7. Built-in Financial and Legal Advice Benefit
9. Built-in Newborn Children’s Benefit
Sovereign will pay a Built-in Newborn Children’s Benefit if a biological child of a life assured is born with one of the following conditions and survives for thirty days after birth:
If Sovereign pays a claim under this Progressive Care Benefit for a life assured for a condition of severity level 1, then Sovereign will reimburse you for fees incurred up to $2,500 including GST (in total) that you pay for financial planning you receive from an accredited Adviser or legal advice received from a legal professional approved by Sovereign, subject to the following conditions: You must pay for the financial planning or legal advice within the 12 months following Sovereign paying the Progressive Care Benefit claim. Sovereign will only pay one Financial and Legal Advice Benefit per life assured across all Sovereign policies . This is in addition to the sum assured . The Built-in Financial and Legal Advice Benefit is not payable for a claim for a child of the life assured under the Built-in Children’s Trauma Benefit, the Built-in Parents Grieving Benefit, the Optional Children’s and Maternity Benefit or the Built-in Newborn Children’s Benefit.
Cleft palate;
Down’s syndrome;
Spina bifida;
Total blindness;
Absence of one or more limbs;
Tetralogy of Fallot;
Transposition of Great Vessels; or
Deafness.
Please refer to Section 29 for the definitions of these conditions .
In order for Sovereign to pay a claim under this Benefit, we will require medical information from a registered medical practitioner acceptable to us that conclusively evidences the condition . In circumstances where a conclusive diagnosis cannot be made at birth, we will defer our assessment of the claim until sufficient evidence can be supplied. For example, this might apply in the case of total blindness or deafness, where a conclusive diagnosis may not be possible until later in the child’s life. In these cases, the claims assessment will be based on the child’s sight or hearing impairment at the date that conclusive diagnosis is first possible. A claim is only payable under the Built-in Newborn Children’s Benefit if cover remains in effect for the life assured up to the date that the conclusive diagnosis for the child occurs.
8. Built-in Children’s Trauma Benefit
Sovereign will pay a Built-in Children’s Trauma Benefit if a child of a life assured suffers a condition of severity level 1, 2 or 3, except for the Optional Total Permanent Disablement condition .
This Benefit is only payable if the child of the life assured :
First suffers a condition after the risk commencement date, subject to the three month stand down period provisions where these apply; Is aged from three months up to their 21 st birthday at the time he or she first suffers from that condition ; and
How much will Sovereign pay?
Survives for at least 14 days after suffering from the condition .
The Benefit payable is the lower of $50,000 or 50% of the sum assured across all Progressive Care policies for the life assured . The Built-in Newborn Children’s Benefit is only payable where the birth of the child with one of the applicable conditions occurs at least twelve months after the risk commencement date . This requirement applies anew to all added cover from the date the cover commences, including cover added using the Progressive Care Future Insurability Benefit, the Special Events Increase Facility, or the Special Events TPD/Trauma Facility under the Life Cover Benefit. Sovereign will pay a maximum of one claim per child under either the Built-in Newborn Children’s Benefit or the Built-in Children’s Trauma Benefit across all Sovereign policies . Payment of the Built-in Newborn Children’s Benefit will not affect the amount of any Progressive Care Benefit payable for the life assured . 10. Built-in Return Home Benefit Sovereign will pay a Return Home Benefit if the life assured is outside of New Zealand and suffers, for the first time, a covered condition . The Return Home Benefit will reimburse the cost of a standard economy flight back to New Zealand for the life assured and one support person.
The Benefit payable is the lower of $50,000 or 50% of the sum assured across all Progressive Care policies for the life assured . Sovereign will pay a maximum of one claim per child under either the Built-in Children’s Trauma Benefit or the Built-in Newborn Children’s Benefit across all Sovereign policies . The Built-in Children’s Trauma Benefit or the Built-in Newborn Children’s Benefit is payable in addition to the Optional Children’s and Maternity Benefit (if applicable). Sovereign will not pay a benefit under the Built-in Children’s Trauma Benefit that arises as a direct or indirect consequence of:
a pre-existing condition ; or any congenital condition .
Payment of the Built-in Children’s Trauma Benefit will not affect the amount of any Progressive Care Benefit payable for the life assured .
The Built-in Children’s Trauma Benefit ceases on the child’s 21 st birthday.
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866 TCB-PC version 12 Effective 12 May 2026
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