Multi Protection Benefit rider. Supplementary benefit for SunHealth Critical Illness Care

Transcription

1 Multi Protection Benefit rider Supplementary benefit for SunHealth Critical Illness Care

2 With our continued support, you can face the critical moment with peace of mind Suffers from Cancer before the age of 75 1 Life is full of surprises. It is unfortunate that critical illnesses are hard to predict and prevent. They always come when we are least expected and often blow us off the ground. In Hong Kong, one in every 4 men or 5 women suffers from Cancer before the age of The number of deaths due to Cancer accounts for as high as 30.6% of the total death toll 2! Besides Cancer, Heart Diseases, Pneumonia and Cerebrovascular Diseases are increasingly common, and the number of deaths caused by these critical illnesses accounts for as high as 37% of the total death toll 2. With the longer average life expectancy of the Hong Kong population (80 and 85.9 years 3 for male and female respectively), the risk of contracting more than one critical illness also becomes higher. Patients are suffering from critical illnesses at younger age. According to our data of Critical Illness Claim in 2010, the total number of claims of the aged 31 to 50 accounts for as high as 64% 4. Fortunately, due to medical advancement, patients can greatly increase their chances of recovery through treatments by new drugs and advanced medical technology. However the treatment costs are relatively high. Therefore, Sun Life launches the Multi Protection Benefit rider, a supplementary cover specially designed to complement SunHealth Critical Illness Care ( Basic Plan ), to provide the insured with a maximum of 5 critical illness claims (including the first claim of Critical Illness Benefit under the Basic Plan). In the unfortunate event of being diagnosed with any of the covered critical illnesses, Multi Protection Benefit rider will pay you a lump sum of cash as a reserve to tackle high medical costs for your treatment and ongoing living expenses for your family. Under the protection of this rider benefit, you don t have to worry about the financial burden and can focus on recovery at ease!

3 SunHealth Critical Illness Care ( Basic Plan ) offers you many benefits including: Recurring Benefit provides additional 20% of the Face Amount (only for Cancer / Heart Attack / Stroke) Unique in the Market Life Stage Benefit provides additional 20% of the Face Amount for 12 minor illnesses Protection up to age critical illnesses covered Critical Illness Benefit and Death Benefit up to 150% of the Face Amount 5 For details of the Basic Plan, please refer to the product leaflet of SunHealth Critical Illness Care. 1 According to cancer statistics in Hong Kong in 2009 by Hong Kong Cancer Registry, Hospital Authority (Oct 2011) 2 Health Facts of Hong Kong published by the Department of Health (2011) 3 Major Health Indicators by the Centre for Health Protection, Department of Health (2010) - Provisional figure 4 Sun Health Knowledge (Claims Report 2010) Issued by Sun Life Hong Kong Limited 5 Critical Illness Benefit and Death Benefit will gradually increase from 100% up to 150% of Face Amount starting from insured s age 85.

4 Multi Protection Benefit rider: Features Up to a maximum of 5 critical illness claims 6 Up to a maximum of 3 cancer claims 7, 8 47 critical illnesses covered 9 After the first critical illness benefit is paid, all future premiums of M ulti Protection Benefit rider will be waived 10 Premium will not increase with the attained age of insured, enabling you a better financial planning 11 Up to a Maximum of 5 Multiple Critical Illness Benefit Multi Protection Benefit rider is a rider benefit that provides multiple protections against 47 critical illnesses 9, of which they are divided into 5 groups (as set out in the List of Critical Illnesses Covered ). The insured can have a maximum of 5 critical illness claims. The first claim will be paid under the Basic Plan, and thereafter the second to the fifth claims will be paid under this rider benefit with 100% of the Face Amount in each claim. M ulti Protection Benefit rider is applicable under the following conditions: Each critical illness claim (including the benefit paid under the Basic Plan) shall fall within different groups of critical illnesses (except for claims for critical illness of Group 1) Subsequent diagnosis of critical illness must be at least 1 year after the date of diagnosis of the immediately preceding critical illness for which a claim has been paid 8 For each critical illness claim, the insured must survive for at least 14 days after the date of diagnosis 12

5 Case: (The following situation and figures are hypothetical and for illustrative purpose only) Mr. Chan / Male / Age 40 Married, 1 son and 1 daughter Senior Sales Manager Face Amount of SunHealth Critical Illness Care ( Basic Plan ) HKD1,000,000 Face Amount of Multi Protection Benefit rider HKD1,000,000 As the breadwinner and financial support, Mr. Chan is fully responsible for the family and their financial burden. Unfortunately, he is diagnosed with Colorectal Cancer for which he can receive 100% of the Face Amount (HKD1,000,000) as the first payment of critical illness claim under the Basic Plan. Two years later, Mr. Chan suddenly has a Heart Attack at home. Fortunately, he is sent to the hospital in time. He can receive 100% of Face Amount (HKD1,000,000) as the second payment of critical illness claim under the Multi Protection Benefit rider. In total, Mr Chan can receive HKD2,000,000 to tackle medical and living expenses. First critical illness claim Colorectal Cancer 100% Face Amount (HKD1,000,000) First critical illness claim is paid under the Basic Plan Two years after the first critical illness claim Heart Attack 100% Face Amount (HKD1,000,000) Colorectal Cancer and Heart Attack belong to different groups of critical illness Subsequent diagnosis of Heart Attack is over 1 year after the immediately preceding diagnosis of Colorectal Cancer for which a claim has been paid Second critical illness claim is paid under the Multi Protection Benefit rider Total : HKD2,000,000 (Up to 200% of Face Amount) 6 The first claim will be paid under the Basic Plan, and thereafter the second to the fifth claims will be paid under this rider benefit. 7 A maximum of 5 critical illness claims include up to 3 claims for critical illness of Group 1 (Cancer), of which these 3 Cancer claims can be made under the Basic Plan, if applicable, and Multi Protection Benefit rider. 8 In the case of a claim for a critical illness of Group 1- Cancer or Group 2 Illnesses Related to Organ Failure under this rider benefit, if this critical illness incurs after an approved claim for a critical illness of Group 1, the date of diagnosis or surgery date of this critical illness shall be after the expiry of a 5-year Cancer-Free Period in relation to the immediately preceding approved Group 1 claim. If the critical illness of the Critical Illness Benefit paid under the Basic Plan is Terminal Illness, the first multiple claim under this rider benefit can be made from any group of critical illnesses, provided that the date of diagnosis or surgery date of the critical illness of such claim shall be at least 5 years from the date of diagnosis of such Terminal Illness critical illnesses are the same as those of the SunHealth Critical Illness Care, except for Terminal Illness. Please refer to List of Critical Illnesses Covered for details. 10 The date that any signs or symptoms first occurred of such critical illness shall be at least 90 days after the issue date, effective date or last reinstatement date of this rider benefit, whichever is later. 11 The premium of Multi Protection Benefit rider is not guaranteed. Sun Life reserves the right to adjust the premium at every benefit anniversary. 12 For a claim regarding Multiple Sclerosis, the insured must survive for at least 30 days following the date of diagnosis.

6 Up to 3 Cancer Claims Cancer is the No.1 cause of death in Hong Kong 2. Thus, this rider benefit pays up to a maximum of 3 claims under the Cancer Group (Group 1) 13. After the first claim for critical illness of Group 1, if Cancer recurs or spreads to other organs of the body, you can still receive payments for the second and the third Cancer claims. 100% of Face Amount under this rider benefit will be paid for each Cancer claim. In addition, an additional 20% of the Face Amount will be paid as the Recurring Benefit 14 under the Basic Plan. After making any Cancer claim, the insured is subject to a 5-year Cancer-Free Period 15 before making any further claim for any critical illness under Group 1 - Cancer or Group 2 - Illnesses Related to Organ Failure. If another claim is made for any critical illness under i) Group 3 - Illnesses Related to Heart and Blood Vessels, ii) Group 4 - Illnesses Related to Nervous System, or iii) Group 5 - Other Illnesses, the requirement of a minimum 1 year waiting period after the diagnosis of the immediately preceding Cancer claim must be fulfilled (See Illustration 1) Illustration 1 (The following situation is based on the assumption that the Face Amount of the Basic Plan and this rider benefit is the same, and this is just for illustrative purpose only.) Basic Plan Diagnosis of 1 st Critical Illness - Prostate Cancer, 100% of Face Amount under Basic Plan will be paid. $ Illustration (1) : 1 st Critical Illness Claim (Prostate Cancer) > 2 nd Critical Illness Claim (Heart Attack) > 3 rd Critical Illness Claim (Stroke) (300% of Face Amount) Policy Issue Date Multi Protection Benefit rider 1 year later 1 year later Basic Plan 1 st Critical Illness Claim (Prostate Cancer) 100% $ $ Diagnosis of 2 nd Critical Illness - Heart Attack, 100% of Face Amount under rider benefit will be paid. Diagnosis of 3 rd Critical Illness - Stroke, 100% of Face Amount under rider benefit will be paid. Rider Benefit Rider Benefit 2 nd Critical 3 rd Critical Illness Claim Illness Claim (Heart Attack) (Stroke) 100% 100% (Each claim from different group of Critical Illness.) 300% of Face Amount 13 3 cancer claims including claims made under the Basic Plan, if applicable, and the Multi Protection Benefit rider. 14 If Cancer/Heart Attack/Stroke recurs during the fourth to sixth year after the Critical Illness Benefit has been paid under the Basic Plan, the Recurring Benefit under the Basic Plan equivalent to an additional 20% of the Face Amount will be payable. 15 The 5-year Cancer-Free Period must be determined by the insured s treating doctor(s) to confirm the cancer-free state of the insured for the whole duration of the last 5-year period. The cancer-free state must also be confirmed and supported by clinical, radiological, histological and laboratory evidence and evidence of all other relevant investigative methods available at that time. Cancer-free state means there is no sign or symptom of any malignant growth. The 5-year Cancer-Free Period shall start on the completion date of treatment for critical illness of Group 1. Treatment for such critical illness shall include any surgery, chemotherapy, radiation therapy, immunotherapy, monoclonal antibody therapy or other conventional cancer treatments that have been used as prescribed by the insured s treating doctor(s).

7 Waiver of Future Premiums Once the Critical Illness Benefit under the Basic Plan or a Multiple Critical Illness Benefit under this rider benefit becomes payable 10, all future premiums of this rider benefit will be waived from the premium due date immediately following the date of diagnosis or surgery date of relevant critical illness until the termination of this rider benefit. Less stressed by financial burden, you can focus on treatment and rehabilitation. Better Financial Planning Multi Protection Benefit rider offers premium that will not increase with the attained age of insured 11, with protection up to age 85, so that you can make your financial budgeting easier. With the comprehensive protection, you may live life to the full. Information of Multi Protection Benefit rider at a glance: Plan Type Rider benefit attached to SunHealth Critical Illness Care only Issue Age Age 0-65 Benefit Period Up to age 85 Premium Payment Term Up to age 85 Currency Premium Minimum Face Amount Maximum Face Amount US Dollar / HK Dollar Not increase with the attained age of insured (non-guaranteed) USD12,500 / HKD100, % of Face Amount of the Basic Plan, subject to per life limit and the final underwriting decision made by Sun Life.

8 List of Critical Illnesses Covered Groups Critical Illnesses 1. Cancer Cancer Cerebral Metastasis 2. Illnesses Related To Organ Failure Aplastic Anaemia End Stage Lung Disease Major Organ Transplant Kidney Failure End Stage Liver Failure Fulminant Hepatitis Medullary Cystic Disease 3. Illnesses Related To Heart And Blood Vessels Cardiomyopathy Eisenmenger s Syndrome Primary Pulmonary Arterial Hypertension Surgery for Disease of the Aorta Dissecting Aortic Aneurysm Heart Attack Replacement of Heart Valve Surgery to Coronary Arteries 4. Illnesses Related To Nervous System Alzheimer s Disease Apallic Syndrome Benign Brain Tumour Creutzfeldt-Jacob Disease Encephalitis Meningeal Tuberculosis Multiple Sclerosis Paralysis Poliomyelitis Progressive Supranuclear Palsy Total Blindness Amyotrophic Lateral Sclerosis (ALS) Bacterial Meningitis Coma Deafness Major Head Trauma Motor Neurone Disease Muscular Dystrophy Parkinson s Disease Progressive Bulbar Palsy (PBP) Stroke 5. Other Illnesses AIDS due to Blood Transfusion Elephantiasis Loss of Limbs Major Burns Severe Rheumatoid Arthritis Ebola HIV Acquired due to Assault Loss of Speech Occupational Acquired HIV

9 Critical Illness Benefit at a glance Covered Illness Benefit Period Benefit Amount Critical Illness Benefit 48 Critical Illnesses Up to age 100 Up to 150% of Face Amount (Will gradually increase to 150% of Face Amount starting from insured age 85) Additional Benefit SunHealth Critical Illness Care Life Stage Benefit Juvenile Illnesses 16 Age 0 to 17 Female Illnesses 17 Age Male Illnesses 18 Age Golden Years Condition 19 Age An additional 20% of Face Amount (The maximum benefit is USD30,000 / HKD240,000 per life) Recurring Benefit Cancer / Heart Attack / Stroke Up to age 100 An additional 20% of Face Amount Multi Protection Benefit rider Multiple Critical Illness Benefit 47 Critical Illnesses 9 Up to age % of Face Amount of rider benefit for each claim (Up to a maximum of 4 critical illness claims) 16 Juvenile Illnesses include Osteogenesis Imperfecta, Insulin Dependent Diabetes Mellitus, Hemophilia A and Hemophilia B, Rheumatic Fever with Valvular Impairment and Kawasaki Disease. 17 Female Illnesses include Pre-cancerous Changes of Breast, Cervix Uteri, Uterus, Ovary, Fallopian Tube or Vagina, Systemic Lupus Erythematosus with Lupus Nephritis, Angioplasty and Other Invasive Treatments for Coronary Artery Disease. 18 Male Illnesses include Carcinoma-in-situ of Testicles, Early Stage Prostate Cancer, Angioplasty and Other Invasive Treatments for Coronary Artery Disease. 19 Golden Years Condition includes Accidental Fracture of Spinal Column.

10 Notes: Multi Protection Benefit rider will terminate automatically on the earliest of: (a) payment of an aggregate of 4 multiple claims under Multiple Critical Illness Benefit of this rider benefit; (b) the benefit anniversary on or immediately following the insured s 85 th birthday; (c) the date on which we discontinue this rider benefit following a written request from the policy owner; (d) the death of the insured; or (e) the date on which the Basic Plan is terminated, except for (i) the case which the Critical Illness Benefit or the Recurring Benefit under the Basic Plan becomes payable or (ii) the expiration of the recurring benefit period under the Basic Plan. Multi Protection Benefit rider will not cover the following: any pre-existing or recurring critical illness, committing or attempting to commit suicide or self-inflicted injury, committing or attempting to commit a criminal offence or participating in any brawl, unreasonable failure to seek or follow medical advice, any critical illness arising from congenital conditions, taking or absorbing any intoxicating drug, narcotic, medicine, sedative or poison, any human immunodeficiency virus (HIV) and/or any HIV-related illnesses including acquired immune deficiency syndrome (AIDS), war, insurrection, atomic explosion, nuclear fission or radioactive gas. Please refer to the Policy Documents for details of exclusions. The waiting period of Multi Protection Benefit rider is 90 days (not applicable if any illness is directly resulting from accidental injury). This leaflet is intended to be distributed in Hong Kong only and shall not be constructed as an offer to sell or a solicitation to buy or provision of any of our products outside Hong Kong. Please refer to the Policy Documents for details including full terms and conditions and exclusions. If there is any conflict between the Policy Document and this leaflet, the Policy Document shall prevail. Sun Life Hong Kong Limited (Incorporated in Bermuda) Sun Life Financial Cafe 8/F, Sun Life Tower, The Gateway, 15 Canton Road, Kowloon, Hong Kong Customer Service Hotline: Fax: E/ A member of the Sun Life Financial group of companies. Head Office in Toronto, Canada. Printed in November 2011 Issued by Sun Life Hong Kong Limited