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Download "Zurich Wealth Protection. Product Disclosure Statement including Policy conditions Issue date: 1 March 2012"
1 Zurich Wealth Protection Product Disclosure Statement including Policy conditions Issue date: 1 March 2012
2 About this PDS Date of preparation: 25 January 2012 This Product Disclosure Statement (PDS) is provided in two parts: Part 1 Product information Part 2 Policy conditions This PDS is an important document. You should read both parts (Parts 1 and 2) in full before making a decision to purchase these products. This PDS will help you to: decide whether these products will meet your needs and compare these products with other products you may be considering. Policy conditions Part 2 of this PDS contains the policy conditions which will apply to your cover once your application has been accepted. It is important that you read them carefully and keep them in a safe place. Important notes This PDS describes the products listed in the section Issuer information (right). The PDS is jointly issued by Zurich Australia Limited and Zurich Australian Superannuation Pty Limited, each of whom takes full responsibility for the whole PDS. Cheques must be made payable to Zurich Australia Limited. The cheque should be in Australian dollars and drawn on an Australian bank. General information only The information contained in this PDS is general information only. It does not take into account your individual objectives, financial situation or particular needs. You should consider the appropriateness of each product having regard to your objectives, financial situation and needs. We recommend you seek professional financial and taxation advice before making any decisions regarding these products. Up-to-date information The information in this PDS, including taxation information, is based on our understanding of legislation as at the date of preparation of this PDS and its continuing accuracy. Certain information in this PDS may change from time to time this includes but is not limited to possible changes which we have identified in this PDS. Where we indicate to you that we will give notice of such changes, then you will be advised of such changes in writing. Where other changes that are not materially adverse to you occur, we will update such information on our website, A paper copy of the updated information will be available free of charge upon request by calling us on Where there is any reference to a third party in this PDS that third party has provided their consent to be named in this PDS. The Zurich worldwide group of companies has obligations under various Australian and foreign laws. Despite anything to the contrary in this PDS or any other document related to the policies described in this PDS, the policies terms will operate subject to all laws with which a Zurich worldwide company considers it must comply. This offer is available only to persons receiving it (including electronically) within Australia. We cannot accept cash or applications signed and mailed from outside Australia. Cover is only available to Australian residents. The policies are designed for Australian residents, and their operation and your rights may be restricted if you or the life insured cease to be an Australian resident. Applying for Zurich Wealth Protection products The only way to apply for a product in this PDS is to complete and submit the Zurich Wealth Protection Application Form accompanying this PDS together with a completed Life Insured s Statement. Your adviser can assist you to fill out both of these forms. Each of the products may be purchased separately. Issuer information Issued by Zurich Australia Limited ABN , AFSL : Zurich Protection Plus Zurich Income Replacement Issued by Zurich Australian Superannuation Pty Limited ABN , AFSL : Zurich Superannuation Term Life Plus Zurich Australian Superannuation Pty Limited is the trustee of the Zurich Master Superannuation Fund ABN , SFN 2540/969/42 (the Fund). It obtains an insurance policy issued by Zurich Australia Limited for the benefits offered in the product it issues. Zurich Australia Limited is also the administrator of the Fund. Contact details for both issuers appear on the back cover of this PDS.
3 Contents Part 1 Product information About Zurich 2 What is wealth protection? 3 Introduction 4 Wealth protection product snapshot 5 Zurich Protection Plus (Death cover, TPD cover, Trauma cover) 6 Zurich Income Replacement 22 Zurich Superannuation Term Life Plus (Death cover, TPD cover) 37 Additional Information about Zurich Wealth Protection products 45 Interim cover certificate 54 Part 2 Policy conditions General policy conditions 3 Zurich Protection Plus 8 Zurich Income Replacement 26 Zurich Superannuation Term Life Plus 36 Definitions 44 Directory 56 Part 1 Product information Page 1 of 56
4 About Zurich Zurich Financial Services Australia (Zurich Australia), a member of the Swiss-based worldwide Zurich Financial Services Group, is the only global financial services group operating in Australia under a single brand in the core business lines of general insurance, life risk, investment and superannuation solutions. We operate under the global Zurich brand. Zurich Financial Services Group a global view The Zurich Financial Services Group is one of the world s largest insurance based financial services insurance groups, and one of the few to operate on a truly global basis. It has a global network of subsidiaries and offices in North America and Europe, Asia-Pacific, the Middle East, Latin America and other markets. Founded in 1872, the company s headquarters are in Zurich, Switzerland. The Zurich Group employs over 60,000 people helping customers manage risk in more than 170 countries. The Group is listed on the Swiss stock exchange. For more information, visit Zurich s wealth protection solutions Zurich Australia s Life Risk business provides choice and flexibility through a suite of award-winning business and personal life risk solutions. Our Life Risk personal solutions include life, trauma and disability insurance. Zurich Australia is able to draw on its global strength to provide exceptional service and outstanding value, and provide innovative, customer-friendly products. Corporate responsibility Zurich Australia s Corporate Responsibility approach aims to build trust and integrity with customers, employees, the community and all stakeholders through thoughtful contribution to the community and environment. Community Zurich Australia partners with various organisations, including United Way, with the aim of addressing the wellbeing of Australian communities. United Way is a national network of local independent community organisations with a mission to build strong communities by helping people in need. Through the in-house Community Connections program, employees are provided paid volunteering leave to actively participate in their local communities. Around eight per cent of employees participate in the workplace giving program. Environment Zurich Australia s Green Office program aims to limit the company s impact on the environment and addresses day-to-day operating procedures via energy, paper, water and recycling initiatives. Zurich Australia has qualified for the government accredited Green Power Tick (www.greenpower.com.au) by sourcing 25 per cent of its electricity from green power. Information on this page is current as at the date of this PDS. For more or updated information, please visit As one of the longest standing independent players in the Australian life market, Zurich Australia remains committed to working in partnership with independent financial advisers. Our most recent awards for excellence in service and products are listed on our website. Part 1 Product information Page 2 of 56
5 What is wealth protection? A complete financial plan should generally allow for wealth protection. The trouble is no one likes having to talk about insurance. It s easy to think it ll never happen to me. But the very reason we don t want to think about it is the reason we should. We have to know that whatever happens we ll be able to take care of ourselves and protect our families and/or business partners. That means planning ahead and leaving nothing to chance. Ideally you should have a solution in place to manage unforeseen events. Unfortunately, accidents and illnesses can happen to anyone. Insurance is a contingency plan. It takes care of the what ifs and acts to protect you, your family and/or business partners if something goes wrong. This PDS contains a number of wealth protection products. Those products broadly offer the types of cover described below: Types of cover available Death cover Total & Permanent Disablement (TPD) cover Trauma cover Income replacement Business expenses What is the purpose of the cover? Death cover pays a lump sum on your death or diagnosis of terminal illness. It s one of the easiest products to understand and it s usually the first one people think of. It may: allow your family to repay debts including mortgage, personal loans, guarantees, credit cards and store cards provide an adequate income for your dependants to pay for living expenses, school fees, child care and regular bills protect your business if a key person or principal dies provide a cash deposit to the estate, which may prevent other assets being sold. TPD cover pays a lump sum if you become totally and permanently disabled and therefore are unlikely to ever work again. TPD is about ensuring that you retain as much quality of life as possible. It can: provide funds to allow a family member to give up work to care for you or, alternatively, to fund other home care allow you to repay debts including mortgage, personal loans, guarantees, credit cards and store cards pay for any major renovations required to your home (eg. to permit wheelchair access). Trauma cover provides a lump sum on the diagnosis, or occurrence, of one of a list of specific injuries and illnesses such as heart attack, cancer or stroke. It can: pay for unexpected medical costs provide for lifestyle changes provide for necessary professional care at home repay large debts such as a mortgage allow you to make lifestyle changes, such as reducing work hours, by providing additional income. Income replacement insurance provides a monthly payment generally up to 75 per cent of your pre-tax income if you are unable to work due to sickness or injury. It can allow you to: provide for yourself and your family continue to pay your mortgage, bills, credit cards and other debts and keep all your investment strategies in place. Business expenses insurance is used to cover fixed business expenses if you are unable to work due to sickness or injury. It can keep the business running while you take time out to recover. Without wealth protection, your ability to fund your lifestyle or your family s lifestyle may be jeopardised. Together with your financial adviser, you can create a financial plan that will help you achieve your goals. Part 1 Product information Page 3 of 56
6 Introduction Defined terms In this PDS, all terms appearing in italics (other than in headings) are defined terms with special meanings. Detailed definitions appear in the Policy conditions (Part 2). Product features are capitalised for ease of identification. Important notice The primary purpose of the Zurich Protection Plus policy is to pay a lump sum on your Death, total and permanent disablement or if you suffer a Trauma, depending on the covers selected. The primary purpose of the Zurich Income Replacement policy is to provide an income benefit if you suffer a loss of income because you experience a disability. The primary purpose of the Zurich Superannuation Term Life Plus policy is to pay a lump sum on your death. The products provided in the Wealth Protection PDS are not savings plans. If you terminate your cover at any time other than during the cooling off period, you will not get any money back. Definitions In this Part 1 of the PDS: Zurich, us, our, and we means Zurich Australia Limited, except in the Zurich Superannuation Term Life Plus section (and wherever information is in relation to this product including the Risk-only superannuation section, starting on page 51) where these terms mean Zurich Australian Superannuation Pty Limited. You means the policy owner, except in the Zurich Superannuation Term Life Plus section (and wherever information is in relation to this product including the Risk-only superannuation section, starting on page 51) where you means the life insured (who is also the Fund member). With most Zurich Wealth Protection products, it is possible that the policy owner and the life insured are different people. In this case: the policy owner would normally be paying the premiums and would be receiving the insurance benefit the premium amount would depend on the life insured s circumstances the insurance benefit would only be payable on the death, illness or disability of the life insured, as described in the Policy conditions only the policy owner and not the life insured can extend, vary, cancel or otherwise exercise any right applying to a Zurich Wealth Protection product. Cooling off period After you apply for a Zurich Wealth Protection product and you have received your Policy schedule from Zurich, you have 21 days to check that your policy meets your needs. Within this time you may cancel your policy and receive a full refund of any premiums paid, provided you have not exercised any rights under your policy (with Zurich Superannuation Term Life Plus this may be subject to preservation requirements. You may be required to nominate a complying superannuation fund to which your premiums will be repaid. Refer to page 51). Your request will need to be in writing and forwarded to Zurich at the address shown on the back cover of this PDS. If you exercise any rights in relation to your policy (for example, you make a claim) before the 21 day period has elapsed your option to cancel your policy and receive a refund will be forfeited. Significant risks There are certain risks associated with holding a Zurich Wealth Protection product: if premiums are not paid when due, the policy will lapse, you will no longer be covered and you cannot make a claim. if you do not comply with your duty of disclosure, we may not pay your claim, pay only a portion of your claim or cancel your cover. The duty of disclosure is explained on page 4 of the Application Form. Interim cover While we are assessing your application, we will provide you with interim cover for up to 90 days against accidental death and/or accidental injury, depending on the covers you apply for. The Interim cover certificate (refer to page 54) provides details of the cover provided and the exclusions that apply. Part 1 Product information Page 4 of 56
7 Wealth protection product snapshot Policy Covers available What is it? More information Policy conditions Life insurance Zurich Protection Plus Death cover TPD cover Trauma cover A life insurance product which allows any combination of Death cover, TPD cover and Trauma cover to be selected (including any single cover on its own). Part 1, page 6 Part 2, page 8 Zurich Income Replacement Income protection cover Business expenses cover A life insurance product which provides an income benefit in the event of loss of income due to sickness or injury. Part 1, page 22 Part 2, page 26 Risk-only superannuation Zurich Superannuation Term Life Plus Death cover TPD cover A risk-only superannuation product which offers Death cover and optional TPD cover. Part 1, page 37 Part 2, page 36 If you select more than one product Waived management fees Each of the products described in this PDS is issued as a separate policy. If more than one policy is applied for at the same time, for the same life insured, you will be charged only one Management fee for that life insured (for example if you apply for Zurich Protection Plus and Zurich Income Replacement). Zurich Protection Plus allows you to cover more than one life on a single policy. In this case, you will be charged only one Management fee. Loyalty discounts Depending on which of the above policies you apply for, you may be eligible to receive the following discounts on the premium payable: Multi policy discount a discount which rewards people who have more than one life risk policy with Zurich (or who have multiple stand-alone covers within Zurich Protection Plus). Family discount a discount for members of the same family who take policies (or one multi-life policy) with Zurich. The more family members involved, the higher the discount applying to each member. Business discount a discount for employees/partners in a business who take policies (or one multi-life policy) with Zurich. The more people involved, the higher the discount which will apply to each member. More than one discount may apply to a policy (ie. multi policy discount and family discount or multi policy discount and business discount). The total discount will be expressed as the Loyalty discount. Ability to link covers inside and outside of super (related policies) Zurich will allow a mixture of super and ordinary benefits to be linked by setting up related policies. It is possible to have the following related policy combinations: Protection Plus (ordinary) related to Protection Plus (owned by the trustee of a self-managed super fund) or Protection Plus (ordinary) related to Superannuation Term Life Plus (owned by the trustee of the Zurich Master Superannuation Fund). Related policies remain as two separate policies but will behave as if all linked benefits are combined on one policy, which means that a claim on one cover will impact the other/s. The way in which related policies will interact and other important terms and conditions which apply, are explained in more detail in each of the product sections. Your adviser can provide all the information you need on these multi-product features. Part 1 Product information Page 5 of 56
8 Zurich Protection Plus Cover at a glance A summary of Zurich Protection Plus is set out on this page. An outline of this cover begins on page 8, while the Policy conditions are in Part 2, starting on page 8. Description Zurich Protection Plus is a life insurance product which allows you to select any combination of Death cover, TPD cover and Trauma cover. Within these covers there are standard and optional benefits. Your policy may consist of: a stand-alone cover, ie. Death cover or TPD cover or Trauma cover or any combination of Death, TPD and Trauma covers within the minimum and maximum cover levels. All Protection Plus policies Standard built-in benefits Inflation protection cover will increase every year unless declined by you. Future insurability benefit (personal) increase cover without underwriting at certain times. Financial planning advice benefit reimburses the cost of advice. Premium freeze freeze the amount you pay by reducing your cover. Interim cover puts some cover in place as soon as you apply. Extra cost options Premium waiver option pays premiums if the life insured is disabled and cannot work. Accidental death option extra cover for death due to accident. Living activities TPD option a lump sum payment on the life insured s inability to perform at least two activities of daily living, cognitive impairment or specific loss. Business future cover option increases cover without health evidence each year. Needlestick cover option a lump sum payment on occupationally acquired HIV, Hepatitis B or C. Insured child option includes death, terminal illness and trauma benefits for each child you insure. Death cover Standard built-in benefits Death benefit a lump sum payment on death. Terminal illness benefit an advance payment of the Death benefit on terminal illness. Accidental injury benefit an advance payment of the Death benefit if the life insured suffers a specified injury. Advancement for funeral expenses an advance payment to cover expenses. Buy back death benefit (TPD) Death cover can be reinstated following a TPD claim. Buy back death benefit (Trauma) Death cover can be reinstated following a Trauma claim. Future insurability benefit (business) increase cover without underwriting at certain times. Extra cost options specific to Death cover Accelerated buy back death option early reinstatement of Death cover following a Trauma claim. Part 1 Product information Page 6 of 56
9 TPD cover Standard built-in benefits TPD benefit a lump sum payment on the life insured s total and permanent disablement. Partial TPD benefit an advance payment of the TPD benefit if the life insured suffers a specified injury. Extended trauma cover Standard built-in benefits Trauma benefit a lump sum payment on diagnosis / occurrence of a range of 41 illnesses and injuries. Funeral benefit a lump sum payment on death (stand-alone Trauma only). Partial trauma benefit a part payment of Extended trauma for certain conditions. Paralysis booster benefit doubles the benefit payable in the event of paralysis. Extra cost options specific to TPD cover Double TPD option Death cover can be reinstated after a TPD claim. Buy back TPD option TPD cover can be reinstated following a Trauma claim. Extra cost options specific to Extended trauma cover Trauma reinstatement option Trauma cover can be reinstated after a Trauma claim (for unrelated conditions). Double trauma option Death cover can be reinstated after a Trauma claim. Top-up option increases the Partial trauma benefits payable. PROTEC TION PLUS Basic trauma cover Standard built-in benefits Trauma benefit a lump sum payment on diagnosis / occurrence of a range of 12 illnesses and injuries. Funeral benefit a lump sum payment on death (stand-alone Trauma only). Paralysis booster benefit doubles the benefit payable in the event of paralysis. Part 1 Product information Page 7 of 56
10 Zurich Protection Plus parameters The following table sets out some important eligibility and product limit information: Eligible ages Death cover: TPD cover: Trauma cover: Accidental death option: Living activities TPD option: Needlestick cover option: Expiry ages (all benefits expire on the policy anniversary following the age indicated) Minimum premium Cover levels available Premium options How premiums are calculated Exclusions, restrictions and limitations Death cover: 99 TPD: 99 (65 if you also select Extended trauma). Limited conditions apply from age 64. Trauma: 75 (99 if you select Extended trauma and Death cover. Limited conditions apply from age 75). Premium waiver option: 69 Accidental death option: 75 Living activities TPD option: 99 Business future cover option: cannot be exercised after age 64 Needlestick cover option: 75 Trauma reinstatement option: 74 Insured child option: 18 Buy back death benefit (TPD): cannot be exercised after age 74 Buy back death benefit (Trauma): cannot be exercised after age 74 $160 per year excluding fees and charges (for additional lives under age 18 the minimum premium is $50 per year excluding fees and charges). $50,000 minimum. Maximum cover levels apply depending on the combination of benefits you choose. Stepped premiums increase each year based on the rates applicable for the age of the life insured at that time. Level premiums are based on the age of the life insured when your cover starts. Refer to pages 45 and 46. Premiums are based on your cover amount, options chosen (including whether you select stepped or level), frequency of payments and the life insured s current age, gender and smoking status. The life insured s circumstances including state of health, occupation and pastimes will also be taken into consideration. There are limitations and restrictions on when some benefits may be payable. Any such limitation or restriction will be detailed in the Policy conditions. Refer to pages 8 to 25 (Part 2). Additional information Policy conditions The Additional information section of this PDS, starting on page 45, provides useful information about this policy, including details about the Management fee, stamp duty, taxation, our complaints handling procedure and our privacy provisions. It also tells you how to make a claim. When cover is issued, you will receive a Policy schedule that sets out the particular details of your policy (including: benefit start date/s, benefit expiry date/s, cover amounts, options selected and details of the policy owner and life insured). The Policy conditions (Part 2) will form part of your policy with us, and you should keep them in a safe place. More detail is provided on the next pages and on pages 8 to 25 (Part 2). Part 1 Product information Page 8 of 56
11 Zurich Protection Plus overview The Zurich Protection Plus policy pays a lump sum on the life insured s death, terminal illness, total and permanent disablement (TPD) or if the life insured suffers a specified Trauma, depending on the covers you select. You can select any combination of Death cover, TPD cover and Trauma cover. Details of each cover begin on page 10. Who can be covered? Age eligibility is as set out in the following table: Cover Core covers Age of life insured at entry Minimum Maximum Death cover TPD cover Trauma cover Options Accidental death option/ Needlestick cover option Living activities TPD option All other optional benefits As per the core covers How much cover can I apply for? The minimum amount of cover you can apply for is $50,000 per benefit per life insured, subject to a minimum annual premium for each life insured of $160 (excluding the Management fee and any government charges). Additional insured lives who are children under the age of 18 are subject to a minimum premium of $50 a year, unless they are covered under the Insured child option. The maximum amount of cover you can apply for is subject to the following guidelines in respect of each policy: Core cover Death cover TPD cover $5,000,000 Trauma cover $2,000,000 Maximum amount of cover available per life insured The maximum depends on your needs. Your adviser can help you determine this. Any TPD cover which exceeds $3,000,000 must be matched by at least the same amount of Death cover. If you have a related super policy, any TPD or Trauma cover under your related protection policy cannot exceed the amount of Death cover under the related super policy. Generally the maximum amount of TPD cover available to a life insured working in domestic duties is $1,000,000. After your cover is in force, it can increase above the maximums due to Inflation protection (refer to page 14). Restrictions apply to the total amount of cover in respect of a life insured for all policies from all sources (including all policies issued by other life insurers). Generally: the total TPD cover with us and other life insurers cannot exceed $5,000,000 the total Trauma cover with us and other life insurers cannot exceed $2,000,000 the total occupationally acquired HIV cover with us and other life insurers cannot exceed $2,000,000. How will my covers interact? When you select more than one Zurich Protection Plus core cover we will automatically link the covers together. This ensures that you get the most cost-effective package of cover, but it also means that a claim on one cover will impact the other/s. For example, if you select Death cover and Trauma cover, and you make a claim on your Trauma cover, the Death cover will be reduced by the amount of the Trauma cover claim. While there is a Buy back death benefit which allows the Death cover to be reinstated in the three years following a Trauma cover claim, the Death cover will be reduced for a time. This PDS will assume that all covers are linked, as this is the most common way to set up a policy. If you want the covers to be stand-alone, which means each cover is independent and is not impacted by a claim, we can arrange for your policy to be set up this way. Your adviser can help you to determine which cover best suits your individual circumstances. Related policies It is also possible to have a Protection Plus policy which is related to: another Protection Plus policy, owned by the trustee of a self-managed super fund (SMSF) or a Superannuation Term Life Plus policy, owned by the trustee of the Zurich Master Superannuation Fund. This allows a mixture of super and ordinary benefits to be linked, even though the benefits are provided under separate policies. This is explained in more detail on page 20. PROTEC TION PLUS Part 1 Product information Page 9 of 56
12 Can I increase my cover? Subject to our reassessment of the life insured s personal circumstances, you may apply to increase your cover until the dates outlined. Cover Birthday of life insured when ability to increase ends Death cover 69 TPD cover / Trauma cover 59 Accidental death option / Needlestick cover option Living activities TPD option 69 When will my cover expire? Once your application has been accepted and provided you pay your premiums as due (refer to page 46), we guarantee that we will renew your covers, regardless of any changes to the life insured s health or other circumstances, until the benefit expiry date. The expiry ages for each core cover (Death, TPD or Trauma cover) are set out below and may depend on the combination of covers chosen. Benefits expire on the policy anniversary following the age indicated (as shown on the Policy schedule). 65 Zurich Protection Plus Death cover Built-in benefits which only apply to Death cover (starts on this page) Standard built-in benefits included in all Zurich Protection Plus policies (page 14) Extra-cost options available with Death cover (pages 15 to 18) Death benefit Terminal illness benefit Accidental injury benefit Advancement for funeral expenses Buy back death benefit (TPD) Buy back death benefit (Trauma) Future insurability benefit business Inflation protection Future insurability benefit personal Financial planning advice benefit Premium freeze Interim cover Premium waiver option Accidental death option Living activities TPD option Business future cover option Needlestick cover option Insured child option Accelerated buy back death option Cover Expiry age & any conditions / extensions per life insured Death cover 99 TPD cover 99 From the policy anniversary following 64th birthday, the only covered conditions are inability to perform at least two activities of daily living, cognitive impairment and specific loss and the maximum benefit payable is $3,000,000. If you select TPD cover & Extended trauma cover, TPD cover ends on the policy anniversary following 65th birthday and only Extended trauma cover continues. Trauma cover 75 If you select Extended trauma cover & Death cover, Trauma cover ends at age 99. From the policy anniversary following 75th birthday, the only covered conditions are loss of independence and loss of limbs or sight. Some standard built-in benefits and extra-cost options have different dates for exercise and expiry to the core covers they attach to. Where this occurs, it is explained in the relevant benefit or option section. Death benefit We will pay the Death benefit as a lump sum on the death of the life insured during the term of the policy and prior to the Death benefit expiry date. Pages 8 to 10 (Part 2) explain the terms and conditions of this benefit, including any limits and exclusions. Terminal illness benefit If the life insured is diagnosed as terminally ill, we will pay 100 per cent of the Death cover. Pages 8 to 10 (Part 2) explain the terms and conditions of this benefit, including any limits and exclusions. Accidental injury benefit If the life insured s accidental injury causes the entire and permanent loss of: the use of one hand or the use of one foot or the sight in one eye, we will pay the lesser of 25 per cent of your Death cover and $500,000 or more than one loss from the above list, we will pay the lesser of 100 per cent of your Death cover and $2,000,000. Part 1 Product information Page 10 of 56
13 If you also have TPD or Trauma cover, we will only pay a benefit once in respect of the same accidental injury (being the greater cover amount, if cover amounts differ). Pages 8 to 10 (Part 2) explain the terms and conditions of this benefit, including any limits and exclusions. Advancement for funeral expenses While a death claim is being settled, we may advance part of the Death benefit, up to $15,000, towards payment of funeral expenses to you or your estate. An application for payment of funeral expenses must include satisfactory evidence of death and the funeral invoice. Buy back death benefit (TPD) This benefit only applies if you select Death cover and TPD cover for a life insured and allows you to reinstate Death cover following a TPD claim. This and other reinstatements of cover are all explained together on page 18. Page 9 (Part 2) explains the terms and conditions of this benefit, including any limits and exclusions. Buy back death benefit (Trauma) This benefit only applies if you select Death cover and Trauma cover for a life insured and allows you to reinstate Death cover following a Trauma claim. This and other reinstatements of cover are all explained together on page 18. Page 9 (Part 2) explains the terms and conditions of this benefit, including any limits and exclusions. Pages 8 and 9 (Part 2) explain the terms and conditions of this benefit, including any limits and exclusions. Death cover exclusion No benefit is payable if the life insured commits suicide within 13 months of the benefit start date (or increase in cover but only in respect of that increase) or reinstatement of the policy. Full details of this exclusion are set out on page 10 (Part 2). What happens to my other benefits if I receive a benefit under Death cover? All Death cover, TPD cover and Trauma cover for a life insured reduces by the amount of each Accidental injury benefit, Terminal illness benefit or Advancement for funeral expenses benefit paid for that life insured. If you receive 100 per cent of your Death cover, all cover for that life insured under the policy will cease. PROTEC TION PLUS Future insurability benefit business This benefit entitles you to increase your Death cover prior to age 55, without reassessment of health, within 30 days of the policy anniversary following the end of each financial year of the business, in respect of the following events: if the life insured is a key person in the policy owner s business and the value of the key person to the business increases if the policy owner is a business entity, and the value of the life insured s financial interest in the business entity increases. This benefit does not apply if you select the Business future cover option (explained on page 16). For the first six months after an increase under this benefit, any increased amount is payable only in the event of accidental death. Part 1 Product information Page 11 of 56
14 Zurich Protection Plus TPD cover Built-in benefits which only apply to TPD cover (this page) Standard built-in benefits included in all Zurich Protection Plus policies (page 14) Extra-cost options available with TPD cover (pages 15 to 18) TPD benefit Partial TPD benefit Inflation protection Future insurability benefit personal Financial planning advice benefit Premium freeze Interim cover Premium waiver option Accidental death option Living activities TPD option Business future cover option Needlestick cover option Insured child option Double TPD option Buy back TPD option Total and Permanent Disablement (TPD) benefit We will pay the TPD benefit as a lump sum if the life insured suffers total and permanent disablement during the term of the policy and prior to the TPD benefit expiry date. To be eligible for a TPD benefit, the life insured must satisfy a specific three month disablement qualification period (except if the claim is for specific loss) within the definition of total and permanent disablement on page 53 of Part 2). Depending on the life insured s circumstances, you can apply for: any occupation TPD or own occupation TPD. The life insured will meet our definition of any occupation total and permanent disablement if he or she is unlikely to ever work (for reward or otherwise) in his/ her profession, business or similar occupation or engage in any other occupation to which he/she is fitted by education, training and experience for the rest of his/her life, as a result of the sickness or injury. The life insured will meet our definition of own occupation total and permanent disablement if he or she is unlikely to ever work in his/her own occupation for the rest of his/her life, as a result of the sickness or injury. Regardless of which TPD you choose, the life insured will also meet our definition of total and permanent disablement if he or she: suffers a specific loss is unable to perform normal domestic duties is unable to perform at least two activities of daily living suffers cognitive impairment or is unlikely ever to earn more than 25 per cent of his/ her earnings prior to sickness or injury. From the policy anniversary following the life insured s 64th birthday, TPD cover will only provide cover for the inability to perform at least two activities of daily living, cognitive impairment and specific loss. The maximum benefit payable is then $3,000,000. From the policy anniversary following the life insured s 65th birthday, TPD cover will cease if you have also selected Extended trauma. Pages 10 and 11 (Part 2) explain the terms and conditions of this benefit, including any limits and exclusions. Partial TPD benefit If the life insured suffers the entire and permanent loss of the use of one hand or one foot or the sight in one eye, we will pay the lesser of 25 per cent of your TPD cover or $500,000. If you also have Death or Trauma cover, we will only pay a benefit once in respect of the same loss of use (being the greater cover amount, if cover amounts differ). Pages 10 and 11 (Part 2) explain the terms and conditions of this benefit, including any limits and exclusions. TPD cover exclusions We will not pay a TPD benefit if the life insured s total and permanent disablement is due to intentional selfinflicted act or attempted suicide or any other event or medical condition specified on the Policy schedule. Full details of these exclusions are set out on page 10 (Part 2). What happens to my other benefits if I receive a TPD benefit? Once you receive a benefit under the TPD cover, any Trauma cover and any Death cover for the same life insured will be reduced by the amount paid. Refer to pages 18 to 20 for information about reinstating cover after a claim. Part 1 Product information Page 12 of 56
15 Zurich Protection Plus Trauma cover Extended trauma cover Built-in benefits which apply to Extended trauma cover (starts on this page) Standard built-in benefits included in all Zurich Protection Plus policies (page 14) Extra-cost options available with Extended trauma cover (pages 15 to 18) Basic trauma cover Built-in benefits which apply to Basic trauma cover (this page) Standard built-in benefits included in all Zurich Protection Plus policies (page 14) Extra-cost options available with Basic trauma cover (pages 15 to 17) Trauma benefit (41 conditions) Funeral benefit Paralysis booster benefit Partial trauma benefit Inflation protection Future insurability benefit personal Financial planning advice benefit Premium freeze Interim cover Premium waiver option Accidental death option Living activities TPD option Business future cover option Needlestick cover option Insured child option Trauma reinstatement option Double trauma option Top-up option Trauma benefit (12 conditions) Funeral benefit Paralysis booster benefit Inflation protection Future insurability benefit personal Financial planning advice benefit Premium freeze Interim cover Premium waiver option Accidental death option Living activities TPD option Business future cover option Needlestick cover option Insured child option Trauma benefit We will pay the Trauma benefit as a lump sum if the life insured suffers a specified Trauma during the term of the policy and prior to the Trauma benefit expiry date. You can choose: Basic trauma 12 covered conditions as outlined in the list trauma events basic on page 53 (Part 2) or Extended trauma 41 covered conditions as outlined in the list trauma events extended on page 54 (Part 2). Each condition is defined in the Definitions section (Part 2). From the policy anniversary following the life insured s 75th birthday the only insured events which apply are loss of independence and loss of limbs or sight. Benefits are not payable for some covered conditions if they arise in the first 90 days after cover begins, is increased (but only in respect of that increase) or reinstated. Any stand-alone Trauma cover (or any Trauma cover which exceeds Death cover) is not payable unless the life insured survives the occurrence of the specified Trauma for 14 days. Pages 12 and 13 (Part 2) explain the terms and conditions of this benefit, including any limits and exclusions. Funeral benefit This benefit only applies if Death cover is not selected. We will pay a Funeral benefit of $5,000 if the life insured dies during the term of the policy and he or she does not meet the requirements for a Trauma benefit. We will not pay the Funeral benefit if: you have received a Trauma benefit other than a Partial trauma benefit for the life insured or death is the result of suicide within 13 months of the benefit start date or reinstatement of the policy. Page 13 (Part 2) explains the terms and conditions of this benefit, including any limits and exclusions. Paralysis booster benefit If we pay a Trauma benefit for paralysis (diplegia, hemiplegia, quadriplegia or paraplegia) then we will double the amount of Trauma benefit payable. The maximum boosted Trauma benefit we will pay is $2,000,000. PROTEC TION PLUS Part 1 Product information Page 13 of 56
16 Partial trauma benefit (Extended trauma) This benefit provides a life insured with cover for 10 additional events, as long as his or her Extended trauma benefit amount is $100,000 or more. The list of conditions covered is set out on page 12 (Part 2) and each condition is defined in the Definitions section (Part 2). The benefit payable for these conditions is 10 per cent of the Extended trauma benefit, subject to a maximum of $25,000. For example, if the Trauma cover is $100,000 and we pay a benefit for carcinoma in situ, the amount payable will be $10,000 and the Trauma cover will reduce to $90,000. A Partial trauma benefit will only be paid once for each event, except for minimally invasive cardiac surgery including coronary artery angioplasty which may be claimed on more than one occasion. Benefits are not payable for some covered conditions if they arise in the first 90 days after cover begins, is increased (but only in respect of that increase) or reinstated. Page 12 (Part 2) explains the terms and conditions of this benefit, including any limits and exclusions. Trauma cover exclusions We will not pay a Trauma benefit where the insured event is a result of intentional self-inflicted act or attempted suicide or any other event or medical condition specified on the Policy schedule. If you have both Trauma cover and TPD cover and claim for the same insured event under both covers, we will only pay the Trauma benefit, unless the TPD sum insured is higher, in which case we will also pay a TPD benefit of the difference in the sums insured. Full details of these exclusions are set out on page 12 (Part 2). What happens to my other benefits if I receive a Trauma benefit? Once you receive a benefit under your Trauma cover or you receive an advance of your Trauma cover, any TPD cover and any Death cover for the same life insured will be reduced by the amount paid. When 100 per cent of your Trauma benefit has been paid your Trauma benefit will cease. Refer to pages 18 to 20 for information about reinstating cover after a claim. Zurich Protection Plus standard built-in benefits Built-in benefits Death cover Built-in benefits TPD cover Built-in benefits Extended trauma cover Built-in benefits Basic trauma cover Standard built-in benefits included in all Zurich Protection Plus policies (starts on this page) See pages 10 and 11 See page 12 See pages 13 and 14 See pages 13 and 14 Inflation protection Future insurability benefit personal Financial planning advice benefit Premium freeze Interim cover The following benefits apply to Death cover, TPD cover and Trauma cover. Inflation protection Each year, until the expiry of your policy, we will provide you the opportunity to increase the cover by the greater of 5 per cent and the consumer price index to keep up with inflation. This is known as an Indexation offer. Unless you reject the Indexation offer, your premiums will increase each year by an extra amount to reflect that change. If you take up the Indexation offer you do not have to provide any further health evidence. Future insurability benefit personal This benefit entitles you to increase your Death cover, TPD cover or Trauma cover prior to the life insured s 55th birthday, without reassessment of his or her health, within 30 days of the policy anniversary following the events described below. If the life insured: gets married or divorced becomes a parent (through birth or adoption of a child) becomes a full-time carer becomes a widow or widower (through the death of a spouse) takes out for the first time or increases his/her mortgage on his/her principal place of residence Part 1 Product information Page 14 of 56
17 takes out for the first time an investment property loan has a dependent child start secondary school Zurich Protection Plus optional benefits experiences a significant increase in salary. For the first six months after an increase under this benefit any increased benefit amount is only payable in the event of the life insured s accidental death or accidental injury. Pages 13 and 14 (Part 2) explain the terms and conditions of this benefit, including any limits and exclusions. Financial planning advice benefit We will reimburse you up to $3,000 towards the cost of financial planning advice required as a result of a payment being made under your policy. You may be asked to provide us with sufficient proof. Extra-cost options available with all Zurich Protection Plus policies (starts on this page) Extra-cost options only available with Death cover (page 19) Extra-cost options only available with TPD cover (page 19) Premium waiver option Accidental death option Living activities TPD option Business future cover option Needlestick cover option Insured child option Accelerated buy back death option Double TPD option Buy back TPD option PROTEC TION PLUS Premium freeze At any policy anniversary, you can choose to freeze your premium, in which case the amount you pay will stay the same but the amount of cover will generally decrease each year. Extra-cost options only available with Extended trauma cover (pages 17 and 18) Trauma reinstatement option Double trauma option Top-up option Interim cover While we are assessing your application, we will provide you with interim cover for up to 90 days against accidental death and/or accidental injury, depending on the covers you apply for. The Interim cover certificate on page 54 provides details of the cover provided and the exclusions that apply. You can select from the following optional benefits to design a policy that best meets your needs. You will be charged an additional premium for each optional benefit you select. Premium waiver option This option will refund and then waive premiums for a life insured (for all benefits under your policy), while he or she is totally disabled prior to age 70. You must pay premiums for the first three months while a life insured is totally disabled. If the life insured remains totally disabled, we will refund those premiums and then waive future premiums. In addition, if a life insured is involuntarily unemployed other than as a direct result of sickness or injury, your policy has been in force for the previous 12 months at the time we receive the claim and the life insured is registered with an employment agency approved by us, we will waive the premium for that life insured for up to three months (over the life of the policy). Page 18 (Part 2) explains the terms and conditions of this benefit, including any limits and exclusions. Part 1 Product information Page 15 of 56
18 Accidental death option We will pay the Accidental death benefit as a lump sum in the event of the life insured s accidental death while the policy is in force and before the option ends on the policy anniversary following the life insured s 75th birthday. The minimum Accidental death amount you can apply for is $50,000 and the maximum is $1,000,000. Page 16 (Part 2) explains the terms and conditions of this benefit, including any limits and exclusions. Living activities TPD option We will pay the Living activities TPD benefit as a lump sum in the event that the life insured: suffers a specific loss or is unable to perform at least two activities of daily living or suffers cognitive impairment while the policy is in force and before the option ends on the policy anniversary following the life insured s 99th birthday. The minimum Living activities TPD amount you can apply for is $50,000 and the maximum depends on whether you have also selected TPD cover (as explained on page 12). The maximum across all of these covers cannot exceed $5,000,000. From the policy anniversary following the life insured s 64th birthday, the maximum benefit payable across all these covers is $3,000,000. Page 16 (Part 2) explains the terms and conditions of this benefit, including any limits and exclusions. Refer also to the definition of total and permanent disablement on page 53 (Part 2). Business future cover option This benefit entitles you to increase your cover each year without reassessment of health. Death cover can be increased prior to the life insured s 65th birthday and TPD and Trauma cover can be increased prior to the life insured s 60th birthday. When you increase cover under this option the premium will increase to reflect the increased benefit. If the purpose of your policy appearing on your Policy schedule is: key person insurance or loan / guarantor protection or buy-sell / shareholder or partnership protection or a combination of the above purposes and the value of the life insured s interest in the business or loan guarantee or his/her value of the key person to the business increases, this option allows you 30 days to apply to increase your cover without providing further health evidence. You can choose this option: on your Death cover only or on all covers applied for (ie. Death, TPD and Trauma cover, as applicable). In this case, when you wish to exercise an increase you can either increase only the Death cover, or you can increase all of your covers. Any covers increased at the same time must be increased proportionally. Pages 16 to 18 (Part 2) explain the terms and conditions of this benefit, including any limits and exclusions. Needlestick cover option This option is only available to a life insured who works in an exposure-prone occupation such as a doctor, nurse, pathologist or dentist. Your adviser can help you to determine eligibility. We will pay the Needlestick cover benefit as a lump sum if the life insured becomes infected with HIV, Hepatitis B or Hepatitis C as a result of an accident occurring during the course of his or her normal occupation and before the option ends on the policy anniversary following the life insured s 75th birthday. Accidents leading to the contraction of HIV, Hepatitis B or Hepatitis C could result from sharps accidents, splash back and inhalation of blood or bone dust which could occur during surgery. The minimum Needlestick cover amount you can apply for is $50,000 and the maximum is $1,000,000 (any multiple of $50,000 may be selected, up to the maximum). We will only pay an amount under this option once. Indexation offers will not apply to your Needlestick benefit. Any accident which could result in a claim must be reported to us as soon as possible. In the event of a claim under this option there is very specific evidence which must be provided. Page 22 (Part 2) explains the terms and conditions of this benefit, including any limits and exclusions. Part 1 Product information Page 16 of 56
Protecting your future Life Cover Total & Permanent Disability Critical Illness Income Protection Business Expenses Premium Waiver Preparation date 3 October 2016 Issue no: 10 Trustee NULIS Nominees (Australia)