{"id":81366,"date":"2026-03-09T10:51:22","date_gmt":"2026-03-08T23:51:22","guid":{"rendered":"https:\/\/riskinfo.com.au\/news\/?p=81366"},"modified":"2026-03-16T17:00:45","modified_gmt":"2026-03-16T06:00:45","slug":"calls-to-develop-new-solutions-to-insure-for-episodic-disability","status":"publish","type":"post","link":"https:\/\/riskinfo.com.au\/news\/2026\/03\/09\/calls-to-develop-new-solutions-to-insure-for-episodic-disability\/","title":{"rendered":"Call for New Solutions to Insure Episodic Disability"},"content":{"rendered":"<p>The life insurance sector appears to be in the process of developing strategies and solutions to better insure consumers for episodic disability conditions.<\/p>\n<p>This initiative is borne of the sustainability challenges presently confronting the sector, given an even sharper focus by the rise in mental health-related TPD claims.<\/p>\n<p>Panellists at the <a href=\"https:\/\/riskinfo.com.au\/roundtable\/zurich-sustainability-round-table-mapping-the-pathway-to-industry-sustainability-part-4\/\" target=\"_blank\" rel=\"noopener\">Zurich Sustainability Round Table<\/a> challenged each other and called for greater collaboration with regulators and consumer groups to arrive at an answer which will both serve the best interests of consumers while ensuring the continuing sustainability of the life insurance offer in Australia.<\/p>\n<p>While mental health-related TPD claims have (rightly) been the focus of much industry concern, this issue was given a different perspective by Gen Re&#8217;s Regional Chief Actuary, <strong>Matt Ralph<\/strong>, who put the case to his fellow panellists that focusing solely on mental health risks missing the broader issue. Mental health-related claims, he said, is the clearest example of a wider challenge involving \u201c&#8230;episodic and relatively difficult to define\u201d conditions.<\/p>\n<blockquote><p>We need a better response to those sorts of conditions<\/p><\/blockquote>\n<p>Musculoskeletal disorders, including recurring back pain, are also increasing, he added, concluding that \u201cA product which is designed for total and permanent disability is not the right response to that. We need a better response to those sorts of conditions.\u201d<\/p>\n<p>While there was general agreement among the panel with Ralph&#8217;s position, the adviser voice in the room, Perera Crowther&#8217;s <strong>Kristen Agius<\/strong>, shared a general concern relating to any new product initiatives that may offer lower-priced but more restricted benefits.<\/p>\n<p>Agius said <span lang=\"EN-US\">the challenge was how to evolve product design without simply limiting cover or forcing clients into narrower structures. <\/span><span lang=\"EN-US\">She floated the idea of staged payouts, suggesting the industry may need to rethink whether a single, permanent disability trigger is appropriate for episodic conditions.<\/span><\/p>\n<p>During the discussion, Agius also raised what was very much an adviser-related concern, namely the challenge of recommending a new, lower-priced product &#8211; offering scaled-down benefits and possibly staged benefit payments &#8211; when the client&#8217;s condition might also have resulted in their claim being accepted under existing &#8216;full offer&#8217; TPD or IP contracts.<\/p>\n<blockquote><p>This uncertainty &#8230;may have the effect of potentially dampening the enthusiasm of advisers to embrace any new product solutions<\/p><\/blockquote>\n<p>Agius also raised what would be a general concern for many advisers of the uncertainty surrounding potential future pricing increases for such new offers, given the significant increases to base rates &#8211; for products such as TPD &#8211; that the industry has been experiencing in recent years. This uncertainty, according to Agius, may have the effect of potentially dampening the enthusiasm of advisers to embrace any new product solutions the industry may generate.<\/p>\n<p>As industry discussion and collaboration continues &#8211; where the panel made mention of the need to involve the consumer lobby and the law makers, Zurich\u2019s, Head of Retail, <strong>Tim Kane<\/strong>, emphasised that any reform must continue to cover mental health.<\/p>\n<p>He affirmed one in four applications for cover include a mental health disclosure:\u00a0\u201cWe do need a solution that covers mental health,\u201d he said, adding that severity-based or staged assessments could form part of the answer.<\/p>\n<p><strong>David Creaven<\/strong>, Head of Client Partnerships at SCOR Australia &amp; New Zealand, said the current construct can place claimants in a difficult position. To receive a TPD payout for mental health, a person must effectively be deemed permanently incapacitated \u2013 a determination that may sit uneasily with efforts to support recovery and return to work. Creaven&#8217;s concerns are explored further in the final part of this Zurich Sustainability Round Table&#8230;<\/p>\n<p><iframe loading=\"lazy\" title=\"Zurich Sustainability Round Table: Mapping the Pathway to Industry Sustainability\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/nbkTf5HTT2w?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p class=\"Body\">Click the video image to review the Zurich Sustainability Round Table Part 4 discussion&#8230;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The life insurance sector appears to be in the process of developing strategies and solutions to better insure consumers for episodic disability conditions. This initiative is borne of the sustainability challenges presently confronting the sector, given an even sharper focus by the rise in mental health-related TPD claims. Panellists at the Zurich Sustainability Round Table [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":81373,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[241,5121],"tags":[],"class_list":{"0":"post-81366","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-conferences-and-events","8":"category-sustainability"},"_links":{"self":[{"href":"https:\/\/riskinfo.com.au\/news\/wp-json\/wp\/v2\/posts\/81366","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/riskinfo.com.au\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/riskinfo.com.au\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/riskinfo.com.au\/news\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/riskinfo.com.au\/news\/wp-json\/wp\/v2\/comments?post=81366"}],"version-history":[{"count":6,"href":"https:\/\/riskinfo.com.au\/news\/wp-json\/wp\/v2\/posts\/81366\/revisions"}],"predecessor-version":[{"id":81405,"href":"https:\/\/riskinfo.com.au\/news\/wp-json\/wp\/v2\/posts\/81366\/revisions\/81405"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/riskinfo.com.au\/news\/wp-json\/wp\/v2\/media\/81373"}],"wp:attachment":[{"href":"https:\/\/riskinfo.com.au\/news\/wp-json\/wp\/v2\/media?parent=81366"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/riskinfo.com.au\/news\/wp-json\/wp\/v2\/categories?post=81366"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/riskinfo.com.au\/news\/wp-json\/wp\/v2\/tags?post=81366"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}