness results directly or indirectly from any of the following:
- A pre-existing condition
- Participation in an illegal activity
- Working in hazardous conditions
- If you pass away within 30 days of being diagnosed with or suffering a critical illness (Critical Illness benefit only)
You can learn more about what you are and aren’t covered for in the Simple Life Product Disclosure Statement (PDS).
Simple Life won’t cover you for a pre-existing condition. This means a benefit won’t be paid if your death, terminal illness, permanent disablement or critical illness is caused directly or indirectly by an illness, injury, medical condition or related symptom:
a) of which you first became aware; or
b) for which you sought or intended to seek medical help; or
c) for which a reasonable person in your circumstances should have been aware or would have sought medical help at any time during the five years before your cover start date.
Medical help means medical consultation, treatment, care or services which includes tests, other diagnostic measures or referral to a specialist. For example, if in the five years prior to taking out the cover you had symptoms or are seeing a doctor about a heart condition, stroke or cancer, you may not be covered under the policy for any claim events related to those conditions. You may however be able to claim for insured events unrelated to those conditions.
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Things you should know
As this information has been prepared without considering your personal objectives, financial situation or needs, you should, before acting on it, consider its appropriateness to your circumstances. This information is provided by CMLA and where we refer to ‘we’, we mean CMLA.
Please refer to the Simple Life Product Disclosure Statement (PDS) and the Simple Life Medical Definitions Reference Guide for full benefit details, terms, conditions and exclusions. A Product Disclosure Statement (PDS) and Financial Services Guide (FSG) for Simple Life are available online or by calling 13 39 82 between 8am and 8pm (AEST) Monday to Friday. If you call this telephone number, you may be speaking with customer service representatives from Aegon Insights Australia Pty Limited (“Aegon”) ABN 35 082 524 785 AFSL 236657. Aegon is authorised to issue Simple Life on behalf of CommInsure.
The issuer and insurer for Simple Life is The Colonial Mutual Life Assurance Society Limited ABN 12 004 021 809 AFSL 235035 (CMLA). CMLA is a wholly owned but non-guaranteed subsidiary of the Commonwealth Bank of Australia ABN 48 123 123 124 AFSL 234945. CommInsure is a registered business name of CMLA.
The Commonwealth Bank of Australia does not guarantee the obligations or performance of CommInsure or Aegon or the products they offer.