nib Trauma cover, issued by NobleOak

Depending on the cover type(s) you choose and if you otherwise meet the conditions of cover in the PDS, you would be eligible to claim and receive a lump sum payment if you (in summary):

• Die or are diagnosed with a terminal illness (Life cover)

• Could not work again due to a sickness or injury (TPD cover)

• Were diagnosed with a serious medical condition listed in the PDS (Trauma cover).

If you suffered a sickness or injury and cannot work and if you otherwise meet the conditions of cover in the PDS,  Income Protection cover  would provide a monthly payment after your waiting period and up to the maximum of your selected benefit period.

nib Life Insurance, issued by NobleOak is a fully underwritten set of covers. That means your health, lifestyle and other personal details are assessed upfront at the time of application, not when you make a claim.  Future claims will be assessed based on clearly defined terms, as outlined in the PDS.  

If you’re an Australian resident aged 18–59 years, you may be eligible to apply for nib Trauma cover, issued by NobleOak. Trauma cover provides a lump sum payment if you’re diagnosed with a serious medical condition listed in the PDS and meet the claim criteria. Cover can remain in place to age 70.

You can apply for up to $2 million in Trauma cover. Trauma cover can be taken as a standalone cover or as an optional extra with nib Life cover. If Trauma cover is held as an optional extra with nib Life cover, any approved Trauma claim will reduce the Life cover sum insured (and TPD if you also have it) by the amount paid.

nib Trauma cover provides a lump sum payment if you’re diagnosed with a serious medical condition or injury that is specifically listed in the PDS and you meet the relevant claim criteria.

Trauma cover includes a defined list of conditions, which are grouped into major trauma events and additional specified trauma conditions. A 90-day qualifying period applies to some trauma events.

Major trauma events

Trauma cover includes a number of major trauma events, such as:

• Certain specified cancers

• Heart attack

• Stroke

• Other serious, life‑altering medical events as defined in the PDS.

These events are generally subject to detailed medical definitions and, in some cases, a 90-day qualifying period applies.

Additional specified trauma conditions

In addition to major trauma events, Trauma cover also includes a range of other serious medical conditions and injuries, which may include:

• Major organ failure or loss of function

• Serious neurological conditions

• Permanent loss of sight, hearing or speech

• Severe burns or trauma‑related injuries

• Other defined illnesses or medical events.

The conditions included, and the circumstances under which a benefit is payable, are set out in detail in the PDS.

Important things to be aware of

• Only conditions listed in the PDS are covered

• Each condition has its own medical definition that must be met

• A 90-day qualifying period applies to some conditions

• Exclusions and benefit limits may apply.

Because definitions and conditions vary, a diagnosis alone does not automatically result in a claim being paid. Claims are assessed against the specific terms outlined in the PDS.

For the full list of covered conditions, definitions and claim criteria, please refer to the PDS.

Yes. Like all insurance products, nib Trauma cover includes exclusions, limitations and conditions that apply. These are outlined in detail in the PDS and are important to understand before applying.

Some key things to be aware of include:

• Only listed conditions are covered
  Trauma cover pays benefits only for the medical conditions specifically listed in the PDS and only if the relevant medical definitions are met

• A 90-day qualifying periods applies to some conditions
  For certain medical conditions, a 90-day qualifying period applies. This means a benefit will not be paid if the condition is diagnosed within a specified period after cover starts

• Medical definitions must be met
  A 14‑day survival period applies for stand‑alone Trauma cover. A diagnosis alone does not automatically result in a claim being paid. Each condition has specific medical criteria that must be satisfied, as outlined in the PDS

• Exclusions apply
  Some situations or causes of illness or injury may be excluded from cover. These exclusions are detailed in the PDS and may include matters relating to pre‑existing conditions, self‑inflicted injuries or other specified circumstances

• Benefit limits and reductions may apply
  If Trauma cover is held as an option with nib Life cover, any approved Trauma claim will reduce the Life cover sum insured (and TPD cover if you also have it) by the amount paid. Other limits may also apply depending on the condition claimed.
  
  Because exclusions, limits and definitions vary, it’s important to read the PDS carefully to understand how Trauma cover works and whether it’s right for you.

No, only Life cover, Total and Permanent Disability cover and Income Protection cover are available through super.

Because superannuation and taxation are complex and subject to change, it’s recommended that you obtain appropriate tax or accounting advice when considering insurance through an SMSF.

Some individuals who apply for Trauma cover may require a medical examination. Whether or not you need a medical examination will depend on several factors, such as your age, health status, lifestyle, occupation and the sum insured amount you apply for.

Your Trauma cover will start once it’s accepted by NobleOak and communicated to you in writing. Until then, NobleOak may ask for additional information to fully assess your application. Your duty to disclose any relevant information continues right up to the point your application is accepted.

When your insurance cover begins, you’ll receive an acceptance letter and certificate of cover outlining the full details of your insurance. Please keep these documents together with the PDS for future reference.

You’ll also receive an annual renewal statement prior to each policy anniversary confirming your insurance details, including your insured benefits and premium payable.

While your application is under assessment, an Interim Accidental Trauma Benefit may apply. This provides limited cover if you suffer an accidental trauma event that meets the defined criteria in the PDS during the defined interim period (no longer than 90 days). The benefit is subject to eligibility requirements, specific definitions, limits and exclusions, and does not apply to all circumstances. Full details are outlined in the PDS.

Contact NobleOak on 1300 993 413 to get a claim form for your nib Life Insurance, issued by NobleOak.  

Once completed, email your form to claims@nobleoak.com.au or mail to:  
Claims Team, NobleOak Life
GPO Box 4793
Sydney NSW 2001

If you have a complaint about your nib Life Insurance policy, issued by NobleOak, or the service that has been provided (including the obligations under the Life Insurance Code of Practice) please contact NobleOak to let them know your concerns. The NobleOak team will do all they can to resolve your complaint as quickly as possible. All complaints are handled by the NobleOak Client Care team. They will contact you within one business day of receiving your complaint and will aim to resolve your complaint within five business days and no later than 30 calendar days (subject to access to the required information).

There are several ways you can contact the Client Care team to register your complaint:

• Email: clientcare@nobleoak.com.au

• Phone: 1300 396 455

• Write to NobleOak:  
  Attention: Client Care team, NobleOak Life
  GPO Box 4793
  Sydney NSW 2001

To assist NobleOak in dealing with your complaint quickly, please include the following information:

• Your name and contact details, including your daytime phone number and email address

• Details of your complaint

• Your desired outcome.

If you are unhappy with the handling of your complaint, or the resolution of your complaint you can escalate your complaint to the Australian Financial Complaints Authority (AFCA). AFCA provides fair and independent financial services complaint resolution that is free to consumers.

Website: www.afca.org.au
Email: info@afca.org.au
Telephone: 1800 931 678 (free call)

In writing to:
Australian Financial Complaints Authority
GPO Box 3
Melbourne VIC 3001

For further information on how NobleOak handles complaints, please access the NobleOak Public Complaints Policy.

NobleOak Life Limited (NobleOak), an award-winning Australian life insurer, is the issuer of nib Life Insurance. They were established in 1877 and have been protecting Australians for over 145 years. 

NobleOak is regulated by the Australian Prudential Regulation Authority (APRA) and holds an Australian Financial Services License issued by the Australian Securities and Investments Commission (ASIC).

NobleOak has adopted the Life Insurance Code of Practice (Code). The Code sets out the minimum standards for dealing with, communicating with and servicing members. It’s built around the principles of clarity and transparency, fairness and respect, honesty and timeliness of communication.

NobleOak is also a member of the Council of Australian Life Insurers (CALI), a body which supports the Australian life insurance industry and its members through dedicated representation and engagement. CALI advocates to drive positive outcomes for customers, insurers and their partners.