You can download a claim form here. This claim form consists of three (3) sections. All pages must be completed in each section.

• Section A – To be completed by the person claiming [4 pages]
• Section B – To be completed by the treating doctor [2 pages]
• Section C – To be completed by the employer [2 pages]

You can also download a supporting documentation checklist. This includes documents such as Tax File Number (TFN) Declaration, 12 month wage report, any additional medical information, and proof of ID.

You should contact our office to start the claims lodgement process as soon as you have been advised from your treating medical practitioner that your incapacity will be for a period of time greater than your waiting period.

If you are unsure on the number of days your waiting period is, please contact our office and one of our staff members will be able to provide this information or refer to your product factsheet if provided.

At a minimum, the following additional required documentation will need to be provided with your claim form;

• Medical reports/certificates
• Tax File declaration Form
• 12 month wage report
• Proof of ID
• Workers compensation decision letter/s and payment summaries (if your injury/sickness is work related)

You can also download the supporting documentation checklist.

Once you have our claim form, you will need to complete all three (3) sections and provide any supporting documentation.

Section A – This is the section of the claim form you will need to complete yourself. Please ensure you fill out all the questions to not cause any unnecessary delay.

Section B – This section should be completed by your treating medical practitioner. If you are seeing a specialist and a general medical practitioner for your condition and you are unsure on who should complete this form,  it is best if your general practitioner (who has all the information relating to your condition) completes the form. If you are only being treated by the specialist, then have the specialist complete the form.

Section C – This is to be completed by your employer. Please also ensure they supply the required 12-month wage history report, and job description document when returning the form to you.

Once all forms have been completed, please provide to us, along with your supporting documentation, via:

Email:     info@n2nclaims.com.au

Post:       n2n Claims Solutions, Locked Bag 3111, Rhodes, NSW 2138

Section A of the claims form (page 3) has a section to be completed for Authorised Representatives. Once this has been completed, our colleagues at n2n Claims can discuss all matters relating to your claim with this 3^rd party.

We have an interpreting service you can use free of charge, The Translating and Interpreting Service (TIS National) who provide translating services in a wide range of languages. Please call 1800 131 450 (during normal business hours) and they will be able to assist you to communicate with us.

Employer-Based Schemes

Your Income benefit is calculated using your wages earned for the 52 weeks prior to your incapacity. If you commenced employment less than 52 weeks prior to your incapacity, then your income benefit is calculated using your wages earned since employment. This calculation will not include any additional working allowances such as living away from home, meals, tools or travel/car etc.

Pleas note that a correctly completed Tax File Number (TFN) Declaration must be received before payments can be processed.

Yes. All time lost for your claimed condition must be medically supported. Please ensure that all medical certificates provided by your doctor state the condition and period you are being certified unfit for. You will be asked to complete a Medical Declaration Form (MDF) every 4-6 weeks to ascertain further information regarding your condition. A certificate/MDF is required to be issued by a Psychiatrist or Psychologist for claims relating to any Mental Health Conditions.

Benefits are processed fortnightly or monthly in accordance with the terms and conditions of the Policy. They can commence as early as the end of the first fortnight after the waiting period and are paid directly to you, the claimant. All of these payments are subject to Australian taxation requirements, and you will be provided with a PAYG summary at the end of the financial year.

All other income you receive during the same benefit period will be deducted from any eligible benefit payment, so it’s important that you declare all other income you receive whilst on claim with us. If you fail to advise us, a recovery may be sought.

If you have an approved workers compensation claim, this policy will make up the difference between your Workers Compensation benefit and 100% of your defined income.

We will require a copy of the Workers Compensation decision letter/s and payment summaries.

Your benefits will cease when you are fit to return to work.

If you are fit to go back to work on partial duties, and are not earning your Pre-Disability Income, then we can review making up the difference between what you are earning from your partial duties and our benefit amount.

Your benefits will cease when a medical practitioner certifies you are able to return to work on full duties or you reach your maximum benefit period. Under this policy it is up to a maximum of 104 weeks for members aged up to 67 years, a maximum of 52 weeks for members aged 67-70 years.

If your claim is submitted direct to us, your employer will only be required to completed section C of the claim form. Our colleagues at n2n Claims will only notify CS Energy via correspondence that a claim had been lodged. No medical information is disclosed by n2n Claims.

If you are dissatisfied with any part of your claims handling or the outcome of your claim decision and wish to make a complaint or appeal the decision, please contact complaints@n2nclaims.com.au who will start our Internal Dispute Resolution process.

When an employer-provided income protection policy moves over to WIP, your cover is continuous, so there is no break in cover, provided that your employer continues to pay for your insurance. Your employer will provide WIP with a report declaring all employees included in the month. Your benefits may change from your previous policy; please refer to your employer or provided product factsheet.

You will only ever receive up to the highest maximum benefit under either policy. You are not entitled to receive two full benefits. We will work with you, assisting where we are able, to ensure the dual insurance process is as smooth as possible.

No, WIP has ensured the takeover terms of the policy recognise your latest period of unbroken cover under your previous insurer's policy when applying all provisions of WIP’s policy.

Yes, you are covered from the date your employment commenced, if it was after the policy commencement date.

If your employment has been less than 1 year you are subject to the Pre-Existing Sickness Condition Definition and Exclusion.

In the event of a claim, your benefit will be calculated based on the number of days employed, if less than 12 months.

At the end of every month your employer will provide a report to WIP listing declared employees for the month. Our colleagues at n2n Claims use this report to confirm coverage in the event you make a claim. You do not need to provide us with any additional information.

You will receive up to 80% of defined income. Subject to the maximum benefit per week of $2,500.

If you are on a Workers Compensation claim, which occurred during our period of insurance, we will top up your payment to 100% of your defined income until the end of your Workers Compensation claim or 104 weeks, whichever occurs first.

The benefit period is 104 weeks or to the date you turn 70, whichever occurs first. If on claim when you turn 67, you will be limited to an additional 52 weeks but only to a maximum of 104 weeks total benefit. If you are aged 67-70 years, your benefit period is 52 weeks or to the date you turn 75, whichever occurs first. For any claims related to a Mental Health Condition (Non WorkRelated), the benefit period is 26 weeks or the date you turn 70 years, whichever occurs first.

Your waiting period under this policy is 60 consecutive calendar days. If you return to work during the waiting period for less than 5 days, your waiting period does not recommence.

This policy does has a maximum age limit of 70 years.

The benefit period is 104 weeks or to the date you turn 67, whichever occurs first. If on claim when you turn 67, you will be limited to an additional 52 weeks but only to a maximum of 104 weeks total benefit. If you are aged 67-70 years, your benefit period is 52 weeks or to the date you turn 70, whichever occurs first. For any claims related to a Mental Health condition your benefit period is limited to 26 weeks or the date you turn 70.

Cover under this policy ends when you cease being employed and paid (resignation, termination or redundancy) by CS Energy and are no longer declared on the supplied monthly wage declaration or you turn 70 years old.

Income means the average weekly income before personal deductions and income tax, excluding any reimbursement allowances (such as travel, accommodation, laundry, tool and meal), actually paid to you which was earned from your personal exertion from your usual employment with CS Energy. This is calculated using the 52 week period immediately preceding the last pay period prior to your Disablement. If you have had less than 52 weeks of Continuous Cover your income will be averaged over the period of Continuous Cover.

This is a sickness that you have had treatment or advice or should reasonably been aware of prior to the commencement of this policy. However, this condition would be covered provided;

• You have been given a full medical clearance and ceased all treatment for at least 6 months while covered under this policy, or
• You have had at least 1 year of combined continuous cover under this policy prior to your disablement and been actively at work for at least the final 2 months of the 1 year prior to the claim disablement.

Yes, below is a summary of the Additional and Capital Benefits available under this Policy. For full terms, conditions, exclusions and definitions please refer to the Policy Wording.

Additional Benefits

*This benefit is payable at the absolute discretion of n2n Claims Solutions. No benefit would be payable if it would result in us contravening the Health Insurance Act 1973 (Cth), the Private Health Insurance Act 2007 (Cth) or the National Health Act, 1953 (Cth).

^Serious Medical Conditions includes one of the following conditions: Dementia; Motor Neuron Disease; Multiple Sclerosis; Primary Pulmonary Hypertension; Permanent Paralysis; Parkinson Disease; Stroke; Total Blindness; Total Deafness; Total Loss of Limb.

Refer to Policy Wording for the full definition.

This benefit may be available for approved claims and include us arranging training to assist return to work as well as behavioural or family counselling to cope with the new disability. This benefit is up to $25,000.

This benefit is payable at the absolute discretion of n2n Claims Solutions. No benefit would be payable if it would result in us contravening the Health Insurance Act 1973 (Cth), the Private Health Insurance Act 2007 (Cth) or the National Health Act, 1953 (Cth).

No, but aerial activities such as Hang Gliding are not covered by the policy. See below

“An Insured Person being a pilot or crew member of any aircraft; or engaging in any aerial activity except as a passenger in a properly licensed aircraft.”

WIP, n2n Claims Solutions, and Canopy Insurance are all subsidiaries of the WIP Group. By keeping all parts of the process in house we can ensure that you are our main focus.

• WIP – deals with the income protection policy design and the insurer
• n2n Claims Solutions – handles your claims
• Canopy Insurance – provides a platform to purchase personal retail income protection policies including gap, top up or full coverage