Specified Accidental Injury Cover provides short-term financial support, helping you continue daily life while recovering from an accident.
SPECIFIED ACCIDENTAL INJURY COVER Short-term financial support, helping you continue daily life while recovering from an accidental injury.
What is Specified Accidental Injury Cover and why do you need it? Experiencing an accidental injury can have an immediate impact on your daily life and ability to do your job, whether you’re a builder, office worker, or a parent caring for children at home. If you have an accident and suffer one of the covered injuries, Specified Accidental Injury Cover can provide temporary financial support as a lump sum payment. This payment can be used for whatever you need: covering treatment costs, getting taxis to work, hiring someone to help with children, or simply taking time off work to recover. What products can you add Specified Accidental Injury Cover to? You can add Specified Accidental Injury Cover to eligible Life, Trauma, Income Protection and Total Permanent Disablement insurance including our AIA Living range, subject to minimum cover amounts. Check with your adviser to confirm eligibility if you hold an existing policy. It cannot be added to Starter Plans or AIA Health products.
Key benefits of Specified Accidental Injury Cover
Provides additional financial support on top of ACC should you experience a covered injury, so you can focus on recovery.
Choose how you use your lump sum payment. Whether that’s to work fewer hours, take time off work all together, or get some help to manage your daily tasks. No need for proof of income. If a carer or parent at home is injured it can affect their ability to fulfil daily tasks, which in turn can affect the whole household financially.
aia.co.nz/saic
What injuries are covered by AIA Living Specified Accidental Injury Cover? We understand that injuries can have varying recovery periods which may have different impacts on your life, so we have created specified injury categories that offer varying amounts of cover to support you through your recovery.
Specified Injury Categories The table below outlines the specified injury categories and the amount we will pay for each injury.
Specified Injury Categories
What we will pay in lump sum
Category A Fracture of jaw, skull, collarbone Fracture of forearm, wrist Fracture of hand (excluding fingers)
Fracture of thumb
One times the monthly benefit amount
Fracture of ankle, heel, fracture of leg below the knee (tibia or fibula)
Fracture of foot (excluding toes) Fracture of big toe Fracture of 3 or more ribs Amputation of any finger (including thumb) or big toe Category B Fracture of upper arm, elbow, shoulder
Fracture of vertebrae Fracture of kneecap
Two times the monthly benefit amount
Injury that results in a tear of the shoulder or knee that results in surgery under general anaesthesia Category C Fracture of leg above the knee (femur)
Fracture of the pelvis Fracture of the hip Fracture to multiple limbs Category D Amputation of the thumb and index finger of the same hand
Three times the monthly benefit amount
Full thickness burns (excluding hands) to 20% or more of the body surface
Six times the monthly benefit amount
Full thickness burns to 25% of the face or 50% of the surface of both hands
Permanent total blindness in one eye Category E Amputation or Permanent total loss of function of a foot or hand Amputation or Permanent total loss of function of one or more limbs Permanent total paralysis Permanent total blindness Permanent total loss of hearing
Twelve times the monthly benefit amount
Please refer to the policy document at aia.co.nz/saic
Specified Accidental Injury Cover
The payment you receive will be a lump sum payment, which is calculated using your selected monthly benefit amount multiplied by the amount payable for the injury as set out in the table. You can choose a monthly benefit amount up to $5,000. How payments are calculated
Example
While walking her dog, Beth trips and falls on her knee onto the concrete footpath. She heads to the emergency clinic where an x-ray confirms she has fractured her kneecap, this is a covered injury under Category B.
FRACTURED KNEECAP INJURY 2 TIMES MONTHLY BENEFIT AMOUNT
CLAIM PAYMENT OF $10,000 ($5,000 X 2 MONTHS)
SELECTED MONTHLY BENEFIT AMOUNT $5,000
=
Some examples of accidental injuries that aren’t covered
Specified Accidental Injury Cover only applies to injuries specifically covered under the “Specified Injury Categories” in the policy wordings. All other injuries are not covered. Below are some scenarios.
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Chloe’s ruptured achilles During a netball tournament Chloe collides with another player and ruptures her Achilles tendon. Chloe doesn’t require surgery and hasn’t broken any bones. Chloe has suffered an accidental injury. However, Achilles tendon injuries are not included in the specified injury categories, so she doesn’t meet the criteria for an eligible claim.
Michael’s broken finger Whilst doing some DIY at the weekend, Michael broke his finger when he trapped it in a door. He has a fracture, and his finger has been placed in a splint until it heals. Michael’s accidental injury has resulted in a fracture of his finger. However, fractures of fingers are not included in the specified injury categories, so he doesn’t meet the criteria for an eligible claim.
Sam’s fractured rib Sam fractured a rib during a
particularly tough rugby game over the weekend. The doctor advises that there is nothing they can do and he just needs to take it easy. Sam’s accidental injury has resulted in a fracture. However, fractures to two ribs or less are not included in the specified injury categories, he doesn’t meet the criteria for an eligible claim.
NO CLAIM
NO CLAIM
NO CLAIM
We will assess all claims on an individual basis, looking at the facts available and considering any supporting medical or other evidence. For full details on this product and the exclusions that apply, please refer to the policy wording on aia.co.nz/saic.
Specified Accidental Injury Cover
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Disclaimer
Other things you should know: the availability of insurance cover is subject to your application being approved. All applications are subject to individual consideration. Special conditions, exclusions and premium loadings may apply. This insurance is underwritten by AIA New Zealand Limited (‘AIA’). For full details of the products and benefits offered by AIA, please refer to the policy document(s) which are available from AIA. The information contained in this publication is general in nature and is not intended as advice. It may not be relevant to individual circumstances and before making any insurance decision, you should consult a professional Adviser. Copyright © 2024, AIA New Zealand Limited (352806). All rights reserved. The information contained in this document is current at the time of publication and is subject to change at any time.
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