the life assured must be no longer actively engaged in the business due to reasons other than retirement, redundancy, ill health or incapacity;
total disability, and Section 6 and (if applicable) Section 7 for a partial disability. AIA will only pay the Back to Work Payment once per claim across all AIA policies, and it will not be paid where the benefit payment period is one or two years. If the life assured suffers a recurrence of the same or a related illness or injury within 12 months of a Total or Partial Disability Income Benefit ceasing, then any Back to Work Payment made in respect of that claim will be deducted from the amount of the Total or Partial Mortgage, Income or Rent Cover Benefit payable. 21. What is the Optional Claim Indexation Benefit? The Optional Claim Indexation Benefit applies only if “CPI Linked” is specified in the schedule . Where the Optional Claim Indexation Benefit is selected, the Mortgage, Income or Rent Cover Benefit sum assured shown in the schedule will increase at the start of each policy year by an amount we determine with reference to the annual percentage increase in the consumers price index . If the consumers price index falls in any year, the Mortgage, Income or Rent Cover Benefit sum assured will not decrease. Any increase as a result of an increase in the consumers price index will be subject to the maximum benefit amounts allowable under this benefit. 22. What is the Optional Mental Health Limitation? The Optional Mental Health Limitation applies only if it is shown in the schedule and if no mental health exclusion applies for this appendix . If the Optional Mental Health Limitation applies, AIA will only pay a claim due to a mental health disorder for a maximum of two years throughout the life of this benefit. The Optional Mental Health Limitation payment period will commence if, in AIA’s opinion, after considering the advice of a registered medical practitioner and other relevant information, the life assured is deemed to be totally disabled or partially disabled as a result of a mental health disorder .
the life assured must be under the age of 60;
if the life assured has had a claim paid or is entitled to be paid a claim under any policy with us or any other insurance company the request will be referred to an AIA underwriter and full underwriting terms and conditions may apply; the payment premiums must be up to date and are not being waived for any reason. If AIA agrees to reduce the waiting period , the following applies: premiums will increase with any reduction in waiting period ; only one reduction in waiting period under this benefit is allowed without evidence of health; any loadings, exclusions or special terms on the cancelled policy will be applied to the reduced waiting period benefit.
19.
What is the Concurrent Waiting Period Benefit?
If the life assured is disabled and able to receive a Mortgage, Income or Rent Cover Benefit under this policy, and they also hold a Business Overheads, Business Continuity, Rural Continuity or Locum Cover policy, then the waiting periods applicable to the life assured under each policy will be served concurrently from the disablement date . If during the waiting period under this policy, the life assured is able to claim the Recurrent Disablement Benefit under a Business Overheads, Business Continuity, Rural Continuity or Locum Cover policy, the portion of their waiting period for their Mortgage, Income or Rent Cover under this policy will be considered to have been continuous and only the remaining period will apply.
20. What is the Back to Work Payment and when will AIA pay it?
AIA will pay you a Back to Work Payment if:
a Total or Partial Mortgage, Income or Rent Cover Benefit has been paid for a life assured for a continuous period of longer than 12 months but less than 24 months; and
23. How to make a claim
To make a claim, the relevant procedures in the section of your AIA Living policy entitled ‘How to make a claim’ must be followed. In addition, for a Mortgage, Income or Rent Cover Benefit claim, AIA will require: the life assured to be examined by a registered medical practitioner acceptable to AIA, before accepting liability for a claim; and an AIA claims form completed by the life assured and a registered medical practitioner (at your expense); and other information which AIA may reasonably request to help assess the claim, which may include evidence of
the life assured engages in work or carries on business; and
the life assured is no longer totally disabled or partially disabled ; and
the life assured has ceased to be on claim with AIA .
The Back to Work Payment is a lump sum payment equivalent to three times the life assured’s monthly disability benefit for the last full month immediately before the claim ceased, as calculated in accordance with Section 2 for a
1117 AL-MIRC version 1 Effective 31 July 2025
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