Contact your employer and insurer as soon as possible after illness or injury. You typically have 6 months to lodge.
Be ready to provide detailed forms including GP reports and 12 months of pay history for your claim.
Your claim is assessed after your waiting period, potentially taking weeks or months. Benefits are up to 75% of income.
It's really easy to claim income protection insurance – you just need to get in touch with your insurer, send in a few forms stating why you're too sick or injured to work and then simply wait to hear back.
How to claim income protection
Contact your employer and insurer
You should do this as soon as you fall ill or are injured and can't work. Your insurer will then send you the paperwork you need to submit the claim.
Fill out the claim form
You will need to fill out a salary continuance report with a statement from your GP, a tax file number declaration form, an income replacement employer report, information regarding your leave and pay history for the previous 12 months and certified proof of age, such as your driver's licence, birth certificate or passport.
Wait to hear back from your insurer
Send the completed documentation to your insurer by mail or email. Your claim will be assessed once the waiting period you selected when you took out the policy ends (either 30, 60, 90, 120 or 180 days).
How long do you have to lodge an income protection claim?
Time limits do apply to lodging income protection claims (usually 6 months from the time you become ill or injured), so you should lodge a claim as soon as possible after the illness or injury occurs and you are unable to return to work.
How long does a claim take?
Your insurer will not begin assessing your claim until your waiting period has been served (between 30 and 180 days). After this, your claim may take several weeks or months to assess, depending on whether further information is required or if the insurer requests further medical testing.
When does an income protection claim pay out?
In order for an income protection claim to be accepted, you must meet either of the following criteria:
Total disability. Your insurer will deem you totally disabled if an illness or injury prevents you from being able to perform one or more important duties of your own occupation (duties that involve 20% or more of your job) and you're under regular care and advice of your GP.
Partial disability. This is when, because of your illness or injury, you're unable to perform one or more important duties of your own occupation to the same extent as you previously were. To be eligible, you need to be receiving regular care and advice from your GP.
Questions you'll be asked during the income protection claims process
You have a duty of disclosure to be truthful to your insurer both when applying for cover and when lodging an income protection claim. These are the typical questions your insurer will ask you:
Has your GP confirmed that you are likely to be off work for longer than the waiting period?
Have you experienced this or a related condition in the past?
What are the duties you perform in your occupation and the approximate time spent performing each?
Is it your intention to return to work with the same employer after you recover?
After a claim is processed
What happens if your income protection claim is accepted?
If your insurer accepts your claim, you'll be paid a monthly benefit worth up to 75% of your income into your bank account. The payment will be 1 month in arrears from the time your waiting period ends, for example, after 60 days if your waiting period is 30 days.
Your claim will be reviewed monthly to determine your ongoing eligibility. You'll be required to provide:
A doctor’s report every month
Undertake periodic independent medical examinations (only if requested by your insurer)
What happens if your income protection claim is rejected?
If your claim is rejected and you don't think it should have been, you can:
Request a review of your case by a third party through your insurer's internal dispute resolution team.
If it's still rejected and you're not satisfied with the outcome, you can contact the Australian Financial Complaints Authority (AFCA) or the Superannuation Complaints Tribunal (SCT) if your policy is held inside your superannuation.
Compare income protection policies and get a quote today
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Finder Score - Income Protection
Income Protection is a little complicated and a lot overwhelming. That's why we made the Finder Score, to make it easier to compare Life Insurance products against each other. Our experts analysed over 12 products and gave each one a score rank out of 10.
But a higher score doesn't always mean a product is better for you. Your situation is unique, so your policy choice will be too. Don't think of Finder Score as the final word, but as a good place to start your life insurance comparison.
You pay the same price as buying directly from the life insurer.
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We've done 100+ hours of policy research to help you understand what you're comparing.
Frequently asked questions about income protection claims
The waiting period is the time between when you stop working due to an illness or injury and when your income protection policy begins paying out. During this time you will not receive benefit payments. While you wait your insurer will assess your claim, request any necessary medical information and confirm your eligibility.
An independent medical examination is an assessment conducted by a medical professional chosen by your insurer. It helps your insurer gain an objective understanding of your condition, your capacity to work and your prognosis. This examination ensures continued eligibility for payments and supports the ongoing review of your claim.
Income protection payments last for the benefit period you chose when you took out your policy. Common benefit periods include 2 years, 5 years or up to age 65. Payments will continue until you recover and return to work, the benefit period ends or you reach the maximum age for your policy whichever comes first.
Yes, many income protection policies in Australia cover mental health conditions such as depression, anxiety or PTSD if they prevent you from working. Eligibility will depend on the specific terms and conditions of your policy including definitions of disability and any waiting periods or exclusions that may apply to mental health conditions. It is important to disclose any pre-existing mental health conditions when you apply for cover.
Yes, if your policy includes a partial disability benefit you may be able to return to work part time while still receiving some income protection payments. Your benefit amount would typically be reduced proportionally based on your new earnings. This encourages rehabilitation and a gradual return to full employment. You should discuss your return to work plan with your insurer and your doctor.
If your illness or injury is a pre-existing condition meaning it existed before you took out the policy it may be subject to specific exclusions or waiting periods. Most insurers will ask about pre-existing conditions during the application process. Full disclosure is crucial as non-disclosure could lead to your claim being denied. Always check your policy's Product Disclosure Statement for details on how pre-existing conditions are handled.
Gary Ross Hunter has over 6 years of expertise writing about insurance, including life, health, home, and car insurance. Having reviewed hundreds of product disclosure statements and published over 800 articles, he loves simplifying complex insurance topics for everyday readers. Gary has contributed to major outlets like Yahoo Finance, The Sydney Morning Herald, and news.com.au, and holds a Bachelor of Arts (Honours) in English Literature from the University of Glasgow, along with a Tier 2 General Advice certification, ensuring his work adheres to ASIC’s RG146 standards.
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Find out how much your income protection insurance policy will pay out in the event of a claim. Receive quotes for income protection and apply securely.
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