Clone of NobleOak - Premium Pause Request (2026) - PORTAL

  • Premium Pause Request

    CONFIDENTIAL

  • PLAN DETAILS

    • Your Current Benefits 

    • For security reasons, your current NobleOak insurance benefits can only be displayed when this form is accessed through your customer portal.

      To view your current benefits and applicable premiums, please complete this form via the portal [HERE].

  • PREMIUM PAUSE COMMENCEMENT

  • Choose which benefit(s) you wish to pause.

  • Policy start date (Life Cover)*
     / /
  • Policy start date (TPD Cover)*
     / /
  • Policy start date (Trauma (linked) Cover*
     / /
  • You're paid up to
     / /
  • Date that you wish to start the premium pause*
     / /
  • Date that you wish to stop the premium pause (Maximum of 12 months)*
     / /
  • Max premium pause date
     / /
  • Policy start date
     / /
  • You're paid up to
     / /
  • Date that you wish to start the premium pause*
     / /
  • Date that you wish to stop the premium pause (Maximum of 12 months)*
     / /
  • Max premium pause date
     / /
  • Policy start date*
     / /
  • You're paid up to
     / /
  • Date that you wish to start the premium pause*
     / /
  • Date that you wish to stop the premium pause (Maximum of 12 months)*
     / /
  • Max premium pause date
     / /

  • We are unable to process your premium pause request at this time.

    You do not meet the minimum eligibility requirement of holding your NobleOak insurance policy for at least 2 years. This has been determined based on your policy start date and today's date.

    If you believe this information is incorrect, please contact our Client Services team who will be happy to assist you.

  • * Premium Pause cannot be more than 12 months from the start date.

  • * Premium Pause start date cannot be before you current "paid up to" date. Please select another date

  • DECLARATION

  • I, {memberName}, wish to apply the premium pause to my nominated policy and acknowledge that I have read and understood the Premium Pause Disclosure as stated in the Product Disclosure Statement.

  • Clear
  • Date*
     / /

  • NobleOak Life Limited ABN 85 087 648 708 Australian Financial Services License No 247302
    T 1300 551 044 F 02 9299 7852 E enquiry@nobleoak.com.au M GPO Box 4793, Sydney, NSW

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