The Benefit payable is the lower of $50,000 or 50% of the sum assured across all Progressive Care policies for the life assured . Sovereign will pay a maximum of one claim per child under either the Built-in Children’s Trauma Benefit or the Built-in Newborn Children’s Benefit across all Sovereign policies . The Built-in Children’s Trauma Benefit or the Built-in Newborn Children’s Benefit is payable in addition to the Optional Children’s and Maternity Benefit (if applicable). Sovereign will not pay a benefit under the Built-in Children’s Trauma Benefit that arises as a direct or indirect consequence of:
sum assured across all Progressive Care policies for the life assured .
The Built-in Newborn Children’s Benefit is only payable where the birth of the child with one of the applicable conditions occurs at least twelve months after the risk commencement date . This requirement applies anew to all added cover from the date the cover commences, including cover added using the Built-in Progressive Care Future Insurability Benefit, the Built-in Special Events Increase Facility, or the Special Events TPD/Trauma Facility under the Life Cover Benefit. Sovereign will pay a maximum of one claim per child under either the Built-in Newborn Children’s Benefit or the Built-in Children’s Trauma Benefit across all Sovereign policies . Payment of the Built-in Newborn Children’s Benefit will not affect the amount of any Progressive Care Benefit payable for the life assured .
a pre-existing condition ; or any congenital condition .
Payment of the Built-in Children’s Trauma Benefit will not affect the amount of any Progressive Care Benefit payable for the life assured .
12. Built-in Return Home Benefit
The Built-in Children’s Trauma Benefit ceases on the child’s 21 st birthday.
Sovereign will pay a Return Home Benefit if the life assured is outside of New Zealand and suffers, for the first time, a covered condition . The Return Home Benefit will reimburse the cost of a standard economy flight back to New Zealand for the life assured and one support person. You will need to provide evidence of the transport costs satisfactory to us before a claim under the Return Home Benefit will be paid. In total the maximum we will pay over the life of the policy under the Return Home Benefit is $10,000. A Return Home Benefit is paid in addition to the Progressive Care Benefit.
11. Built-in Newborn Children’s Benefit
Sovereign will pay a Built-in Newborn Children’s Benefit if a biological child of a life assured is born with one of the following conditions and survives for thirty days after birth:
Cleft palate;
Down’s syndrome;
Spina bifida;
Total blindness;
No payment will be made if the life assured is covered for the same event with a travel insurance provider.
Absence of one or more limbs;
Tetralogy of Fallot.
13. Built-in Parents Grieving Benefit
Transposition of Great Vessels; or
When is a Parents Grieving Benefit payable?
Deafness.
Sovereign will make a Parents Grieving Benefit payment if:
Please refer to Section 31 for the definitions of these conditions .
a child of a life assured dies prior to birth but after at least 24 weeks gestation; or a child of a life assured dies. Sovereign will not make any payment if the death occurs within 12 months of the risk commencement date except where it is an accidental death. This Parents Grieving Benefit ceases on the child’s 21 st birthday.
In order for Sovereign to pay a claim under this Benefit, we will require medical information from a registered medical practitioner acceptable to us that conclusively evidences the condition . In circumstances where a conclusive diagnosis cannot be made at birth, we will defer our assessment of the claim until sufficient evidence can be supplied. For example, this might apply in the case of total blindness or deafness, where a conclusive diagnosis may not be possible until later in the child’s life. In these cases, the claims assessment will be based on the child’s sight or hearing impairment at the date that conclusive diagnosis is first possible. A claim is only payable under the Built-in Newborn Children’s Benefit if cover remains in effect for the life assured up to the date that the conclusive diagnosis for the child occurs.
How much will Sovereign pay for the Parents Grieving Benefit?
The Benefit payable:
if the child is under 10 years of age Sovereign will pay a maximum of one claim of $2,000 per child under the Parents Grieving Benefit across all Sovereign policies and AIA policies ; or
How much will Sovereign pay?
The Benefit payable is the lower of $50,000 or 50% of the
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