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PPS Mutual expands trauma product definitions

The specialist life insurer has “proactively enhanced” several of its trauma products by adopting new definitions to reflect modern medical standards.

PPS Mutual has undergone a “comprehensive review and expansion” of several of its trauma product definitions, expanding cover for meningococcal septicaemia, benign brain tumour (with undergoing surgical intervention), and benign spinal cord tumour, covering both full and partial cases.

The insurer said these changes reflect its commitment to providing the highest level of protection for its members, “ensuring its products remain among the most comprehensive and reliable in the market”.

“One example is the overhaul of the definition of carcinoma in situ of the reproductive organs, which has been replaced with precancerous lesions of the reproductive organ to reflect modern diagnostic standards. The updated criteria ensure claims are assessed based on clear and up-to-date medical definitions,” PPS said.

PPS chief executive Michael Pillemer said this latest round of enhancements allows the group to deliver the best outcomes for its members.

“As a mutual, our focus always centres around delivering long-term value and protection for our members. These updates not only ensure our products keep pace with advancements in medical science but also reflect our commitment to providing industry-leading cover that professionals and their families can count on,” Pillemer said.

“In line with PPS Mutual’s philosophy of prioritising members, these enhancements will be applied retroactively, benefiting all existing members.”

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The insurer also delivered “significant changes” to its screening thresholds in August, reducing both its medical and financial evidence requirements for new Professionals Choice insurance benefit applications.

This announcement saw a number of changes implemented, such as the removal of mandatory Private Medical Attendant Reports (PRMARs) on life and total and permanent disability (TPD) insurance products valued up to $5 million.

Furthermore, clients aged 45 or younger applying for life and TPD cover valued up to $2 million are no longer subject to any medical requirements, among other changes.

Speaking at the time, Marcello Bertasso, PPS head of underwriting and claims management, said this would make the application process simpler for new customers and advisers alike.

“These changes simplify and accelerate the application process for life insurance with PPS Mutual, making it easier for advisers to protect our members’ lifestyles. For our members, the updated screening requirements will significantly reduce the time needed to apply for life insurance,” Bertasso said.