Journey Accident insurance

• Accidental death – $100,000
• Temporary disablement (total or partial): weekly benefits of up to 85% of average gross weekly salary for a period of up to 104 weeks (after 14-day waiting period)
• For temporary disablement (total or partial):
  • tuition or advice expenses up to a maximum of $9,000 (by a licensed vocational provider) to support retraining if required
  • chauffeur or taxi services up to $2,500 per claim period for transport to and from the member’s usual place of work and their usual place of residence
  • return to work assistance up to $20,000 per claim
  • home duties benefits up to $500 per week (maximum 6 months)
• Permanent total disablement: home/car modifications up to $20,000

* All cover is subject to the full terms, conditions, limits and exclusions of the PDS and Policy Schedule.  Age limits apply. 

Financial members of NSWNMA are covered under the policy. It is important to note that you must be a financial member at the time of the accident. Certain age restrictions apply from 75 and over – refer to the PDS.

When travelling directly between the boundaries of your usual place of residence and your usual place of work (nursing or midwifery related activities only) for the purposes of starting or ending your day’s work or whilst travelling during recess breaks.

(Note: the policy does not cover accidents resulting from illness or any pre-existing medical condition).

No. The policy has a 14-day waiting period. This means that if you are off work for less than 14 days as a result of your accident, you are not entitled to any payment. If your claim is accepted, you will not be paid for the first 14 days following the date of injury.

No. However, if the accident involves a motor vehicle, Compulsory Third Party (CTP) insurance may provide a medical benefit.

There is a 14-day waiting period before Journey Accident Insurance benefits apply. This means that if you are off work for less than 14 days as a result of your accident, you are not entitled to any benefit. If your claim is accepted, you will not receive income replacement benefits for the first 14 days following the certified date of the injury (‘certified’ meaning the date of the medical certificate/document(s) evidencing the injury).

If you are involved in a motor vehicle accident your first point of insurance is Compulsory Third Party (CTP) insurance. You should lodge a claim on your CTP insurance.

Importantly, the CTP initial income replacement benefit is higher than JAI, and CTP can also cover medical expenses whereas JAI cannot.

1. If your accident involved your motor vehicle, lodge a claim on Compulsory Third Party (CTP) insurance
   This is an important first step for you to address as soon as possible after your accident. Here is the link to access claim information: https://www.sira.nsw.gov.au/claiming-compensation/motor-accidents-injury-claims
2. Contact the Association to register your request to claim and to receive more information and claim forms
   We will guide you through how to lodge a claim and the documentation required. This documentation includes but is not limited to:

• Completion of claim forms
• Provision of payslips (to evidence your salary)
• Medical certificates and supporting medical documentation (e.g. hospital discharge letters, x-ray reports).

NSWNMA will lodge the claim and liaise on your behalf with the insurer. The insurer will assess and respond to the claim within 5-10 business days (and may ask for additional information depending on the circumstance of the claim).

The wait time to receive benefits from the insurer is dependent on each individual case. In some cases, the insurer will require additional reports, information or investigation before they can approve a claim and make payment. However, here is a general guide regarding timing:

• If the claim involves a motor vehicle accident, the insurer will seek a police report which can take 6-8 weeks. Therefore claim approval may take at least 6-8 weeks.
• If the claim does not involve a motor accident, and there are no other extenuating circumstances that require additional reports or investigation, the claim approval may be around 10 days.

For claims that are assessed to be more long term, you will be requested to provide updated information which may include:

• Updated medical certificates stating the medical condition and period of incapacity (payments cannot be paid unless there is medical evidence of incapacity)
• Depending on the nature of your injury, a rehabilitation assessor or other provider may be appointed to interview you. This is to provide our insurer with a clear understanding of your condition, the progress of your recovery and the outlook of your claim
• Throughout the life of the claim an independent medical review may be requested in order to determine the progress of your injuries and ensure the correct treatment is being received