further medical evidence at the time of conversion. The terms and conditions of the new policy will be those which are then offered by us to the general public. Premiums will be calculated on the current age of the life assured . Any special terms, exclusions or premium loading that applied to your existing Family Protection Benefit will apply to your new Family Protection Benefit.
9.
How to make a claim
To make a claim, you must follow the relevant procedures in the section of your TotalCare Max policy entitled ’How to make a claim’.
In addition, for a Family Protection Benefit claim, Sovereign will require:
A full death certificate (in the event of the death of a life assured), and a coroner’s report if applicable. A grant of administration – probate, or certificate of administration, or letters of administration if the deceased was the sole owner of the policy.
8.
Suspension of Premium Benefit
A life assured can suspend their cover under this Family Protection Benefit appendix for up to 12 months if they:
go on parental leave;
10.
Exclusions – when Sovereign won’t pay a benefit
go on leave without pay for any reason;
become unemployed or redundant;
Sovereign will not pay any benefit under this appendix where the life assured dies as a direct or indirect result of an intentional self-inflicted act (whether sane or insane) within 13 months of the risk commencement date or, if cover under this appendix has been reinstated, the date of reinstatement. This exclusion applies to any subsequent benefit increase you make.
experience at least a 20% reduction in pay (comparing the most recent payslip against a previous payslip from the same year); or if self-employed, experience a 30% reduction in revenue (by comparing one month’s revenue against the same month for the previous year),
provided that:
11.
Key terms
The premium type shown in the schedule for the Family Protection Benefit is Rate for Age; You notify Sovereign within three months of one of the above listed suspension events occurring and provide evidence to Sovereign of the suspension event; and Sovereign acknowledges in writing receipt of that notification. Cover for the life assured will be suspended from the date set out in Sovereign's written acknowledgement. No premium will be payable during the period that the cover is suspended. No claim under this Family Protection Benefit appendix will be payable for any claim event that occurs during the period that the cover is suspended. A claim may only be payable if the life assured first meets the criteria for an eligible claim under this policy after their cover is reinstated. Cover under this Family Protection Benefit appendix may be reinstated at the end of the suspension period in accordance with this section without the need to provide further medical evidence, provided that the benefit has been suspended for no longer than 12 months. At the end of the suspension period, the benefit will be automatically reinstated for the life assured. Cover for the life assured will be reinstated from the date set out in Sovereign's written acknowledgement. The premium payable for the reinstated benefit will be based on Sovereign's premium rates at the time of reinstatement.
accidental death
Death which is the result of external or internal bodily injury caused directly by violent, accidental, external and visible means, not attributable to any other event. Either an Adviser with a current financial Adviser agreement with Sovereign Services Limited or a member of a financial services industry body approved by Sovereign . Regular remuneration that is subject to PAYE, excluding allowances in lieu of non-monetary remuneration and extra income such as, but not limited to, bonuses and overtime payments.
accredited Adviser
annual salary
AIA New Zealand policy/policies
Any policy or policies where AIA New Zealand Limited is the insurer.
child/children
Any biological child/children, adopted child/children or child/children under the legal guardianship of:
> a life assured: or
> the spouse, civil or de facto partner of a life assured.
close relative
A relative who is the life assured’s spouse, civil or de facto partner, mother, father, step mother, step father, brother, sister, step brother,
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810 TCP-FP version 10 Effective 12 May 2026
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