Joining the Income Protection Policy
1.) Declaration of Health
All members can join the scheme (provided aged under 70) with automatic acceptance but any pre-existing condition will be excluded.
Please complete the form below and return via email to info@cerberos.com.au. Any disclosed condition will be referred to the insurer for acceptance as a pre-existing condition and we will notify you of the outcome. No cover is provided for pre-existing conditions until the insurer confirms in writing, if any pre-existing conditions will be covered.
It is NOT a requirement to complete the Declaration of Health, you can simply join the scheme by completing the direct debit or sending a completed payroll deduction form, but any pre-existing cover will be excluded.
2.) Sum Insured
Select your sum insured from the rating matrix below which can’t exceed 85% of your gross income (inc. production bonuses and allowances).
| Type of Cover / Benefit Level | Weekly Sum Insured | Aged 29 and Under Weekly Premium |
Aged 30 to 39 Weekly Premium |
Aged 40 to 49 Weekly Premium |
Aged 50 to 59 Weekly Premium |
Aged 60 to 69 Weekly Premium |
|---|---|---|---|---|---|---|
| S&A – $330 Weekly Benefit Level | $330.00 | $9.45 | $11.25 | $15.60 | $16.20 | $17.70 |
| S&A – $440 Weekly Benefit Level | $440.00 | $12.60 | $15.00 | $20.80 | $21.60 | $23.60 |
| S&A – $550 Weekly Benefit Level | $550.00 | $15.75 | $18.75 | $26.00 | $27.00 | $29.50 |
| S&A – $660 Weekly Benefit Level | $660.00 | $18.90 | $22.50 | $31.20 | $32.40 | $35.40 |
| S&A – $770 Weekly Benefit Level | $770.00 | $22.05 | $26.25 | $36.40 | $37.80 | $41.30 |
| S&A – $880 Weekly Benefit Level | $880.00 | $25.20 | $30.00 | $41.60 | $43.20 | $47.20 |
| S&A – $990 Weekly Benefit Level | $990.00 | $28.35 | $33.75 | $46.80 | $48.60 | $53.10 |
| S&A – $1100 Weekly Benefit Level | $1,100.00 | $31.50 | $37.50 | $52.00 | $54.00 | $59.00 |
| S&A – $1210 Weekly Benefit Level | $1,210.00 | $34.65 | $41.25 | $57.20 | $59.40 | $64.90 |
| S&A – $1320 Weekly Benefit Level | $1,320.00 | $37.80 | $45.00 | $62.40 | $64.80 | $70.80 |
| S&A – $1430 Weekly Benefit Level | $1,430.00 | $40.95 | $48.75 | $67.60 | $70.20 | $76.70 |
| S&A – $1540 Weekly Benefit Level | $1,540.00 | $44.10 | $52.50 | $72.80 | $75.60 | $82.60 |
| S&A – $1650 Weekly Benefit Level | $1,650.00 | $47.25 | $56.25 | $78.00 | $81.00 | $88.50 |
| S&A – $1760 Weekly Benefit Level | $1,760.00 | $50.40 | $60.00 | $83.20 | $86.40 | $94.40 |
| S&A – $1870 Weekly Benefit Level | $1,870.00 | $53.55 | $63.75 | $88.40 | $91.80 | $100.30 |
| S&A – $1980 Weekly Benefit Level | $1,980.00 | $56.70 | $67.50 | $93.60 | $97.20 | $106.20 |
| S&A – $2090 Weekly Benefit Level | $2,090.00 | $59.85 | $71.25 | $98.80 | $102.60 | $112.10 |
| S&A – $2200 Weekly Benefit Level | $2,200.00 | $63.00 | $75.00 | $104.00 | $108.00 | $118.00 |
| S&A – $2310 Weekly Benefit Level | $2,310.00 | $66.15 | $78.75 | $109.20 | $113.40 | $123.90 |
| S&A – $330 Weekly Ben & $150K Life TPD | $330.00 | $31.95 | $33.75 | $38.10 | $38.70 | $40.20 |
| S&A – $440 Weekly Ben & $150K Life TPD | $440.00 | $35.10 | $37.50 | $43.30 | $44.10 | $46.10 |
| S&A – $550 Weekly Ben & $150K Life TPD | $550.00 | $38.25 | $41.25 | $48.50 | $49.50 | $52.00 |
| S&A – $660 Weekly Ben & $150K Life TPD | $660.00 | $41.40 | $45.00 | $53.70 | $54.90 | $57.90 |
| S&A – $770 Weekly Ben & $150K Life TPD | $770.00 | $44.55 | $48.75 | $58.90 | $60.30 | $63.80 |
| S&A – $880 Weekly Ben & $150K Life TPD | $880.00 | $47.70 | $52.50 | $64.10 | $65.70 | $69.70 |
| S&A – $990 Weekly Ben &$150K Life TPD | $990.00 | $50.85 | $56.25 | $69.30 | $71.10 | $75.60 |
| S&A – $1100 Weekly Ben & $150K Life TPD | $1,100.00 | $54.00 | $60.00 | $74.50 | $76.50 | $81.50 |
| S&A – $1210 Weekly Ben & $150K Life TPD | $1,210.00 | $57.15 | $63.75 | $79.70 | $81.90 | $87.40 |
| S&A – $1320 Weekly Ben & $150K Life TPD | $1,320.00 | $60.30 | $67.50 | $84.90 | $87.30 | $93.30 |
| S&A – $1430 Weekly Ben & $150K Life TPD | $1,430.00 | $63.45 | $71.25 | $90.10 | $92.70 | $99.20 |
| S&A – $1540 Weekly Ben & $150K Life TPD | $1,540.00 | $66.60 | $75.00 | $95.30 | $98.10 | $105.10 |
| S&A – $1650 Weekly Ben & $150K Life TPD | $1,650.00 | $69.75 | $78.75 | $100.50 | $103.50 | $111.00 |
| S&A – $1760 Weekly Ben & $150K Life TPD | $1,760.00 | $72.90 | $82.50 | $105.70 | $108.90 | $116.90 |
| S&A – $1870 Weekly Ben & $150K Life TPD | $1,870.00 | $76.05 | $86.25 | $110.90 | $114.30 | $122.80 |
| S&A – $1980 Weekly Ben & $150K Life TPD | $1,980.00 | $79.20 | $90.00 | $116.10 | $119.70 | $128.70 |
| S&A – $2090 Weekly Ben & $150K Life TPD | $2,090.00 | $82.35 | $93.75 | $121.30 | $125.10 | $134.60 |
| S&A – $2200 Weekly Ben & $150K Life TPD | $2,200.00 | $85.50 | $97.50 | $126.50 | $130.50 | $140.50 |
| S&A – $2310 Weekly Ben & $150K Life TPD | $2,310.00 | $88.65 | $101.25 | $131.70 | $135.90 | $146.40 |
| Life & TPD Only $150,000 | N/A | $22.50 | $22.50 | $22.50 | $22.50 | $22.50 |
NOTE – Life & TPD also available for $250K and $500k with rates available on request.
3.) Payment
Payment can be via direct debit or payroll deduction (if offered by employer):
Direct Debit
Please complete the direct debit form linked below – cover will commence from the first deduction.
Please use your union member number for the reference number (if unknown use your surname).
Payroll Deduction
Complete the payroll deduction form linked below and lodge with your employer.
Please copy us in at info@cerberos.com.au or alternatively send it to us via email to lodge on your behalf.