How are life insurance premiums really calculated in Australia?

How are life insurance premiums really calculated in Australia?
How life insurance premiums are calculated
How life insurance premiums are calculated

Key Takeaways

  • Your age, health and lifestyle are the biggest influences on your life insurance premiums.
  • Premiums will go up every year if go with a stepped-premium structure.
  • Smoking and dangerous jobs can seriously increase your life insurance costs.

The truth about life insurance premiums in Australia

Life insurance can give you lots of peace of mind, but knowing exactly what you’re paying for – and why – can be confusing. You might look at your premiums and wonder how they even came up with that number. While it might feel like a bit of a mystery, working out life insurance premiums in Australia is surprisingly well-structured.

Insurers take a look at your risk profile, factor in the type of cover you’re after and then apply actuarial modelling to figure out how much you’ll pay. And although some factors will be outside of your control, others can be adjusted to better suit your needs – and budget.

Still a bit unsure? Here’s exactly how life insurance premiums work here in Australia, so you can make the best decision for yourself and your loved ones.

What is a life insurance premium?

A life insurance premium is the amount you pay to keep your policy active. Depending on your insurer, you’ll be able to pay them monthly, quarterly or annually. In return, your insurer promises to pay a lump sum to your beneficiaries if you pass away – or if you’re diagnosed with a terminal illness, depending on the policy.

Your premium isn’t a random figure. It’s calculated based on a mixture of personal factors and features in the policy. The goal for insurers is to match the price of the policy with the risk you represent, and with the potential benefit payout.

What factors influence life insurance premiums in Australia?

Premiums are all about risk. If an insurer sees you as being statistically more likely to make a claim, then you’ll usually pay more. Here are the things that are assessed during the application process:

1. Age and gender

The older you are, the more likely it is that a health condition or accident could trigger a claim. That’s why your premiums are lower if you take out cover while you’re young and in good health.

Gender can also play a role. On average, women live longer than men, so female applicants of the same age and health profile could pay slightly less than their male counterparts.

2. Smoker or non-smoker?

Smoking ramps up your risk of a wide range of illnesses (e.g. cancer, heart disease, respiratory conditions). For that reason, insurers tend to charge smokers almost double the premiums of non-smokers. If you’ve quit smoking, you could be eligible for non-smoker rates after 12 months.

3. Personal health and medical history

Your overall health and medical background are looked over to determine your risk of early death or serious illness. This includes chronic conditions like high blood pressure or diabetes, past surgeries, as well as any recent medical issues. Some insurers will need a report from your GP or medical tests to get a clearer picture of your health.

If you have pre-existing conditions, you can usually still get cover. However, your premiums will likely be higher and you’ll have to wait at least 12 months before you’re able to make a claim.

4. Family medical history

Insurers will also look into your family’s medical history. If any of your close relatives had hereditary illnesses (e.g. cancer, heart disease, diabetes) – especially if diagnosed at a young age – then that could impact your premiums.

5. Occupation and lifestyle

Your job matters too. Australians who work in high-risk occupations like construction, aviation, mining and emergency services can be stuck with higher premiums because of the higher chance of injury or death.

By the same token, people who regularly engage in high-risk activities (like skydiving and motorsports) can be slapped with additional loadings or exclusions.

6. Weight and BMI

Your body mass index (BMI) is used as a general measure of your health risk. A BMI that falls outside the normal range will usually result in higher premiums, as it’s linked to lots of different chronic health conditions.

Types of cover and premiums

Life insurance can refer to a number of different products, and the type of cover you choose will determine how much you’ll end up paying.

  • Life cover (death cover): Pays a lump sum if you pass away or are diagnosed with a terminal illness.
  • TPD (total and permanent disability) insurance: Provides a benefit if you’re permanently unable to work.
  • Trauma insurance (critical illness): Gives you a payout if you’re diagnosed with a specific serious condition.
  • Income protection: Replaces part of your income if illness or injury stops you from being able to work.

 

Each of these products has a different risk profile and frequency of claims, which means the premiums aren’t the same across the board. Income protection, for example, is generally more expensive than life cover because claims are more common and ongoing.

The higher the benefit amount you choose, the more you’ll pay. Say you have a $1 million life cover policy – your premiums will obviously be higher than a $250,000 one, all other things being equal.

Stepped vs Level premiums

When choosing a policy, you’ll likely have the option between stepped and level premiums.

  • Stepped premiums start lower and go up every year as you age. They can be more affordable early on but will grow quickly over time.
  • Level premiums, on the other hand, are more expensive at the outset, but they don’t increase due to your age. Over time, they might be the more cost-effective option if you keep your policy for the long haul.

 

Lots of Australians are drawn to the initial affordability of stepped premiums, but level premiums can give you a bit more stability and predictability – especially if you plan to hold your policy for decades.

How insurers calculate your premiums behind the scenes

Insurers rely on large sets of data like mortality rates, morbidity rates (for TPD and trauma) and historical claims to assess risk levels and set their premiums.

Their models also take into account business costs like underwriting, marketing, customer service, administration and more. Reinsurance agreements – the policies insurers take out for their own protection – also play a part in how pricing is set.

Once all your personal and policy details are reviewed, the insurer uses this modelling to figure out your specific premiums. In some cases, loadings (extra charges) and exclusions can apply.

What you can do to reduce your premiums

Firstly, if you’re a smoker, quitting can make a huge difference. Not only will it improve your overall health, but it could also cut your premiums once you’ve been tobacco-free for at least a full year.

Applying while you’re young and healthy can also lock in cheaper premiums – especially if you choose a level premium structure. It’s also wise to keep your cover up to date. If your financial responsibilities change over time, you might not need as much cover, and that could keep your premiums low.

Finally, having a healthy and active lifestyle by exercising regularly and eating well can make you a more attractive customer to insurers. While lifestyle changes won’t always translate to immediate discounts, they could help you avoid health issues that will raise your premiums later on in life.

Life insurance through super – what’s different?

Millions of Australians have life insurance through their superannuation fund. It’s an easy and affordable option, especially for people who might not qualify for separate cover.

Group life cover through super is usually opt-out and doesn’t require any detailed underwriting unless you want to increase your cover above the default level. Because of this, it can be cheaper – but it won’t suit everyone:

  • Limited benefit amounts.
  • Exclusions for pre-existing conditions.
  • No (or very little) cover for high-risk occupations and pastimes (e.g. dangerous hobbies).

Reviewing your policy as life changes

Your life insurance policy shouldn’t be set-and-forget. As your life changes, so should your cover. Major life events – like buying a home, starting a family, changing jobs or retiring – can change how much cover you need, or even whether you still need it at all.

So make sure you’re reviewing your policy every so often to check that it’s still fit for purpose. You might reduce your premiums by decreasing your sum insured or switching premium structures. On the other hand, a life change could prompt you to increase your cover to protect your family more fully.

If you’re unsure, our team of experts can help you understand your options and make the best choice.

We can help you compare policies, understand how your premiums are set and make sure you’re only paying for the cover that makes sense for you and your family.

FAQ's

Loading is an extra amount added to your premiums based on a higher risk factor (e.g. a health condition or job).

Yes, but you might need to reapply or take out a new policy with different terms.

Most life insurance policies include cover for suicide, but only after an initial exclusion period of 13 months.

If you miss a payment, your policy could lapse after a grace period. In this case, you might lose cover and need to reapply.

Compare Life Insurance

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Disclaimer

Fair Health Care Pty Ltd trading as “Fair Health and Life” ABN no (86 622 966 303) and its advisers operate as authorised representatives of Ingenious Brokers Pty. Ltd. ABN 53 656 735 956 Australian Financial Services LICENSE 538868. Fair Health Care Pty Ltd are authorised through Ingenious Brokers to advise and deal in Life Insurance products only, including Term life, Total and Permanent Disability, Income Protection and Trauma Insurance.

Any information or advice contained on this website is general in nature and has been prepared without taking into account your objectives, financial situation or needs. Before acting on any information or advice on this website, you should consider if the product is appropriate for you in regards to your own objectives, financial situation or needs and, if a current offer document is available, read the offer document before acquiring products named on this website. Please note our advice does not include independent financial, legal and taxation advice prior to acquiring a product. Prior to acquiring a financial product, you should obtain the Product Disclosure Statement relating to the product. The product Disclosure Statement contains the terms and conditions of the relevant financial product. You should consider the information within the Product Disclosure Statement prior to the purchase of a financial product.

Product Disclosure Statements are available within the quoted product emails that we send to you directly.

Not all providers of insurance on the market are included in our comparisons. The amount of any savings will depend on your circumstances. The financial products compared on this website do not necessarily compare all features that may be relevant to you. Comparisons are made on the basis of price only and different products may have different features and different levels of coverage.

Compare Life Insurance, Income Protection, Total and Permanent Disability and Trauma to find a competitive rate for your situation by providing you prices for all products on our panel. Fair Health Care Pty Ltd aims to save its customers money, time and effort through its innovative rate comparison website designed specifically to cater the needs of the Australian market. Do an online comparison today or if you would like to call us, we have trained professionals ready to help you with your enquiry.

The products/services offered by our Health Insurance service or referrals to Home Loan comparisons are not authorised by Ingenious Brokers Pty Ltd and Ingenious Brokers Pty Ltd is not responsible for the advice/services provided by our health insurance business or external partners.

How are life insurance premiums really calculated in Australia?

Founder at Fair Healthcare Alliance

Aaron Savrone, founder of Fair Health Care Alliance (FHCA), is a health insurance expert with over 15 years of experience. Specializing in transparent, customer-focused advice, Aaron launched FHCA in 2017 to address the lack of genuine care in the health insurance comparison space. With a commitment to simplifying complex policies and data, Aaron and the team have earned FHCA top ratings and awards, including a 5-star Google Review score from hundreds of reviews and winner of the Best Insurance Comparison Website by ProductReview 3 years in a row (2023, 2024, 2025).

Table of Contents

    Related health Insurance Articles

    0%

    Select Cover for...*

    Estimated time to complete: 02:50 minutes

    Single
    Just Myself
    Couple
    Just Us Two
    Family
    Just Us and the Kids
    Single Parent
    Just Me and the Kids
    Please select an option.

    Select your State*

    Prices and policy availability are affected by where you live.

    ACT
    ACT
    New South Wales
    New South Wales
    Victoria
    Victoria
    Queensland
    Queensland
    South Australia
    South Australia
    Western Australia
    Western Australia
    Tasmania
    Tasmania
    Northern Territory
    Northern Territory
    Please select an option.

    Do you currently have health insurance?*

    yes image
    Yes
    no image
    No
    Please select an option.

    Who is your current health fund?

    Please select an option.

    Select your Product Type*

    Combined
    Hospital Cover + Extras
    Hospital
    Just Hospital Covers
    Extras
    Just Extras
    Not Sure
    Not Sure
    Please select an option.

    Do you need any of the following covered in a private hospital?*

    These specific categories often require a top level of hospital cover, which is the most costly.

    Pregnancy
    Pregnancy
    Joint Replacements
    Joint Replacements
    Cataracts
    Cataracts
    Dialysis
    Dialysis
    Weight Loss Surgery
    Weight Loss Surgery
    Heart
    Heart
    Psychiatric In-Hospital
    Psychiatric In-Hospital
    None of these
    None of these
    Please select an option.

    Which extras do you require cover for?

    General Dental
    General Dental
    Major Dental
    Major Dental
    Optical
    Optical
    Physiotherapy
    Physiotherapy
    Chiropractic
    Chiropractic
    Massage
    Massage
    Podiatry
    Podiatry
    Other
    Other
    Please select an option.

    Your Government Rebate*

    This is your taxable income before tax. It will affect which health insurance rebate you are entitled to and your policy price.

    Please select an option.

    Great! We've found high-value policies to match your stated needs.

    Enter your details so we can help you refine it further. Our tailored health insurance quote will be fast and 100% obligation free.

    Please enter a valid email address.
    Please enter a valid 10-digit Australian phone number without the country code (+61).
    Your information is important to us. By clicking ‘I accept’ you agree to the Fair Health Care Alliance privacy policy for the sole purpose of providing you with a personalized health insurance quote based on your stated needs. (We don't share your information with any marketing or data companies! Promise)
    You must agree to the privacy policy to proceed.
    Please select an option.

    Don’t miss out on potential savings!

    You’re just 2 minutes away from getting a quote that
    could save you hundreds on your health insurance.