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Benefit Amount

The regular payment amount you receive from an insurance policy, particularly for income protection insurance. This is typically a monthly payment expressed as a dollar amount or percentage of your pre-disability income, such as $6,000 per month or 75% of earnings.

Detailed Explanation

Benefit amount is the core payment feature of income protection insurance in Australia, representing the monthly income you'll receive if you're unable to work due to illness or injury. Australian income protection policies typically cover 70-75% of your pre-disability income, as this percentage is tax-effective (benefits are taxable, but premiums are tax-deductible). APRA regulations limit benefit amounts to ensure they don't exceed your actual income, preventing over-insurance and disincentivizing return to work. When calculating an appropriate benefit amount, you must consider your monthly expenses, existing savings, and any employer benefits. The benefit amount you choose directly impacts your premium - higher monthly benefits cost more. Most Australian policies define 'income' specifically, often including salary, commissions, and bonuses but excluding investment income. Self-employed Australians must provide financial statements proving their income level. The benefit amount may be reduced if you have other income sources while claiming (known as 'offset provisions'). Some policies offer indexation of the benefit amount, increasing it annually with inflation. Unlike lump sum insurance (sum insured), the benefit amount continues for the duration of your claim, up to the benefit period limit. Australian insurers must clearly explain how benefit amounts are calculated, when payments begin (after the waiting period), and how long they continue (the benefit period) in the PDS.

Common Misconceptions

  • That you can insure 100% of your income - Australian policies typically limit coverage to 70-75% to encourage return to work and prevent over-insurance
  • That benefit amounts are tax-free - income protection benefits are taxable income in Australia, though premiums are generally tax-deductible
  • That the benefit amount is paid immediately when you become unable to work - payments only commence after the waiting period expires

Real-World Examples

  • A teacher earning $85,000 annually selects a benefit amount of $5,000 per month (approximately 70% of gross income), with a 60-day waiting period and 5-year benefit period

  • A self-employed consultant with variable income averaging $120,000 chooses an agreed value policy with a $7,000 monthly benefit amount, providing certainty about claim payments regardless of recent income fluctuations

  • A surgeon with $15,000 monthly expenses selects a $10,000 benefit amount with own-occupation definition, ensuring adequate income replacement if unable to perform surgical duties specifically

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