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General Advice Warning

This information may be regarded as general advice. That is, your personal objectives, needs or financial situations were not taken into account when preparing this information. Accordingly, you should consider the appropriateness of any general advice we have given you, having regard to your own objectives, financial situation and needs before acting on it. Where the information relates to a particular financial product, you should obtain and consider the relevant product disclosure statement before making any decision to purchase that financial product.

You can view our target market determination and policy wordings here:

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You must be aged between 16 – 65 to apply for this insurance

If your BMI is above 30 or below 16, your policy quote will be sent for review

Due to some of your answers, your quote will require a review, please complete all questions until the end to enable review consideration.

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Cover Type

Policy Wording – Self Employed 24 hours a day / Employee inc Workers Comp Top Up

Policy Wording – Employee Outside Working Hrs Only

Due to some of your answers, your quote will require a review, please complete all questions until the end to enable review consideration.

We can only provide cover for people working in Australia

Due to some of your answers, your quote will require a review, please complete all questions until the end to enable review consideration.

Your Quote

Your premium based on the provided information is:

Due to some of your answers, your quote will require a review, please complete all questions until the end to enable review consideration.

Important Notices
Financial Services Guide

Important Notices
Financial Services Guide

I/We declare that the statement and particulars in this proposal form are true and that no material facts have been misstated or suppressed after enquiry. I/We agree that should any of the information given by us alter between the date of this proposal and the inception date of the insurance to which this proposal relates, I/We will give immediate notice thereof. I/We agree that the Underwriters may use and disclose our personal information in accordance with the “Privacy Statement” included in the IMPORTANT NOTICES of this Proposal. I/We agree that this proposal, together with any other information supplied by me/us sall form the basis of any contract of insurance affected thereon.

It is important the undersigned of the declaration above is fully aware of the scope of this insurance so that these questions can be answered correctly. If in doubt, please contact the broker or agent, since non-disclosure may affect an insureds right of recovery under the policy.

Premium Funding Details

Your first instalment is . There are 11 instalments remaining each of . These are payable monthly on the same day of each month.

Premium:
Interest Charges:
Total Amounts Repayable:
No of Instalments: 12
Interest Rate: %
Initial Instalment:
Subsequent Instalments:

Premium Funding is currently unavailable but will be added soon. Please select Credit Card to make payment.