GISECURE INCOME PROTECTION INSURANCE POLICY SUMMARY

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1 GISECURE INCOME PROTECTION INSURANCE POLICY SUMMARY This policy summary does not contain the full terms and conditions of the contract. Please refer to and read the Terms and Conditions. THE INSURER OF THIS POLICY The insurer of this policy is Mapfre Asistencia Compañia Internacional de Seguros y Reaseguros Sociedad Anonima, Registered Address; Alpha House, 5th Floor, 24a Lime Street, London EC3M 7HS. Company number; FC Branch number; BR008042, and who are authorised by the Financial Services Authority, registration number ( Mapfre Asistencia ). WHAT THIS POLICY COVERS Depending on the cover options that apply to you, this policy can help you protect your income if you suffer an accident or sickness, or are made involuntarily unemployed. The benefits you can claim will depend on the levels of cover that apply to you and these will be confirmed in your Schedule. AM I ELIGIBLE FOR COVER GISecure Income Protection Insurance is designed to cover most people but you should check you meet the conditions below. You must: a) be aged 18 or over and under 63, and; b) live in the United Kingdom, the Channel Islands or the Isle of Man. To be eligible for Accident & sickness cover and/or Unemployment cover you must also be working for at least 16 hours per week in the United Kingdom, the Channel Islands or the Isle of Man, and have been so for the 6 months immediately before the start date. You must continue to meet the conditions above to remain eligible for the levels of cover that apply to you. If your circumstances change or you no longer meet the conditions above you should contact the Administrator straight away to discuss your options. BENEFITS OF THIS POLICY The maximum monthly amount you can protect under this policy is 2,500 or 65% of your gross monthly income, whichever is the lower. DIFFERENT COVER OPTIONS If your policy includes Accident & sickness cover or Unemployment cover, there are a number of cover options that determine how benefits will be paid under your policy. The options that apply to you will be confirmed in your Schedule. There are two different types of cover: TYPE OF COVER 30 Day back To Day One Cover - is designed to pay your claim back to the first day, once you have been unemployed or unable to work due to an accident or sickness for longer than your waiting period. After this time it will continue to pay your claim at a daily rate, payable monthly in arrears, until you are no longer entitled to receive any benefit. Standard Cover 60 Day back to Day 31 and 90 Day back to Day 61 - is designed to pay your claim at a daily rate, once you have been unemployed or unable to work due to an accident or sickness for longer than your waiting period and the excess period. This will be paid monthly in arrears and will continue until you are no longer entitled to receive any benefit. WAITING PERIODS For Back To Day One Cover there is a 30 day waiting period. For Standard Cover there is a 30 day waiting period. **For Standard Cover there is also a 30 day or 60 day excess period (depending on the level of cover you have selected), which will be followed by the 30 day waiting period.** Page 1 of 5

2 MAXIMUM MONTHLY BENEFITS If the level of cover you select includes Unemployment cover the maximum number of monthly benefit payments is 12. If the level of cover you select does not include Unemployment cover you can choose either 12 or 24 maximum monthly benefit payments. If the level of cover you select includes Accident & sickness cover and Unemployment cover then the type of cover, the waiting period and the maximum number of monthly benefits will be the same for both levels of cover. BENEFITS, SIGNIFICANT FEATURES, EXCLUSIONS AND LIMITATIONS OF THIS POLICY The following tables summarise the different levels of cover provided under this policy, for full details please refer to the relevant sections of the policy document. Features and Benefits ACCIDENT AND SICKNESS COVER ONLY APPLICABLE IF CONFIRMED IN YOUR SCHEDULE (Please refer to section 6 & 7 of the policy terms and conditions) 30 Day back to Day One Cover If an accident or sickness prevents you from working for longer than the waiting period shown in your Schedule, the insurer will pay 1/30 th of your monthly benefit for each day of your waiting period. Thereafter, the insurer will pay 1/30 th of your monthly benefit for each continuous day after your waiting period you remain unfit for work, subject to your claim remaining valid. Standard Cover 60 Day back to Day 31 and 90 Day back to Day 61 If an accident or sickness prevents you from working for longer than the waiting period shown in your Schedule and the excess period you have selected, the insurer will pay 1/30 th of your monthly benefit for each continuous day after your waiting period you remain unfit for work, subject to your claim remaining valid. Significant Exclusions or Limitations We will not pay any benefits if your claim results from a pre-existing condition (unless the pre-existing condition re-qualifies for cover). We will not pay any benefits if your claim results from a self-inflicted injury, drug and alcohol abuse or, under certain circumstances, from backache, or mental and nervous conditions. We will not pay more than the maximum number of monthly benefits confirmed in your Schedule for any one claim. Page 2 of 5

3 Features and Benefits UNEMPLOYMENT COVER ONLY APPLICABLE IF CONFIRMED ON YOUR SCHEDULE (Please refer to section 6 & 8 of the policy terms and conditions) 30 Day back to Day One Cover If you are unemployed for longer than the waiting period shown in your Schedule, the insurer will pay 1/30 th of your monthly benefit for each day of your waiting period. Thereafter, the insurer will pay 1/30 th of your monthly benefit for each continuous day after your waiting period you remain unemployed, subject to your claim remaining valid. Standard Cover 60 Day back to Day 31 and 90 Day back to Day 61 If you are unemployed for longer than the waiting period shown in your Schedule and the excess period you have selected, the insurer will pay 1/30 th of your monthly benefit for each continuous day after your waiting period you remain unemployed, subject to your claim remaining valid. Carer s Cover You may also be able to claim for unemployment if you become a carer and receive Carer's Allowance from the Department for Work and Pensions. Significant Exclusions or Limitations We will not pay any benefits if your claim results from any unemployment that you know about or ought reasonably to know about, when this policy starts. We will not pay any benefits if your claim results from unemployment that begins, or you are notified about within the 90 day unemployment initial exclusion period shown in your policy document. We will not pay any benefits if your claim results from unemployment where your work is seasonal or temporary, or where your unemployment is due to your misconduct or is voluntary in any way e.g. you resign. We will not pay more than the maximum number of monthly benefits confirmed in your Schedule for any one claim. YOUR RIGHT TO CANCEL (Please refer to section 2) Cancellations You may cancel this policy within 30 days from the start of this policy or the date you receive your policy documents, we will make a full refund of any premium you have paid, providing no claims have been made. If you do make a claim no refund will be payable. If you cancel outside the initial 30 day cooling off period, no refund of premium will be payable. CONTACT DETAILS (Please refer to section 3) If you need to speak to the Administrator please call the number below. Lines are open Monday to Friday, 9.00am to 5.00pm. If you need to write to the Administrator you should send it to the address below: Your Administrator Advent Solutions Management Limited (Registered in England and Wales No Authorised and regulated by the Financial Services Authority) General Contact: 1. Tel: [email protected] 3. Address: Cornhill, London, EC3V 3QQ Complaints contact: 1. Tel: [email protected] 3. Address: Head of Operations, Advent Solutions Management Limited, Cornhill, London, EC3V 3QQ For claims, please contact the Claims Administrator. The contact details are shown below: Claims Department, Abraxas Insurance Administration Services Ltd. Tel: Address: PO Box 520, Bristol, BS34 9BW Page 3 of 5

4 PERIOD OF INSURANCE (Please refer to section 5 & 11) This policy and any benefits you may be receiving will end on the date you reach 65 years of age, you permanently retire, your death, you fail to pay the premium when due or the date you or we cancel this policy, whichever happens first. You should review your circumstances regularly and consider whether this policy still meets your personal requirements. This is a flexible and will allow you to make changes as your personal requirements change. Simply contact the Administrator if you wish to make a change. CLAIMS (Please refer to section 10) In the event of a claim you must notify your Claims Administrator about your claim as soon as you can. You should contact your Claims Administrator using the contact details above to report your claim and to request a claim form. ARE MY PREMIUMS GUARANTEED (Please refer to section 12) The amount you pay for cover may change during the time you have this policy. This may be because of: changes you request to your cover, such as changing your monthly benefit, or; changes to our expected future costs. We will only change your premium for this reason where there is a change to the specific factors we have set out in your policy, and that change results in our expected future costs being higher or lower than assumed when the premium was set. This may include changes to our expected future claims costs due to changes in economic conditions such as unemployment rates. We will review your premium at least annually and you will be given at least 30 days written notice of any alteration to the premium rates under this policy unless the change is due to legislative, tax or regulatory requirements. We may review your premium more frequently than annually if it becomes necessary due to significant changes in any of the specific factors referred to above. Except where your premium is changed due to legislative, tax or regulatory requirements, the minimum period between consecutive changes will be 180 days. As a result of the premium review, your monthly premium may go up, stay the same or go down, and there is no limit to the amount of any change. If a review results in an increase to your premium and you do not wish to pay the increase you can contact the Administrator to discuss your options or cancel. POLICY TERMS AND CONDITIONS (Please refer to section 13) We may vary or waive the terms and conditions of this policy. This may be to:- vary the cover provided under this policy because of changes to our expected future costs. We will only change your terms and conditions for this reason where there is a change to the specific factors we have set out in Section 13 of your policy, and that change results in our expected future costs being higher or lower than assumed when the premium was set. This may include changes to our expected future claims costs due to changes in economic conditions such as unemployment rates; improve your cover; comply with any applicable laws or regulations; reflect any changes to taxation, or; correct any typographical or formatting errors that may occur. You will be given at least 30 days written notice of any alteration to the terms and conditions of cover under this policy unless the change is due to legislative, tax or regulatory requirements. Except where the terms and conditions of cover under this policy are changed due to legislative, tax or regulatory changes, the minimum period between consecutive changes will be 180 days. Such changes may have the effect of increasing or reducing the cover previously provided under this policy. If you do not wish to continue your cover you can contact the Administrator to discuss your options or cancel. Page 4 of 5

5 OUR RIGHT TO CANCEL (Please refer to section 14) We may cancel your insurance cover immediately where there is evidence of dishonest or exaggerated behaviour or where you have misrepresented or failed to disclose something at the time of application which would have caused us to decline you for cover. We may cancel your insurance cover by giving no less than 90 days' written notice. We will only do this in the circumstances set out in Section 2 of your policy document. CUSTOMER CARE (Please refer to section 15) In the unlikely event of a dispute occurring regarding the issuing, administration, terms of the policy or the service received, please contact either the Administrator or Claims Administrator. If you are not satisfied with our response, you can ask the Financial Ombudsman Service (FOS) to consider your complaint. COMPENSATION (Please refer to section 16) We, the Claims Administrator and the Administrator are covered by the Financial Services Compensation Scheme (FSCS). If we are unable to meet our liabilities you may be entitled to compensation from the FSCS. Further information is available from their website: Page 5 of 5