If the life assured is totally disabled , AIA will pay a Home Care Benefit monthly in arrears in addition to the Total Disability Income Benefit. The Home Care Benefit is a payment for the services of the person providing care to the life assured and is payable to the person providing care, not the policy owner named in the schedule . The person providing the care will not be acting as an employee, contractor or agent of AIA . A registered medical practitioner must certify that the life assured requires full-time care at home or in a hospital because of the life assured’s disability.
the most recent payslip against a previous payslip from the same year); or > if self-employed, experience a 30% reduction in revenue (by comparing one month’s revenue against the same month for the previous year),
provided that:
> you notify AIA within three months of one of the above listed suspension events occurring and provide evidence to AIA of the suspension event; and
> AIA acknowledges in writing receipt of that notification.
The full-time care must be provided by either:
Cover for the life assured will be suspended from the date set out in AIA’s written acknowledgment. No premium will be payable during the period that the cover is suspended. No claim under this benefit appendix will be payable during, or for any disability that occurs during, the period that the cover is suspended. A claim may only be payable if the life assured first meets the criteria for an eligible claim under this policy after their cover is reinstated. Cover under this benefit appendix may be reinstated at the end of the suspension period in accordance with this Section without the need to provide further medical evidence, provided that the benefit has been suspended for no longer than 12 months. At the end of the suspension period, the benefit will be automatically reinstated for the life assured . Cover for the life assured will be reinstated from the date set out in AIA’s written acknowledgement. The premium payable for the reinstated benefit will be based on AIA’s premium rates at the time of the reinstatement. If the life assured becomes entitled to a Partial Disability Income Benefit within 12 months following the reinstatement of cover under this benefit appendix , then the amount of benefit payable will be calculated using Section 6 of this benefit appendix , provided that the 12 month period used for calculating the life assured’s pre-disability income will be a combination of: the period from the date of reinstatement to the date of disablement ; and the period immediately prior to the commencement of the suspension event, that is needed to make up the balance of the 12 month period.
> a person whose profession it is to provide nursing or similar services; or > a direct family member who is in paid work for at least 28 hours per week immediately before life assured became totally disabled and who has given up that work to care for the life assured . The amount of the Home Care Benefit each month will be the lowest of:
> 1/12 th of the benefit amount shown in the schedule ; or
> $2,500; or
> the cost of the care, if it is provided by a person whose profession it is to provide nursing or similar services; or > if the care is provided by a direct family member, 75% of the pre-tax income we determine that family member has lost because he or she has given up work to care for the life assured . Where the Home Care Benefit is payable for an incomplete month, payment will be at the rate of 1/30 th (one-thirtieth) of the monthly amount per day. The Home Care Benefit starts from the expiry of the first 3 successive days of the life assured receiving full-time care and ends when: > a registered medical practitioner no longer certifies that full-time care is required; or > we have paid the Home Care Benefit for 6 consecutive months; or
> the benefit payment period ends;
whichever comes first.
For any period where the life assured is entitled to a Permanent Disablement Benefit, the Home Care Benefit will not be payable.
17. What is the Future Insurability Benefit?
16. When can you suspend cover and when will AIA reinstate cover? A life assured can suspend their cover under this benefit appendix for up to 12 months if they:
The Future Insurability Benefit is a built-in benefit for a life assured unless you have selected the Optional Claim Indexation Benefit (specified in the schedule as CPI linked). If you have selected the Optional Claim Indexation Benefit, the Future Insurability Benefit is not available. The Future Insurability Benefit will only apply for a life assured if the Income Protection Benefit sum assured shown in the schedule for the life assured together with any previous Future Insurability Benefit increases for the life
> go on parental leave;
> go on leave without pay for any reason;
> become unemployed or redundant;
> experience at least a 20% reduction in pay (comparing
1108 AL-IP version 5 Effective 12 May 2026
Page 6 of 12
Powered by FlippingBook