AIA Living Umbrella Policy Wording

registered medical practitioner(s)

A person, acceptable to AIA , who holds a current practising certificate in compliance with the Health Practitioners Competence Assurance Act 2003 (or its successor) and who is registered and practising as a medical practitioner in New Zealand or Australia, other than:  The policy owner(s) ;  The life assured ;  A family member of the life assured or policy owner(s) ; or  The business partner or associate of a life assured or policy owner . AIA reserves the right to accept the advice of a medical practitioner practising outside New Zealand or Australia with qualifications equivalent to New Zealand or Australian standards. Any in force policy/policies for the life assured that were issued on or before the 4 th August 2019, where:

condition(s)

As defined in the Optional Benefit Appendix for Critical Conditions Benefit and Progressive Care Benefit. The Consumers Price Index (all groups) issued by the Government Statistician as at 30 September each year, or any index which may replace that index. A relative who is the life assured's spouse, civil or de facto partner, mother, father, stepmother, stepfather, brother, sister, stepbrother, stepsister, child , grandfather or grandmother.

consumers price index

close relative

life/lives assured

The person or people insured for the benefit(s) as named in the schedule.

material

A statement is material only if that statement would have influenced the judgment of a prudent insurer in fixing the premium or in determining whether he/she would have taken or continued the risk upon the same terms.

related policy/policies

Sovereign Assurance Company Limited ( ‘ Sovereign ’ ) was the insurer; and/or

pass back date

The date that the relevant change to AIA’s Living policy

AIA International Limited, New Zealand Branch ( ‘ AIA International ’ ) was the insurer.

comes into effect, as determined by AIA .

AIA in its sole discretion may pay more than one benefit, or more than the stated maximum sum assured for the same claim event should the life assured have cover under one or more related policy/policies through both Sovereign and AIA International.

policy fee

The administration fee charged by AIA as detailed in the policy illustration or in any communication to you containing information about your policy. The person or people named as ‘policy owner’ in the schedule, also referred to in this policy as ‘you’ or ‘your’. The period from the risk commencement date to (but excluding) the first anniversary date , or from an anniversary date to (but excluding) the next anniversary date . The amount payable by you to AIA under this policy, comprising the cost of the benefits chosen by you, plus any applicable policy fee , less any eligible premium discounts if any.

policy owner(s)

risk commencement date

The commencement date of the benefit, as shown in the schedule .

policy year

specialist

A registered medical practitioner who is a member of an appropriately recognised specialist college and has authority granted under the Health Practitioners Competence Assurance Act 2003 (or its successor) to perform that health service and has Medical Council of New Zealand (or its successors) vocational registration for that health service. A statement is substantially incorrect only if the difference between what was stated and

premium

premium due date

The date on which the premium is payable under the policy, as agreed with AIA .

substantially incorrect

1100 AL-UMB version 5 Effective 4 August 2023

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