ita terms & conditions

International Term AssurancePolicy terms and conditions

Zurich International Life

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The Policy is provided by Zurich International Life

Limited (‘the Company’) and is subject to these

terms and conditions, the application and any

other submissions made by the Policy Owner

and any Life Insured. Any changes or additions

to the Policy can only be made in writing from

the head office of the Company or that branch

of the Company where premiums are payable

as set out in the Schedule. Please keep this

document in a safe place with your Schedule.

In the event of fraud, or if you do not tell us all

the relevant facts, the Company reserves the

right to revoke the Policy.

References to the ‘Relevant Life Insured’ means

the person upon which payment of a Benefit

depends. If the Policy has two Lives Insured, the

Company will pay the cash sum Benefit when

the first Life Insured dies, or is diagnosed with a

Terminal Illness, or contracts a Critical Illness or

becomes totally and permanently disabled.

This document sets out the Policy terms and conditions

of the International Term Assurance Policy (the ‘Policy’).

The Policy will provide Cover during the Policy Term on the Life or Lives Insured shown on

the Policy Schedule (the ‘schedule’). The types of Cover

provided are specified in the Schedule and defined in

Appendix 1, Definitions of words used in this Policy.

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Section Page

1 InternationalTermAssurancePolicy 41.1 Life Cover and Accelerated Life Cover 41.2 Critical Illness Benefit 41.3 Permanent and Total Disability Benefit 41.4 Amount of Cover 41.5 Length of Policy Term 41.6 Exclusions 4

2 TheBenefitsinmoredetail 52.1 Life Cover 52.2 Critical Illness Cover 62.3 Permanent and Total Disability Benefit 7

3 WhatisthePolicyTerm? 10

4 WhocanholdthePolicy? 10

5 MakingPremiumPayments 11

6 HowflexibleisthePolicy? 12

7 Whatifyourcircumstanceschange? 12

8 MakingaClaim 138.1 General Conditions 138.2 Claiming for the Life Cover Benefit 138.3 Claiming the Accelerated Life Cover Benefit 138.4 Claiming for Critical Illness Benefit 138.5 Claiming for Permanent and Total Disability Benefit 13

9 LawandInterpretation 14

10 ChangestothePolicy 14

11 TheroleoftheCompanyChiefActuary 15

12 OtherInformation 1512.1 Active War Risk 1512.2 Passive War Risk 1512.3 Beneficiary Designation 1612.4 Events which may affect the Policy 1612.5 Notices to the Company 1612.6 Incorrect date of birth of the Life Insured 1612.7 Currency 1712.8 Force Majeur 1712.9 Right to Cancel 17

Appendix1–DefinitionsofwordsusedinthisPolicy 18

Appendix2–CriticalIllnessesdefinitions 19

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Contents

The Policy will provide Life Cover with the option

to select either Critical Illness or Permanent and

Total Disability Cover as an Additional Benefit.

The Policy can be written as a single Life policy

or as a joint Life first death policy with a term

specified in the Schedule.

1.1 LifeCoverandAcceleratedLifeCover

A The Company will pay a cash sum,

Life Cover, if the Relevant Life Insured dies

during the Policy Term.

B If the Relevant Life Insured is diagnosed

as having a Terminal Illness that meets the

definition set out in this Policy, instead of

the Benefit payable in 1.1 (A), the Company

will pay a cash sum, Accelerated Life

Cover, defined in section 2.1A (iii) and

Appendix 1.

1.2 CriticalIllnessBenefit

The Company will pay the selected cash

sum if, during the Policy Term the Relevant

Life Insured is diagnosed with a Critical

Illness defined in Appendix 2 of this Policy.

Any Critical Illness payment will reduce

or extinguish the Life Cover. Please note

Critical Illness has a different definition

than that applying to Terminal Illness.

1.3 PermanentandTotalDisabilityBenefit

The Company will pay the selected

cash sum if due to accident or illness

the Relevant Life Insured is totally and

permanently disabled from performing

his/her own occupation or any other

occupation. Any Permanent and

Total Disability payment will reduce

or extinguish the Life Cover.

For more information on the Benefits

referred to above, please read Section 2.

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1.4 AmountofCover

The Schedule shows the initial amount of

Life Cover selected by the Policy Owner,

any optional Additional Benefits included

and any specific exclusions the Company

has applied to this Policy. These exclusions

are in addition to the general exclusions

set out in other parts of this document.

If the Life Cover and Additional Benefits

are increased following payment of

additional premium, or if the Life Cover

is decreased (following payment of an

Additional Benefit); a Policy Endorsement

(‘Endorsement’) to reflect this will be issued.

1.5 LengthofPolicyTerm

The Policy Owner agrees to the Policy Term

at the start of the Policy and at the end of

the term the Cover will stop. The Policy

does not have a cash-in value at any time.

1.6 Exclusions

The Company will include any specific

exclusion that has been accepted by the

Policy Owner and the Life or Lives Insured

on the Schedule. Any exclusion shown on

the Schedule removes the Company’s

obligation to pay the Benefits where the

claim results from the Relevant Life Insured

taking part in certain specified occupations,

pursuits or activities, or where the Relevant

Life Insured suffers from certain specified

illnesses, disabilities or medical conditions.

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1 International Term Assurance Policy

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(ii) The day before the Life Insured

attains 80 years of age. Or the day

before the oldest Life Insured attains

80 years of age on a joint Life first

death policy;

(iii) When the Relevant Life Insured dies;

(iv) When the Relevant Life Insured is

diagnosed with a Terminal Illness,

as defined by the Policy, during the

Policy Term, providing that more than

18 months of the Policy Term remains;

(v) At the end of the deferment period

where the Relevant Life Insured is

suffering from total and permanent

disablement, as defined by the Policy

and the amount claimed equals the

amount of the Life Cover;

(vi) If the Relevant Life Insured is

diagnosed with a Critical Illness,

as defined by the Policy, and the

amount claimed equals the amount

of the Life Cover;

(vii) If the Policy Owner fails to pay the

premiums; please see Condition 5

of these Terms and Conditions

for details;

(viii) The Policy Owner requests in writing

to end the Policy;

(ix) In the event of two Lives Insured,

the Policy will stop when the first Life

Insured dies or is diagnosed with a

Terminal Illness or, if earlier, when

one of the other events referred to

above occurs.

2.1 LifeCover

A When is the Life Cover Benefit payable?

(i) The Company will pay the Life Cover

cash sum if the Relevant Life Insured

dies during the Policy Term.

(ii) The Company will pay the Life Cover

cash sum early if the Relevant Life

Insured is diagnosed with a Terminal

Illness and has less than 12 months

to live; provided the diagnosis is

confirmed before the start of the

last 18 months of the Policy Term.

(iii) A Terminal Illness is an advanced or

rapidly progressing incurable illness,

where, in the opinion of an attending

Medical Practitioner (as defined in

Condition 2.3 C of these Terms and

Conditions) and the Company Chief

Medical Officer; the Relevant Life

Insured’s Life expectancy is no more

than 12 months (‘Terminal Illness’).

If the Policy has two Lives Insured, the

Company will pay the cash sum when the

first Life Insured dies or is diagnosed with

a Terminal Illness.

B What amount is payable on death?

The Schedule or any subsequent

Endorsement show the amount payable

and this will be reduced by any amount

of Permanent and Total Disability Benefit

or Critical Illness Benefit already paid.

C When does the Policy stop?

The Policy will stop on the occurrence of

the earliest of one of the following events:

(i) At the end of the Policy Term;

2 The Benefits in more detail

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D When will the Company not pay out the

Life Cover?

The Company will not normally pay out

Benefits if:

(i) The Policy Owner has not made all

premium payments that were due;

please refer to Condition 5 of these

Terms and Conditions for details;

(ii) The Relevant Life Insured commits

suicide (whether sane or insane) within

12 months of the commencement

date of the Policy. The Company will

refund the premiums paid since the

commencement date of the Policy or

date the Policy was reinstated. If Life

Cover has been increased and the

Relevant Life Insured commits suicide

within 12 months of the increase, the

Company will not pay the increased

Life Cover amount but will refund

the increased premium payments

made since the date of the increase,

less any reasonable administration

costs incurred by the Company;

(iii) The Policy Owner has knowingly

or recklessly failed to disclose or

deliberately misrepresented any fact

that an insurer would regard as likely

to influence the Company’s decision

to grant insurance Cover under this

Policy or would affect the level of

premium payable. This may result in

no payment or a reduced payment

being made;

(iv) The Relevant Life Insured is diagnosed

with a Terminal Illness within the last

18 months of the Policy Term and the

Relevant Life Insured survives until the

Policy ends;

(v) The Company has not received

written notification of death within

28 days of the date of death of the

Relevant Life Insured.

2.2 CriticalIllnessCover

This Additional Benefit will only apply

when the Schedule indicates that such

Cover has been granted by the Company.

This Additional Benefit is not available if

the oldest Life Insured is aged 60 years or

older at the Policy Commencement Date.

A When will the Company pay the

Critical Illness Cover?

(i) The Company will pay the Critical

Illness cash sum if the Relevant Life

Insured is diagnosed with a Critical

Illness that meets the definition set

out in Appendix 2;

(ii) The Policy will end if the Critical

Illness cash sum is the same as the

Life Cover cash sum or, the Life

Cover will be reduced by the amount

of the Critical Illness claim;

(iii) The Company will only pay Benefits

in connection with the Critical

Illnesses defined in these Terms

and Conditions and no others.

B Critical Illness claims

All diagnoses and medical opinions in

support of Critical Illness claims must be

given by a medical specialist who:

(i) Is acceptable to the Company’s

Chief Medical Officer; and

(ii) Is a specialist in an area of medicine

appropriate to the cause of the

claim; and

(iii) Is a legally qualified and duly licensed

medical physician or surgeon acting

within the scope of that license; and

(iv) Who is not the Life Insured or a close

relative of either the Life Insured or

their spouse or, the Policy Owner or

their spouse.

If there are two Lives Insured, the

Company will pay out the Critical Illness

Benefit if and when the first Life Insured is

diagnosed with a Critical Illness that meets

our Policy definition.

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C How much Benefit will the Company

pay out?

The Schedule or any subsequent

Endorsement will show the amount

of Benefit payable by the Company.

Only one Critical Illness payment will

be made under this Policy.

D When does the Policy stop?

The Policy will stop in accordance with

Condition 2 of these Terms and Conditions

(Life Cover).

E When will the Company not pay out the

Critical Illness Benefit?

The Company will not pay out a Benefit

if you have not made all the premium

payments that were due.

The Company will not pay a Critical Illness

claim if:

(i) The illness suffered does not exactly

meet the Policy definitions set out in

Appendix 2;

(ii) The illness suffered is not included in

these Terms and Conditions; or

(iii) You do not tell us about the claim

within 60 days of the Relevant Life

Insured affected being informed of

the diagnosis or the operation.

In some cases, the Company may apply

additional exclusions when agreeing to

accept your Application. Any exclusion

applied to the Policy will be shown on

your Schedule.

Benefits under this option will commence

6 months after (i) the On Risk Date,

defined in Appendix 1 and shown on the

Schedule, or (ii) any reinstatement or (iii),

in respect of any increase in Benefit, the

date of increase.

F Can Critical Illness premium

payments change?

The Company guarantees that your Critical

Illness premium payment amounts for the

first 5 years of the Policy will not change.

At the fifth policy anniversary the

Company will review your premium

payment amount and then subsequent

reviews will take place every 5 years

throughout the Policy Term.

If the predicted cost of providing Critical

Illness Benefit is higher than expected, you

will either need to increase your premium

payments to keep your chosen level of

Cover throughout the Policy Term, or

reduce your Cover and keep your premium

payments the same.

When predicting the cost of providing

Critical Illness Benefit, the Company will

consider various issues, including past and

predicted future claims experience across

the Life assurance business as well as

developments in medical treatments and

diagnostic techniques.

Any increase in Cover will be guaranteed

for a further 5 years from the date of

increase and also reviewed every 5 years

from the date of increase.

2.3 PermanentandTotalDisabilityBenefit

The Company will pay this Additional

Benefit if and when the Life Insured is

diagnosed with a permanent and total

disability or, if there are two Lives Insured,

the first Life to be so diagnosed. It will only

apply where the Schedule indicates that

such Cover has been granted and it is not

available if the oldest Life Insured is aged 60

years or older at the Policy Commencement

Date, shown in the Schedule.

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A This Additional Benefit provides a lump

sum payable in the event of the permanent

and total disablement of the Relevant Life

Insured subject to Conditions B, C, D and E

of these Terms and Conditions.

B Where the Relevant Life Insured is under

65 years of age, they must be certified

by a Medical Practitioner appointed or

approved by the Company’s Chief Medical

Officer to be totally and permanently

disabled through accident or illness and

to be unable ever again to follow his/her

usual occupation or any other occupation.

(i) ‘Medical practitioner’ means a legally

qualified and duly licenced medical

physician or surgeon acting within

the scope of that licence who is not

the Life Insured or a close relative of

either the Life Insured or their spouse

or, the Policy Owner or their spouse.

(ii) For the purposes of this Condition

in relation to housewives and

househusbands under 65 years of

age ‘permanent and total disability’

means the following:

Confirmation by a Medical

Practitioner appointed or approved

by the Company’s Chief Medical

Officer, of the permanent inability,

through illness or accident, to

perform at least two of the following

activities of daily working. The

inability to perform an activity shall

only be valid if the help of another

person is needed to perform the

function even when using

appropriate assistive aids and

appliances. For the purpose of this

event the word ‘permanent’ shall

mean beyond the hope of recovery

with current medical knowledge

and technology.

The activities of daily working are:

• Walking – the ability to walk

more than 200 metres on the

flat without stopping or

severe discomfort.

• Bending – the ability to get into

or out of a standard saloon car,

or the ability to bend or kneel to

pick up a tea cup from the floor

and straighten up again.

• Communications – the ability to

answer the telephone and take

a message.

• Reading – having the eyesight

required to be able to read a

daily newspaper.

• Writing – having the physical

ability to write legibly using a

pen or pencil.

(iii) For the purposes of this condition in

relation to a Life Insured 65 years of

age or over permanent total disability

means the following:

Confirmation by a Medical

Practitioner appointed or approved

by the Company’s Chief Medical

Officer, of the permanent inability,

through illness or accident, to

perform at least four of the following

activities of daily living. The inability

to perform an activity shall only be

valid if the help of another person is

needed to perform the function even

when using appropriate assistive aids

and appliances. For the purpose of

this event the word ‘permanent’ shall

mean beyond the hope of recovery

with current medical knowledge and

technology.

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The activities of daily living are:

(i) Feeding/eating:Cutting meat, buttering bread,

getting food and drink to the

mouth using fingers or utensils.

(ii) Dressing:Dressing oneself including fastening

zips and buttons, getting clothes

from wardrobes and drawers.

(iii) Bathing/grooming:Turning on taps, getting in and out

of bath/shower, washing face/hands

etc, drying oneself, combing hair.

(iv) Toileting:Moving into and out of the bathroom,

getting on and off the toilet unaided,

recognising the need or urge to void

bladder or bowel in time to get to

the toilet.

(v) Mobility/transfer:Getting into and out of bed,

transferring from one place to

another e.g. chair to bed, chair to

standing, chair to chair.

(vi) Walking/using a wheelchair:Moving from one location to another

– walking or using an unpowered

wheelchair propelled by the Relevant

Life Insured or using frame

C The Company will only pay the Permanent

and Total Disability Benefit if the Relevant

Life Insured has been continuously and

totally disabled and unable to follow his/her

usual occupation or any other occupation

for a period of 6 consecutive months.

D The Company will not make any payment

under the Permanent and Total Disability

Benefit should the incapability of the

Relevant Life Insured was caused wholly or

partially, directly or indirectly, from or in

connection with or be aggravated by one

or more of the following causes:

(i) The Life Insured being found to

be infected by any Human

Immunodeficiency Virus (HIV) or

to be carrying any antibodies to

such a virus;

(ii) Participation in or training for any

dangerous or hazardous sport or

competition or riding or driving in

any form of race or competition;

(iii) Aviation, gliding or any other form

of aerial flight other than as a fare

paying passenger of a recognised

airline or charter service;

(iv) Attempted suicide or self inflicted

injury whilst sane or insane;

(v) Failure to seek timely or to follow

medical advice;

(vi) Addiction to, abuse or misuse of

alcohol, or the addiction to, or

misuse of unprescribed drugs;

(vii) Mental, nervous or psychiatric

disorders, without demonstrable

brain disease;

(viii) Any disability, abnormality or

deformity which originated prior to

the later of the date on which this

Additional Benefit was most recently

added to the Policy, the On Risk Date

stated in the Schedule, the date of

any reinstatement or, in respect of

any increase in Benefit, the date

of increase.

E The Life Insured must take every reasonable

action, including having any appropriate

medical or surgical procedure and without

limitation take every reasonable step to

lessen the disability in order that the Life

Insured can carry out his/her normal

occupation or any other occupation.

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The minimum term of the Policy is 5 years.

The maximum term of the Policy is 35 years.

The Policy must end before the oldest Life Insured’s 80th birthday.

A Policy OwnerThe maximum number of Policy Owners is

two and both must be aged at least 18

years at the Policy Commencement Date.

B Life InsuredThe maximum number of Lives Insured is

two and both must be aged at least 18

years at the Policy Commencement Date.

The maximum age of the Life Insured at

the Policy Commencement Date is 74

years. If there are two Lives Insured,

the maximum age of the older person

is 74 years.

3 What is the Policy Term?

4 Who can hold the Policy?

If Critical Illness or Permanent and

Total Disability Benefits are selected,

the maximum age of the older Life

Insured is 59 years at the Policy

Commencement Date.

C ‘Life of Another’ PoliciesThe Policy can be taken out on someone

else’s Life as long as they agree and the

Policy Owner can show they would suffer

financially if the Life Insured were to die,

suffer a Critical Illness or become

permanently and totally disabled. The term

‘Life of Another’ is defined in Appendix 1.

11

The regular premium payments due must be

paid throughout the Policy Term and the amount

of each premium payment due and the Policy

Term is shown on your Schedule.

A Can premium payments be changed by

the Company?

Your premium payments in respect of Life

Cover and, if selected, Permanent Total

Disability Benefit will remain unchanged

throughout the Policy Term.

Premium payments in respect of Critical

Illness Benefit, if selected, will remain

unchanged for 5 years from the Policy

Commencement Date. At the fifth Policy

anniversary date the premium amount

will be reviewed and then further

premium reviews will occur every

5 years thereafter for the remainder

of the Policy Term.

The Company reserves the right to

increase the premium payment amount

for the Critical Illness Benefit at each

5 year review date.

If you purchased the Policy in conjunction

with a Vista Policy issued by the Company

resulting in a reduced Policy premium;

if the Vista Policy lapse or be surrendered,

the Company reserves the right to

re-calculate the future Policy premiums

as if the Vista Policy had not existed.

Your premium payments will change if you

ask to increase the amount of Cover and

the Company accepts your request.

5 Making Premium Payments

B How are premium levels calculated?

Premiums are calculated based on the type

and amount of Life Cover you have

selected, any Additional Benefits included,

the Policy Term, the age and sex of the

Life Insured, and whether they smoke.

The health of the Life Insured, their

occupation and any recreational activities

may result in an increase to the premium

amount. Any such increase will be shown

on or included in the premium payment

shown on the Schedule.

If you pay premiums by credit card, the

Company will charge an additional 1%

of each premium payment amount.

C When will Cover under the Policy begin?

The Policy will not commence until the

first premium payment is received by the

Company. If this premium payment is not

received, the Policy will not become

effective and no Cover will be provided.

D How and when should premium payments

be made?

Premiums are to be paid where the Policy

was issued or where the Company has

an office or it could be paid to the Head

Office of the Company in the Isle of Man.

No receipt for any payment is valid unless

on the Company’s printed form.

All premiums must be paid in the Policy

currency shown on the Schedule. The

premium currency may be changed at any

Policy anniversary date using an exchange

rate determined by the Company.

Your premium payments will stop when

the Policy stops. Please refer to Conditions

2 and 8 of these Terms and Conditions.

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E What happens if premiums are not paid

or received by the Company?

All premiums must be paid within 3

months of the Payment Due Date shown

on the Schedule. If you do not make a

payment when it is due, and 3 months

have elapsed the Policy will lapse without

any value and Cover will cease.

If the Company accepts a claim during

the 3 month grace period, the Company

reserves the right to deduct any unpaid

premiums from the amount of the

Benefit payment. The Company will

send a reminder of premium due

after 1 month and 2 months after the

premium frequency and due date shown

in the Schedule.

A It is not possible to reduce the amount of

Cover provided by the Policy.

B Subject to acceptance by the Company

you can increase the amount of Cover and

any increase will take effect at the next

Policy Anniversary Date.

C If you increase your Cover, the Company

will calculate the new premium based on

the age and sex of the Life Insured, and

whether they smoked at the original

Commencement Date; the health of the

Life Insured, their occupation and any

recreational activities they undertake, as

well as the number of years of the Policy

Term remaining.

6 How flexible is the Policy?

F What happens if the Policy lapses?

If your Policy has lapsed because premiums

have remained unpaid for 3 months, you

can ask the Company to recommence the

Policy provided the following requirements

are met within 12 months of the first

unpaid Premium Due Date:

(i) Receipt by the Company of a

reinstatement Application from the

Policy Owner or owners; and

(ii) The Company has received payment

of all the outstanding premiums; and

(iii) Any medical evidence required by the

Company has been received; and

(iv) All the Lives Insured were accepted

on ordinary terms at the original

Commencement Date of the Policy.

The Company will use the address shown in your

application form for all correspondence until we

are notified otherwise. Please let us know if you

change your name or any of your contact details

in order that our systems accurately reflect your

current personal information.

7 What if your circumstances change?

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8.1 GeneralConditions

When the Policy Owner or their

representatives, need to make a claim,

they should contact their financial adviser

or the Company at any office address

listed at the back of this document.

The Company will provide the Policy Owner

or their representatives with a claim form

and any other requirements which must be

completed and returned to the Company

before the claim will be processed.

The Company reserves the right to require

any of the following before processing

a claim:

(i) Information from the doctor,

consultant or any other relevant

third party;

(ii) The Relevant Life Insured to attend a

medical examination, where an

Accelerated Life Cover, Critical Illness

or Permanent and Total Disability

claim is being made;

(iii) Sight of documentation necessary to

prove who is the owner of the Policy;

(iv) Proof of the age of the Relevant

Life Insured;

(v) Proof of the identity of the claimants;

(vi) Return of the Schedule;

(vii) Death certificate of the Relevant

Life Insured where a death claim is

being made.

We always try to pay all valid claims as

soon as possible and we will keep you,

or the person dealing with your affairs,

informed of how the claim is progressing.

8.2 ClaimingfortheLifeCoverBenefit

The Policy Owner or their representatives

must notify the Company in writing when

claiming for Benefits payable on the death

of the Relevant Life Insured within 28 days

of the date of death of the Relevant Life

Insured. Failure to notify the Company

within this timescale may result in the

Company declining to pay the claim.

8 Making a Claim

8.3 ClaimingtheAcceleratedLifeCoverBenefit


must notify the Company in writing if the

Relevant Life Insured has been diagnosed

with a Terminal Illness and that the Life

expectancy of the Life Insured is less than

12 months.

Upon receipt of the completed claim form,

the Company will confirm what medical

evidence is required before the claim

payment will be made.

The Policy Owner must continue making

premium payments to the Policy until the

Company agrees to pay the Accelerated

Life Cover Benefit.

8.4 ClaimingforCriticalIllnessBenefit


must notify the Company in writing within

60 days of the Relevant Life Insured being

diagnosed with a Critical Illness.






premium payments to the Policy until

the Company agrees to pay the Critical

Illness Benefit.

8.5 ClaimingforPermanentandTotalDisabilityBenefit






premium payments to the Policy until the

Company agrees to pay the Permanent

and Total Disability Benefit.

The Company reserves the right to ask for

independent confirmation that any medical

treatment is necessary and appropriate.

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The Policy is governed by the law of the Isle of

Man subject to the following conditions:

Where the Policy Owner is resident in the

Special Administration Region of Hong Kong

(Hong Kong) then the Company will submit to

the non-exclusive jurisdiction of any competent

legal authority in Hong Kong in respect of any

litigation arising out of the Policy and the Policy

shall be interpreted in accordance with the laws

of Hong Kong.

Where the Policy Owner is resident in the United

Arab Emirates (UAE) then the Company will

submit to the non-exclusive jurisdiction of any

competent legal authority in the UAE in respect

of any litigation arising out of the Policy and the

Policy shall be interpreted in accordance with

the laws of the UAE.

Where the Policy Owner is resident in

Bahrain then the Company will submit to the

non-exclusive jurisdiction of any competent

legal authority in Bahrain in respect of any

litigation arising out of the Policy and the

Policy shall be interpreted in accordance with

the laws of Bahrain.

The parties to the Policy do not intend that any

of its terms will be enforceable by virtue of the

Isle of Man Contracts (Rights of Third Parties)

Act 2001, or any other similar law in any other

jurisdiction, by any person or party who is not

a party to it.

9 Law and Interpretation

The Company reserves the right to change these

Terms and Conditions and will do so having

taken advice from the Company’s Chief Actuary.

The Company will explain the reasons for any

change to Policy Owners in writing to their

last recorded address at least 3 months before

the date from which the change will apply.

Such changes would only be made if:

A Any event, or change in circumstances

makes it impossible or illegal to carry out

the terms of the Policy. These Terms and

Conditions may need to be amended by

the Chief Actuary to enable the Policy to

continue, and/or to stop the illegality.

B Premium payments may be increased or the

level of Critical Illness Benefit reduced, at

the discretion of the Chief Actuary, when

the 5 year premium payment guarantee

expires for the Critical Illness Benefit.

C If the Policy Owner or Owners and the Life

Insured or Lives Insured have knowingly or

recklessly failed to disclose any fact that

an underwriter would regard as likely to

influence the Company’s decision to grant

insurance Cover under this Policy or the

level of premium payments charged.

When deciding what amendments are

necessary, the Chief Actuary must act

reasonably and with due regard for his

professional duties.

The Company reserves the right to change these

Terms and Conditions if any of the details about

the Policy Owner or Owners and Life Insured or

Lives Insured are found to be incorrect.

The Company will require any request from

the Policy Owner to change the Policy to

be in writing.

10 Changes to the Policy

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An Actuary is a qualified professional who

makes mathematical assessments of costs and

probabilities and accordingly, sets premium

payments and rates for insurance and

pension contracts and deals with a range of

financial matters related to the business of

insurance companies.

11 The role of the Company Chief Actuary

12.1 ActiveWarRisk

If the event on which the Life Cover

Benefit or any Additional Benefit is

payable occurs as a consequence of the

Life Insured’s active involvement in war,

invasion, act of foreign enemies, hostilities

or war-like operation (whether war be

declared or not), civil war, mutiny, civil

commotions assuming the proportions of

or amounting to a popular rising, military

rising, insurrection, rebellion, riot, military

or usurped power or any act of any person

acting on behalf of or in connection with

any organisation actively directed towards

the overthrow or to the influencing of any

Government or ruling body by force,

terrorism or violence then no amount will

be payable under the Life Cover Benefit or

any Additional Benefit.

12.2 PassiveWarRisk

A This Condition will apply only if

reference is made to it in the special

provisions schedule.

B If the event on which the Life Cover

Benefit or any Additional Benefit is payable

occurs as a direct or indirect consequence

of war, invasion, act of foreign enemies,

hostilities or war-like operations (whether

war be declared or not), civil war, mutiny,

civil commotions, assuming the proportions

of or amounting to a popular rising,

military rising, insurrection, rebellion, riot,

military or usurped power or any act of

any person acting on behalf of or in

connection with any organisation actively

directed towards the overthrow or to the

influencing of any Government or ruling

body by force, terrorism or violence, no

amount will be payable under the Life

Cover Benefit or Additional Benefit if at

the time the relevant event occurs the Life

Insured is: within 2 years from the start

of the Policy, travelling to, residing in or

within the territorial limits of any country

listed in Table I of the Table of passive war

risks countries in the special provisions

schedule; or save where the Life Insured is

travelling to, temporarily residing in or is

within the territorial limits of any one or

more of the countries listed in Table II of

the Table of passive war risks countries in

the special provisions schedule for any

period or periods which do not exceed

30 days in total of any one Policy year.

12 Other Information

1�

12.3 BeneficiaryDesignation

The Policy Owner may nominate in writing

a designated beneficiary or beneficiaries in

the manner prescribed by the Company

and subject to the Company’s consent,

which will not be unreasonably withheld,

and to any terms, conditions or restrictions

which the Company may reasonably, from

time to time, impose.

12.4 EventswhichmayaffectthePolicy

A Benefits under this Policy will not be

affected by any future occupation or

recreational pursuit of the Life Insured;

unless specifically stated in the Schedule

or these Terms and Conditions.

B If the Life Insured commits suicide

(whether sane or insane at the time) within

12 months of the Policy Commencement

Date, the amount payable under this

Policy will be limited to the return of

the premiums paid. If the Life Insured

attempts suicide or self inflicts injury then

no Benefits are payable under this Policy.

C If an event on which a Benefit is payable

occurs wholly or partially, directly or

indirectly, from or in connection with or

be aggravated by any act of the Life

Insured which is a deliberate and material

violation of any law, then no amount will

be payable under the Benefit.

12.5 NoticestotheCompany

A The Company will not be affected by

notice of any assignment, beneficiary

designation, exercise of any right or option

or any other fact whatsoever relating to

this Policy unless and until express notice

in writing of that assignment, designation,

exercise or fact has been received by the

Head Office of the Company in the place

where the premiums are payable as set

out in the Policy.

B The Company shall be entitled (but not

bound) to rely on a certificate from any

person claiming an interest in this Policy as

to the extent of the interest to which that

person is entitled.

12.6 IncorrectdateofbirthoftheLifeInsured

If the date of birth of the Life Insured as

stated in the Schedule is not correct due

to information provided on the application

form, an equitable adjustment as

determined by the Company may be made

to the Benefits arising from this Policy.

1�

12.7 Currency

A All amounts payable by the Company

under this Policy will be payable in the

currency of the Policy as appropriate, at the

Company’s Head Office or such other place

as the Company may specify from time to

time. If more than one place is specified the

Policy Owner or their representatives, must

choose one at the time of the claim, and

that choice, once made, will be binding on

the Policy Owner or their representatives

and the Company. If requested, the

Company may convert the payment into

any freely convertible currency and all

currency conversions will be at exchange

rates determined by the Company.

B Additional Benefits may not be denominated

in a currency which is different from that

of the premium currency.

C If the premium currency of the Policy is no

longer freely convertible the Company will

be entitled to make such alteration to the

Terms and Conditions of this Policy as the

Chief Actuary determines to be necessary

or to be in the interest of the majority of

the owners of similar Policies.

D All currency conversions under this Policy

will be at exchange rates determined by

the Company.

12.8 ForceMajeur

NoliabilityshallariseiftheCompanyispreventedfromfulfillingitsobligationsunderthisPolicybyreasonofanysuperveningeventwhichcouldbeconstruedasforcemajeureunderapplicablelaws(including,butnotbywayoflimitation,ActofGod,war,nationalemergency,fire,flood,earthquake,strikeorindustrialaction).

12.9 RighttoCancel

Policy Owners resident in Hong Kong have

the right to cancel a Policy and obtain a

refund of any premiums paid by giving

written notice to the Company. If the

Policy Owner decides to cancel the Policy,

they must send notice to the registered

office in Hong Kong. It must be received

within 21 days from the date of the

Application, 14 days from the date of issue

of the Policy if later or 5 days after the

delivery date of the Policy.

1�

Definitions denoting the singular shall include

the plural and vice versa.

AcceleratedLifeCoverBenefit

The Benefit payable by the Company instead

of Life Cover in the event that a Relevant Life

Insured develops a Terminal Illness.

AdditionalBenefit

Either Critical Illness Benefit or Permanent and

Total Disability Benefit, whichever may have

been opted for in addition to Life Cover under

the terms of this Policy.

Benefit

Any monetary amount payable by the Company

under Life Cover, Accelerated Life Cover, Critical

Illness Benefit or Permanent and Total Disability

Benefit which are defined in this Appendix,

whilst the Policy is in force. The amount or

amounts of Cover are shown in the Schedule.

Cover

The scope of any protection available under this

Policy under Life Cover, Accelerated Life Cover,

Critical Illness Benefit or Permanent and Total

Disability Benefit.

CriticalIllnessBenefit

The Benefit payable by the Company if a

Relevant Life Insured contracts any illness

Covered under the Policy and defined in

Appendix 2 of this Policy whilst the Policy is in

force and if this Cover has been chosen. The

amount of any Critical Illness Benefit Cover is

shown in the Schedule. Diagnosis of a Critical

Illness must be made by a Medical Practitioner

approved or appointed by the Company’s Chief

Medical Officer. Payment under Critical Illness

Benefit is subject to section 2.2 E of this Policy.

LifeCover

The Benefit payable by the Company if a

Relevant Life Insured dies whilst this Policy is

in force. The amount of Life Cover is shown in

the Schedule. Payment of Life Cover Benefit is

subject to section 2.1 D of this Policy.

LifeofAnotherPolicies

A Policy owned by a person who is not the

Life Insured shown in the Schedule. This includes

instances where the Policy is owned by a

corporate entity.

OnRiskDate

The date shown in the Schedule at which Cover

under any Benefit selected first applies. Payment

under any Cover provided by the Policy will be

subject to the specific terms governing each Cover.

PermanentandTotalDisabilityBenefit

The Benefit payable by the Company if a Relevant

Life Insured is diagnosed with a Permanent and

Total Disability Covered under the Policy and

defined in Section 2.3 B (ii) whilst the Policy

is in force and if this Cover has been chosen.

The amount of any Permanent and Total Disability

Benefit is shown in the Schedule. Diagnosis of

Permanent and Total Disability must be made by

a Medical Practitioner approved or appointed by

the Company’s Chief Medical Officer. Payment of

Permanent and Total Disability Benefit is subject

to section 2.3 C and D of this Policy.

PremiumDueDate

The date shown in the Schedule at which

premium is first due. Subsequent payments

are due at an amount and frequency shown

in the Schedule.

PolicyTerm

The period of time in which the Policy is in force,

from its commencement to the Policy Termination

Date, both of which are shown in the Schedule.

RelevantLifeInsured

The Life Insured or, where there are two Lives

Insured under the Policy, that Life Insured for

whom a claim for a Benefit under the Policy

is made.

TerminalIllness

An advanced or rapidly progressing incurable

illness, where, in the opinion of an attending

Medical Practitioner and the Company Chief

Medical Officer; the Relevant Life Insured’s Life

expectancy is no more than 12 months.

Appendix 1 –Definitions of words used in this Policy

1�

‘Critical Illness’ means any one of the following:

(i) Heart attack – of specified severity

Death of heart muscle, due to inadequate

blood supply, that has resulted in all

of the following evidence of acute

myocardial infarction:

• Typical clinical symptoms (for example,

characteristic chest pain).

• New characteristic electrocardiographic

changes.

• The characteristic rise of cardiac enzymes

or Troponins recorded at the following

levels or higher;

– Troponin T > 1.0 ng/ml

– AccuTnI > 0.5 ng/ml or

equivalent threshold with

other Troponin I methods.

The evidence must show a definite acute

myocardial infarction.

For the above definition, the following are

not covered:

• Other acute coronary syndromes

including but not limited to angina.

(ii) Coronary artery by-pass grafts –

with surgery to divide the breastbone

The undergoing of surgery requiring

median sternotomy (surgery to divide the

breastbone) on the advice of a Consultant

Cardiologist to correct narrowing or

blockage of one or more coronary arteries

with by-pass grafts.

(iii) Cancer – excluding less advanced cases

Any malignant tumour positively diagnosed

with histological confirmation and

characterised by the uncontrolled growth

of malignant cells and invasion of tissue.

The term malignant tumour includes

leukaemia, lymphoma and sarcoma.

For the above definition, the following

are not covered:

• All cancers which are histologically

classified as any of the following:

– pre-malignant;

– non-invasive;

– cancer in situ;

– having either borderline malignancy;

or

– having low malignant potential.

• All tumours of the prostate unless

histologically classified as having a

Gleason score greater than 6 or having

progressed to at least clinical TNM

classification T2N0M0.

• Chronic lymphocytic leukaemia unless

histologically classified as having

progressed to at least Binet Stage A.

• Any skin cancer other than malignant

melanoma that has been histologically

classified as having caused invasion

beyond the epidermis (outer layer of skin).

(iv) Stroke – resulting in permanent symptoms

Death of brain tissue due to inadequate

blood supply or haemorrhage within the

skull resulting in permanent neurological

deficit with persisting clinical symptoms.


not covered:

• Transient ischaemic attack.

• Traumatic injury to brain tissue or

blood vessels.

(v) Kidney failure – requiring dialysis

Chronic and end stage failure of

both kidneys to function, as a result of

which regular dialysis is necessary.

Appendix 2 – Critical Illnesses definitions

�0

(vi) Major organ transplant

The undergoing as a recipient of a

transplant of bone marrow or of a complete

heart, kidney, liver, lung, or pancreas.

For the above definition, the following is

not covered:

• Transplant of any other organs, parts of

organs, tissues or cells.

(vii) Multiple sclerosis – with persisting symptoms

A definite diagnosis of Multiple Sclerosis by

a Consultant Neurologist.

There must be current clinical impairment of

motor or sensory function, which must have

persisted for a continuous period of at least

6 months.

(viii) Terminal Illness

Advanced or rapidly progressing incurable

illness where, in the opinions of an

attending Consultant and our Chief Medical

Officer, the Life expectancy is no greater

than 12 months.

(ix) Aorta graft surgery – for disease

The undergoing of surgery for disease

to the aorta with excision and surgical

replacement of a portion of the diseased

aorta with a graft.

The term aorta includes the thoracic and

abdominal aorta but not its branches.

For the above definition, the following

are not covered:

• Any other surgical procedure, for

example the insertion of stents or

endovascular repair.

• Surgery following traumatic injury to

the aorta.

(x) Benign brain tumour – resulting in

permanent symptoms

A non-malignant tumour or cyst in the

brain, cranial nerves or meninges within the

skull, resulting in permanent neurological

deficit with persisting clinical symptoms.


not covered:

• Tumours in the pituitary gland.

• Angiomas.

(xi) Heart valve replacement or repair –

with surgery to divide the breastbone

The undergoing of surgery requiring

median sternotomy (surgery to divide the

breastbone) on the advice of a Consultant

Cardiologist to replace or repair one or

more heart valves.

(xii) Motor neurone disease – resulting in

permanent symptoms

A definite diagnosis of motor neurone

disease by a Consultant Neurologist.

There must be permanent clinical

impairment of motor function.

(xiii) Parkinson’s disease – resulting in

permanent symptoms

A definite diagnosis of Parkinson’s disease

by a Consultant Neurologist. There must

be permanent clinical impairment of motor

function with associated tremor, rigidity of

movement and postural instability.

For the above definition, the following is

not covered:

• Parkinson’s disease secondary to

drug abuse.

�1

(xiv) Third degree burns – covering 20% of the

body’s surface area

Burns that involve damage or destruction of

the skin to its full depth through to the

underlying tissue and covering at least 20%

of the body’s surface area.

(xv) Alzheimer’s disease before age �� –

resulting in permanent symptoms

A definite diagnosis of Alzheimer’s disease,

before age 65, by a Consultant Neurologist,

Psychiatrist or Geriatrician. There must be

permanent clinical loss of the ability to do

all of the following:

• Remember;

• Reason; and

• Perceive, understand, express and

give effect to ideas.


not covered:

• Other types of dementia.

(xvi) Blindness – permanent and irreversible

Permanent and irreversible loss of sight to

the extent that even when tested with the

use of visual aids, vision is measured at

3/60 or worse in the better eye using a

Snellen eye chart.

(xvii) Deafness – permanent and irreversible

Permanent and irreversible loss of hearing

to the extent that the loss is greater than 95

decibels across all frequencies in the better

ear using a pure tone audiogram.

(xviii) Loss of speech – permanent and irreversible

Total permanent and irreversible loss of the

ability to speak as a result of physical injury

or disease.

(xix) Loss of hands or feet – permanent

physical severance

Permanent physical severance of any

combination of 2 or more hands or feet

at or above the wrist or ankle joints.

(xx) Creutzfeldt Jakob Disease (CJD) or Degenerative Brain Disorder before age ��

A definite diagnosis of Creutzfeldt-Jakob

Disease or Degenerative Brain Disorder,

before age 65, by a Consultant Neurologist.

For the purposes of this Benefit there are

three categories: Type A, Type B and Type

C. The category applicable under this

Additional Benefit will be stated in the Policy

Schedule. The categories offer different

levels of Critical Illness Benefit, as follows:

Type A: Coverage of all Critical Illnesses

defined under Appendix 2.

Type B: Critical Illnesses defined under

Appendix 2 except (xix) and (xx) which

are excluded.

Type C: Only Critical Illness definitions

Appendix 2 (i); (ii); (iii); (iv); (v); (vi) and

(vii) will apply.

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Zurich International Life Limited provides life assurance, investment and protection products and is authorised by the Isle of Man Government Insurance and Pensions Authority.

Registered in the Isle of Man number 20126C.Registered office: 43-51 Athol Street, Douglas, Isle of Man, IM99 1EF, British Isles. Telephone +44 1624 662266 Telefax +44 1624 662038 www.zurichinternational.com

Zurich International Life Limited is registered (Registration Number 63) under UAE Federal Law Number 6 of 2007, and its activities in the UAE are governed by such law.

Zurich International Life Limited is part of the Zurich Financial Services Group which has a representation in more than 50 countries.

Calls may be recorded for training and quality purposes.

BranchesAbuDhabi Apt. 302, Al Otaiba Building, P.O. Box 26904, Airport Road, Abu Dhabi, United Arab Emirates. Telephone +971 2 6275777 Telefax +971 2 6274774

Bahrain P.O. Box 10032, 19th Floor, Almoayyed Tower, Seef District, Kingdom of Bahrain. Telephone +973 175 63322 Telefax +973 175 64291

Dubai P.O. Box 50389, Al Mussalla Towers, Khaled Bin Al Walid Street, Dubai, United Arab Emirates. Telephone +971 4 397 4444 Telefax +971 4 397 4443

HongKong24/F One Island East,18 Westlands Road,Island East,Hong Kong.Telephone +852 3405 7150

Telefax +852 3405 7268

Qatar P.O. Box 26777, 404 Fourth Floor, Qatar Financial Centre Tower, West Bay, Doha, Qatar. Telephone +974 496 7555 Telefax +974 496 7556

Sharjah Crystal Plaza, Block C, 8th Floor, 801/802 Corniche Al-Buhaira, P.O. Box 23544, Sharjah, United Arab Emirates. Telephone +971 6 5725955 Telefax +971 6 5725160

SingaporeSingapore Land Tower #29-05,50 Raffles Place,Singapore 048623.Telephone +65 6876 6750Telefax +65 6876 6751

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