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Surge in Mental Health Claims Puts Pressure on Australia's Insurance Industry

Surge in Mental Health Claims Puts Pressure on Australia's Insurance Industry

Australia's insurance sector is facing unprecedented challenges as mental health conditions have become the leading cause of total and permanent disability (TPD) claims.
Recent data from the Council of Australian Life Insurers (CALI) reveals that mental health issues now account for nearly one-third of all TPD claims paid out.

In 2024, life insurers disbursed over $2.2 billion in retail claims related to mental health, nearly doubling the amount paid five years prior. Income protection claims linked to mental health also remain substantial, with $887 million paid out in 2024 alone. Notably, the rate of TPD claims for mental health among individuals in their 30s has surged by more than 700% over the past decade.

Christine Cupitt, CEO of CALI, highlighted the strain on the system, stating, "The entire safety net, not just life insurance, is under pressure. Every year, we see a growing number of people, particularly younger Australians, leaving the workforce for good due to mental health conditions."

This surge in claims underscores the need for the insurance industry to adapt its offerings to better support individuals with mental health conditions. Traditional models may no longer suffice, prompting insurers to explore more flexible and responsive coverage options.

For policyholders, this trend emphasises the importance of understanding the specifics of their income protection and TPD insurance policies, particularly regarding mental health coverage. Engaging with financial advisers to ensure adequate protection is crucial in this evolving landscape.

In response to these challenges, some insurers are reevaluating their underwriting processes and considering the integration of mental health support services into their policies. This proactive approach aims to address the root causes of claims and provide comprehensive support to policyholders.

In conclusion, the rising prevalence of mental health-related claims is reshaping Australia's insurance industry. Both insurers and policyholders must navigate this new terrain thoughtfully, ensuring that coverage remains relevant and responsive to the changing needs of Australians.

Published:Wednesday, 4th Feb 2026
Source: Paige Estritori

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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.