Category: Coverage
The benefit period is how long an insurer pays your monthly benefit. The indemnity period is the income-lookback window used to calculate that monthly benefit. PDS wording across panel insurers sometimes confuses the two.
Think of it as a what-and-how-long pair: indemnity period decides how much per month, benefit period decides how long it keeps paying.
This is the maximum duration of payments while you remain disabled. Common options: 2 years, 5 years, to age 65, to age 70. Premiums rise sharply with longer benefit periods because the insurer carries longer claim exposure.
This is the period over which your pre-disability earnings are measured for indemnity-style cover. Since all new retail policies in Australia are indemnity-based following APRA's October 2021 IDII reforms, every panel insurer has a lookback rule.
| Insurer | Lookback used | PDS reference | |---------|---------------|---------------| | TAL | 12 months immediately before the Waiting Period started (Pre-Claim Earnings) | Section 2.6 (PDS 12 Dec 2024) | | AIA | Pre-disablement Income defined in Section 12.1 General Definitions | (PDS 9 Nov 2025) | | Zurich | Pre-claim earnings (gross sales / earnings / billings for self-employed) | Section: Income protection, defined terms (PDS 1 Nov 2025) | | OnePath | "the annual equivalent of the life insured's pre-claim earnings" | Income Secure Cover (PDS Oct 2025) | | ClearView | Pre-disability earnings, lookback typically 12 months | Income Protection (PDS 13 May 2024, Update 5 Jun 2025) | | NEOS | Pre-disability income calculation tiered at the $25,000/month boundary | Income Support Cover (PDS 6 Dec 2024) | | Encompass | Pre-disability earnings, 12-month lookback standard | Income Protection cover (PDS 26 Sep 2025) | | Acenda | Earnings Before Disability (tier table: first $240,000 at 70%, then 20% next band) | (PDS 27 Sep 2025) | | Futura | Pre-disability earnings defined in PDS Income Protection section | (PDS 1 Oct 2025) |
Some insurers use the highest consecutive 12 months in a longer 24-month or 36-month window, which protects you against a single bad year. Check the PDS or ask your adviser which lookback applies.
Under an indemnity contract, the sum insured on your schedule is a ceiling, not a guaranteed payment. If your earnings dropped in the 12 months before the disability, your actual monthly benefit may be lower than the policy face amount.
This affects three groups in particular.
Three steps reduce the risk that an indemnity recalculation reduces your benefit.
For post-October 2021 contracts, there is a separate 24-month income reset that applies during a claim, not at claim start (APRA Information Paper, October 2021). After 24 months of benefit payments, the insurer recalculates based on what you would have been earning at the two-year point, not the original pre-disability amount. The 12-month lookback is the start of the calculation; the 24-month reset is a recurring adjustment during long claims.
Pre-2021 legacy policies usually do not have the 24-month reset. They continue at the originally calculated amount.
Some older PDS wordings used "indemnity period" to mean the benefit period. If a policy uses the term to mean payment duration, check the defined-terms section. It will distinguish benefit period (payment duration) from pre-claim earnings or pre-disability income (lookback). Ask the insurer two questions. How is the monthly benefit calculated? How long will benefits be paid if I remain disabled? This is general information, not personal advice.
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