12.07.2015 Views

MLC Life Cover Super MLC Personal Protection Portfolio

MLC Life Cover Super MLC Personal Protection Portfolio

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Critical IllnessinsuranceHow can you structureCritical Illness insurance?a) as part of your <strong>Life</strong> <strong>Cover</strong>The amount of Critical Illness insurance you choose must notexceed your <strong>Life</strong> <strong>Cover</strong> insurance. When you also chooseTPD insurance as part of your <strong>Life</strong> <strong>Cover</strong>, the combinedamount must not exceed your <strong>Life</strong> <strong>Cover</strong> insurance.b) as a Connected BenefitYou can have Critical Illness insurance and <strong>Life</strong> <strong>Cover</strong>as separate policies with different owners, but takeadvantage of connecting the Critical Illness insuranceto your <strong>Life</strong> <strong>Cover</strong>. For example you could have your <strong>Life</strong><strong>Cover</strong> insurance in LCS (inside super) and, as CriticalIllness is not available inside super, you could ownCritical Illness insurance as a PPP policy (outside super)connected to that <strong>Life</strong> <strong>Cover</strong>. When you also choose TPDinsurance as a Connected Benefit with Critical Illnessinsurance, the combined amount must not exceed your<strong>Life</strong> <strong>Cover</strong> insurance. Note: stand-alone Critical Illnessinsurance cannot be connected to <strong>Life</strong> <strong>Cover</strong> insurance.c) as stand-alone insuranceWith Critical Illness Plus you can choose to hold thisinsurance separately from your <strong>Life</strong> <strong>Cover</strong>.What is a critical condition?You are deemed to meet a critical condition when thecondition is first diagnosed as meeting its definition or,for surgical conditions, when the surgery is actuallyperformed. An appropriate specialist and <strong>MLC</strong>’s medicaladviser must agree that your condition meets all the termsof <strong>MLC</strong>’s detailed definitions (see ‘Critical ConditionsDefinitions’ on pages 75 to 79). In some cases acondition must progress to a certain point before it meetsthe definition.Qualifying periodsSome critical conditions are covered only after a periodof time known as a qualifying period. This means thatyou are not covered for those conditions when they firstappear, first happen or are first diagnosed within thequalifying period after this insurance began, was lastreinstated or increased.For surgical procedures this means that you are notcovered when the underlying condition requiring thesurgical intervention first appears, first happens or is firstdiagnosed within the qualifying period.However, <strong>MLC</strong> will cover you for a future occurrenceof those critical conditions if they appear, happenor are diagnosed after the qualifying period and areindependent of, and not related to, the earlier occurrenceof the conditions.If the policy replaces similar insurance, the qualifyingperiod will be waived for the amount of benefit that wouldhave applied under the replaced policy had it continued.Which critical conditions are covered byCritical Illness Standard and Plus?The following table sets out the critical conditionscovered by Critical Illness Standard and Plus(see ‘Critical Conditions Definitions’ on pages 75 to 79for detailed definitions).Page 18 <strong>MLC</strong> <strong>Life</strong> <strong>Cover</strong> <strong>Super</strong> and <strong>MLC</strong> <strong>Personal</strong> <strong>Protection</strong> <strong>Portfolio</strong> PDS

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