Income Protection

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Occupation(Required)

States(Required)

Are you an AMA member?(Required)

Yes

Date of Graduation (if applicable for new professionals cover)(Required)

Date of Birth(Required)

Gender(Required)

Australian Resident(Required)

Smoker/Non Smoker(Required)

Contact Details

Phone(Required)

Pre Existing Medical Conditions?

Medical History?

Employed/Self Employed

If not Full Time – How many hours?

Gross Annual Income

Waiting Period

Benefit Period

Stepped / Level Premiums

Is Needlestick Cover important?

Benefit period – is the time/length of your claim period. This can generally be up to age 65.
Waiting period – is how long you intend to wait after you have been diagnosed with an illness/injury and are unable to work, before you start claiming. This can generally be up to 30 days.
Stepped premiums rise with age, level premiums increase in a more consistent manner as the age based increase is apportioned over the life of the policy.

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