Increases in sum assured issued as an additional new policy Where this policy or any part of the sum assured under it, has been issued as the result of an increase under the Special Events Increase Facility, then: the Special Events Increase Facility will not be available under this policy for the proportion of the sum assured that represents the increase. Sovereign will not pay the increased benefit amount if, before the increase, or within six months of the increase, the life assured : − suffers any condition for the first time other than due to an accident under the Progressive Care Benefit; or − has any symptoms or signs leading to a condition (whether or not a registered medical practitioner has been consulted) that may result in a claim for anything other than an accident under the Progressive Care Benefit.
You must make the request within 60 days either side of the relevant special event and provide Sovereign with suitable evidence of the occurrence of the event. A life assured is only eligible for special events increases where the special event occurs from the age of 16 and before age 55. Special Events increases are not available if the life assured has suffered a claim event under this appendix before you seek to exercise the Facility. If, at any time before you seek to exercise the Facility, a claim for the life assured had been accepted by us or notified to us, Sovereign will have discretion in determining whether the Facility can be exercised. In exercising discretion, we will consider whether, based on the medical evidence submitted in support of the claim, the life assured represents an increased risk of claim for the benefit being added under this Facility.
Only one of the following is available in any 12 month period:
− A Built-in Progressive Care Future Insurability Benefit increase (see Section 8);
8. Built-in Progressive Care Future Insurability Benefit
− A Special Events Increase under a Progressive Care Benefit or Living Assurance Benefit; or
At every third policy anniversary date you may write to Sovereign asking us to increase the Progressive Care Benefit for a life assured . You do not need to produce any medical evidence regarding the life assured when you request this increase, but any increase in sum assured under this Benefit is subject to the following conditions :
(If applicable) exercising the Special Events TPD/Trauma Facility under the Life Cover Benefit and/or similar benefits to add an accelerated Progressive Care Benefit or an accelerated Living Assurance Benefit.
−
Sovereign will increase the Progressive Care Benefit sum assured for a life assured from the date we accept your request. Each increase will require an increase in premium . This increase will be calculated on the rates applicable at the time the Special Events Increase Facility is exercised. Any loadings, exclusions or special terms on the original Progressive Care Benefit sum assured will be applied to the increased amount.
You must make the request within 60 days either side of your policy anniversary date .
Each individual increase cannot exceed 20% of the original Progressive Care Benefit sum assured or $200,000, whichever is the lesser. The total increases made under this Facility cannot exceed 100% of the original Progressive Care Benefit sum assured for that life assured up to a maximum of $500,000, whichever is the lesser. The maximum sum assured for this Progressive Care Benefit cannot exceed $1,500,000 including increases under this Benefit across all Sovereign policies . Both of the following maximum sum assured limits also apply across all Sovereign policies for each life assured : (a) The total of the sum assured for all Living Assurance Benefits, Progressive Care Benefits, and similar trauma benefits (combined), including increases under this Facility must not exceed $2,000,000; and (b) The total of the sum assured for all trauma benefits combined must not exceed $2,000,000 and the total sum assured for all trauma and Total Permanent Disablement Benefits (and similar benefits) combined must not exceed $5,000,000. Where this Progressive Care Benefit is shown in the schedule as accelerated against the Life Cover Benefit the total increases under this Facility and the total
When will Sovereign not pay a claim for an increase under this Facility?
Increases in sum assured added to this policy
After an increase under this Facility has been made, Sovereign will not pay the increased benefit amount if, before the increase, or within six months of the Facility being exercised, the life assured :
suffers any condition for the first time other than due to an accident under the Progressive Care Benefit; or
has any symptoms or signs leading to a condition (whether or not a registered medical practitioner has been consulted) that may result in a claim for anything other than an accident under the Progressive Care Benefit.
818 TCP-PC version 12 Effective 12 May 2026
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