When will Sovereign not pay a claim under this facility?
The maximum sum assured for the Total Permanent Disablement Benefit cannot exceed $5,000,000 across all Sovereign policies including Total Permanent Disablement Future Insurability Benefit increases. Where this Total Permanent Disablement Benefit is accelerated against the Life Cover Benefit, the Total Permanent Disablement Benefit, including the total of all Total Permanent Disablement Future Insurability Benefit increases, cannot exceed the sum assured of the Life Cover Benefit. See Section One “What effect does payment of an accelerated Total Permanent Disablement Benefit have” for details. A life assured over the age of 55 is not eligible for Total Permanent Disablement Future Insurability Benefit increases. Sovereign will increase the Total Permanent Disablement Benefit for a life assured from the date we accept your request. You will not be eligible for a Total Permanent Disablement Future Insurability Benefit increase if a claim has been accepted for the life assured or you have notified us of a claim event for that life assured which is under assessment. If a Special Events Increase has occurred in the previous 12 months, or (if applicable) the Special Events Total Permanent Disablement/Trauma Facility under the Life Cover Benefit and/or similar benefits has been exercised in the previous 12 months to add an accelerated Total Permanent Disablement Benefit, then no Total Permanent Disablement Future Insurability Benefit increase is available. Each Total Permanent Disablement Future Insurability Benefit increase in the sum assured will require an increase in premium . This increase will be calculated on the rates applicable at the time the Total Permanent Disablement Future Insurability Benefit is exercised. Any loadings, exclusions or special terms on the original Total Permanent Disablement Benefit sum assured will be applied to the increased amount.
Increases in sum assured added to this policy
After an increase under this Facility has been made, Sovereign will not pay the increased benefit amount if, before the increase, or within six months of the Facility being exercised, the life assured:
Suffers any claim event for anything other than an accident under the benefit; or
Has any symptoms or signs leading to a claim event (whether or not a registered medical practitioner has been consulted) that may result in a claim for anything other than an accident under the benefit.
Increases in sum assured issued as an additional new policy
Where this policy or any part of the sum assured under it, has been issued as the result of an increase under the Special Events Increase Facility or as the result of a Total Permanent Disablement Future Insurability Benefit increase, then: The Special Events Increase Facility will not be available under this policy for the proportion of the sum assured that represents the increase. Sovereign will not pay the increased benefit amount if, before the increase, or within six months of the increase, the life assured:
− Suffers any claim event for anything other than an accident under the benefit; or
− Has any symptoms or signs leading to a claim event (whether or not a registered medical practitioner has been consulted) that may result in a claim for anything other than an accident under the benefit. 14. Total Permanent Disablement Future Insurability Benefit At every third policy anniversary date you may write to Sovereign asking us to increase the Total Permanent Disablement Benefit for a life assured. You do not need to produce any medical evidence regarding the life assured when you request this increase, but any Total Permanent Disablement Future Insurability Benefit increase in sum assured is subject to the following conditions: You must request the increase by providing written advice to Sovereign within 60 days either side of the applicable anniversary date . Each individual increase cannot exceed 20% of the original Total Permanent Disablement Benefit sum assured or $200,000, whichever is the lesser. The total of all Total Permanent Disablement Future Insurability Benefit increases for a life assured cannot exceed 100% of the original Total Permanent Disablement Benefit for that life assured or $500,000, whichever is the lesser.
Increases in sum assured added to this policy
After a Total Permanent Disablement Future Insurability Benefit increase has been made, Sovereign will not pay the increased benefit amount if, before the increase, or within six months of the increase, the life assured: Suffers any claim event for anything other than an accident under the Total Permanent Disablement Benefit, or Has any symptoms or signs leading to a claim event (whether or not a registered medical practitioner has been consulted) that may result in a claim for anything other than an accident under the Total Permanent Disablement Benefit.
Increases in sum assured issued as an additional new policy
Where this policy or any part of the sum assured under it, has been issued as the result of an increase under the Total Permanent Disablement Future Insurability Benefit or as the result of an increase under the Special Events Increase Facility, then:
817 TCP-TPD version 11 Effective 12 May 2026
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