Cover for a child will only commence once we have confirmation of the child’s details in writing.
How much will Sovereign pay for the Children’s Congenital Conditions Benefit?
The Benefit payable is $5,000, regardless of the number of congenital conditions diagnosed. Sovereign will pay a maximum of one claim for a child under the Children’s Congenital Conditions Benefit across all policies for a life assured where AIA New Zealand Limited is the insurer. In cases where two policies each name a distinct parent of the child as a life assured , both policies are eligible to claim under the Children’s Congenital Conditions Benefit for that child , provided the Optional Children’s and Maternity Benefit is shown in the schedule of both policies. Payment of the Congenital Conditions Benefit will not reduce the sum assured or the balance of the sum assured for any of the categories. Sovereign will not pay a benefit under the Optional Children’s and Maternity Benefit that arises as a direct or indirect consequence of:
b.
Pregnancy Complications Benefit
When is a Pregnancy Complications Benefit payable?
This benefit is payable if a life assured suffers for the first time and at least 12 months after the risk commencement date one of the defined Pregnancy Complication Benefit conditions . Sovereign will not pay this benefit if the life assured suffers the condition or has any symptom or signs leading to the condition (whether or not a registered medical practitioner has been consulted) within 12 months after the risk commencement date .
What Pregnancy Complication Benefit conditions are covered?
Disseminated intravascular coagulation.
a pre-existing condition ; or
Eclampsia.
any congenital condition , except where expressly covered under the Children’s Congenital Conditions Benefit.
Hydatidiform mole.
See Section 29 for a full description of these Pregnancy Complication conditions .
The Optional Children’s and Maternity Benefit ceases on the child’s 21 st birthday.
How much will Sovereign pay for the Pregnancy Complications Benefit?
The benefit payable is $10,000. Payment of the Pregnancy Complications Benefit will not reduce the sum assured or the balance of the sum assured for any of the categories .
15. Built-in Children’s Trauma Conversion Facility
The Built-in Children’s Trauma Facility can be converted to:
a standalone Progressive Care Benefit; or
c.
Children’s Congenital Conditions Benefit
an accelerated Progressive Care Benefit with an equal amount of Life Cover Benefit,
When is the Children’s Congenital Conditions Payable?
with a maximum sum assured of $50,000 or 50% of the life assured’s original sum assured whichever is lesser, without further medical evidence. Where the life assured’s sum assured has reduced, the conversion will be calculated on the reduced amount. If the Optional Children’s and Maternity Benefit is shown on the schedule , it can also be converted to a standalone Progressive Care Benefit or an accelerated Progressive Care Benefit with an equal amount of Life Cover Benefit, with a maximum sum assured of $75,000, without further medical evidence. The following conditions are applicable to both Children’s Trauma Conversion options: A conversion cannot occur if the child has claimed or was eligible to claim under the Built-in Children’s Trauma Benefit and/or the Optional Children’s or Maternity Benefit; and Your request for conversion must be received by Sovereign within 60 days of the anniversary date after the child’s 21 st birthday; and
This Benefit is payable if at least 12 months after the risk commencement date a child of a life assured is unequivocally diagnosed by an appropriate specialist and undergoes treatment or therapy for one of the conditions below.
What congenital conditions are covered?
Coarctation of the Aorta.
Infantile Hydrocephalus.
Anal atresia.
Oesophageal atresia.
Congenital diaphragmatic hernia.
Tracheo-oesophageal fistula.
Truncus arteriosis.
Retinopathy of prematurity.
Your request must be received in writing.
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866 TCB-PC version 12 Effective 12 May 2026
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