BED CONFINEMENT BENEFIT
18
If the Life Assured is Disabled and confined to bed on direction of a Medical Practitioner and under the full-time care of a Registered Nurse (holding an Annual Practising Certificate issued by the Nursing Council of New Zealand) before the Waiting Period has elapsed and has been so for more than three (3) days, the Benefit payable after the third day will be a daily Benefit equivalent to 1/30 of the monthly Disability Benefit which will commence and will continue until the Life Assured leaves bed or until the Waiting Period has elapsed, whichever is sooner. The normal conditions apply after the Waiting Period has elapsed.
LEAVE WITHOUT PAY AND SUSPENSION OF COVER
19
You can apply to suspend cover for a Life Assured for a period of up to twelve (12) months if they:
• Take a period of Leave Without Pay from all regularly remunerated occupations; • Take employer approved parental leave; • Become redundant, or unemployed; • Have a reduction in pay of at least 20% (comparing the most recent payslip against a previous payslip from the same year); or • If self-employed, have a reduction in revenue of at least 30% (by comparing one month’s revenue against the same month for the previous year), provided the request is made in writing by You to Us and has been accepted by Us . We will resume cover without requiring evidence of health for any insured person when the requested suspension period expires. Once cover is reinstated, Total Premiums must recommence. We will not pay any Benefits under this Policy following reinstatement of cover, in respect of any claim event that first meets the criteria for an eligible claim while cover is suspended. A Benefit is payable of twelve (12) times the monthly Benefit to cover costs of purchasing specialist equipment or completing home alterations which are necessary as a result of Disability . This Benefit is payable at Our sole discretion where it is deemed the Benefit will assist the Life Assured with a return to independence and the workforce. We shall be entitled to arrange for an appropriately qualified health professional to assess any recommendation for specialist equipment or home alterations. This Benefit will be reduced by any costs recovered from other sources such as other insurers or the ACC. We will waive the Total Premium under this Policy for up to six (6) months at any stage between the second trimester and six (6) months after the Life Assured’s pregnancy finishes if the Life Assured becomes pregnant while this Policy is in force provided: • the Life Assured provides Us with confirmation of pregnancy from an appropriate Medical Practitioner ; and • the birth of the child does not occur within twelve (12) months of: - the Policy Commencement Date ; or - the most recent reinstatement of this Policy ; and
REHABILITATION EQUIPMENT EXPENSE BENEFIT
20
PREGNANCY PREMIUM WAIVER
21
PC-IP LOE Premier- 05/2026
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