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
Powered by FlippingBook