Insurance is something you hope you never have to use. We want the process of making a claim to be easy.

Making an insurance claim

Insurance benefits offered to members of Australian Catholic Superannuation are provided by our insurer, OnePath.

The current approved claim rate for all insurance claims made (from 1 July 2006 – 30 June 2017) by members of the Fund:

Type of claim Fund approval rate
 Income protection (temporary salary continuance - TSC)  98% 
 Death  99%
 Terminal illness  99%
 Total and permanent disablement (TPD)  89%

 

OnePath and Australian Catholic Superannuation are committed to ensuring that all genuine claims are treated efficiently and in an understanding manner.

Do I need a lawyer to make a claim?

No. Legal representation is not required to make an insurance claim.

The vast majority of genuine claims are straightforward and can be lodged directly through Australian Catholic Superannuation.

There are appeals procedures in place should you not be satisfied with how your claim has been assessed.

How do I make an income protection (IP) benefit claim?

  1. Contact the Fund if you have been unable to work due to illness or injury for the consecutive number of days for your specified waiting period.
  2. We will arrange for the required claims forms to be sent to you for completion. Return the completed forms to our office.
  3. We will submit your paperwork to OnePath; they will confirm your employment details and assess your claim.
  4. Depending on the information contained in the original forms, you may be required to provide additional medical information or be asked to see an independent doctor or specialist.
  5. If your claim is accepted and payments have commenced, a monthly medical report will be required from your medical practitioner for the duration of your benefit period or until you are able to return to work.
  6. If the claim was not successful, you may appeal the decision and provide further information to support your appeal through our internal complaints procedure.

How do I make a total and permanent disablement (TPD) claim?

  1. Contact the Fund if you are ill or injured and a doctor has confirmed that you will not be able to return to work,
  2. The claim is submitted online, a link will be emailed to the member to click on and complete the Member Short Form online and submit the claim,
  3. Within two business days an assessor from OnePath will call to complete the request,
  4. The insurer will request a doctor’s report directly from the members treating medical practitioner and the Fund will request the employer’s statement directly from the members employer,
  5. Depending on the information in the original forms, you may be required to see an independent doctor or specialist or provide further information,
  6. Once the requested information has been obtained by the Fund and the insurer, you will be advised if your claim has been approved,
  7. If the claim was not successful, you may appeal the decision and provide further information to support your appeal through our internal complaints procedure.

How do I claim a death benefit?

Upon death of a member, the member’s nominated beneficiary or legal representative should advise the fund as soon as possible.

We will inform the member’s legal representative, of what is required to claim death benefits. Typically this includes certified copies of the following:

  1. Death certificate
  2. Proof of name change (e.g. marriage certificate if there is a discrepancy between birth and death certificate)
  3. Will, Probate or Letters of Administration.

Once all claim requirements have been met, the Fund will forward the relevant information to the insurer for assessment.

Once the requested information has been obtained by the Fund and the insurer, you will be advised if your claim has been approved.

For members who do not have a binding nomination, all potential beneficiaries will be advised of the Trustee’s decision and will have the opportunity to submit an ‘objection’ if applicable.

Trustee’s assessment

The insurance benefits are paid by Onepath to the Fund and added to your accumulated balance. The Trustee then determines whether a condition of release has been met and the funds can be paid to you (or your beneficiaries) in cash. 

We are here to help

Going through a death or illness that prevents you from working can be a difficult time. If you would like information about the process for making a claim, would like to check on the status of an existing claim or would like to know more about the insurance offerings available to you, you can call us on 1300 658 776.

Review your insurance cover

Call us for over-the-phone financial advice about the adequacy of your existing type and level of insurance cover for your personal circumstances.

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