(whether or not a registered medical practitioner has been consulted) that may result in a claim for anything other than an accident under the Critical Conditions Benefit.
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; and
11.
Built-in Return Home Benefit
AIA 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.
AIA must be provided with a receipt for the consultation and/or counselling being claimed.
The $2,500 is payable once per life assured per policy. This is in addition to the sum assured.
14.
Built-in Suspension of Cover Benefit
A life assured can suspend their cover under this benefit appendix for up to 12 months if they:
go on parental leave;
go on leave without pay for any reason;
No payment will be made if the life assured is covered for the same event with a travel insurance provider.
become unemployed or redundant;
experience at least a 20% reduction in pay (comparing the most recent payslip against a previous payslip from the same year); or
12.
Built-in Parents Grieving Benefit
When is a Parents Grieving Benefit payable?
if self-employed, experience a 30% reduction in revenue (by comparing one month’s revenue against the same month for the previous year),
AIA will pay a Parents Grieving Benefit if:
a child of a life assured dies prior to birth but after at least 24 weeks gestation; or
provided that:
you notify AIA within 90 days of one of the above listed suspension events occurring and provide evidence to AIA of the suspension event; and
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 .
AIA acknowledges in writing receipt of that notification.
Cover for the life assured will be suspended from the date set out in AIA ’s written acknowledgement.
This Parents Grieving Benefit ceases on the child’s 21 st birthday.
No premium will be payable during the period that the cover is suspended.
How much will AIA pay for the Parents Grieving Benefit?
No claim under this benefit appendix will be payable for any condition 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.
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 .
At the end of the suspension period, the benefit will be automatically reinstated for the life assured .
13.
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
Cover for the life assured will be reinstated from the date set out in AIA ’s written acknowledgement.
1105 AL-CC version 8 Effective 12 May 2026
Page 10 of 30
Powered by FlippingBook