• Irrecoverable total loss of an eye or sight in the eye.
The Fracture or Loss must be certified by a Medical Practitioner.
OFFSETS
13
No offsets apply where the Benefit is $5,000 per month or less. Where the monthly Benefit is greater than $5,000 then the amount of the Benefit in excess of $5,000 will be offset by income the Life Assured is entitled to receive from any: • Government or statutory source (for example ACC payments or any benefit); and/or • An investment property insured under this Policy ; and/or • A non AIA New Zealand insurance policy covering the same risk. Is as defined by Us as a past or present history of symptoms suggestive of, and/or Diagnosis or treatment of, the following non - limiting list of mental health related problems: • Anxiety, depression, behavioural disorder, psychoneurosis, psychosis, or somatoform disorders; or • Stress, fatigue, exhaustion, chronic fatigue syndrome; or • Any psychiatric complication of physical disorders; or • Post Traumatic Stress Disorder; or • Drug or alcohol abuse; or • Any other physical disorder related or attributable to stress or any other mental or nervous disorder. Involuntary Redundancy is defined as: Termination of the Life Assured’s permanent contract of employment by the Life Assured’s employer due to the fact that: • The Life Assured’s employer has ceased or intends to cease to carry on the business for the purpose of which the Life Assured was employed or has ceased or intends to cease to carry on that business in the place where the Life Assured was so employed; or • The requirements of that business for the Life Assured to carry out work of a particular kind in the place the Life Assured was so employed have ceased or diminished or are expected to cease or diminish.
MENTAL HEALTH DISORDER
14
OPTIONAL INVOLUNTARY REDUNDANCY BENEFIT
15
BENEFIT PERIOD
16
Means the Benefit Period specified in the Policy Schedule .
WAITING PERIOD
17
Means the Waiting Period specified in the Policy Schedule of continuous Total Disability which must elapse from the date upon which the Life Assured first received medical advice from a Medical Practitioner in respect of that disability before the monthly Benefit becomes payable. Means working an average of more than 30 hours per week in the six months prior to cancellation of Business Continuation Cover, Farmers Revenue Protection Cover or New to Business Cover.
ACTIVELY INVOLVED
18
ACTIVELY TRADING
19
Means undertaking any activity carried on for the production of income from selling goods or performing services.
REHABILITATION AND SUPPORT
20
On receiving notification of a new or potential claim, We will appoint the Life Assured a Case Manager, who will work with the Life Assured to understand their personal situation and assist them with the claims process. They will work with the Life Assured to consider what rehabilitation or functional
PC-MIRC- 05/2026
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