Health Insurance Online :: News
SHARE

Share this news item!

AIA Australia Highlights Need for Structural Reforms in Life Insurance Industry

Addressing the Impact of Rising Mental Health Claims on Insurance Sustainability

AIA Australia Highlights Need for Structural Reforms in Life Insurance Industry?w=400

The information on this website is general in nature and does not take into account your objectives, financial situation, or needs. Consider seeking personal advice from a licensed adviser before acting on any information.

AIA Australia CEO Damien Mu has raised concerns about the sustainability of the current life insurance model, citing rising mental health claims, increasing premiums, and ongoing cost-of-living pressures as key factors necessitating structural changes within the industry.

Speaking during the company's online 'Thrive for Life' presentation, Mu highlighted that economic volatility, regulatory changes, and affordability challenges are making existing life insurance models unsustainable. He noted that most households could afford only two mortgage repayments if they lost their income, while premiums and everyday expenses continue to rise, posing significant issues for both customers and advisers.

Mu pointed out that claims patterns have shifted over the past decade, with mental health claims doubling since 2014. Approximately 70% of claims in the current year have come from white-collar workers, indicating that mental health issues are pervasive across various demographics. Factors such as the COVID-19 pandemic, hybrid work environments, and digital disruption have contributed to this trend.

To address these challenges, AIA Australia is focusing on sustainable pricing and severity-based product design, moving away from comprehensive, high-cost total and permanent disability (TPD) cover. The company's TPD Assist model, which supports clients' gradual return to work, has delivered positive outcomes and will inform future product refinements.

Mu also urged advisers to reassess product selection through a long-term affordability lens, emphasizing that while comprehensive cover may appear attractive initially, sustainability is crucial for clients who need to maintain protection over time. He called for collaboration among industry stakeholders, regulators, and advisers to modernize best-interest duties and support the transition to more sustainable life insurance structures.

In summary, AIA Australia's call for structural reforms underscores the need for the life insurance industry to adapt to evolving challenges. By focusing on sustainable pricing, innovative product design, and collaborative efforts, the industry can better serve the needs of Australians seeking financial security in an increasingly complex landscape.

Published:Friday, 24th Apr 2026
Author: Paige Estritori

Please Note: We do not endorse any specific products or companies. Some content is sourced from third parties, including press releases, and may not be independently verified for accuracy or completeness.

Share this news item:

Insurance News

Swiss Re Suspends New Life Insurance Operations in Australia
Swiss Re Suspends New Life Insurance Operations in Australia
24 Apr 2026: Paige Estritori
Swiss Re Life & Health Australia has announced a suspension of new life insurance business activities in the country, effective October 2025. This decision stems from concerns over the sustainability of Total Permanent Disability (TPD) insurance products, which have seen a significant rise in claims, particularly those related to mental health. - read more
AIA Australia Highlights Structural Shifts in Life Insurance Industry
AIA Australia Highlights Structural Shifts in Life Insurance Industry
24 Apr 2026: Paige Estritori
AIA Australia CEO Damien Mu has cautioned that the life and health insurance industries are facing structural changes driven by mounting mental health claims, rising premiums, and ongoing cost-of-living pressures. Speaking during the company's online Thrive for Life presentation, Mu highlighted that economic volatility, regulatory changes, and affordability challenges are rendering current life insurance models unsustainable. - read more
Regulators Assess Life Insurers' Progress on Premium Practices
Regulators Assess Life Insurers' Progress on Premium Practices
24 Apr 2026: Paige Estritori
The Australian Prudential Regulation Authority (APRA) and the Australian Securities and Investments Commission (ASIC) have released an update on the progress life insurers have made in addressing issues related to premium increases, product design, and disclosure and marketing materials. This follows previous notifications amid growing concerns that frequent, large, and unexpected premium increases may not have been applied in accordance with policy terms and may not have met reasonable policyholder expectations. - read more
Australia Prohibits Use of Genetic Test Results in Life Insurance Underwriting
Australia Prohibits Use of Genetic Test Results in Life Insurance Underwriting
24 Apr 2026: Paige Estritori
In a significant development for the Australian life insurance industry, the Parliament has passed the Treasury Laws Amendment (Genetic Testing Protections in Life Insurance and Other Measures) Act 2025. This legislation, enacted on 1 April 2026, prohibits insurers from using genetic test results to influence underwriting decisions for life, income protection, or trauma insurance policies. The ban is set to take effect on 8 October 2026. - read more
Rising Mental Health Claims Reshape Australia's Life Insurance Landscape
Rising Mental Health Claims Reshape Australia's Life Insurance Landscape
24 Apr 2026: Paige Estritori
The Australian life insurance industry is witnessing a significant increase in mental health-related claims, with recent data indicating that these claims now account for nearly one-third of all total and permanent disability (TPD) claims paid. This trend underscores the growing impact of mental health issues on the workforce and the broader community. - read more


Health Insurance Articles

How to Choose the Best Family Health Cover for Your Needs
How to Choose the Best Family Health Cover for Your Needs
With healthcare being a critical aspect of every family's well-being in Australia, securing the right family health insurance is not just a necessity but a responsibility. Recognizing the importance of this safety net is the first step towards safeguarding the future health needs of your loved ones. Balancing comprehensive coverage against affordable premiums can seem overwhelming with a multitude of plans available. - read more
Is Private Health Insurance Worth It? Exploring the Benefits
Is Private Health Insurance Worth It? Exploring the Benefits
In Australia, health insurance plays a significant role in ensuring individuals can access quality medical care without incurring prohibitive costs. - read more
What to Look for in Basic Health Insurance Cover
What to Look for in Basic Health Insurance Cover
Welcome to our discussion on basic health insurance cover, a topic that is crucial yet often overlooked in the hustle and bustle of everyday life. Navigating the world of health insurance can be daunting, but understanding your options is vital for peace of mind and financial stability. - read more
Understanding Health Insurance: A Starter's Guide for Young Australians
Understanding Health Insurance: A Starter's Guide for Young Australians
Embarking on the journey of understanding health insurance is a pivotal stride for young Australians. It's a proactive step that embodies responsibility for one's well-being and financial foresight. Health insurance can often seem like a complex affair reserved for a future self, but grappling with its intricacies early can be both economically savvy and health-conscious. - read more
Don't Fall for These Health Insurance Misconceptions
Don't Fall for These Health Insurance Misconceptions
Private health insurance is an essential consideration for many Australians. It provides peace of mind, knowing that you and your family have access to the best possible healthcare when needed. - read more

Knowledgebase
Insurance Claim:
Notification to an insurance company requesting payment of an amount due under the terms of the policy.