Sovereign will pay a maximum of one claim for a child under the Children’s Critical Conditions Benefit across all Sovereign policies for a life assured . 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 Critical Conditions Benefit for that child , provided the Optional Children’s and Maternity Benefit is shown in the schedule of both policies.
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 Comprehensive Living Assurance Benefit.
What are the applicable conditions and how much will Sovereign pay?
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 $75,000 or 50% of the Comprehensive Living Assurance Benefit sum assured. No payments are made under this Benefit for the Optional Total Permanent Disablement condition or any of the conditions where a partial payment applies, except for the following conditions :
Children’s Congenital Conditions Benefit
When is the Children’s Congenital Conditions Benefit payable?
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 congenital conditions listed below.
Angioplasty – less than 3 vessels.
Carcinoma-in-situ.
For these conditions , the Benefit payable is the lower of $75,000 or 10% of the Comprehensive Living Assurance Benefit sum assured. Before cover for a child can commence under the Children’s Critical Conditions Benefit, you must advise us in writing of the child’s name, date of birth and gender. Cover for a child will only commence once we have confirmation of the child’s details in writing.
What congenital conditions are covered?
Coarctation of the Aorta.
Infantile Hydrocephalus.
Anal atresia.
Oesophageal atresia.
Pregnancy Complications Benefit
Congenital diaphragmatic hernia.
When is a Pregnancy Complications Benefit payable?
Tracheo-oesophageal fistula.
Truncus arteriosis.
This Benefit is payable if a life assured for the Comprehensive Living Assurance Benefit suffers for the first time and at least 12 months after the risk commencement date one of the defined pregnancy complication 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
Retinopathy of prematurity.
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.
registered medical practitioner has been consulted) within 12 months after the risk commencement date .
What pregnancy complication conditions are covered?
Disseminated intravascular coagulation.
Eclampsia.
Payment of the Children’s Congenital Conditions Benefit will not reduce the Critical Conditions Benefit.
Hydatidiform mole.
See Section 21 for a full description of these conditions .
852 TCB-LAC version 19 Effective 12 May 2026
Page 9 of 27
Powered by FlippingBook