Plan Types
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Level Term to 65 Guaranteed Renewable |
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Level Term to 75 Guaranteed Renewable |
Optional Riders
Built-in Benefits
Lump Sum Benefit
The qualification for the lump sum benefit is not dependent on your inability to work, proof of reduction in income, or proof of expense incurred.
Insured Critical Illnesses
This plan provides a lump sum benefit as early as thirty (30) days after the insured meets the definition of any of the following insured critical illnesses:
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Aortic Surgery |
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Loss of Independent Existence |
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Aplastic Anemia |
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Loss of Limbs |
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Bacterial Meningitis |
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Loss of Speech |
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Benign Brain Tumour |
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Major Organ Failure on Waiting List |
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Blindness |
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Major Organ Transplant |
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Cancer (Life Threatening) |
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Motor Neuron Disease |
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Coma |
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Multiple Sclerosis |
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Coronary Artery Bypass Surgery |
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Occupational HIV Infection |
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Deafness |
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Paralysis |
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Dementia, including Alzheimer’s Disease |
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Parkinson Disease and Specified Atypical Parkinsonian Disorders |
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Heart Attack |
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Severe Burns |
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Heart Valve Replacement or Repair |
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Stroke |
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Kidney Failure |
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Early Assistance Benefit (EAB)
This benefit is payable if the insured meets the specific definition of Early Prostate Cancer, Early Breast Cancer, Early Skin Cancer, Early Stage Blood Cancer, Early Stage Intestinal Cancer, Early Thyroid Cancer or Coronary Angioplasty and completes the survival period as defined in the policy, we will pay 10% of the lump sum Critical Illness Benefit.
The early assistance benefit is payable only once to the insured, regardless of the number of the critical illnesses or policies the insured may have with us.
Long Term Care Conversion Option
From the policy anniversary at the insured’s attained age fifty-five (55) to the policy anniversary at the insured’s attained age sixty-five (65), the policy owner can convert all of, or a portion of their Critical Illness policy, without evidence of good health, into a new Long Term Care insurance policy available in our current portfolio at the time of conversion request.
Assistance Services
The Critical Illness Guarantee Standard Issue plan doesn’t just provide a claim cheque. It includes an array of Assistance Services, designed to assist your recovery by addressing a common need amongst critical illness individual.
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Best Doctors* |
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Daily Living Assistance |
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Healing the Whole Person |
These services are all provided at no additional cost and can be used at your discretion as provided in the policy.
Your premiums
Your premium amount will be set once your coverage is underwritten. The amount of your initial premium will be specified in your policy when it is issued.
While you remain employed with your current employer, premiums are payable monthly. If you leave your current employment and continue your coverage under this policy, you will then have the option of paying your premiums monthly or annually. The monthly premium will be calculated by multiplying the annual premium by 0.09.
We can, at our discretion, change the premiums required from the policyowner under this policy. However, we only can do this when we make the same rate change for an entire group of policyowners, and where the relevant policies, policyowners and/or the persons insured under the policies share a characteristic or combination of characteristics that we determine to be material to our risk under the affected policies. Also, we cannot increase the premiums for this policy more than once in any 12 month period. We will give the owner at least 31 days written notice of any premium increase.
If you wish to change from Smoker rates to Non-smoker rates after your policy is issued, or if you wish to reinstate your coverage after it terminates due to non-payment of premium, we reserve the right to request evidence of insurability satisfactory to us. A service fee may apply.
Exclusions and Limitations
| 1. |
No benefits are payable for any claim that results, directly or indirectly, from any of the following: |
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the insured’s suicide or attempted suicide, or intentionally self-inflicted injury, whether or not the insured was in possession of their mental faculties at the time; |
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the insured’s intentional use or intake of any drug, intoxicant, narcotic or poisonous substance except as prescribed by a physician or as directed by the manufacturer in the case of non-prescribed medication; |
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the insured’s attempt to commit or commission of a crime whether charged or not; |
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the insured’s participation in war (whether such war is declared or undeclared) or hostile action of the armed forces of any country, insurrection or civil commotion, or |
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the insured’s operation of any land, water or air conveyance which is moved or operated by any means other than muscular power, while the insured’s concentration of alcohol in one hundred (100) millilitres of blood exceeds eighty (80) milligrams or while the insured is under the influence of any drug, intoxicant, narcotic or poisonous substance except as prescribed by a physician or as directed by the manufacturer in the case of non-prescribed medication. |
| 2. |
No benefits are payable for any loss that results, directly or indirectly from any condition(s) that we have excluded by name or specific description in an endorsement or amendment to the policy. |
| 3. |
No benefits are payable unless the insured survives the survival period. |
Limitation for Benign Brain Tumour benefits
If within ninety (90) days following the later of the effective date and the date of the last reinstatement if the policy lapsed and was reinstated,
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the insured has any sign, symptom or investigation that lead to a diagnosis of benign brain tumour regardless of when the diagnosis is made; or |
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the insured has a diagnosis of benign brain tumour |
Thereafter
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no critical illness benefit will be payable; and |
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benign brain tumour will thereafter be deemed not to be critical illnesses; and |
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no benefit will be payable under this policy, nor will we refund any premiums paid for this policy, if the insured suffers a critical illness or death as a direct or indirect result of any type of benign brain tumour. |
This medical information as described above must be reported to us within six (6) months of the date of the diagnosis. If this information is not provided, we have the right to deny any claim for Benign Brain Tumour or, any critical illness caused by any Benign Brain Tumour or its treatment.
Limitation for Cancer benefits
If within ninety (90) days following the later of the effective date and the date of the last reinstatement if the policy lapsed and was reinstated,
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the insured has any sign, symptom or investigation that lead to a diagnosis of cancer (covered or excluded under the policy) regardless of when the diagnosis is made; or |
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the insured has a diagnosis of cancer (covered or excluded under the policy) |
Thereafter
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no critical illness benefit or early assistance benefit will be payable; and |
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cancer, Early Breast Cancer, Early Prostate Cancer and Early Skin Cancer, Early Stage Blood Cancer, Early Stage Intestinal Cancer, Early Thyroid Cancer will thereafter be deemed not to be critical illnesses; and |
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no benefit will be payable under this policy, nor will we refund any premiums paid for this policy, if the insured suffers a critical illness or death as a direct or indirect result of any type of cancer (whether covered or excluded under the policy). |
This medical information as described above must be reported to us within six (6) months of the date of the diagnosis. If this information is not provided, we have the right to deny any claim for cancer or, any critical illness caused by any cancer or its treatment.
Limitation for Parkinson’s Disease and Specified Atypical Parkinsonian Disorder benefits
If within the first year following the later of the effective date and the date of the last reinstatement if the policy lapsed and was reinstated,
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the insured has any sign, symptom or investigation that lead to a diagnosis of Parkinson’s Disease and Specified Atypical Parkinsonian Disorder or any other type of Parkinsonism (covered or excluded under the policy) regardless of when the diagnosis is made; or |
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the insured has a diagnosis of Parkinson’s Disease and Specified Atypical Parkinsonian Disorder or any other type of Parkinsonism (covered or excluded under the policy) |
Thereafter
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no critical illness benefit will be payable; and |
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Parkinson’s Disease and Specified Atypical Parkinsonian Disorder or any other type of Parkinsonism will thereafter be deemed not to be critical illnesses; and |
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no benefit will be payable under this policy, nor will we refund any premiums paid for this policy, if the insured suffers a critical illness or death as a direct or indirect result of any type of Parkinson’s Disease and Specified Atypical Parkinsonian Disorders (whether covered or excluded under the policy). |
This medical information as described above must be reported to us within six (6) months of the date of the diagnosis. If this information is not provided, we have the right to deny any claim for Parkinson’s Disease and Specified Atypical Parkinsonian Disorders or, any critical illness caused by any Parkinson’s Disease and Specified Atypical Parkinsonian Disorders or its treatment.
Pre-Existing Conditions Limitation
Benefits are not payable under this policy for a critical illness or other insured condition at any time during the 24 consecutive months immediately before the later of the date this policy came into force and the date it was reinstated after a lapse. However, this limitation does not apply to an insured critical illness or an other insured condition that are diagnosed more than 24 consecutive months after the later of the date this policy came into force and the date it was reinstated after a lapse.
For further details on this limitation, please refer to the Pre-Existing Condition Amendment included with your policy.
