Category: Claims
If your disability arises from work or a motor accident, statutory schemes (workers' compensation, CTP, TAC, icare) typically pay first, and your Income Protection benefit is reduced to keep total replacement within the policy cap. This is the 'offset' rule and applies under every panel IP policy.
The offset rule prevents claimants from receiving more than 100% of pre-disability income. APRA's October 2021 reforms reinforced this principle.
If you receive workers' compensation equal to 50% of your pre-disability income, and your IP policy targets 70%, the IP insurer pays only the 20% gap. If the workers' compensation payment is later reduced or ceased (for example after the statutory period ends), your IP benefit steps up to fill the gap, up to the policy cap and the end of your benefit period.
| Insurer | PDS section | Cite | |---------|-------------|------| | AIA | Section 5.1.4, allowable offsets list, including sick pay and workers compensation | AIA Priority Protection PDS Version 32, 9 November 2025 | | TAL | Section 2.6.5 'When we will reduce the benefit', listing workers' compensation, common law, and statute | TAL Accelerated Protection PDS, 12 December 2024 | | Zurich | Income Protection 'When we will not pay or reduce the benefit' (compulsory schemes including workers' compensation or accident compensation) | Zurich Wealth Protection PDS, 1 November 2025 | | OnePath | Income Secure Cover offset list (Workers' Compensation and Accident Compensation for loss of income) | OnePath OneCare PDS, October 2025 | | ClearView | Income Protection Flex offset (worker's compensation, motor accident scheme, or accident compensation scheme) | ClearView ClearChoice PDS, 13 May 2024 (Update 5 June 2025) | | NEOS | Income Support Cover offset (worker's compensation and motor accident claims) | NEOS Protection PDS, 6 December 2024 | | Encompass | Income Protection Cover offset (workers' compensation or motor accident compensation legislation) | Encompass Protection PDS, 26 September 2025 | | Acenda | Income Protection offset (workers' compensation or motor accident compensation legislation) | Acenda Insurance PDS, 27 September 2025 | | Futura | Income Protection Cover offset (worker's compensation and motor accident claims) | Futura Protection PDS, 1 October 2025 |
The offset applies to amounts received under:
Workers' compensation typically pays for a limited statutory period (often 130 or 260 weeks of weekly payments depending on jurisdiction). When those payments end, IP steps in to fill the gap up to your benefit-period end-date. Without IP, the income loss after the statutory period would be absorbed by the claimant.
You must disclose all other compensation sources to your IP insurer at claim time and as they change. Non-disclosure can result in claim reduction or refund demand. The disclosure obligation also runs the other way; tell your workers' compensation case manager that you hold IP.
General advice only. Statutory schemes vary by state and territory, and the interaction with IP is fact-sensitive. Consult a licensed adviser or claims-experienced solicitor before settling a workers' compensation or CTP claim.
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