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Sum Insured

The maximum amount an insurance company will pay out if you make a valid claim. This is the total coverage amount you select when purchasing a policy, such as $500,000 for life insurance or $100,000 for trauma insurance.

Detailed Explanation

In Australian insurance terminology, the sum insured is the predetermined monetary value of your insurance coverage, representing the maximum benefit payable under the policy. For life insurance, it's the lump sum paid to your beneficiaries upon death. For TPD (Total and Permanent Disability) insurance, it's the amount paid if you become permanently unable to work. For trauma insurance, it's the payment made upon diagnosis of a specified critical illness. Choosing the appropriate sum insured is one of the most important decisions in insurance planning. Australian financial advisers typically recommend life insurance sums of 5-10 times annual income, or enough to cover outstanding debts plus 5-10 years of income replacement for dependents. The sum insured directly impacts your premium - higher sums cost more but provide greater financial protection. Under Australian regulations, insurers must clearly state the sum insured in the policy schedule and PDS. Many Australian policies offer indexation, where the sum insured automatically increases annually with CPI to maintain purchasing power over time. You can typically increase your sum insured (subject to underwriting) or decrease it (usually without reassessment) during the life of the policy. Some policies offer guaranteed insurability options, allowing you to increase the sum insured at specific life events without health checks. When comparing policies, ensure you're comparing equivalent sums insured, as premium differences may simply reflect different coverage amounts rather than value differences.

Common Misconceptions

  • That sum insured and benefit amount are always the same - for income protection, benefit amount is monthly payment, while sum insured typically refers to lump sum policies
  • That you can claim the sum insured multiple times - most policies pay once and then terminate, though some trauma policies offer multiple claims for different conditions
  • That the sum insured automatically covers all situations - exclusions, waiting periods, and policy terms may limit when and how much is paid

Real-World Examples

  • A 40-year-old parent with a $600,000 mortgage and two children selects a $1,000,000 sum insured for life insurance to clear the debt and provide $400,000 for family living expenses

  • A business owner chooses $750,000 TPD sum insured, calculated as 10 times their $75,000 annual income, ensuring financial stability if they become permanently disabled

  • A couple indexes their $500,000 life insurance sum insured, which increases by 2.8% annually with CPI, growing to $550,000 over six years to maintain real value against inflation

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