4.1 Payment Extension Benefit
The Payment Extension Benefit applies under
certain conditions at the end of the Benefit Period. If at the
end of the Benefit Period the life insured continues to be Totally
or Partially Disabled but the total amount paid is less than 12
times the Business Expense Plan Benefit Amount, the Benefit Period
will be extended.
The extension will end on the earliest of the following:
- the expiry of 12 months;
- the life insured no longer being Totally or Partially Disabled;
- the Plan end date; and
- the total amount paid equalling 12 times the Business Expense
Plan Benefit Amount.
4.2 Recurrent Disability Benefit
When the life insured makes a
claim on the Total or Partial Disability Benefit we understand
that in certain circumstances the condition may reoccur from the
same or a related cause during the term of the Plan. Where this
happens within 12 months of the claim ending it will be considered
a continuation of the claim.
In this case the Waiting Period will not be reapplied, however,
all periods of claim will be added together for the purpose of
assessing the maximum Benefit Period.
If we have made payments for the full Benefit Period, you must
return to full-time work for at least 12 consecutive months and
perform all of the income producing duties of your Own Occupation
without restriction before becoming eligible to submit a new claim
for the same or related Sickness or Injury. A new Waiting Period
and Benefit Period will then apply. |