FUNERAL PLAN Insurance

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FUNERAL PLAN Insurance Covering you co-operatively

An insurance plan to provide you and your family with peace of mind at a difficult time.

FUNERAL PLAN Peace of mind at a difficult time The death of a loved one is a very emotional time, often made more stressful by the costs of a funeral and bills to pay. Funeral Plan will provide you with the comfort of knowing that you and your family are protected from the added worry of some immediate financial problems. You choose your level of cover Funeral Plan offers cover for $5,000, $7,500 or $10,000 to help your family pay for the unexpected costs of a funeral. The cost of an average funeral is hard to estimate as there are variable costs for many of the items normally involved. The best current guide we can give you is that the average cost for a conventional funeral is around $8,800*, but there are prices advertised ranging from $3,000 for a very simple funeral to $15,000 and more. Why take out a Funeral Plan? It gives you and your family piece of mind. There s no medical questionnaires to take out cover. Affordable premiums and just a 12 month accident only wait period for most applications. *As estimated by the Funeral Directors Association of New Zealand.

Funeral Plan Premium Rates Age Band (years) Monthly Premiums $5,000 Cover $7,500 Cover $10,000 Cover Non Non Non 16 to 35 $2.67 $3.72 $3.45 $4.86 $4.23 $5.99 36 to 40 $2.82 $3.95 $3.67 $5.20 $4.52 $6.45 41 to 45 $3.32 $4.71 $4.42 $6.35 $5.52 $7.98 46 to 50 $4.59 $6.66 $6.33 $9.26 $8.06 $11.87 51 to 55 $6.74 $9.94 $9.55 $14.19 $12.36 $18.44 56 to 60 $9.76 $14.57 $14.09 $21.13 $18.41 $27.69 61 to 65 $15.34 $23.11 $22.46 $33.94 $29.58 $44.77 66 to 70 $23.56 $35.67 $34.78 $52.78 $46.00 $69.89 71 to 75 $36.73 $55.82 $54.54 $83.01 $72.35 $110.19 76 to 80 $59.78 $91.07 $89.12 $135.88 $118.45 $180.70 80 to 85 $97.34 $148.51 $145.46 $222.05 $193.57 $295.58 Premiums change as the insured person reaches a new age band. Insurance cover ceases when the insured person reaches age 86. Premiums are deducted automatically from your credit union account Premiums are paid monthly, deducted from a single credit union account. The premium is age-based and it increases as each new age band is reached.

Frequently Asked Questions Who can be a beneficiary? Any natural person can be named as a beneficiary. What if my nominated beneficiary dies before me? You can change your beneficiary at any time (for any reason). If you don t change your beneficiary, your benefit will be paid to your estate. Can I borrow against my policy? No, your policy has no cash or investment value. Can I cancel my policy? Yes, at any time. Simply contact your credit union. Does this policy affect my entitlements to any benefits or subsidies? No. The premiums payable are exempt from asset testing and the claim payment is tax free. If the death is accidental then ACC entitlements will not be affected. Sign up today - contact your credit union Just contact your local credit union to arrange the cover you need. They can answer all your questions, and when a claim is made, your credit union will look after everything for you and your family as well.

FUNERAL PLAN Application Form Full name of person to be insured: Cover (please tick one): $5,000 $7,500 $10,000 Credit union membership number: Postal address of Insured Person: Phone: Email: Male Female Date of birth (dd/mm/yyyy) / / Have you smoked in the last 12 months? Yes No Full name of beneficiary: Life insured s relationship to beneficiary: Postal address of beneficiary: I understand and agree that the date signed below is the date that this insurance starts. I understand and agree that this insurance policy has no investment or surrender value. I understand and agree that I can cancel this insurance at any time by completing a cancellation form at my credit union. I understand and agree that I can have a full copy of the group Insurance Policy by requesting it from my credit union. I understand and agree that I am only covered for death by accidental causes for the first 12 months (if aged under 76 years)/24 months (if aged 76-85 years) of this insurance and that death by natural causes or suicide is not covered during the applicable period. I understand that insurance cover will stop completely when I reach the age of 86. I understand and agree that the premiums for this insurance will increase when higher age bands are reached, or the sum insured changes, or number of people insured changes or if I take up smoking or premiums may be increased (for any reason) by giving 3 months prior notice. I understand and agree that my credit union may be earning a fee from the sale of this insurance to me. I understand and agree that my estate or surviving beneficiary must provide documentation to my credit union to support any claim on this insurance. I understand and agree that I can only be insured once under the Policy even if I have accounts with more than one credit union. Signature of person to be insured: Person from whose account the premium payment will be deducted: Name: Membership No: Signature: Date signed: Office use only: Processed by: Loaded to FACTS:

Covering you co-operatively FUNERAL PLAN Insurance This brochure is a summary of the FUNERAL PLAN group insurance policy held by your credit union. A copy of the policy, which contains the full terms, conditions and exclusions of the FUNERAL PLAN policy is available on request from your credit union. FUNERAL PLAN is underwritten by Credit Union Insurance Limited. Credit Union Insurance Limited has a BB + insurer financial strength rating given by Fitch Ratings. Fitch Ratings Insurer Financial Strength Ratings Scale: AAA: Exceptionally Strong AA: Very strong A: Strong BBB: Good BB: Moderately weak B: Weak CCC: Very weak CC: Extremely weak C: Distressed. Notes: + or - may be appended to a rating to indicate the relative position of a credit within the rating category. Such suffixes are not added to ratings in the AAA category or to ratings below the B category. Co-op Insurance NZ is the trading name for Credit Union Insurance Limited, an insurer licensed by the Reserve Bank of New Zealand under the Insurance (Prudential Supervision) Act 2010. For any FUNERAL PLAN enquiries or claims, contact your local credit union. Thinking of joining a credit union? Anyone can! If you re not already a credit union member go to: www.coopinsurancenz.co.nz to find your nearest credit union. Proud member of: