PC-ADB-05/2026
Personal Cover - Accidental Death Benefit
SECTION A - DEFINED TERMS
DEFINED TERMS
In this Policy certain words have particular meanings. These words are in Bold and the meanings set out below. Interpretation Throughout this Policy ' We', 'Our ' ' Us ' or ‘ AIA New Zealand’ means AIA International Limited - New Zealand Branch, and/or any related and/or authorised companies and agents (including company officers acting in the scope of their authority). ' You ' or ' Your ' means the Policy Owner(s) . Accidental Death Means death which is the result of external or internal bodily injury caused directly by violent external visible means, not attributable to any other event. Accelerated Benefit Means the Trauma Cover or Total Permanent Disability Cover taken out on an accelerated basis with Life Cover as set out in Your Policy Schedule . Payment of this Benefit will lead to a proportional reduction in the amount of the Life Cover as appropriate. Benefit(s) Means the Benefit specified in the Policy Schedule (and subject to the terms and conditions of this Policy ). Child or Children Any person under the age of twenty-one (21) who is either, the natural or legally adopted son/daughter of, or is under the legal guardianship of, a Life Assured or the spouse, Civil Union partner or de facto partner of the Life Assured .
Civil Union Means a Civil Union as defined in the Civil Union Act 2004.
Close Relative Means a relative who is the Life Assured's spouse, Civil Union or de facto partner, mother, father, step mother, step father, brother, sister, step brother, step sister, Child , grandfather or grandmother. Consumer Price Index Increase Means any increase in the index published by the Statistics Department of New Zealand for "All Groups" as at 30 September each year (or the nearest equivalent index should this index be replaced). Criminal Act Means participation in an action that constitutes an offence under the Crimes Act 1961, whether or not that action results in a conviction on indictment or on summary conviction. Full-Time Care Means having primary responsibility and actively undertaking, whether shared or alone, the day-to-day care of persons who cannot safely take care of themselves without supervision. Life Assured Means the person or people insured for the Benefit(s) as listed in Your Policy Schedule . Manifested Means that symptoms have arisen which cause an ordinarily prudent person to seek diagnosis, care or treatment, or that medical advice or treatment has been recommended by or received from a Medical Practitioner.
Marriage Means a Marriage as defined in the Marriage Act 1955.
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Medical Practitioner Shall mean any person approved by Us registered with the Medical Council of New Zealand to render medical or surgical services, and who holds an Annual Practising Certificate. For diagnoses made outside New Zealand, this definition covers any appropriately qualified medical professional approved by Us . This definition excludes any person who is himself/herself the Life Assured, the Policy Owner , the spouse, de facto spouse, Civil Union partner, lineal relative, or business partner/associate of the Life Assured or Policy Owner. Policy Means this contract of insurance between You and Us . It includes thefollowing parts: • Your application for insurance; and • this Policy wording; and • the Policy Schedule ; and • any addendum to the Policy Schedule ; and • any other written notice that We give You ; and • any written notice that You give Us . Policy Anniversary Date Means the anniversary of the Policy Commencement Date Policy Commencement Date Means the commencement date of the Policy as specified in Your PolicySchedule . Policy Owner Means the Policy Owner identified in the most recent Policy Schedule issuedto You by Us . Policy Schedule Means the most recent Policy Schedule issued to You by Us , including any endorsements or special conditions. Policy Year Means the twelve (12) month period which starts from the Policy Commencement Date and ends on the First Anniversary Date . Each subsequent Policy Year is from Policy Anniversary Date to Policy Anniversary Date . Premium Means the Premium specified in Your Policy Schedule or in any subsequent notice issued to You by Us . Premium Guarantee Period Means the period of time specified in Your Policy Schedule during which the Premium Rates applicable to Your Policy are guaranteed not to increase. Premium Rates Means the underlying Premium Rates We use to calculate Your Premium based on factors including the age, health, occupation and circumstances of the Life Assured .
Sum Assured Means the Sum Assured for the Benefit(s) as set out in Your PolicySchedule. Total Premium Means the sum of the Premium and the policy fee together with anyapplicable GST as specified in Your Policy Schedule.
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SECTION B - ACCIDENTAL DEATH BENEFIT FEATURES
1
JURISDICTION AND CURRENCY
The laws of New Zealand apply to this Policy . The New Zealand courts have exclusive jurisdiction. All monetary amounts referred to in this Policy are expressed and payable in New Zealand dollars and include GST. A When You apply for insurance with AIA New Zealand and when You make a claim on the Policy , You have a legal duty of disclosure to AIA New Zealand . The duty of disclosure means that: 1. All the statements that You or any Life Assured make to AIA New Zealand (both written and oral), including the answers in: a. the application; b. any claim made by You ; and c. any other communication by You or any Life Assured with AIA New Zealand; must be complete, true and correct. 2. You and any Life Assured must disclose everything that You or any Life Assured know, or could reasonably be expected to know, that is relevant to AIA New Zealand’s decision whether: a. to accept Your application for insurance, on what terms AIA New Zealand will accept it and how much it will cost; or b. to accept Your claim on the Policy . 3. This duty of disclosure in relation to Your application for insurance continues from the time You complete the application until either:
RESPONSIBILITY FOR TRUTHFULNESS
2
a. the Policy Commencement Date or the date AIA New Zealand accepts Your application for insurance, whichever is later; or b. AIA New Zealand declines Your application for insurance.
4. You and any Life Assured also have the same duty of disclosure to AIA New Zealand throughout the term of the Policy whenever You or any Life Assured communicate with AIA New Zealand and whenever You extend, vary or reinstate Your insurance. IMPORTANT If You or any Life Assured do not comply with Your duty of disclosure, AIA New Zealand may at its discretion do any or all of the following: 1. Decline any claim that You make; 2. Alter the terms of any Benefits under the Policy ; 3. Remove any Benefits under the Policy ; 4. Void Your Policy from the Policy Commencement Date ; 5. Retain all Premiums , policy fees and recover any Benefits paid; 6. Terminate this Policy .
If You are not sure whether You are required to disclose a particular fact, please ask AIA New Zealand or Your insurance adviser.
B If the age of the Life Assured was misstated in the application, the amount payable under this Policy will be adjusted to the amount that the Premiums would have purchased if the correct age had been disclosed.
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PREMIUM RATES
3
The term of this Policy and the period of assurance covered by each annual Total Premium, or instalment of annual Total Premium, terminates on the due date of the next annual Total Premium or instalment. A thirty (30) day grace period is allowed after the due date for payment of each Total Premium . This Policy will automatically terminate if the Total Premium is not paid before the expiration of the grace period. In such an instance this Policy can be reinstated subject to: • Our consent; and • such evidence of continued good health of the Life Assured as We may require; and • the payment of all Total Premiums in arrears together with such interest thereon as We may decide. We may vary your Benefits , charge additional Premiums or not allow You to reinstate the Policy if the health, occupation, financial position or pastimes of the Life Assured have changed. We will charge You a policy fee, which forms part of Your Total Premium. The policy fee is used to pay the ongoing administration costs of this Policy. The policy fee is specified in Your Policy Schedule. We may change this policy fee from time to time. If this occurs any such change will be notified to You in writing. No increase in Premium Rates will apply to this Policy as a result of change in the health, occupation or circumstances of the Life Assured except as provided for in Clause 4 “Occupation Change” below. However, We have the right to review at any time and from time to time the Premium Rates and handling fees applicable to this Policy and to apply the reviewed rates and fees to this Policy . In the event of the Life Assured changing occupation to any of the following, then the Life Assured shall notify Us , and We may decline future cover or increase future Premiums . In the event of Accidental Death (as defined in Clause 13 “Benefit Payment” below) arising from such occupation, if We have not received notification then We may decline the claim. The occupations requiring notifications are: • Demolition Workers • Telephone and Telegraph Workers • Electrical Power Workers • Involvement in Explosives and Munitions. With Our agreement the annual Total Premium may be paid by equal fortnightly, monthly, quarterly or half-yearly instalments but with such handling fees as We shall determine from time to time. We may cancel this arrangement at any time in respect of future Total Premiums . The Policy Owner may apply to Us to change the Premium or Benefits attributable to this Policy . Subsequent to this, We may change the Premium and/or alter any Benefits under this Policy in accordance with this instruction.
OCCUPATION CHANGE
4
PREMIUM PAYMENTS
5
POLICY FEE
6
7
PERIOD OF ASSURANCE
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TERMINATION
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Unless previously terminated, this Policy shall terminate on the earliest of: A The anniversary of the Policy Commencement Date following the Life Assured attaining age sixty-four (64). B Payment of the Accidental Death Benefit . C Written notification of cancellation from You to Us at any time. D Non-payment of Total Premium as set out in Clause 7 “Period of Assurance” above. E The death of the Life Assured . If this Policy is avoided or is terminated under any of the terms and conditions of this Policy , all Total Premiums paid shall be absolutely forfeited to Us . Cover under this Policy applies twenty-four (24) hours a day, anywhere in the world. If you are overseas during the period of a claim, Benefits will be paid in New Zealand currency. This Policy is the entire contract of insurance between You and AIA New Zealand . It comprises the following parts: Your application for insurance; and • this Policy wording; and • the Policy Schedule ; and • any other written notice that AIA New Zealand gives You ; and • any written notice that You give Us . In the event of any changes in taxation after the Policy Commencement Date which affects the Benefits or Our liability, We may make such amendments or modifications to the Premium and Benefits and this Policy as We consider appropriate. This Policy does not participate in bonus distributions or acquire a cash surrender, loan or maturity value. B Where this Policy refers to an Act of Parliament, this includes any Regulations made under it. It also includes any Act or Regulations enacted in substitution. C Your life insurance Policy is part of the AIA New Zealand Statutory Fund, effective 1 st September 2013. This is a requirement under the Insurance (Prudential Supervision) Act 2010, for policyholder protection. We will pay an Accidental Death Benefit on the Life Assured where death occurs from an injury caused by violent, accidental, external and visible means within ninety (90) days after the date on which the injury happened. Death must occur before the Life Assured turns age sixty-five (65). The sole cause of death must be the accidental injury. The amount of Benefit payable on the Accidental Death of the Life Assured is shown in the Policy Schedule . Upon payment of the Accidental Death Benefit and after referral by a Registered Medical Specialist , We will reimburse up to $2,500 to cover the cost of a Psychiatrist or Psychologist consultation and/or counselling for a Close Relative of the Life Assured where the support treatments and/or consultations directly relate to the claim, subject to the following conditions: • You must pay for the consultation and/or counselling within twelve (12) months following AIA New Zealand paying the Accidental Death Benefit claim; and
FORFEITURE OF PREMIUMS
9
WORLDWIDE COVER 10
ENTIRE CONTRACT
11
TAX CHANGES
12
GENERAL
13 A
BENEFIT PAYMENT
14
COUNSELLING BENEFIT
15
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• You must provide Us with a receipt for the consultation and/or counselling You are claiming.
Only one (1) Counselling Benefit payment per Life Assured will be made regardless of the number of additional Policies held with Us . This is in addition to the Sum Assured . You can apply for a Suspension of Premium Benefit for a period of up to twelve (12) months. The request must be made in writing by You to Us and accepted by Us. At the end of Your requested suspension period cover will recommence, and Premium payments must resume. Valid reasons for the Suspension of Premium Benefit are listed below: • Employer approved leave without pay; • Overseas travel; • Employer approved parental leave; • Tertiary Education; • Unemployment or Redundancy; • Reduction in pay of at least 20% (comparing the most recent payslip against a previous payslip from the same year); • If self-employed, reduction in revenue of at least 30% (by comparing one month’s revenue against the same month for the previous year); or • Any other event AIA New Zealand agrees to, at its sole discretion. Whilst this Benefit is in force no claim is payable by Us to You under this Policy . When Premium payments resume, no claim will be considered in respect of any claim event that first meets the criteria for an eligible claim during the period of Premium suspension. We will not pay any Benefit where the death, or the injury which resulted in death, was directly or indirectly caused or contributed to by, or directly or indirectly arose from the Life Assured : • deliberately injuring himself or herself or attempting to do so • participating in any Criminal Act • being under the influence of alcohol or drugs except where the drugs were prescribed by and were being used in accordance with the directions of a registered Medical Practitioner • flying or being in any aerial device other than as a fare-paying passenger • whilst participating in motor sport or racing, scuba diving, mountaineering or other such hazardous pursuits, unless notified to and confirmed by Us as covered under this Policy To enable You to consider the Policy in detail You will have a free look period of fourteen (14) days after You receive Your Policy document. During this period, if You decide that the Policy does not suit Your needs then You may return it to Us and receive a full refund of all Total Premiums paid and the Policy will be cancelled.
SUSPENSION OF PREMIUM BENEFIT
16
EXCLUSIONS
17
FREE LOOK PERIOD
18
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NOTICES
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Should You write to Us about this Policy , You must send the letter to Our head office in New Zealand as notified by Us to You from time to time. The postal address of AIA New Zealand’s head office is: AIA New Zealand Private Bag 300981 Albany AUCKLAND CITY 0752
The street address of AIA New Zealand’s head office is: AIA New Zealand Level 15, 5-7 Byron Avenue Takapuna AUCKLAND CITY 0740
(INSIGHT 32.0.0 February 2018 (Updated August 2019)
(Updated July 2021) (Updated May 2026)
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