Life Choice - Home Policy Conditions Mortgage Protection

New Ireland Assurance Company plc.

11-12 Dawson Street, Dublin 2

T: 01 617 2000 F: 01 617 2075

E: [email protected] W: www.newireland.ie

New Ireland Assurance Company plc is regulated by the Central Bank of Ireland. A member of Bank of Ireland Group. 301673 V7.08.15

Life Choice - Home

Policy Conditions

Mortgage Protection

Contents

Introduction 2

Section A. General Conditions 3

1. Deﬁnitions 3

2. Legal Basis 4

3. Payment of Beneﬁts 5

Section B. Details of the policy 6

1. Paying Premiums 6

2. Amending your Policy 6

2.1. Medical-Free Conversion Option 6

2.2. Life Events Option 7

2.3. Other Policy Options 8

3. Restarting your Policy 8

4. Cancelling your Policy/Beneﬁts Ceasing 8

5. Who is Covered 8

6. Settlement/Correspondence 9

7. No Policy Value 9

8. The Actuary 9

9. Legal Interest in Your Policy 10

Section C. Beneﬁts 11

1. Death Beneﬁts 11

1.1. Lump Sum on Death 11

1.1.1. Terminal Illness Beneﬁt 11

1.1.2. Accidental Death Beneﬁt 12

2. Children’s Protection Beneﬁts 12

2.1. Children’s Lump Sum on Death 13

Section D. Claim Procedures and Exclusions 14

1. Claim Procedures 14

2. Exclusions 14

Comhlucht na hÉireann um Árachas, cpt/New Ireland Assurance Company plc

Registered in Dublin, Ireland, Registered No.7336.

Registered Office: 11 – 12 Dawson Street, Dublin 2.

Introduction

This is the Policy Document for your Life Choice – Home policy. Together with the Policy Schedule which

is contained in the pocket inside the front cover and any endorsements to this policy, it contains the

details of your policy and the conditions and rules which set out how the policy works.

The Policy Document is a legal document and should be kept in a safe place. It would also be useful if

your solicitor, a relative or a friend knew where it is kept.

Section A - General Conditions

1. Deﬁnitions

Actuary

New Ireland’s Appointed Actuary.

Application

The completed application and/or all the

information provided by you and/or the Lives

Insured in connection with this policy to your

intermediary and/or to the Company, or by

your intermediary to the Company, prior to the

commencement of the policy and any declarations

signed by you and/or the Lives Insured.

Approved Territories

The countries of the European Union as at January

2013 (Austria, Belgium, Bulgaria, Cyprus, Czech

Republic, Denmark, Estonia, Finland, France,

Germany, Greece, Hungary, Ireland, Italy, Latvia,

Lithuania, Luxembourg, Malta, Netherlands,

Poland, Portugal, Romania, Slovakia, Slovenia,

Spain, Sweden and United Kingdom), Australia ,

Canada, New Zealand, Norway, Switzerland and

the United States of America.

Assigned

You can make the Protection Beneﬁts under the

policy payable to someone else by making your

policy Assigned. This involves you and the other

person making a legal agreement as to who will

receive the Protection Beneﬁts. Normally, this is

done if this policy is used as security for a loan,

and the Protection Beneﬁts are paid to the lender.

You are still liable to pay the Premiums.

Assignee

If you make your policy Assigned, then the person

who has taken over the legal interest is known

as the Assignee. It is this person to whom the

Protection Beneﬁts will be paid.

Consultant

A registered medical practitioner who has

specialist qualiﬁcations in an appropriate branch

of medicine and who is practising at a Major

Hospital in one of the Approved Territories.

Where a Consultant is registered in a country

other than Ireland or the United Kingdom, the

Company reserves the right to seek an opinion of

a Consultant practising in Ireland or the United

Kingdom.

Expired Term

This is the number of policy anniversaries attained

since the Policy Start Date.

Insurer

New Ireland Assurance Company plc is the

Company that has issued the policy. Wherever the

words “we”, “us”, “New Ireland”, “the Insurer” and

“the Company” are used in the policy they refer to

New Ireland Assurance Company plc. New Ireland

Assurance Company plc is regulated by the Central

Bank of Ireland. A member of Bank of Ireland

Group.

Life Insured

A person whose life is insured by the policy, and

who is named in the Policy Schedule. If there are

two lives insured named in the Policy Schedule

then the policy is a joint life policy.

Lump Sum on Death Beneﬁt

The amount of Lump Sum on Death Beneﬁt

shown in the Policy Schedule as applying to a Life

Insured, or as subsequently changed.

Major Hospital

This is a medical institution registered with

the relevant authority in one of the Approved

Territories (unless otherwise stated), which has

continuous facilities for diagnosis, treatment and

major surgery, which is operated primarily for the

surgical and medical treatment of acute illness

and injury, and which provides accommodation

for sick and injured people as in-patients. For

the purposes of this policy “Major Hospital” does

not include a hospice, convalescence, geriatric or

rehabilitation facility or the National Rehabilitation

Hospital (Dún Laoghaire, Co. Dublin).

Policy Anniversary

This is the date 12 months after the policy starts

and every 12 months thereafter.

Policyholder

The person or persons with whom the contract of

insurance is made and who is responsible for the

payment of the Premiums. Wherever the words

“you” and “your” are used in the policy, they refer

to the Policyholder. The Policyholder is named in

the Policy Schedule.

Policy Schedule

The Policy Schedule forms part of the policy and

sets out the speciﬁc details of your policy.

Policy Start Date

This is the date that the policy starts. It is stated in

your Policy Schedule.

Policy Term

This is the Term of Cover chosen for the Lump

Sum on Death Beneﬁt as stated in your Policy

Schedule or any endorsement. The policy may

end earlier than the expiry of the Term of Cover if

Protection Beneﬁts are paid or the policy lapses or

ceases as set out in these policy conditions.

Premium or Premiums

The amount shown in the Policy Schedule or a

revised amount as stated on any endorsement or

letter from the Company as a result of voluntary

revision. The frequency at which Premiums are

payable is also shown in the Policy Schedule.

Protection Beneﬁts

The Lump Sum on Death Beneﬁt applying to a Life

Insured.

Term of Cover

This is the period(s) of cover chosen for each of

the Protection Beneﬁts that have been selected

under your policy. Cover for each of the Protection

Beneﬁts will end on the expiry of the chosen Term

of Cover or, if earlier, the payment of Protection

Beneﬁt(s) or the lapse or cessation of the policy as

set out in these policy conditions.

2. Legal Basis

The contract with New Ireland Assurance is a legal

agreement and consists of:

• the Application (including any recorded

telephone interview) completed by you and the

Life Insured;

• this Policy Document which sets out the

standard policy conditions;

• the Policy Schedule;

• any written statements made by you, and the

Life Insured(s);

• any statements made by an authorised person

on your behalf;

• changes in the policy conditions or Policy

Schedule notiﬁed to you in writing by the

Company (these are called endorsements); and

• any schedule of revised terms issued by the

Company to you.

The above contains all the terms of the contract

and we accept liability only in accordance with

these terms.

For the policy to be valid, we require full and true

disclosure in the Application and in any medical or

other statements made by the Policyholder or Life

Insured(s) or intermediary in connection with the

Application.

The policy is governed by the laws of Ireland. The

courts of Ireland shall have exclusive jurisdiction

in relation to all matters arising under or in

connection with the policy.

The Company will, subject to the payment

of Premiums and the policy terms, pay the

beneﬁts provided by the policy. If there is any

misrepresentation of or failure to disclose material

facts by or on behalf of the Policyholder, or a Life

Insured, the policy is void and all Premiums paid

will be retained by us.

The policy and the beneﬁts are payable under it

are based on current legislation, including current

taxation legislation. If there is any change in

taxation or other legislation affecting the policy

we will make such alterations to the terms of the

policy as, in the Actuary’s opinion, are necessary to

take account of such changes.

Complaints and disputes arising in connection with

your policy, which cannot be resolved within the

Company’s internal complaints handling procedure

may be referred to the Financial Services

Ombudsman. Details of the services provided

by the Financial Services Ombudsman may be

obtained from www.ﬁnancialombudsman.ie, your

insurance advisor or New Ireland.

Any assignments of the policy to a third party must

be notiﬁed to the Company at our head ofﬁce,

11/12 Dawson Street, Dublin 2.

3. Payment of Beneﬁts

Protection Beneﬁts are payable to the legal

owner of the policy. This will normally be the

Policyholder, but if the right to receive the

Protection Beneﬁts has been transferred or

Assigned to some other person or organisation

such as a bank or building society, the payment

of the Protection Beneﬁts will be made directly to

them (unless we receive the written instructions of

the legal owner to do otherwise).

For example, depending on the circumstances we

may pay one of the following:

• the Policyholder;

• a trustee(s) of the policy;

• an executor(s) or administrator(s);

• an Assignee(s) of the policy.

If there are two Policyholders we will pay both

jointly or the survivor if one has died. If at the time

the beneﬁt becomes payable the Policyholder has

died, we will pay the Assignee or the executors

or administrators dealing with the estate as

appropriate. If the policy has been issued under

Trust, we will pay the trustee who is responsible to

the beneﬁciaries of the Trust.

Section B - Details of the Policy

1. Paying Premiums

Your ﬁrst Premium is due on the Policy Start

Date. Subsequent Premiums are payable at the

frequency set out in your Policy Schedule or any

endorsement.

It is your responsibility to ensure that all

Premiums are received by us. Once cover has

started, we will allow you 30 days for payment

from the date that a Premium is due. If the

Premium is not paid within 30 days, your policy

and Protection Beneﬁts will cancel immediately

without further notice and you are no longer on

cover for any Protection Beneﬁts. If you inform

us in writing within 30 days of the premium due

date that you want to cancel your policy, it will

be cancelled immediately. Where this policy is

being replaced by a new policy, this policy will be

cancelled (unless previously lapsed) with effect

from the commencement date of the new policy.

If you have Assigned your policy, we are obliged to

notify the Assignee that Premiums have not been

paid and that cover no longer applies.

If a claim arises during the 30 day period after a

Premium is due and has not been paid, but before

the policy has been cancelled, we will deduct the

amount of the unpaid Premium from the claim

amount.

2. Amending your policy

2.1 Medical–Free Conversion Option

The Policy Schedule will state whether this option

applies to your policy.

If the Policy Schedule states that the Medical-Free

Conversion Option (“Option”) applies, then at any

stage before the expiry of your Term of Cover you

may, subject to the provisions set out below, either

extend the Term of Cover of your policy or cancel

this policy and take out a new policy with the

Company, without providing any additional medical

evidence.

The Option is subject to the following provisions.

To extend the Term of Cover the following

provisions apply:

1. The relevant Life Insured (or the older Life

Insured in the case of a joint life policy) must

be under 65 years of age on the date the Option

is exercised.

2. The amount of any beneﬁt payable after

conversion cannot be greater than the amount

of the beneﬁt provided under this policy

immediately prior to conversion.

3. The premium charged for the extended Term

of Cover, after the Option is exercised, will

be determined by the Company based on

its premium rates for the policy and the age

of the Life Insured on the date the Option is

exercised.

4. Any special terms which apply to the

Protection Beneﬁts before the Option is

exercised will continue to apply for the

extended Term of Cover.

5. The extended Term of Cover for the policy will

be limited to the maximum term of cover for

the policy as advised by the Company, or the

date upon which the Life Insured (or the older

Life Insured in the case of a joint life policy)

would reach the maximum age for the policy, if

earlier.

6. The amount of any beneﬁt after conversion

may be for such lesser amount as the

Company at its discretion shall decide taking

into account evidence as to the extent of any

ﬁnancial loss you would incur on the death

of the Life Insured and any other ﬁnancial

evidence that the Company may require.

7. Financial Underwriting will apply.

To take out a new policy (if available) all of the

following provisions apply:

1. The relevant Life Insured (or the older Life

Insured in the case of a joint life policy) must

be under 65 years of age on the date the Option

is exercised.

2. The new policy may be any of the Company’s

range of non-unit linked protection policies,

offering comparable beneﬁts, available at

the time the Option is exercised. The beneﬁts

under any new policy will be restricted to those

beneﬁts which applied to your policy prior to

conversion and which are available under any

new policy. The Company reserves the right to

restrict and/or vary the deﬁnition of any one or

more of the Protection Beneﬁts under the new

policy to be consistent with this policy.

3. The amount of any beneﬁt provided by the new

policy cannot be greater than the amount of

the beneﬁt provided by this policy on the date

the Option is exercised.

4. The Premium charged for the new policy will

be determined by the Company based on its

premium rates for that policy at the time the

Option is exercised.

5. Any special terms which apply to the

Protection Beneﬁts will continue to apply for

the new policy.

6. The term of cover on any beneﬁts under your

new policy will be limited to the maximum

term of cover for that beneﬁt under the new

policy as advised by the Company, or the date

upon which the Life Insured (or the older Life

Insured in the case of a joint life policy) would

reach the maximum age for that beneﬁt under

the new policy, if earlier.

7. If converting from a joint life policy to a dual

life policy, the amount of any Lump Sum on

Death Beneﬁt provided by the new policy for

each Life Insured will be half that of the Lump

Sum on Death Beneﬁt provided by this policy

immediately prior to conversion.

8. The amount of any beneﬁt under a new

policy may be for such lesser amount as the

Company at its discretion shall decide taking

into account evidence as to the extent of any

ﬁnancial loss you would incur on the death

of the Life Insured and any other ﬁnancial

evidence that the Company may require.

9. The new policy may provide an Income on

Death Beneﬁt in lieu of the Lump Sum on

Death Beneﬁt provided by this policy. The

amount of the Income on Death Beneﬁt cannot

be greater than the amount of the Lump Sum

on Death Beneﬁt provided by this policy, on

the date the Option is exercised, divided by the

number of months in the Term of Cover for the

Income on Death Beneﬁt provided by the new

policy.

10. The lives insured by the new policy may not

include any lives who are not insured by this

policy.

11. Financial Underwriting will apply.

2.2 Life Events Option

With Life Events Option, you can increase the level

of the Lump Sum on Death Beneﬁt applying to a

Life Insured within 3 months of the occurrence of

any of the following life events without providing

evidence of the Life Insured’s current health and

occupation:

(a) The Life Insured has increased a mortgage

associated with this policy because the Life

Insured has moved principal residence;

(b) The Life Insured has married;

Insured has given birth to a child or legally

adopted a child.

In the case of each Life Insured, the option to

increase a beneﬁt without medical evidence will

only apply if the Life Insured is already covered for

that beneﬁt within the policy.

The total amount of the relevant beneﬁt after

exercising the Life Events Option cannot exceed

the maximum of (1) and (2) as follows:

(1) The amount of the beneﬁt provided by this

policy at the time of exercising the option

Plus

The lesser of:

(a) 50% of the amount of the beneﬁt at the

Policy Start Date (or, if the beneﬁt was

subsequently added to your policy, at the

time it was ﬁrst added),

and

(b) ?100,000,

and

(2) The lesser of:

(a) The amount of the beneﬁt at the

Policy Start Date (or, if the beneﬁt was

subsequently added to your policy, at the

time it was ﬁrst added),

and

(b) ?500,000.

Where the Life Events Option is exercised on

more than one occasion, then the amount in (1) is

restricted to a cumulative maximum increase of

E200,000.

If you exercise the Medical-Free Conversion

Option, then the maximum a beneﬁt amount can

be increased to under the Life Events Option,

without providing additional medical evidence,

is restricted to E200,000 over the amount of the

beneﬁt at the Policy Start Date or, if the beneﬁt

was subsequently added to your policy, at the time

it was ﬁrst added to the policy.

Where you have more than one policy with the

Company, increases to other policies which have

taken place under a Life Events Option will be

taken into account for the purposes of calculating

the maximum increase under this policy.

The Life Events Option is subject to all of the

following:

• When exercising this option the Life Insured (or

the older Life Insured in the case of a joint life

policy) is under 55 years of age on the date of

application to exercise this option.

• You must notify us that you wish to exercise this

option within 3 months after the date of the life

event described in (a) to (c) above and provide us

with the following evidence:

– Conﬁrmation of the loan drawdown for the

mortgage in the event of an increase in the

mortgage and moving principal residence.

– A marriage certiﬁcate in the event

of marriage.

– A birth certiﬁcate in the event of a birth/ legal

adoption of a child together with a copy of an

appropriate Adoption Order.

– The Premiums must be paid in full when due

up to the date of the exercise of the option.

2.3. Other Policy Options

Outside the terms set out in Conditions 2.1 and

2.2 above, at any stage throughout the Term

of Cover you may request to amend the Term

of Cover or the amount of Protection Beneﬁts.

Any amendments outside of Conditions 2.1 and

2.2 above will be subject to underwriting and

acceptance by the Company. Where a request

for such an amendment is accepted by the

Company, this will result in your Premium being

re-calculated to take account of the changes being

made and will be conﬁrmed by an endorsement to

the Policy.

3. Restarting your Policy

If a Premium has not been paid within 30 days

from the date it was due for payment, then as set

out in Condition 1 of Section B, your policy and

Protection Beneﬁts will be cancelled. However,

your policy may be restarted at our absolute

discretion within one year from the date that the

ﬁrst unpaid Premium was due.

Restarting your policy is subject to payment of

all Premiums outstanding and the completion

of a Declaration of Health Form by each Life

Insured. Depending on what is disclosed on this

form the Company may request further medical

and/or other information, accept or decline the

reinstatement and/or make changes to the policy

terms or conditions including the Premium to be paid.

4. Cancelling your Policy/Protection

Beneﬁts Ceasing

The Protection Beneﬁt(s) will cease when any one

of the following events occurs:

• A claim is made under the Lump Sum on Death

Beneﬁt, on a single life or the ﬁrst death in a

joint life policy.

• The Life Insured(s) reaches the end of the Term

of Cover for the Protection Beneﬁt(s).

• You give written notiﬁcation that you wish to

cancel your policy.

• We do not receive a premium on the date the

Premium is due for payment and 30 days elapse

since that date the premium remains unpaid.

The Company will retain any Premiums paid under

the Policy.

5. Who is Covered

The Life Insured(s) is covered for the amount of the

Protection Beneﬁts that apply to the Life Insured(s)

until the end of the Term of Cover for the

Protection Beneﬁts. The Life Insured(s) details and

chosen beneﬁts are stated in the Policy Schedule

or any endorsement. The Life Insured(s) is covered

for the amount of the Protection Beneﬁts that

apply from the later of the Policy Start Date and

the date we collect your ﬁrst Premium.

We will require proof of the age of the Life

Insured(s) either on Application or before we pay

a claim. If it is discovered that the age or the sex

of a Life Insured has been mis-stated, the amount

payable under the provision of the policy will be

adjusted as determined by the Actuary and may

result in the non payment of the beneﬁt. The

Company will retain any Premiums paid under the

Policy.

6. Settlement/Correspondence

We will make payments under your policy by direct

credit to a nominated bank account. Other forms of

payment can be arranged by agreement.

We will send your correspondence to the most

recent address given by you. You must notify us

if you change address. If you do not, we are not

responsible for correspondence being delivered to

the incorrect address.

Any letters or notices from you must be sent to us

at our head ofﬁce, 11/12 Dawson Street, Dublin 2.

7. No Policy Value

The purpose of this policy is to provide a lump sum

payment in the event of death of a Life Insured

during the Term of Cover. This policy is not a

savings policy and at no point during the Policy

Term, or at the end of the Policy Term, will it have

any monetary value.

8. The Actuary

The Insurer appoints an Actuary whose

responsibilities include advising us on how the

policy should provide you with what you reasonably

expect to get from it. He/she will advise us how the

interests of the Policyholders should be taken into

account in any variation on these policy conditions

that we may propose.

We may revise the conditions set out in this

document if, in the opinion of the Actuary,

circumstances outside our control have changed

in a way which could not reasonably have been

predicted at the start of the policy and where, if

we were not to amend these policy conditions, the

results would be unfair to the Insurer or to our

Policyholders. Such circumstances might be:

• a change in the law under which these policies

operate, or

• a change in the tax treatment of policy beneﬁts

or of life assurance companies and their funds.

When considering any proposals by the Insurer

and how they affect your interests, the Actuary

will refer to the Guidance Notes prepared

independently by the Society of Actuaries in Ireland

and to any legislation that affects the way that he/

she must act in these circumstances. The Actuary

is required to make a statement in the annual

returns to the Central Bank of Ireland on whether

he/she has conformed with the Guidance Notes.

9. Legal Interest in Your Policy

You can use this policy as security for a loan by

signing over your legal interest to the lender.

This is known as an “Assignment”. A notice

of Assignment must be received by us at our

head ofﬁce from the person who has taken over

the legal interest. This person is known as the

“Assignee”. The notice must be in writing and must

show the date and reason for the change in legal

ownership. We cannot accept any responsibility for

the legal effect or otherwise of any Assignments.

This section contains details of the Protection

Beneﬁts provided by the policy and the

circumstances in which they are payable. The

particular beneﬁts applying to a Life Insured are

shown in the Policy Schedule or any endorsement.

If a beneﬁt is not shown on the Policy Schedule,

that beneﬁt is not provided by the policy. No beneﬁt

is payable after the expiry of the Term of Cover for

that beneﬁt and no Protection Beneﬁts are payable

after the expiry of the Policy Term.

All Protection Beneﬁts provided by the policy

are currently payable to the Policyholder free

of taxation. Details of the circumstances when

a claim may not be payable, and the procedure

you must follow in order to make a claim, are

contained in Section D “Claim Procedures and

Exclusions”.

Section C - Beneﬁts

1. Death Beneﬁts

1.1. Lump Sum on Death

This beneﬁt only applies to a Life Insured if

stated on the Policy Schedule or subsequent

endorsement.

This beneﬁt provides for the payment of a lump

sum amount as stated on the Policy Schedule or

any endorsement on the death of the Life Insured

(or the ﬁrst of the Lives Insured to die if a joint life

policy) during the Term of Cover for this beneﬁt as

stated in the Policy Schedule or any endorsement.

The Lump Sum on Death Beneﬁt as stated on the

Policy Schedule or subsequent endorsement will

reduce at monthly intervals. The monthly reduction

will be calculated with reference to the proportion

of the balance outstanding on a repayment

mortgage in an amount equal to the Lump Sum on

Death Beneﬁt and for the same term as the Term

of Cover for the Lump Sum on Death Beneﬁt and

as calculated by the Actuary using an interest rate

of 6% per annum.

If, under the terms Section B, Condition 2, the

Term of Cover for the Lump Sum on Death Beneﬁt

has been extended or the amount of the Lump

Sum on Death Beneﬁt has been increased, the

amount of the Lump Sum on Death Beneﬁt will

continue to reduce at monthly intervals in the

manner outlined above with reference to the

extended Term of Cover and/or any revision of the

amount of the beneﬁt.

Exactly when the Lump Sum on Death Beneﬁt is

paid is determined by the type of cover that was

selected at the Policy Start Date and is stated on

your Policy Schedule. The following versions of

the policy are available:

• Single life means that the Lump Sum on Death

Beneﬁt is paid when the only Life Insured under

the policy dies during the Term of Cover for

Lump Sum on Death Beneﬁt.

• Where there are two Lives Insured (joint life) the

Lump Sum on Death Beneﬁt is paid on the ﬁrst

death of the two Lives Insured under the policy

during the Term of Cover for Lump Sum on

Death Beneﬁt.

The policy will cease on the payment of a Lump

Sum on Death Beneﬁt.

No claim for Lump Sum on Death Beneﬁt will be

admitted if death arises from any of the exclusions

contained in Section D which are applicable

to Lump Sum on Death Beneﬁt. The claims

procedures described in Section D apply to claims

for Lump Sum on Death Beneﬁt.

1.1.1 Terminal Illness Beneﬁt

This provides you with an early payment of the

Lump Sum on Death Beneﬁt if the Life Insured is

diagnosed with a Terminal Illness during the Term

of Cover for Lump Sum on Death Beneﬁt.

Terminal Illness means an advanced or rapidly

progressing incurable illness, where in the opinion

of an attending medical Consultant of a Major

Hospital and our Company’s Chief Medical Ofﬁcer,

a Life Insured’s life expectancy is no greater than

12 months. In the event of Terminal Illness, the

Terminal Illness Beneﬁt payment will not apply

where there are less than 18 months to go to the

end of the Term of Cover for Lump Sum on Death

Beneﬁt.

The Terminal Illness Beneﬁt will be the Lump Sum

on Death Beneﬁt stated on the Policy Schedule.

The policy will cease following the Terminal Illness

Beneﬁt being paid out.

In the case of a joint life policy this beneﬁt is

payable on the diagnosis of a Terminal Illness of

the ﬁrst of the Lives Insured.

In the event of Terminal Illness no claim will be

admitted if Terminal Illness arises from any of

the exclusions contained in Section D which are

applicable to Terminal Illness Beneﬁt. The claims

procedures described in Section D apply to claims

for Terminal Illness Beneﬁt.

1.1.2 Accidental Death Beneﬁt

If the Life Insured is under age 55 when both the

initial application details and the duly signed initial

application declarations were received at New

Ireland’s head ofﬁce and you have chosen Lump

Sum on Death as a beneﬁt, then the policy will

pay a beneﬁt of the chosen Lump Sum on Death

amount up to a maximum of €150,000 should the

Life Insured die due to Accidental Death (or in the

case of an Application for a joint life policy, on the

Accidental Death of the ﬁrst to die of the Lives

Insured) from on or after the date when both the

initial application details and the duly signed initial

application declarations were received at New

Ireland’s head ofﬁce.

Accidental Death means death resulting from an

injury caused by accidental, violent, external and

visible means and is in no way linked to sickness,

disease or physical disorder of a Life Insured.

An Accidental Death does not include any of the

following causes:

• suicide, attempted suicide or intentional self

inﬂicted injury;

• death linked to being under the inﬂuence of or

being affected (temporarily or otherwise) by

alcohol or drugs;

• engaging in any hazardous activity or sports

including but not limited to the following: scuba

diving, motor sports, aviation, hang gliding,

water sports, horse racing, parachuting,

mountaineering, rock climbing, caving or

winter/ice sports;

• ﬂying, except as a fare paying passenger;

• taking part in any riot, civil commotion, uprising

or war (whether declared or not) or any related

act or incident;

• directly or indirectly by taking part in a criminal

act; or

• failure to follow reasonable medical advice

or failed to follow medically recommended

therapies, treatment or surgery.

Accidental Death Beneﬁt will cease on the earlier

of the following:

• the day we issue notice of acceptance of the

Application on normal terms

• the day we issue an offer of special terms

• the day we issue notice that the Application has

been refused

• the day we issue notice that the Application has

been postponed

• 30 days have passed since the day both the

initial application details and the duly signed

initial application declarations were received at

New Ireland’s head ofﬁce.

We will only pay once under Accidental Death

Beneﬁt in respect of any Life Insured, regardless of

the number of applications a person has with New

Ireland Assurance.

2. Children’s Protection Beneﬁts

Children’s Protection Beneﬁts apply to all the

natural or legally adopted children of a Life

Insured who are aged between 6 months and

18 years at the date the beneﬁt is payable and

all natural or legally adopted children of a Life

Insured aged, at the date the beneﬁt is payable,

between 18 and 21 years who are in full time

education.

No claim for Children’s Protection Beneﬁts will

be admitted if the claim arises from any of the

exclusions contained in Section D which are

applicable to Children’s Protection Beneﬁts. The

claim procedures described in Section D apply to

claims for Children’s Protection Beneﬁts.

2.1. Children’s Lump Sum on Death

An amount of ?4,000 is payable on the death of a

child of a Life Insured during the Term of Cover for

Lump Sum on Death Beneﬁt for a Life Insured.

The maximum amount of beneﬁt payable in

respect of any child from all policies issued by the

Company cannot be more than E4,000.

Section D – Claim Procedures and

Exclusions

1. Claim Procedures

All claims must be notiﬁed in writing to New

Ireland Assurance’s head ofﬁce at 11/12 Dawson

Street, Dublin 2. While we recommend that claims

be notiﬁed as soon as possible after the event,

claims must be notiﬁed within 90 days of the event

or the diagnosis giving rise to the claim.

New Ireland must receive the completed claim

form together with this Policy Document and

the Policy Schedule which forms part of this

document. All items of proof, certiﬁcates,

information, medical and other evidence that the

Company may require in support of a claim must

be provided at your own expense.

Where the conditions require the diagnosis by a

Consultant, he or she must be a Consultant of a

Major Hospital.

2. Exclusions

There are a number of circumstances in which

a claim for payment of a Protection Beneﬁt or a

Children’s Protection Beneﬁt will not be admitted or

paid. These exclusions, and the Protection Beneﬁts

to which they apply, are as follows:

• No Lump Sum on Death Beneﬁt, Terminal

Illness Beneﬁt or Children’s Lump Sum on

Death Beneﬁt is payable if the Life Insured or a

child of the Life Insured dies by his or her own

hand or act or is diagnosed as being terminally

ill as a result of his or her own deliberate act

within 1 year of the Policy Start Date or within

1 year of the date of any reinstatement of the

policy or within 1 year of a voluntary increase

in Lump Sum on Death Beneﬁt, or within 1 year

of being added on to the policy, whichever is

applicable, except that if the policy has been

Assigned to a third party in good faith, the

beneﬁt payable is limited to the interest of that

third party which was acquired for monetary

consideration.

• No claim for Children’s Protection Beneﬁts

is payable if the claim is, in the opinion of the

Company’s Chief Medical Ofﬁcer, due to any

congenital illness and/or medical condition

which existed whether symptoms were present

or not

- before the Policy Start Date; or

- before the date the Children’s Protection

Beneﬁt becomes applicable under the policy;

- before the date of any increase in Protection

Beneﬁts; or

- before the date of any reinstatement of the

policy, where applicable; or

- before the date the child was legally adopted;

- before the child was 6 months old.

• The speciﬁc exclusions relating to Accidental

Death Beneﬁt are contained in Section C,

Condition 1.1.2.