Insurance terms
Here are some common insurance terms. Please review your policy for specific details of your coverage.
The Insured means the person named as the I nsured on the application form and policy schedule and to whom benefits will be made payable.
Beneficiary means the person or persons you have nominated on the application form or in writing, who will be paid the proceeds of your policy in the event of you losing you life. You may change your beneficiary at any time by writing to us.
In-patient means hospital confinement that the Hospital classifies as In-patient. It does not mean confinement on an out-patient basis.
Medical Practitioner means a licensed Medical Practitioner operating within the scope of his or her licence and who is not a member of your immediate family.
Waiting period means the period you must be disabled for, before any benefits for disability will begin. The waiting period is shown in the policy schedule.
Commencement Date means the date your cover commences, as shown in the application form and the policy schedule.
Pre-Existing Condition means a bodily illness or disease (Sickness Policy) or an I njury condition (Accident Policy) for which the insured received medical advice or treatment within 24 months prior to the commencement date, or showed symptoms within 24 months prior to the commencement date that would have caused an ordinarily prudent person to seek medical advice or treatment.
Total Disability means the inability to perform each of the substantial duties of your business or occupation (usual activities if you are not currently employed).
Partial Disability means the ability to perform one or more, but not all of the substantial duties of your business or occupation (usual activities if you are not currently employed).
Intensive Care Unit means the part of a hospital (other than the patient’s room, operating room, or recovery room) where patients receive full-time nursing care and which is commonly known as the Intensive Care Unit.
Indexation: With the exception of the Critical Illness Plan, both the benefits and the premiums are indexed to increase at the rate of 5% of the initial policy benefit and premium values each year your policy remains in force (i.e., the increase is not compounded).
