Gold Standard Lifestyle Home Guard Plus

Transcription

1 Gold Standard Lifestyle Home Guard Plus Key Facts & Policy Summary Key Information You the Customer need to be aware of. Please read this document carefully. This Policy Summary does not contain the full terms exclusions and conditions of the contract of insurance, so please also take time to read the Policy Wording for policy number A copy of this can be downloaded from the DMS Customer Help Centre at Alternatively you can ask us to or post a copy to you. DMS contact details are shown at the bottom of this document. About Lifestyle Home Guard Plus Lifestyle Home Guard Plus Insurance can help replace income lost through Illness, Injury, Hospitalisation, Involuntary Redundancy, Business Closure or becoming a Carer. What type of cover is available under the insurance policy? The cover you have selected will be shown on your Certificate. We offer three types of cover: Illness, Injury or Hospitalisation only, or Involuntary Redundancy, Business Closure or Carer cover only, or Illness, Injury, Hospitalisation, Involuntary Redundancy, Business Closure and Carer cover. Illness, Injury, Hospitalisation, Involuntary Redundancy, Business Closure or Carer cover provides the maximum protection under the policy. How does the Policy work? You choose the type of cover you need and level of benefit that is suitable to your demands and needs. You pay the premium as it falls due on a monthly basis. We will not pay out more than 6 or 12 monthly benefit payments as specified on your Certificate. We will not pay out more than the total monthly benefit as specified on your Certificate. Who provides the insurance cover? This Illness, Injury, Hospitalisation, Involuntary Redundancy, Business Closure and Carer cover is underwritten by Qudos Insurance A/S and the insurance policy is administered by DMS Agency Services Ltd trading as DMS Security Plans. DMS Security Plans, a trading name of DMS Agency Services Ltd, are authorised and regulated by the Financial Conduct Authority (FCA). This can be checked on the Financial Services Register at Their Firm Reference number is Are you eligible for cover? You must be: Aged 18 and over and under 60; Working (for at least 16 hours per week) and legally residing in the United Kingdom for at least 6 months; Employed, Self-Employed or a Controlling Director. Page 1 of 6

2 You are not eligible if: You are aware of any impending Illness, Injury, Hospitalisation, Involuntary Redundancy, Business Closure, or circumstances which may result in you becoming a full time Carer; You are in casual, temporary or seasonal work or working less than 16 hours per week. For how long does the cover last? This is an annual policy, under which each premium paid renews the cover for another month. Your policy is reviewed on an annual basis. Sixty (60) days before the policy has been in force for a year, and annually thereafter, we will write to you advising you of the cover we are offering you, and the premium we require for it, for the next 12 months. Will my premium change each year? The premiums for future years will depend upon the forecasts of costs to us of settling claims and changes in taxation and inflation. Changes to your premium will not depend on your individual circumstances but on the overall cost of claims. What cover do you get? This policy can protect you in the event you are unable to work due to one of the following: Illness, Injury, Hospitalisation, Unemployment caused by Involuntary Redundancy, Business Closure or becoming a Carer. The monthly benefit payable will be the amount you have selected, up to a maximum of 2,500, 65% of your normal gross income or 125% of the sum of your regular monthly provable outlay, whichever is the lowest. The first monthly benefit payment can be made on day 31 back to day 1, on day 61 back to day 31 or on day 91 back to day 61 of your being off work through Illness or Injury or out of work through Involuntary Redundancy, Business Closure or ceasing to work in order to act as a Carer for a relative. The monthly benefit can be paid for up to 6 or 12 months. Initial Exclusion Period Is a 60 day period from the start date during which if you suffer Involuntary Redundancy or Business Closure, or are made aware of the possibility of either, or are made aware of the start of any Consultation Period, or consideration by your employer of downsizing or reducing their workforce, (or in our reasonable opinion you should have been aware), you may not claim for that period of Unemployment even if this occurs after the expiry of the Initial Exclusion Period. This Initial Exclusion Period also applies to claims for Business Closure or Carer cover. The start date, duration and end date of the Initial Exclusion Period are all shown on your Certificate. It does not apply to Injury or Illness claims. Significant features and benefits Injury If your Doctor certifies that you have been unable to work for longer than the deferred period due to an Injury we will pay one month s benefit. After this we will continue to pay the benefit you are entitled to on a daily basis monthly in arrears. Illness If your Doctor certifies that you have been unable to work for longer than the deferred period due to an Illness we will pay one month s benefit. After this we will continue to pay the benefits you are entitled to on a daily basis monthly in arrears. Hospitalisation If you are an in-patient in hospital for more than five complete and consecutive 24 hour periods then for each complete and consecutive 24 hour period thereafter that you remain in hospital we will pay This payment is subject to an overall maximum of 1, during the life of the policy. Page 2 of 6

3 Unemployment through Involuntary Redundancy, Business Closure or becoming a Carer If you have not been working for longer than the deferred period due to Involuntary Redundancy, Business Closure or becoming a Carer for a partner or close relative we will pay one month s benefit. After this we will continue to pay the benefit you are entitled to on a daily basis monthly in arrears. There are three deferred periods available under this policy; the one that you have chosen will be shown on your Certificate. Please note that all payments are made monthly in arrears. Your first Monthly Benefit is payable Number of days You must wait before Your claim starts. First Monthly Benefit is payable on day: First Monthly Benefit is paid back to: On day 31, back to day day 1 On day 61, back to day day 31 On day 91, back to day day 61 You must be unemployed and or unable to work for the entire duration of the deferred period applicable to your policy and then continuously for a further 30 days after your claim has commenced before any monthly benefit is payable. Are there any exclusions in the cover? Main reasons we do not pay out for Illness, Injury or Hospitalisation: No benefit will be payable if you are unable to work due to: Deliberate injury. Alcohol, solvent abuse or drugs. Any condition where you sought medical treatment within the previous 12 months. Pregnancy, childbirth or abortion other than a medical complication. Medical operations or treatments which are not medically necessary including cosmetic or beauty treatments. Main reasons we do not pay out for Involuntary Redundancy, Business Closure or becoming a Carer: No benefit will be payable to you if: You have not been working for 6 months prior to the policy start date. You have been notified or are aware of the possibility of unemployment or the need to become a Carer at the policy start date. You are notified or are aware of the possibility of unemployment or the need to become a Carer within the Initial Exclusion Period of the policy, details of which are shown on your Certificate. You are employed in casual, seasonal or temporary work or work less than 16 hours per week. Your unemployment is due to voluntary redundancy, resignation or retirement. You are outside the UK for 90 days or more (unless in the armed forces or a civil servant in a British Embassy or Consulate). You are made unemployed from a business where you can control the affairs of the business because you or a relative or member of your household individually or jointly holds shares of 25% or more. You refuse any offer of reasonable alternative employment by your employer. What is the duration of the policy? This policy is arranged on a monthly basis with an annual review date. It is in force whilst the premium is being paid. When does cover end? Cover ends when: You die or; You retire from Work or reach age 65, whichever is the earlier or; You stop residing or Working in the United Kingdom or; Page 3 of 6

4 You default on your premium payment or; You cancel the direct debit instruction at your bank under which we collect your premiums; You or we cancel this Policy. Can you cancel the cover? You can cancel your cover under this policy at any time. The fastest and most effective way to do this is to cancel the direct debit instruction at your bank. Bacs (Bankers Automated Clearing Services) will inform DMS of this cancellation overnight, and we will then in turn confirm it back to you. Alternatively you can: cancel via the DMS Customer Help Centre at call the DMS Customer Helpline on from 9am to 8pm on weekdays or 9am to 4pm at weekends write to DMS Income Protection FREEPOST If you do this within 30 days of the policy start date as shown on your certificate we will refund any premium you have paid, provided that you have not made a claim under this policy. Your cover will cease on the date we receive your request in writing. No refund of premium will be made if you cancel your cover under this policy more than 30 days after the policy start date. Can we cancel the cover? We may cancel your policy by giving you 60 days notice prior to your policy review date. This will not affect any rights to monthly benefit which you may already have received under this policy before the termination date of your cover. Reviewing your cover? Please remember that it is your responsibility to regularly review your level of cover and to advise the Administrator of any changes in your personal situation. What to do if you need to make a claim? You must inform the Administrator DMS Security Plans, by: Telephone: admin@dms4stir.co.uk Website: Royal Mail: DMS Income Protection FREEPOST If you claim you must keep the policy running and continue to pay your premiums as they fall due. If you do not do this then your policy and any claim on it will end. What to do if you have a complaint We aim to provide you with the highest level of service at all times. However, we recognise that things can go wrong occasionally and if this occurs, we are committed to do our best to resolve the matter promptly. Complaint about the Sale of the policy to you If you are unhappy with any aspect of the sale of this insurance please contact the Adviser who set up the policy for you. If you cannot remember who this was, DMS will provide you with their contact details. Complaint about DMS Security Plans Administration or Premium Collection If you are unhappy with the general administration of the policy or premium collection, please contact DMS Security Plans. Their contact details are at the end of this document. Page 4 of 6

5 Complaint about the policy or Trent Services Claims Service If you are unhappy with the policy, or our handling of a claim, contact the claims manager, Trent Services (Administration) Ltd. Trent House, Love Lane, Cirencester, Gloucestershire GL7 1XD, admin@trent-services.co.uk telephone When you do this, please quote your DMS Certificate number. After this action, if you are still not satisfied with the way your complaint has been dealt with, you may ask the Complaints Department at Qudos Insurance A/S. Registered Office: Kongevejen 371, DK2840 Holte, Denmark (which is regulated by the Danish Finanstilysnet the Danish regulator) to review your case (this would not affect your rights to take legal action if necessary). We trust You will be satisfied with the outcome of the investigation and Our final decision response, but if not, You have the right to refer Your complaint to the Financial Ombudsman Service, free of charge, at: Financial Ombudsman Service, Exchange Tower, London, E14 9SR. Tel: complaint.info@financial-ombudsman.org.uk Web: You must do this within six months of the date of our final response to your complaint. Are we covered by the Financial Services Compensation Scheme (FSCS)? We are covered by the FSCS. You may be entitled to compensation from the scheme if we cannot meet our obligations. This depends on the type of business and the circumstances of the claim. Further information about compensation scheme arrangements is available from the FSCS. Any premiums, premium refunds, or claims money held by DMS Security Plans will be treated as held on behalf of the insurer. Insurance Premium Tax The premium includes Insurance Premium Tax (IPT) at the current rate. If we are required by law to increase the level of IPT or to make any other charges, we will increase your premium from the date any such charges are implemented. Administrator DMS Security Plans contact details Post: 35 High Street, Cam, DURSLEY. GL11 5LA. or DMS Income Protection FREEPOST. admin@dms4stir.co.uk Tel: Helpline open from 9am to 8pm on weekdays and 9am to 4pm on weekends. Claims Manager s contact details Post: Trent Services (Administration) Ltd. Trent House, Love Lane, CIRENCESTER. GL7 1XD. claims@trent-services.co.uk Tel: DMS_31200_HG-Plus_KF_V2_ Page 5 of 6

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