Insurance Terms

Here are some common insurance terms as defined in the Personal Insurance: Your Choice Product Disclosure Statement. All benefits are subject to the full terms, conditions and exclusions.

Application means the document by which you apply for the Policy and shows the Benefit(s) and level(s) of cover selected.

Beneficiary means the person or persons you have nominated on the Policy Application or in writing, who will be paid the proceeds of your policy in the event of your accidental death. You may change your beneficiary at any time by writing to us.

Commencement Date means the date that cover commences as shown in the Application and the policy schedule, subject to the payment of the premium on or before the relevant Premium Due Date.

Covered Condition means one of the covered conditions that first manifested after 30 days from the Commencement Date of this Policy and is diagnosed or treated while this Policy is in force in accordance with the requirements prescribed for each condition, excluding bodily injuries (except where Coma results from such injuries) and Pre-existing Conditions.

Covered Injury means bodily harm resulting from an accident occurring after 14 days of the

Commencement Date of the Policy (with the exception of Accidental Death and Paraplegia and Quadriplegia) and while this Policy is in force, and is due to violent, external, and visible means, but does not include sickness, post-traumatic stress, or a Pre-existing Injury Condition.

Covered Sickness means a bodily illness or disease that first manifested after 30 days from the Policy Commencement Date while this Policy is in force, but does not include bodily injuries or a Pre-existing Condition. We will cover you for loss caused by a Pre-existing Condition where your loss begins after you have held this Policy for 24 months from the Commencement Date of the Policy, unless you have been issued with an endorsement to this Policy which excludes you from claiming for a Pre-existing Condition.

Covered Person means your Spouse and any Eligible Child.

Eligible Child means an unmarried dependent child (including a stepchild and a legally adopted child) over the age of 6 months and under the age of 18 at the date of the event giving rise to the claim.

Insured means the person named as the Insured on the Application Form and policy schedule, and to whom benefits will be made payable.

Medical Practitioner means a Medical Practitioner licensed in Australia, New Zealand, European Union Member States, the United States of America, or Canada and operating within the scope of his or her licence in the relevant country (ies), and is not related to you by blood or marriage and is acceptable to us.

Partially Disabled means the ability to perform one or more, but not all of the substantial duties of your business or occupation.

Pre-existing Condition means an injury or a bodily illness or disease for which you or a Covered Person received medical advice or treatment within 24 months before the Commencement Date of the Policy. Specifically for Total and Partial Disability Benefits only under Accident cover, beginning 24 months after the Commencement Date, your injury will no longer be considered a Pre-existing Condition, and you will be covered for loss that commences from that date on.

Premium Due Date means the due date for receipt of renewal or instalment premiums payable for this Policy.

Professional Carer means a person (who is not a family member of you or a Covered Person) who provides assistance with bathing, toileting, eating and dressing, in return for payment made by or on behalf of you.

Policy Year means twelve months computed from the receipt of the Application form and, where applicable, twelve months computed from each subsequent anniversary.

Specialist means a duly qualified Medical Practitioner specialising in the medical discipline relevant to the Covered Injury or Covered Sickness and is not related to you by blood or marriage.

Spouse means your partner in a legally recognised marriage or de-facto relationship.

Totally Disabled means the inability to perform each of the substantial duties of your business or occupation.

Waiting Period means the period you must be disabled for before any benefits for Disability will begin and is shown in the policy schedule.


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