Husband loses insurance dispute over wife's death

The information on this website is general in nature and does not take into account your objectives, financial situation, or needs. Consider seeking personal advice from a licensed adviser before acting on any information.

Legislation that started in March 2019 would have ceased the woman's default cover, unless she responded to a notice saying she wanted it to continue. The trustee said it complied with legislation by emailing the notice, but the complainant said she never received it.

The life insurance policy ceased on July 1 2019. On March 5 2020, the member asked for a replacement of the policy and was covered again. The member died on February 12 2021, and the complainant made a claim for the death benefit.

But AIA declined to pay, after determining that she had died from a preexisting medical condition. The complainant argued that he should be paid the death benefit but the trustee rejected the claim.

The complainant stated that it was never their intention to cancel the death benefit and in fact were relying on the benefit payout as part of her final estate for the family.

He went on to say that the trustee had failed to appropriately notify them that the death benefit would be cancelled.

He said that they had not been initially made aware that the death benefit had ceased. "When we did become aware, via online account, that the death benefit had ceased, we contacted [the trustee] to have it reinstated immediately.” he said.

He said the trustee also did not mention that the new cover excludes pre-existing conditions.

However, the Australian Financial Complaints Authority said it was satisfied and that new cover was explained in the Product Disclosure Statement. The decision to decline the claim is fair and reasonable, it added.

Published:Tuesday, 17th May 2022
Source: Paige Estritori

Please Note: If this information affects you, seek advice from a licensed professional.

Share this news item:

Insurance News

Clear

CHU Unveils Enhanced Residential Strata Insurance Policy

11 Mar 2026: Paige Estritori

CHU, Australia's leading strata insurance underwriting agency, has recently launched an upgraded residential strata insurance policy aimed at providing more comprehensive protection for property owners and strata communities. This initiative underscores CHU's commitment to evolving with the needs of its customers by simplifying insurance processes and enhancing community resilience. - read more

ICA Advocates for Reforms to Victoria's Strata Legislation

11 Mar 2026: Paige Estritori

The Insurance Council of Australia (ICA) has recently called for significant reforms to Victoria's strata legislation, highlighting a direct correlation between inadequate governance and escalating insurance premiums for residents. With approximately one in five Victorians residing in strata-titled properties, the need for effective management and oversight has become increasingly critical. - read more

NSW Implements Strata Reforms to Strengthen Maintenance Compliance

11 Mar 2026: Paige Estritori

The New South Wales (NSW) government has introduced a new tranche of strata reforms aimed at enhancing the maintenance and safety of apartment buildings across the state. A key component of these reforms is the proposal to grant NSW Fair Trading the authority to enter any apartment building without a warrant if there are reasonable grounds to believe that the owners corporation is failing to maintain common property adequately. - read more

Australian Insurers Anticipate Earnings Decline Following Record Highs

11 Mar 2026: Paige Estritori

In the 2024-25 financial year, Australia's general insurance sector achieved a remarkable return on equity (ROE) of 19%, marking the highest profitability in a decade. This exceptional performance was driven by robust underwriting results, substantial investment returns, and a period of relatively mild natural disaster activity. However, industry experts caution that such elevated earnings are unlikely to persist. - read more

Significant Drop in Australian Commercial Insurance Rates in Late 2025

11 Mar 2026: Paige Estritori

In the fourth quarter of 2025, Australia's commercial insurance sector experienced a notable 12% decline in rates, marking the most substantial reduction among the eight regions monitored by Marsh Risk's Global Insurance Market Index. This decrease follows an 11% drop in the preceding quarter, indicating a sustained trend of rate reductions in the Australian market. - read more

Australian Insurers Adapt Strategies in Response to Emerging Challenges

11 Mar 2026: Paige Estritori

The Australian insurance industry is currently navigating a complex landscape marked by rising operational costs, escalating cybersecurity threats, and a competitive talent market. These challenges are prompting insurers to reassess and reshape their strategic priorities to sustain growth and profitability. - read more

Significant Increase in Health Insurance Premiums Set for April 2026

11 Mar 2026: Paige Estritori

Australian health insurance policyholders are bracing for a substantial increase in premiums, with rates set to rise by 4.41% from April 1, 2026. This adjustment represents the most significant annual hike since 2017, when premiums increased by 4.84%. - read more

Artificial Intelligence Revolutionises Insurance Sector in Australia and New Zealand

11 Mar 2026: Paige Estritori

Insurance companies across Australia and New Zealand are increasingly integrating artificial intelligence (AI) into their operations, aiming to become data-driven, digital-first organisations. This strategic shift is driven by the need to enhance efficiency, comply with evolving regulations, and meet changing consumer expectations. - read more

Rising Home Insurance Costs in Northern Australia Challenge Affordability

11 Mar 2026: Paige Estritori

Homeowners in Northern Australia are experiencing significant increases in insurance premiums, despite the federal government's implementation of a cyclone reinsurance pool aimed at reducing costs in cyclone-prone regions. This development raises concerns about the effectiveness of current measures and the ongoing challenges in making insurance affordable for residents in high-risk areas. - read more

AIA Australia's New Partnerships Encourage Cycling Among Members

11 Mar 2026: Paige Estritori

In a strategic move to promote physical activity among its members, AIA Australia has announced partnerships with global fitness company Peloton and premium cycling brand Specialized. These collaborations aim to provide AIA Vitality members with significant discounts on cycling equipment, thereby encouraging a more active lifestyle. - read more

Click for more Insurance News

Insuring your most valuable asset

While many people would consider their home or their car to be their most valuable asset, it's your ability to earn an income that is most important in shaping your financial future. Statistically, two thirds of working Australians will suffer an injury or illness that will sideline them for 90 days or more. The majority of these people would not be able to pay their mortgage or meet car finance and other loan commitments without adequate income insurance.

... compare rates & options ...