Royal & SunAlliance: Values 1

Provider: Royal & SunAlliance

Product: Values 1

Main benefits: Gives the freedom to select PMI cover levels, discounts, hospital coverage and underwriting methods. Values 1 will give the greatest possible protection.

Minimum acceptable age at commencement: 18

Maximum acceptable age at commencement: 74

Age cover ceases for existing clients: No maximum

Maximum age for a dependant child to be covered: Children (including adopted children) can be included until the renewal date of the policy immediately after their 21st birthday, or their 25th birthday if in full-time education. Children must be unmarried and dependent.

In the case of a child born after the commencement date of the policy, Royal & SunAlliance will accept a copy of the birth certificate, provided that they are advised within one month of the birth.

Maximum age for a full-time student to be covered: 25

Premiums can be paid monthly: Premiums can be paid monthly by direct debit. There is a surcharge of 6% for monthly premiums.

Waiver of premium available: No

Underwriting by moratorium clause: Yes ' two-year rolling moratorium means that any medical conditions or related medical conditions for which the insured has had treatment, medication, advice or symptoms in the five years

prior to inception, are not immediately insured under the policy. If the planholder does not have symptoms, treatment, medication or advice concerning existing medical conditions for two consecutive years after the policy starts, cover will then be available.

All unexpected medical conditions that are new after the policy has commenced will be covered from the first day of insurance cover. Pre-existing medical conditions for which regular or periodic treatment, advice or medication is required, will not be covered by the policy.

Plan is fully underwritten: Yes ' the planholder will complete a questionnaire giving details of their medical history. With the planholder's consent a questionnaire may be sent to their GP for further information.

The terms offered will clearly state any personal exclusions that apply to the policy in advance of making any claim.

Optional excess available: Applicants have an option to reduce the premiums by opting for an excess. A range of discounts is available, according to the excess specified. The excess works on a per person/per annum basis, therefore if there is more than one claim in a year, the excess applies only once.

The discounts for choosing the excess are:

Amount of % Reduction in

excess £ premium

100 10

250 20

500 30

Claims pre-authorisation service: Royal & SunAlliance provides a claims helpline. The helpline will be able to confirm that the treatment is eligible under the policy and advise on any questions regarding the claims procedure.

Claims settled direct with hospital: Royal & SunAlliance offers to settle all accounts (less any excess) direct with the hospital, specialist and others concerned with the treatment. Any excess must be paid by the insured direct with the specialist or hospital.

Number of hospital bands available: All hospitals are graded to a choice of A, B or C hospital bands. The hospital bands relate to the costs of treatment, and are not an indication of the standard or quality of patient care available at the hospital.

Select hospital list used: Yes ' the hospital bands relate to the costs of treatment. Private hospitals have single room en suite facilities with band A & B, however in some hospitals it may be necessary to share a room with band C cover. Royal & SunAlliance has identified a number of hospitals in recognition of their proven commitment to providing a consistently high standard of quality patient care at cost effective prices.

Inpatient nursing and accommodation costs: Full refund for treatment in a hospital as shown on the Values 1 hospital list for:

• Room and board including nursing fees.

• Use of operating theatre.

• Drugs and dressings prescribed for treatment in hospital.

• Implanted prosthesis such as artificial hip or heart pace maker.

• Intensive care.

• Diagnostic procedures such as pathology and radiology.

• Specific treatments such as radiotherapy, chemotherapy and physiotherapy.

• Personal expenses (up to £5 per night with a maximum of £15 per stay in hospital).

Inpatient anaesthetist fees: Full refund of surgeons' and anaesthetists' fees for each operation, including aftercare, according to the Royal & SunAlliance classification of the operation.

Inpatient physicians fees: Full refund of physicians' fees.

Inpatient drugs and dressings: Full refund of drugs and dressings prescribed for treatment in hospital, but not for any surgical appliances or any drugs or dressings that the insured takes home with them.

Costs of parent accompanying a child: Full refund of accommodation for parent or child accompanying the insured person if medically necessary. The child must be 12 years of age or under and the specialist in charge of the treatment must certify that it was medically necessary for both parent and child to be admitted.

Inpatient psychiatric treatment: In-patient or day patient charges and half day sessions for psychiatric treatment. 28 days per insured per period of insurance for psychiatric treatment charges relating to treatment for or resulting from:

• Psychiatric, mental or nervous illness.

• Alcoholism, solvent abuse or any other addiction.

Outpatient consultation costs: Full refund for consultations, investigations and treatment on specialist referral.

Outpatient radiotherapy: On specialist referral, full refund for special treatments such as radiotherapy, chemotherapy and physiotherapy.

Outpatient chemotherapy: On specialist referral, full refund for special treatments such as radiotherapy, chemotherapy and physiotherapy.

Outpatient physiotherapy: Full refund on specialist referral for consultations, investigations and treatment.