ita terms & conditions
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International Term AssurancePolicy terms and conditions
Zurich International Life
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The Policy is provided by Zurich International Life
Limited (‘the Company’) and is subject to these
terms and conditions, the application and any
other submissions made by the Policy Owner
and any Life Insured. Any changes or additions
to the Policy can only be made in writing from
the head office of the Company or that branch
of the Company where premiums are payable
as set out in the Schedule. Please keep this
document in a safe place with your Schedule.
In the event of fraud, or if you do not tell us all
the relevant facts, the Company reserves the
right to revoke the Policy.
References to the ‘Relevant Life Insured’ means
the person upon which payment of a Benefit
depends. If the Policy has two Lives Insured, the
Company will pay the cash sum Benefit when
the first Life Insured dies, or is diagnosed with a
Terminal Illness, or contracts a Critical Illness or
becomes totally and permanently disabled.
This document sets out the Policy terms and conditions
of the International Term Assurance Policy (the ‘Policy’).
The Policy will provide Cover during the Policy Term on the Life or Lives Insured shown on
the Policy Schedule (the ‘schedule’). The types of Cover
provided are specified in the Schedule and defined in
Appendix 1, Definitions of words used in this Policy.
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Section Page
1 InternationalTermAssurancePolicy 41.1 Life Cover and Accelerated Life Cover 41.2 Critical Illness Benefit 41.3 Permanent and Total Disability Benefit 41.4 Amount of Cover 41.5 Length of Policy Term 41.6 Exclusions 4
2 TheBenefitsinmoredetail 52.1 Life Cover 52.2 Critical Illness Cover 62.3 Permanent and Total Disability Benefit 7
3 WhatisthePolicyTerm? 10
4 WhocanholdthePolicy? 10
5 MakingPremiumPayments 11
6 HowflexibleisthePolicy? 12
7 Whatifyourcircumstanceschange? 12
8 MakingaClaim 138.1 General Conditions 138.2 Claiming for the Life Cover Benefit 138.3 Claiming the Accelerated Life Cover Benefit 138.4 Claiming for Critical Illness Benefit 138.5 Claiming for Permanent and Total Disability Benefit 13
9 LawandInterpretation 14
10 ChangestothePolicy 14
11 TheroleoftheCompanyChiefActuary 15
12 OtherInformation 1512.1 Active War Risk 1512.2 Passive War Risk 1512.3 Beneficiary Designation 1612.4 Events which may affect the Policy 1612.5 Notices to the Company 1612.6 Incorrect date of birth of the Life Insured 1612.7 Currency 1712.8 Force Majeur 1712.9 Right to Cancel 17
Appendix1–DefinitionsofwordsusedinthisPolicy 18
Appendix2–CriticalIllnessesdefinitions 19
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Contents
The Policy will provide Life Cover with the option
to select either Critical Illness or Permanent and
Total Disability Cover as an Additional Benefit.
The Policy can be written as a single Life policy
or as a joint Life first death policy with a term
specified in the Schedule.
1.1 LifeCoverandAcceleratedLifeCover
A The Company will pay a cash sum,
Life Cover, if the Relevant Life Insured dies
during the Policy Term.
B If the Relevant Life Insured is diagnosed
as having a Terminal Illness that meets the
definition set out in this Policy, instead of
the Benefit payable in 1.1 (A), the Company
will pay a cash sum, Accelerated Life
Cover, defined in section 2.1A (iii) and
Appendix 1.
1.2 CriticalIllnessBenefit
The Company will pay the selected cash
sum if, during the Policy Term the Relevant
Life Insured is diagnosed with a Critical
Illness defined in Appendix 2 of this Policy.
Any Critical Illness payment will reduce
or extinguish the Life Cover. Please note
Critical Illness has a different definition
than that applying to Terminal Illness.
1.3 PermanentandTotalDisabilityBenefit
The Company will pay the selected
cash sum if due to accident or illness
the Relevant Life Insured is totally and
permanently disabled from performing
his/her own occupation or any other
occupation. Any Permanent and
Total Disability payment will reduce
or extinguish the Life Cover.
For more information on the Benefits
referred to above, please read Section 2.
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1.4 AmountofCover
The Schedule shows the initial amount of
Life Cover selected by the Policy Owner,
any optional Additional Benefits included
and any specific exclusions the Company
has applied to this Policy. These exclusions
are in addition to the general exclusions
set out in other parts of this document.
If the Life Cover and Additional Benefits
are increased following payment of
additional premium, or if the Life Cover
is decreased (following payment of an
Additional Benefit); a Policy Endorsement
(‘Endorsement’) to reflect this will be issued.
1.5 LengthofPolicyTerm
The Policy Owner agrees to the Policy Term
at the start of the Policy and at the end of
the term the Cover will stop. The Policy
does not have a cash-in value at any time.
1.6 Exclusions
The Company will include any specific
exclusion that has been accepted by the
Policy Owner and the Life or Lives Insured
on the Schedule. Any exclusion shown on
the Schedule removes the Company’s
obligation to pay the Benefits where the
claim results from the Relevant Life Insured
taking part in certain specified occupations,
pursuits or activities, or where the Relevant
Life Insured suffers from certain specified
illnesses, disabilities or medical conditions.
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1 International Term Assurance Policy
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(ii) The day before the Life Insured
attains 80 years of age. Or the day
before the oldest Life Insured attains
80 years of age on a joint Life first
death policy;
(iii) When the Relevant Life Insured dies;
(iv) When the Relevant Life Insured is
diagnosed with a Terminal Illness,
as defined by the Policy, during the
Policy Term, providing that more than
18 months of the Policy Term remains;
(v) At the end of the deferment period
where the Relevant Life Insured is
suffering from total and permanent
disablement, as defined by the Policy
and the amount claimed equals the
amount of the Life Cover;
(vi) If the Relevant Life Insured is
diagnosed with a Critical Illness,
as defined by the Policy, and the
amount claimed equals the amount
of the Life Cover;
(vii) If the Policy Owner fails to pay the
premiums; please see Condition 5
of these Terms and Conditions
for details;
(viii) The Policy Owner requests in writing
to end the Policy;
(ix) In the event of two Lives Insured,
the Policy will stop when the first Life
Insured dies or is diagnosed with a
Terminal Illness or, if earlier, when
one of the other events referred to
above occurs.
2.1 LifeCover
A When is the Life Cover Benefit payable?
(i) The Company will pay the Life Cover
cash sum if the Relevant Life Insured
dies during the Policy Term.
(ii) The Company will pay the Life Cover
cash sum early if the Relevant Life
Insured is diagnosed with a Terminal
Illness and has less than 12 months
to live; provided the diagnosis is
confirmed before the start of the
last 18 months of the Policy Term.
(iii) A Terminal Illness is an advanced or
rapidly progressing incurable illness,
where, in the opinion of an attending
Medical Practitioner (as defined in
Condition 2.3 C of these Terms and
Conditions) and the Company Chief
Medical Officer; the Relevant Life
Insured’s Life expectancy is no more
than 12 months (‘Terminal Illness’).
If the Policy has two Lives Insured, the
Company will pay the cash sum when the
first Life Insured dies or is diagnosed with
a Terminal Illness.
B What amount is payable on death?
The Schedule or any subsequent
Endorsement show the amount payable
and this will be reduced by any amount
of Permanent and Total Disability Benefit
or Critical Illness Benefit already paid.
C When does the Policy stop?
The Policy will stop on the occurrence of
the earliest of one of the following events:
(i) At the end of the Policy Term;
2 The Benefits in more detail
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D When will the Company not pay out the
Life Cover?
The Company will not normally pay out
Benefits if:
(i) The Policy Owner has not made all
premium payments that were due;
please refer to Condition 5 of these
Terms and Conditions for details;
(ii) The Relevant Life Insured commits
suicide (whether sane or insane) within
12 months of the commencement
date of the Policy. The Company will
refund the premiums paid since the
commencement date of the Policy or
date the Policy was reinstated. If Life
Cover has been increased and the
Relevant Life Insured commits suicide
within 12 months of the increase, the
Company will not pay the increased
Life Cover amount but will refund
the increased premium payments
made since the date of the increase,
less any reasonable administration
costs incurred by the Company;
(iii) The Policy Owner has knowingly
or recklessly failed to disclose or
deliberately misrepresented any fact
that an insurer would regard as likely
to influence the Company’s decision
to grant insurance Cover under this
Policy or would affect the level of
premium payable. This may result in
no payment or a reduced payment
being made;
(iv) The Relevant Life Insured is diagnosed
with a Terminal Illness within the last
18 months of the Policy Term and the
Relevant Life Insured survives until the
Policy ends;
(v) The Company has not received
written notification of death within
28 days of the date of death of the
Relevant Life Insured.
2.2 CriticalIllnessCover
This Additional Benefit will only apply
when the Schedule indicates that such
Cover has been granted by the Company.
This Additional Benefit is not available if
the oldest Life Insured is aged 60 years or
older at the Policy Commencement Date.
A When will the Company pay the
Critical Illness Cover?
(i) The Company will pay the Critical
Illness cash sum if the Relevant Life
Insured is diagnosed with a Critical
Illness that meets the definition set
out in Appendix 2;
(ii) The Policy will end if the Critical
Illness cash sum is the same as the
Life Cover cash sum or, the Life
Cover will be reduced by the amount
of the Critical Illness claim;
(iii) The Company will only pay Benefits
in connection with the Critical
Illnesses defined in these Terms
and Conditions and no others.
B Critical Illness claims
All diagnoses and medical opinions in
support of Critical Illness claims must be
given by a medical specialist who:
(i) Is acceptable to the Company’s
Chief Medical Officer; and
(ii) Is a specialist in an area of medicine
appropriate to the cause of the
claim; and
(iii) Is a legally qualified and duly licensed
medical physician or surgeon acting
within the scope of that license; and
(iv) Who is not the Life Insured or a close
relative of either the Life Insured or
their spouse or, the Policy Owner or
their spouse.
If there are two Lives Insured, the
Company will pay out the Critical Illness
Benefit if and when the first Life Insured is
diagnosed with a Critical Illness that meets
our Policy definition.
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C How much Benefit will the Company
pay out?
The Schedule or any subsequent
Endorsement will show the amount
of Benefit payable by the Company.
Only one Critical Illness payment will
be made under this Policy.
D When does the Policy stop?
The Policy will stop in accordance with
Condition 2 of these Terms and Conditions
(Life Cover).
E When will the Company not pay out the
Critical Illness Benefit?
The Company will not pay out a Benefit
if you have not made all the premium
payments that were due.
The Company will not pay a Critical Illness
claim if:
(i) The illness suffered does not exactly
meet the Policy definitions set out in
Appendix 2;
(ii) The illness suffered is not included in
these Terms and Conditions; or
(iii) You do not tell us about the claim
within 60 days of the Relevant Life
Insured affected being informed of
the diagnosis or the operation.
In some cases, the Company may apply
additional exclusions when agreeing to
accept your Application. Any exclusion
applied to the Policy will be shown on
your Schedule.
Benefits under this option will commence
6 months after (i) the On Risk Date,
defined in Appendix 1 and shown on the
Schedule, or (ii) any reinstatement or (iii),
in respect of any increase in Benefit, the
date of increase.
F Can Critical Illness premium
payments change?
The Company guarantees that your Critical
Illness premium payment amounts for the
first 5 years of the Policy will not change.
At the fifth policy anniversary the
Company will review your premium
payment amount and then subsequent
reviews will take place every 5 years
throughout the Policy Term.
If the predicted cost of providing Critical
Illness Benefit is higher than expected, you
will either need to increase your premium
payments to keep your chosen level of
Cover throughout the Policy Term, or
reduce your Cover and keep your premium
payments the same.
When predicting the cost of providing
Critical Illness Benefit, the Company will
consider various issues, including past and
predicted future claims experience across
the Life assurance business as well as
developments in medical treatments and
diagnostic techniques.
Any increase in Cover will be guaranteed
for a further 5 years from the date of
increase and also reviewed every 5 years
from the date of increase.
2.3 PermanentandTotalDisabilityBenefit
The Company will pay this Additional
Benefit if and when the Life Insured is
diagnosed with a permanent and total
disability or, if there are two Lives Insured,
the first Life to be so diagnosed. It will only
apply where the Schedule indicates that
such Cover has been granted and it is not
available if the oldest Life Insured is aged 60
years or older at the Policy Commencement
Date, shown in the Schedule.
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A This Additional Benefit provides a lump
sum payable in the event of the permanent
and total disablement of the Relevant Life
Insured subject to Conditions B, C, D and E
of these Terms and Conditions.
B Where the Relevant Life Insured is under
65 years of age, they must be certified
by a Medical Practitioner appointed or
approved by the Company’s Chief Medical
Officer to be totally and permanently
disabled through accident or illness and
to be unable ever again to follow his/her
usual occupation or any other occupation.
(i) ‘Medical practitioner’ means a legally
qualified and duly licenced medical
physician or surgeon acting within
the scope of that licence who is not
the Life Insured or a close relative of
either the Life Insured or their spouse
or, the Policy Owner or their spouse.
(ii) For the purposes of this Condition
in relation to housewives and
househusbands under 65 years of
age ‘permanent and total disability’
means the following:
Confirmation by a Medical
Practitioner appointed or approved
by the Company’s Chief Medical
Officer, of the permanent inability,
through illness or accident, to
perform at least two of the following
activities of daily working. The
inability to perform an activity shall
only be valid if the help of another
person is needed to perform the
function even when using
appropriate assistive aids and
appliances. For the purpose of this
event the word ‘permanent’ shall
mean beyond the hope of recovery
with current medical knowledge
and technology.
The activities of daily working are:
• Walking – the ability to walk
more than 200 metres on the
flat without stopping or
severe discomfort.
• Bending – the ability to get into
or out of a standard saloon car,
or the ability to bend or kneel to
pick up a tea cup from the floor
and straighten up again.
• Communications – the ability to
answer the telephone and take
a message.
• Reading – having the eyesight
required to be able to read a
daily newspaper.
• Writing – having the physical
ability to write legibly using a
pen or pencil.
(iii) For the purposes of this condition in
relation to a Life Insured 65 years of
age or over permanent total disability
means the following:
Confirmation by a Medical
Practitioner appointed or approved
by the Company’s Chief Medical
Officer, of the permanent inability,
through illness or accident, to
perform at least four of the following
activities of daily living. The inability
to perform an activity shall only be
valid if the help of another person is
needed to perform the function even
when using appropriate assistive aids
and appliances. For the purpose of
this event the word ‘permanent’ shall
mean beyond the hope of recovery
with current medical knowledge and
technology.
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The activities of daily living are:
(i) Feeding/eating:Cutting meat, buttering bread,
getting food and drink to the
mouth using fingers or utensils.
(ii) Dressing:Dressing oneself including fastening
zips and buttons, getting clothes
from wardrobes and drawers.
(iii) Bathing/grooming:Turning on taps, getting in and out
of bath/shower, washing face/hands
etc, drying oneself, combing hair.
(iv) Toileting:Moving into and out of the bathroom,
getting on and off the toilet unaided,
recognising the need or urge to void
bladder or bowel in time to get to
the toilet.
(v) Mobility/transfer:Getting into and out of bed,
transferring from one place to
another e.g. chair to bed, chair to
standing, chair to chair.
(vi) Walking/using a wheelchair:Moving from one location to another
– walking or using an unpowered
wheelchair propelled by the Relevant
Life Insured or using frame
C The Company will only pay the Permanent
and Total Disability Benefit if the Relevant
Life Insured has been continuously and
totally disabled and unable to follow his/her
usual occupation or any other occupation
for a period of 6 consecutive months.
D The Company will not make any payment
under the Permanent and Total Disability
Benefit should the incapability of the
Relevant Life Insured was caused wholly or
partially, directly or indirectly, from or in
connection with or be aggravated by one
or more of the following causes:
(i) The Life Insured being found to
be infected by any Human
Immunodeficiency Virus (HIV) or
to be carrying any antibodies to
such a virus;
(ii) Participation in or training for any
dangerous or hazardous sport or
competition or riding or driving in
any form of race or competition;
(iii) Aviation, gliding or any other form
of aerial flight other than as a fare
paying passenger of a recognised
airline or charter service;
(iv) Attempted suicide or self inflicted
injury whilst sane or insane;
(v) Failure to seek timely or to follow
medical advice;
(vi) Addiction to, abuse or misuse of
alcohol, or the addiction to, or
misuse of unprescribed drugs;
(vii) Mental, nervous or psychiatric
disorders, without demonstrable
brain disease;
(viii) Any disability, abnormality or
deformity which originated prior to
the later of the date on which this
Additional Benefit was most recently
added to the Policy, the On Risk Date
stated in the Schedule, the date of
any reinstatement or, in respect of
any increase in Benefit, the date
of increase.
E The Life Insured must take every reasonable
action, including having any appropriate
medical or surgical procedure and without
limitation take every reasonable step to
lessen the disability in order that the Life
Insured can carry out his/her normal
occupation or any other occupation.
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The minimum term of the Policy is 5 years.
The maximum term of the Policy is 35 years.
The Policy must end before the oldest Life Insured’s 80th birthday.
A Policy OwnerThe maximum number of Policy Owners is
two and both must be aged at least 18
years at the Policy Commencement Date.
B Life InsuredThe maximum number of Lives Insured is
two and both must be aged at least 18
years at the Policy Commencement Date.
The maximum age of the Life Insured at
the Policy Commencement Date is 74
years. If there are two Lives Insured,
the maximum age of the older person
is 74 years.
3 What is the Policy Term?
4 Who can hold the Policy?
If Critical Illness or Permanent and
Total Disability Benefits are selected,
the maximum age of the older Life
Insured is 59 years at the Policy
Commencement Date.
C ‘Life of Another’ PoliciesThe Policy can be taken out on someone
else’s Life as long as they agree and the
Policy Owner can show they would suffer
financially if the Life Insured were to die,
suffer a Critical Illness or become
permanently and totally disabled. The term
‘Life of Another’ is defined in Appendix 1.
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The regular premium payments due must be
paid throughout the Policy Term and the amount
of each premium payment due and the Policy
Term is shown on your Schedule.
A Can premium payments be changed by
the Company?
Your premium payments in respect of Life
Cover and, if selected, Permanent Total
Disability Benefit will remain unchanged
throughout the Policy Term.
Premium payments in respect of Critical
Illness Benefit, if selected, will remain
unchanged for 5 years from the Policy
Commencement Date. At the fifth Policy
anniversary date the premium amount
will be reviewed and then further
premium reviews will occur every
5 years thereafter for the remainder
of the Policy Term.
The Company reserves the right to
increase the premium payment amount
for the Critical Illness Benefit at each
5 year review date.
If you purchased the Policy in conjunction
with a Vista Policy issued by the Company
resulting in a reduced Policy premium;
if the Vista Policy lapse or be surrendered,
the Company reserves the right to
re-calculate the future Policy premiums
as if the Vista Policy had not existed.
Your premium payments will change if you
ask to increase the amount of Cover and
the Company accepts your request.
5 Making Premium Payments
B How are premium levels calculated?
Premiums are calculated based on the type
and amount of Life Cover you have
selected, any Additional Benefits included,
the Policy Term, the age and sex of the
Life Insured, and whether they smoke.
The health of the Life Insured, their
occupation and any recreational activities
may result in an increase to the premium
amount. Any such increase will be shown
on or included in the premium payment
shown on the Schedule.
If you pay premiums by credit card, the
Company will charge an additional 1%
of each premium payment amount.
C When will Cover under the Policy begin?
The Policy will not commence until the
first premium payment is received by the
Company. If this premium payment is not
received, the Policy will not become
effective and no Cover will be provided.
D How and when should premium payments
be made?
Premiums are to be paid where the Policy
was issued or where the Company has
an office or it could be paid to the Head
Office of the Company in the Isle of Man.
No receipt for any payment is valid unless
on the Company’s printed form.
All premiums must be paid in the Policy
currency shown on the Schedule. The
premium currency may be changed at any
Policy anniversary date using an exchange
rate determined by the Company.
Your premium payments will stop when
the Policy stops. Please refer to Conditions
2 and 8 of these Terms and Conditions.
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E What happens if premiums are not paid
or received by the Company?
All premiums must be paid within 3
months of the Payment Due Date shown
on the Schedule. If you do not make a
payment when it is due, and 3 months
have elapsed the Policy will lapse without
any value and Cover will cease.
If the Company accepts a claim during
the 3 month grace period, the Company
reserves the right to deduct any unpaid
premiums from the amount of the
Benefit payment. The Company will
send a reminder of premium due
after 1 month and 2 months after the
premium frequency and due date shown
in the Schedule.
A It is not possible to reduce the amount of
Cover provided by the Policy.
B Subject to acceptance by the Company
you can increase the amount of Cover and
any increase will take effect at the next
Policy Anniversary Date.
C If you increase your Cover, the Company
will calculate the new premium based on
the age and sex of the Life Insured, and
whether they smoked at the original
Commencement Date; the health of the
Life Insured, their occupation and any
recreational activities they undertake, as
well as the number of years of the Policy
Term remaining.
6 How flexible is the Policy?
F What happens if the Policy lapses?
If your Policy has lapsed because premiums
have remained unpaid for 3 months, you
can ask the Company to recommence the
Policy provided the following requirements
are met within 12 months of the first
unpaid Premium Due Date:
(i) Receipt by the Company of a
reinstatement Application from the
Policy Owner or owners; and
(ii) The Company has received payment
of all the outstanding premiums; and
(iii) Any medical evidence required by the
Company has been received; and
(iv) All the Lives Insured were accepted
on ordinary terms at the original
Commencement Date of the Policy.
The Company will use the address shown in your
application form for all correspondence until we
are notified otherwise. Please let us know if you
change your name or any of your contact details
in order that our systems accurately reflect your
current personal information.
7 What if your circumstances change?
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8.1 GeneralConditions
When the Policy Owner or their
representatives, need to make a claim,
they should contact their financial adviser
or the Company at any office address
listed at the back of this document.
The Company will provide the Policy Owner
or their representatives with a claim form
and any other requirements which must be
completed and returned to the Company
before the claim will be processed.
The Company reserves the right to require
any of the following before processing
a claim:
(i) Information from the doctor,
consultant or any other relevant
third party;
(ii) The Relevant Life Insured to attend a
medical examination, where an
Accelerated Life Cover, Critical Illness
or Permanent and Total Disability
claim is being made;
(iii) Sight of documentation necessary to
prove who is the owner of the Policy;
(iv) Proof of the age of the Relevant
Life Insured;
(v) Proof of the identity of the claimants;
(vi) Return of the Schedule;
(vii) Death certificate of the Relevant
Life Insured where a death claim is
being made.
We always try to pay all valid claims as
soon as possible and we will keep you,
or the person dealing with your affairs,
informed of how the claim is progressing.
8.2 ClaimingfortheLifeCoverBenefit
The Policy Owner or their representatives
must notify the Company in writing when
claiming for Benefits payable on the death
of the Relevant Life Insured within 28 days
of the date of death of the Relevant Life
Insured. Failure to notify the Company
within this timescale may result in the
Company declining to pay the claim.
8 Making a Claim
8.3 ClaimingtheAcceleratedLifeCoverBenefit
The Policy Owner or their representatives
must notify the Company in writing if the
Relevant Life Insured has been diagnosed
with a Terminal Illness and that the Life
expectancy of the Life Insured is less than
12 months.
Upon receipt of the completed claim form,
the Company will confirm what medical
evidence is required before the claim
payment will be made.
The Policy Owner must continue making
premium payments to the Policy until the
Company agrees to pay the Accelerated
Life Cover Benefit.
8.4 ClaimingforCriticalIllnessBenefit
The Policy Owner or their representatives
must notify the Company in writing within
60 days of the Relevant Life Insured being
diagnosed with a Critical Illness.
Upon receipt of the completed claim form,
the Company will confirm what medical
evidence is required before the claim
payment will be made.
The Policy Owner must continue making
premium payments to the Policy until
the Company agrees to pay the Critical
Illness Benefit.
8.5 ClaimingforPermanentandTotalDisabilityBenefit
Upon receipt of the completed claim form,
the Company will confirm what medical
evidence is required before the claim
payment will be made.
The Policy Owner must continue making
premium payments to the Policy until the
Company agrees to pay the Permanent
and Total Disability Benefit.
The Company reserves the right to ask for
independent confirmation that any medical
treatment is necessary and appropriate.
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The Policy is governed by the law of the Isle of
Man subject to the following conditions:
Where the Policy Owner is resident in the
Special Administration Region of Hong Kong
(Hong Kong) then the Company will submit to
the non-exclusive jurisdiction of any competent
legal authority in Hong Kong in respect of any
litigation arising out of the Policy and the Policy
shall be interpreted in accordance with the laws
of Hong Kong.
Where the Policy Owner is resident in the United
Arab Emirates (UAE) then the Company will
submit to the non-exclusive jurisdiction of any
competent legal authority in the UAE in respect
of any litigation arising out of the Policy and the
Policy shall be interpreted in accordance with
the laws of the UAE.
Where the Policy Owner is resident in
Bahrain then the Company will submit to the
non-exclusive jurisdiction of any competent
legal authority in Bahrain in respect of any
litigation arising out of the Policy and the
Policy shall be interpreted in accordance with
the laws of Bahrain.
The parties to the Policy do not intend that any
of its terms will be enforceable by virtue of the
Isle of Man Contracts (Rights of Third Parties)
Act 2001, or any other similar law in any other
jurisdiction, by any person or party who is not
a party to it.
9 Law and Interpretation
The Company reserves the right to change these
Terms and Conditions and will do so having
taken advice from the Company’s Chief Actuary.
The Company will explain the reasons for any
change to Policy Owners in writing to their
last recorded address at least 3 months before
the date from which the change will apply.
Such changes would only be made if:
A Any event, or change in circumstances
makes it impossible or illegal to carry out
the terms of the Policy. These Terms and
Conditions may need to be amended by
the Chief Actuary to enable the Policy to
continue, and/or to stop the illegality.
B Premium payments may be increased or the
level of Critical Illness Benefit reduced, at
the discretion of the Chief Actuary, when
the 5 year premium payment guarantee
expires for the Critical Illness Benefit.
C If the Policy Owner or Owners and the Life
Insured or Lives Insured have knowingly or
recklessly failed to disclose any fact that
an underwriter would regard as likely to
influence the Company’s decision to grant
insurance Cover under this Policy or the
level of premium payments charged.
When deciding what amendments are
necessary, the Chief Actuary must act
reasonably and with due regard for his
professional duties.
The Company reserves the right to change these
Terms and Conditions if any of the details about
the Policy Owner or Owners and Life Insured or
Lives Insured are found to be incorrect.
The Company will require any request from
the Policy Owner to change the Policy to
be in writing.
10 Changes to the Policy
1�
An Actuary is a qualified professional who
makes mathematical assessments of costs and
probabilities and accordingly, sets premium
payments and rates for insurance and
pension contracts and deals with a range of
financial matters related to the business of
insurance companies.
11 The role of the Company Chief Actuary
12.1 ActiveWarRisk
If the event on which the Life Cover
Benefit or any Additional Benefit is
payable occurs as a consequence of the
Life Insured’s active involvement in war,
invasion, act of foreign enemies, hostilities
or war-like operation (whether war be
declared or not), civil war, mutiny, civil
commotions assuming the proportions of
or amounting to a popular rising, military
rising, insurrection, rebellion, riot, military
or usurped power or any act of any person
acting on behalf of or in connection with
any organisation actively directed towards
the overthrow or to the influencing of any
Government or ruling body by force,
terrorism or violence then no amount will
be payable under the Life Cover Benefit or
any Additional Benefit.
12.2 PassiveWarRisk
A This Condition will apply only if
reference is made to it in the special
provisions schedule.
B If the event on which the Life Cover
Benefit or any Additional Benefit is payable
occurs as a direct or indirect consequence
of war, invasion, act of foreign enemies,
hostilities or war-like operations (whether
war be declared or not), civil war, mutiny,
civil commotions, assuming the proportions
of or amounting to a popular rising,
military rising, insurrection, rebellion, riot,
military or usurped power or any act of
any person acting on behalf of or in
connection with any organisation actively
directed towards the overthrow or to the
influencing of any Government or ruling
body by force, terrorism or violence, no
amount will be payable under the Life
Cover Benefit or Additional Benefit if at
the time the relevant event occurs the Life
Insured is: within 2 years from the start
of the Policy, travelling to, residing in or
within the territorial limits of any country
listed in Table I of the Table of passive war
risks countries in the special provisions
schedule; or save where the Life Insured is
travelling to, temporarily residing in or is
within the territorial limits of any one or
more of the countries listed in Table II of
the Table of passive war risks countries in
the special provisions schedule for any
period or periods which do not exceed
30 days in total of any one Policy year.
12 Other Information
1�
12.3 BeneficiaryDesignation
The Policy Owner may nominate in writing
a designated beneficiary or beneficiaries in
the manner prescribed by the Company
and subject to the Company’s consent,
which will not be unreasonably withheld,
and to any terms, conditions or restrictions
which the Company may reasonably, from
time to time, impose.
12.4 EventswhichmayaffectthePolicy
A Benefits under this Policy will not be
affected by any future occupation or
recreational pursuit of the Life Insured;
unless specifically stated in the Schedule
or these Terms and Conditions.
B If the Life Insured commits suicide
(whether sane or insane at the time) within
12 months of the Policy Commencement
Date, the amount payable under this
Policy will be limited to the return of
the premiums paid. If the Life Insured
attempts suicide or self inflicts injury then
no Benefits are payable under this Policy.
C If an event on which a Benefit is payable
occurs wholly or partially, directly or
indirectly, from or in connection with or
be aggravated by any act of the Life
Insured which is a deliberate and material
violation of any law, then no amount will
be payable under the Benefit.
12.5 NoticestotheCompany
A The Company will not be affected by
notice of any assignment, beneficiary
designation, exercise of any right or option
or any other fact whatsoever relating to
this Policy unless and until express notice
in writing of that assignment, designation,
exercise or fact has been received by the
Head Office of the Company in the place
where the premiums are payable as set
out in the Policy.
B The Company shall be entitled (but not
bound) to rely on a certificate from any
person claiming an interest in this Policy as
to the extent of the interest to which that
person is entitled.
12.6 IncorrectdateofbirthoftheLifeInsured
If the date of birth of the Life Insured as
stated in the Schedule is not correct due
to information provided on the application
form, an equitable adjustment as
determined by the Company may be made
to the Benefits arising from this Policy.
1�
12.7 Currency
A All amounts payable by the Company
under this Policy will be payable in the
currency of the Policy as appropriate, at the
Company’s Head Office or such other place
as the Company may specify from time to
time. If more than one place is specified the
Policy Owner or their representatives, must
choose one at the time of the claim, and
that choice, once made, will be binding on
the Policy Owner or their representatives
and the Company. If requested, the
Company may convert the payment into
any freely convertible currency and all
currency conversions will be at exchange
rates determined by the Company.
B Additional Benefits may not be denominated
in a currency which is different from that
of the premium currency.
C If the premium currency of the Policy is no
longer freely convertible the Company will
be entitled to make such alteration to the
Terms and Conditions of this Policy as the
Chief Actuary determines to be necessary
or to be in the interest of the majority of
the owners of similar Policies.
D All currency conversions under this Policy
will be at exchange rates determined by
the Company.
12.8 ForceMajeur
NoliabilityshallariseiftheCompanyispreventedfromfulfillingitsobligationsunderthisPolicybyreasonofanysuperveningeventwhichcouldbeconstruedasforcemajeureunderapplicablelaws(including,butnotbywayoflimitation,ActofGod,war,nationalemergency,fire,flood,earthquake,strikeorindustrialaction).
12.9 RighttoCancel
Policy Owners resident in Hong Kong have
the right to cancel a Policy and obtain a
refund of any premiums paid by giving
written notice to the Company. If the
Policy Owner decides to cancel the Policy,
they must send notice to the registered
office in Hong Kong. It must be received
within 21 days from the date of the
Application, 14 days from the date of issue
of the Policy if later or 5 days after the
delivery date of the Policy.
1�
Definitions denoting the singular shall include
the plural and vice versa.
AcceleratedLifeCoverBenefit
The Benefit payable by the Company instead
of Life Cover in the event that a Relevant Life
Insured develops a Terminal Illness.
AdditionalBenefit
Either Critical Illness Benefit or Permanent and
Total Disability Benefit, whichever may have
been opted for in addition to Life Cover under
the terms of this Policy.
Benefit
Any monetary amount payable by the Company
under Life Cover, Accelerated Life Cover, Critical
Illness Benefit or Permanent and Total Disability
Benefit which are defined in this Appendix,
whilst the Policy is in force. The amount or
amounts of Cover are shown in the Schedule.
Cover
The scope of any protection available under this
Policy under Life Cover, Accelerated Life Cover,
Critical Illness Benefit or Permanent and Total
Disability Benefit.
CriticalIllnessBenefit
The Benefit payable by the Company if a
Relevant Life Insured contracts any illness
Covered under the Policy and defined in
Appendix 2 of this Policy whilst the Policy is in
force and if this Cover has been chosen. The
amount of any Critical Illness Benefit Cover is
shown in the Schedule. Diagnosis of a Critical
Illness must be made by a Medical Practitioner
approved or appointed by the Company’s Chief
Medical Officer. Payment under Critical Illness
Benefit is subject to section 2.2 E of this Policy.
LifeCover
The Benefit payable by the Company if a
Relevant Life Insured dies whilst this Policy is
in force. The amount of Life Cover is shown in
the Schedule. Payment of Life Cover Benefit is
subject to section 2.1 D of this Policy.
LifeofAnotherPolicies
A Policy owned by a person who is not the
Life Insured shown in the Schedule. This includes
instances where the Policy is owned by a
corporate entity.
OnRiskDate
The date shown in the Schedule at which Cover
under any Benefit selected first applies. Payment
under any Cover provided by the Policy will be
subject to the specific terms governing each Cover.
PermanentandTotalDisabilityBenefit
The Benefit payable by the Company if a Relevant
Life Insured is diagnosed with a Permanent and
Total Disability Covered under the Policy and
defined in Section 2.3 B (ii) whilst the Policy
is in force and if this Cover has been chosen.
The amount of any Permanent and Total Disability
Benefit is shown in the Schedule. Diagnosis of
Permanent and Total Disability must be made by
a Medical Practitioner approved or appointed by
the Company’s Chief Medical Officer. Payment of
Permanent and Total Disability Benefit is subject
to section 2.3 C and D of this Policy.
PremiumDueDate
The date shown in the Schedule at which
premium is first due. Subsequent payments
are due at an amount and frequency shown
in the Schedule.
PolicyTerm
The period of time in which the Policy is in force,
from its commencement to the Policy Termination
Date, both of which are shown in the Schedule.
RelevantLifeInsured
The Life Insured or, where there are two Lives
Insured under the Policy, that Life Insured for
whom a claim for a Benefit under the Policy
is made.
TerminalIllness
An advanced or rapidly progressing incurable
illness, where, in the opinion of an attending
Medical Practitioner and the Company Chief
Medical Officer; the Relevant Life Insured’s Life
expectancy is no more than 12 months.
Appendix 1 –Definitions of words used in this Policy
1�
‘Critical Illness’ means any one of the following:
(i) Heart attack – of specified severity
Death of heart muscle, due to inadequate
blood supply, that has resulted in all
of the following evidence of acute
myocardial infarction:
• Typical clinical symptoms (for example,
characteristic chest pain).
• New characteristic electrocardiographic
changes.
• The characteristic rise of cardiac enzymes
or Troponins recorded at the following
levels or higher;
– Troponin T > 1.0 ng/ml
– AccuTnI > 0.5 ng/ml or
equivalent threshold with
other Troponin I methods.
The evidence must show a definite acute
myocardial infarction.
For the above definition, the following are
not covered:
• Other acute coronary syndromes
including but not limited to angina.
(ii) Coronary artery by-pass grafts –
with surgery to divide the breastbone
The undergoing of surgery requiring
median sternotomy (surgery to divide the
breastbone) on the advice of a Consultant
Cardiologist to correct narrowing or
blockage of one or more coronary arteries
with by-pass grafts.
(iii) Cancer – excluding less advanced cases
Any malignant tumour positively diagnosed
with histological confirmation and
characterised by the uncontrolled growth
of malignant cells and invasion of tissue.
The term malignant tumour includes
leukaemia, lymphoma and sarcoma.
For the above definition, the following
are not covered:
• All cancers which are histologically
classified as any of the following:
– pre-malignant;
– non-invasive;
– cancer in situ;
– having either borderline malignancy;
or
– having low malignant potential.
• All tumours of the prostate unless
histologically classified as having a
Gleason score greater than 6 or having
progressed to at least clinical TNM
classification T2N0M0.
• Chronic lymphocytic leukaemia unless
histologically classified as having
progressed to at least Binet Stage A.
• Any skin cancer other than malignant
melanoma that has been histologically
classified as having caused invasion
beyond the epidermis (outer layer of skin).
(iv) Stroke – resulting in permanent symptoms
Death of brain tissue due to inadequate
blood supply or haemorrhage within the
skull resulting in permanent neurological
deficit with persisting clinical symptoms.
For the above definition, the following are
not covered:
• Transient ischaemic attack.
• Traumatic injury to brain tissue or
blood vessels.
(v) Kidney failure – requiring dialysis
Chronic and end stage failure of
both kidneys to function, as a result of
which regular dialysis is necessary.
Appendix 2 – Critical Illnesses definitions
�0
(vi) Major organ transplant
The undergoing as a recipient of a
transplant of bone marrow or of a complete
heart, kidney, liver, lung, or pancreas.
For the above definition, the following is
not covered:
• Transplant of any other organs, parts of
organs, tissues or cells.
(vii) Multiple sclerosis – with persisting symptoms
A definite diagnosis of Multiple Sclerosis by
a Consultant Neurologist.
There must be current clinical impairment of
motor or sensory function, which must have
persisted for a continuous period of at least
6 months.
(viii) Terminal Illness
Advanced or rapidly progressing incurable
illness where, in the opinions of an
attending Consultant and our Chief Medical
Officer, the Life expectancy is no greater
than 12 months.
(ix) Aorta graft surgery – for disease
The undergoing of surgery for disease
to the aorta with excision and surgical
replacement of a portion of the diseased
aorta with a graft.
The term aorta includes the thoracic and
abdominal aorta but not its branches.
For the above definition, the following
are not covered:
• Any other surgical procedure, for
example the insertion of stents or
endovascular repair.
• Surgery following traumatic injury to
the aorta.
(x) Benign brain tumour – resulting in
permanent symptoms
A non-malignant tumour or cyst in the
brain, cranial nerves or meninges within the
skull, resulting in permanent neurological
deficit with persisting clinical symptoms.
For the above definition, the following are
not covered:
• Tumours in the pituitary gland.
• Angiomas.
(xi) Heart valve replacement or repair –
with surgery to divide the breastbone
The undergoing of surgery requiring
median sternotomy (surgery to divide the
breastbone) on the advice of a Consultant
Cardiologist to replace or repair one or
more heart valves.
(xii) Motor neurone disease – resulting in
permanent symptoms
A definite diagnosis of motor neurone
disease by a Consultant Neurologist.
There must be permanent clinical
impairment of motor function.
(xiii) Parkinson’s disease – resulting in
permanent symptoms
A definite diagnosis of Parkinson’s disease
by a Consultant Neurologist. There must
be permanent clinical impairment of motor
function with associated tremor, rigidity of
movement and postural instability.
For the above definition, the following is
not covered:
• Parkinson’s disease secondary to
drug abuse.
�1
(xiv) Third degree burns – covering 20% of the
body’s surface area
Burns that involve damage or destruction of
the skin to its full depth through to the
underlying tissue and covering at least 20%
of the body’s surface area.
(xv) Alzheimer’s disease before age �� –
resulting in permanent symptoms
A definite diagnosis of Alzheimer’s disease,
before age 65, by a Consultant Neurologist,
Psychiatrist or Geriatrician. There must be
permanent clinical loss of the ability to do
all of the following:
• Remember;
• Reason; and
• Perceive, understand, express and
give effect to ideas.
For the above definition, the following are
not covered:
• Other types of dementia.
(xvi) Blindness – permanent and irreversible
Permanent and irreversible loss of sight to
the extent that even when tested with the
use of visual aids, vision is measured at
3/60 or worse in the better eye using a
Snellen eye chart.
(xvii) Deafness – permanent and irreversible
Permanent and irreversible loss of hearing
to the extent that the loss is greater than 95
decibels across all frequencies in the better
ear using a pure tone audiogram.
(xviii) Loss of speech – permanent and irreversible
Total permanent and irreversible loss of the
ability to speak as a result of physical injury
or disease.
(xix) Loss of hands or feet – permanent
physical severance
Permanent physical severance of any
combination of 2 or more hands or feet
at or above the wrist or ankle joints.
(xx) Creutzfeldt Jakob Disease (CJD) or Degenerative Brain Disorder before age ��
A definite diagnosis of Creutzfeldt-Jakob
Disease or Degenerative Brain Disorder,
before age 65, by a Consultant Neurologist.
For the purposes of this Benefit there are
three categories: Type A, Type B and Type
C. The category applicable under this
Additional Benefit will be stated in the Policy
Schedule. The categories offer different
levels of Critical Illness Benefit, as follows:
Type A: Coverage of all Critical Illnesses
defined under Appendix 2.
Type B: Critical Illnesses defined under
Appendix 2 except (xix) and (xx) which
are excluded.
Type C: Only Critical Illness definitions
Appendix 2 (i); (ii); (iii); (iv); (v); (vi) and
(vii) will apply.
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Zurich International Life Limited provides life assurance, investment and protection products and is authorised by the Isle of Man Government Insurance and Pensions Authority.
Registered in the Isle of Man number 20126C.Registered office: 43-51 Athol Street, Douglas, Isle of Man, IM99 1EF, British Isles. Telephone +44 1624 662266 Telefax +44 1624 662038 www.zurichinternational.com
Zurich International Life Limited is registered (Registration Number 63) under UAE Federal Law Number 6 of 2007, and its activities in the UAE are governed by such law.
Zurich International Life Limited is part of the Zurich Financial Services Group which has a representation in more than 50 countries.
Calls may be recorded for training and quality purposes.
BranchesAbuDhabi Apt. 302, Al Otaiba Building, P.O. Box 26904, Airport Road, Abu Dhabi, United Arab Emirates. Telephone +971 2 6275777 Telefax +971 2 6274774
Bahrain P.O. Box 10032, 19th Floor, Almoayyed Tower, Seef District, Kingdom of Bahrain. Telephone +973 175 63322 Telefax +973 175 64291
Dubai P.O. Box 50389, Al Mussalla Towers, Khaled Bin Al Walid Street, Dubai, United Arab Emirates. Telephone +971 4 397 4444 Telefax +971 4 397 4443
HongKong24/F One Island East,18 Westlands Road,Island East,Hong Kong.Telephone +852 3405 7150
Telefax +852 3405 7268
Qatar P.O. Box 26777, 404 Fourth Floor, Qatar Financial Centre Tower, West Bay, Doha, Qatar. Telephone +974 496 7555 Telefax +974 496 7556
Sharjah Crystal Plaza, Block C, 8th Floor, 801/802 Corniche Al-Buhaira, P.O. Box 23544, Sharjah, United Arab Emirates. Telephone +971 6 5725955 Telefax +971 6 5725160
SingaporeSingapore Land Tower #29-05,50 Raffles Place,Singapore 048623.Telephone +65 6876 6750Telefax +65 6876 6751
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