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Affnity Markets Advisor Product Guide Lifecheque ® Basic Critical Illness Insurance Plan The Manufacturers Life Insurance Company

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Page 1: 14.5078 Affnity Markets - Manulife...14.5078 – based on 13.5031 Broker Marketing Lifecheque Basic Product Redesign Advisor Product Guide: English - updates to content and design

14.5078 – based on 13.5031Broker Marketing Lifecheque Basic Product Redesign

Advisor Product Guide: English- updates to content and design- version of copy: “14.5078 Broker

LCB Product Guide.docx” [Draft 2 – UNAPPROVED – 2014-12-17, 5:56pm]

- changes as at 2015-02-11, 3:47pm

7 PAGES

Flat Size: 8.5" x 11.0"

Colours – 4/4:C M Y K

14.5078 Broker Marketing Lifecheque Basic Product Redesign_Advisor Product Guide_EN.indd 1 2015-02-11 3:47 PM

Affnity Markets

Advisor Product Guide

Lifecheque® Basic Critical Illness Insurance Plan

The Manufacturers Life Insurance Company

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Overview: Plan at a glance

Nobody likes to think about being diagnosed with a critical illness. Lifecheque® Basic can give your clients a simple, affordable fnancial protection plan, just in case. They can quickly apply, then rest assured that if they suffer a covered critical illness they can focus on recovery, rather than money.

This guide was created just for advisors like you to better understand Lifecheque Basic, so you can pass on the advantages of the plan to your clients.

Eligibility n Resident of Canada. n Between the ages of 18 and 65. n Coverage eligibility:

Age Coverage amounts available

18-55 $25,000, $50,000, $75,000

56-60 $25,000, $50,000

61-65 $25,000

Product highlights n Benefts: payment of the sum insured upon the frst diagnosis of cancer, heart attack, stroke, coronary bypass

surgery, and aortic surgery. n Approval is based on a simple signed Health Declaration. n Pre-existing condition exclusion: no benefts payable if a pre-existing condition was diagnosed within a

24-month period prior to the effective date of the policy. n Each condition has exclusions and additional requirements specifed in its defnition.

Return of Premium Option n Issue ages: 18-55 years. n Termination age: 75 years. n Refund of all premiums paid at the expiry of the policy, up to 100% of the beneft amount, if no claims have

been made. n Available for purchase at the time of application only.

Premiums n Ages are based on age at last birthday. n Monthly premiums are based on age, gender and smoker status. n Premiums are level, single-scale renewable and are guaranteed not to change for the frst fve years.

Once the renewal rate for each subsequent 5 year term is determined it is guaranteed not to change for another fve years.

n Premiums are payable until the policy anniversary date following the insured’s 75th birthday, at which time the policy will terminate.

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Underwriting n Approval for coverage is subject to the applicant’s signed/confrmed declaration of good health and providing

Manulife with payment information. n No medical questionnaire or family history is required.

Modal factors and policy fees

The annual premium is 12 times the monthly premium. There is no policy fee.

Payment options

The payment modes available are monthly by PAD (pre-authorized debit), monthly by credit card (MasterCard, American Express and Visa) and annually by credit card (MasterCard, American Express and Visa).

The Lifecheque Basic solution

Lifecheque Basic Critical Illness Insurance offers a one-time lump-sum payment upon diagnosis of one of the fve most common major disorders: cancer, stroke, heart attack, coronary bypass surgery and aortic surgery. It includes a 30-Day Satisfaction Guarantee. Return of Premium Option ensures the return of all premiums paid up to 100% of the beneft amount should the policy continue claim-free until the expiry date – the anniversary date following the insured’s 75th birthday.

How long will it take to get approved? If your applicant can sign the Health Declaration, then he or she is approved for Lifecheque Basic Critical Illness Insurance. The effective date of coverage is the frst of the month following the date the application with a signed Health Declaration and payment information is received.

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Plan details

Defnitions for covered conditions

Cancer (Life-Threatening)

A defnite diagnosis of a tumour, which must be characterized by the uncontrolled growth and spread of malignant cells and the invasion of tissue. Types of cancer include carcinoma, melanoma, leukemia, lymphoma, and sarcoma. The diagnosis of cancer must be made by a specialist.

No beneft will be payable for the following: n lesions described as benign, pre-malignant, uncertain, borderline, non-invasive, carcinoma in-situ (Tis), or

tumours classifed as Ta; n malignant melanoma skin cancer that is less than or equal to 1.0 mm in thickness, unless it is ulcerated or is

accompanied by lymph node or distant metastasis; n any non-melanoma skin cancer, without lymph node or distant metastasis; n prostate cancer classifed as T1a or T1b, without lymph node or distant metastasis; n papillary thyroid cancer or follicular thyroid cancer, or both, that is less than or equal to 2.0 cm in greatest

diameter and classifed as T1, without lymph node or distant metastasis; n chronic lymphocytic leukemia classifed less than Rai stage 1; or n malignant gastrointestinal stromal tumours (GIST) and malignant carcinoid tumours, classifed less than AJCC

Stage 2.

Moratorium period exclusion

No beneft will be payable under this condition if, within the frst 90 days following the later of the effective date of the policy or the date of last reinstatement of the policy, the insured has any of the following:

n signs, symptoms or investigations that lead to a diagnosis of cancer (covered or excluded under the policy), regardless of when the diagnosis is made; or

n a diagnosis of cancer (covered or excluded under the policy).

Medical information about the diagnosis and any signs, symptoms or investigations leading to the diagnosis must be reported to the insurer within 6 months of the date of the diagnosis. If this information is not provided within this period, the insurer has the right to deny any claim for cancer or any critical illness caused by any cancer or its treatment.

The insured must survive for a period of 30 days following the date the condition is diagnosed in order for the beneft to be paid.

Heart Attack

A defnite diagnosis of the death of heart muscle due to obstruction of blood fow, that results in a rise and fall of biochemical cardiac markers to levels considered diagnostic of myocardial infarction, with at least one of the following:

n heart attack symptoms n new electrocardiogram (ECG) changes consistent with a heart attack, or n development of new Q waves during or immediately following an intra-arterial cardiac procedure including,

but not limited to, coronary angiography and coronary angioplasty.

The diagnosis of heart attack must be made by a specialist.

Specialist means a person duly qualifed and legally licensed to practise medicine in Canada or the United States, and who has been trained in the specifc area of medicine relevant to the covered critical illness condition for which

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beneft is being claimed, and who has been certifed by a specialty examining board. In the absence or unavailability of a Specialist, and as approved by the insurer, a condition may be diagnosed by a physician. Specialist includes, but is not limited to, cardiologist, neurologist, oncologist, and internist. The Specialist must not be a relative or business associate of the insured person, the policy owner (if different from the insured person), or any claimant in respect of the insured person.

Exclusion: No beneft will be payable under this condition for: n elevated biochemical cardiac markers as a result of an intra-arterial cardiac procedure including, but not limited

to, coronary angiography and coronary angioplasty, in the absence of new Q waves, or n ECG changes suggesting a prior myocardial infarction, which do not meet the heart attack defnition as

described above.

The insured must survive for a period of 30 days following the date the condition is diagnosed in order for the beneft to be paid.

Stroke (Cerebrovascular Accident)

A defnite diagnosis of an acute cerebrovascular event caused by intra-cranial thrombosis or haemorrhage, or embolism from an extra-cranial source, with:

n acute onset of new neurological symptoms, and n new objective neurological defcits on clinical examination, and persisting for more than 30 days following the

date of diagnosis. These new symptoms and defcits must be corroborated by diagnostic imaging testing.

The diagnosis of stroke must be made by a specialist.

Exclusion: No beneft will be payable under this condition for: n transient ischaemic attacks; or n intracerebral vascular events due to trauma; or n lacunar infarcts which do not meet the defnition of stroke as described above.

The insured must survive until all of the criteria outlined in stroke above have been met in order for the beneft to be paid.

Coronary Artery Bypass Surgery

The undergoing of heart surgery to correct narrowing or blockage of one or more coronary arteries with bypass graft(s). The surgery must be determined to be medically necessary by a specialist.

Exclusion: No beneft will be payable under this condition for angioplasty, intra-arterial procedures, percutaneous trans-catheter procedures or non-surgical procedures.

The insured must survive for a period of 30 days following the date of the surgery in order for the beneft to be paid.

Aortic Surgery

The undergoing of surgery for disease of the aorta requiring excision and surgical replacement of any part of the diseased aorta with a graft. Aorta means the thoracic and abdominal aorta but not its branches. The surgery must be determined to be medically necessary by a specialist.

Exclusion: No beneft will be payable under this condition for angioplasty, intra-arterial procedures, percutaneous trans-catheter procedures or non-surgical procedures.

The insured must survive for a period of 30 days following the date of the surgery in order for the beneft to be paid.

Return of Premium Option We will refund premiums paid up to 100% of the face amount, if:

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n the insured has not made a claim by the expiry date of the policy on the policy anniversary date following the insured’s attaining age 75;

n his/her coverage including the Return of Premium Rider is still in force on that date, and the insured is not then satisfying a waiting period for a covered condition.

This rider is available at the time of application only, for ages 18 to 55.

If the insured is in the waiting period for a Covered Condition Beneft, this rider coverage will not expire until the frst day the insured is no longer satisfying the waiting period required by that covered condition.

If the insured survives the waiting period for a Covered Condition Beneft, but that beneft is not payable, we will pay the Return of Premium on Expiry Beneft described above.

If the insured survives the waiting period for a Covered Condition Beneft, and the beneft is payable, no Return of Premium on Expiry Beneft will be payable.

Exclusions and limitations No beneft will be paid if the insured suffers a covered condition at any time during the 24-month period following the effective date of the policy or the date of the last reinstatement which results directly or indirectly from or is in any way associated with a pre-existing condition. A pre-existing condition is an illness or condition for which, during the 24-month period prior to the effective date of the policy or the date of the last reinstatement, the insured was diagnosed, treated, hospitalized or attended to by a physician or was advised to seek treatment or consult a physician; was prescribed or took medication; showed indications, signs or symptoms; or underwent tests or investigations.

No benefts are payable if the insured, while sane or insane, suffers a covered condition which results directly or indirectly from or is in any way associated with:

n intentional self-inficted injuries; n intentional use or intake of:

- any prescription drug or narcotic other than as instructed by a physician;

- any drug or narcotic legally available for sale in Canada without a prescription, other than as recommended by the manufacturer;

- any drug or narcotic not legally available in Canada; or

- any poisonous substance or intoxicant, including alcohol; n committing or attempting to commit a criminal offence; n operating a motor vehicle while the concentration of alcohol in 100 milliliters of blood exceeds 80 milligrams.

If the insured suffers a covered condition which is diagnosed in a jurisdiction other than Canada or the United States, we must be satisfed that:

n the same diagnosis would have been made if the covered condition had occurred in Canada or the United States;

n the physician making the diagnosis was licensed to practice and had medical credentials equal to those required in Canada or the United States;

n the diagnosis is fully supported by all appropriate diagnostic tests and other investigation which would normally be undertaken in Canada or the United States (including those required by the policy); and

n where applicable, the same type of surgery or procedure as required under the policy in order for the beneft to be payable would have been advised if the diagnosis had been made in Canada or the United States.

Where the diagnosis is made in a jurisdiction other than Canada or the United States, the insurer shall have the right to request that an insured undergo an independent medical examination by a physician appointed by the insurer.

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Underwriting basis

Coverage is approved subject to the applicant’s Health Declaration. This expressed declaration and agreement may be made in writing, or it may be given electronically, as follows:

I declare that I have never been diagnosed with, had any signs and/or symptoms of, or had any medical consultations and/or abnormal tests for the following disorders:

n cancer, intracranial tumour n heart disease (including but not limited to angina and heart attack), stroke, transient ischemic attack (TIA),

peripheral vascular disease or diabetes n hepatitis, including hepatitis carrier state, chronic kidney disease, AIDS or HIV

I declare that I have never had coronary artery bypass surgery and/or aortic surgery.

I declare that I have not undergone any medical or diagnostic tests for which I am currently awaiting results and I have not been advised by a doctor or specialist to undergo any medical or diagnostic tests which have not yet been completed.

I declare that during the past 5 years I have not had any signs and/or symptoms of, received treatment for, or been advised to seek treatment regarding drug abuse and/or alcoholism.

Direct-to-client offer

In addition to the above language, direct-to-client offers of this product (i.e., where a licensed agent has not presented the product to the applicant) will include the following language:

I acknowledge receipt of the Lifecheque Basic Critical Illness Insurance brochure and declare that I have read and understand the information concerning the terms of coverage under the plan and the limitations and exclusions applicable to such coverage, including those related to pre-existing conditions.

Termination

Insurance under the policy shall terminate automatically on the earliest of the following dates: n at the policy anniversary date following an insured’s 75th birthday; n 31 days after the premium due date if the required premium remains unpaid for the policy; n on the premium due date following the date Manulife receives written notifcation by an insured of his or her

desire to terminate coverage; n on the date a beneft becomes payable under the policy; n on the date of death of the insured.

Plans underwritten by The Manufacturers Life Insurance Company. Manulife and the Block Design are trademarks of The Manufacturers Life Insurance Company and are used by it, and by its affliates under license. ® Registered trademark held by The Manufacturers Life Insurance Company. © 2015 The Manufacturers Life Insurance Company.All rights reserved.

LCBCI.APG.NE 01/2015 14.5078