Category | Claims

Case Study – Binding Death Benefit Nominations and Avoiding a Family Feud

This case study highlights the value of Binding Death Benefit Nominations and what can happen if they are not implemented… (more…)

Continue Reading

Case Study – Steve Woodhouse

This claims case study was presented at the Association of Financial Advisers (AFA) National Conference in 2014. Former AFL executive, Steve Woodhouse, was diagnosed with Parkinson’s Disease at age 50. Mr Woodhouse was fortunate to not only have appropriate cover in place to support him and his family, but also a supportive advice team to […]

Continue Reading
Error, group does not exist! Check your syntax! (ID: 13)

Case Study – Unsuccessful Job Applications and their Impact on TPD

In the case of Birdsall v Motor Trades Association of Australia Superannuation Fund Pty Ltd and MetLife Insurance Limited, the Supreme Court of New South Wales delivered a judgment which considered, among other things, whether an insured’s unsuccessful job applications demonstrated Total and Permanent Disablement (TPD) under a group life insurance policy. TurksLegal Senior Associate, […]

Continue Reading
Error, group does not exist! Check your syntax! (ID: 10)

Case Study – Ward v MetLife

In this legal case, the plaintiff sued his insurer after his group salary continuance claim was discontinued because he was deemed to be no longer disabled. The case highlights the difficulties insurers and the courts can experience when dealing with mental health claims. At a Glance Source: Judges’ decision notes, with commentary by Terry Ward, claimant Topics covered: mental […]

Continue Reading

Case Study – FOS Determination – Income Protection Offset

This case looks at a dispute between a claimant and their insurer, which was resolved by the Financial Ombudsman Service in June 2014. The insurer applied an offset clause to the claimant’s income protection benefit, reducing the payments. FOS overruled the insurer, ordering them to pay compensation. The case has implications for advisers recommending key […]

Continue Reading
Error, group does not exist! Check your syntax! (ID: 13)

Case Study – Preston v AIA Australia

In this legal case, a carpenter who took out a life insurance policy with AIA Australia, took the insurer to court for refusing to pay his TPD claim. The original judgement found in favour of the insurer, because the insured’s injury did not meet the policy definition of ‘accidental injury’. This decision was upheld by […]

Continue Reading

Case Study – Insurance For Miners

This case study, provided by AMP, looks at some of the issues insurers need to address when considering the insurance cases of mining employees.   At a glance Submitted by: AMP Client name: Tony Client occupation: Mining engineer Cover applied for: AMP Elevate income insurance benefit of $11,250 per month In detail The client Tony* […]

Continue Reading

Case Study – Why I Became An Adviser

Risk Management, Estate Planning & Business Succession Specialist, Mark Everingham, watched his family struggle financially after his father suffered a heart attack. The experience would have a significant impact on Mark’s future career path, as he shares here…

Continue Reading

Case Study – Powerful Client Letter

This letter was sent to the adviser by the mother of a 27 year old man, diagnosed with cancer. It demonstrates the value that advisers deliver every day to individuals faced with genuine hardship. As the adviser points out, successful client relationships and client outcomes are at the centre of what advisers do, and technical […]

Continue Reading

Case Study – Smoking Status

In this claims case study, the adviser shares the difficulties he encountered when lodging a claim for a client who had quit smoking prior to taking out his policy. The case study emphasises the importance of disclosure and definitions, and more significantly, the vital role a proactive and passionate adviser plays from contract to claim. At […]

Continue Reading