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Calls for Super Funds to Accelerate Mental Health Insurance Claims Processing

Addressing Delays in Mental Health-Related Insurance Payouts

Calls for Super Funds to Accelerate Mental Health Insurance Claims Processing?w=400

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Consumer advocates are raising concerns over significant delays in processing mental health-related insurance claims by Australian superannuation funds.
As mental health conditions become a leading cause of total and permanent disability (TPD) claims, the efficiency of claim processing has come under scrutiny.

Recent data reveals that mental health issues now account for nearly one-third of all TPD claims. Despite this surge, many claimants report prolonged waiting periods for their insurance payouts, exacerbating financial and emotional stress during already challenging times.

Super Consumers Australia's Xavier O'Halloran highlighted the complexity of mental health claims compared to physical disabilities, noting that many funds impose unnecessary barriers and burdens of proof. "We're seeing a massive increase in the number of mental health claims coming through to superannuation funds," he said. "We're also seeing big claims delays too."

In some instances, individuals have waited years for claim resolutions, only to be denied, resulting in potential losses exceeding $100,000. Such delays not only impact the financial stability of claimants but also raise questions about the responsiveness and fairness of the insurance system.

For policyholders, these developments underscore the importance of understanding the specifics of their income protection insurance policies. Reviewing policy terms, particularly those related to mental health coverage, can provide clarity on entitlements and the claims process. Engaging with financial advisors and maintaining open communication with superannuation funds can also help navigate potential challenges in claim processing.

In response to these concerns, some superannuation funds are reevaluating their claims processing procedures. Efforts to streamline documentation requirements, enhance staff training on mental health issues, and implement more transparent communication channels are being considered to improve the efficiency and fairness of the claims process.

As the incidence of mental health-related claims continues to rise, it is imperative for both superannuation funds and policyholders to adapt to this evolving landscape. Ensuring timely and fair processing of claims will not only support individuals during critical periods but also uphold the integrity and trustworthiness of the insurance system.

Published:Sunday, 11th Jan 2026
Source: Paige Estritori

Please Note: If this information affects you, seek advice from a licensed professional.

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Subrogation:
An insurance carrier may reserve the "right of subrogation" in the event of a loss. This means that the company may choose to take action to recover the amount of a claim paid to a covered insured if the loss was caused by a third party.