Life insurance forms

Form Name Description
Application for Reinstatement

(File Size 81 KB)

Use this form to apply to reinstate a lapsed policy. Payment of a premium may be required. Please contact Life Customer Service on 1800 221 727 for details.

Direct Debit Request

(File Size 49 KB)

Use this form to set up a direct debit against your bank account or credit card.

Nomination for payment of Death Benefits

(File Size 61 KB)

Use this form to nominate who you would like to receive your Suncorp Master Trust benefits in the event of your death.

Statutory Declaration for issue of Special Policy

(File Size 42 KB)

Use this form to apply for the issue of a Special Policy in the event that you have lost or cannot locate your policy document. A fee of $50 may apply. Please contact Life Customer Service on 1800 221 727 for details.

Tax File Number Quotation Form

(File Size 60 KB)

Use this form to provide Tax File number for a policy in the Suncorp Master Trust.

Modify/add nominated beneficiaries

(File Size 45 KB)

Use this form to nominate who you would like to receive your non superannuation benefits in the event of your death.

Alteration to non-smoking premium rates

(File Size 49 KB)

Use this form to apply to change from smoker premium rates to non-smoking rates.

Annexure of Assignment

(File Size 68 KB)

Use this form to arrange transfer of ownership of your life policy. Please contact Life Customer service on 1800 221 727 for other requirements.

Asteron Life™ is committed to providing customers with long term financial security. We provide life insurance products including Income Protection Covers, Trauma Cover, Total & Permanent Disablement (TPD) Cover, Life Cover and Business Expenses Cover. To obtain a copy of our privacy statement, please contact us on 1800 221 727 or visit the following website www.asteronlife.com.au/privacy to view or download the policy.

Asteron supports and adheres to the Life Insurance Code of Practice (Code). The Code has been developed voluntarily by the Life Insurance industry through the Financial Services Council to promote high standards of service to consumers, provide a benchmark of consistency within the industry, and establish a framework for professional behaviour and responsibilities. Download the Code here. For more information contact the Financial Services Council on (02) 9299 3022 (local call cost), email info@fsc.org.au or visit www.fsc.org.au

© Asteron Life & Superannuation Ltd ABN 87 073 979 530 (Asteron). Registered Office, Level 16, 363 George Street, Sydney NSW 2000

Asteron Life & Superannuation Limited ABN 87 073 979 530, AFSL 229880 (Asteron) is part of the TAL Dai-ichi Life Australia Pty Limited ABN 97 150 070 483 group of companies (TAL). Suncorp Portfolio Services Limited ABN 61 063 427 958, AFSL 237905, RSE Licence No L0002059 (SPSL or Trustee) is part of the Suncorp group of companies (Suncorp). SPSL is a related body corporate of Suncorp Group Limited ABN 66 145 290 124 and Suncorp-Metway Limited ABN 66 010 831 722 (Suncorp Bank) (Suncorp). This product is not a bank deposit or other bank liability of the Suncorp Bank. The obligations of the different entities of TAL and Suncorp are not guaranteed by other entities