c.
Children’s Congenital Conditions Benefit
first suffers a condition after the risk commencement date , and subject to the stand down period provisions where these apply;
When is the Children’s Congenital Conditions Benefit payable? This Benefit is payable if at least 12 months after the risk commencement date a child of a life assured is unequivocally diagnosed by an appropriate specialist and undergoes treatment or therapy for one of the conditions below.
is aged from three months up to their 21 st birthday at the time he or she first suffers from that condition ; and
survives for at least 14 days after suffering from the condition .
Sovereign will pay a maximum of one claim per child under the Children’s Critical Conditions Benefit across all Sovereign policies for a life assured. In cases where two policies each name a distinct parent of the child as a life assured, both policies are eligible to claim under the Children’s Critical Conditions Benefit for that child , provided the Optional Children’s and Maternity Benefit is shown in the schedule of both policies.
What congenital conditions are covered?
Coarctation of the Aorta.
Infantile Hydrocephalus.
Anal atresia.
Oesophageal atresia.
How much will Sovereign pay for the Children’s Critical Conditions Benefit?
Congenital diaphragmatic hernia.
The Benefit payable is the lower of $75,000 or 50% of the sum assured .
Tracheo-oesophageal fistula.
Truncus arteriosis.
Before cover for a child can commence under the Children’s Critical Conditions Benefit, you must advise us in writing of the child’s name, date of birth and gender. Cover for a child will only commence once we have confirmation of the child’s details in writing.
Retinopathy of prematurity.
How much will Sovereign pay for the Children’s Congenital Conditions Benefit?
b.
Pregnancy Complications Benefit
The Benefit payable is $5,000, regardless of the number of congenital conditions diagnosed. Sovereign will pay a maximum of one claim for a child under the Children’s Congenital Conditions Benefit across all policies for a life assured where AIA New Zealand Limited is the insurer. In cases where two policies each name a distinct parent of the child as a life assured , both policies are eligible to claim under the Children’s Congenital Conditions Benefit for that child , provided the Optional Children’s and Maternity Benefit is shown in the schedule of both policies. Payment of the Congenital Conditions Benefit will not reduce the sum assured or the balance of the sum assured for any of the categories.
When is a Pregnancy Complications Benefit payable?
This benefit is payable if a life assured suffers for the first time and at least 12 months after the risk commencement date one of the defined Pregnancy Complication conditions . Sovereign will not pay this benefit if the life assured suffers the condition or has any symptom or signs leading to the condition (whether or not a registered medical practitioner has been consulted) within 12 months after the risk commencement date .
Sovereign will not pay a benefit under the Optional Children’s and Maternity Benefit that arises as a direct or indirect consequence of:
What Pregnancy Complication Benefits conditions are covered?
Disseminated intravascular coagulation.
a pre-existing condition ; or
Eclampsia.
any congenital condition , except where expressly covered under the Children’s Congenital Conditions Benefit.
Hydatidiform mole.
See Section 31 for a full description of these Pregnancy Complication Benefit conditions .
The Optional Children’s and Maternity Benefit ceases on the child’s 21 st birthday.
How much will Sovereign pay for the Pregnancy Complications Benefit?
The benefit payable is $10,000.
Payment of the Pregnancy Complications Benefit will not reduce the sum assured or the balance of the sum assured for any of the categories .
818 TCP-PC version 12 Effective 12 May 2026
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