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What does life insurance actually cover?
Life insurance — also called life cover or death cover — pays a tax-free lump sum to your nominated beneficiaries if you die or are diagnosed with a terminal illness. It's designed to replace the financial contribution you make to your family's life.
In New Zealand, most life insurance policies include a terminal illness benefit. This typically pays out the full sum insured if you're diagnosed with a condition that gives you less than 12 months to live, allowing you to use the money while you're still alive.
The amount of cover is a fixed sum insured that you choose when you take out the policy. You might choose $500,000, $1 million, or more depending on your circumstances. There's no upper limit set by law — it depends on what the insurer will offer based on your situation.
💡 Good to know
Life insurance does not cover income loss from illness or injury — that's what income protection insurance is for. And it doesn't cover the cost of medical treatment — that's health insurance. Life cover is specifically about providing a lump sum when you die or are terminally ill.
Who needs life insurance?
The simplest test: does anyone depend on your income? If the answer is yes, you almost certainly need life insurance. Here are the most common scenarios:
- Parents with young children — This is the most critical group. If something happened to you, your partner would need to cover the mortgage, childcare, daily expenses, and potentially future education costs on one income (or none).
- Anyone with a mortgage — If you died, could your partner keep paying the mortgage alone? Life insurance can clear the debt entirely, keeping your family in their home.
- Couples where one earns significantly more — If the higher earner died, the financial impact would be severe. Cover should reflect the gap.
- Business owners and partners — Key person cover and partnership insurance protect a business if a critical person dies. Buy-sell agreements funded by life insurance are common in NZ.
- Anyone who wants to leave their family debt-free — Even without dependants, some people want to ensure any debts don't burden their family.
⚡ Key point
If you're single with no dependants and no significant debt, you may not need life insurance right now. But it's worth knowing that premiums are significantly cheaper when you're young and healthy — so locking in cover early can save you a lot over your lifetime.
How much cover do you need?
This is the question most Kiwis get wrong. The most common mistake? Underinsuring. Here are two approaches financial advisers commonly use:
1. Income replacement method
A simple rule of thumb: 8 to 10 times your annual income. If you earn $80,000 a year, that means $640,000 to $800,000 of cover. This gives your family enough to replace your income for several years while they adjust.
2. Needs analysis method
A more precise approach. Add up:
- Your remaining mortgage balance
- Other debts (car loans, credit cards, personal loans)
- Children's education costs (school fees, university)
- 3 to 5 years of living expenses for your family
- Funeral costs (typically $8,000–$15,000 in NZ)
Then subtract any existing savings, investments, or other insurance that would pay out. The gap is roughly how much life cover you need.
💡 Good to know
ACC covers accidental death with a funeral grant and survivor's grant — but it does not cover death from illness. Cancer, heart disease, and stroke are far more common causes of death than accidents. ACC is not a substitute for life insurance.
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How does life insurance work in New Zealand?
The basics are straightforward:
- You choose a sum insured — the amount that will be paid out on a valid claim.
- You pay monthly premiums — the cost of keeping the policy active.
- The insurer pays out — when you die or are diagnosed with a terminal illness, your beneficiaries receive the full sum insured.
Premium structures
In New Zealand, life insurance premiums are typically offered in two structures:
- Stepped premiums — Start cheaper but increase each year as you age. Good for short-term affordability, but they become expensive in your 50s and 60s.
- Level premiums — Stay the same throughout the policy. Cost more upfront but save you money over the long term. Most advisers recommend level premiums if you plan to hold the policy for 15+ years.
The application process
When you apply for life insurance, the insurer will ask about your health history, lifestyle, occupation, and any dangerous hobbies. For larger sums insured, they may require a medical exam or blood tests. Smoker vs non-smoker classification makes a significant difference to your premiums.
💡 Good to know
All NZ life insurance policies come with a 13-day cooling-off period. If you change your mind after taking out a policy, you can cancel within 13 days and receive a full refund of any premiums paid.
Life insurance and your mortgage
Many Kiwis first think about life insurance when buying a home — and for good reason. If you died, could your partner keep paying the mortgage on one income?
Your bank may offer mortgage protection insurance at the time you sign up for your home loan. While convenient, there are important differences between bank mortgage insurance and a standalone life policy:
- Bank mortgage insurance typically only pays out the remaining mortgage balance. If you owe $400,000, that's what gets paid — nothing more.
- Standalone life insurance pays a lump sum your family can use for anything — paying off the mortgage, covering living costs, funding education, or whatever they need most.
- Bank policies are often more expensive per dollar of cover than standalone policies from a specialist insurer.
- If you switch banks or refinance, you may lose your bank-provided cover and need to reapply (potentially at a higher premium if your health has changed).
⚡ Key point
If you already have life insurance through your bank, it's worth getting a comparison quote from a specialist insurer or financial adviser. You may find better cover for less money — and your policy stays with you regardless of who holds your mortgage.
What affects the cost?
Several factors determine how much you'll pay for life insurance in New Zealand:
- Age — The single biggest factor. The younger you are when you take out cover, the cheaper it is. A 30-year-old will pay significantly less than a 50-year-old for the same cover.
- Smoking status — Smokers typically pay 2 to 3 times more than non-smokers. Most insurers classify you as a non-smoker if you haven't smoked in the last 12 months.
- Health history — Pre-existing conditions, family medical history, and your current health all factor in. Some conditions may lead to exclusions or higher premiums rather than a decline.
- Occupation — Desk jobs are considered lower risk than manual labour or hazardous occupations. If you work in construction, forestry, or mining, expect to pay more.
- Sum insured — More cover costs more, though the cost per $100,000 often decreases at higher amounts.
- Premium structure — Stepped premiums start lower but increase over time. Level premiums cost more upfront but stay flat.
- Dangerous hobbies — Activities like skydiving, scuba diving, or motorsport can increase premiums or require special terms.
It's worth noting that in New Zealand, gender no longer affects premiums for most insurers — this changed in recent years as the industry moved toward gender-neutral pricing.
How to make a claim
If the worst happens, here's how the claims process typically works:
- Notify the insurer — Contact the insurance company (or your financial adviser, who can manage this for you) to advise of the death or terminal illness diagnosis.
- Provide documentation — You'll need a death certificate, or for terminal illness claims, the medical diagnosis and specialist reports.
- check — The insurer reviews the claim against the policy terms. For straightforward claims, this is usually a formality.
- Payout — The sum insured is typically paid within 4 to 6 weeks of a straightforward claim being lodged. Payment goes to the nominated beneficiaries or the policyholder's estate.
💡 Good to know
If a claim is declined and you believe it shouldn't have been, New Zealand has an independent disputes resolution scheme — the Insurance & Financial Services Ombudsman (IFSO). This free service investigates complaints and can make binding decisions on insurers up to $400,000.
Common questions about life insurance
Is the payout taxed?
No. Life insurance payouts are completely tax-free in New Zealand. Your beneficiaries receive the full sum insured without any deductions.
Can I have more than one policy?
Yes, and you can claim on all of them. There's no restriction on holding multiple life insurance policies with different insurers. If you have two policies — say $500,000 with one insurer and $300,000 with another — your beneficiaries can claim on both and receive $800,000 in total.
What if I already have cover through my employer?
Group life cover through your employer is worth having, but keep two things in mind: it usually ends when you leave that job, and the amount is often only 1 to 2 times your annual salary — which may not be enough for your family's needs. It's a good base, but most people with dependants need additional personal cover.
Does ACC replace life insurance?
No. ACC provides a funeral grant (up to $6,632.04 as of 2024) and a survivor's grant for accidental death only. It does not cover death from illness — including cancer, heart disease, stroke, and other conditions that account for the vast majority of deaths in New Zealand. ACC is not a substitute for life insurance.