Insurance Variation Form - Transport Super
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4Insurance Variation Form
Important Information
How to use this form
Choice of Fund Transfer - may be able to transfer your
•
existing death or Death and TPD cover into Transport
Use this form if you wish to:
Super, without medical underwriting. A Choice of Fund
Insurance Transfer Form will need to be completed in
Update any personal member or employer details;
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addition to this form which is available at
Double your Default Cover
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under ‘forms and
Decrease your Default Cover;
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publications’.
Cancel your Default Cover;
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Increase your Default Cover by applying to be underwritten
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Vary your death and Total & Permanent
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for additional units of cover (called ‘Underwritten Cover’).
Note: You can select the level and type of cover you need,
Disablement Insurance cover; or
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however you will be required to provide a personal
Increase your units of Default Cover using ‘Underwriting’
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statement and medical evidence.
Complete all relevant sections of the attached Form and return
it to Member Services Team for The Transport Industry
Privacy
Superannuation Fund (Transport Super) (‘we’ or ‘us’).
When we collect your personal information, it is securely stored
and will only be used and disclosed to authorised personnel,
Member Details
service providers and third parties in order to:
administer your superannuation account
This section should be updated by the Member of Transport
•
Super. Keeping your personal member and employer details up to
benefit payments
•
date ensures your member account, balance, and insurance
direct marketing
•
arrangements are kept for your benefit. By providing your
personal details and email address, you agree that the Fund may
For a copy of the Privacy Policy, visit
provide you with information about the fund, and all information
or contact us on 1800 777 060. Our
will be either sent to your Email or Postal address.
Privacy Policy sets out how you can access information about your
benefit and personal details, correct any information which is
inaccurate or out-of-date and information on our privacy
Changing your Default Cover
complaints process.
On joining, each member automatically receives 2 units of
Default Cover. The amount of cover you have will depend on your
Declaration & Signature
age. As your age changes, your level of Default Cover will also
change. Please refer to The Transport Industry Superannuation
You (the Member) must complete, sign and date the form and
Fund PDS Insurance Guide for further information, available at
return it to Member Services Team at Transport Super.
You have a number of options to vary your Default Insurance
Contact Details
Cover:
The Transport Industry Superannuation Fund
New (employer sponsored) Members – You can:
Free call: 1800 777 060
Double your Default Cover from 2 units to 4 units within
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F: 02 9262 7473
120 days of joining Transport Super.
E:
.au
W:
New & Existing Members – You can:
PO Box A2499 SYDNEY SOUTH NSW 1235
Reduce your Default Cover from 2 units to 1 unit at any
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time.
Cancel your Default Cover at any time, if you consider you
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are adequately covered elsewhere, or do not need your
insurance.
Note: You will not be insured by Transport Super.
Vary your Default Cover from death and Total & Permanent
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Disability insurance cover to death only insurance cover.
Life Event Cover Increase – You may be able to increase
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your cover without medical underwriting, on up to 3
occasions with the occurrence of certain life events. A Life
Event Cover Increase Form will need to be completed in
addition to this form which is available from Transport
Super Member Service Team on 1800 777 060.
Diversa Superannuation Services Limited – Administrator
ABN
77 107 165 962
AFSL
273321
Issued by T.I.S. Pty Ltd
ABN
73 065 319 735
AFSL
247249 RSE Licence No L0002349 as trustee for
The Transport Industry Superannuation Fund
ABN
68 564 370 287 RSE Registration No. R1005516
Page 1 of 4 Version Oct ‘14
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