Insurance: Professional and Executive occupation category application form

Complete this form if you would like to change your insurance occupation classification to Professional and Executive for your West State Super or GESB Super insurance cover. Make sure you have read the Professional and Executive occupation category fact sheet so you understand the insurance cover you are applying for.


* Required fields

Your details

(7 digits)
You can find your member number on your member statement or other communication you’ve received from us.
(Family name)
Date of birth *
We'll send a copy of your application to this address. If we have a different email address on file for you, we'll also update our records with your new address.


Are you eligible?


To be eligible for lower premium rates, you must meet the following criteria:

The Insurer has provided special approval for the following occupations as meeting the requirements for working in an office environment and sedentary capacity, even though they appear to be non office-based roles: Specialist Medical Practitioners, General Medical Practitioners, Legal Professionals, Solicitors, Dental Practitioners, Legislators, Judicial and Other Legal Professionals, Pharmacists and School Principals. (Note, Nurses and School Teachers do not meet the requirement of working in an office environment and sedentary capacity).
The duties of my occupation are limited to professional, managerial, administrative, clerical, secretarial or similar, white collar nature tasks which do not involve manual work and I spend a minimum of 80% of my working hours in an office environment (excluding travel time from office to office). *

I work at least 0.6 Full-Time Equivalent (FTE). *
If you work part time, you could still be eligible to apply if your pro rata income is $100,000 p.a. or more and you work at least 0.6 Full-Time Equivalent (FTE). For example, if you work three days a week and earn $63,000 p.a., your FTE would be $105,000 p.a., which is more than the $100,000 minimum amount.
I earn a gross income of $100,000 p.a. or, if part time, earn at least the FTE of $100,000 p.a. pro-rata. *
Select all of the categories below that apply to you *

Declaration *

  • I have read the Insurance and your super brochure and understand this brochure serves as general information only and does not contain financial advice
  • I declare that the information provided on this form is true and correct
  • I understand that an application for a change in occupation category will only come into effect upon acceptance by the Insurer, AIA Australia Limited, and that my cover will be fixed until I change it; however, my Total and Permanent Disablement cover will automatically reduce annually to nil by age 65 from my 61st birthday
  • I authorise the Insurer to change my insurance details as indicated on this form, but understand this is at the Insurer’s discretion and I may be required to provide additional information before my cover is changed

Duty of disclosure *

Your duty of disclosure

Before you become covered by the Insurer, you need to disclose to the Insurer anything that you know, or could reasonably be expected to know, that may affect the Insurer’s decision to insure you and on what terms. You also need to do so before you extend, vary or reinstate your insurance cover.

If you fail to disclose these things to the Insurer, the Insurer may then have the rights described below in the ‘If you do not tell the Insurer something’ section. You do not need to tell the Insurer anything that:

  • Reduces the Insurer’s risk, or
  • Is common knowledge, or
  • The Insurer knows or should know as an insurer, or
  • The Insurer waives your duty to tell it about

If you do not tell the Insurer something

The Insurer has a number of rights in the event of non-disclosure.

In exercising these rights, the Insurer may consider whether different types of cover can constitute separate contracts of life insurance. If they do, the Insurer may apply the following rights separately to each type of cover. The rights are as follows:

  • If you do not tell the Insurer anything you are required to, and the Insurer would not have provided the insurance if you had told them, the Insurer may avoid the contract to provide you with the insurance within three years of entering into it.
  • If the Insurer chooses not to avoid the contract, the Insurer may, at any time, reduce the amount of insurance provided. This would be worked out using a formula that takes into account the premium that would have been payable if you had told the Insurer everything you should have. However, if the contract provides cover on death, the Insurer may only exercise this right within three years of entering into the contract.
  • If the Insurer chooses not to avoid the contract or reduce the amount of insurance provided, the Insurer may, at any time vary the contract in a way that places the Insurer in the same position they would have been in if you had told the Insurer everything you should have. However, this right does not apply if the contract provides cover on death.

If the failure to tell the Insurer is fraudulent, the Insurer may have the right to refuse to pay a claim and treat the contract as if it never existed.

Refer to the Insurance and your super brochure to understand more about our insurance cover.

Privacy *

By completing this form, you consent to any personal information, including information that may be of a sensitive nature, we or AIA Australia may collect about you in the normal course of our and AIA Australia’s business, being used as outlined in our privacy policy and AIA Australia’s privacy policy respectively. These policies are designed to protect your interests and are consistent with the requirements of the Privacy Act. We have a privacy statement that explains how we handle private information about individuals responsibly. You can read our privacy statement online or obtain a copy by contacting your Member Services Centre on 13 43 72.

You can choose to print or download a copy of your application after clicking 'submit'.



Page last updated 17 January 2019