How much will AIA pay for the Children’s Congenital Conditions Benefit?
The Optional Life Cover Buyback Benefit can be exercised:
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 after which cover for a child under this benefit will end. 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.
− within 60 days of the accelerated Critical Conditions Benefit claim payment; or
− within 60 days of the life assured surviving a period of six months after an accelerated Critical Conditions Benefit claim payment for one of the following conditions:
Paraplegia;
•
Quadriplegia;
•
Diplegia;
•
Payment of the Children’s Congenital Conditions Benefit will not reduce the Critical Conditions Benefit.
Hemiplegia;
•
Alzheimer’s disease;
•
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:
Permanent blindness;
•
Permanent loss of hearing;
•
Dementia;
•
a pre-existing condition ; or
Permanent loss of use of limbs;
•
any congenital condition , except where expressly covered under the Children’s Congenital Conditions Benefit.
Multiple sclerosis;
•
Idiopathic Parkinson’s disease; or
•
The Optional Children’s and Maternity Benefit will cease if cover under the Critical Conditions Benefit ceases.
− within 60 days of the life assured surviving a period of twelve months after an accelerated Critical Conditions Benefit claim payment for all other conditions (including the Optional Total Permanent Disablement condition , where applicable).
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. Following a claim payment under the Optional Children’s and Maternity Benefit, this benefit cannot be reinstated under the Optional Critical Conditions Buyback Benefit or continued under the Optional Continuous Critical Conditions Benefit.
The Life Cover Benefit can be reinstated following a full payment claim or a partial payment claim.
Only one Life Cover Buyback reinstatement will apply per life assured per policy.
The maximum Life Cover Benefit that can be reinstated is 100% of the accelerated Critical Conditions Benefit claim payment or $2,000,000, whichever is the lesser.
The Optional Children’s and Maternity Benefit ceases on the child’s 21 st birthday.
What other conditions apply to cover reinstated under the Optional Life Cover Buyback Benefit?
18.
Optional Life Cover Buyback Benefit
No reinstated Life Cover Benefit is payable:
What is the Optional Life Cover Buyback Benefit?
The Life Cover Buyback Benefit is available as an option once the life assured reaches age 16. The schedule will specify if you have chosen the Optional Life Cover Buyback Benefit 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.
− within six months (for the conditions listed above that require a six month survival period); or
− within twelve months (for all other conditions , including the Optional Total Permanent Disablement condition, where applicable),
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.
1105 AL-CC version 9 Effective 22 September 2026
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