AIA Living Business Critical Conditions Policy Wording

1155 ALB-CC version 7 Effective 21 May 2025

AIA LIVING - BUSINESS PERSONAL OPTIONAL BENEFIT APPENDIX

Critical Conditions Benefit

This appendix only applies if cover under the schedule includes the Critical Conditions Benefit (standalone or accelerated). This appendix forms part of and is incorporated into your AIA Living policy, the terms of which apply to this appendix .

This Critical Conditions Benefit may be standalone or accelerated. Details of the benefit and the life/lives assured are shown in the schedule .

1. When will AIA pay a Critical Conditions Benefit?

AIA will pay you a Critical Conditions Benefit if the life assured suffers for the first time after the risk commencement date any of the conditions listed in the table below and survives for at least 14 days thereafter. An exception is the Optional Total Permanent Disablement condition , for which a 90 day survival period applies.

What stand down periods apply?

If, after the risk commencement date but within the first 90 days of the receipt of application , any of the conditions marked in the table below as having a 90 day stand down period occur, or symptoms or signs which lead to any of those conditions (whether or not a registered medical practitioner has been consulted) occur, then AIA will not pay a benefit for the life assured or any child of the life assured covered by the Built-in Children’s Trauma Benefit or the Optional Children’s and Maternity Benefit.

Cover added under the Optional Business Safeguard Facility

A 180 day stand down period applies to increases made under the Optional Business Safeguard Facility, except where the claim is due to an accident , as outlined in Section 17. Where the claim is due to an accident , the 90 day stand down period is waived on such increases, provided the life assured has already served the 90 day stand down period on the original Critical Conditions Benefit policy.

Newborn Children’s Benefit

A 12 month stand down period applies to the Newborn Children’s Benefit, meaning that AIA will only pay a claim for a child of a life assured, where the life assured is the biological parent, if the birth of the child with one of the applicable conditions occurs at least 12 months after the risk commencement date .

This 12 month stand down period applies anew to all added cover from the date the added cover commences, including cover added using the Optional Business Safeguard Facility.

Medical Advancements Provision

If the medical diagnostic techniques and investigations used in our definitions of medical conditions have been superseded due to medical advancements, we will consider other appropriate and medically recognised methods or tests that conclusively diagnose the condition to at least the same severity. The following requirements must be met for a claim to be considered:  The new diagnostic techniques and investigations are not experimental and are medically necessary and medically equivalent or superior to the original diagnostic technique or investigation.  Any new diagnostic techniques and investigations must be deemed medically acceptable based on medical standards and medically recognised in Australia or New Zealand by specialist medical practitioners.

1155 ALB-CC version 8 Effective 12 May 2026

Page 1 of 25

Built-in Children’s Trauma Benefit (Section 4)

Optional Children’s and Maternity Benefit (Section 14)

90 day stand down period

Full Payment

Partial payment

Cancer

Carcinoma-in-situ

✓

Carcinoma-in-situ radical surgery Malignant tumours and blood cancers

✓

Prostate Cancer

✓

Heart

Angioplasty – less than 3 vessels Angioplasty – 3 vessels or more

✓

Aortic surgery

✓

Cardiac Defibrillator Insertion

✓

Cardiomyopathy

✓

Coronary artery bypass surgery

✓

Heart attack

✓

Heart valve surgery

✓

(partial payment unavailable)

Out-of-hospital cardiac arrest

✓

Pacemaker insertion

✓

Pulmonary hypertension

✓

Major neurological disease

Alzheimer’s disease

✓

Benign brain or spinal cord tumour

✓

(partial payment unavailable)

Cerebral Aneurysm

✓

Coma

✓

Creutzfeldt-Jakob disease

✓

Dementia

✓

(partial payment unavailable)

✓

Encephalitis

✓

(partial payment unavailable)

1155 ALB-CC version 8 Effective 12 May 2026

Page 2 of 25

Built-in Children’s Trauma Benefit (Section 4)

Optional Children’s and Maternity Benefit (Section 14)

90 day stand down period

Full Payment

Partial payment

Idiopathic Parkinson’s disease

✓

Major head trauma

✓

Meningitis

✓

Motor neurone disease

✓

Multiple sclerosis

✓

Muscular dystrophy

✓

Peripheral neuropathy

✓

Stroke

✓

Paralysis and loss of Functionality

Diplegia

✓

Hemiplegia

✓

Loss of independent existence

✓

Paraplegia

✓

Permanent blindness

✓

(partial payment unavailable)

✓

Permanent loss of hearing

✓

(partial payment unavailable)

Permanent loss of speech

✓

Permanent loss of use of limbs

✓

(partial payment unavailable)

Quadriplegia / Tetraplegia

✓

Other key conditions

Advanced AIDS

✓

Advanced diabetes

✓

Aplastic anaemia

✓

Chronic liver failure

✓

(partial payment unavailable)

Chronic lung disease

✓

1155 ALB-CC version 8 Effective 12 May 2026

Page 3 of 25

Built-in Children’s Trauma Benefit (Section 4)

Optional Children’s and Maternity Benefit (Section 14)

90 day stand down period

Full Payment

Partial payment

Chronic renal failure

✓

Cognitive impairment

✓

Intensive care

✓

(partial payment unavailable)

Major transplant surgery

✓

Pneumonectomy

✓

Severe burns

✓

(partial payment unavailable)

Severe Crohn’s disease

✓

Severe illness or injury

✓

Severe osteoporosis

✓

Severe rheumatoid arthritis Severe ulcerative colitis Systemic lupus erythematosus with lupus nephritis

✓

Systemic sclerosis

✓

Terminal illness

✓

Optional condition

Total Permanent Disablement

✓

(Refer to Section 20 for a full description of these conditions .)

If you receive a full payment claim for a life assured under this Critical Conditions Benefit, cover will cease for that life assured .

If you receive a partial payment of this Critical Conditions Benefit for a life assured , cover will continue for that life assured with the sum assured being reduced by the amount of the partial payment amount. The premium will reduce with the reduction in sum assured.

If the life assured suffers more than one condition (including the Optional Total Permanent Disablement condition ), AIA will pay a maximum of the Critical Conditions Benefit sum assured for all claims (in total).

1155 ALB-CC version 8 Effective 12 May 2026

Page 4 of 25

What effect does payment of an accelerated Critical Conditions Benefit have on the Life Cover Benefit?

 survives for at least 14 days after suffering from the condition .

What are the applicable conditions and how much will AIA pay?

This section applies only if an accelerated Critical Conditions Benefit is shown in the schedule .

For those conditions where the criteria for a full payment are met as detailed in Section 20 below the Benefit payable is the lower of $50,000 or 50% of the sum assured across all Critical Conditions Benefit policies for the life assured . No payments are made under this Benefit for the Optional Total Permanent Disablement condition or any of those conditions where a partial payment applies, except for the following conditions :

When AIA pays an accelerated Critical Conditions Benefit, the Life Cover Benefit for the life assured will decrease by the same amount. Any other accelerated benefits relating to that Life Cover Benefit will also be reduced, if necessary, so that those accelerated benefits do not exceed the decreased Life Cover Benefit. If the Life Cover Benefit is reduced to nil, all accelerated benefits relating to that Life Cover Benefit will be removed. The maximum combined amount payable under the Life Cover Benefit, Specified Terminal Conditions Benefit, Terminal Illness Benefit, Bereavement Support Benefit, Repatriation Benefit, accelerated Critical Conditions Benefit and, if applicable, the accelerated Progressive Care Benefit, the accelerated Severe Trauma Benefit and the accelerated Total Permanent Disablement Benefit is the amount of the Life Cover Benefit for that life assured .

Angioplasty – less than 3 vessels.



Carcinoma-in-situ.



For these conditions , the Benefit payable is the lower of $50,000 or 10% of the sum assured across all Critical Conditions Benefit policies for the life assured . AIA will pay a maximum of one claim per child under either the Built-in Children’s Trauma Benefit or the Built-in Newborn Children’s Benefit, across all AIA policies . The Built-in Children’s Trauma Benefit or the Built-in Newborn Children’s Benefit is payable in addition to the Optional Children’s and Maternity Benefit (if applicable). Payment of the Built-in Children’s Trauma Benefit will not affect the amount of any Critical Conditions Benefit payable for the life assured . AIA will not pay a benefit under the Built-in Children’s Trauma Benefit that arises as a direct or indirect consequence of:

Built-in Financial and Legal Advice Benefit

If AIA pays a full payment claim under this Critical Conditions Benefit for a condition suffered by a life assured , then AIA will reimburse you for fees incurred up to $2,500 including GST (in total) that you pay for financial planning you receive from an accredited Adviser or legal advice received from a legal professional approved by AIA , subject to the following conditions:  You must pay for the financial planning or legal advice within the 12 months following AIA paying the Critical Conditions Benefit claim.  AIA will only pay one Financial and Legal Advice Benefit per life assured across all AIA policies . This is in addition to the sum assured. The Built-in Financial and Legal Advice Benefit is not payable for a claim for a child of the life assured under the Built-in Children’s Trauma Benefit, the Built-in Parents Grieving Benefit, the Optional Children’s and Maternity Benefit or the Built-in Newborn Children’s Benefit.

a pre-existing condition ; or



any congenital condition .



The Built-in Children’s Trauma Benefit ceases on the child’s 21 st birthday.

Built-in Newborn Children’s Benefit

What is the Built-in Newborn Children’s Benefit?

AIA will pay a Built-in Newborn Children’s Benefit if a child of a life assured, where the life assured is the biological parent, is born with one of the following conditions and survives for thirty days after birth:

Built-in Children’s Trauma Benefit

What is the Built-in Children’s Trauma Benefit?

AIA will pay a Built-in Children’s Trauma Benefit if a child of a life assured suffers one of the applicable conditions listed in Section 1 of this appendix .

Cleft palate.



Down’s syndrome.



Spina bifida.



This Benefit is only payable if the child of the life assured :

Total blindness.



 first suffers a condition after the risk commencement date , subject to the applicable stand down period provisions where these apply;

Absence of one or more limbs.



Tetralogy of Fallot.



 is aged from three months up to their 21 st birthday at the time he or she first suffers from that condition ; and

1155 ALB-CC version 8 Effective 12 May 2026

Page 5 of 25

Transposition of Great Vessels.

the schedule , it can also be converted to a standalone Critical Conditions Benefit or an accelerated Critical Conditions Benefit with an equal amount of Life Cover benefit, with a maximum sum assured of $75,000 without further medical evidence.



Deafness.



Please refer to Section 21 for the definitions of these conditions .

The following conditions are applicable to both Children’s Trauma Conversion options:

In order for AIA to pay a claim under this Benefit, we will require medical information from a registered medical practitioner acceptable to us that conclusively evidences the condition . In circumstances where a conclusive diagnosis cannot be made at birth, we will defer our assessment of the claim until sufficient evidence can be supplied. For example, this might apply in the case of total blindness or deafness, where a conclusive diagnosis may not be possible until later in the child’s life. In these cases, the claims assessment will be based on the child’s sight or hearing impairment at the date that conclusive diagnosis is first possible. A claim is only payable under the Built-in Newborn Children’s Benefit if cover remains in effect for the life assured up to the date that the conclusive diagnosis for the child occurs.

 A conversion cannot occur if the child has claimed or was eligible to claim under the Built-in Children’s Trauma Benefit and/or Optional Children’s and Maternity Benefit; and  Your request for conversion must be received by AIA within 60 days of the anniversary date after the child’s 21 st birthday; and

Your request must be received in writing.



An applicable premium will be payable on converted cover.

7. Built-in Standalone Conversion Facility

How much will AIA pay?

If the schedule shows the Critical Conditions Benefit as standalone you can convert this to an accelerated Critical Conditions Benefit with an equal amount of Life Cover Benefit without any further medical evidence subject to the following:

The Benefit payable is the lower of $50,000 or 50% of the sum assured across all Critical Conditions Benefit policies for the life assured . AIA will pay a maximum of one claim per child under either the Built-in Newborn Children’s Benefit or the Built-in Children’s Trauma Benefit, across all AIA policies . The Built-in Newborn Children’s Benefit is only payable where the birth of the child with one of the applicable conditions occurs at least twelve months after the risk commencement date . This requirement applies anew to all added cover from the date the cover commences; including cover added using the Optional Business Safeguard Facility. The Built-in Children’s Trauma Benefit or the Built-in Newborn Children’s Benefit is payable in addition to the Optional Children’s and Maternity Benefit (if applicable). Payment of the Built-in Newborn Children’s Benefit will not affect the amount of any Critical Conditions Benefit payable for the life assured .

The life assured was accepted with standard underwriting terms (e.g. there are no special terms, exclusions or premium loadings applicable to the life assured );



 The life assured is only eligible for the standalone Conversion Facility where the conversion occurs before age 60;

 The life assured has not made a claim, with AIA or any other insurer, and is not eligible to make a claim under

their Standalone Critical Conditions Benefit. This includes any claim currently under assessment;

 The premiums for their standalone Critical Conditions Benefit are paid up to date;

 The accelerated Critical Conditions Benefit sum assured must be less than or equal to the standalone Critical Conditions sum assured; and

6. Built-in Children’s Trauma Conversion Facility

 The Life Cover Benefit sum assured does not exceed the accelerated Critical Conditions sum assured.

The Built-in Children’s Trauma Benefit can be converted to:

The premium for the conversion will be based on the age of the life assured and our premium rates at the date of conversion . If you are issued a new policy for the amount of the standalone Critical Conditions Benefit being converted the new policy will be issued based on the information provided at the time of conversion, together with the information provided in the original proposal.

a standalone Critical Conditions Benefit; or



 an accelerated Critical Conditions Benefit with an equal amount of Life Cover benefit,

with a maximum sum assured of $50,000 or 50% of the life assured’s original sum assured whichever is the lesser, without further medical evidence. Where the life assured’s sum assured has reduced, the conversion will be calculated on the reduced amount.

If the death of the life assured occurs within three months of the date of conversion , other than by accidental death , then

If the Optional Children’s and Maternity Benefit is shown on

1155 ALB-CC version 8 Effective 12 May 2026

Page 6 of 25

this conversion is void and the standalone Critical Conditions Benefit will be reinstated from the date of conversion.

10. Built-in Counselling Benefit

The Counselling Benefit covers the cost of a Psychiatrist or Psychologist consultation and/or counselling for the life assured and/or a close relative of the life assured where the support treatments and/or consultations directly relate to a claim under the Critical Conditions Benefit. After referral by an appropriate specialist we will reimburse up to $2,500 including GST (in total) per life assured , subject to the following conditions:  The consultation and/or counselling must be paid for within 12 months following AIA paying the Critical Conditions Benefit claim; and

8. Built-in Premium Conversion Facility

You may at any time prior to the life assured reaching age sixty five (65):

 Convert all or part of your Critical Conditions Benefit from the premium type shown in the schedule to a Level premium structure; or  Convert a Level premium structure to an alternate Level premium structure, of which term duration may be the same or less than current Level premium structure.

 AIA must be provided with a receipt for the consultation and/or counselling being claimed.

AIA will not require you or the life assured to produce further medical evidence at the time of conversion.

The $2,500 is payable once per life assured per policy. This is in addition to the sum assured.

You will be issued a new policy for the sum assured amount of the Critical Conditions Benefit being converted, in which case:

11. Built-in Parents Grieving Benefit

 The Critical Conditions Benefit under this policy will be reduced by the sum assured amount converted;

When is a Parents Grieving Benefit payable?

AIA will pay a Parents Grieving Benefit if:

 The new policy will be issued based on the information provided at the time of conversion, together with the information provided in the original proposal;  The terms and conditions of the new policy will be those which are then offered by us to the general public;

 a child of a life assured dies prior to birth but after at least 24 weeks gestation; or

a child of a life assured dies.



AIA will not make any payment if the death occurs within 12 months of the risk commencement date except where it is an accidental death.

 Premiums will be calculated on the current age of the life assured ;

This Parents Grieving Benefit ceases on the child’s 21 st birthday.

 Any special terms, exclusion or premium loadings that applied to your existing Critical Conditions Benefit under this policy will apply to your new Critical Conditions Benefit under the new policy.

How much will AIA pay for the Parents Grieving Benefit?

The Benefit payable:

 if the child is under 10 years of age AIA will pay a maximum of one claim of $2,000 per child under the Parents Grieving Benefit across all AIA policies ; or  if the child is 10 years of age or over AIA will pay a maximum of one claim of $15,000 per child across all AIA policies for a life assured . Payment of the Parents Grieving Benefit will not reduce the sum assured of the Critical Conditions Benefit for the life assured .

9. Built-in Return Home Benefit

We will pay a Return Home Benefit if the life assured is outside of New Zealand and suffers, for the first time, a covered condition . The Return Home Benefit will reimburse the cost of a standard economy flight back to New Zealand for the life assured and one support person. You will need to provide evidence of the transport costs satisfactory to us before a claim under the Return Home Benefit will be paid. In total the maximum we will pay over the life of the policy under the Return Home Benefit is $10,000. A Return Home Benefit is paid in addition to the Critical Conditions Benefit. No payment will be made if the life assured is covered for the same event with a travel insurance provider.

12. Optional Early Cancer Upgrade Benefit

The Optional Early Cancer Upgrade Benefit applies only if shown in the schedule .

AIA will pay an Optional Early Cancer Upgrade Benefit (subject to the provisions of this policy) if the life assured suffers for the first time one of the cancer conditions listed below, after the date cover commences under the Optional Early Cancer Upgrade Benefit.

AIA will not pay an Optional Early Cancer Upgrade Benefit if the life assured suffers the cancer condition or has any

1155 ALB-CC version 8 Effective 12 May 2026

Page 7 of 25

symptoms or signs leading to the cancer condition (whether or not a registered medical practitioner has been consulted) within three months after the date cover commences under the Optional Early Cancer Upgrade Benefit. The Optional Early Cancer Upgrade Benefit does not apply to children of the life assured covered under the Children’s Trauma Benefit or the Optional Children’s and Maternity Benefit. Only one claim per life assured can be made under the Optional Early Cancer Upgrade Benefit. The Optional Early Cancer Upgrade Benefit will cease once a claim is paid and your premiums will reduce accordingly. If at claim time, the life assured does not have a base Critical Conditions Benefit, no Optional Early Cancer Upgrade Benefit will be payable and any premiums paid for the Optional Early Cancer Upgrade Benefit after the base Critical Conditions Benefit has been cancelled will be refunded to the policy owner . The life assured’s Optional Early Cancer Upgrade Benefit sum assured under this policy is shown in the schedule and is subject to the following maximums: a. 25% of the Critical Conditions Benefit sum assured at the date cover under the Optional Early Cancer Upgrade Benefit first commences for the life assured ; and

Ovary.



 Fallopian tube: tumour limited to tubal mucosa.

The Optional Early Cancer Upgrade Benefit also covers the following cancers:

 Chronic lymphocytic leukaemia: where there must be the presence of chronic lymphocytic leukaemia which is histologically described as at least RAI Stage 0.  Malignant melanoma which is determined by histological examination to be less than Clark Level 3 depth of invasion, and less than 1.0mm maximum thickness as measured using the Breslow method, and shows no evidence of ulceration.  Malignant tumour of the prostate histologically described as TNM classification T1 or has a Gleason score of 5 or less for which treatment is not considered medically necessary , and undertaken by an appropriate specialist to arrest the spread of malignancy including but not limited to prostatectomy, chemotherapy, radiotherapy, or surgery.

The Optional Early Cancer Upgrade Benefit will cease when cover under the Critical Conditions Benefit ceases.

Where the life assured has the Optional Critical Conditions Buyback Benefit, the Optional Early Cancer Upgrade Benefit can be reinstated in addition to their Critical Conditions Buyback Benefit, subject to the life assured satisfying the terms of the Optional Critical Conditions Buyback Benefit. The Optional Critical Conditions Buyback Benefit cannot be used to reinstate the Optional Early Cancer Upgrade Benefit following a claim payment under the Optional Early Cancer Upgrade Benefit.

b. $75,000 per life assured across all AIA policies .

The sum assured amount is calculated when cover under the Optional Early Cancer Upgrade Benefit first commences for the life assured under this policy and does not change with any subsequent changes that increase or decrease the life assured’s Critical Conditions Benefit sum assured, such as:  annual indexation increases after the date cover commences under the Optional Early Cancer Upgrade Benefit;

13. Optional Total Permanent Disablement condition

 cover added using the Optional Business Safeguard Facility;

 reductions in the Critical Conditions Benefit sum assured due to voluntary reduction or due to a partial payment claim. Payment of the Optional Early Cancer Upgrade Benefit may be in addition to any other payments made under this policy. Payment of the Optional Early Cancer Upgrade Benefit will not reduce the Critical Conditions Benefit sum assured. The Optional Early Cancer Upgrade Benefit covers carcinoma-in-situ of the following sites and is defined as a focal autonomous new growth of carcinomatous cells which has not yet resulted in the invasion of normal tissue. ‘Invasion’ means an infiltration and/or active destruction of normal tissue beyond the basement membrane. The carcinoma-in-situ must be positively diagnosed by biopsy and be classified as TIS according to the TNM staging method or FIGO Stage 0:

The Optional Total Permanent Disablement condition applies only if shown in the schedule and, subject to the provisions of this appendix , is included as a full payment condition under the Critical Conditions Benefit. The Optional Total Permanent Disablement condition does not apply to any child of a life assured covered under the Children’s Trauma Benefit or the Optional Children’s and Maternity Benefit.

The Optional Total Permanent Disablement condition does not apply once the life assured attains age 65.

14. Optional Children’s and Maternity Benefit

The Optional Children’s and Maternity Benefit applies only if shown in the schedule .

The Benefit is payable in addition to any Benefit payable under the Built-in Children’s Trauma Benefit or the Built-in Newborn Children’s Benefit.

Breast.



Cervix.



Vagina.



Vulva.



1155 ALB-CC version 8 Effective 12 May 2026

Page 8 of 25

Children’s Critical Conditions Benefit

the condition or has any symptom or signs leading to the condition (whether or not a registered medical practitioner has been consulted) within 12 months after the risk commencement date .

What is the Children’s Critical Conditions Benefit?

AIA will pay a Children’s Critical Conditions Benefit if a child of a life assured suffers one of the applicable conditions listed in Section 1 of this appendix .

What pregnancy complication conditions are covered?

This Benefit is only payable if the child of the life assured :

 Disseminated intravascular coagulation.

 Eclampsia.

 first suffers a condition after the risk

commencement date , subject to the three month stand down period provisions where these apply;  is aged from three months up to their 21 st birthday at the time he or she first suffers from that condition ; and  survives for at least 14 days after suffering from the condition . AIA will pay a maximum of one claim for a child under the Children’s Critical Conditions Benefit across all AIA policies for a life assured . In cases where two policies each name a distinct parent of the child as a life assured , both policies are eligible to claim under the Children’s Critical Conditions Benefit for that child , provided the Optional Children’s and Maternity Benefit is shown in the schedule of both policies.

 Hydatidiform mole.

See Section 22 for a full description of these conditions. How much will AIA pay for the Pregnancy Complications Benefit?

The Benefit payable is $10,000.

Payment of the Pregnancy Complications Benefit will not reduce the Critical Conditions Benefit.

c. Children’s Congenital Conditions Benefit

When is the Children’s Congenital Conditions Benefit payable?

This Benefit is payable if at least 12 months after the risk commencement date a child of a life assured is unequivocally diagnosed by an appropriate specialist and undergoes treatment or therapy for one of the congenital conditions listed below.

What are the applicable conditions and how much will AIA pay?

For those conditions where the criteria for a full payment are met as detailed in Section 20 below, the Benefit payable is the lower of $75,000 or 50% of the Critical Conditions Benefit sum assured. No payments are made under this Benefit for the Optional Total Permanent Disablement condition or any of the conditions where a partial payment applies, except for the following conditions :

What congenital conditions are covered?

 Coarctation of the Aorta.

 Infantile Hydrocephalus.

 Anal atresia.

 Oesophageal atresia.

 Congenital diaphragmatic hernia.

Angioplasty – less than 3 vessels.



 Tracheo-oesophageal fistula.

Carcinoma-in-situ.



 Truncus arteriosis.

For these conditions , the Benefit payable is the lower of $75,000 or 10% of the Critical Conditions Benefit sum assured. Before cover for a child can commence under the Children’s Critical Conditions Benefit, you must advise us in writing of the child’s name, date of birth and gender. Cover for a child will only commence once we have confirmation of the child’s details in writing.

 Retinopathy of prematurity.

How much will AIA pay for the Children’s Congenital Conditions Benefit?

The Benefit payable is $5,000, regardless of the number of congenital conditions diagnosed. AIA will pay a maximum of one claim for a child under the Children’s Congenital Conditions Benefit across all AIA policies for a life assured . In cases where two policies each name a distinct parent of the child as a life assured , both policies are eligible to claim under the Children’s Congenital Conditions Benefit for that child , provided the Optional Children’s and Maternity Benefit is shown in the schedule of both policies.

b. Pregnancy Complications Benefit

When is a Pregnancy Complications Benefit payable?

This Benefit is payable if a life assured for the Critical Conditions Benefit suffers for the first time and at least 12 months after the risk commencement date one of the defined pregnancy complication conditions .

Payment of the Children’s Congenital Conditions Benefit will not reduce the Critical Conditions Benefit.

AIA will not pay this benefit if the life assured suffers

1155 ALB-CC version 8 Effective 12 May 2026

Page 9 of 25

▪

When will AIA not pay a claim under the Optional Children’s and Maternity Benefit? AIA will not pay a benefit under the Optional Children’s and Maternity Benefit that arises as a direct or indirect consequence of:

Multiple sclerosis.

▪

Idiopathic Parkinson’s disease.

− within 60 days of the life assured surviving a period of 12 months after an accelerated Critical Conditions Benefit claim payment for all other

a pre-existing condition ; or



conditions (including the Optional Total Permanent Disablement condition, where applicable).

 any congenital condition , except where expressly covered under the Children’s Congenital Conditions Benefit .

 The Life Cover Benefit can be reinstated following a full payment claim or a partial payment claim.

The Optional Children’s and Maternity Benefit will cease if cover under the Critical Conditions Benefit ceases.

 Only one Life Cover Buyback reinstatement will apply per life assured per policy.

Where the life assured has the Optional Critical Conditions Buyback Benefit, the Optional Children’s and Maternity Benefit can be reinstated in addition to their Critical Conditions Benefit, subject to the life assured satisfying the terms of the Optional Critical Conditions Buyback Benefit.

 The maximum Life Cover Benefit that can be reinstated is 100% of the accelerated Critical Conditions Benefit claim or $2,000,000, whichever is the lesser.

What other conditions apply to cover reinstated under the Optional Life Cover Buyback Benefit?

The Optional Children’s and Maternity Benefit ceases on the child’s 21 st birthday.

No reinstated Life Cover Benefit is payable:



15. Optional Life Cover Buyback Benefit

− within six months (for the conditions listed above that require a six month survival period); or

What is the Optional Life Cover Buyback Benefit?

within twelve months (for all other conditions , including the Optional Total Permanent Disablement condition, where applicable),

−

The Optional Life Cover Buyback Benefit applies only if shown in the schedule and if you have selected an accelerated Critical Conditions Benefit. Where an Optional Life Cover Buyback Benefit is selected, this allows the Life Cover Benefit to be reinstated without the need to provide further medical evidence following an accelerated Critical Conditions Benefit claim, subject to the following conditions:  The Life Cover Benefit can be reinstated to the level applying immediately before the accelerated Critical Conditions Benefit claim.

from the date of the accelerated Critical Conditions Benefit claim payment, except where the claim event is for accidental death  No Life Cover Buyback Benefit is available if the life assured has suffered a claim event under a Terminal Illness Benefit or a Specified Terminal Conditions Benefit under any AIA policy , whether or not a claim has been made.  Any exercise of the Life Cover Buyback Benefit may require an increase in premium . This premium increase will be calculated on the rates applicable at the time the Life Cover Benefit is reinstated.

 The Optional Life Cover Buyback Benefit can be exercised:

within 60 days of the accelerated Critical Conditions Benefit claim payment; or

−

 Any accelerated benefits relating to the Life Cover Benefit for the life assured that have been reduced or

− within 60 days of the life assured surviving a period of six months after an accelerated Critical Conditions claim payment for one of the following conditions:

removed as a result of an accelerated Critical Conditions Benefit claim will not be reinstated.

16. Optional Critical Conditions Buyback Benefit

▪

Paraplegia.

▪

Quadriplegia.

What is the Optional Critical Conditions Buyback Benefit? The Optional Critical Conditions Buyback Benefit applies only if shown in the schedule . Where an Optional Critical Conditions Buyback Benefit is selected, this allows the Critical Conditions Benefit and where applicable, the Optional Early Cancer Upgrade Benefit and/or Optional Children’s and Maternity Benefit to be reinstated without the need to provide further medical evidence following a Critical Conditions Benefit claim,

▪

Diplegia.

▪

Hemiplegia.

▪

Alzheimer’s disease.

▪

Permanent blindness.

▪

Permanent loss of hearing.

▪

Dementia.

▪

Permanent loss of use of limbs .

1155 ALB-CC version 8 Effective 12 May 2026

Page 10 of 25

 Any special terms, exclusions or premium loadings that applied to the original Benefit(s) will also apply to the reinstated Benefit(s) under the new policy.  If you had selected the Optional Total Permanent Disablement condition at the time of the first Critical Conditions Benefit claim, this condition will be included under the reinstated Critical Conditions Benefit, except

subject to the following conditions:

 The life assured must have had a claim paid on their Critical Conditions Benefit that has reduced the sum assured to a nil balance.  Buyback of the Benefit(s) is not available following a claim for a condition listed in Section 1 which results in a partial payment.  No Critical Conditions Buyback Benefit is available if the life assured has suffered a claim event under a Terminal Illness Benefit or a Specified Terminal Conditions Benefit under any AIA policy , whether or not a claim has been made.  A life assured can only exercise the Critical Conditions Buyback Benefit for the cover provided under this policy once.

where the Optional Total Permanent Disablement condition was the subject of the Critical Conditions Benefit claim.

 If you had selected the Optional Early Cancer Upgrade Benefit at the time of the first Critical Conditions Benefit claim, this benefit can be reinstated alongside the original Critical Conditions Benefit, except where you have previously received a claim payment under the Optional Early Cancer Upgrade Benefit.

If you had selected the Optional Children’s and Maternity Benefit at the time of the first Critical Conditions Benefit claim, this benefit can be reinstated alongside the original Critical Conditions Benefit.



What is the maximum amount of cover that can be reinstated?

The maximum Critical Conditions Benefit that can be reinstated is 100% of the Critical Conditions Benefit claim payment or $2,000,000, whichever is the lesser.

In the event of a claim in respect of the reinstated Critical Conditions Benefit, no claim will be paid for:

Any condition for the subsequent claim that is a related condition to the condition which was the subject of the first Critical Conditions Benefit claim, as determined by AIA . The same condition for which AIA has paid a claim under a Critical Conditions Benefit for the life assured , unless the original claim was for any of the conditions under the category of cancer, in which case: o any subsequent claims under the category of cancer will be excluded if the condition occurs within the 12 months immediately following the original claim event date ; and o following this period then then the same condition shall include any cancer that is either:



When can the life assured exercise the Optional Critical Conditions Buyback Benefit?

The Optional Critical Conditions Buyback can be exercised:



 within 60 days of the Critical Conditions Benefit claim payment, or  within 60 days of the first anniversary of the Critical Conditions Benefit claim payment.

The Benefit(s) can only be reinstated on one occasion.

What other conditions apply to cover reinstated under the Optional Critical Conditions Buyback Benefit? On AIA’s acceptance of an application for reinstatement of the Critical Conditions Benefit, and, where applicable, to the Optional Early Cancer Upgrade Benefit and/or Optional Children’s and Maternity Benefit, you will be issued a new policy for the Benefit(s) and sum assured amount(s) being reinstated in which case:  The new policy will be issued based on the information provided at the time of buyback, together with the information provided in the original proposal.

of the same organ system as the original cancer;

−

− considered by the treating oncologist as likely to be a secondary cancer of the original cancer; or

a related cancer .

−

Any heart (or heart-related) condition if the original claim was for a heart condition or a stroke, except where the claim in respect of the reinstated Critical Conditions Benefit is for heart valve surgery or pulmonary hypertension, and these conditions have not previously been claimed for and are not considered by an appropriate specialist as likely to be secondary or directly resulting from the original condition .  Stroke, or any condition directly resulting from a stroke, if the original claim was for a heart (or heart- related) condition , except where the original claim was for heart valve surgery or pulmonary hypertension.



The terms and conditions of the new policy will be those which are then offered by us to the general public, with the exception that no further reinstatements under an Optional Critical Conditions Buyback Benefit will be available in respect of the reinstated Benefit(s). The reinstated Benefit(s) may require an increase in premium . This premium increase will be calculated at the rates applicable at the time the Benefit(s) are reinstated. However, where the Benefit(s) are reinstated after a full Critical Conditions Benefit claim has been paid for cancer, stroke or heart attack – a discount will be applied to the Critical Conditions Benefit premium .



 Any exclusion which applied to the original Critical Conditions Benefit.

1155 ALB-CC version 8 Effective 12 May 2026

Page 11 of 25

In the event of a claim in respect of the reinstated Optional Early Cancer Upgrade Benefit, no claim will be paid for:  The same cancer condition for which AIA has paid a claim under a Critical Conditions Benefit for the life assured . The same cancer condition shall include any cancer that is either: − of the same organ system as the original cancer; − considered by the treating oncologist as likely to be a secondary cancer of the original cancer; or

 The Critical Conditions Benefit for a life assured under this policy after the use of this Facility cannot exceed the Life Cover Benefit for that life assured .  After the use of this Facility, the Critical Conditions Benefit for a life assured under this policy plus any other Critical Conditions type cover held on the life assured with any insurer cannot exceed $2,000,000.  The Optional Business Safeguard Facility cannot be exercised within six months of the risk commencement date .  In any 12 month period you can make only two increases under this Facility.

a related cancer .

−

In the event of a claim in respect of the reinstated Optional Children’s and Maternity Benefit, no claim will be paid for:  The Children’s Critical Conditions Benefit where you have already received a claim payment for the same child under the original Children’s Critical Conditions Benefit;  The Children’s Congenital Conditions Benefit where you have already received a claim payment for the same child under the original Children’s Congenital Conditions Benefit; or  Any exclusion which applied to the original Optional Children’s and Maternity Benefit.

 You must make the request within three months of the relevant business event.

 To apply for the increase in cover, you need to write to AIA to satisfy us that the value of the life assured 's financial interest is at least equal to the requested increase to the amount of cover. You must include: - a valuation of the business or valuation of the life assured to the business (as provided by an independent qualified accountant or business valuer); and/or

- evidence of the loan guarantee, and any other contractual or financial evidence we may request.

Any increase is subject to approval by AIA .



17. Optional Business Safeguard Facility

 The method chosen to value the business or life assured must be in accordance with established business valuation practice for the industry. The independent qualified accountant or business valuer cannot be a family member, business partner, employee or employer of you or the life assured . The method of valuation and valuer must be satisfactory to AIA .  In the first six months following an increase, the life assured will only be covered for the amount of the increase if the life assured ’s condition occurs as a direct and sole result of an accident .  You cannot apply for an increase under this Facility at any time when you have made, or are entitled to make, a claim under your Life Cover Benefit or Critical Conditions Benefit.

The Optional Business Safeguard Facility applies only if shown in the schedule and if you have selected an accelerated Critical Conditions Benefit. On each occasion that the financial interests of a life assured in the business increases, or their loan guarantee increases, or their value to the business increases, you may write to AIA asking us to increase the Critical Conditions Benefit for that life assured without the need to provide medical evidence, subject to the following conditions:  The Critical Conditions Benefit for a life assured under this policy after the use of this Facility cannot exceed the lesser of five times the original Critical Conditions Benefit or $2,000,000. Example 1: Original benefit = $100,000 Original benefit x 5 = $500,000 Cover available after the use of this Facility cannot exceed $500,000 Total increase under this Facility cannot exceed $400,000

 Each Optional Business Safeguard Facility increase will require an increase in premium . This increase will be

calculated on the rates applicable at the time the Optional Business Safeguard Facility is used.

18. Exclusions – when AIA won’t pay a benefit

AIA will not pay any benefit described in this appendix where any of the following (and in each case either directly or indirectly) causes or contributes to the claim:  The life assured (or the child in the case of a Built-in Children’s Trauma Benefit, or the Optional Children’s and Maternity Benefit) deliberately injures himself or herself or attempts to do so.

Example 2: Original benefit = $500,000 Original benefit x 5 = $2,500,000 Cover available after the use of this Facility cannot exceed $2,000,000 Total increase under this Facility cannot exceed $1,500,000

 The life assured (or the child in the case of a Built-in Children’s Trauma Benefit, the Built-in Parents Grieving

1155 ALB-CC version 8 Effective 12 May 2026

Page 12 of 25

treatment (including any operation or vocational, medical and/or social rehabilitation) at your expense which the life assured ’s registered medical practitioner or a registered medical practitioner approved by AIA considers necessary.

Benefit or the Optional Children’s and Maternity Benefit) engages in or is part of any conduct that is criminal.

 Any condition or any symptom or signs leading to the condition (whether or not a registered medical practitioner has been consulted) that existed before the risk commencement date , unless AIA is satisfied that you or the life assured could not have known of the existence of the condition or symptom or signs leading to the condition , or the condition or symptom or signs leading to the condition were declared on your application and accepted by AIA . AIA will not pay any benefit described in this appendix where any of the following occurs before a life assured (or any child in the case of a Built-in Children’s Trauma Benefit, the Built- in Parents Grieving Benefit or the Optional Children’s and Maternity Benefit) reaches age 21, and (in each case either directly or indirectly) causes or contributes to a claim for that life assured (or child ):

 Any other information that AIA may deem relevant to the assessment of the claim.

For advice about submitting a claim you can phone AIA on 0800 500 108 or your Adviser. Find claim information online at AIA.co.nz

20. Definitions of medical conditions

Cancer

The life assured has suffered or undergone one of the following conditions :

 any intentional act by you or by any parent or guardian of the life assured , or child.

Carcinoma-in-situ A focal autonomous new growth of carcinomatous cells which has not yet resulted in the invasion of normal tissues. ‘Invasion’ means an infiltration and/or active destruction of normal tissue beyond the basement membrane.

 any intentional act by someone who lives with or supervises the life assured, or child.

AIA will not pay a children’s benefit under the Children’s Trauma Benefit or the Optional Children’s and Maternity Benefit that arises as a direct or indirect consequence of:

This benefit only covers carcinoma-in-situ of the following sites:

Breast.



a pre-existing condition ; or



Cervix.



 any congenital condition , except where expressly covered under the Children’s Congenital Conditions Benefit.

Vagina.



Vulva.



These exclusions apply to any subsequent benefit increase you make.

The carcinoma-in-situ must be positively diagnosed by biopsy and be classified as TIS according to the TNM staging method or FIGO Stage 0. The benefit payable is 25% of the sum assured to a maximum of $75,000 across all Business AIA policies for the life assured . Carcinoma-in-situ radical surgery As a result of a carcinoma-in-situ, an operation to arrest spread of the malignancy is performed which involves the removal of the entire organ (which includes: breast, cervix, ovary, fallopian tube, vagina, vulva, prostate, colon/rectal, bladder) affected, or the organ requires systemic chemotherapy, radiotherapy or immunotherapy, and that treatment is considered medically necessary by an appropriate specialist . The carcinoma-in-situ must be positively diagnosed by biopsy and be classified as TIS according to the TNM staging method or FIGO Stage 0. Malignant tumours and blood cancers The presence of one or more malignant tumours, characterised by uncontrolled growth and spread of malignant cells, with the invasion and destruction of normal tissue for which major interventional treatment or surgery is considered medically necessary by an appropriate specialist .

19. How to make a claim

To make a claim, refer to the section in your AIA Living policy entitled ‘How to make a claim’.

In addition, for a Critical Conditions Benefit claim, AIA will require information acceptable to us, including medical evidence and reports, showing proof of the condition giving rise to the claim. AIA may require the life assured or his or her child (if applicable) to have an examination by a registered medical practitioner appointed by AIA before accepting liability for a claim.

Where the Optional Total Permanent Disablement condition is the condition giving rise to the claim, AIA will also require:

 An AIA claims form completed by the life assured and a registered medical practitioner (at your expense).

 Other information which AIA may reasonably request to help assess the claim, which may include evidence of earnings, taxable income, business accounts, ACC details or similar.

 The life assured to undergo medical and/or surgical

1155 ALB-CC version 8 Effective 12 May 2026

Page 13 of 25

Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25