AIA Real Business Trauma Policy Wording

BCP-TC-05/2026

Business Cover Professional - Trauma Cover

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/or agents (including company officers acting in the scope of their authority). ' You ' or ' Your ' means the Policy Owner(s) . 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.

Activities of Daily Living are: Type of activity Description

1.Washing

the ability to wash in the bath or shower (including getting into or out of the bath or shower) or wash satisfactorily by other means. the ability to put on, take off, secure and unfasten all garments and, as appropriate, any braces, artificial limbs or other surgical appliances. the ability to feed oneself once food has been prepared and made available. the ability to use the lavatory or otherwise manage bowel and bladder function so as to maintain a satisfactory level of personal hygiene. the ability to move from place to place by walking, wheelchair or with assistance of a walking aid.

2. Dressing

3. Feeding

4. Toileting

5. Mobility

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).

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Employment and/or Usual Occupation The occupation, business or Employment which the Life Assured was engaged in immediately before the injury or illness, and from which he or she was remunerated. 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. Heart Condition Means one (1) of the following illnesses (as defined in Clause 3 “Critical Illness” under Section D “Trauma Cover Benefit Definitions” below): • Angioplasty • Cardiac Defibrillator Insertion • Cardiomyopathy • Coronary Artery Bypass Surgery • Heart Attack • Heart Valve Replacement • Heart Valve Surgery • Out of Hospital Cardiac Arrest • Pacemaker Insertion • Percutaneous Repair Of The Abdominal Aorta • Pulmonary Arterial Hypertension (Primary) • Surgery to Aorta • Triple Vessel Angioplasty • Major Organ Transplant (for the Heart) 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.

Medical Practitioner Shall mean any person approved by Us and registered with the Medical Council of New Zealand to render medical or surgical services, 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 the following 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 .

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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 Policy Schedule . Policy Owner Means the Policy Owner identified in the most recent Policy Schedule issued to 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. Assuming Your cover doesn’t change, Your Premiums will remain the same for each renewal period as specified in Your Policy Schedule . 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 .

Radical Surgery Means surgery to remove an entire diseased organ

Receipt of Application Means the date stamped on Your application, request for increase, or request for Policy reinstatement received by Us . The application submitted by You to Us must be totally completed for the Receipt of Application date to apply. If the submitted application is incomplete, We will delay issuing the Receipt of Application until We receive all the information required to complete the submitted application. Registered Medical Specialist A medical specialist in an appropriate discipline who is a member of a recognised specialist college and vocationally registered with the Medical Council of New Zealand in that speciality. This excludes general practitioners (who are considered to be Registered Medical Practitioners ). 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 . Sum Assured Means the Sum Assured for the Benefit(s) as set out in Your Policy Schedule.

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Total Premium Means the sum of the Premium and policy fee together with any applicable GST as specified in Your Policy Schedule .

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SECTION B - TRAUMA COVER BENEFIT FEATURES

JURISDICTION AND CURRENCY

1

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.

RESPONSIBILITY FOR TRUTHFULNESS

2

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: 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. If the age of the Life Assured was misstated in the application, the amount payable under this Policy will be

B

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adjusted to the amount that the Premiums would have purchased if the correct age had been disclosed.

PREMIUM RATES

3

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 . However, We have the right to review at any time and from time to time the Premium Rates and handling fees applicable to all Trauma Cover policies and to apply the reviewed rates and fees to this Policy at the commencement of the next Premium Guarantee Period . 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 . You 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. 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. The term of this Policy and the period of assurance covered by each annual Total Premium, or instalment of annual Total Premium, terminate 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. Unless previously terminated, this Policy shall terminate on the earliest of: A The anniversary of the Policy Commencement Date following the Life Assured attaining the age of seventy five (75). B Payment of the Trauma Cover Benefit . C Written notification of cancellation from You to Us at any time. D Non-payment of Total Premium as set out in Clause 6 “Period of Assurance” above. E Death of the Life Assured .

PREMIUM PAYMENTS

4

POLICY FEE

5

PERIOD OF ASSURANCE

6

TERMINATION

7

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CLAIMS

8

Written notice of a claim must be given to Us within ninety (90) days after the Diagnosis of any Critical Illness . Notice can be given by You or on Your behalf. Written proof of Diagnosis of any Critical Illness must be furnished to Us within ninety (90) days after the date of such Diagnosis . Any expense incurred in providing due proof of a claim shall be borne by You . We shall have the right and opportunity to call for an examination of the Life Assured at Our expense when and as often as We may reasonably require during the assessment of a claim. 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. If there is more than one (1) Life Assured shown on the Policy Schedule, We will pay the Trauma Cover Benefits for each Life Assured . The amount of the Benefit payable for a Critical Illness will be the Benefit payable for that person under this Policy. The Trauma Cover Benefit will end when all Lives Assured have suffered a Critical Illness , and to the extent a Trauma Cover Benefit is payable in respect to each of them, that Benefit has been paid.

PROOF OF POSITIVE DIAGNOSIS

9

FORFEITURE OF PREMIUMS

10

WORLDWIDE COVER 11

ENTIRE CONTRACT

12

TAX CHANGES

13

TRAUMA COVER BENEFITS PAYABLE WHERE MORE THAN ONE (1) LIFE ASSURED

14

GENERAL

15 A

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. 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.

FREE LOOK PERIOD 16

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NOTICES

17

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 0622

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SECTION C - TRAUMA COVER BENEFITS

BENEFIT

1

If the Life Assured is Diagnosed (as defined below) to be suffering from a Critical Illness , We will pay the Trauma Cover Benefit specified on the Policy Schedule (adjusted in accordance with this Policy ) provided that: A The Trauma Cover Benefit Total Premium has been paid. B For those conditions underlined in paragraph D below, We will pay the Benefit after the Policy Commencement Date shown in the Policy Schedule provided that the Life Assured first suffers that condition at any time after ninety (90) days from the Receipt of Application , including any reinstatements and/or increases (other than Consumer Price Index Increases ) of the Policy . To be covered, the Critical Illness condition must have first Manifested itself at least ninety (90) days from the Receipt of Application , including reinstatements and/or a commencement of a Benefit , or increase (other than Consumer Price Index Increases ) of the Policy. This provision is always subject to Clause 9 “Survival For At Least Fourteen (14) Days” below C For those conditions not underlined in paragraph D below, We will pay the Benefit provided the Life Assured is still alive fourteen (14) days after the event causing the claim subject to the terms under Clause 9 “Survival For At Least Fourteen (14) Days” below. To be covered, the Critical Illness condition must have first Manifested itself after the Policy Commencement Date shown in the Policy Schedule , or the date of any reinstatement, commencement of a Benefit , or increase (other than Consumer Price Index Increases ) of the Policy . D The Critical Illness is one (1) of the following illnesses included within the definition of Critical Illness set out in Clause 3 “ Critical Illness ” under Section D “Trauma Cover Benefit Definitions”:

Accidentally Acquired HIV

• Advanced Acquired Immunodeficiency Syndrome (AIDS) • Advanced Diabetes • Alzheimer's Disease • Angioplasty • Aplastic Anaemia • Benign Brain or Spinal Cord Tumour • Blindness • Cardiac Defibrillator Insertion • Cardiomyopathy • Chronic Liver Failure • Chronic Lung Disease • Cognitive Impairment • Coma • Coronary Artery Bypass Surgery • Creutzfeldt-Jakob Disease • Critical Cancer • Dementia • Encephalitis • Heart Attack • Heart Valve Replacement • Heart Valve Surgery • Intensive Care Treatment

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Kidney Failure

• • •

Loss of Independence

Loss of one limb

• Loss of use of Limbs and Sight of one eye • Major Head Trauma • Major Organ Transplant • Malignant Melanoma • Meningitis and/or Meningococcal Disease • Motor Neurone Disease • Multiple Sclerosis • Muscular Dystrophy • Out of Hospital Cardiac Arrest • Pacemaker Insertion • Paralysis (Quadriplegia, Paraplegia, Diplegia, Hemiplegia) • Parkinson's Disease • Percutaneous Repair of the abdominal aorta • Peripheral Neuropathy • Permanent Loss of Hearing • Permanent Loss of Speech • Pneumonectomy • Prostate Cancer • Pulmonary Arterial Hypertension (Primary) • Rheumatoid Arthritis • Serious Burns • Severe Burns • Severe Inflammatory Bowel Disease • Severe Osteoporosis • Stroke • Surgery to Aorta • Systemic Lupus Erythematosus • Systemic Sclerosis • Terminal Illness • Triple Vessel Angioplasty

MEDICAL ADVANCEMENTS

2

If the medical diagnostic techniques and investigations used in Critical Illnesses definitions have been superseded due to medical advancements, We will consider other appropriate and medically recognised methods or tests that conclusively Diagnose the condition to at least the same severity.

The following requirements must be met for a claim to be considered:

• The new diagnostic techniques and investigations are not experimental and are medically necessary and medically equivalent or superior to the original diagnostic technique or investigation. • Any new diagnostic techniques and investigations must be deemed medically acceptable based on medical standards and medically recognised in Australia or New Zealand by a Registered Medical Specialist.

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PREMIUM

3

The annual Total Premium (or instalment) is payable for the entire duration of the Benefit .

If the Policy Schedule shows You have selected a Level Premium option for the first three (3) years from the Policy Commencement Date, We will guarantee not to increase Your Premium Rates . After the three (3) year Premium Guarantee Period ends, Your Policy may be subject to any increase in AIA New Zealand’s underlying Premium Rates . At the end of the selected Level Premium period the Premium will be recalculated based on the age of the Life Assured . Subsequent Level Premiums will be recalculated at each Policy Anniversary Date based on the age of the Life Assured .

Or

If the Policy Schedule shows that you have selected a one (1) Year Premium Step option, Your Trauma Cover Benefit Premium specified in the Policy Schedule will be recalculated at the expiration of the initial and subsequent Premium Guarantee Periods , based on the age of the Life Assured on their next birthday. If the Policy Schedule shows You have selected the Inflation Adjusted Benefit option, the Trauma Cover Benefit will increase on each anniversary of the Policy Commencement Date by an amount equal to the Consumer Price Index Increase for the year ended 30 September for which figures are available at the date the Sum Assured is to be increased. You may decline any Consumer Price Index Increase . This option expires upon termination of the Policy in accordance with Clause 7 “Termination”, Section B. If the Policy Schedule shows that You have selected the Level Benefit option, the Trauma Cover Benefit will remain at the amount specified on the Policy Schedule . If the Policy Schedule shows that You have selected the Level Indexed Benefit option, the Trauma Cover Benefit will increase on each anniversary of the Policy Commencement Date by the percentage amount shown on the Policy Schedule . This option expires upon termination of the Policy in accordance with Clause 7 “Termination”, Section B. This Benefit will expire on the Policy Anniversary Date after the Life Assured reaches seventy (70) years old. If the Policy Schedule shows that You have selected the Woman’s Additional Cancer Benefit option a Woman’s Additional Cancer Benefit may be paid to You in respect of the Life Assured . Such a Benefit will be limited to 25% of the Sum Assured or $75,000 whichever is the lesser. Payment of this Benefit will result in an equal reduction in the Trauma Cover Benefit under this Policy . This Benefit provides cover for carcinoma-in-situ of the cervix, vagina,

INFLATION ADJUSTED BENEFIT OPTION

4

LEVEL BENEFIT OPTION

5

LEVEL INDEXED BENEFIT OPTION

6

OPTIONAL WOMAN’S ADDITIONAL CANCER BENEFIT

7

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vulva, fallopian tubes and ductal carcinoma-in-situ of the breast as defined in Clause 4 “Optional Woman’s Additional Cancer Benefit ” under Section D of this Policy . We will pay the Benefit provided the Life Assured first suffers that condition at any time after one hundred and eighty (180) days from the Policy Commencement Date shown in the Policy Schedule , or the date of any reinstatement or increase (other than Consumer Price Index Increases ). This is always subject to Clause 9 “Survival For At Least Fourteen (14) Days” below. The Reinstatement Option under Clause 17 applies to the Optional Women’s Additional Cancer Benefit, subject to the Life Assured satisfying the terms of Clause 17. The Trauma Cover Benefit may be renewed up to the anniversary of the Policy Commencement Date following the Life Assured attaining age seventy five (75). A Trauma Cover Benefit will not be paid if the Life Assured dies as a result of a Critical Illness event within the fourteen (14) day period following the date of Diagnosis of the Critical Illness event. The Policy Owner(s) may apply for an increase in the Sum Assured without further evidence of health subject to the following conditions: A We must receive a written request signed by all Policy Owner(s) within ninety (90) days of the applicable business event occurring. B

RENEWAL

8

SURVIVAL FOR AT LEAST FOURTEEN (14) DAYS

9

BUSINESS INCREASE OPTION

10

You must satisfy Us that the value of the Life Assured's financial interest is at least equal to the requested increase to the amount of cover. You must include: • A valuation of the business or valuation of the Life Assured to the business (as provided by an independent qualified accountant or business valuer); and/or • Evidence of the loan guarantee, and any other contractual or financial evidence We may request. Any increase request’s calculation method must be consistent with that adopted in the Policy application. If You do not increase Your insurance by the full amount identified in a review of insurance requirements, You may not defer the potential increase to a later review. The option to increase the Sum Assured must be exercised before the option expiry date (see Clause 11 " Expiry of Business Increase Option " below). The maximum increase in the Sum Assured for Trauma Cover will be the lesser of five (5) times the Sum Assured at the Policy Commencement Date shown in the Policy Schedule, or the stated maximum increase as indicated on the Policy Schedule . Any increase is subject to approval by Us . Any increase in the Sum Assured will require an additional Premium , the amount of which will be dependent on the current Premium Rates for the type of cover at the date the increase in Sum Assured is effected. Only one (1) increase can be made each year.

C

D

E

F G

H

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EXPIRY OF BUSINESS INCREASE OPTION

11

The Business Increase Option will expire on the earliest of the following: • The date We receive Your written request to cancel the Benefit . • The maximum increase limit for the Sum Assured has been reached for the applicable Benefit . • If You are entitled to make a claim or We have paid a claim under this Trauma Cover Benefit . • The anniversary of the Policy Commencement Date ten (10) years after the later of: • The commencement date of the Business Increase Option . • The last increase using the Business Increase Option We approved. • Non-payment of the Total Premium as set out in Period Of Assurance Section B, Clause 6. • The Policy Anniversary following the Life Assured attaining age sixty five (65). • The Life Assured’s death. If the Policy Schedule shows that You have selected a Standalone Benefit , this Benefit will be cancelled when We make payment of the Trauma Cover Benefit . If the Policy Schedule shows that You have selected an Accelerated Benefit Your Life Cover Benefit will be reduced by the amount of the Accelerated Benefit paid. Any other Accelerated Benefit on Your Policy Schedule will be reduced to the new Life Cover Benefit . If as a result of the payment of the Accelerated Benefit the Life Cover Benefit is reduced to nil the Life Cover Benefit and any remaining Accelerated Benefits on Your Policy Schedule will be terminated. If the Policy Schedule shows that You have selected an Accelerated Trauma Cover Benefit and a claim has been paid, You may effect Life Cover with Us under a Policy or Policies , without needing to provide evidence of health of the Life Assured , for a sum not exceeding the claim amount paid under the Accelerated Trauma Cover Benefit as follows: • Within 60 days of the Accelerated Trauma Cover claim payment; or • Within 60 days of the date the Benefit is eligible to be reinstated as described below: For any of the following covered conditions, the date the Benefit is eligible to be reinstated will be based on a six (6) month wait period from the date the Accelerated Trauma Cover claim was paid:

PAYMENT OF STANDALONE BENEFIT

12

PAYMENT OF ACCELERATED BENEFIT

13

BUYBACK LIFE COVER OPTION

14

• Paraplegia, Quadriplegia, Diplegia and Hemiplegia • Parkinson’s Disease • Alzheimer’s Disease • Dementia • Blindness

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• Loss of use of Limbs and Sight of one eye • Multiple Sclerosis • Permanent Loss of Hearing .

For any of the other covered conditions (set out in Section D, Clause 3), the date the Benefit is eligible to be reinstated will be based on a twelve (12) months wait period from the date the Accelerated Trauma Cover claim was paid. The Life Cover will be based on the age of the Life Assured and Our Premium Rates at the time, and will be subject to any loadings or restrictions (if any) which apply to this Policy . The Life Cover will not be eligible for the Inflation Adjusted Benefit option or Business Increase Option or the Level Indexed Benefit Option. No reinstated Life Cover Benefit is payable: • within six (6) months (for the conditions listed above that require a six (6) month wait period); or • within twelve (12) months (for any other covered conditions set out in Section D, Clause 3), from the accelerated Trauma Cover Benefit claim payment date, other than for Accidental Death . If the option to effect Life Cover with Us under the Buyback Life Benefit has not been exercised in the manner and at the times specified above, the option to effect such cover shall lapse. This option is also available in the event of an Angioplasty claim being made.

In order to exercise this option, the Policy Owner(s) must make the request in writing to Us .

REINSTATEMENT OPTION

15

What is the Reinstatement Option?

If the Policy Schedule shows You have selected the Reinstatement Option, You may reinstate the Trauma Cover Benefit and where applicable, the Optional Women’s Additional Cancer Benefit with Us under a Policy or Policies , without needing to provide evidence of health of the Life Assured , for a sum assured not exceeding 100% of the claim amount paid under the Trauma Cover Benefit . You may reinstate the Trauma Cover Benefit : • within 60 days of the Trauma Cover claim payment; or • within 60 days of the first anniversary of the Trauma Cover claim payment. What conditions apply to cover reinstated under the Reinstatement Option? • The reinstated Benefit(s) will be issued based on the information provided at the time You exercise the option, together with the information provided in the original application.

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• The terms and conditions of the reinstated Benefit(s) will be those which are offered by Us at the time of reinstatement . • The reinstated Benefit(s) may require an increase in Premium . The Premium will be based on the age of the Life Assured and Our Premium Rates at the time of reinstatement and will be subject to any loadings or restrictions (if any) which apply to the original Policy . • If the original Trauma Cover claim was for either Critical Cancer , Stroke (as defined in Clause 3 “ Critical Illness ” under Section D “Trauma Cover Benefit Definitions”), or a Heart Condition , a discount will apply to the Premium on the reinstated Benefit . • If this option is not exercised at either of the two occasions described above, the option to effect such covers shall lapse. • In order to exercise this option, You must sign the declaration in the Reinstatement Offer letter and return it to Us . • The reinstated Benefit(s) will not be subject to the Inflation Adjusted Benefit Option, Special Events Increase Option or the Level Indexed Benefit Option. • You cannot exercise this Reinstatement Option where a Trauma Claim payment has been made for any partial or Advance Payment . • Any special terms or exclusions that applied to the original Policy will also apply to the reinstated Benefit(s). • If the Policy Schedule shows that You had selected the Optional Women’s Additional Cancer Benefit at the time of the first Trauma Cover claim, this Benefit can be reinstated alongside the original Trauma Cover Benefit , except where You have previously had an eligible claim under the Optional Women’s Additional Cancer Benefit .

No claim will be paid in respect of the reinstated Trauma Cover Benefit for:

a) A Critical Illness that occurs prior to the cover being reinstated.

b) A Critical Illness which: •

arises in connection with;

is a complication of;

• • • •

results from;

is a consequence of;

is a complication of treatment for; a Critical Illness event for which We paid a claim under the original Trauma Cover Benefit . c) The same Critical Illness for which We have paid a claim under Trauma Cover Benefit for the Life Assured , unless the second claim event is for Critical Cancer, Malignant Melanoma, or Prostate Cancer, and meets all of the following:

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• The Critical Cancer , Malignant Melanoma or Prostate Cancer claim event occurs at least twelve (12) months after the original claim event date; • arises in a different organ system as the original cancer; • is not considered by the treating oncologist as likely to be secondary of the original cancer; • is an unrelated or different type of cancer. d) Any Heart Condition if the original claim was for either a Heart Condition or Stroke (as defined in Clause 3 “Critical Illness” under Section D “Trauma Cover Benefit Definitions” below), except where the claim in respect of the reinstated Trauma Cover Benefit is for Heart Valve Replacement, Heart Valve Surgery, or Pulmonary Arterial Hypertension (Primary), and these illnesses have not previously been claimed for; and are not considered as likely to be secondary or directly resulting from the original Critical Illness. e) Stroke (as defined in Clause 3 “Critical Illness” under Section D “Trauma Cover Benefit Definitions” below) or any condition directly resulting from a Stroke, if the original claim was for a Heart Condition , except where the original claim was for Heart Valve Replacement, Heart Valve Surgery, or Pulmonary Arterial Hypertension. f) Any exclusion which applied to the original Trauma Cover Benefit . If We make future enhancements to Our Policy wordings We will pass back the enhanced benefit, feature and/or condition automatically to You. The enhanced benefit, feature and/or condition will only apply to claimable events which occur after the date We pass back the enhanced benefit, feature and/or condition to You. Any underwriting exclusion or special terms that apply to this Policy will not be altered by any enhanced benefit, feature and/or condition. This Benefit is to ensure that You are not disadvantaged as a result of the enhanced benefit, feature and/or condition. If You are inadvertently disadvantaged in anyway then the previous Policy wording will apply. If the Policy Schedule shows that You have selected the Total and Permanent Disability Benefit option, then one (1) of the following conditions will be covered under this Benefit . If the Policy Schedule shows You have selected the “any occupation” option the definition is: The Life Assured being absent from his or her immediate pre-disability Employment as a result of injury or illness for a period of three (3) consecutive months and is so disabled that in Our opinion, after consideration of medical evidence satisfactory to Us , that he or she is unlikely ever to engage in work in any occupation for reward that he or she is reasonably qualified by education, training or experience which would remunerate at a rate greater than 25% of his or her earnings over the last twelve (12) consecutive months period of employment. Or

GUARANTEED PASS BACK OF BENEFIT ENHANCEMENTS

16

TOTAL AND PERMANENT DISABILITY BENEFIT OPTION

17

A

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B

If the Policy Schedule shows You have selected the “own occupation” option the definition is: The Life Assured being absent from his or her immediate pre-disability Employment as a result of injury or illness for a period of three (3) consecutive months and is so disabled that in Our opinion, after consideration of medical evidence satisfactory to Us , is unlikely to ever resume work in or ever attend to his or her Usual Occupation.

This Total and Permanent Disability Benefit expires on the Life Assured’s sixty fifth (65) birthday.

RETURN TO HOME BENEFIT

18

We will pay a Return To Home Benefit if the Life Assured is outside of New Zealand and suffers, for the first time, a Critical Illness . The Return To Home Benefit will reimburse the cost of a standard economy flight back to New Zealand for the Life Assured and one (1) support person. You will need to provide evidence of the transport costs satisfactory to Us before a claim under the Return To Home Benefit will be paid. In total the maximum We will pay over the life of the Policy under the Return To Home Benefit is $10,000. A Return To Home Benefit is paid in addition to the Trauma Cover Benefit . No payment will be made if the Life Assured is covered for the same event with a travel insurance provider. You may convert Stand Alone Trauma cover to Accelerated Trauma Cover with an equal amount of Life Cover without any further medical evidence provided that: a. The Life Assured was not accepted on special terms and/or with additional exclusions and/or with a premium loading; and b. This option is exercised at least five (5) years prior to the expiry date of this Policy ; and c. The age of the Life Assured does not exceed sixty (60) years of age at the Date of Conversion ; and d. The Life Assured has not made a claim and is not eligible to claim under their Stand Alone Trauma Policy . For the sake of clarity this includes any claim currently under assessment; and e. The Accelerated Trauma Sum Assured does not exceed the Stand Alone Trauma Sum Assured ; and f. The Life Cover Sum Assured does not exceed the Accelerated Trauma Cover Sum Assured . The Premium for the conversion will be based on the age of the Life Assured and Our Premium Rates at the time this option is exercised. If a claim is payable under the Accelerated Trauma Cover Benefit , this is subject to Section C, Clause 9 “Survival For At Least Fourteen (14) Days”. If the death of the Life Assured occurs within three (3) months of the Date of Conversion , other than by Accidental Death, then this conversion is void and the Stand Alone Trauma Cover Benefit will be reinstated from the Date of Conversion .

STAND ALONE CONVERSION OPTION

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Date of Conversion means the later of the effective date or the actual date from which We receive the increased premium for the Life Cover and Accelerated Trauma Cover. 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. The BuyBack Life Cover Benefit does not apply to Life Cover issued under the Stand Alone Conversion Option. This option is not available for a Life Assured under the age of Sixteen (16).

CONVERSION OPTION

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You may at any time prior to the Life Assured reaching age sixty five (65):

A

Convert all or part of the Trauma Cover Benefit from the Premium specified in Your Policy Schedule to a Level Premium structure. The Trauma Cover Benefit under this Policy will be reduced by the amount of insurance so converted; or Convert a Level Premium Term to a further Level Premium Term, of which duration may be the same or less than current Level Premium term. We will not require You or the Life Assured to produce further medical evidence at the time of conversion. The terms and conditions of the new Policy will be those which are then offered by Us to the general public. Premiums will be calculated on the current age of the Life Assured. Any loading(s) and/or exclusion(s) that applied to Your existing Trauma Cover Benefit will apply to Your new Trauma Cover Benefit . Upon payment of a full Trauma Cover Benefit , We will pay an additional lump sum of $1,000 to the Policy Owner for the purposes of seeking financial planning and/or legal advice. Only one (1) Financial Planning and Legal Benefit payment per Life Assured will be made regardless of the number of additional Policies held with Us . Upon payment of a full Trauma Cover 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 the Life Assured and/or 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 Trauma Cover Benefit claim; • 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.

B

FINANCIAL PLANNING AND LEGAL BENEFIT

21

COUNSELLING BENEFIT

22

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SEVERE ILLNESS OR INJURY

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If the Life Assured suffers a medical condition that does not satisfy any condition leading to either a full or partial claim under this Policy and it is deemed medically necessary to:

undergo Major Invasive Surgery ; or

• be treated using Major Interventional Treatment ;

which results in hospital admission to:

• an intensive care unit for a period greater than 48 continuous hours; or • a High Dependency Unit for a period greater than 96 continuous hours; and the Life Assured is unable to perform at least one (1) Activity of Daily Living for a continuous period of ninety (90) days from first being admitted into the intensive care unit or High Dependency Unit (as applicable) as certified by a Registered Medical Specialist .

A medical condition arising from alcohol or drug abuse or other self-inflicted means is specifically excluded.

This Benefit does not apply to any condition specifically excluded in this Policy or where an underwriting exclusion has been applied. Major Invasive Surgery – an invasive procedure occurring in a hospital operating theatre involving the incision, excision, manipulation, or suturing of tissue, under general anaesthesia, spinal anaesthesia or epidural. Elective cosmetic procedures are excluded. Major Interventional Treatment – non-surgical procedures or treatments initiated to treat the claimed medical condition including but not limited to: stereotactic radiosurgery, laser therapy, ultrasonic aspiration, chemotherapy, or radiotherapy. Pharmaceutical therapies administered outside of a clinical setting are excluded. High Dependency Unit - A specially staffed and equipped section of an intensive care complex that provides a level of care intermediate between intensive care and general ward care. Patients may be admitted to the high dependency unit: • from the intensive care unit as a step-down prior to transfer to the ward; or • directly from the ward, recovery or emergency areas. The Trauma Cover Benefit will not be paid if the Critical Illness directly or indirectly was caused by or resulted from self-inflicted injury, whether the Life Assured is sane or insane Exclusions specific to the optional Women’s Additional Cancer Benefit ; • Lobular Carcinoma-in-situ (LCIS) of the breast is specifically excluded. • No Benefit will be paid if the condition is first Diagnosed within the first six (6) months of Benefit inception. • Prophylactic breast surgery, for instance, as a result of family history of breast cancer, is excluded.

EXCLUSIONS

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• Tumours that are a reoccurrence or a metastasis of a tumour that first occurred within the one hundred and eighty (180) day qualifying period.

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SECTION D - TRAUMA COVER BENEFIT DEFINITIONS

DIAGNOSIS & DIAGNOSED

1

Shall mean the first definitive Diagnosis made in writing by a Registered Medical Specialist , based upon such specific evidence, as referred to in Clause 3 “ Critical Illness ” below in the definition of the relevant Critical Illness or, in the absence of such specific evidence, based upon radiological, clinical, histological or laboratory evidence acceptable to Us . Where specified in the definition of a Critical Illness , specialist Diagnosis must be obtained. In the event of any doubt regarding the appropriateness or correctness of the Diagnosis , We shall have the right to call for an examination at Our expense, of either the Life Assured or the evidence used in arriving at such Diagnosis , by an independent acknowledged expert in the field of medicine concerned selected by Us and the opinion of such expert as to such Diagnosis shall be binding on You , the Life Assured and Us . For some Critical Illnesses referred to Clause 3 “ Critical Illness ”, We will pay the lesser of 25% or $75,000 if the Life Assured meets the Advance Payment criteria. The Advance Payment criteria are specified under the sub- heading Advance Payment below the applicable Critical Illness . Payment of this Advance Payment will result in an equal reduction in the Trauma Cover Benefit under this Policy . No Advance Payment will be paid for the same Critical Illness for which the Life Assured has already been paid a Benefit , unless specifically included.

ADVANCE PAYMENT 2

CRITICAL ILLNESS

3

Shall mean any illnesses, as defined below:

ACCIDENTALLY ACQUIRED HIV Accidental HIV Infection means infection with the human immunodeficiency virus (HIV) acquired by accident or violence during the course of the Life Assured’s normal occupation or through the medium of a blood transfusion, transfusion of blood products, organ transplant, assisted reproduction technique or other medical procedure or operation performed by a doctor or at a recognised medical facility. Sero-conversion evidence of the HIV infection must occur within six (6) months of the accident. HIV infection transmitted by any other means, including but not limited to sexual activity or non-medical intravenous drug use, is not Accidental HIV Infection under the Policy . Any accident giving rise to a potential claim must be reported to Us within thirty (30) days and be supported by a negative HIV antibody test taken within seven (7) days after the accident. We must be given access to test independently all blood samples used, if We require. We retain the right to take further independent blood tests or other medically accepted HIV tests.

ADVANCED ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS)

The Life Assured has been unequivocally diagnosed by an appropriate Registered Medical Specialist with Acquired Immunodeficiency Syndrome in the clinical setting, evidenced by the presence of HIV infection with a persistent

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CD4 cell count of less than 200/ul despite appropriate continuous antiretroviral therapy. There must be an associated AIDS defining illness with AIDS resulting in at least one of the following: • Kaposi's Sarcoma or Lymphoma. • Pneumocystis Carinii infection, cryptococcal infection or any other opportunistic infection of the lungs or nervous system. • Tuberculosis or other mycobacterium infection at any site. • Progressive multifocal leukoencephalopathy. • HIV Encephalopathy. • HIV wasting syndrome characterised by more than 10% weight loss, chronic intractable diarrhoea and chronic candidiasis of the respiratory tract or gastrointestinal tract.

ADVANCED DIABETES The Life Assured :

1. Has been unequivocally Diagnosed for the first time as suffering from insulin dependent diabetes mellitus Type 1 after the age of thirty (30) by a Registered Medical Specialist ; or 2. Suffers severe diabetes mellitus, either insulin or non- insulin dependent, as certified by a Registered Medical Specialist and resulting in at least one of the following: • Severe diabetic retinopathy resulting in visual acuity uncorrected and corrected of 6/36 or worse in both eyes; or • Severe diabetic neuropathy causing motor and/or autonomic impairment; or • Diabetic gangrene leading to surgical intervention; or • Severe diabetic nephropathy causing chronic irreversible stage 4 renal impairment. ALZHEIMER'S DISEASE Alzheimer’s Disease means the unequivocal Diagnosis of Alzheimer’s disease due to failure of the brain function with significant cognitive impairment for which no other recognisable cause has been identified as confirmed by a Consultant Neurologist and resulting in the continual supervision of the Life Assured or the Life Assured is unable to perform one (1) or more Activity of Daily Living. Significant cognitive impairment means deterioration or loss of intellectual capacity as measured by clinical evidence and standardised testing. Advance Payment: will be made on the unequivocal Diagnosis of Alzheimer’s Disease by a Consultant Neurologist ANGIOPLASTY A Benefit in respect of Angioplasty may be paid to You in respect of the Life Assured . Such Benefit will be limited to 25% of the Sum Assured or $75,000 whichever is the lesser.

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Payment of this Benefit will result in an equal reduction in the Trauma Cover Benefit under this Policy . Angioplasty means the actual undergoing of coronary artery angioplasty that is considered necessary by a cardiologist to correct a narrowing or blockage of one (1) or more coronary arteries. APLASTIC ANAEMIA Aplastic Anaemia means permanent bone marrow failure that results in anaemia, neutropenia and thrombocytopenia requiring treatment by at least one (1) of the following: • blood product transfusions; • marrow stimulating agents; • immunosuppressive agents; • bone marrow transplantation; or • haemopoietic stem cell transplantation. BENIGN BRAIN OR SPINAL CORD TUMOUR Means a non-cancerous tumour in the brain, cranial nerves, meninges or spinal cord which: a. produces neurological or spinal (as appropriate) damage and functional impairment which an appropriate Registered Medical Specialist considers to be permanent; or

b.

it is deemed appropriate and medically necessary to be: • treated using major interventional treatment such as chemotherapy, radiotherapy, laser therapy, ultrasonic aspiration or any other major invasive neurological techniques necessary for the therapeutic management of the tumour; or • removed through surgery (whether it is able to be removed or not).

The presence of the underlying tumour must be confirmed by CT Scan, MRI or other imaging studies. Excluded are malformations in or of the arteries or veins of the brain, cysts, granulomas, cholesteatomas, and haematomas; and tumour in the pituitary gland unless it is sufficiently large that: • it requires open craniotomy to remove it; or • in the opinion of an appropriate Registered Medical Specialist , there is significant and permanent neurological damage such as visual field defects. BLINDNESS Blindness means that as a result of disease or accident and certified by an ophthalmologist, the: a. visual acuity on the Snellen Scale after correction by suitable lenses is less than 6/60 in both eyes; or

b.

field of vision is constricted to 20 degrees or less of arc around central fixation in the better eye irrespective of corrected visual activity (equivalent to 1/100 white test object); or combination of visual defects results in the same degree of vision impairment as that occurring in (a) or (b) above.

c.

Advance Payment will be made on the unequivocal Diagnosis that all sight is likely to be lost within the next twelve (12) months by an appropriate Registered Medical

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