Logo Critical Illness Cover

Built-in Benefits

Your Critical Illness Cover includes these built-in benefits.

Full Critical Illness Benefit

With the Full Critical Illness Benefit, we will pay you the Critical Illness Cover sum insured if a life assured meets the criteria for one of the Full Critical Illness Benefit conditions we cover.

The Full Critical Illness Benefit conditions we cover are listed and marked with a ’√’ in the conditions table.

When We’ll Pay

A life assured must meet the Full Critical Illness Benefit criteria for a condition we cover while this policy is in force, for us to accept a Full Critical Illness Benefit claim.

Payment Amount

We’ll pay the full Critical Illness Cover sum insured for that life assured.

We’ll subtract the amount we pay for a Full Critical Illness Benefit from the Critical Illness Cover sum insured for that life assured.

Diagnosis Benefit

With the Diagnosis Benefit, we will pay you some of the Critical Illness Cover sum insured if a life assured meets the criteria for one of the Diagnosis Benefit conditions we cover.

The Diagnosis Benefit conditions we cover are listed and marked with a ’√’ in the conditions table.

When We’ll Pay

A life assured must meet the Diagnosis Benefit criteria for a condition we cover while this policy is in force, for us to accept a Diagnosis Benefit claim.

We’ll only pay this benefit if we haven’t already paid claims for the same condition under this cover.

Payment Amount

We’ll pay the lesser of:

  • 25 percent of the sum insured
  • $75,000

We’ll subtract the amount we pay for a Diagnosis Benefit from the Critical Illness Cover sum insured for that life assured.

Life Events Benefit

With the Life Events Benefit, you can increase the Critical Illness Cover sum insured when certain events happen in a life assured’s life.

If the life assured experiences a certain life event, you can apply to increase the Critical Illness Cover sum insured without assessment of their health.

Your premiums will increase from the date we’ve increased the sum insured.

Covered Life Events

You can increase the Critical Illness Cover sum insured for a life assured if they experience one of the following:

  • Getting married or entering a civil union
  • Getting a divorce or separating from a de facto partner
  • Death of a partner (a partner is a wife, husband, civil union partner or de facto partner)
  • Pregnancy at 28 weeks gestation
  • Giving birth to or legally adopting a child. You cannot apply to increase the sum insured under this benefit for pregnancy and birth of the same child
  • Getting an annual salary increase of more than $5,000
  • Increasing their residential mortgage
  • Buying a home, holiday home, residential investment property, or bare block of residential land
  • Providing full-time care for their dependent parent, sibling, child, parent-in-law, grandparent or partner
  • Having a dependent child start private secondary school or full-time tertiary education for the first time

Amount of Increase

For each event, you can increase the Critical Illness Cover sum insured for a life assured by up to the lesser of:

  • The amount of the new or increased mortgage (if applicable)
  • 5 times the increase in annual salary (if applicable)
  • $250,000

Limitations

All increases under this benefit for a life assured can’t be more than 75 percent of their underwritten sum insured.

Application Period

You must apply for the increase under this benefit within either:

  • 180 days of the event happening
  • 60 days of the anniversary date after the event happened

Send us evidence of the event when you apply.

We’ll accept your application to increase the sum insured under this benefit on the terms we most recently offered for the life assured at either:

  • The commencement date of this cover
  • Any application to increase this cover’s sum insured, whether the increase was accepted or not

Exclusions

You cannot use this benefit for a life assured if:

  • We’ve paid a claim for any benefit included in this Critical Illness Cover, including any built-in, additional or optional benefits
  • They meet all the criteria for a claim for any benefit included in this Critical Illness Cover, even if you haven’t made the claim yet
  • They’re aged 60 years old or older