Professional Documents
Culture Documents
2018 Group Insurance CIB
2018 Group Insurance CIB
Issued by
Hannover Life Re of Australasia Ltd
areas of our business. We’re here to look after your most important asset – your
members.
We treat everyone
with care and
compassion.
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80% of Hannover
Re’s Life & Health
staff operate directly
in the local markets.
Our focus remains the same as it was when we first started Our Hannover Re Group network is present on all continents
in Australia back in 1958 - to develop genuine long-term with around 3,300 employees.
partnerships with our clients and to be someone they can
trust. Both Hannover Life Re of Australasia and our parent are
rated AA- by Standard and Poor’s (very strong), with A.M
Hannover Life Re of Australasia is a wholly-owned subsidiary Best awarding Hannover Re a financial strength rating of A+
of Hannover Re, one of the largest and most financially (superior). These ratings have been consistently stable for
sound reinsurance groups in the world. more than a decade.
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How we make a difference
More on page 10
More on page 8
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Technology – information at your fingertips
More on page 6
More on page 12
More on page 15
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Market leading technology The hr|Hub is available 24 hours a day, 7 days a week, and
lets you:
• Initiate new claims & underwriting applications and
upload documentation directly into the hr|Hub
• Upload and download claims & underwriting documents
• Search and view comprehensive case information
We make doing business easy. With a • Track the daily progress of a member’s claims or
team that includes some of the industry’s underwriting application
most experienced insurance • Generate and tailor reports
• Receive electronic reminders via an automated follow-
professionals, we have the necessary up process
technical expertise and advanced • Access new movements and nominate date ranges to
systems to make things easy. review past movements
• Create personal watch lists to receive automatic emails
about important cases
The Hannover Re Hub (hr|Hub) • Download underwriting and claim forms in editable PDF
format
Our market leading system allows you to monitor each The hr|Hub can be securely accessed at
individual underwriting application or claim from one central https://hub.hlra.com.au
point. So when a member asks you a question, they get an For help, including login details, please email us at
answer fast with the latest information. hubsupport@hlra.com.au
Online
Reporting
underwriting
Electronic Enhanced
upload & security &
download via privacy
hr|Hub
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We are committed to making ongoing improvements to our technology solutions, including:
Member
direct
solutions
Upload
capabilities
to third
parties
Reflexive Trustee
online specific
claims reporting
More Enhanced
flexible SLA dynamic
reporting reporting
Expanded
functionality
Reporting into the hr|Hub, our client facing system, which allows our
business partners to access to the underwriting status of
The hr|Hub lets clients, consultants and administrators applications submitted and to track its ongoing progress.
download tailored reports directly from our system,
including: Online underwriting member application
• Claims summaries, claims status reports and finalised system (hr|Maz)
claims reports
Members are able to complete an underwriting application
• Underwriting summaries, underwriting status reports online and in most cases get an immediate decision. Our
and finalised underwriting reports member application system hr|Maz dramatically simplifies
and enhances the underwriting experience, and allows easy
Claims management system (CMS) tracking and reporting of underwriting applications.
Our claims management system works behind the scenes
allowing for concurrent actions. The system provides: hr|Maz is also capable of providing automatic updates
• Faster claims processing and turnaround times electronically to your administration system.
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Flexible products Here’s an overview of possible product features. We have a
fully flexible product design approach and all products can
be tailored to meet your requirements.
requirements.
Maximum cover Unlimited for Death, AUD 3m for TPD and AUD 3m for Terminal Illness
Minimum annual premium AUD 15,000 p/a excluding brokerage, GST and other charges
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Group Income Protection (GIP)
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Superior service We’ve grown into one of the world’s most respected insurers
by keeping promises to our clients.
Administration
Telephone enquiry 24 hours
Written correspondence 5 days
Installation review or annual review 10 days
Underwriting
Set up of a new application or additional information onto our system 2 days
Assessment of a new application or additional information 2 days
Follow up of requirements (occurs from the date we received the application) 10 days
Reassessment of an application or exclusion 5 days
Claims
Set up of a new claim or additional information onto our system 24 hours
Assessment of an admitted claim or additional information 5 days
Follow up of requirements (occurs from the date of our last request) 20 days
Payments 2 days
Assessment of a declined claim or reassessment (for TPD claims this occurs from the 10 days
date the procedural fairness period ends)
Our service standards are measured in business days, starting from when all necessary requirements have been received
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Administration Annual reviews
At each annual review date we need:
• Member data containing name, payroll number, date of
birth, gender, state of residence, occupation,
membership category, date commenced employment,
We are committed to providing the date joined the policy and the sum insured at the annual
highest levels of quality service. We review date.
pride ourselves on our ability to deliver • The date cover commenced and level of cover for any
what we promise, it’s the way we do new members that joined the policy during the year.
business and it’s our culture. • The date cover ceased for any members that left the
policy during the year.
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How we underwrite New members
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Health evidence for underwriting Group Life & Total and Permanent Disablement
Age 45 +
Our philosophy when underwriting is to offer exclusions and
loadings so that we can provide as many members as Sum insured Evidence of health
possible for cover. Up to AUD 1,500,000 Personal Statement
If an AAL applies, any exclusion or loading will only apply to AUD 1,500,001 – Personal Statement
the portion of cover that was underwritten. AUD 2,500,000 + Bloods
AUD 2,500,001 – Personal Statement
The evidence we need for underwriting is shown below. We
AUD 3,500,000 + Bloods
reserve the right to alter these requirements or ask for any
+ GP Medical exam
additional information we believe is necessary based on a
member’s individual circumstances. AUD 3,500,001 – Personal Statement
AUD 5,000,000 + Bloods
Group Life & Total and Permanent Disablement + GP Medical exam
To age 44 (current age) + Personal Medical
Attendants Report (PMAR)
Sum insured Evidence of health
AUD 5,000,001 + Personal Statement
Up to AUD 2,500,000 Personal Statement + Bloods
+ GP Medical exam
AUD 2,500,001 – Personal Statement
+ Personal Medical
AUD 3,500,000 + Bloods
Attendants Report (PMAR)
+ GP Medical exam
+ Full Blood Count (FBC)
AUD 3,500,001 – Personal Statement + Exercise ECG
AUD 5,000,000 + Bloods Death only cover. TPD & Terminal Illness cover is only available to AUD
+ GP Medical exam 3,000,000.
+ Personal Medical
Attendants Report (PMAR) Group Income Protection (GIP)
AUD 5,000,001 + Personal Statement Sum insured (per month) Evidence of health
+ Bloods
+ GP Medical exam Up to AUD 12,000 Personal Statement
+ Personal Medical AUD 12,001 – Personal Statement
Attendants Report (PMAR) AUD 15,000 + Bloods
+ Full Blood Count (FBC)
+ Exercise ECG AUD 15,001 – Personal Statement
Death only cover. TPD & Terminal Illness cover is only available to AUD
AUD 20,000 + Bloods
3,000,000. + Personal Medical
Attendants Report (PMAR)
AUD 20,001 + Personal Statement
+ Bloods
+ GP Medical exam
+ Personal Medical
Attendants Report (PMAR)
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Our process for underwriting We can customise our process to meet your specific needs,
in response to changing market conditions, new
This map shows our standard process for assessing paper methodologies or for the particular circumstances of an
underwriting applications. Please keep in mind a different application. Some steps may occur concurrently.
process applies to online applications through the hr|Hub.
Member
Policy Owner
Hannover Life Re
of Australasia
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How we manage claims • Helping members get better and return to work safely
by providing a range of support services as part of their
income protection claim.
• Working with the member, their doctor and employer to
assist with recovery.
We recognise it’s important to provide • Establishing agreed times for the delivery of service and
reports.
assistance throughout the claim journey • Monitoring our assessments with an internal quality
and to make a decision quickly. Because verification process.
of this we focus on how best to support
the member when they need it most. Dedicated claim assessor
We allocate each claim to a dedicated claim assessor who is
Fairness and compassion responsible for the claim from start to finish. All claim
assessors only have a medium size portfolio to allow them to
We treat each member with integrity and compassion and support the member.
we ensure all decisions are fair and reasonable.
We achieve this by: To ensure the best chance of positive outcomes being
• Allocating each claim to a dedicated assessor who is achieved, we triage every claim based on the member’s
responsible from start to finish. condition before allocating it to the most suitable claims
• Ensuring genuine claims are paid as quickly as possible. assessor. This ensures the claim assessor has the experience
• Being transparent and communicating openly. and expertise to support the member throughout the claim
• Reaching conclusions based on facts and sound process.
reasoning.
Ease of the
claims process
Best practice
framework
Fair decisions Proactive &
with timely open
payment communication
Empathy,
sensitivity &
transparency
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Direct contact with members Review forum and committee
Our preference, particularly for income protection claims, is We provide a Claims Review Forum and a Claims Review
for the claim assessor to have direct contact with the Committee to ensure any claim dispute is re-assessed
member. We have found this a positive approach that thoroughly and independently and that the decision is fair
improves the member’s experience. All calls direct with the and reasonable.
member are recorded to safeguard information.
Where you disagree with our decision, we will require a
written objection stating the basis of the disagreement and
Early intervention any supporting evidence. The claim will then be reviewed by
the original claims assessor and may be referred to our
We are very supportive of a framework which promotes the
Claims Review Forum. The Claims Review Forum consists of
early notification of a claim during the waiting period (“Day
our National Claims Manager and other senior claims
1”) so we can assess the need for rehabilitation and co-
assessors.
ordinate a return to work strategy, where possible.
If you are still not satisfied with our decision after our
The assessment of a claim often requires advanced specialist
reassessment of the claim you are able to request for the
skills based on current medical treatments so we have
claim be reviewed by the Claims Review Committee. The
engaged several external companies to complement our
Claims Review Committee consists of senior management
internal claim team’s expertise.
employees from a variety of business units within Hannover
Life Re of Australasia.
Our in-house rehabilitation consultants will liaise with
specialist rehabilitation service providers who offer highly
personalised support and ongoing management to assist the Litigated claims
member’s recovery.
Where defending a matter on your behalf does not prejudice
Hannover Life Re of Australasia, we will manage the
Procedural fairness litigation provided you sign our Indemnity Letter. This
service will be provided at our expense.
We are committed to assessing all claims fairly. We will send
a procedural fairness letter to you 30 days prior to reaching
our decision. The letter will contain details of the evidence We proudly support SuperFriend
we have obtained and should be forwarded immediately to
the member. SuperFriend is a nationwide initiative aimed at improving the
mental health and wellbeing of industry superannuation fund
The claim will be re-assessed by the original claims assessor members, employers and staff.
if further information is received. If no additional information
is received within 30 days, we will proceed with making a
For more information visit
decision and a written report explaining the reason for our
www.superfriend.com.au
decision will be provided to you.
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Rehabilitation – Our in-house rehabilitation consultants will liaise with
specialist rehabilitation service providers and in consultation
a smoother road to recovery with the member, their doctor and the employer to develop
positive fully-accredited rehabilitation programs tailored
After lodging a claim the member can access a range of
with consideration to all relevant information including
support services to help them get better and return to work
medical capacity, education, training and experience.
safely. While returning to work is not always easy, work is
generally good for health and wellbeing and that long-term
We may also instruct an external provider to assist with
work absence, work disability and unemployment typically
liaising with the member and the appropriate medical
have a negative impact on health and wellbeing. That is why
specialist to agree on a unified medical management
our policy includes an approved rehabilitation benefit where
program.
at our discretion we may pay the cost of a program, device
or a functional/work conditioning program certified by a
Our in-house rehabilitation consultants will monitor the
doctor or other health professional. There is no maximum
member’s progress to ensure the rehabilitation plan remains
limit on the amount of rehabilitation we can provide to a
effective and beneficial.
member, subject to our prior approval.
Here to assist
members.
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Our process for rehabilitation
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The information we need to assess a Group income protection (GIP) claim
• Initial GIP Claim Forms: Member’s Statement,
claim Employer’s Statement, Medical Report with test results.
We have standard requirements for assessing claims, some • Ongoing GIP Claim Forms: Progress Claim Form
of which may incur a cost. These costs are the member’s (Member’s Statement) and Progress Medical Report.
responsibility, although we will pay for any additional • We may also require proof of the member’s income or
evidence that we request. income history, including but not limited to the
member’s full tax returns.
Initial requirements for all claim types Ongoing requirements for group income protection
• Certified identification that includes the member’s age claims
(i.e. driver’s licence or passport).
Once a GIP claim is accepted, and the first monthly benefit
• Confirmation of membership, application, date of the has been paid, the member will need to provide us with a
last premium and agreed benefit. periodical Progress Claim Form and a periodical Progress
• A copy of the member’s underwriting application if a Medical Report. We may also require additional information.
previous insurer accepted them for their cover. If the member continues to be employed, the employer will
• Any test results or additional medical evidence. remain responsible for any taxation and liaising with the
member, unless we agree to another process.
• The additional requirements depending on the type of
claim: If a member is no longer employed, or we have agreed to
Death claim manage this process, we will calculate any tax to be
• A certified copy of the member’s death certificate. deducted from the benefit and provide an annual Payment
• If a member dies whilst overseas, we require an English Summary. We will consider liaising directly with them but
translation of their death certificate, a certified copy of only if we have received the following information within 90
all passport pages and a certified copy of their travel days from the date they left employment:
itinerary. • An original Tax File Number Declaration form available
Terminal illness benefit (TIB) claim from the ATO website. Section A must be completed by
• Claim Forms: Member’s Statement, GP’s Medical Report, the member and the form returned to us.
Specialist Medical Report with test results. • The member’s contact details including address and
Total and permanent disablement (TPD) claim telephone number.
• Claim Forms: Member’s Statement, Employer’s • The member’s bank account details.
Statement, Medical Report with test results.
• If the notification date of the claim to Hannover Life Re • The date the benefit is to be paid to the member.
of Australasia is more than 18 months after the incident • Where we are providing a Superannuation Contribution
date, we will also require a copy of the member’s tax Benefit, all relevant membership and contact details of
returns since the incident date. their fund.
• We may also require proof of the member’s income or
income history including, but not limited to, the
member’s full tax returns.
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How we assess claims evolving market conditions, new methodologies or with
regard to the particular circumstances surrounding a claim.
The process maps outline our standard guidelines for the We are also able to customise our guidelines to meet each
assessment of Death, TPD and GIP claims. Some actions may client’s specific needs.
occur concurrently rather than sequentially and we reserve
the right to modify these guidelines at any time in light of
Member’s
Representative
Policy Owner
Hannover Life Re
of Australasia
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Our process for TPD claims
Member
Policy Owner
Hannover Life Re
of Australasia
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Our process for income protection claims
Member
Policy Owner
Hannover Life Re
of Australasia
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Get in touch today
groupriskmarketing@hlra.com.au Underwriting
All applications and supporting documents, as well as
Client Relationships (existing clients)
general questions about an underwriting case, can be
To get in touch with the team responsible for the co- sent to:
ordination of services to existing clients, reporting
and ongoing relationship management, please groupunderwriting@hlra.com.au
contact:
Claims
clientrelationships@hlra.com.au
If you need to submit a claim, or if you have a general
question about our claim requirements, assessment
process or payments, please contact a member of our
Claims Administration team:
groupclaims@hlra.com.au
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Your global partner and business parameters. Support is close at hand from local
experts who understand your market and speak your
We have built an international organisation, with a presence language – in more ways than one. And at the same time you
on all continents. can tap into the rich resources, skills and experience
available across our cross-border operations.
Central to our approach is an understanding that each
country is unique, with its own legislative framework, culture
Africa Asia
Europe
Published by
Hannover Life Re of Australasia Ltd
ABN 37 062 395 484
Member of the Hannover Re Group
www.hannover-re.com.au
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