Comparing TPD insurance? Understand the difference between Any vs Own Occupation cover.
Any occupation cover and own occupation cover are two types of cover that apply to Total and Permanent Disability Insurance (TPD). They sound similar but are different when it comes to claim time.
Both payout when injury or illness forces you out of work...
But the key difference is the types of jobs you are forced out of.
Covers you as long as you are unable to work in your own occupation or profession (i.e. the job you have currently been working in).
Covers you if unable to return to the workforce in any occupation that is suited to your education, training or experience. This is a much broader definition that's harder to prove.
So how does it work? The table below discusses that ways in which a payout is triggered for both types of cover.
Own vs Any Occupation: When do they payout?
This will depend on the extent of your disability and your ability to work.
|Extent of your disability|
|Your disability leaves you unable to work in any type of occupation.|
|You can no longer work in your occupation form before but you are still able to work in a different field e.g. anything suited to you:|
There is an upside to both types of policies and it essentially comes down to a matter of preference.
Own occupation cover is the preferred type of cover to have, as it provides you with the greatest opportunity to make a successful claim, given how specific the terms are. Because of this, it’s also the more expensive of the two types of cover and is harder to take out. It’s also limited to certain types of occupations.
Unlike own occupation, its terms are quite broad and an insurer could argue that there are suitable jobs that you could perform, some of which might bear little resemblance to your previous occupation. The upshot of this is that any occupation cover is the cheaper form of cover as it's harder to make a claim for a disability (in comparison to own occupation cover).
|Own occupation||Clearer definition of disability||More expensive than Any Occupation|
|Greater chance of a payout in a claim||Available to less occupation types|
|Won't payout in superannuation / No longer available|
|Less expensive than Own Occupation||Less clear definition of a disability|
|Available for more occupation types||Less chance of receiving payout|
|Available in superannuation policies|
The any occupation and own occupation definitions apply to Total and Permanent Disability (TPD) Insurance and Income Protection Insurance.
Own occupation cover in a TPD Insurance policy means you will receive a payout if you are totally and permanently disabled and are unable to work in your usual occupation or chosen field of employment.
Any occupation cover in a TPD policy means you can claim if you are totally and permanently disabled and can’t work in any occupation that you are suited to by education, training or experience.
Own occupation cover in an Income Protection policy means you will be covered if you are unable to work in your chosen profession due to illness or injury.
Any occupation cover in an Income Protection policy means you will be covered if you cannot work in any occupation you are suited to by education, training or experience due to illness or injury.
Consider this when applying for income protection insurance
Because Income Protection Insurance protects your ability to earn with most policies paying up to 75% of your current net income, having own occupation cover with this type of insurance is infinitely preferable. If you held any occupation cover and were deemed fit to work in some other job requiring few skills or little experience, you could find yourself earning considerably less, something that Income Protection Insurance is designed to prevent.
Recent amendments to The Tax Act have made any occupation cover preferable to own occupation cover, at least for TPD Insurance. This is because the new legislation has made TPD premiums tax deductible to the extent that they relate to a superannuation disability benefit.
This is defined as a benefit paid to a person because they suffer from ill health and have been certified as unlikely to ever be gainfully employed in a capacity for which they are reasonably qualified due to education, training or experience.
While most policies with any occupation cover have definitions quite similar to this, those with own occupation cover are usually quite different, meaning that your TPD premiums won’t be tax deductible.