payment equivalent to 1/3 rd (33.3%) of the final monthly Total Disablement Benefit paid before the life assured ceased to be totally disabled . The Partial Disablement Bridging Benefit is paid at the end of the final month in respect of which a Total Disablement Benefit was paid for the life assured. Payment of the Partial Disablement Bridging Benefit does not affect the amount of the Partial Disablement Benefit (as set out in Section 6). The Partial Disablement Bridging Benefit is payable once for all claims resulting from the same or a related injury or illness. 8. What is the Recurrent Disablement Benefit? The waiting period will be waived if in Sovereign’s opinion, after considering the advice of a registered medical practitioner and other relevant information, the life assured becomes totally disabled again and this is caused by the same or a related illness or injury as the original period of total disability, not later than 12 months after benefit payments related to the original claim ceased. The provisions of Sections 2, 3, 4, 5 and 6 of this appendix will apply to any benefit claimed. If in Sovereign’s opinion, after considering the advice of a registered medical practitioner and other relevant information, the life assured becomes totally disabled again and this is caused by the same or a related illness or injury as the original period of total disability, later than 12 months after benefit payments related to the original Business Income Support claim ceased, a waiting period of four weeks will apply. The provisions of Sections 2, 3, 4, 5 and 6 of this appendix will apply to any benefit claimed. 9. What is the Vocational Retraining Benefit and when will Sovereign pay it? Sovereign may agree to pay you a Vocational Retraining Benefit if in Sovereign’s opinion the life assured is unlikely to return to paid work in their pre-disability own occupation. The benefit payable will be the cost of a programme of vocational training for the life assured provided:
conditions must be satisfied:
>
the reduction in work capacity results from the continuation of the disability ; and
>
because of the reduction in work capacity, the life assured is working less than 20 hours per week; and
>
the waiting period is over; and
>
the life assured is no longer totally disabled ; and
>
if applicable, the period in respect of which a Total Disablement Benefit has been paid in advance has expired.
The Partial Disablement Benefit will be paid monthly in arrears until, in Sovereign’s opinion, after considering the advice of a registered medical practitioner and other relevant information the disability is no longer preventing the life assured from working at least 20 hours per week, or until the occurrence of any one or more of the events set out in Sections 13 or 14. A Partial Disablement Bridging Benefit (as set out in Section 7) will also be paid if you have been receiving a Total Disablement Benefit under this appendix before you commence receiving a Partial Disablement Benefit. Any claim for a subsequent Partial Disablement Benefit must be immediately preceded by a 14 day period of total disability . Refer to Section 8 for “What is the Recurrent Disablement Benefit?”.
6. What is the amount of the Partial Disablement Benefit?
The amount that Sovereign will pay monthly is calculated in the following way: th of the benefit amount shown in the schedule , noted under the Business Income Support Benefit) less offsets as defined in Section 3. (50% x 1/12 For example for a benefit amount shown in the schedule of $48,000 per annum ($4,000 per month) with offsets of $1,000, the amount that Sovereign will pay monthly is:
(50% x $4,000) - $1,000 = $1,000
> the programme is approved in advance by Sovereign, and reviewed regularly; and
7. What is the Partial Disablement Bridging Benefit and when will Sovereign pay it?
> the sole purpose for the programme is to assist the life assured to return to gainful employment at an earlier date than would otherwise have been possible; and > the life assured actively participates and complies with the programme; and > the cost of the programme is limited to the fee charged by the institution providing the programme and does not include the cost of text books, equipment and stationery, accommodation and transport costs; and > the total amount which Sovereign will pay as a Vocational Retraining Benefit is limited up to a maximum of 12 times the monthly benefit amount as calculated in Section 3; and
Sovereign will pay you a Partial Disablement Bridging Benefit if:
>
you have been receiving a Total Disablement Benefit under this appendix ; and
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the life assured is no longer totally disabled ; and
>
based on the information provided to, and requested by Sovereign, we reasonably expect that a Partial Disablement Benefit (as set out in Section 5) will be payable for that life assured for the first month after the life assured ceased to be totally disabled .
The Partial Disablement Bridging Benefit is a lump-sum
855 TCB-BI version 5 Effective 21 May 2019
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