Provider: UnumProvident Product: Elixia 123 ' This is a standalone critical illness (CI) term pr...
Provider: UnumProvident
Product: Elixia 123 ' This is a standalone critical illness (CI) term product and is available in increasing, decreasing and level terms.
The product divides illness types into three categories depending on severity:
• Category 1: Life threatening.
• Category 2: Disabling.
• Category 3: Traumatic.
It is then possible to choose different levels of cover for each category to suit client needs, with a minimum of 10% of the sum assured in any category.
Minimum acceptable age at commencement:16
Maximum acceptable age at commencement: 65
Minimum policy term: Five years
Maximum expiry age: 70
Maximum term: 53 years
Minimum sum assured: None
Maximum sum assured: At standard terms, £1m, available on request, £2m.
Minimum acceptable monthly premium: £10
Monthly policy fee: £4.20 per month or £48 per year.
Policy fee indexed automatically: No
Life cover included automatically: No
Level critical illness benefit: Yes
Decreasing critical illness benefit: Yes
Increase term after start date: Yes
Decrease term after start date: Yes
Increase sum assured subject to underwriting: Yes
Decrease sum assured subject to underwriting: Yes
Change lives assured after start date: Yes
Waiver of premium available: Yes
Waiver with six-month deferred period: Yes
Cost of including waiver benefit: 3% of premium.
Waiver definition of disability: Ability to carry out a number of daily activities, activities not specified. Claim can be made while still working.
Joint life first claim basis available: No
Plan can be used for keyperson protection: Yes
Automatic sum assured indexation available: Yes
Guaranteed insurability option: Ability to increase cover without underwriting in certain 'life events.' This must be effected before the 55th birthday and within three months of the 'life event.'
Events include marriage, birth or legal adoption of a child, increasing mortgage (to move or for home improvements), or an increase in a share of a business.
Non-smoker rates offered: Yes
Number of core critical conditions as defined by ABI/IFAA: Seven. The critical illness events are divided into three categories according to their relative severity and likely impact on lifestyle:
• Category 1 ' life threatening conditions that may significantly reduce life expectancy and probably result in major lifestyle changes.
• Category 2 ' disabling conditions that may have a significant impact on lifestyle and may have some impact on life expectancy.
• Category 3 ' traumatic conditions that are traumatic and, although not expected to significantly reduce life expectancy, may possibly result in changes to lifestyle.
The level of cover for each category can be selected. Examples of the conditions falling into different categories are as follows:
Cancer: Category 1 ' a malignant tumour characterised by the uncontrolled growth and spread of malignant cells and invasion of tissue. The term cancer includes leukaemia and Hodgkin's disease (other than Stage 1 Hodgkin's disease), but the following are excluded:
• All tumours which are histologically described as pre-malignant, as non-invasive or as cancer in situ.
• All forms of lymphoma in the presence of any Human Immunodeficiency Virus (HIV).
• Any skin cancer other than malignant melanoma with a depth of more than 0.75mm.
• Kaposi's sarcoma in the presence of HIV.
• Chronic lymphocytic leukaemia.
Cancer: Category 3 ' a malignant tumour characterised by the uncontrolled growth and spread of malignant cells and invasion of tissue. The term cancer includes leukaemia and Hodgkin's disease, but the following are excluded:
• All tumours which are histologically described as pre-malignant, as non-invasive or as cancer in situ.
• All forms of lymphoma in the presence of any HIV.
• Any skin cancer other than malignant melanoma.
Coronary artery bypass surgery: Category 3 ' the undergoing of open heart surgery on the advice of a consultant cardiologist to correct narrowing or blockage of one or more coronary arteries with by-pass grafts but excluding balloon angioplasty, laser relief or any other procedures.
Heart attack: Category 1 ' the death of a portion of the heart muscle as a result of inadequate blood supply as evidenced by:
• An episode of typical chest pain, and new electrocardiograph changes, the ECG evidence taken within 24 hours of the event and exhibiting unequivocal evidence of new pathological q-waves, and the elevation of cardiac enzymes.
• The evidence must be consistent with the diagnosis of heart attack.
Heart attack: Category 3 ' the death of a portion of the heart muscle as a result of inadequate blood supply as evidenced by:
• An episode of typical chest pain, new electrocardiograph changes, and the elevation of cardiac enzymes.
• The evidence must be consistent with the diagnosis of heart attack.
Kidney failure: Category 1' end stage renal failure presenting as chronic irreversible failure of both kidneys to function, as a result of which either regular renal dialysis or renal transplant is initiated.
Major organ transplant: Category 1 ' the actual undergoing as a recipient of, or inclusion on an official UK waiting list for, a transplant of a heart, liver, lung, pancreas or bone marrow.
Multiple sclerosis: Category 2 ' a definite diagnosis by a consultant neurologist of multiple sclerosis which satisfies all of the following:
• There must be current impairment of motor sensory function, which must have persisted for a continuous period of at least six months.
• The diagnosis must be confirmed by diagnostic techniques current at the time of the claim.
Stroke: Category 1 ' a cerebrovascular incident resulting in permanent neurological damage. Transient ischaemic attacks are specifically excluded. In addition, three months after the incident you must satisfy at least one of the following:
• Severe intellectual impairment as a result of an organic disease or trauma as determined by standard tests resulting in you needing permanent supervision or assistance from another person.
• Being permanently and irreversibly unable to carry out three or more of the defined daily activities even with the use of artificial aids or appliances, but without the assistance of another person.
Stroke: Category 3 ' a cerebrovascular incident resulting in permanent neurological damage. Transient ischaemic attacks are specifically excluded.
Aorta graft surgery: Category 3 ' undergoing surgery for disease of the aorta needing excision and surgical replacement of a portion of the diseased aorta with a graft. For this definition, 'aorta' means the thoracic and abdominal aorta but not its branches.
Benign brain tumour: Category 3 ' A non-malignant tumour in the brain resulting in permanent deficit to the neurological system. Tumours or lesions in the pituitary gland are not covered.
Blindness: Category 2 ' the degree of sight remaining after correction of the better eye is 3/60 or less on the Snellen scale, for example, only able to see at three feet what you would normally be able to see at 60 feet. An appropriate specialist must confirm the condition is permanent and without expectation of recovery.
Coma: Category 3 ' a state of unconsciousness with no reaction to external stimuli, persisting continuously with the use of life support systems for a period of at least 96 hours. Coma secondary to alcohol or drug misuse is not covered.
Deafness: Category 2 ' total permanent and irreversible loss of all hearing in both ears.
Heart valve replacement or repair: Category 3 ' heart value replacement or repair. Undergoing open heart surgery from medical necessity to replace or repair one or more heart valves.
Loss of limb: Category 2 ' the permanent physical severance of two or more limbs from above the wrist or ankle joint.
Loss of speech: Category 2 ' total permanent and irreversible loss of the ability to speak as a result of physical injury or disease.
Motor neurone disease: Category 2 ' confirmation by a consultant neurologist of a definite diagnosis of motor neurone disease.
Paralysis/paraplegia: Category 2 ' total irreversible loss of muscle function or sensation to the whole of any two limbs as a result of injury or disease. The disability must be permanent and supported by appropriate neurological evidence.
n For full details of conditions falling into each category please contact provider.
Number of ABI/IFAA additional conditions covered: 13
Number of ADLs defined: Nine
Number of total permanent disability definitions available: Five
