TCM Business TPD Policy Wording

What does ‘own occupation Total Permanent Disablement’ mean?

 Any combination of two of: a hand, a foot or sight in an eye (to the extent that visual acuity is reduced to 6/36 or less and/or the field of vision is reduced to 10 degrees or less of arc); or

A life assured has suffered an ‘own occupation Total Permanent Disablement’ if he or she:

c) Becomes totally and irreversibly unable by illness or accident to:

a) In Sovereign’s opinion becomes totally incapacitated by illness or accident and, as a result of that incapacity:  Is completely unable to engage in the occupation, or carry on the business, he or she was involved in immediately before becoming incapacitated; and

 Perform at least two of the activities of daily living without the physical assistance of someone else (if the life assured can perform an activity on his or her own by using special equipment Sovereign will treat the life assured as being able to perform that activity); or  Perform one of the activities of daily living and has permanent and irrecoverable cognitive impairment as evidenced by formal neuropsychological testing performed by a registered psychologist or psychiatrist, or assessment by an appropriate specialist . Any condition that Sovereign has reasonable grounds to expect can be reversed or improved by surgery or other treatment will not be considered to be a disablement covered by the ‘any occupation Total Permanent Disablement’ definition.

For the three consecutive months after that incapacity began, has not worked in that occupation or carried on that business; and



 Is, in the opinion of Sovereign, after consideration of the medical and any other evidence satisfactory to Sovereign, so incapacitated that it is unlikely he or she will ever be able to resume work in that occupation or carry on in that business; or

b) Suffers by illness or accident the total and permanent loss of meaningful use of:

If you have selected an ‘own occupation Total Permanent Disablement Benefit’

 Both feet (entire feet); or both hands (entire hands); or

Sovereign will pay you an ‘own occupation Total Permanent Disablement Benefit’ if at any time after the risk commencement date :  A life assured suffers in Sovereign’s opinion an ‘own occupation Total Permanent Disablement’ as defined in Section 5 below before reaching the policy expiry age as shown in the schedule ; and

 The sight in both eyes (to the extent that visual acuity is reduced to 6/36 or less in the better eye and/or the field of vision is reduced to 10 degrees or less of arc in the better eye); or  Any combination of two of: a hand, a foot or sight in an eye (to the extent that visual acuity is reduced to 6/36 or less and/or the field of vision is reduced to 10 degrees or less of arc); or

 The life assured survives for three months after becoming incapacitated.

c) Becomes totally and irreversibly unable by illness or accident to:

Sovereign will pay only one ‘own occupation Total Permanent Disablement Benefit’ for each life assured.

The benefit is a lump-sum payment of the amount specified in the schedule .

If you have selected an expiry age of age 70 as shown in the schedule :

 If a life assured suffers an ‘own occupation Total Permanent Disablement’ before reaching their 65 th birthday, they will be assessed under Section 5 a), b) or c) of this appendix .  If a life assured suffers an ‘own occupation Total Permanent Disablement’ after reaching their 65 th birthday, they will be assessed under Section 5 b) or c) of this appendix .  If Sovereign could not reasonably be expected to make an assessment of the life assured prior to their 65 th birthday they will be assessed under Section 5 b) or c) of this appendix .

862 TCB-TPD version 9 Effective 12 May 2026

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