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Income protection policy wording
This Document Certifies that in accordance with the authorisation
granted by the National Insurance & Guarantee Corporation
Ltd (NIG) and in consideration of the premium, Underwriters are
hereby bound to insure in accordance with the terms and conditions
contained herein or endorsed hereon.
1. Eligibility
- You are covered under this insurance if, on the Start Date,
You are over 18 but under 65 at the End Date (if applicable)
and, You are working when You apply and, You have paid or agreed
to pay the Premium(s) for cover and, you have met the underwriting
criteria set out in the application and, We have accepted Your
application as evidenced by the issue of this Certificate.
- You must not be aware of any illness, disease, condition or
injury in the 6 months before the Start Date that may cause
You to make a claim for Disability benefits and You must not
be aware of any impending Unemployment. We may still insure
You if You are aware of any of these events. However, We will
not pay benefits directly relating to that Unemployment which
You were aware of in the 6 months before the Start Date nor
will We pay benefits directly relating to the illness, disease,
condition or injury which You were aware of in the 12 months
before the Start Date.
2. Benefits
Disability If You are Working and become Disabled after
the Start Date and before the End Date for at least 30 continuous
days We will pay Your Monthly Benefit. You will continue to receive
an amount equal to 1/30th of Your Monthly Benefit (payable monthly
in arrears) for each further day that You remain off Work until
the End Date or, You stop being Disabled or, We pay 12 Monthly
Benefits for each Disability claim. Disability benefits will not
start until You consult a Doctor. However, if You complete a self-certification
form (from Your employer) for the first 7 days of Disability,
You will be classified as Disabled for those 7 days. We will only
pay You Disability benefit if a Doctor is regularly treating You
for the condition causing Your Disability. If You have made a
Disability claim which ends for whatever reason, You will not
be able to make another Disability claim until You have been in
continuous work for 30 days if the Disability is different or,
180 days if the Disability is the same.
Unemployment If You are Working and become Unemployed
after the Start Date and before the End Date for at least 30 continuous
days We will pay Your Monthly Benefit. You will continue to receive
an amount equal to 1/30th of Your Monthly Benefit (payable monthly
in arrears) for each further day that You remain off Work until
the End Date or, You stop being Unemployed or, We pay 12 Monthly
Benefits for each Unemployment claim.
- If two periods of Unemployment are separated by 3 months or
less We will treat this as one continuous claim but We will
not pay any benefit during any time You were not Unemployed
between these periods. If the two periods of Unemployment are
separated by more than 3 months, You must return to Work for
a total of 6 continuous months before You can make another Unemployment
claim.
- If You are receiving Unemployment benefit and want to start
temporary Work which will continue for less than 6 months, please
let Us have details in writing before You start this Work. We
will not pay any benefit during the period that You are not
Unemployed. However, when the temporary Work finishes, Your
Unemployment claim may continue and We will treat this as one
continuous claim. The most We will pay for this continuous claim
is 12 times the Monthly Benefit in total.
- If You are Self Employed and wish to make an Unemployment
claim, Your business must have ceased trading and You must be
registered for Job Seekers Allowance and informed the Inland
Revenue that You are no longer in business.
3. Payment of Benefits
- We will pay benefits into the account specified on Your claim
form. Disability and Unemployment benefits are paid monthly
in arrears.
- We only pay You one type of Monthly Benefit (Disability or
Unemployment) at a time. If You are Joint Applicants, We will
pay to each of You in the percentages shown on Your application
Schedule.
- The maximum combined benefit payable for Disability or Unemployment
claims under this insurance will not be more than the sum of
£1,000 per month or 50% of Your gross monthly income whichever
is the less.
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