is aged from three months up to their 21 st birthday at the time he or she first suffers from that condition ; and
2.
What effect does payment of an accelerated Comprehensive Living Assurance Benefit have on the Life Cover Benefit?
survives for at least 14 days after suffering from the condition .
This section applies only if an accelerated Comprehensive Living Assurance Benefit is shown in the schedule .
What are the applicable conditions and how much will Sovereign pay?
When Sovereign pays an accelerated Comprehensive Living Assurance Benefit, the Life Cover Benefit for the life assured will decrease by the same amount. Any other accelerated benefits relating to that Life Cover Benefit will also be reduced, if necessary, so that those accelerated benefits do not exceed the decreased Life Cover Benefit. If the Life Cover Benefit is reduced to nil, all accelerated benefits relating to that Life Cover Benefit will be removed. The maximum combined amount payable under the Life Cover Benefit, Specified Terminal Conditions Benefit, Terminal Illness Benefit, Bereavement Support Benefit, Repatriation Benefit, accelerated Living Assurance Benefit and, if applicable, the accelerated Progressive Care Benefit and the accelerated Total Permanent Disablement Benefit is the amount of the Life Cover Benefit for that life assured .
For those conditions where the criteria for a full payment are met as detailed in Section 20 below the Benefit payable is the lower of $50,000 or 50% of the sum assured across all Comprehensive Living Assurance Benefit policies for the life assured . No payments are made under this Benefit for the Optional Total Permanent Disablement condition or any of those conditions where a partial payment applies, except for the following conditions :
Angioplasty – less than 3 vessels.
Carcinoma-in-situ.
For these conditions , the Benefit payable is the lower of $50,000 or 10% of the sum assured across all Comprehensive Living Assurance Benefit 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). Payment of the Built-in Children’s Trauma Benefit will not affect the amount of any Comprehensive Living Assurance Benefit payable for the life assured . Sovereign will not pay a benefit under the Built-in Children’s Trauma Benefit that arises as a direct or indirect consequence of:
3.
Built-in Financial and Legal Advice Benefit
If Sovereign pays a full payment claim under this Comprehensive Living Assurance Benefit for a condition suffered by a life assured , then Sovereign will reimburse you for fees incurred up to $2,500 including GST (in total) that you pay for financial planning advice 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 Comprehensive Living Assurance 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.
a pre-existing condition ; or
any congenital condition .
The Built-in Children’s Trauma Benefit ceases on the child’s 21 st birthday.
5.
Built-in Newborn Children’s Benefit
What is the Built-in Newborn Children’s Benefit?
4.
Built-in Children’s Trauma 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:
What is the Built-in Children’s Trauma Benefit?
Sovereign will pay a Built-in Children’s Trauma Benefit if a child of a life assured suffers one of the applicable conditions listed in Section 1 of this appendix .
Cleft palate.
Down’s syndrome.
This Benefit is only payable if the child of the life assured :
Spina bifida.
first suffers a condition after the risk commencement date , subject to the applicable stand down period provisions where these apply;
Total blindness.
Absence of one or more limbs .
852 TCB-LAC version 19 Effective 12 May 2026
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