As the Policy Owner, you have the option to nominate a beneficiary or beneficiaries to receive benefits payable under
your Policy, upon your death. Either complete and return this form to us or contact us on 1300 355 355 and we will
update these details over the phone. Download the Nomination of Beneficiaries Form.
The following conditions apply:
There can be up to 5 nominees and nominations must be of a natural person;
You may vary the nomination at any time by completing and signing a new Nomination of Beneficiaries Form and
forwarding it to Let’s Insure at PO Box 1192, Chatswood NSW 2057 or by contacting us on 1300 355 355. The
variation takes effect when it is received and processed by Let’s Insure;
Payment of benefits will be made on the basis of the latest valid nomination received and processed by Let’s Insure;
If a nominated beneficiary is a minor when the payment is made, it will be made to the minor’s legal guardian; and
If a nominee pre-deceases the Policy Owner, that nominee’s share is payable to the Policy Owner’s legal personal
representative, or such other person that we are permitted to pay under the Life Insurance Act 1995.
Where no valid nomination applies:
Benefit payments will be made to you, the Policy Owner; or
If you (the Policy Owner) die, the Benefit Amount will be paid to your legal personal representative, or other person that we are permitted to pay under the Life Insurance Act 1995.
Claim form – Trauma benefit
Claim form – Terminal Illness benefit
Claim form – Life benefit and Accidental Death benefit
Claim form – Accidental Serious Injury benefit
Claim form – Funeral benefit
Claim form – Child Trauma benefit
Claim form – Total and Permanent Disablement benefit
Questionnaire – Change Of Occupation
Questionnaire – Change Of Weight
Questionnaire – Health Declaration
Questionnaire – Non Smoking Declaration
All documents on this page are provided in PDF format and require Adobe Reader to download them.