Category: Claims
Working part time and claiming on a Total and Permanent Disability policy is difficult by design. Every panel TPD definition is a 'total' test. The insurer must be satisfied you are unlikely ever again to engage in the relevant occupation.
Sustained part-time work in that occupation is usually evidence against the claim, not for it. The rules are nuanced, though, and depend on whether the work is in your own occupation, what it pays, and whether you are on a structured rehabilitation trial.
The IMFL panel is AIA, Zurich, TAL, OnePath, ClearView, NEOS, Encompass, Acenda and Futura.
AIA Priority Protection (PDS 9 November 2025, Section 12.1, page 221) requires the insured to have been 'absent from work in your Own Occupation and have not worked for an uninterrupted period of at least three consecutive months from the Date of Disablement'.
If you are still performing the duties of your own occupation, or (under an any occupation definition) any occupation for which you are reasonably suited, the three-month qualifying absence is not satisfied. The definition cannot open. This is structural, not discretionary.
Once the three months have passed, the unlikely-ever test asks whether you are likely to return to the relevant occupation. Three panel insurers make this measurable with an earnings threshold rather than leaving it open:
| Insurer | Threshold | PDS reference | |---|---|---| | TAL Accelerated Protection | Comparison occupation must pay more than 25% of last 12 months' earnings | PDS 12 December 2024, Section 9, page 88 | | ClearView ClearChoice | Comparison occupation must generate at least 25% of average monthly earnings in the most recent 12 months of gainful employment prior to claim | PDS May 2024 (update effective 5 June 2025), pages 40 to 41 | | Encompass Protection | Similar 25% earnings threshold | PDS 26 September 2025, pages 16 to 17 |
Low-paid, low-hours work that materially fails this 25% threshold is not automatically claim-defeating under Any Occupation, provided the medical evidence supports the permanence test.
Returning to work as part of a structured rehabilitation program is treated differently from independently restarting work.
Several panel products explicitly contemplate rehabilitation work trials inside their TPD or Income Protection wording:
See how rehabilitation benefit works in TPD insurance for the per-insurer detail.
Not every TPD policy has a partial branch. Where one exists, it operates differently to the full TPD payout.
These are partial pay-outs structured into the cover, not a workaround for the total test on the full benefit. The general Partial Disability glossary entry explains how partial benefits sit alongside total benefits.
For the broader definitional distinction see Own Occupation versus Any Occupation TPD. For the dispute pathway if a claim is declined on these grounds see what happens if my TPD claim is rejected.
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