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Replacing an Insurance Policy

Switching provider is good advice for power, broadband and insurance on your car. For life, health, trauma and income protection cover it can be one of the more expensive mistakes available to a household, and it is routinely presented as a saving.

The reason is a single mechanism: a new policy is newly underwritten, and underwriting looks at your health today, not on the day you first took cover.

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The three things to remember

A new policy means new underwriting. Anything that has developed since becomes a new exclusion or loading. And stand-down periods restart from zero.

What continuity is worth

Take someone who took a policy at 30 and is now 40. In the intervening decade they have had a back injury, been treated for anxiety, or had a suspicious mole removed. None of it stopped them working. All of it is disclosable.

On the existing policy On a replacement policy
Underwritten on your health at 30 Underwritten on your health at 40
The back, anxiety and mole are covered Each may be excluded or loaded
Stand-down periods long since served Stand-down periods restart from issue
Ten years of disclosure history settled A fresh disclosure obligation, freshly tested

The old policy is not better because the insurer is nicer. It is better because it was written when you were healthier, and that is an asset you cannot buy back once you have cancelled it.

The cheaper premium is cheaper for a reason

A replacement quote is often genuinely lower, and the arithmetic is not a trick. It is lower because it excludes the things the old policy covers, or because it is priced on a structure that starts low and rises faster. Comparing premiums without comparing exclusions, definitions and premium structure is comparing two numbers that do not describe the same product.

The rule that prevents most of the damage

One sentence, and it costs nothing to follow.

Never cancel the old policy until the new one is fully in force.
Fully in force means accepted, issued and paid, not quoted and not conditionally approved.
Read the new policy's exclusions after issue, because they are not always what was indicated at quote.
Only then cancel, and only if the new wording is genuinely at least as good.
A short overlap costs one month of double premium. Getting it wrong can cost the cover entirely.

The gap scenario is the one to picture. A policy is cancelled, the new application is declined or comes back with an exclusion nobody expected, and the person is now uninsurable on the terms they had a fortnight earlier. That is not a rare edge case. It is the ordinary consequence of cancelling first.

Stepped and level premiums

Much of the apparent saving in a replacement quote comes from premium structure rather than from better value. A stepped premium rises each year with your age and is cheap at the start. A level premium is fixed for a period and is dearer at the start and cheaper later.

A stepped quote will always undercut a level policy in year one. Comparing them on the first year's premium tells you nothing about which costs more over the life of the cover, and it is the comparison most often put in front of people.

Ask for the total cost over ten and twenty years

Any adviser can produce it, and it converts a misleading comparison into a real one. If the projection is not offered, ask for it in writing. A recommendation to replace that cannot survive a twenty year cost comparison is a recommendation that was relying on the first year's number.

Why you may be being advised to switch

This needs saying plainly and without insinuation. Advisers are commonly paid an upfront commission when a new policy is written, and little or nothing for leaving an existing policy in place. That is a structural incentive to recommend replacement, and it exists whether or not any individual adviser is influenced by it.

The regime recognises this. A financial adviser must give priority to the client's interests, and replacement advice is an area that attracts particular scrutiny because of the incentive. So the question is entirely fair to ask, and a good adviser will answer it without discomfort.

How are you paid if I replace, and how are you paid if I stay?
What specifically is better in the new wording, clause by clause?
What am I giving up, including exclusions, stand-downs and definitions?
What is the total cost over ten and twenty years on both?
Put the recommendation in writing, including why replacement beats retaining.
The last one is the most useful, because it is rarely refused and rarely regretted.
Definitions matter more than the sum insured

Two trauma policies both paying $200,000.00 are not the same product if one defines a heart attack more narrowly than the other. Two income protection policies are not the same if one pays on inability to do your own occupation and the other on inability to do any occupation. That difference decides claims, and it never appears in a premium comparison.

When replacing genuinely is right

This is not an argument for never changing anything. There are real cases, and they share a feature: the reason is something other than the premium.

Good reason to replace Why
The cover no longer fits your life A mortgage repaid or children grown changes what you need
The old wording is genuinely inferior Definitions and benefits do improve over time
The insurer has become unworkable Claims handling and service are part of the product
You are in better health than at issue A rated policy may be reunderwritten favourably

That last row is the reverse of the main risk and is worth knowing. Someone who was loaded for weight, smoking or a condition that has since resolved may be able to improve their terms. In many cases that can be done with the existing insurer without cancelling anything, which is the safer route to the same outcome.

One thing to do this year regardless

Review the cover without replacing it. Check the sum insured still matches your mortgage, income and dependants, check the ownership and beneficiary arrangements are current, and check nothing has lapsed. Most households are wrong on at least one of those, and none of them requires a new policy to fix.

What this guide does not cover

Policy wordings, underwriting practice, premium structures and disclosure duties differ between insurers and change over time. General insurance on houses, contents and vehicles works quite differently and switching there is usually straightforward. This is general information rather than financial or legal advice, and any replacement decision on life, health, trauma or income protection cover should be taken with a licensed adviser who has read both wordings in full.

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Test Your Knowledge

Ten questions on replacement business, underwriting and continuity.

1. Why is a replacement policy underwritten differently?
It assesses your health today, not at the original issue
It uses the same assessment as the original policy
It requires no health assessment for existing insureds
It assesses only conditions declared in the last year
2. What happens to stand-down periods on a new policy?
They carry over from the old policy
They restart from issue
They are halved for transferring customers
They no longer apply after age forty
3. What is the rule that prevents most of the damage?
Never cancel the old policy until the new one is in force
Never replace a policy more than once a decade
Always replace at the policy anniversary date
Always use the same insurer for the new policy
4. Why is a replacement quote often genuinely cheaper?
New insurers subsidise transferring customers
It excludes things the old policy covers
Regulation caps premiums on new business
Older policies accumulate administration fees
5. How does a stepped premium behave?
It stays fixed for the life of the policy
It starts expensive and falls over time
It starts cheap and rises each year with age
It changes only when you make a claim
6. What should you ask for to make the comparison real?
Total cost over ten and twenty years, in writing
The first year premium on both policies
The insurer's financial strength rating
The number of claims the insurer declined
7. What is the structural incentive in replacement advice?
Advisers are penalised for retaining old policies
Insurers require annual policy replacement
Commission is higher on cheaper policies
Upfront commission is paid on new policies
8. Why can two policies with the same sum insured differ greatly?
Sum insured is adjusted for inflation differently
One will always have a longer stand-down
Their definitions decide when a claim is paid
Premium frequency changes the amount payable
9. Which is a genuinely good reason to replace?
The new premium is lower in the first year
The new insurer advertises more heavily
Your adviser recommends it without explanation
Your health has improved since a rated policy was issued
10. What should every household do regardless of replacing?
Cancel any policy over ten years old
Increase every sum insured annually
Move all cover to a single insurer
Review sums insured, ownership and beneficiaries

Sources: general principles of New Zealand insurance underwriting and the duty of disclosure; and the financial advice regime under which advisers must give priority to the client's interests, including on advice to replace an existing policy. Policy wordings, underwriting practice and disclosure duties differ between insurers and change. This is general information rather than financial or legal advice, and replacement decisions on life, health, trauma or income protection cover should be taken with a licensed adviser who reviews both wordings.

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