Asgard Personal Protection Package
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1 Asgard Personal Protection Package Supplementary Product Disclosure Statement (SPDS) This SPDS is dated 1 February 2009 and relates to the Product Disclosure Statement (PDS) dated 18 February 2008 for the Asgard Personal Protection Package. This SPDS is issued by Asgard Capital Management Ltd ABN , AFSL and should be read together with the PDS and a previous SPDS dated 15 September From 1 February 2009, your financial adviser should provide you with the PDS dated 18 February 2008, the SPDS dated 15 September 2008 and this SPDS. If you do not receive all of these documents, please contact your financial adviser. You should read these documents before you make a decision in relation to the Asgard Personal Protection Package. This SPDS has been issued to outline changes resulting from the appointment of American International Assurance Company (Australia) Limited (trading as AIG Life) ABN AFSL of 549 St Kilda Road, Melbourne, Victoria 3004, as the provider of the insurance referred to in the PDS. AIG Life has consented to the inclusion in this SPDS of references to them and statements attributed to them and this consent has not been withdrawn before the date of this SPDS. PDS inside front cover fourth point under the heading In this PDS. This section is deleted. References to the Insurer and TOWER throughout the PDS. Throughout the PDS all references to the Insurer and TOWER must be read as references to AIG Life. PDS page 6 About TOWER the Insurer This section is replaced with the following text. About AIG Life the Insurer The Insurer is American International Assurance Company (Australia) Limited trading as AIG Life ABN AFSL AIG Life is an ultimate subsidiary of American International Group, Inc. (AIG) and has been providing risk insurance to Australians since AIG Life provides comprehensive, flexible life cover options that aim to protect the financial health and welfare of Australians. AIG Life combines its extensive international experience with local expertise to offer some of the country s most innovative life cover options. The AIG Life products and services are constantly under review to ensure they meet the changing needs of the Australian population. AIG Life offers risk protection life insurance products to help you protect the things that matter most to you your family, your health, your mortgage or your business. All insurance benefits are provided by the Insurer and not the Trustee or Administrator. Asgard Personal Protection package SPDS 1
2 PDS page 9 Life Protection premium rates The premium rate table on page 9 is replaced with the following table. Annual rates per $1,000 sum insured rates include maximum adviser commission, Asgard management fee and stamp duty. Age next birthday non- Life Protection only non Age next birthday non- Life Protection only non * * * * ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** Maximum entry age is 65 next birthday * Superannuation cover expires at age 70 ** Non-superannuation cover expires at age 99 2 Asgard Personal Protection package SPDS
3 PDS page 11 Total & Permanent Disablement (TPD) rates TPD Protection The premium rate table on page 11 is replaced with the following table. Annual rates per $1,000 sum insured rates include maximum adviser commission, Asgard management fee and stamp duty. Age next birthday non- TPD Protection non Age next birthday non- TPD Protection non- 61* * * * *TPD renewal only, as maximum entry age is 60 next birthday. For the Own Occupation definition, multiply the TPD premium rate by 1.5 (available to specific occupations including professionals, executives and senior management). PDS page 12 Total & Permanent Disablement (TPD) rates TPD Only The premium rate table on page 12 is replaced with the following table. Annual rates per $1,000 sum insured rates include maximum adviser commission, Asgard management fee and stamp duty. TPD Only Age next birthday non- non Asgard Personal Protection package SPDS 3
4 TPD Only Age next birthday non- non * * * * *TPD renewal only, as maximum entry age is 60 next birthday. For the Own Occupation definition, multiply the TPD premium rate by 1.5 (available to specific occupations including professionals, executives and senior management). PDS page 15 Trauma Protection rates (includes Life Protection cover) The premium rate table on page 15 is replaced with the following table. Annual rate per $1,000 sum insured rates include maximum adviser commission, Asgard management fee and stamp duty. Age next birthday non- Trauma Protection non Age next birthday non- Trauma Protection non * * * * * * * * * * Renewal only. 4 Asgard Personal Protection package SPDS
5 PDS page 18 Critical Trauma Protection rates (includes Life Protection cover) The premium rate table on page 18 is replaced with the following table. Annual rate per $1,000 sum insured rates include maximum adviser commission, Asgard management fee and stamp duty. Age next birthday non- Critical Trauma Protection non Age next birthday non- Critical Trauma Protection non * * * * * * * * * *Renewal only. PDS page 24 Salary Continuance rates two year benefit period 30 day waiting period The premium rates table on page 24 is replaced with the following table. Annual rate per $100 monthly benefit rates include maximum adviser commission, Asgard management fee and stamp duty. Age next birthday non- Salary Continuance non Asgard Personal Protection package SPDS 5
6 Age next birthday non- Salary Continuance non * * * * * * * * * *Renewal only PDS page 25 Salary Continuance rates two year benefit period 60 day waiting period The premium rate table on page 25 is replaced with the following table. Annual rate per $100 monthly benefit rates include maximum adviser commission, Asgard management fee and stamp duty. Age next birthday non- Salary Continuance non Age next birthday non- Salary Continuance non * * * * * * * * * *Renewal only PDS page 25 Salary Continuance rates two year benefit period 90 day waiting period The premium rate table on page 25 is replaced with the following table. Annual rate per $100 monthly benefit rates include maximum adviser commission, Asgard management fee and stamp duty. Age next birthday non- Salary Continuance non Asgard Personal Protection package SPDS
7 Age next birthday non- Salary Continuance non * * * * * * * * * *Renewal only PDS page 30 Examples The following text is added to the PDS on page 30 as examples of how to calculate a premium. Example 1 A male, non-, white collar worker is 35 next birthday and is applying for Life and TPD Protection cover. The monthly premium for a sum insured of $500,000 is calculated as follows. 1. Select the base rate: 0.55 (Life Protection) (TPD Protection) = Because the sum insured is $500,000, a 10% discount applies (see Large Cover Discount on page 40): 0.94 x 0.9 = Multiply the rate by the sum insured and divide by 1000: x 500,000 / 1000 = annual premium 4. Multiply this annual premium by 1.06 / 12: x 1.06 / 12 = monthly premium 5. Add the administration fee: * = $41.47 monthly premium * The monthly administration fee is $4.10 for cover under superannuation or $4.40 if under non-superannuation. Example 2 A male, white collar employee with an annual income of $45,000 is 35 next birthday and resides in NSW. The monthly premium for insuring 75% of his income under Salary Continuance with a 90 day waiting period and a two year benefit period is calculated as follows. 1. Select the base rate: Calculate the monthly sum insured: 75% x $45,000 / 12 = 2, Multiply the rate by the sum insured then divide by 100: 5.01 x 2812 / 100 = Multiply this annual premium by 1.06 / 12: x 1.06 / 12 = monthly premium 5. Add the administration fee: * = $16.54 monthly premium (including stamp duty) * The monthly administration fee is $4.10 as Salary Continuance is a product specific to cover under superannuation. Refer to the table on page 19 of the PDS. Asgard Personal Protection package SPDS 7
8 PDS pages 33 and 35 Are you eligible to apply for insurance The following text is added to the section headed Are you eligible to apply for insurance? on pages 33 and 35 of the PDS. Some occupations may not be eligible for cover or may attract a premium loading due to the nature of the duties required to be undertaken. Your adviser has access to an Occupation Categories guide and can assist you with any questions in determining your eligibility or whether any premium loadings are likely to apply. Please note that Entry Ages shown in the table headed Entry and expiry ages are your age next birthday. PDS page 36 Overseas or temporary residents The following text replaces the section headed Overseas or temporary residents on page 36 of the PDS. Your insurance cover provides worldwide cover, 24 hours a day, subject to any terms and conditions noted on your Policy Information Statement. The Insurer may require you to return to Australia at your own expense for assessment in the event of a claim. Usually, only permanent residents of Australia who have been residing in Australia for more than two years are eligible for cover. If you receive cover and then subsequently move overseas your cover will automatically continue under the same terms and conditions for three years (for Life Protection & TPD Protection) or two years (for Salary Continuance). If you wish the Insurer to consider an extension to this cover period please apply in writing to: Asgard Contact Centre PO Box 7490 Perth WA 6850 This extension will need to be approved by the Insurer prior to the expiry of the automatic three year (or two year for Salary Continuance) continuation period. It is important to note that failure to receive written agreement to extend the automatic continuation period will result in an inability for the Insurer to consider a claim for benefits under the policy. PDS page 39 Your Policy The following text is added to the Your Policy section commencing on page 39 of the PDS. Your Duty of Disclosure Before you enter into, or become insured under, a contract of insurance you have a duty, under the Insurance Contracts Act 1984 as amended, to disclose to the Insurer every matter that you know, or could reasonably be expected to know, that is relevant to the Insurer s decision whether to accept the risk of the insurance and, if so, on what terms. You have the same duty to disclose those matters to the Insurer before you extend, vary or reinstate a contract of insurance. Your duty, however, does not require disclosure of a matter: that diminishes the risk to be undertaken by the Insurer, that is of common knowledge, that your Insurer knows or, in the ordinary course of business, ought to know, or as to which compliance with your duty is expressly waived by the Insurer. Non-Disclosure If you fail to comply with your Duty of Disclosure and the Insurer would not have entered into the contract on any terms if the failure had not occurred, the Insurer may avoid the contract within three years of entering into it. If your non-disclosure is fraudulent, the Insurer may avoid the contract at any time. An Insurer who is entitled to avoid a contract of insurance may, within three years of entering into it, elect not to avoid it, but to reduce the sum that you have been insured for in accordance with a formula that takes into account the premium that would have been payable if you had disclosed all relevant matters to the Insurer. 8 Asgard Personal Protection package SPDS Asgard Capital Management Ltd ABN AFSL APJPPP11208_supp
9 Asgard Personal Protection Package Supplementary Product Disclosure Statement (SPDS) This SPDS is dated 15 September 2008 and relates to the Product Disclosure Statement (PDS) dated 18 February 2008 for the Asgard Personal Protection Package. This SPDS is issued by Asgard Capital Management Ltd ABN , AFSL and should be read together with the PDS. The purpose of this SPDS is twofold. The first is to provide the ABN of the superannuation fund that includes all of the following Asgard superannuation accounts mentioned in this PDS. The ABN for the Funds listed below is ABN : Asgard Managed Profiles Super Account Asgard Separately Managed Accounts Funds Super Account Asgard Employee Super Account Asgard Elements Super Account Asgard ewrap Super Account. The second purpose is to correct typographical errors within the PDS: Page 13 Cancer definition Reference is made to the cancer definition appearing on page 48. It should be page 45.
10 Page 19 Benefits The benefits available for Income Protection and Salary Continuance are summarised in the following table: Benefit Income Protection Total Disability Benefit while unemployed or on leave 3 3 Partial Disability Benefit while unemployed or on leave 3 3 Indemnity option 3 3 Recurrent Disability Benefit 3 3 Rehabilitation Benefit 3 7 Rehabilitation Expenses Benefit 3 7 Specific Injuries Benefit 3 7 Crisis Benefit 3 7 Accommodation Benefit 3 7 Family Support Benefit 3 7 Home Care Benefit 3 7 Bed Confinement Benefit 3 7 Transportation Benefit 3 7 Overseas Assist Benefit 3 7 Death Benefit 3 7 Waiver of premium 3 3 Elective surgery 3 7 Increasing Claim Benefit 3 3 Pages 23 & 24 Individual Disability Income Protection and Salary Continuance tables of premium rates The Age next birthday column in each of the 4 tables appearing on those pages should have * against each of the ages 56 to 60 inclusive indicating that the premium rates shown are renewal only. Salary Continuance Asgard Capital Management Ltd ABN AFSL APJPDS70708_supp
11 Personal Protection Package Issue date: 18 February 2008 Asgard Personal Protection Package
12 Product Disclosure Statement (PDS) Issue date: 18 February 2008 Life Protection Total & Permanent Disablement Trauma Protection Critical Trauma Protection Income Protection/Salary Continuance Business Expenses Protection In this PDS: Asgard, the trustee and administrator refer to Asgard Capital Management Limited ABN AFSL RSE L Level 38, Central Park, 152 St George s Terrace, Perth WA 6000 Telephone Facsimile Contact Centre Asgard Super Account means: an Asgard Managed Profiles Super Account an Asgard Separately Managed Accounts Funds Super Account an Asgard Employee Super Account an Asgard Elements Super Account an Asgard ewrap Super Account any other ewrap Super Account of which Asgard is the trustee. Asgard Investment Account means: an Asgard Managed Profiles Investment Account an Asgard Separately Managed Accounts Funds Investment Account an Asgard Elements Investment Account an ecash Account a CASH Connect Account an Asgard Trustee Funds Account. TOWER and the Insurer refer to: TOWER Australia Limited ABN AFSL Alfred Street, Milsons Point NSW 2061 (All correspondence should be directed to Asgard) we, us and our is a reference to TOWER Master Policies refer to the master policies of insurance issued by the Insurer to, and owned by, Asgard, under which all of the insurance offered by this PDS is provided TPD refers to Total & Permanent Disablement you means an applicant for insurance under the relevant Master Policies and your has a corresponding meaning, however, where the applicant is not the life insured, you and your are references to the life insured, where the context requires general and medical terms used throughout this PDS are defined in the glossary on pages 43 to 49. This PDS was prepared on 18 February Available from financial advisers across Australia. Who is this document for? For those people who consider that their most valuable asset is their health. For individuals who wish to protect themselves, their families and their assets if they suffer a serious sickness or injury, or in the event of their death. For self-employed and small business owners who want to know that they will be assisted with the reimbursement of certain business expenses if they become totally disabled. On the cover: In her roles of Office Manager and Business Development Support, Sharyn provides support to our Sales team.
13 What s inside Asgard Personal Protection Package 3 Asgard Personal Protection Package at a glance 5 Insurance with Asgard 7 Asgard Personal Protection Package products 7 Life Protection 10 Total & Permanent Disablement 13 Trauma Protection 16 Critical Trauma Protection 19 Income Protection/Salary Continuance 26 Business Expenses Protection 29 Premiums and charges 33 Stand-alone (non-superannuation) insurance 35 Insurance through an Asgard Super Account 39 Your Policy 41 Privacy statement 43 Glossary 51 Direct debit request service agreement 53 Interim Cover Certificate Application booklet Updating the information in this PDS This PDS is up to date at the time of preparation. From time to time we may change or update information in this PDS that is not materially adverse to your interests, provided we give you a means of finding out about these changes. You can do this by ringing the Contact Centre on or, if you re an existing investor, by checking Investor Online. You can also obtain a paper copy of the updated information free of charge by contacting your financial adviser or us. Important information Insurance benefits payable under the Master Policies are liabilities of the Insurer and the premiums for these insurance benefits are payable to the Insurer. They are not deposits in, nor liabilities of, and not guaranteed by, any bank or company whether related to the Insurer or not. All of the insurance offered by this PDS is provided under, and is subject to the terms and conditions in, the Master Policies. A copy of the relevant Master Policy for your chosen insurance can be obtained by calling the Contact Centre on or by contacting your financial adviser. Further terms and conditions may also be set out in the Policy Information Statements given to members. No benefit will be paid unless the Insurer accepts the claim. Asgard has been appointed by the Insurer to administer the insurance offered under the Master Policies. As administrator, Asgard performs certain functions in relation to the insurance, including receiving and processing applications and collecting premiums on behalf of the Insurer. Asgard is your point of contact and will advise you of any changes to your insurance cover including the fees, charges or benefits applying to that cover. TOWER has consented to the inclusion in this PDS of references to it and statements attributed to it and this consent has not been withdrawn before the date of this PDS. Asgard is a subsidiary of St.George Bank Limited ABN (St.George). St. George, its subsidiaries, Asgard Wealth Solutions Limited ABN , Asgard or any other subsidiary of St.George, are collectively referred to in this PDS as Asgard Wealth Solutions. Information in this PDS is based on the continuance of present taxation and superannuation laws. All applications for insurance must be received on an application taken from a current PDS. The information provided and statements made in this PDS should not be taken as the giving of financial product advice by either the Insurer or Asgard as they do not take into account your personal objectives, financial situation or needs. As a result, you should, before acting on the information, consider the appropriateness of the information having regard to these factors. The insurance types described in this document are not savings plans. The primary purpose of each type of cover is to provide a benefit upon specified events happening. If you terminate your cover (other than during the cooling-off period), your cover will cease and there will be no refund of any premiums paid. This PDS provides information in relation to insurance cover only. Further information concerning the superannuation and investment products it refers to may be obtained from your financial adviser. Any references to superannuation or investment products are not to be taken as an offer of those products. To the extent permitted by law, the Insurer does not accept any liability in connection with these superannuation and investment products. Product Disclosure Statement 1
14 As a Business Superannuation Consultant within our Distribution & Sales team, Euan helps advisers with all of their business superannuation needs.
15 Asgard Personal Protection Package at a glance This table outlines Asgard s personal protection products, the risk covered and the benefit payable. Further detailed descriptions of the personal protection products can be found on pages 7 to 28. Information on exclusions, premiums, fees and charges, taxation and cooling-off periods can also be found throughout this PDS. Product Risk covered Benefit (if this happens to a life insured) (what we pay) Life Protection Death Agreed lump sum Terminal illness Agreed lump sum (maximum $2,000,000) Total & Permanent Disablement (TPD) Option Permanent disability cannot work Agreed lump sum (maximum $3,000,000) Trauma Protection 1 Certain defined medical conditions Agreed lump sum (some events trigger a partial payment of the agreed lump sum) Terminal illness Death Agreed lump sum Agreed lump sum Critical Trauma Protection 1 Certain defined medical conditions Minimum 25% of agreed lump sum for localised cancer, myocardial infarction, or open chest surgery; or full agreed lump sum for all other medical condition definitions Income Protection 1 Professional, clerical and general occupations Salary Continuance 2 Terminal illness Death Permanent or temporary disability cannot work Permanent or temporary disability cannot work Agreed lump sum Agreed lump sum Monthly benefit to replace lost income, can be agreed value or indemnity Monthly benefit to replace lost income, can be agreed value or indemnity Business Expenses Protection 1 Total disability Reimbursement of business costs incurred while disabled, up to an agreed monthly benefit 1 Not available through an Asgard Super Account. 2 Only available through an Asgard Super Account. Product Disclosure Statement Asgard Personal Protection Package at a glance 3
16 The Asgard Personal Protection Package provides a means of protecting your family s lifestyle, their future and the assets you have worked hard for.
17 Insurance with Asgard Why do I need Asgard personal protection insurance? Your most valuable asset is your health. If you suffer a serious sickness or injury, the financial security and quality of life of you and your family will be dramatically affected. As a result, you may: be unable to care for your children disrupt your partner s work, as they support and care for you incur additional expenses, such as rehabilitation and hospital care jeopardise your retirement plans by cutting off your income prematurely. Serious accidents, trauma and disease are all unexpected events. The Asgard Personal Protection Package is a way to protect yourself and your family should the unforeseen happen. It provides a means of protecting your family s lifestyle, their future and the assets you ve worked hard for. The Asgard Personal Protection Package offers you a range of insurance products that can be tailored to your individual needs. The insurance cover detailed in this PDS is either available through an Asgard Super Account (where premiums are deducted from this account each month) or it can be purchased on a stand-alone (nonsuperannuation) basis (where premiums are deducted from a nominated Asgard Investment Account or paid separately). If you purchase insurance through an Asgard Super Account, there are significant differences in the way benefits may be paid. For more information, see pages 35 to 37. About Asgard the trustee and administrator Asgard currently administers superannuation, retirement and investment savings worth more than $40 billion for over 400,000 Australians. Asgard also offers insurance that can be tailored to your individual needs, a service which complements its investment and super accounts. With an Asgard account, it s easy for you to diversify your savings and manage all your investments and insurance needs. Product Disclosure Statement Insurance with Asgard 5
18 Asgard hall of fame Asgard has over 17 years experience in investment and superannuation administration. It has received the following awards in recognition of its ongoing commitment to providing service of the highest quality. 2006: Asgard ewrap Winner 2007: Asgard Elements 2nd Place Asgard products have been voted in the top 5 in the Assirt Service Level Survey in each of the six years prior to Top Performing Superannuation Master Trust Asgard Superannuation Account. Top Performing Property Fund Asgard Superannuation Account. 2007: Rainmaker Excellence Awards Finalist Asgard Employee Super Account. SelectingSuper Awards for Superannuation Product of the Year, Premium Choice. 2007/08: 5 Quality Stars The Heron Partnership Corporate Funds Asgard Employee Super. Retail Funds Asgard Elements Super-Pension. Asgard ewrap Super-Pension. 2007: Highly Commended Platform of the Year - Super for Asgard ewrap Super/Pension. 2006: Winner Platform of the Year Super for Asgard ewrap Super/Pension. 5 apples Chant West rating Small Plans for plans with less than $10m: Asgard Employee Superannuation Account. Medium Plans for plans with $10m-$50m: Asgard Employee Superannuation Account. Asgard Elements Superannuation Account. Asgard Elements Pension Account Asgard ewrap Pension Account Asgard Allocated Pension Account Best hybrid AdviserNETgain has been ranked number one in the hybrid category as judged by independent expert Investment Trends in their Competitive Analysis Reports for Independently Researched by Rainmaker Information Lic: AAA rating (highest possible) for the Asgard Employee Superannuation Account by Selecting Super, a division of Rainmaker Information. About TOWER the insurer The insurer is TOWER Australia Limited (TOWER) ABN TOWER is a specialist Australian life insurance company with well over 130 years experience and over $500 million of annual in-force premium. TOWER is one of the top five life insurance companies in Australia and an industry leader in the provision of life insurance arrangements to super funds and administration platforms. TOWER is widely acknowledged in the market as a provider of quality products with superior service. All insurance benefits described in this PDS are provided by TOWER and not Asgard. Retail Portfolio Platform of the Year Small Investors (Super): ewrap Super/Pension. Retail Portfolio Platform of the Year Large Investors (Super): ewrap Super/Pension. 6 Product Disclosure Statement Insurance with Asgard
19 Asgard Personal Protection Package products Life Protection What is Life Protection? Life Protection provides life cover for an agreed amount. If you hold Life Protection on a stand-alone (nonsuperannuation) basis and you re diagnosed with a terminal illness, the lump sum will be paid to you. If you die, a lump sum will be paid to your estate. Where cover is held through your Asgard Super Account, the benefit is paid to your account and access to the benefit is subject to superannuation preservation rules. See Insurance through an Asgard Super Account on pages 35 to 37 for more information. Benefits Death Benefit If you die, your sum insured (at the date of death) will be paid to your estate. Your Death Benefit is reduced by any benefits paid for Terminal Illness or TPD Protection prior to your death. See below. Terminal Illness Benefit A terminal illness is defined as any disease or condition that, in the opinion of an appropriate specialist medical practitioner approved by us and having regard to the current treatment or such treatment as you may reasonably be expected to receive, is likely to lead to your death within twelve months from the date you are diagnosed with of your condition. If you re diagnosed with a terminal illness, we ll pay your full Death Benefit up to a maximum of $2,000,000. If your Death Benefit exceeds $2,000,000, your insurance will continue at a reduced benefit with a reduced premium. Your remaining Death Benefit will be paid on your death. Your Terminal Illness Benefit will expire on the anniversary of the commencement date of insurance immediately prior to age 70 if taken through Asgard Superannuation Account, or 80 if stand alone (non super). Guaranteed Future Insurability Benefit Under the Guaranteed Future Insurability Benefit, you can increase the sum insured of the Death Benefit and TPD Benefit (if applicable) for a life insured, subject to: an application in writing for an increase being made within 30 days of an Allowable Event (as described below) or within 30 days of the policy anniversary following an Allowable Event; the life insured being less than age 55 at the time of an Allowable Event; the increase being up to the lesser of: - 25% of the original sum insured; - $200,000; - five times the annual amount of salary increase (if applicable); - the amount of mortgage being taken out or increased (if applicable); Product Disclosure Statement Asgard Personal Protection Package products 7
20 total death cover on the life insured, (including the cover with TOWER and any other organisation) being less than $3,000,000; total Total and Permanent Disablement cover on the life insured (including the cover with TOWER and any other organisation) being less than $3,000,000; and provision of evidence, satisfactory to us, of the Allowable Event. (The required evidence for each event is detailed in the application form for an increase under this benefit.) For all increases applied for under this benefit, the maximum amount by which you can increase the sum insured is the lower of: the original sum insured; or $1,000,000, subject to total cover (with TOWER and any other organisation) not exceeding $3,000,000 for death and $3,000,000 for Total and Permanent Disablement. If TPD Benefits are attached to Life Protection cover, the TPD cover cannot exceed the death cover. Only one Guaranteed Future Insurability Benefit increase may be exercised in any twelve month period. The premium for the new sum insured will be calculated in line with the plan conditions. If cover increases as a result of the Guaranteed Future Insurability Benefit, changes in the health, occupation or pastimes of the life insured will not be taken into account. Allowable Events are: the birth of a child where the life insured is a parent; the adoption of a child by the life insured; a dependent child of the life insured starts secondary school; a dependent child of the life insured starts university; marriage of the life insured; a change in employment status of the life insured where the life insured s salary increases by at least $10,000 a year; the taking out, or increasing of, a mortgage by the life insured (either alone or jointly with another person) on a home which is the primary residence of the life insured; and an increase in the life insured s value to the business where the life insured is a key person in that business. In this situation, the sum insured may be increased in the same proportion as the increase in the life insured s value, subject to the maximums described earlier. During the first six months after exercising the Guaranteed Future Insurability Benefit, the increased portion of the sum insured will only be paid in the event of the life insured suffering: Accidental Death (unless the cover is TPD); or TPD that is caused by Accident (if applicable). This benefit is not available if: a loading or an exclusion has been applied to your cover for the life insured. Exclusions A Death Benefit won t be paid where death is the result of: an intentional self-inflicted injury (whether you were sane or insane) within twelve months of the commencement or reinstatement of cover; or an exclusion which is specific to you and noted on your Policy Information Statement. If death is the result of an intentional, self-inflicted injury committed within twelve months after an increase in your cover (not including indexation), the amount of the increase in cover will not be paid. A Terminal Illness Benefit won t be paid where any intentional self-inflicted injury or attempt at suicide causes the terminal illness, directly or indirectly. Level of cover There s no maximum level of Death Benefit that you can apply for (subject to underwriting requirements). The minimum level of Death Benefit is $50,000. Minimum premium There s no minimum premium if paid through an Asgard Super Account. Otherwise, the minimum premium is $200 per annum (not including the Administration fee). How to calculate a premium To calculate a Life Protection premium, see page 30 and the Life Protection rates table on the following page. 8 Product Disclosure Statement Asgard Personal Protection Package products
21 Life Protection rates (these rates also apply for Life and TPD Protection through an Asgard Super Account) Annual rates per $1,000 sum insured rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next birthday non- Death only non Age next birthday non- Death only non * * * * ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** ** Maximum entry age is 65 next birthday * Superannuation cover expires at age 70 ** Non-superannuation cover expires at age 99 Product Disclosure Statement Asgard Personal Protection Package products 9
22 Total & Permanent Disablement What is Total & Permanent Disablement (TPD)? If held on a stand-alone (nonsuperannuation basis), TPD pays a lump sum to you if, or when, you become totally and permanently disabled due to sickness or injury. Where cover is held through your Asgard Super Account, your TPD benefit is paid to your account and access to the benefit is subject to superannuation preservation rules. See Insurance through an Asgard Super Account on pages 35 to 37 for more information. There are two types of TPD Benefit available TPD Protection and TPD Only. The difference between the two TPD Benefits is the treatment of your death benefit, as explained in the following table. TPD benefit - TPD Protection The Death Benefit sum insured is reduced by the amount of TPD payment, with premiums adjusted appropriately. If the Death Benefit sum insured is reduced to nil, cover ceases. Benefits TPD Benefit Standard definition TPD benefit - TPD Only Any Death Benefit sum insured is not reduced. Premiums for the Death Benefit continue for the remaining life of the cover. Total and Permanent Disablement (TPD) means the life insured: (A) has suffered the permanent loss of: the use of two limbs (where limb is defined as the whole hand below the wrist or whole foot below the ankle); or the sight in both eyes; or the use of one limb and sight in one eye. OR (B) solely because of illness or injury, has: suffered at least 25% impairment of Whole Person Function; is not engaged in any occupation; and is disabled to such an extent as to render the life insured unlikely to ever be engaged in any occupation for which they are reasonably suited by education, training or experience. OR (C) is unable to perform at least two of the following Activities of Daily Living: Dressing the ability to put on and take off clothing without assistance; or Bathing the ability to wash or shower without assistance; or Toileting the ability use the toilet, including getting on and off, without assistance; or Mobility the ability to get in and out of bed and a chair without assistance; or Feeding the ability to get food from a plate into the mouth without assistance. Where assistance means the assistance of another person. OR (D)(i) where at the time of disablement, the life insured was employed 15 or more hours a week (averaged over the 13 week period prior to the date of disablement or such shorter period if employed for less than 13 weeks immediately prior to the date of disablement): has been absent from employment as a result of illness or injury for 3 consecutive months; and in TOWER s opinion, after consideration of all relevant evidence, the life insured is disabled to such an extent to render them unlikely to ever again be engaged in any occupation for which they are reasonably suited by their education, training or experience. OR (D)(ii) where at the time of disablement, the life insured was not employed and was engaged in unpaid domestic duties at home: is as a result of illness or injury under the care of a medical practitioner; and is unable to perform those domestic duties; and is unable to leave their home unaided; and has not engaged in any gainful employment for a period of 3 consecutive months after the occurrence of the illness or injury; and at the end of the period of 3 months is, in TOWER s opinion, and after consideration of all relevant evidence, disabled to such an extent as to render them unlikely to perform those domestic duties or engage in any gainful occupation. Own occupation definition Depending on your occupation, you have the option of applying for Own Occupation TPD. The Own Occupation definition of TPD is the same as the standard definition above, except clause (D) (i) is replaced with: has been absent as a result of illness or injury from employment for 3 consecutive months; and in TOWER s opinion, after consideration of all relevant evidence, the life insured is disabled to such an extent as to render them unlikely to ever again engage in their Own Occupation. Conditions The following conditions apply to TPD: this cover is only available until the anniversary of the commencement date of your insurance immediately prior to age 65; and your TPD Benefit is payable once only. If you take the TPD benefit TPD Protection: your TPD Benefit cannot exceed your Death Benefit; and the amount paid under your TPD Benefit will reduce the subsequent amount paid under your Death benefit or Terminal Illness Benefit by the amount of TPD Benefit paid. Exclusions A TPD Benefit won t be paid where your disability is: directly or indirectly caused by any intentional self-inflicted injury or any attempt at suicide; or due to an exclusion which is specific to you and noted on your Policy Information Statement. 10 Product Disclosure Statement Asgard Personal Protection Package products
23 TPD tapering Once you reach age 60, the TPD Benefit reduces by 20% per year at each anniversary of the commencement date of insurance, up to the anniversary immediately prior to your 65th birthday (according to the table below). Age next birthday at the anniversary of the commencement date 61 20% 62 40% 63 60% 64 80% TPD cover is reduced by 65 TPD cover ceases Level of cover The minimum level of TPD Benefit is $50,000. The maximum level of cover is shown in the table below. Indexation of the TPD Benefit will cease when the benefit reaches $3,000,000. TPD definition Maximum sum insured Standard Occupation $3,000,000 Own Occupation $3,000,000 Home Duties Occupation Standard occupation (Dii) $500,000 For the Own Occupation definition, multiply the TPD premium rate by 1.5 (available to specific occupations only, including professionals, executives and senior management). How to calculate a premium To calculate a TPD premium, see page 30 and the TPD rates tables following. Total & Permanent Disablement (TPD) rates TPD Protection Annual rates per $1,000 sum insured rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next birthday non non * * * * *TPD renewal only, as maximum entry age is 60 next birthday. For the Own Occupation definition, multiply the TPD premium rate by 1.5 (available to specific occupations including professionals, executives and senior management). Product Disclosure Statement Asgard Personal Protection Package products 11
24 Total & Permanent Disablement (TPD) rates TPD Only Annual rates per $1,000 sum insured rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next Birthday Non Smoker Smoker Non Smoker Smoker Age next Birthday Non Smoker Smoker Non Smoker Smoker * * * * *TPD renewal only, as maximum entry age is 60 next birthday. For the Own Occupation definition, multiply the TPD premium rate by 1.5 (available to specific occupations including professionals, executives and senior management). 12 Product Disclosure Statement Asgard Personal Protection Package products
25 Trauma Protection What is Trauma Protection? Trauma Protection will pay a lump sum to your estate if you die, or to you if you are diagnosed with a terminal illness, or on the first occurrence of you suffering one of the specified trauma medical conditions listed in the following table. Trauma Protection is not available through an Asgard Super Account. Benefits Trauma Benefit We ll pay your sum insured on the first occurrence of you suffering one of the specified trauma medical conditions listed in the following table. A medical condition is a sickness or injury that causes you great distress and disruption. Your Trauma Benefit will expire on the anniversary of the commencement date of insurance immediately prior to age 70, with the exception of the Death and Terminal Illness components which continue to age 99. Trauma medical conditions Alzheimer s disease Angioplasty*^ Aorta surgery Aplastic anaemia Benign Brain Tumour Blindness Cancer* Cardiomyopathy Chronic kidney failure Chronic liver disease Chronic lung disease Coma Coronary artery bypass surgery* Dementia Encephalitis Heart attack* Heart valve surgery* Loss of hearing Loss of independent existence Loss of limbs or sight Loss of speech Major head trauma Major organ transplant Medically acquired HIV Meningitis Meningococcal disease Motor neurone disease Multiple sclerosis Muscular dystrophy Occupationally acquired HIV Open heart surgery Out of hospital cardiac arrest Paralysis: Diplegia Hemiplegia Paraplegia Quadriplegia Tetraplegia Parkinson s disease Pneumonectomy Primary pulmonary hypertension Severe burns Stroke* Triple Vessel Angioplasty * There s no Trauma Benefit payable for these conditions if the condition occurs, or first becomes apparent, during the first 90 days after your commencement date of insurance. If transferring existing cover to the Asgard Trauma Protection policy, this qualifying period is waived for conditions previously covered (for the amount of cover transferred). ^ Payment is 10% of the Trauma Benefit at the date of the event up to a maximum of $25,000. The Trauma Benefit is reduced by any amount payable and the premium is reduced accordingly. Definitions of all trauma medical conditions can be found in the glossary under Medical terms Trauma Protection/Income Protection on pages 45 to 47. Cancer definition The definition of cancer (see page 48) provides for a partial payment of 10% of the sum insured, up to a maximum of $25,000, payable on the occurrence of the following trauma events: Carcinoma In Situ; Early Stage Chronic Lymphocytic Leukaemia; Early Stage Melanoma; and Early Stage Prostate Cancer. The Trauma sum insured is reduced by the amount of any payment made for these events. The partial payment will be paid once only for each trauma event above. We ll pay for multiple events up to a maximum of $100,000. Death Benefit If you die, your Trauma Benefit (at your date of death) will be paid to your estate. On expiry of your Trauma Benefit at age 70, we ll continue your Death Benefit through Life Protection. Your Death Benefit will expire on the anniversary of the commencement date of insurance immediately prior to age 99. Terminal Illness Benefit A terminal illness is defined as any disease or condition that, in the opinion of an appropriate specialist medical practitioner approved by us and having regard to the current treatment or such treatment as you may reasonably be expected to receive, is likely to lead to your death within twelve months from the date you are diagnosed with of your condition. If you re diagnosed with a terminal illness, we ll pay your full Trauma Benefit. Your Terminal Illness Benefit will expire on the anniversary of the commencement date of insurance immediately prior to age 80. Product Disclosure Statement Asgard Personal Protection Package products 13
26 Buy Back Benefit If you re paid a full Trauma Benefit, you have the option to buy back your Trauma sum insured as Life Protection cover, without providing further underwriting information. This option is available provided you notify us within twelve months from the payment date of the initial claim. Cover will be made available upon the twelve month anniversary of the claim. Advancement Benefit The Advancement Benefit will be paid when the life insured is first diagnosed by a Medical Practitioner as suffering from: Motor neurone disease. Multiple sclerosis. Muscular dystrophy. Parkinson s disease. Primary pulmonary hypertension. For the purposes of the Advancement Benefit only, these conditions have their normal medical meaning rather than the meaning defined in the glossary under Medical terms Trauma Protection/Income Protection on pages 45 to 47. The Advancement Benefit will also be paid if the life insured has been placed on a waiting list to receive a major organ transplant and that procedure is unrelated to any previous procedure or surgery undergone by the life insured. The amount to be paid will be 25% of the sum insured, to a maximum payment of $25,000. Only one Advancement Benefit will be paid in respect of the life insured. The Trauma Protection sum insured will be reduced by the Advancement Benefit paid. Automatic indexation To ensure your level of cover isn t devalued by inflation, your Trauma Benefit will be automatically increased on each anniversary of the commencement date of insurance by the indexation factor. Your premiums will increase accordingly. Exclusions A Trauma Benefit won t be paid if your condition is: directly or indirectly caused by any intentional self-inflicted injury or any attempt at suicide; or due to an exclusion which is specific to you and noted on your Policy Information Statement. A Death Benefit won t be paid where death is the result of: an intentional self-inflicted injury (whether you were sane or insane) within twelve months of the commencement or reinstatement of cover; or an exclusion which is specific to you and noted on your Policy Information Statement. If death was the result of an intentional, self-inflicted injury committed within twelve months after an increase in your cover (not including automatic indexation), the amount of the increase in cover will not be paid. A Terminal Illness Benefit won t be paid where any intentional selfinflicted injury or attempt at suicide causes the terminal illness, directly or indirectly. Level of cover The maximum sum insured for Trauma Protection is $2,500,000. Minimum premium There is a minimum premium of $200 per annum (not including the administration fee). How to calculate a premium To calculate a Trauma Protection premium, see page 30 and the Trauma Protection rates table on the following page. Automatic increases will cease at the anniversary of the commencement date of insurance prior to age 65. When the Trauma Benefit reaches $2,500,000, future increases will be based on this amount. 14 Product Disclosure Statement Asgard Personal Protection Package products
27 Trauma Protection rates (includes Life Protection cover) Annual rates per $1,000 sum insured rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next birthday non non Age next birthday non non * * * * * * * * * * Renewal only. Product Disclosure Statement Asgard Personal Protection Package products 15
28 Critical Trauma Protection What is Critical Trauma Protection? Critical Trauma Protection will pay part or all of the lump sum to your estate if you die, or to you, if you re diagnosed with a terminal illness or on the first occurrence of you suffering one of the specified critical trauma medical conditions listed in the following table. If you re diagnosed as suffering from multiple critical trauma medical conditions, a Critical Trauma Benefit will only be paid for the critical trauma medical condition which gives rise to the largest benefit, but in any event, benefits will not exceed the value of the Critical Trauma Benefit or the Residual Critical Trauma Benefit, whichever is applicable. Critical Trauma Protection is not available through an Asgard Super Account. Definitions of all critical trauma medical conditions can be found in the glossary under Medical terms Critical Trauma Protection on pages 48 and 49. Critical trauma medical conditions Alzheimer s disease Multiple sclerosis Aplastic anaemia Muscular dystrophy Benign Brain Tumour Myocardial infarction (Heart attack)*^ Cancer* Occupationally acquired HIV Cardiomyopathy Open chest surgery to correct:*^ Cerebrovascular accident (Stroke)^ Coronary artery Chronic liver disease Valve Chronic lung disease Paralysis: Chronic renal failure (Kidney failure) Diplegia Coma Hemiplegia Dementia Paraplegia Encephalitis Quadriplegia Loss of independent existence Tetraplegia Loss of speech Parkinson s disease Major abdominal aortic surgery^ Primary pulmonary hypertension Major head trauma Severe burns Major organ transplant Total blindness Motor neurone disease Total deafness * Only 25% of the Critical Trauma Benefit may be payable on the first diagnosis of these critical trauma medical conditions. ^ There is no Critical Trauma Benefit payable for these conditions if the condition occurs, or first becomes apparent, during the first 90 days after your commencement date of insurance. If transferring existing cover to Critical Trauma Protection, this qualifying period is waived for conditions previously covered (for the amount of cover transferred). Benefits Critical Trauma Benefit The Critical Trauma Benefit is equal to the sum insured as shown on your Policy Information Statement. The Critical Trauma Benefit will be paid if you suffer one of the specified critical trauma medical conditions listed on pages 48 and 49, except where the critical trauma medical condition is noted with an asterisk. These critical trauma medical conditions will provide a benefit of 25% of the sum insured, which will reduce the total sum insured by 25%. The remaining 75% is the Residual Critical Trauma Benefit. The proportion of the Critical Trauma Benefit that is paid and the timing of payment depends on the type of critical trauma medical condition which has occurred. Localised cancer (see the definition of this term in the glossary under Medical terms Critical Trauma Protection on pages 48 and 49) 25% of your sum insured is payable on diagnosis, providing we haven t previously paid any benefit under the policy. The remaining 75% of your sum insured is payable in the event of your death, or on diagnosis of: a recurrence of the original cancer a regional or distant cancer a second unrelated cancer another critical trauma medical condition (including myocardial infarction) or if you subsequently undergo open chest surgery. Myocardial infarction (heart attack) (see the definition of this term in the glossary under Medical terms Critical Trauma Protection on pages 48 and 49) 25% of your sum insured is payable on the first heart attack, providing we haven t previously paid any benefit under the policy. The remaining 75% of your sum insured is payable in the event of your death, or on diagnosis of: a sustained severe impairment of a cardiac function as evidenced by a left ventricular ejection fraction of under 40% measured by an echocardiogram (or other comparable technique), performed at least three months after your first heart attack; or a second heart attack which occurs at least three months after the first heart attack; or another critical trauma medical condition (including localised cancer) or if you subsequently undergo open chest surgery. 16 Product Disclosure Statement Asgard Personal Protection Package products
29 Open chest surgery (see the definition of this term in the glossary under Medical terms Critical Trauma Protection on pages 48 and 49) 25% of your sum insured is payable after the first surgical procedure, providing we haven t previously paid any benefit under the policy. The remaining 75% of your sum insured is payable in the event of your death or: if you undergo subsequent open chest surgery; or on diagnosis of another critical trauma medical condition (including localised cancer and myocardial infarction). Residual Critical Trauma Benefit If you claim for a particular critical trauma medical condition such as localised cancer, myocardial infarction or open chest surgery and only 25% of your Critical Trauma Benefit is paid, the remaining 75% of your Critical Trauma Benefit is thereafter referred to as your Residual Critical Trauma Benefit. Death Benefit If you die, your Critical Trauma Benefit or Residual Critical Trauma Benefit (at your date of death) will be paid to your estate. On expiry of your Critical Trauma Protection cover, we ll continue your Death Benefit through Life Protection. Your Death Benefit will expire on the anniversary of the commencement date of insurance immediately prior to age 99. Terminal Illness Benefit A terminal illness is defined as any disease or condition that, in the opinion of an appropriate specialist medical practitioner approved by us and having regard to the current treatment or such treatment as you may reasonably be expected to receive, is likely to lead to your death within twelve months from the date you are diagnosed with of your condition. If you re diagnosed with a terminal illness, we ll pay your Critical Trauma Benefit or your Residual Critical Trauma Benefit. Your Terminal Illness Benefit will expire on the anniversary of the commencement date of insurance immediately prior to age 80. Critical Buy Back Benefit If you are paid a full Critical Trauma Benefit, you have the option to buy back your Critical Trauma sum insured as Death and Terminal Illness cover through Life Protection, without providing further underwriting information. An amount equal to one third of the benefit paid can be repurchased on each of the first, second, and third anniversaries of the date of payment of the full Critical Trauma Benefit or the Residual Critical Trauma Benefit. Exclusions A Critical Trauma Benefit won t be paid if your condition is: directly or indirectly caused by any intentional self-inflicted injury within 13 months of the commencement or reinstatement of cover; or due to an exclusion which is specific to you and noted on your Policy Information Statement. A Death Benefit won t be paid where death is a result of: an intentional self-inflicted injury within 13 months of the commencement or reinstatement of cover; or an exclusion which is specific to you and noted on your Policy Information Statement. If death or the critical trauma medical condition was because of an intentional self-inflicted injury committed within 13 months after an increase in your cover (not including automatic indexation), the amount of the increase in cover will not be paid. A Terminal Illness Benefit won t be paid where any intentional selfinflicted injury or attempt at suicide causes the terminal illness, directly or indirectly. Level of cover The maximum sum insured for Critical Trauma Protection is $2,500,000. Minimum premium There s a minimum premium of $200 per annum (not including the administration fee). How to calculate a premium To calculate a Critical Trauma Protection premium, see page 30 and the Critical Trauma Protection rates table on the following page. Product Disclosure Statement Asgard Personal Protection Package products 17
30 Critical Trauma Protection rates (includes Life Protection cover) Annual rates per $1,000 sum insured rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next birthday non- non * * * Age next birthday non- non- 64* * * * * * *Renewal only. 18 Product Disclosure Statement Asgard Personal Protection Package products
31 Income Protection/ Salary Continuance What is Income Protection and Salary Continuance? Both Income Protection and Salary Continuance replace up to 75% of your monthly income if you become disabled through sickness or injury and are unable to work. The monthly benefit for which you are insured is an agreed amount determined at the time you take out your cover, which can be adjusted automatically by Indexation (see page 39). Alternatively, you can elect to have the Monthly Benefit operate on an Indemnity basis where the amount payable in the event of a claim will be determined by your earnings at the time of the claim, to a maximum of the Monthly Benefit. For more information, see the definition of Monthly Benefit on page 44. Income Protection is not available through an Asgard Super Account. Salary Continuance is only offered through an Asgard Super Account. Benefits The benefits available for Income Protection and Salary Continuance are summarised in the following table. The following information is relevant to both Income Protection and Salary Continuance. Total Disability Benefit If you re totally disabled (see page 44), we ll pay the Monthly Benefit after your selected waiting period has ended. No benefit is paid during the waiting period. You must be Disabled for the length of your chosen waiting period to qualify for this benefit. You may return to work in your previous capacity for a total of five consecutive days or less during the 30 day waiting period (or 10 consecutive days or less if the waiting period is greater than 30 days) without the waiting period beginning again. Any days you work will be added to the length of your selected waiting period. This benefit will be paid to you monthly in arrears. Cover while unemployed or on leave If you ve been unemployed or on maternity, paternity or long service leave for twelve months or more immediately preceding a claim, then total disability means that, because of sickness or injury: you re unable to perform any occupation for which you are reasonably suited by education or training; Benefit Income Protection Salary Continuance Total Disability Benefit while unemployed or on leave Partial Disability Benefit while unemployed or on leave Indemnity option Recurrent Disability Benefit Rehabilitation Benefit Rehabilitation Expenses Benefit Specific Injuries Benefit Crisis Benefit Accommodation Benefit Family Support Benefit Home Care Benefit Bed Confinement Benefit Overseas Assist Benefit Death Benefit Waiver of premium Elective surgery Increasing Claim Benefit you re following the advice of a medical practitioner; and you re not working. Partial Disability Benefit If you re partially disabled (see page 44) after your waiting period has ended, we ll pay you a proportion of your monthly benefit based on the reduction in your pre disability income. You must be totally disabled for at least 14 consecutive days during the waiting period to qualify for this benefit and Disabled for the balance of the waiting period. You may return to work in your previous capacity for a total of five consecutive days or less during the 30 day waiting period (or 10 consecutive days or less if the waiting period is greater than 30 days) without the waiting period beginning again. Any days you work will be added to the length of your selected waiting period. This benefit will be paid to you monthly in arrears. Cover while unemployed or on leave If you become unemployed or go on leave without pay while a partial disability benefit is payable, then partial disability means that, due to sickness or injury: you re not totally disabled and are only capable of working in your own occupation in a reduced capacity; or you re working in another occupation; your monthly income is less than your pre-disability income; and you re following the advice of a medical practitioner. Sabbatical leave will not be considered as unemployment or leave. Recurrent Disability Benefit A claim recurring from the same (or related) cause within twelve months will be treated as a continuation of the previous claim. The waiting period will be waived and benefits will start to accrue immediately. Waiver of premium If you re totally or partially disabled for longer than your selected waiting period, you don t have to pay any premiums while receiving a Total or Partial Disability Benefit. If you have Income Protection, premiums are also waived if you re receiving a Specific Injuries Benefit or Crisis Benefit. Product Disclosure Statement Asgard Personal Protection Package products 19
32 Increasing Claim Benefit If you continue to receive benefits for more than twelve months, we ll increase your monthly benefit by the indexation factor (to a maximum of 10%), on each anniversary of the date when benefits first started to accrue. The following information applies only to Income Protection. Rehabilitation Benefit The Rehabilitation Benefit will be payable if you re totally disabled and are participating in an approved rehabilitation program. The benefit payable is 50% of your Monthly benefit for a maximum of twelve months. This is paid in addition to any other benefit. The Rehabilitation Benefit starts to accrue from the date you first participate in the program and is paid monthly in arrears. Rehabilitation Expenses Benefit If you re totally or partially disabled and you re on a rehabilitation program that is approved by us prior to commencement, we ll reimburse any rehabilitation expenses you incur as a direct result of: participation in such a rehabilitation program engaging in, or attempting to engage in, an occupation. Specific event Paraplegia Quadriplegia Total and permanent loss of use of: both hands or both feet or sight in both eyes one hand and one foot one hand and sight in one eye one foot and sight in one eye one arm or one leg one hand or one foot or sight in one eye thumb and index finger from same hand Fracture of the following bones requiring a plaster cast or other immobilising device: thigh (shaft) pelvis (except coccyx) skull (except bones of nose or face) arm, between elbow and shoulder (shaft) shoulder blade leg (above the foot) knee cap elbow collar bone forearm, between wrist and elbow (shaft) This benefit starts to accrue when the rehabilitation expenses are incurred and is paid monthly in arrears for a maximum of six months. The amount payable will be reduced by any amounts that are reimbursed by others (for example, other insurers or government rehabilitation program). Examples of rehabilitation expenses: the cost of wheelchairs and modifications to motor vehicles the cost of structural changes to your home or office. The cost of a rehabilitation program is not a rehabilitation expense under this benefit. Specific Injuries Benefit We ll pay the Specific Injuries Benefit if, as a result of an injury, you suffer one of the events listed below. This benefit will be payable even if you have returned to work. The Specific Injuries Benefit commences from the date that the event occurs and is paid monthly in advance. There is no waiting period. The Monthly benefit will be paid for the payment period shown in the table. If one injury causes more than one of the listed events, we ll pay only for the event with the longest payment period. If you re disabled at the end of the payment period, then a Total or Partial Disability Benefit will be paid subject to the conditions of the Master Policy. Payment period 60 months 60 months 24 months 24 months 24 months 24 months 18 months 12 months 6 months 3 months 3 months 2 months 2 months 2 months 2 months 2 months 2 months 1½ months 1½ months Crisis Benefit We ll pay the Crisis Benefit if you suffer one of the conditions listed below. The benefit will be payable even if you are still working. However, we won t pay a benefit for any more than one crisis at one time. Medical conditions Aorta surgery Cancer Cardiomyopathy Chronic kidney failure Coronary artery bypass surgery Diplegia Heart valve surgery Heart attack Hemiplegia Major head trauma Major organ transplant Multiple sclerosis Open heart surgery Out of hospital cardiac arrest Primary pulmonary hypertension Severe burns Stroke If the event giving rise to a claim is Cancer, payments will only be made when the condition qualifies for a full cancer payment. That is, no partial payments will be made for trauma events such as Carcinoma in situ. See the cancer definition on page 45. Definitions of the above medical conditions can be found in the glossary under Medical terms Trauma Protection/Income Protection on pages 45 to 47. The monthly benefit will be paid for a period of six months and will only be paid once in any twelve consecutive month period. If you re disabled at the end of the six month payment period, then a Total or Partial Disability Benefit will be paid subject to the conditions of the Master Policy. 20 Product Disclosure Statement Asgard Personal Protection Package products
33 Accommodation Benefit We ll reimburse the accommodation expenses of an immediate family member if you become totally disabled, are under medical advice and must remain confined to bed, the immediate family member is accommodated near you, and: you re more than 100 kilometres from your place of residence; or you re required to travel more than 100 kilometres from your place of residence. $220 per day will be paid for each day your immediate family member has to stay away from home for up to 30 days in any twelve month period. Family Support Benefit If you re totally disabled beyond the end of the waiting period, we ll pay the Family Support Benefit for up to three months if: you re totally dependent upon an immediate family member to look after you at home; and that immediate family member s income is consequently reduced. Each month we ll pay an amount equal to the reduction in the immediate family member s income or 50% of your monthly benefit amount, whichever is less. The Family Support Benefit starts to accrue from the first day you qualify for the benefit after the waiting period has ended and is paid monthly in arrears. Home Care Benefit We ll pay a Home Care Benefit if you re still totally disabled after the waiting period has ended and you are: confined to, or near, a bed (other than in a hospital or a similar institution that provides nursing care), due to the condition that caused your total disability; and totally dependent on a paid professional housekeeper, other than an immediate family member, for your essential everyday home care needs; and not receiving the Family Support Benefit or the Accommodation Benefit. The lesser of $220 a day or 100% of your monthly benefit will be paid for a maximum of six months. The Home Care Benefit starts to accrue from the first day you qualify for the benefit after the waiting period has ended and is paid monthly in arrears. Bed Confinement Benefit We ll pay a Bed Confinement Benefit if you are totally disabled, and during the waiting period, you are: confined to bed; unable to perform at least one important income producing duty of your occupation due to being confined to bed; confined continuously for at least three days; and certified by a medical practitioner to require the continuous care of a registered nurse. An amount equal to 1/30th of your monthly benefit will be paid for each day (including the first three days) that you continue to meet this definition for up to 90 days, but not beyond the end of the waiting period. This benefit is paid monthly in arrears. Overseas Assist Benefit If you re totally disabled for at least a month while outside Australia and you decide to return to Australia because of the continuing total disability, we ll pay an Overseas Assist Benefit during the waiting period. This benefit is payable once only to a maximum of three times the monthly Benefit Amount for any one claim and is not payable if you were disabled when you left Australia. The fare costs reimbursed will be in line with those that are medically necessary. Death Benefit We ll pay three times your monthly benefit if you die while entitled to receive a Total or Partial Disability Benefit, Specific Injuries Benefit or Crisis Benefit. Elective surgery You ll receive a Total or Partial Disability Benefit if your disability results from agreeing to voluntarily undergo medical treatment such as: cosmetic or other elective surgery; or undergoing surgery to transplant your body organs to the body of another person. This benefit is not payable for elective surgery that occurs within six months of taking out or reinstating your Income Protection cover. If elective surgery occurs within six months after an increase in your cover (not including automatic indexation), the amount of the increase in cover will not be paid. Optional benefits Business Expenses Protection If you re self-employed or a small business owner, for an additional premium you may choose to add Business Expenses Protection to your Income Protection cover. This cover pays a monthly benefit to reimburse you for certain business expenses should you become totally disabled. See page 26 for further information about Business Expenses Protection. Additional information relating to both Income Protection and Salary Continuance Exclusions We won t pay a benefit that arises in connection with: war or an act of war (whether declared or not); any intentional self-inflicted injury or any attempt at suicide; normal and uncomplicated pregnancy or childbirth, including multiple pregnancy, threatened miscarriage, participation in an IVF or similar program, and conditions commonly associated with pregnancy such as morning sickness, backache, varicose veins, ankle swelling, bladder problems or post-natal depression; or an exclusion which is specific to you and noted on your Policy Information Statement. You won t be paid a benefit for any condition which is directly or indirectly caused by an injury that first occurred, or sickness that first became apparent, before your cover or increase in cover came into effect, unless you disclosed this information in your application for cover and we agreed to cover it. Concurrent benefits If you re entitled to claim for both the Specific Injuries Benefit and the Crisis Benefit, the benefit with the longest payment period will be paid. You won t receive both benefits. If you re entitled to the Specific Injuries Benefit or the Crisis Benefit, these benefits will be paid instead of a Total or Partial Disability Benefit or a Bed Confinement Benefit. We won t pay a Home Care Benefit while you re receiving the Family Support Benefit or the Accommodation Benefit. Product Disclosure Statement Asgard Personal Protection Package products 21
34 When are benefits paid? Benefits Total Disability Benefit Partial Disability Benefit Rehabilitation Benefit Rehabilitation Expenses Benefit Specific Injuries Benefit Crisis Benefit Accommodation Benefit Family Support Benefit Home Care Benefit Bed Confinement Benefit Overseas Assist Benefit Elective surgery Benefit reductions If, due to your disability, you receive any other income which exceeds 10% of your pre-disability income, we ll reduce the monthly benefit that we must pay you under this policy by the amount received. Such disability income may include: sick leave, where the life insured has accrued entitlements of at least 60 days at the commencement of the Waiting Period and chooses to use those entitlements during the Benefit Period. No adjustment will be made for accumulated sick leave where: - the life insured has less than 60 days accumulated sick leave; or - the life insured has at least 60 days accumulated sick leave but the life insured chooses not to use that leave during the Benefit Period. any payments resulting from a workers compensation or motor accident claim or any claim you make under any state or federal legislation; or benefits from any other insurance that provides income payments due to sickness or injury. Any payment in the form of a lump sum, or that is exchanged for a lump sum, will be treated as having a monthly equivalent of 1/60th of the lump sum over a period of 60 months. The reduction in the amount of a monthly benefit will only be made to the extent that: Benefits paid DURING waiting period Benefits paid AFTER waiting period a Total Disability Benefit, when combined with any other payment or monthly income while totally or partially disabled, exceeds the greater of either 75% of your predisability income or the monthly benefit; or a Partial Disability Benefit, when combined with your monthly income and any other payment, exceeds 100% of your predisability income. A reduction will not be made to the amount of your monthly benefit if the other payment received is: a lump sum (or part of a lump sum) paid as compensation for pain and suffering, or the loss of use of a part of the body; or a lump sum TPD Benefit. If the estimate of your income at time of application for cover (or an increase in cover) was not true and correct, then we may: reduce the amount of your monthly benefit to a level that does not exceed 75% of your pre-disability income when combined with other disability payments; or treat the cover as null and void if your true income was so low that we would not consider covering you under this policy. If your monthly benefit is reduced because of a benefit offset, a part of the premium paid to us in the last twelve months will be refunded in proportion to the reduction of your benefit. Choose your waiting period The waiting period is the period you must wait to become eligible to receive a benefit payment. When you apply for your cover, you can select one of the following waiting periods: 30 days 60 days 90 days. Generally, the longer the waiting period you select, the lower the cost of your premium. Benefit period The benefit period is the maximum period of time for which a monthly benefit will be paid for any one sickness, or any one injury, whilst you re totally or partially disabled. The benefit period for Income Protection is the period up to the anniversary of the commencement date of insurance immediately prior to age 65. The benefit period for Salary Continuance is either two years, or the period up to the anniversary of the commencement date of insurance immediately prior to age 65. Level of cover The minimum monthly benefit available is $1,000 per month. The maximum monthly benefit available is $25,000 per month. Minimum premium Income Protection there s a minimum premium of $200 per annum (not including the administration fee). Salary Continuance there s no minimum premium. How to calculate a premium To calculate an Income Protection or Salary Continuance premium, see page 30 and the Income Protection and Salary Continuance rates tables on the following pages. Note: if you select the Indemnity Option, the premium rates in the following tables are discounted by 10% 22 Product Disclosure Statement Asgard Personal Protection Package products
35 Individual Disability Income Protection and Salary Continuance to age day waiting period Annual rates per $100 monthly benefit - rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next birthday non- non * * * * *Renewal only Individual Disability Income Protection and Salary Continuance to age day waiting period Annual rates per $100 monthly benefit - rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next birthday non- non * * * * *Renewal only Product Disclosure Statement Asgard Personal Protection Package products 23
36 Individual Disability Income Protection and Salary Continuance to age day waiting period Annual rates per $100 monthly benefit - rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next birthday non- non * * * * *Renewal only Salary Continuance Rates 2 year Benefit Period 30 day waiting period Annual rates per $100 monthly benefit - rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next birthday non- non * * * * *Renewal only 24 Product Disclosure Statement Asgard Personal Protection Package products
37 Salary Continuance Rates 2 year Benefit Period 60 day waiting period Annual rates per $100 monthly benefit - rates include maximum adviser commission, Asgard Management fee and stamp duty. Salary Continuance Rates 2 year Benefit Period 90 day waiting period Annual rates per $100 monthly benefit - rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next birthday non- non * * * * * * * * * *Renewal only Age next birthday non- non * * * * * * * * * *Renewal only Product Disclosure Statement Asgard Personal Protection Package products 25
38 Business Expenses Protection What is Business Expenses Protection? Business Expenses Protection is available to self-employed and small business owners. This cover pays a monthly benefit to reimburse you for certain business expenses should you become totally disabled. You may apply for Business Expenses Protection: as an additional benefit to Income Protection; or as a separate benefit. Business Expenses Protection is not available through an Asgard Super Account. What business expenses are covered? Business expenses are the normal day-to-day running expenses of your business. They include, but are not limited to: accounting fees; cleaning and laundry; depreciation of plant and equipment; electricity, telephone, heating and water costs; insurance premiums; leasing costs of equipment or motor vehicles; net cost of locum direct replacement for you from a source outside the business; interest repayments under a loan for the purposes of the business; interest payments under a mortgage; property rates and taxes; remuneration and associated costs of any non-income generating employee; rent; subscriptions to professional associations; and other expenses specifically agreed to in writing. The following business expenses are not included: depreciation on real estate; payments for goods, stock in trade, plant or equipment; remuneration, salaries, fees or benefits of income generating employees; any amounts paid to you, an immediate family member or any joint owner of the business such as remuneration, salary, fees or benefits; any expense that was not normally paid by yourself before your disability; and any portion of business expense which is normally payable by someone else who has an interest in the business. Benefits Total Disability Benefit If you have a continuous period of total disability at the expiry of the waiting period, you ll receive the Total Disability Benefit. The Total Disability Benefit is the lesser of your Business Expenses Monthly Benefit and the actual business expenses incurred. Elective surgery The Total Disability Benefit will be payable even if your total disablement results from cosmetic or elective surgery, or the transplant of organs to another person. The Total Disability Benefit is not payable for elective surgery that occurs within six months of taking out or reinstating your Business Expenses Protection cover. Waiver of premium If you re totally disabled for longer than the waiting period, the premiums paid during that period will be refunded and we ll continue to waive your premiums until you re no longer totally disabled. Premium payments will recommence from the date your disablement ceases. Recurrent Disability Benefit A claim recurring from the same cause within 12 months will be treated as a continuation of the previous claim. The waiting period will be waived and benefits will start to accrue immediately. Exclusions We won t pay a benefit that arises in connection with: war or an act of war (whether declared or not); any intentional self-inflicted injury or any attempt at suicide; or normal and uncomplicated pregnancy or childbirth, including multiple pregnancy, threatened miscarriage, participation in an IVF or similar program and conditions commonly associated with pregnancy such as morning sickness, backache, varicose veins, ankle swelling, bladder problems or post natal depression. You won t be paid a benefit for any condition which is directly or indirectly caused by an injury that first occurred, or sickness that first became apparent, before your cover or increase in cover came into effect, unless you disclosed this information in your application for cover and we agreed to cover it. Benefit reductions Your benefit will be reduced by: your portion of the income derived from your business trading during that period; any income generated by a person hired to replace you; and any amounts received from another insurance policy covering your business expenses. We ll only reduce your benefit, because of other insurance, to the extent that the combined benefit and other insurance payment exceeds 100% of your business expenses monthly benefit. Benefit period The Total Disability Benefit is payable for a period of up to twelve months. The benefit will cease when the first of the following events occurs: you are no longer totally disabled; a total of twelve Business Expenses Monthly Benefits have been paid; the anniversary of the commencement date of insurance preceding your 65th birthday has been reached; or you die. 26 Product Disclosure Statement Asgard Personal Protection Package products
39 What if your expenses are more than the benefit amount? We ll reimburse you for the covered expenses your business actually incurred, up to the amount of monthly cover you purchased. What if your monthly expenses are less than the benefit amount? If your monthly expenses are less than the benefit amount, we ll extend the benefit period for up to a further twelve months, while your disability continues, until your reimbursed expenses equal twelve times the monthly benefit. Waiting period The waiting period is the period you must wait to become eligible to receive a benefit payment. When you apply for your cover, you can select one of the following waiting periods: 30 days 60 days 90 days. Generally, the longer the waiting period you select, the lower the cost of your premium. Level of cover The minimum benefit available for Business Expenses Protection is $1,000 per month. The maximum benefit available for Business Expenses Protection is $25,000 per month. Minimum premium There s a minimum premium of $200 per annum (not including the administration fee). How to calculate a premium To calculate a Business Expenses Protection premium, see page 30 and the Business Expenses Protection rates tables on the following pages. Business Expenses Protection rates 30 day waiting period Annual rates per $100 monthly benefit rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next birthday non- non * * * * * * * * * * Renewal only. Product Disclosure Statement Asgard Personal Protection Package products 27
40 Business Expenses Protection rates 60 day waiting period Annual rates per $100 monthly benefit rates include maximum adviser commission, Asgard Management fee and stamp duty. Business Expenses Protection rates 90 day waiting period Annual rates per $100 monthly benefit rates include maximum adviser commission, Asgard Management fee and stamp duty. Age next birthday non- non * * * * * * * * * * Renewal only. Age next birthday non- non * * * * * * * * * * Renewal only. 28 Product Disclosure Statement Asgard Personal Protection Package products
41 Premiums and charges Premiums Your premiums are based on the type and level of cover you choose along with various other factors such as your age, gender, general health history and current condition, and whether or not you smoke. Your premium is recalculated at each anniversary of the commencement date of insurance based upon your age and/or any increase in the cover arising from indexation increases. You can obtain a copy of our premium rates, or an indicative quote from your financial adviser or our Contact Centre. Important information about premium rate tables and rate calculations The rate tables for each Asgard personal protection product give an indication of the premium rates that may be payable in respect of each applicable type of cover. This PDS includes the following rate tables: Life Protection and Total & Permanent Disablement (TPD) Protection pages 9 and 11 Total and Permanent Disablement (TPD) Only page 12 Trauma Protection (includes Life Protection cover) page 15 Critical Trauma Protection (includes Life Protection cover) page 18 Individual Disability Income Protection and Salary Continuance to age 65 pages 23 and 24 Salary Continuance 2 year benefit period pages 24 and 25 Business Expenses Protection pages 27 and 28 You should note that the rates provided in the rate tables are indicative only. The precise rate payable in your particular case may vary depending on: your age next birthday; and any occupation loadings that may apply; and any underwriting requirements (which may take into account the state of your health, your occupation and any other relevant factors); and the remuneration payable to your financial adviser; and any additional benefits, premium payment factors or discounts that may apply to your cover. How to calculate a premium Premiums calculated will be indicative premiums only. The actual rate may vary depending on the factors listed above and the potential impact of rate reviews and government taxes and charges (see page 31). Product Disclosure Statement Premiums and charges 29
42 Life, Total & Permanent Disablement (TPD), Trauma and Critical Trauma Protection 1. Select the base rate from the relevant rate table using the Life Insured s age next birthday, gender, status and type of cover. 2. Add the Death Only rate and the TPD rate together if the Life Insured requests TPD Protection linked to Death cover. Multiply the TPD component by 1.5 if own occupation definition is being used (see page 44 for own occupation definition). 3. Multiply the rate by the sum insured divided by 1000 to arrive at the annual premium. 4. If premiums are being paid more frequently than annually, multiply this annual premium by the appropriate payment factor. 5. Add the administration fee. Payment factors All figures quoted are annual premiums. If premiums are being paid more frequently than annually, the annual premium must be multiplied by the appropriate payment factor. An additional charge applies if you choose to pay your premium more frequently than annually (see Charges on this page). Payment frequency Payment factor Half yearly Quarterly 0.26 Monthly Income Protection, Salary Continuance and Business Expenses Protection 1. Select the base rate from the relevant rate table using the Life Insured s age next birthday, gender, status and type of cover. 2. Multiply the rate by the sum insured divided by 100 to arrive at the annual premium. Note: a 10% discount applies if you choose the Indemnity Option for Salary Continuance or Income Protection. 3. If premiums are being paid more frequently than annually, multiply this annual premium by the appropriate payment factor. 4. Add the administration fee. Charges If you choose to pay your premiums more frequently than annually, an additional charge (loading) will be applied to cover the cost of administration. Payment frequency Yearly Half yearly Quarterly Monthly Loading nil 3% of annual premium 4% of annual premium 6% of annual premium Administration fee An administration fee is charged for each type of insurance held and covers the costs associated with establishing and maintaining your insurance. The administration fee is shown on your Policy Information Statement. Premium payment frequency Administration fee (including GST) Monthly* $4.40 Quarterly $13.20 Half yearly $25.30 Annually $48.40 * If monthly premiums are deducted from a super account, the administration fee is $4.10 (see page 36 for more information). If there are any changes to these fees, Asgard will give you three months notice prior to the changes being implemented. 30 Product Disclosure Statement Premiums and charges
43 Payment methods and frequency Frequency Method of payment Yearly Half yearly Quarterly Monthly Cheque (minimum $200 per annum)* Direct debit (minimum $200 per annum)* Not available Not available Not available Not available Asgard Super Account# Not available Not available Not available Asgard Investment Account# Not available Not available Not available * If you hold stand-alone insurance, these are the only options available for payment of premiums. # Premiums will be paid directly from your Asgard Super or Investment Account. Review of rates Future premium rates are not guaranteed to stay the same as current premium rates. We reserve the right to change the premium rates under the Master Policy. Government taxes and charges We ll pass on, with immediate effect, any government taxes or charges (including stamp duty, which is included in the premium rates) relating to this policy. Non-payment of premiums We ll allow you up to 30 days (from the premium due date) to pay your premium. You ll be advised in writing of the date when all cover will cease if the premium is not paid. Clearing account interest stand-alone insurance If you purchase insurance on a standalone (non-superannuation) basis, the premiums you pay pass through a clearing account in Asgard s name before being paid to the Insurer. Benefits paid by the Insurer can also pass through this clearing account. By completing an application, you agree that Asgard may retain the interest earned on the money passing through this clearing account. Any fees in relation to this account will be paid by Asgard. Management fee Asgard receives a management fee of up to 11% (including GST) of insurance premium payments and may be entitled to a profit share payment for Life, TPD, Trauma and Critical Trauma Protection (if it is justified by the claims experience) from the Insurer as remuneration for the administrative service it provides. Adviser commission Your financial adviser can receive up to 27.5% (including GST) of insurance premiums as commission. The amount of adviser commission agreed between you and your financial adviser is included in your premium. Product Disclosure Statement Premiums and charges 31
44 As a Technical manager in our Advice Business Solutions team, Jeannie helps advisers with solutions to technical queries they may have.
45 Stand-alone (nonsuperannuation) insurance The following insurance products are available as stand-alone products: Life Protection TPD Protection TPD Only Trauma Protection Critical Trauma Protection Income Protection Business Expenses Protection Are you eligible to apply for insurance? Entry and expiry ages Cover Entry age Expiry age^ Life Protection 16 to TPD 16 to Trauma Protection 18 to Critical Trauma Protection 18 to Income Protection 18 to Business Expenses Protection 18 to ^ Cover ends on the anniversary of the commencement date of insurance prior to the expiry age indicated. Other eligibility conditions TPD You must be working at least 15 hours per week as a permanent or permanent part-time employee to be able to apply for the Standard Occupation or Own Occupation TPD definition. Extension of Cover During Unpaid Leave While premiums are paid, TPD cover will continue without modification for the first twelve months that the life insured is on leave without pay from their usual employment. After that time, the definition of TPD will alter depending on the circumstances of the life insured. If the life insured is: then performing unpaid domestic duties, the definition will revert to that described in section (D)(ii) on page 10; or not performing unpaid domestic duties and not otherwise working, the definition will revert to that described in sections (A, B and C) on page 10. Income Protection Minimum working hours per week You must be working at least 15 hours per week as a permanent or permanent part-time employee to be able to apply for Income Protection. Income Protection is not available for casual employees. More than one occupation If you have more than one occupation, your benefit will be based on the income you receive from your principal occupation only. Working from home If you work from home, we ll require details such as length of time in business, size of business, number of employees, form of payment/accounts, type of occupation, qualifications and duties performed. Overseas or temporary residents Usually, only permanent residents of Australia who have been residing in Australia for more than two years are eligible. Product Disclosure Statement Stand-alone (non-superannuation) insurance 33
46 Anticipated surgery or present disability If you re about to undergo surgery, or are currently disabled, we ll only consider your application following your full recovery and return to fulltime work. Information on your cover On acceptance of your application, we ll provide you with a Policy Information Statement, which explains your cover. Further information is also available in the relevant Master Policy which can be obtained from Investor Online, our Contact Centre or your financial adviser. These are important documents and should be read carefully and retained by you. All the terms of your insurance are effective as soon as we issue your Policy Information Statement. While we re processing your application, you ll be covered under the terms of the Interim cover detailed on pages 53 and 54. On the anniversary of the commencement date of your insurance, you ll receive an annual review letter from Asgard confirming your insurance details (including insurance type, sum insured and premiums). Termination of your cover Your insurance cover will end as soon as one of the following happens: you ve reached the cover expiry age; a benefit has been paid for Terminal Illness or TPD and there is no remaining Death Benefit; a Death Benefit has been paid; the full sum insured has been paid for Trauma or Critical Trauma Protection; you permanently retire from the workforce (for Income Protection only); Asgard receives a written request from you to cancel your insurance cover; premiums are not paid within 30 days of written notice of premiums due; TOWER terminates for misrepresentation or non-disclosure; you die; or the Master Policy ends. In the event the Master Policy ends, Asgard will endeavour to provide a replacement policy with another insurer under which cover will be continued on similar terms and conditions to that provided in the Asgard policy. Policy variation The Insurer may vary the provisions of a Master Policy in certain circumstances outlined in a Master Policy. Taxation The following comments are a general guide only, based on current understanding of taxation laws. As your individual circumstances may be different, you should discuss any taxation issues with your taxation adviser. Premiums The tax deductibility of premiums is summarised below. Type of cover Life Protection TPD Protection Trauma Protection Critical Trauma Protection Income Protection Business Expenses Protection Tax deductible? These premiums are generally not tax deductible for individuals effecting cover for personal protection.* These premiums are generally not tax deductible for individuals effecting cover for personal protection.* These premiums are generally tax deductible. There are certain exceptions. * Premiums paid for Life, TPD, Trauma and Critical Trauma Protection by a business for a revenue purpose may be tax deductible. Benefits The tax treatment of benefit payments is summarised below. Type of cover Life Protection TPD Protection Trauma Protection Critical Trauma Protection Income Protection Business Expenses Protection Income tax assessable? Payments made in the event of death or disability are generally not subject to income tax.* Payments made in the event of a major trauma are generally not subject to income tax.* Payments made are generally treated as taxable income. There are certain exceptions. * Benefits paid for Life, TPD, Trauma and Critical Trauma Protection to a business for a revenue purpose will generally be assessed as income. Charges The current administration fees for stand-alone (non-superannuation) products are detailed below. This fee is shown on your Policy Information Statement. The administration fee is charged for each type of insurance selected (as listed on the inside front cover of this PDS) and covers the costs associated with establishing and maintaining your insurance. If there are any changes to these fees, Asgard will give you three months notice prior to any changes being implemented. Premium payment frequency Monthly $4.40 Quarterly $13.20 Half yearly $25.30 Annually $48.40 Administration fee (including GST) Customer concerns If you ve any enquiries or complaints about your insurance cover, telephone our Contact Centre on or asgard.investor.services@ asgardwealthsolutions.com.au You may also send a written complaint to: Contact Centre PO Box 7490 PERTH WA 6850 Asgard will endeavour to resolve your concern within 45 days and you ll be notified in writing of a decision in relation to your complaint. If your complaint is not resolved to your satisfaction within 90 days, you may contact the Financial Industry Complaints Service (FICS). FICS is an independent service that handles complaints involving life insurance companies. It is able to offer free, informed assistance to help resolve your complaint. You can contact FICS by telephoning or (03) , or you may write to: Financial Industry Complaints Service PO Box 579, Collins Street West Melbourne VIC Product Disclosure Statement Stand-alone (non-superannuation) insurance
47 Insurance through an Asgard Super Account The following insurance products are available through an Asgard Super Account: Life Protection TPD Protection Salary Continuance Are you eligible to apply for insurance? Entry and expiry ages Cover Entry age Expiry age^ Life Protection 16 to TPD Protection 16 to Salary Continuance 16 to ^ Cover ends on the anniversary of the commencement date of insurance prior to the expiry age indicated. Other eligibility conditions TPD Protection You must be working at least 15 hours per week as a permanent or permanent part-time employee to be able to apply for the standard occupation or own occupation TPD definition. Extension of Cover During Unpaid Leave While premiums are paid, TPD cover will continue without modification for the first twelve months that the life insured is on leave without pay from their usual employment. After that time, the definition of TPD will alter depending on the circumstances of the life insured. If the life insured is: then performing unpaid domestic duties, the definition will revert to that described in section (D) (ii) on page 10; or not performing unpaid domestic duties and not otherwise working, the definition will revert to that described in sections (A, B and C) on page 10. Product Disclosure Statement Insurance through an Asgard Super Account 35
48 Salary Continuance Minimum working hours per week You must be working at least 15 hours per week as a permanent or permanent part-time employee to be able to apply for Salary Continuance. Salary Continuance is not available for casual employees. More than one occupation If you have more than one occupation, your benefit will be based on the income you receive from your principal occupation only. Working from home If you work from home, we ll require details such as length of time in business, size of business, number of employees, form of payment/accounts, type of occupation, qualifications and duties performed. Overseas or temporary residents Usually, only permanent residents of Australia who have been residing in Australia for more than two years are eligible. Anticipated surgery or present disability If you re about to undergo surgery, or are currently disabled, we ll only consider your application following your full recovery and return to fulltime work. When are benefits paid? Any benefit payable is paid to Asgard and held on your behalf until payable under the terms of the Trust Deed for the Asgard Super Accounts. The payment of insured benefits by the trustee is also subject to the relevant amount being received from the Insurer. Life and TPD Protection Before a TPD or Terminal Illness Benefit can be paid to you, you must be permanently incapacitated as defined by superannuation law, or satisfy another condition of release. Salary Continuance Before a Salary Continuance Benefit can be paid to you, you must be temporarily or permanently incapacitated as defined by superannuation law, or satisfy another condition of release. You will also need to satisfy the benefit waiting period selected. See Waiting periods below. Benefit periods The benefit period is the maximum period of time for which a monthly benefit will be paid for any one sickness or any one injury whilst you re totally or partially disabled. The benefit period for Salary Continuance is two years or until the anniversary of the commencement date of the cover prior to age 65. Generally, premiums will cost less with a two year benefit period rather than a benefit period to age 65. Waiting periods The waiting period is the period you must wait to become eligible to receive a benefit payment. When you apply for your cover, you can select one of the following waiting periods: 30 days 60 days 90 days. Generally, the longer the waiting period you select, the lower the cost of your premium. Premiums and charges Premiums Asgard will deduct your insurance premium monthly from your nominated Asgard Super Account. Asgard is not liable to meet the cost of your insurance. If you don t have enough cash in your account, Asgard may be required to sell a portion of your investments in your account to pay the premium. If your account balance is insufficient to cover the premiums, your insurance cover will cease. As premiums are deducted from your account, you must be eligible to make superannuation contributions. Generally, you, your employer, or associates of your employer can make contributions to your account if you are: under 65 years of age regardless of employment status, health and whether you have ever worked; or aged 65 but not aged 70, and have been gainfully employed for at least 40 hours in a period of not more than 30 consecutive days during the financial year in which the contribution is made. Your spouse may be able to make contributions on your behalf if you are under age 65. The premiums for your insurance will be placed in TOWER s Statutory Fund No. 1 and insurance claims will be paid from that fund. Charges Asgard charges an administration fee of $4.10 (including GST) per member per month for Asgard Super Accounts. The administration fee is charged for each type of cover you hold with us and covers the costs associated with establishing and maintaining your insurance. Continuation option (Life and TPD only) If you cease to hold an Asgard Super Account, you may continue to hold the equivalent insurance cover on a stand-alone basis. See Stand-alone (non-superannuation) insurance on pages 33 and 34. You can continue your equivalent insurance cover if you: are under 65 years of age; have not joined the armed forces; and have not left the employment of an employer for reason of total and permanent disablement or made a claim for a benefit due to total and permanent disablement or because you are terminally ill. The continuation process is simple and doesn t require you to provide any additional information or undergo further medical examinations, provided you don t want to increase the amount of your insurance cover. To effect the continuation option, you must apply in writing to Asgard within 60 days of ceasing to hold an Asgard Super Account. Information on your cover On acceptance of your application, you ll be provided with a Policy Information Statement which explains your cover. Further information is also available in the relevant master policy which can be obtained from Investor Online, our Contact Centre or your financial adviser. These are important documents and should be read carefully and retained by you. All the terms of your insurance are effective as soon as we issue your Policy Information Statement. For information relating to the coolingoff provisions for superannuation products, see page Product Disclosure Statement Insurance through an Asgard Super Account
49 While we re processing your application, you ll be covered under the terms of the Interim cover detailed on pages 53 and 54. During the month before the anniversary of the commencement date of your insurance, you ll receive an annual review letter from Asgard confirming your insurance details (including insurance type, sum insured and premiums). Termination of your cover Your insurance cover will end as soon as one of the following happens: you ve reached the cover expiry age; a benefit has been paid for Terminal Illness or TPD and there is no remaining Death Benefit; a Death Benefit has been paid; you permanently retire from the workforce (for Salary Continuance only); Asgard receives a written request from you to cancel your insurance cover; premiums are not paid within 30 days of written notice of premiums due; TOWER terminates for misrepresentation or non disclosure; you no longer hold an Asgard Super Account; you die; or the Master Policy ends. In the event the master policy ends, Asgard will endeavour to provide a replacement policy with another insurer under which cover will be continued on similar terms and conditions to that provided in the Asgard policy. Policy variation TOWER may vary the provisions of the Master Policy in certain circumstances outlined in the Master Policy. Taxation The following comments are a general guide only, based on current understanding of taxation laws. As your individual circumstances may be different, you should discuss any taxation issues with your taxation adviser. Premiums The tax deductibility of premiums is summarised below. Type of cover Life Protection TPD Protection Salary Continuance Tax deductible? All or parts of premiums are generally tax deductible. All or parts of premiums are generally tax deductible. Asgard will calculate these deductions for you and reflect them in your account. Taxation of Death benefits Death Benefits paid from a superannuation fund as a lump sum are tax free if paid to Member s spouse or dependants. Lump sum Death Benefits paid to a non-dependent is assessable income. The element taxed in the fund will be taxed at the maximum rate of 15%. The element untaxed in the fund will be taxed at the maximum rate of 30%. Taxation of TPD benefits Your TPD benefit will be made up of a tax-free component and a taxable component. If your TPD payment is taxable, either all or just part of it, then you will receive a payment summary from your super fund with details of the tax-free and the taxable components of your benefit. If you consider the total and permanent disablement is a result of personal injury, you should seek independent tax advice as you may be entitled to a refund from the tax office of any tax deducted. Salary Continuance benefits Any benefit received from this insurance cover will be assessable as income and therefore subject to tax. Customer concerns If you have any enquiries or complaints in relation to your insurance cover, please telephone our Contact Centre on or asgard.investor. [email protected] You may also send a written complaint to: Contact Centre PO Box 7490 PERTH WA 6850 Asgard will endeavour to resolve your concern within 45 days and you ll be notified in writing of a decision in relation to your complaint. If you re not satisfied with the decision or the handling of your complaint by Asgard or the Insurer, you may make a complaint to the Superannuation Complaints Tribunal. The Superannuation Complaints Tribunal is an independent body set up by the Federal Government to consider complaints about the decisions of super fund trustees, which may be unfair or unreasonable. Before the Superannuation Complaints Tribunal has jurisdiction to deal with the matter, it must be satisfied that the complaint was previously made to an appropriate person under the internal enquiries and complaints procedures. To find out whether the Superannuation Complaints Tribunal can handle your complaint and the type of information you need to provide, view its website at or telephone Alternatively, you can write to: Superannuation Complaints Tribunal Locked Bag 3060 GPO Melbourne VIC 3001 Product Disclosure Statement Insurance through an Asgard Super Account 37
50 Your insurance cover is provided worldwide, 24 hours a day, subject to any terms and conditions noted on your Policy Information Statement.
51 Your policy Claims Notification of claim Asgard must be notified within 30 days or as soon as practically possible of any event which is likely to give rise to a claim. If it can be shown that it was not possible to meet the time requirement for notification of the claim, then it must be provided as soon as is reasonably possible. Once notified, Asgard will provide the relevant forms to be completed and will notify TOWER in writing of the potential claim. The claim form must be fully completed and returned to Asgard within 30 days of the event, together with such other information and documentation that we may require in order to consider the claim. Guaranteed renewable As long as you have complied with the duty of disclosure and have paid premiums when due, TOWER cannot cancel your cover and agrees to offer renewal of the cover each year until the expiry date of the cover selected. This guarantee applies regardless of any change in your health or personal circumstances. Premiums can be altered, but TOWER won t single out any individual for a premium re-rating. Indexation (not applicable to Critical Trauma Protection) To help ensure the level of your insurance cover is not devalued by inflation, it will be automatically indexed each year by a minimum of 3% or the indexation factor, whichever is greater. Your premiums will increase accordingly. The increase will be calculated on the anniversary of the commencement date of insurance. You can decline an increase at any time by writing to Asgard and requesting that indexation not be applied to your insurance cover for that particular year. This will not preclude you from future indexation of cover. Your cover will not be indexed if you are claiming a benefit from the cover. The maximum sums insured attainable by application of indexation are: Life Protection no maximum TPD $3,000,000 Trauma Protection $2,500,000 Income Protection/Salary $25,000 Continuance Guarantee of upgrade Future versions of the Asgard personal protection products may be introduced. If this happens, your cover will be automatically upgraded to the new contract within a reasonable time frame, but only if you will not be disadvantaged by any terms and conditions of the new policy. 24 hour worldwide cover Your insurance cover is provided worldwide, 24 hours a day, subject to any terms and conditions noted on your Policy Information Statement. We may require you to return to Australia at your own expense for assessment in the case of a TPD, Income, Trauma or Critical Trauma claim. Product Disclosure Statement Your policy 39
52 You must notify us if you intend to reside permanently overseas as it may impact on your ability to retain cover. If you fail to notify us, this cover will cease. Large cover discount Where the monthly benefit is $5,000 or greater for Income Protection, Salary Continuance or Business Expenses Protection, the rate is reduced by 5%. Where the sum insured is $500,000 or greater for Life Protection, TPD, Trauma Protection or Critical Trauma Protection, the rate is reduced by 10%. 28-day cooling-off period If you re not completely satisfied with your cover, you may cancel it by notifying us in writing within 28 days of the issue date of your Policy Information Statement. You ll receive a refund of the amounts you have paid, unless you ve made a claim before the end of those 28 days. For superannuation products, the refund of premiums deducted from your super account may be subject to the preservation rules of superannuation law. If this is the case, the refunded premiums cannot be paid to you in cash and will be paid back into your super account. Interim cover Subject to the cover you have applied for, Interim cover provides you with cover if you die, become totally or partially disabled, or suffer a medical condition as a result of an accidental injury, whilst your application is being processed. No further benefits will be payable once an Interim cover benefit is paid. Life Protection If you applied for Life Protection, we ll pay a benefit if you die within 90 days of the accident, unless an exclusion applies. The amount of the benefit payable is the lesser of $1,000,000 ($500,000 for cover taken out through an Asgard Super Account) and the amount of Death Benefit applied for. TPD Protection (nonsuperannuation only) If you applied for TPD Protection, we may pay a benefit if you become totally and permanently disabled as a result of an accidental injury. The amount of the benefit payable is the lesser of $500,000 and the amount of TPD benefit applied for. Trauma Protection If you applied for Trauma Protection, we may pay a benefit if you survive for 14 days after you suffer one of the following medical conditions as a result of an accidental injury: Blindness Loss of limbs or sight Major head trauma Paralysis: Diplegia Hemiplegia Paraplegia Quadriplegia Tetraplegia Severe burns. These medical conditions have the meanings as described in the glossary on pages 43 to 49 but must be the result of an accidental injury. The amount of the benefit payable is the lesser of $250,000 and the amount of Trauma Benefit you applied for. Critical Trauma Protection If you applied for Critical Trauma Protection, we may pay a benefit if you die within 60 days of the accident. The amount of the benefit payable is the lesser of $200,000 and the amount of Critical Trauma Benefit you applied for. Income Protection/Salary Continuance If you applied for Income Protection/ Salary Continuance, we may pay a benefit if, as a result of an accidental injury, you become totally or partially disabled for longer than the waiting period. Totally and partially disabled have the meanings as described in the glossary on page 44, but must be the result of an accidental injury. The amount of the benefit payable is the lesser of $10,000 per month and the amount of monthly benefit you applied for. When does cover start? Cover for the Interim Accident Benefit begins when Asgard receives payment of the initial premium and: your completed application; or your application for an increase in your sum insured. When does cover end? Cover for the Interim Accident Benefit ceases to have effect when the first of the following occurs: 90 days after Asgard receives your application; the date your cover is accepted by us; the date you accept any special terms in writing; the date increased cover comes into force; cover is cancelled due to misrepresentation or non disclosure; the date we decline your application; the date of cancellation or withdrawal of your application; or the master policy is terminated. Exclusions A benefit will not be paid if death is caused directly or indirectly by: suicide or any attempt at suicide; self-inflicted injury or infection; the taking of alcohol or drugs other than prescribed by a medical practitioner; a physical condition which you knew about before this cover commenced; engaging in any pursuit or occupation that we would not normally cover on standard terms; participation in criminal activity; or an act of war (whether declared or not). 40 Product Disclosure Statement Your policy
53 Privacy statement TOWER and Asgard value your right to privacy. This statement explains why TOWER and Asgard collect your personal information and how TOWER and Asgard may use or disclose that information. Collecting personal information TOWER and Asgard collect information about you to provide products and services to you. In some situations, TOWER and Asgard may collect your personal information from a third party such as your financial adviser, insurance representative, medical practitioner or health professional, accountant or employer. TOWER and Asgard will only do so with your consent. Unless required by law (information relating to applicable laws will generally be contained in our application or the explanatory material accompanying applications), you need not supply any of the personal information requested in the application or any other document or communication relating to the Asgard Personal Protection Package. However, without this information, TOWER and Asgard may not be able to process the application or provide you with an appropriate level of service. Using personal information TOWER and Asgard use your personal information to manage and administer all products and services provided to you to facilitate internal business operations including confidential systems testing and maintenance and to meet regulatory and legal requirements. In addition: TOWER uses your personal information to assess and process your application for insurance, process and investigate claims made against your insurance and provide you with information about other products or services that may be of interest or benefit to you; and Asgard may use your personal information or give access to personal information about you to members of the Asgard Wealth Solutions Group to: analyse products and customer needs and develop new products; and provide you with information on products and services provided by any member of the Asgard Wealth Solutions Group or other suppliers which may be of interest or benefit to you. Product Disclosure Statement Privacy statement 41
54 Disclosing information Depending on the type of product or service provided to you, TOWER and Asgard may need to disclose your personal information to certain third parties. If so, TOWER and Asgard will require those parties to protect your personal information in the same way TOWER and Asgard do. For example, TOWER and Asgard may disclose your personal information on a confidential basis to: external service providers that provide financial, legal, administrative or other services in connection with operating TOWER and Asgard s businesses (for example, auditors, compliance consultants or mailing/archiving services for document mailing services and secure storage); government agencies (as part of our regulatory or statutory obligations); or where TOWER and Asgard collect your information from someone else or another entity (such as a financial adviser or employer), to that person or entity. This may be provided by means of an electronic facility or service provided by Asgard or an external service provider, such as AdviserNET, or third party financial planning software. In addition, TOWER may need to disclose your personal information to: medical practitioners or health professionals for the purpose of assessing your application or claim; reinsurers and claims investigators; or your fund manager and your insurance representative. In addition, Asgard may need to disclose your personal information to: its agents, contractors or third party service providers. For example, your personal information may be provided to your financial adviser or broker, their officers and licensed dealers, investment managers of the products you select, financial institutions nominated by you or to the trustee of any superannuation fund from or to which you wish to transfer. Your health or medical information will be disclosed where necessary only to service providers or authorised personnel who are directly involved in the assessment or administration of your application or insurance claim. Your personal information will not be used or disclosed for any other purpose without your consent, except where required by law. Completing the application By completing and signing the application, you consent to and authorise TOWER and Asgard to collect, maintain, use, disclose and handle the personal information provided in the application and in all future communications in the manner set out in this privacy statement. Accessing information You can ask TOWER and Asgard for access to the personal information held by TOWER and Asgard about you. You may ask TOWER and Asgard at any time to correct this information where you believe it is incorrect or out of date. There will be no fee for requesting access to your information, however TOWER and Asgard may each charge you their reasonable costs of processing your request. To access personal information TOWER holds about you, or to obtain more information about your rights or TOWER s privacy policy, please contact: TOWER Australia Life Limited 80 Alfred Street Milsons Point NSW 2061 Telephone (02) To access personal information Asgard holds about you, or to obtain more information about your rights or Asgard s privacy policy, please contact: Contact Centre Level 38, 152 St George s Terrace Perth WA 6000 Telephone Facsimile (08) Product Disclosure Statement Privacy statement
55 Glossary General terms Activities of daily living Dressing the ability to put on and take off clothing without assistance. Bathing the ability to wash or shower without assistance. Toileting the ability to use the toilet, including getting on and off without assistance. Mobility the ability to get in and out of bed and a chair without assistance. Feeding the ability to get food from a plate into the mouth without assistance. where assistance means the assistance of another person. Approved rehabilitation program A program certified by your Medical Practitioner to be necessary for your rehabilitation which is approved by us, but excluding any program providing hospital treatment or ancillary health services within the meaning of the National Health Act 1953, or any other program which might cause this policy to cease to be exempt from the National Health Act 1973 or any succeeding Federal Act in connection with health insurance. Benefit period The maximum period of time for which a monthly benefit will be paid for any one sickness or any one injury whilst you are totally or partially disabled. Business expenses monthly benefit The maximum total of your covered monthly business expenses that we have to reimburse to you, and is the amount shown in your Policy Information Statement. Disability or disabled Means Totally or Partially disabled. Home care needs Includes cooking, cleaning, shopping, banking and similar needs, but does not include the provision of nursing or similar services. Immediate family member Your spouse or de facto spouse, parent or parent-in-law, child or sibling who is aged at least 18 years. Indexation factor The most recent change in the Consumer Price Index (all groups Eight Capital Cities combined) published by the Australian Bureau of Statistics. If no Consumer Price Index is published, we ll use another index that we consider appropriate. Injury A physical injury to the body arising from the life insured s involvement in an accident, occurring while your cover is in force. Product Disclosure Statement Glossary 43
56 Medical practitioner A legally qualified medical practitioner other than you, an immediate family member or business partner. The medical practitioner must be registered in Australia or have qualifications equivalent to Australian standards. Monthly benefit Under the Income Protection and Salary Continuance benefits means the monthly benefit. The amount we pay you is determined by which option you have chosen (agreed value or indemnity) at time of application. If you ve chosen agreed value as specified in the Policy Information Statement, the amount we will pay is the Monthly benefit shown in your Policy Information Statement, inclusive of any indexation increases, and less any Benefit Reductions if applicable. If you ve chosen indemnity as specified in the Policy Information Statement, the initial benefit we pay is the lesser of the following amounts: the Monthly benefit shown in the Policy Information Statement, inclusive of increases by the Indexation Factor; or 75% of the pre-disability income earned by the life insured in the twelve months immediately prior to the Sickness or Injury occurring, less any Benefit Reductions if applicable. Calculation of benefits payable at time of claim will be based on 1/365th of the annual benefit to arrive at a daily benefit. Monthly income If you re self employed, a working director or partner in a partnership, this is the income generated by the business or practice directly due to your personal exertion or activities, less your share of necessarily incurred business expenses. If you re not self employed, a working director or partner in a partnership, this is the total value of remuneration paid by your employer including salary, fees, commission, bonuses, regular overtime and fringe benefits. While you re disabled, monthly income will include any income that, in our opinion, you could reasonably be expected to earn in your own occupation. Non- A person who has not smoked any tobacco or any other substance in the preceding twelve month period. Own occupation This is the occupation in which the life insured was working immediately prior to the sickness or injury causing disability, unless the life insured; was working in that occupation for less than 10 hours a week; or was unemployed or on sabbatical, long service, maternity or paternity leave for more than 12 months, in which case, Own Occupation will be any occupation for which the life insured is suited by education, training or experience. If the life insured had been working in more than one occupation that meets these criteria, Own Occupation will include all of those occupations. Partial disability Due to sickness or injury: (i) you are only able to work in your own occupation in a reduced capacity, or you are working in another occupation; (ii) your monthly income is less than your pre-disability income; and (iii) you are following the advice of a medical practitioner. The amount of the partial disability for Income Protection/Salary Continuance equals: A B A x monthly benefit where A = your pre-disability income B = your monthly income for the month in which disability is claimed. Pre-disability income The larger of the following amounts: the highest average of your monthly income in any consecutive twelve month period in the three years immediately before the most recent period of disability; and the average monthly income you received during the twelve months before you applied for cover under this policy. If work is not available to the Life Insured because of their Sickness or Injury, but they are able to perform an important income producing duty of their regular occupation to earn income, we will make a reasonable estimate of the Life Insured s Monthly Income when we calculate the benefit. If you continue to receive benefits for more than twelve months, this figure will be increased by the indexation factor every twelve months on the anniversary of the date that benefits commenced. If there is an indexed increase, the most recent indexed amount will be the minimum predisability Income for future claims. Premium Specified in the Policy Information Statement and includes the premiums for the benefits attached to this Policy, the administration fee, any frequency and government charges. Policy Information Statement A statement containing the individual details of your insurance cover. Sickness An illness or disease that becomes apparent while your cover is in force. Special terms A contractual term that may be imposed in relation to your cover which may include any restriction on the cover, exclusion, or rates of premium imposed according to underwriting practices. Sum insured The amount as shown in your Policy Information Statement. Total disability Due to sickness or injury, you are: (i) unable to perform at least one important income producing duty of your regular occupation; (ii) not currently working in any gainful occupation; and (iii) under the care and following the advice of a medical practitioner. Waiting period The period that you have to be disabled before you qualify for a benefit. The waiting period begins on the date: that you first consult a medical practitioner about the condition causing the total disability; or 44 Product Disclosure Statement Glossary
57 when you first cease work due to the condition causing the total disability, as long as it is not more than seven days before you first consulted a medical practitioner about that condition and you provide reasonable medical evidence about when the total disability began. Medical terms Trauma Protection/Income Protection Alzheimer s Disease The diagnosis of Alzheimer s disease by a consultant neurologist confirming dementia due to failure of the brain function with significant cognitive impairment for which no other recognisable cause has been identified. Significant cognitive impairment is defined as deterioration or loss of intellectual capacity as measured by clinical evidence and standardised testing, and which results in a requirement for continual supervision to protect you or others. Angioplasty The undergoing for the first time of angioplasty, atherectomy, laser therapy or insertion of a stent to the coronary arteries that is considered necessary by a cardiologist to treat coronary artery disease. Other intra arterial procedures or non-surgical techniques are specifically excluded. Aorta surgery The actual undergoing of surgery for a disease of the aorta needing excision and surgical replacement of the diseased aorta with a graft. For the purpose of this definition, aorta means the thoracic and abdominal aorta but not its branches. Traumatic injury of the aorta is excluded. Aplastic anaemia Bone marrow failure that results in anaemia, neutropenia and thrombocytopenia requiring treatment, with at least one of the following: blood product transfusions; marrow stimulating agents; immunosuppressive agents; or bone marrow transplantation. Benign brain tumour Means a non-cancerous tumour in the brain which gives rise to characteristic symptoms of intracranial pressure such as papilloedema, mental symptoms, seizures and sensory impairment, resulting in at least a permanent 25% impairment of Whole Person Function or the life insured being totally and permanently unable to perform any one of the Activities of Daily Living. The presence of the underlying tumour must be confirmed by CT scan, MRI or other imaging studies. Blindness The permanent loss of sight in both eyes due to sickness or injury to the extent of 6/60 or less, or to the extent that the visual field is reduced to 20 degrees or less. Cancer Any malignant tumour characterised by the uncontrolled growth and spread of the malignant cells that requires treatment by surgery, radiotherapy, chemotherapy, biological response modifiers, or any other major interventionist treatment and includes cancers that are completely untreatable. The following are included: leukaemia; Hodgkin s disease; malignant lymphoma; malignant bone marrow disorders; melanomas; and carcinomas in situ. Note that for: melanoma where the Breslow thickness is up to 1.5mm or is less than Clark level 3; and carcinoma in situ payment is restricted to 10% of the sum insured up to a maximum $25,000. The trauma sum insured is reduced by the amount of any payment made for these conditions. A benefit is payable once only for each of these conditions. Carcinoma in situ Means a carcinoma characteristed by a focal autonomous new growth of carcinoma cells, which has not yet resulted in the invasion of normal tissues. Invasion means an infiltration and/or active destruction of normal tissue beyond basement membrane. Only Carcinoma in situ of the following sites is covered: Cervix uteri the tumour must be classified as Tis according to the TNM staging method FIGO stage 0 (excluded are Cervical Intraepithelial Neoplasia (CIN) classification including CIN 1, CIN 2 and CIN3. Fallopian Tube the tumour must be limited to the tubal mucosa and classified as Tis according to the TNM staging method or FIGO Stage 0. Vagina the tumour must be classified as Tis according to the TNM staging method or FIGO Stage 0. Vulva the tumour must be classified as Tis according to the TNM staging method or FIGO Stage 0. Breast the tumour must be classified as Tis according to the TNM staging method or FIGO Stage 0. Prostate the tumour is confined within the prostate and histologically described as T1 according to the TNM staging method or a Gleason Score of either 2, 3, 4 or 5. Cardiomyopathy Condition of impaired ventricular function of variable aetiology (often not determined) resulting in significant physical impairment, that is, Class 3 on the New York Heart Association Classification of cardiac impairment. Chronic kidney failure The terminal stage of renal disease requiring permanent renal dialysis. Chronic liver disease Permanent liver failure, together with permanent jaundice, ascites and encephalopathy. Disease related to alcohol abuse or intravenous drug use is excluded. Chronic lung disease Permanent respiratory failure, with FEV1 test results of consistently less than 1 litre, requiring permanent oxygen therapy. Product Disclosure Statement Glossary 45
58 Coma A state of unconsciousness with no reaction to external stimuli or internal needs, persisting continuously with the use of life support systems for at least four consecutive days and resulting in a neurological deficit which is of a permanent nature. Coronary artery bypass surgery The actual undergoing of bypass surgery (including saphenous vein or internal mammary graft/s) for the treatment of coronary artery disease. Any other operations are specifically excluded from this definition. Dementia The clinical confirmation of dementia (including Alzheimer s Disease) due to failing brain functions, resulting in the need for continual assistance in the Activities of Daily Living, as confirmed by a medical practitioner specialising in neurology, psychogeriatrics, psychiatry or geriatrics. Dementia directly related to alcohol abuse is excluded. Encephalitis Severe inflammation of brain substance which results in significant, permanent neurological sequelae. Encephalitis occurring in patients with HIV infection is excluded. Heart attack The death of part of the heart muscle (myocardium) as a result of inadequate blood supply. The diagnosis is based on clinical electrocardiogram (ECG) and biochemical assessments with the following criteria being present: an electrocardiogram showing changes resulting from this occurrences; and a pathology test that confirms that cardiac enzymes have been elevated above generally accepted laboratory levels of normal. Simple angina pectoris is excluded. Heart valve surgery The undergoing of open heart surgery to replace or repair heart valves as a consequence of heart valve defects or abnormalities. Loss of hearing The complete and irrecoverable loss of hearing, both natural and assisted, from both ears as a result of sickness or injury, as certified by an appropriate medical specialist. Loss of independent existence As a result of a disease, sickness or injury, there is a permanent and irreversible inability to perform any two of the Activities of Daily Living without assistance. Loss of independent existence due to alcohol, drug abuse or AIDS is excluded. Loss of limbs or sight As a direct result of injury, you have sustained the complete and irrecoverable loss of use of: both hands; both feet; one hand and one foot; blindness in both eyes whether aided or unaided; one foot and blindness in one eye, whether aided or unaided; or one hand and blindness in one eye, whether aided or unaided. Loss of speech The complete and irrecoverable loss of the ability to speak (both natural and assisted), as a result of sickness or injury which must be established, and the diagnosis reaffirmed, after a continuous period of three months of such loss. Major head trauma Injury to the head causing neurological deficit resulting in functional impairment of at least 25% as certified by a consultant neurologist. Major organ transplant The human to human organ transplant from a donor to you of one or more of the following organs: kidney lung pancreas heart liver the transplantation of bone marrow. The transplantation of all other organs or parts of organs or any other tissue transplant is excluded. Medically acquired HIV Accidental infection with Human Immunodeficiency Virus (HIV) which the Insurer believes, on the balance of probabilities, arose from one of the following medically necessary events, which must have occurred to the life insured in Australia and was performed by a recognised and registered health professional: a blood transfusion; transfusion with blood products; organ transplant to the life insured; assisted reproduction techniques; or a procedure or operation performed by a medical/paramedical practitioner or dentist. Meningitis The unequivocal diagnosis of meningitis where the condition is characterised by severe inflammation of the brain, or the meninges of the brain resulting in permanent neurological deficit causing at least a permanent 25% impairment of Whole Person Function, or the life insured being totally and permanently unable to perform any one the Activities of Daily Living. Meningococcal Disease The unequivocal diagnosis of meningococcal septicaemia resulting in at least a permanent 25% impairment of Whole Person Function, or the life insured being totally and permanently unable to perform any one of the Activities of Daily Living. Motor neurone disease Motor Neurone Disease diagnosed by a consultant neurologist, with persistent neurological deficit resulting in the permanent loss of 25% of whole body function. Multiple Sclerosis The unequivocal diagnosis of Multiple Sclerosis by a consultant neurologist. There must be more than one episode of well-defined neurological deficit with persisting neurological abnormalities resulting in a permanent loss of at least 25% whole body function. Muscular Dystrophy The unequivocal diagnosis of Muscular Dystrophy resulting in a permanent 25% impairment of whole body function. 46 Product Disclosure Statement Glossary
59 Occupationally acquired HIV Infection with Human Immunodeficiency Virus (HIV) where it was acquired as a result of an accident occurring during the currency of their cover under this policy. The accident must occur during the course of carrying out normal occupational duties, with sero-conversion indicating HIV infection occurring within six months of the accident. Infection in any other manner, including sexual activity or recreational intravenous drug use, is specifically excluded. An HIV antibody test must be taken within seven days after the accident and reported within 30 days and produce negative results. Access to all blood samples taken is required for independent test, with the right to take additional samples as necessary. The benefit will not apply if: before the injury, the Australian government has recommended an HIV vaccine for use in the occupation of the insured, but the insured has not taken this vaccine; or the Australian government has approved a treatment that renders the HIV virus inactive and noninfectious to others. Open heart surgery Open heart surgery for treatment of cardiac defect(s), cardiac aneurism or benign cardiac tumour(s). Out of hospital cardiac arrest Cardiac arrest which is not associated with any medical procedure and is documented by an electrocardiogram, occurs out of hospital and is due to: cardiac asystole; or ventricular fibrillation with or without ventricular tachycardia. Paralysis Diplegia The total loss of function of both sides of the body due to sickness or injury where such loss of function is permanent. Hemiplegia The total loss of function of one side of the body due to sickness or injury, where such loss of function is permanent. Paraplegia The permanent loss of use of both legs, or both arms, resulting from spinal cord sickness or injury. Quadriplegia The permanent loss of use of both legs and both arms, resulting form spinal cord sickness or injury. Tetraplegia The total and permanent loss of use of both arms and both legs, together with loss of head movement, due to brain sickness or injury, or spinal cord sickness or injury. Parkinson s disease The unequivocal diagnosis of Parkinson s Disease by a consultant neurologist where: you are following the advice and treatment of a specialist neurologist; and the condition shows signs of progressive impairment and results in the loss of 25% whole body impairment. Pneumonectomy The undergoing of surgery to remove an entire lung. This treatment must be deemed the most appropriate treatment and medically necessary. Primary motor neurone disease Amyotrophic lateral sclerosis with significant persistent neurological deficit resulting in at least a permanent 25% impairment of function all unequivocally diagnosed by a Medical Practitioner who is a consultant neurologist. Primary pulmonary hypertension Primary Pulmonary Hypertension associated with right ventricular enlargement established by cardiac catheterisation resulting in significant permanent physical impairment to the degree of at least Class 3 of the New York Heart Association classification of cardiac impairment. Severe burns Tissue injury caused by thermal, electrical or chemical agents causing third degree burns to at least: 20% or more of the body surface area as measured by The Rule of 9 of the Lund & Browder Body Surface Chart; both hands, requiring surgical debridement and/or grafting; or the face, requiring surgical debridement and/or grafting. Stroke A cerebrovascular accident or incident producing neurological sequelae. This includes infarction of brain tissue, intracranial and/or subarachnoid haemorrhage, or embolisation from an extracranial source. Transient ischaemic attacks, reversible ischaemic neurological deficit and cerebral symptoms due to migraine are excluded. Triple Vessel Angioplasty means the actual undergoing for the first time of coronary artery Angioplasty to correct a narrowing or blockage of three or more coronary arteries within the same procedure. Whole Person Function means the Insured Person suffers 25% Whole Person Impairment based on the latest edition of the American Medical Association publication Guides to the Evaluation of Permanent Impairment, or an equivalent guide approved by us. The Guides to the Evaluation of Permanent Impairment covers every body system and provides a standardised approach to determine impairment assessment using patient history, physical examination and clinical tests. The assessment of Whole Person Function will be undertaken by the appropriate certified specialist based on the Insured Person attaining maximum medical recovery. Product Disclosure Statement Glossary 47
60 Medical terms Critical Trauma Protection Alzheimer s disease The diagnosis of Alzheimer s disease by a consultant neurologist confirming dementia due to failure of the brain function with significant cognitive impairment for which no other recognisable cause has been identified. Significant cognitive impairment is defined as deterioration or loss of intellectual capacity as measured by clinical evidence and standardised testing, and which results in a requirement for continual supervision to protect you or others. Aplastic anaemia Bone marrow failure that results in anaemia, neutropenia and thrombocytopenia requiring treatment, with at least one of the following: blood product transfusions; marrow stimulating agents; immunosuppressive agents; or bone marrow transplantation. Benign brain tumour A life threatening non-cancerous tumour in the brain which gives rise to characteristic symptoms of intracranial pressure such as papilledema, mental seizures and sensory impairment resulting in at least 25% permanent impairment of whole person function. The presence of the underlying tumour must be confirmed by imaging studies such as CT scan or MRI (Magnetic Resonance Imaging). Excluded are acoustic neuromas, cysts, granulomas and malformations in or of the arteries or veins of the brain, haematomas and tumours on the pituitary gland or spine. Cancer The first diagnosis of one or more malignant invasive tumours, including leukaemia and myeloma but excluding other myeloproliferative disorders. The following tumours are excluded: Tumours showing the changes of carcinoma in situ (including cervical dysplasia, CIN1, CIN2 and CIN3) without stromal invasion. Malignant melanomas Clark Level 1 or 2 depth of invasion which are less than 1.5mm in thickness, as determined by histological examination. All hyperkeratoses or basal cell carcinomas of the skin. All squamous cell carcinomas of the skin unless they have spread to other organs. Prostatic cancers which are histologically described as TNM Classifications T1 (including T1a, T1b and T1c) or are of another equivalent or lesser classification. Chronic lymphocytic leukaemia Binet Stages A and B or Rai Stages 0, I and II. Localised cancer Cancer (as defined above) which when first diagnosed and made the subject of a claim under this policy is contained within the organ or structure of origin (the part of the body in which the cancer began), irrespective of its size, grade or any other histological feature such as vascular invasion and has not spread to other parts of the body either nearby or distant. Regional or distant cancer The tumour has spread outside the part of the body (or organ) where it began, either to adjacent or nearby structures (regional spread) or distant organs (metastases). Verification of occurrence or recurrence of disease outside the tissue of origin (regional lymph notes or distant spread) would normally require histological confirmation as for the diagnosis of the primary tumour. However, under certain circumstances, information based only on clinical finding, imaging or laboratory tests may be acceptable if agreed by TOWER s Chief Medical Officer. Cardiomyopathy The impaired ventricular function of variable aetiology, resulting in physical impairments to the degree of at least class 3 of the New York Heart Association Classification of cardiac impairment. Cardiomyopathy directly related to alcohol abuse is excluded. Cerebrovascular accident (stroke) Any cerebrovascular incident producing neurological sequelae, including infarction of brain tissue, intracranial or subarachnoid haemorrhage, embolisation from an extracranial source, but excluding transient ischaemic attacks, migraine and reversible ischaemic neurological deficits. Chronic liver failure End stage liver failure. The diagnosis must be based on the following criteria: a rapidly decreasing liver size; necrosis involving entire lobules; rapid degeneration of liver function tests; deepening jaundice; or liver disease secondary to alcohol usage or intravenous drug use is excluded. Chronic lung failure End stage lung disease requiring permanent oxygen therapy. The diagnosis will include an FEV1 test result of less than one litre. Chronic renal failure (kidney failure) End stage renal failure presenting as chronic irreversible failure of both kidneys to function, as a result of which regular renal dialysis is instituted. Coma Total failure of cerebral function characterised by total unarousable unresponsiveness to all external stimuli, persisting continuously with the use of a life support system for a period of at least four days. Coma directly related to alcohol abuse is excluded. Dementia The clinical confirmation of dementia (including Alzheimer s Disease) due to failing brain functions, resulting in the need for continual assistance in the activities of daily living, as confirmed by a medical practitioner specialising in neurology, psychogeriatrics, psychiatry or geriatrics. Dementia directly related to alcohol abuse is excluded. Encephalitis Severe inflammation of brain substance, which results in significant and permanent neurological sequelae as certified by a consultant neurologist. Localised cancer See Cancer. Loss of independent existence A condition as a result of a disease, sickness or injury whereby you are totally and irreversibly unable to perform at least two of the activities of daily living. 48 Product Disclosure Statement Glossary
61 Loss of speech The total and permanent loss of the ability to produce intelligible speech as a result of permanent damage to the larynx or its nerve supply, or to the speech centres of the brain whether caused by injury, tumour or sickness. The above must be certified by two appropriate medical specialists not less than ninety days after the ability to speak was first lost. Major abdominal aortic surgery Means the actual undergoing of surgery via a thoracotomy or laparotomy to repair or correct an aortic aneurysm, an obstruction of the aorta or a coarctation of the aorta. For the purpose of this definition, aorta shall mean the thoracic and abdominal aorta but not its branches. Surgery performed using catheter techniques only are specifically excluded. Major head trauma Neurological deficit resulting from trauma, causing at least 25% impairment of whole person function lasting more than three weeks from the date of the trauma, and likely to persist, as certified by a consultant neurologist. Major organ transplant The transplant to the Life Insured of one or more of the following organs: kidney heart lung liver pancreas bone marrow. Motor neurone disease Amyotrophic lateral sclerosis with significant persistent neurological deficit resulting in at least 25% permanent impairment of whole person function as certified by a consultant neurologist. Multiple Sclerosis Demyelination of nervous tissue. The diagnosis has to be made by a consultant neurologist confirming more than one episode of well defined neurological deficit with persisting permanent neurological abnormalities and with at least 25% impairment of whole person function (but not necessarily confined to a wheelchair). The diagnosis will be based on confirmatory neurological investigations, for example, lumbar puncture, evoked visual responses, evoked auditory responses and NMR (Nuclear Magnetic Resonance) evidence of lesions of the central nervous system. Muscular Dystrophy The unequivocal diagnosis of muscular dystrophy by a consultant neurologist resulting in a permanent impairment of whole body function of at least 25%. Myocardial infarction (heart attack) The occurrence of an acute myocardial infarction (that is the death of a portion of the heart muscle due to inadequate blood supply) as evidence by new electrocardiograph changes associated with myocardial infarction and by the elevation of biochemical markers (such as Troponin or cardiac enzymes) of myocardial necrosis. Lesser acute coronary syndromes including unstable angina and acute coronary insufficiency are excluded as part of this definition. Occupationally acquired HIV Infection by the Human Immunodeficiency Virus (HIV), acquired only via blood transfusion or accidental means during the course of carrying out the Life Insured s normal occupation with sero-conversion to HIV infection occurring within six months of the accident. Any accident giving rise to a potential claim must be reported within thirty days of the incident and be supported by a negative HIV antibody test within seven days of the incident. Transmission via any form of sexual activity or deliberate injection of a drug not prescribed by a medical practitioner is specifically excluded. Open chest surgery In respect of any of the following: Coronary artery being open chest surgery to correct or treat coronary artery disease (Angioplasty, intraarterial procedures and other nonsurgical techniques are excluded). Repair or replacement of valves being open chest surgery to replace or repair cardiac valves as a consequence of heart valve defects or abnormalities. Paralysis Diplegia The permanent and total loss of function of both sides of the body due to injury or disease. Hemiplegia The permanent and total loss of function of one side of the body due to injury or disease. Paraplegia The permanent and total loss of use of both legs resulting from injury or disease. Quadriplegia The permanent and total loss of use of both arms and both legs resulting from injury or disease. Tetraplegia The total and permanent loss of use of both arms and legs resulting from injury or disease, together with loss of head movement. Parkinson s disease The fully developed, moderately disabling disease of the extrapyramidal system clinically confirmed by a consultant neurologist, and requiring continual assistance in the activities of daily living. Idiopathic Parkinson s supranuclear palsy and cortico-basal degeneration are included. Iatrogenic Parkinsonism and Parkinsonism secondary to infection or trauma are excluded. Primary pulmonary hypertension Primary pulmonary hypertension with right ventricular enlargement established by investigations including cardiac catheterisation. Regional or distant cancer See Cancer. Severe burns The tissue injury caused by thermal, electrical or chemical agents causing third degree burns to 20% or more of the Body Surface Area as measured by the rule of 9 of the Lund and Browder Body Surface Chart. Total blindness The complete and irrecoverable loss of sight in both eyes as currently defined by the Royal Blind Society and confirmed by an ophthalmologist. Total deafness The total, irreversible and irreparable loss of hearing both natural and assisted, in both ears as a result of disease, illness or injury. Product Disclosure Statement Glossary 49
62 As an Organisational Development Consultant in our Strategic People Management team, Tony is one of our many support staff working to ensure that we give you the very best of service.
63 Direct debit request service agreement Asgard Capital Management Ltd ABN ( we or us ) User ID: Level 38, Central Park, 152 St George s Terrace, Perth WA You have entered or are about to enter into an arrangement under which you make payments to us. You want to make those payments by use of the Direct Debit System (DDS). This agreement sets out the terms on which we accept and act under a Direct Debit Request (DDR) you give us to debit amounts from your account under the DDS. It is additional to the arrangement under which you make payments to us. Please ensure you keep a copy of this agreement as it sets out certain rights you have against us and certain obligations you have to us due to giving us your DDR. When we are bound by this agreement 1. We agree to be bound by this agreement when we receive your DDR complete with the particulars we need to draw an amount under it. What we agree to and what we can do 2. We only draw money out of your account in accordance with the terms of your DDR We do not give you a statement of the amounts we draw under your DDR. On giving you at least 14 days notice, we may: change our procedures in this agreement; change the terms of your DDR; or cancel your DDR. 5. You may ask us to: alter the terms of the DDR; defer a payment to be made under your DDR; stop a drawing under your DDR; cancel your DDR by ing asgard.investor.services@ asgardwealthsolutions.com.au; or writing to the Contact Centre, PO Box 7490, Perth WA You can dispute any amount we draw under your DDR by calling Investor Services on , ing asgard.investor.services@ asgardwealthsolutions.com.au or writing to our Contact Centre, PO Box 7490, Perth WA Product Disclosure Statement Direct debit request service agreement 51
64 7. We deal with any disputes under clause 6 of this agreement as follows. We and our bank review our respective records. If necessary we contact your financial institution to review its records. We advise you and your financial adviser in writing within 2 to 4 weeks, depending on the nature and extent of the dispute, and the measures taken to resolve it. 8. If the day on which you must make any payments to us is not a business day, we will draw on your account under your DDR on the first business day following that day. 9. If your financial institution rejects any of our attempts to draw an amount in accordance with your DDR, we contact you and your financial adviser in writing. After 3 consecutive rejections we advise you and your financial adviser in writing that you can longer make payments by direct debit. 10. We will not disclose to any person any information you give us on your DDR, which is not generally available, unless: you dispute any amount we draw under your DDR and we need to disclose any information relating to your DDR or to any amount we draw under it to the financial institution at which your account is held or the financial institution which sponsors our use of the DDR or both of them; you consent to that disclosure; or we are required to disclose that information by law. What you should consider 11. Not all accounts held with a financial institution are available to be drawn on under the DDR. 12. Before you complete your DDR, it is best to check account details against a recent statement from your financial institution to ensure the details on your DDR are completed correctly. 13. If you are uncertain when your financial institution processes an amount we draw under your DDR on a day, which is not a business day, please enquire with your financial institution. 14. It is your responsibility to ensure there are sufficient cleared funds available in your account, by the due date on which we draw any amount under your DDR, to enable us to obtain payment in accordance with your DDR. 15. We request you to direct all requests to stop or cancel your DDR to us or your financial institution and all enquiries relating to any dispute under Clause 6 of this agreement to us or your financial institution. 52 Product Disclosure Statement Direct debit request service agreement
65 Interim cover certificate This certificate should be kept by the applicant. Name of life insured Name of applicant Application date TOWER Australia Limited ABN (or the insurer ) The Insurer provides an Interim Accident Benefit ( Cover ) while they are considering your application. Cover is provided on the terms and conditions set out in this Interim cover certificate and the Master Policy. You don t have to pay an extra premium for this cover. To the extent that they are relevant, the conditions in the Master Policy you applied for relating to payment of a claim apply to your cover. This cover does not apply to you if the insurance you re applying for is intended to replace insurance you have with Asgard or a company in the TOWER group. 1. Commencement of cover Cover commences on the date your fully completed application and payment of the first premium has been received by Asgard. Cover is subject to the cheque for your premium payment being honoured by the relevant financial institution. 2. Period of cover Your cover will automatically end on the earliest of the following dates: 90 days from the date this cover commences; the date the insurer accepts your application on standard or special terms or declines your application; the date your application is withdrawn; or the date the insurer advises Asgard that this cover is cancelled. Product Disclosure Statement Interim cover certificate 53
66 3. Cover provided The circumstances in which the Insurer will pay a benefit under this cover and the amount of the benefit varies according to the benefits you applied for in your application, as set out in the following sections. A benefit is payable only once under this cover. 4. Definition of accidental injury For the purposes of this cover, accidental injury means bodily injury caused solely and directly by accidental, external and visible means, independent of any other cause. Life Protection If you applied for Life Protection, the Insurer will pay a benefit if the Life Insured dies as a result of an Accidental Injury. The Life Insured must die within 90 days of the accident. The amount of the benefit is the lesser of: $1,000,000; $500,000 if Life Protection is through an Asgard Super Account; or the amount of Death Benefit you applied for. Total and Permanent Disablement (TPD) Protection (not available through an Asgard Super Account) If you applied for TPD Protection, the Insurer will pay a benefit if the Life Insured becomes Totally and Permanently Disabled as a result of an Accidental Injury. TPD has the meaning set out in the Master Policy you applied for, but TPD must be the result of an Accidental Injury. The amount of the benefit is the lesser of: $500,000; and the amount of TPD Benefit you applied for. Trauma Protection If you applied for Trauma Protection, the Insurer will pay a benefit if the Life Insured survives for 14 days after they suffer one of the following medical conditions as a result of an Accidental Injury: Blindness Loss of limbs or sight Major head trauma Paralysis: Diplegia Hemiplegia Paraplegia Quadriplegia Tetraplegia Severe burns The amount of the benefit is the lesser of: $250,000; or the amount of Trauma Benefit you applied for. Critical Trauma Protection If you applied for Critical Trauma Protection, the Insurer will pay a benefit if the Life Insured dies within 60 days of an Accidental Injury occurring. The amount of the benefit is the lesser of: $200,000; or the amount of Critical Trauma Benefit you applied for. Income Protection/Salary Continuance If you applied for Income Protection/ Salary Continuance, the Insurer will pay a benefit if, as a result of an Accidental Injury, the Life Insured becomes totally or partially disabled for longer than the waiting period. Totally and partially disabled have the meanings as described in the glossary on page 44 of the PDS, but must be the result of an Accidental Injury. The amount of the benefit is the lesser of: $10,000 per month; or the amount of Monthly Benefit applied for. 5. Exclusions A benefit will not be paid if death or disablement is caused directly or indirectly by: suicide or any attempt at suicide; self-inflicted injury or infection; the taking of alcohol or drugs other than prescribed by a Medical Practitioner; a physical condition which you knew about before this cover commenced; engaging in any pursuit or occupation that we would not normally cover on standard terms; or participation in criminal activity an act of war (whether declared or not). 6. Application for insurance If you are eligible to make a claim under this cover, it will not prevent your application from being accepted. However, the Insurer will take into account the change in the Life Insured s health when assessing your application and may decline your application or apply special loadings, conditions and exclusions. Asgard Capital Management Ltd ABN Contact Centre PO Box 7490, Perth WA Product Disclosure Statement Interim cover certificate
67 While we re processing your Application, you ll be covered under the terms of the Interim Accident Benefit. Product Disclosure Statement Interim cover certificate 55
68 Contact Centre Issued by: Asgard Capital Management Ltd ABN AFSL Asgard Personal Protection Package Correspondence Contact Centre PO Box 7490 Perth WA 6850 APJPDS70108
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