Your renewal notice arrives. You glance at the new premium, wince, and file it away.
If that sounds familiar, you’re not alone, but it’s a habit worth breaking. Renewal time is one of the most important moments in your insurance relationship. Your life changes constantly: income, mortgage, family, health. Your policies need to keep up.
Here’s what to actually check before you sign off on another year.
Before You Start: Pull Out Your Policy Documents
You can’t review your cover if you don’t know what you have. Before anything else, find your policy schedule and check:
- What’s covered and what’s excluded
- The sum insured on each policy
- Any waiting periods or stand-down periods
- Whether your premiums are stepped (rising with age) or level
Can’t find the documents? Not sure what you have? That’s already a sign it’s time for a review.
Life Insurance
Is the sum insured still enough?
This is the first question, and it’s easy to let slip. What matters is your specific situation: your mortgage balance, the number of people depending on your income, and whether your partner earns independently. A useful starting point is 10 times your annual income, but that figure needs to reflect where your life actually is today.[1]
If you’ve taken on a bigger mortgage, had another child, or significantly increased your lifestyle expenses since you last reviewed, your cover may no longer reflect what your family would actually need.
Are your beneficiary details still correct?
Relationship changes, new children, or a death in the family can all make an existing nomination outdated. This is one of the most overlooked details in personal insurance, and one of the most important to get right.
Has your structure changed?
Starting a business, setting up a trust, or changing employers can all affect how your life cover should be held. It’s worth checking this hasn’t been left behind.
Stepped or level premiums?
Stepped premiums start lower but increase each year. Many people choose this when they’re young without realising how steep that curve gets later. Renewal is a good moment to consider whether switching to level premiums makes financial sense over the long run.
Health Insurance
Health insurance is where most New Zealanders will feel the sharpest sting at renewal right now.
New Zealand’s medical inflation rose from 7.4% in 2024 to 14.5% in 2025, one of the highest rates in the Asia-Pacific region and significantly ahead of the global average of 9.8%.[2] Aon’s 2026 Global Medical Trend Rates Report forecasts healthcare costs rising a further 18% in 2026.[3] Meanwhile, general inflation sat at just 2.2% at the end of 2024.[4]
That gap is why your health insurance renewal notice can feel so jarring. When treatments cost more, claims cost more, and premiums follow.
Don’t cancel. Reconfigure.
A large premium increase is not a reason to drop cover. It’s a reason to restructure it. Adjusting your excess is often the most effective lever. Moving from a $0 excess to a $500 or $1,000 excess can meaningfully reduce your premium while keeping protection in place for the claims that matter. MoneyHub reports that 17,775 Southern Cross members added or increased their excess last year for exactly this reason.[5]
Do you know what’s covered and what isn’t?
Health insurance products vary significantly between insurers. Some cover day-to-day GP costs; others focus on specialist and surgical cover. If you haven’t read your policy recently, now is the time.
Check your exclusions.
If you’ve had a health event since you took out the policy (a diagnosis, a procedure, or an injury), that condition may now be excluded from future claims. Surprises at claim time are almost always avoidable.
Employer-provided cover: know the limits.
Group health schemes generally don’t transfer if you leave your job. If your health cover is tied to your employer, you need a plan for what happens if that changes.
Income Protection Insurance
Income protection replaces a percentage of your income if you can’t work due to illness or injury. It’s arguably the most undervalued policy in most people’s portfolios, and often the one with the most gaps.
Is your insured income up to date?
A promotion, pay rise, or move into self-employment could mean your current policy would pay out far less than you actually earn. Most policies cap claims at a percentage of your income at the time of claim. If your insured amount hasn’t kept pace, you’ll feel the shortfall when it matters most.
Agreed value or indemnity?
This is a critical distinction. An agreed value policy fixes your benefit based on your income at application. An indemnity policy bases the payout on your income at the time of claim. If your income has dropped since you took the policy out, an indemnity policy may pay less than you expect.
Does your waiting period still fit?
The waiting period is how long you must be off work before payments begin, commonly four, eight, or thirteen weeks. If your savings buffer has grown, a longer waiting period could reduce your premium. If it’s shrunk, shortening it may be the smarter move.
What’s your benefit period?
Some policies pay to age 65; others cap out at two or five years. For a serious long-term illness, a short benefit period can leave a significant gap. It’s also worth remembering that ACC only covers accidents, not illness, so income protection is the primary financial safety net for conditions like cancer or serious mental health diagnoses that prevent someone from working.
Has your occupation changed?
Your occupation class affects your premium and how “unable to work” is defined under your policy. If your role has changed significantly, your classification may no longer be accurate.
Trauma Insurance
Trauma insurance pays a lump sum on diagnosis of a serious condition, regardless of whether you can return to work. That’s what makes it different from income protection, and why the two policies complement rather than replace each other.
AIA paid over $139 million in trauma claims in 2024, with cancer accounting for 59% of those claims.[6] Cancer, heart attack, and stroke consistently make up the overwhelming majority of trauma claims paid across all New Zealand insurers. These aren’t remote risks.
Is the sum insured still enough?
Trauma payouts are typically used to clear debt, cover treatment costs that health insurance doesn’t fully fund, or buy time to recover without financial pressure. Think about whether your current sum insured would actually do that given where your finances are today.
What conditions are covered?
The number of conditions covered varies significantly across insurers. Policy definitions also differ: two products might both cover “heart attack,” but with very different criteria for what qualifies. If you haven’t compared your policy recently, it’s worth looking.
Do you have buy-back or continuous cover?
Some policies allow you to reinstate cover after a claim, or to claim for multiple separate events. If you’ve previously made a partial claim, check whether your remaining cover has been reduced and whether it can be restored.
Total and Permanent Disablement (TPD) Insurance
TPD pays a lump sum if you become permanently unable to work. It’s often attached to life insurance, but it’s a distinct product and deserves its own review.
Permanent disablement can be financially more devastating than death: your income is gone, but your living costs are not. A stroke, a serious accident, or a progressive illness can change everything, and a TPD payout needs to reflect that reality.
Own occupation or any occupation?
This is the most important thing to understand about your TPD policy, and it is the most commonly misunderstood.
Own occupation pays if you can no longer perform your specific job. A surgeon who permanently loses fine motor function in their hands could claim, even if they could technically do other work.
Any occupation pays only if you’re unable to work in any role suited to your education, training, or experience. The threshold is significantly higher, and the definition is less favourable to the policyholder.[7]
Own occupation is the broader definition, but it’s not always available, particularly for higher-risk occupations where insurers typically only offer any occupation cover.
Is the sum insured high enough?
A TPD payout has to work harder than most people expect. It needs to cover immediate costs, long-term care, home modifications, and potentially replace a lifetime of lost income. Many people are under-insured here.
Accelerated or standalone?
Accelerated TPD means a successful claim reduces your life cover sum insured. Standalone TPD pays independently. Knowing which you have is important when thinking about whether each policy is adequately sized.
How does your definition change with age?
Most occupational TPD definitions apply until age 65, at which point the policy typically shifts to a non-occupational definition based on ability to perform activities of daily living rather than ability to work. If you’re approaching that age bracket, it’s worth understanding what that transition means for your cover.
Questions Worth Asking Across All Your Policies
Has anything significant changed this year?
Marriage, separation, a new child, a new mortgage, a job change, starting a business. Any of these can shift what you need. The Financial Services Council reports 1.35 million New Zealanders currently hold health insurance,[8] but having cover and having the right cover are two different things.
Are you duplicating cover anywhere?
It’s common to accumulate overlapping policies over time, through work, a bank, or a mortgage process. Duplication means wasted premiums.
Are you paying for cover you no longer need?
A paid-down mortgage, financially independent children, or cleared debts might mean you’re over-insured in some areas and under-insured in others.
Is your insurer still competitive?
Products, pricing, and claims service all change. The policy that was the right call when you took it out may not be today.
If Something Doesn’t Look Right
If anything in your review raises a question, get advice before you renew, not after. That might be an exclusion you weren’t aware of, a sum insured that seems low, or a premium increase that doesn’t add up.
An independent adviser can review your full portfolio across multiple insurers, identify gaps and overlaps, and give you an honest picture of whether your cover is actually fit for purpose. That’s a different conversation from the one you’d have going direct to a single insurer.
Renewal only comes once a year. It’s worth making the most of it.
Get a no-obligation policy review
We’ll review your full portfolio and give you an honest picture of where your cover stands.
Get in touchNew Zealand Health Insurance by the Numbers
Medical inflation in NZ in 2025, up from 7.4% the year before. One of the highest rates in Asia-Pacific[2]
Forecast increase in employee healthcare costs in NZ in 2026, per Aon’s Global Medical Trend Rates Report[3]
The global average medical inflation rate. New Zealand is running at nearly double this figure[2]
General consumer inflation in NZ at the end of 2024. Medical costs are rising at roughly eight times this pace[4]
New Zealanders currently holding health insurance, according to the Financial Services Council[8]
Paid by AIA in trauma insurance claims in 2024 alone, with cancer accounting for 59% of those claims[6]
Your Renewal Checklist
Use this before signing off on any renewal. You do not need to action every item, but you should be able to answer each one.
Life Insurance
- Does my sum insured reflect my current mortgage, income, and dependants?
- Are my beneficiary nominations up to date?
- Has my structure changed (trust, business, new employer)?
- Am I on stepped or level premiums, and does that still make sense?
Health Insurance
- Have I compared my premium against my current excess options?
- Do I know what my policy covers and what it excludes?
- Have I had any health events since taking out this policy that may have created new exclusions?
- If my cover is employer-provided, do I know what happens if I leave?
Income Protection
- Does my insured income reflect what I actually earn today?
- Do I know whether my policy is agreed value or indemnity?
- Is my waiting period still appropriate for my savings buffer?
- What is my benefit period, and is it long enough?
- Has my occupation changed in a way that affects my classification?
Trauma Insurance
- Is my sum insured enough to cover debt, treatment costs, and recovery time?
- Do I know which conditions my policy covers and how they are defined?
- Do I have continuous cover or buy-back options?
Total and Permanent Disablement
- Do I know whether my policy uses own occupation or any occupation?
- Is my sum insured sized for long-term costs, not just immediate ones?
- Is my TPD accelerated or standalone, and is each policy adequately sized as a result?
- Do I understand how my definition changes at age 65?
Across All Policies
- Has anything significant changed in my life this year?
- Am I duplicating cover anywhere?
- Am I paying for cover I no longer need?
- Have I compared my current insurer against the market recently?
Frequently Asked Questions
Can I change my health insurance excess at any time, or only at renewal?
Most health insurers will allow you to adjust your excess outside of renewal, though changes typically take effect from your next premium payment date. Some insurers may ask you to complete a health declaration if you are upgrading your cover. It is worth contacting your insurer directly to confirm the process.
If I cancel my health insurance and take out a new policy later, will my pre-existing conditions still be covered?
Not automatically. When you take out a new policy, insurers generally exclude pre-existing conditions or apply a stand-down period before covering them. This is one of the main reasons to reconfigure rather than cancel an existing policy. Once you hold continuous cover, new conditions that develop are typically covered going forward.
Does ACC mean I don't need income protection?
ACC covers injuries caused by accidents, but it does not cover illness. The majority of long-term absences from work are caused by illness, not injury. Income protection fills that gap. If you develop cancer, a heart condition, or a serious mental health diagnosis and cannot work, ACC provides nothing. Income protection is your primary safety net in those situations.
What is the difference between trauma insurance and health insurance?
Health insurance covers the cost of treatment: specialist appointments, surgery, diagnostics, and hospital stays. Trauma insurance pays a lump sum on diagnosis of a covered condition, regardless of treatment costs. The two serve different purposes and most people benefit from having both. Health insurance covers the bills; trauma insurance covers everything else, including debt, lost income, and recovery time.
If I make a TPD claim, does that affect my life insurance?
It depends on whether your TPD is accelerated or standalone. Accelerated TPD is linked to your life cover, meaning a successful TPD claim reduces your life cover sum insured by the amount paid. Standalone TPD pays independently and leaves your life cover untouched. Checking which structure you have is an important part of any policy review.
How often should I review my insurance?
At minimum, once a year at renewal. But any significant life event (a new mortgage, a change in income, a new child, starting a business) should also trigger a review. Insurance is not a set-and-forget product. The cover that was right for you three years ago may leave meaningful gaps today.
This article is general information only and does not constitute personalised financial advice. Blake Dowman is a Registered Financial Adviser (FSP 1007984) operating under AIA Thrive Limited FAP. For advice tailored to your circumstances, please contact us directly.
References
- [1]MoneyHub NZ. Life Insurance Calculator. https://www.moneyhub.co.nz/life-insurance-calculator.html
- [2]Aon 2025 Global Medical Trend Rates Report, reported via Insurance Business NZ. https://www.insurancebusinessmag.com/nz/news/life-insurance/new-zealand-healthcare-costs-projected-to-climb-sharply-in-2026-558981.aspx
- [3]Aon. (2025). 2026 Global Medical Trend Rates Report. https://www.aon.com/en/insights/reports/the-global-medical-trend-rates-report
- [4]RNZ. 'Healthy, young' but medical insurance premiums rise 25 percent in a year. https://www.rnz.co.nz/news/business/577123/healthy-young-but-medical-insurance-premiums-rise-25-percent-in-a-year
- [5]MoneyHub NZ. Southern Cross Premium Increases. https://www.moneyhub.co.nz/southern-cross-premium-increases.html
- [6]AIA New Zealand. Trauma Insurance. https://www.aia.co.nz/en/our-products/trauma-insurance.html
- [7]Chubb Life NZ. Complete Disablement Cover Brochure. https://www.chubb.com/content/dam/chubb-sites/chubb/nz-en/life/documents/cig0005-assurance-extra-complete-disablement-brochure-web-v3.pdf
- [8]RNZ. 'Healthy, young' but medical insurance premiums rise 25 percent in a year. https://www.rnz.co.nz/news/business/577123/healthy-young-but-medical-insurance-premiums-rise-25-percent-in-a-year
