Insurance held inside superannuation has some real advantages, which is why it remains the default for many Australians:
Cost efficiency at scale - super funds negotiate group rates, which can mean lower premiums than an individually underwritten retail policy, at least at standard cover levels.
Cash flow convenience - premiums are paid from the super balance rather than take-home pay, which can ease day-to-day cash flow.
Easier access to some cover - default cover is often provided without full medical underwriting, which can matter for clients in higher-risk occupations or with pre-existing health considerations.
For clients with more complex needs, business owners, professionals with variable income, families with specific legacy or succession goals, the limitations of insurance through super become more significant:
Cover isn't always tailored to your situation. Default and even voluntary cover through super is typically standardised, with limited ability to adjust features like benefit period, waiting period, or occupation-specific definitions. A policy designed for a general working population may not reflect the realities of running a business or working in a specialised profession.
Claims must satisfy two sets of rules, not one. To receive an income protection or TPD payment through super, a claim must meet both the insurer's definition of disability or incapacity and the superannuation legislation's “condition of release.” This dual test can mean longer time-frames and additional complexity at claim time, often precisely when a family can least afford delays.
Payments don't always come to you directly. Benefits paid through super are typically directed to the fund trustee first, adding a processing step that can extend the time before a family or individual actually receives funds.
For clients with the financial capacity and health profile to be individually underwritten, insurance held directly (outside super) typically offers:
Full flexibility on benefit periods, waiting periods, and policy features tailored to occupation and income
Underwriting certainty from the outset, rather than discovering exclusions at claim time
Tax deductibility of income protection premiums in the individual's own name
Direct payment of benefits without a trustee as an intermediary
No erosion of retirement savings to fund premiums
The trade-off is typically a higher upfront premium and the need for full medical and financial underwriting.
For many clients, the right answer is a blend, using superannuation efficiently for baseline cover while holding additional, more tailored protection outside it for income and asset levels that default settings were never designed to address. The right balance depends on occupation, health, cash flow, retirement savings goals, and how personal cover fits within a broader estate and business succession plan.
Given how much has changed recently in default super insurance settings, from premium increases to reduced maximum cover levels at several major funds this is a good moment for clients to revisit where their personal risk cover sits and whether it still matches their circumstances.
Our insurance advisory team can review your current arrangements, both inside and outside super, and help determine a structure that reflects your actual financial position and goals. Get in touch with our Private Wealth team to find out the best solution for you.