Total Disability Waiver of Premium Benefit Rider
This overview is prepared to help you understand the Total Disability Waiver of Premium Benefit, an optional benefit that may be added as a rider to your Term 20 Guarantee Standard Issue® plan. It is not a contract or an offer to provide insurance. If your policy is issued, complete insurance coverage details will be made available in your policy, and the terms and conditions of your policy will take precedence over any information included in this document.
Your Waiver of Premium Benefit
When your have been totally disabled for 6 consecutive months, we will waive the payment of policy premiums while you continue to be totally disabled. Total disability must commence while this benefit is in force and prior to the policy anniversary nearest the insured person’s 60th birthday.
Total disability or totally disabled means that, due directly to injury or sickness, you are unable to perform the essential duties of your regular occupation, are not engaged in any other gainful occupation, and are receiving appropriate physician’s care.
After the payment of premiums has been waived for a period of 24 months during any one period of total disability, then total disability means that, due directly to injury or sickness, you are unable to engage in any gainful occupation for which you are reasonably fitted by education, training or experience, and continue to be under appropriate physician’s care.
Coverage under this rider ends on the policy anniversary nearest your 60th birthday, unless you are totally disabled and we are waiving premiums at that time. In that event we will continue to waive the premium while you remain totally disabled and the policy remains in force.
Exclusions and Limitations
We will not waive premiums if you had a pre-existing condition within the 24 months prior to the date coverage became effective, and the disability is related to a pre-existing condition, and the disability begins within twenty-four 24 months after coverage is in effect.
Pre-existing condition means any injury or illness, or any medical condition or symptom(s) whether or not diagnosed), in respect of which you incurred any health-related expenses on the advice of a physician or any other health care practitioner, took any prescribed medication, consulted a physician or any other health care practitioner, received any health-related care, advice or treatment from a physician or any other health care practitioner. It will also be considered a pre-existing condition if a reasonably prudent person with such medical condition or symptom(s) would have consulted a physician or any other health care practitioner. A disability is related to a pre-existing condition if it results, directly or indirectly, from the pre-existing condition.
We will not waive your premiums if your total disability resulted directly or indirectly from intentional self-inflicted injury, or the commission or attempted commission of a criminal offence or provocation of an assault, or poisoning or inhalation or gas or fumes, or any event, illness or treatment related to the excessive use or chronic use of alcohol, or related to the voluntary ingestion of illegal drugs, or related to the misuse of prescribed or non-prescribed medication.
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