Death and Disability Insurance is often included in the superannuation of many Australians, which is a cornerstone of their retirement planning. Beyond its role in building a nest egg for the future, your super fund can also provide a crucial safety net for you and your family in the event of unforeseen tragedy. This safety net comes in the form of life insurance, together with Death and Total and Permanent Disability (TPD) cover.
While it’s possible to purchase this insurance as a standalone policy, holding it within your superannuation fund offers significant advantages for most people. This article will explore the value of including Death and Disability Insurance (TPD) cover in your super, the differences in tax treatment, what it means to be considered disabled for the purposes of a TPD claim, and why seeking professional advice is paramount in making these important financial decisions.
The Convenience and Cost-Effectiveness of Insurance in Super
One of the most significant benefits of holding Death and Disability Insurance (TPD) cover within your superannuation is the cost-effectiveness. Super funds purchase insurance policies in bulk, which allows them to negotiate lower premiums than an individual could typically obtain on their own. This is known as group insurance. These lower premiums are then passed on to the fund’s members.
Furthermore, the premiums are paid directly from your superannuation account balance, meaning you don’t have to find the money in your after-tax household budget. This can make it a more manageable way to ensure you have this vital protection in place. Most super funds also offer a baseline level of cover that is automatically provided to new members, often without the need for a medical examination. This is known as automatic acceptance, and it can be a significant advantage for individuals who may have pre-existing health conditions that could make it difficult or expensive to obtain cover outside of super.
Key Benefits of Insurance Inside Super
- Cost-effectiveness: Super funds negotiate lower group insurance premiums than individuals can obtain
- Convenience: Premiums paid directly from super balance, not after-tax household budget
- Automatic acceptance: Baseline cover often provided without medical examinations
- Tax advantages: Premiums paid with pre-tax dollars through super fund tax deductions
Tax Treatment of Death and Disability Insurance: A Tale of Two Structures
The tax treatment of both the premiums and the potential payout of a Death and Disability Insurance (TPD) claim is a critical factor to consider, and it’s where the distinction between holding insurance inside or outside of super becomes most apparent.
Tax Treatment of Premiums
When you hold Death and Disability Insurance (TPD) cover within your superannuation fund, the premiums are generally tax-deductible to the super fund itself. The fund can claim a tax deduction of 15% on the cost of the insurance premiums, and this tax saving is typically passed on to the member in the form of lower premiums. This effectively means you are paying for your insurance with pre-tax dollars, which can result in significant savings over the life of the policy.
In contrast, if you purchase a standalone Death and Disability Insurance (TPD) policy outside of superannuation, the premiums are paid with your after-tax income and are generally not tax-deductible. The only exception to this is income protection insurance, where the premiums are usually tax-deductible for individuals.
Here is a comparison of the tax treatment of insurance premiums:
Insurance Type | Inside Superannuation | Outside Superannuation |
---|---|---|
Death Cover | Premiums are tax-deductible to the super fund. | Premiums are generally not tax-deductible. |
TPD Cover | Premiums are tax-deductible to the super fund. | Premiums are generally not tax-deductible. |
Income Protection | Premiums are tax-deductible to the super fund. | Premiums are generally tax-deductible to the individual. |
Tax Treatment of Payouts
The tax treatment of the payout in the event of a claim also differs significantly depending on whether the policy is held inside or outside of super.
Death Benefits
If a death benefit is paid from a superannuation fund, the tax treatment depends on whether the recipient is considered a ‘tax dependant’ under Australian tax law. A tax dependant generally includes a spouse, a child under 18, or any other person who was financially dependent on the deceased. If the benefit is paid to a tax dependant, the entire lump sum is tax-free. However, if the benefit is paid to a non-tax dependant (such as an adult child who is not financially dependent), the taxable component of the lump sum will be taxed at a rate of 15% plus the Medicare levy.
For a standalone life insurance policy held outside of super, the death benefit is generally paid tax-free to the nominated beneficiaries, regardless of their dependency status.
TPD Benefits
A Death and Disability Insurance (TPD) payout from a superannuation fund is generally comprised of a tax-free component and a taxable component. The tax-free component is not subject to tax. The taxable component is taxed, but the rate of tax depends on your age. If you are under your preservation age, the taxable component is generally taxed at 22% (including the Medicare levy). If you have reached your preservation age but are under 60, you may be eligible for a tax offset. If you are over 60, the taxable component is generally tax-free.
For a standalone TPD policy held outside of super, the payout is generally received tax-free.
Here is a comparison of the tax treatment of insurance payouts:
Payout Type | Inside Superannuation | Outside Superannuation |
---|---|---|
Death Benefit | Tax-free to a tax dependant. Taxable component taxed at 15% + Medicare levy for non-tax dependants. | Generally tax-free to all beneficiaries. |
TPD Payout | Comprised of a tax-free and a taxable component. Tax on the taxable component depends on your age. | Generally tax-free. |
Understanding Total and Permanent Disability (TPD)
Total and Permanent Disability (TPD) insurance provides a lump sum payment if you become totally and permanently disabled due to illness or injury and are unable to work again. However, the definition of what it means to be ‘totally and permanently disabled’ can vary significantly between insurance policies, and this is a crucial point of distinction between cover held inside and outside of super.
‘Any Occupation’ vs. ‘Own Occupation’
There are two main definitions of TPD:
- ‘Any Occupation’: This is the standard definition used for TPD cover within superannuation. To meet this definition, you must be unable to ever work again in any occupation for which you are reasonably suited by education, training, or experience. This is a stricter definition and can be more difficult to claim against.
- ‘Own Occupation’: This definition is more generous and is typically only available with standalone policies held outside of super. To meet this definition, you must be unable to ever work again in your own occupation. This type of cover is more expensive, but it provides a higher level of protection as it is easier to make a successful claim.
Common TPD Claims
According to research from WithStand Lawyers, the most common conditions leading to TPD claims in Australia are:
- Musculoskeletal disorders (31%): This includes serious back, neck, and joint injuries.
- Disease (30%): This includes conditions such as cancer, heart disease, and other chronic illnesses.
- Mental illness (20%): This includes conditions such as post-traumatic stress disorder (PTSD), depression, and severe anxiety.
- Injury or fracture (14%): This includes injuries resulting from accidents or trauma.
The Claims Process
To make a Death and Disability Insurance (TPD) claim, you will need to provide medical evidence to support your claim that you meet the insurer’s definition of total and permanent disability. This can be a complex and lengthy process, and it is important to have a clear understanding of the requirements of your policy. The success of a TPD claim often hinges on the quality and completeness of the medical evidence provided.
Key Statistics and Research Findings
- TPD Claim Success Rate: Approximately 84-86% of TPD claims are successful in Australia
- Claim Withdrawal Reasons: 41% consumer decision, 40% lack of response to insurer requests
- Insurance Literacy: Research shows many Australians don’t understand personal insurance value
- Underinsurance Problem: Significant issue in Australia due to poor purchase decisions
The Importance of Professional Financial Advice
In today’s digital age, it can be tempting to purchase insurance online without seeking professional advice. However, this approach comes with significant risks. Online insurance platforms often use simple questionnaires that cannot capture the complexities of your personal and financial situation. This can lead to you being underinsured, over-insured, or having a policy that is not appropriate for your needs. A 2018 study on insurance literacy in Australia found that many Australians do not understand the value of personal insurance, which can lead to poor purchasing decisions [1].
Seeking advice from a qualified financial adviser is the best way to ensure you have the right type and amount of insurance cover in place. A financial adviser will conduct a comprehensive needs analysis to determine your specific insurance requirements. They will take into account your personal circumstances, financial goals, and risk tolerance to recommend a tailored insurance solution. As noted by ASIC’s MoneySmart service, a financial adviser can help you set financial goals and put strategies in place to achieve them [2].
A financial adviser can also provide invaluable assistance in the event of a claim. They can help you navigate the claims process, ensure you have all the necessary documentation, and advocate on your behalf with the insurance company. This can be particularly important for TPD claims, which can be complex and challenging to navigate on your own.
Professional Advice vs Online Purchases
Risks of Online Insurance Buying
- Under/over-insuring: Simple questionnaires miss complex personal situations
- Limited risk assessment: Cannot capture full financial complexity
- Higher claim denial risk: 42% of disputed claims involve social media evidence
- No ongoing support: No relationship for claims assistance or reviews
Benefits of Professional Advice
- Comprehensive needs analysis: Tailored to personal circumstances and goals
- Risk profiling: Proper matching of coverage to risk tolerance
- Claims assistance: Navigation of complex claims processes
- Ongoing reviews: Annual adjustments for changing circumstances
- Consumer protections: Licensed advisers with professional indemnity insurance
Conclusion
For most Australians, holding Death and Disability Insurance (TPD) cover within their superannuation fund is a smart and cost-effective way to protect themselves and their families. The tax-deductibility of premiums makes it an affordable option, and the convenience of having the premiums paid directly from your super account makes it easy to manage. However, it is crucial to understand the limitations of cover within super, particularly the stricter ‘any occupation’ definition for TPD claims.
Ultimately, the decision of whether to hold insurance inside or outside of super, and how much cover you need, is a personal one that should be based on your individual circumstances. The best way to make an informed decision is to seek advice from a qualified financial adviser. They can help you understand your options, choose the right Death and Disability Insurance (TPD) cover for your needs, and ensure you have a robust financial safety net in place for the future.
We have a seven step process which ensures that your individual needs are met. First, we provide a face to face, free consultation with no obligation. Then we gather information about your lifestyle and income, establish your goals, create a strategy and let you review it. Once you give the OK, we proceed.
Conclusion Points
- Most Australians benefit from holding Death and TPD cover inside super due to cost and tax advantages
- Understand limitations: “Any occupation” TPD definition is stricter than standalone policies
- Professional advice essential: Complex decisions require expert guidance for optimal outcomes
- Individual assessment needed: Personal circumstances determine best insurance structure
Contact us today on (08) 6462 0888.
References
[1] Driver, T., Brimble, M., & Freudenberg, B. (2018). Insurance literacy in Australia: Not knowing the value of personal insurance. Financial Planning Research Journal, 4(1), 33-55. https://sciendo.com/2/v2/download/article/10.2478/fprj-2018-0003.pdf
[2] Australian Securities and Investments Commission. (n.d.). Working with a financial adviser. Moneysmart.gov.au. https://moneysmart.gov.au/financial-advice/working-with-a-financial-adviser
[3] Australian Taxation Office. (2025, June 18). Paying superannuation death benefits. https://www.ato.gov.au/tax-and-super-professionals/for-superannuation-professionals/apra-regulated-funds/paying-benefits/paying-superannuation-death-benefits
[4] AIA Australia. (2022, July). TPD: Inside or outside superannuation or both? https://www.aia.com.au/content/dam/au-wise/en/docs/policy-docs/tpd-inside-outside-super.pdf
[5] Australian Securities and Investments Commission. (n.d.). Total and permanent disability (TPD) insurance. Moneysmart.gov.au. https://moneysmart.gov.au/how-life-insurance-works/total-and-permanent-disability-tpd-insurance
[6] WithStand Lawyers. (2025, August 16). TPD Claim Statistics Australia | Success, Refusal & Trends. https://www.withstandlawyers.com.au/tpd-claim-statistics/