16. Key terms
is the greater, every three years on the anniversary date .
The total maximum Life Future Insurability amount that can be added is the lower of twice the original Life Cover Benefit or $1,000,000. Sovereign will notify you of your entitlement to exercise the Optional Life Future Insurability Benefit before each third anniversary date . You can accept the offer by providing written notice to Sovereign any time before 60 days after the applicable anniversary date . The Optional Life Future Insurability Benefit expires on the 60th birthday of the applicable life assured. If a special events increase has occurred in the last 12 months, no Life Future Insurability increase can occur. Any Optional Life Future Insurability Benefit not exercised may not be carried forward to any future time. Any exercise of the Optional Life Future Insurability Benefit will require an increase in premium . This increase will be calculated on the rates applicable at the time the Optional Life Future Insurability Benefit is exercised.
accident
Injury caused by violent, accidental, external and visible means.
accidental death
Death caused solely by violent, accidental, external and visible means.
accredited Adviser
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.
annual salary
child/children
Any biological child/children, adopted child/children or child/children under the legal guardianship of:
14. How to make a claim
a life assured; or
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 Life Cover 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. For a Terminal Illness Benefit, evidence from a registered medical practitioner diagnosing an illness which will result in the death of the life assured within 12 months of the diagnosis and any other evidence we may reasonably require. For a Specified Terminal Conditions Benefit, evidence from a registered medical practitioner with an unequivocal diagnosis of a specified condition and any other evidence we may reasonably require. 15. Exclusions – when Sovereign won’t pay a benefit Sovereign will not pay any benefit under this appendix where the life assured dies or becomes terminally ill 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. Sovereign will not pay a Parents Grieving Benefit if death directly or indirectly arises from an injury caused by you , or the child’s parents or guardian/s.
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, step sister, child , grandfather or grandmother.
home country
The country in which the life assured was born or, their country of permanent residence.
801 TCP-LIFE version 12 Effective 12 May 2026
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