FAQ- What are Family Income Benefits ?
How does the plan work?
You decide which type of cover you want. When a claim has been
accepted we will pay a monthly benefit until the end of the period of
cover. You can choose:
We will pay the monthly amount if:
-You die.
-You become eligible for Terminal Illness benefit (for example, where life expectancy is less than 12 months)during the period of cover. This benefit is not available in the last 18 months of the plan.
Critical Illness Cover:
We will pay the monthly amount if:
-You become eligible for Critical Illness Cover or Terminal Illness benefit or you die; whichever occurs first.
Terminal Illness Cover:
This is included automatically at no extra cost. This means if you are diagnosed as having less than 12 months to live during the term of the plan, we will pay the monthly amount of money to you immediately (instead of when you die or are diagnosed with a critical illness if this cover is chosen). If youdie whilst receiving instalments, the payments will continue until the end of the term. If you survive, we will still pay the monthly amount until the end of the term. We would not ask for this money back. Full details and conditions are provided in your policy document.
You must pay all premiums due to keep your cover in force.
All cover is subject to terms and conditions which will be fully detailed in your policy document. Please also see the 'When will the plan not pay out?' section.
Please note, in some cases we may need medical information before we agree to provide cover.
How long can the plan last?
For Life Cover the term of the plan can be from 5 to 40 years and the plan must end by age 70 next birthday.
For Life and Critical Illness Cover with guaranteed premiums, the term of the plan can be from 5 to 25 years. However,cover must end by age 65 next birthday.
For Life and Critical Illness Cover with renewable premiums the term of the plan can be from 5 to 35 years. However cover must end by age 65 next birthday.
Who can the plan cover?
You can apply for the plan to cover:
-you alone;
-you and another person; or
-one or two people not including you.
If the plan covers two people it will pay only once. This would be when the first of you dies or becomes eligible for Terminal Illness or Critical Illness benefit (if this cover ischosen); whichever occurs first. The plan will then end and no further benefits will be payable.
Can children have Critical Illness Cover?
If you choose Critical Illness Cover and you have children when the policy starts or during the term of the plan, they will be automatically covered. The cover starts when each child is 26 weeks old and ends on their eighteenth birthday. Benefit will only be paid out if the child survives for 28 days rom diagnosis of one of the illnesses covered.
If your child is diagnosed with a critical illness and you are eligible to claim, we will pay up to £15,000 or 60 times the monthly instalment on your plan if this is less. This will be paid as a lump sum. We will only pay one claim for each childand once two claims have been accepted, Children's Critical Illness Cover will end. However, cover will continue for you
Which critical illnesses are covered?
The complete list of conditions we cover is shown below:
- Alzheimer's Disease
- Aorta Graft Surgery
- Aplastic Anaemia
- Bacterial Meningitis
- Benign Brain Tumour
- Blindness
- Cancer (most malignant types)
- Cardiomyopathy
- Chronic Lung Disease
- Coma
- Coronary Artery By
- Pass Surgery
- Creutzfeldt
- Jacob Disease (CJD)
- Deafness
- Dementia
- End Stage Kidney Failure
- End Stage Liver Failure
- Heart Attack
- Heart Valve Replacement or Repair
- HIV/AIDS (named groups only)
- HIV/AIDS Blood Transfusion
- HIV/AIDS through Assault
- Loss of Limbs
- Loss of Speech
- Major Organ Transplant
- Motor Neurone Disease
- Multiple Sclerosis
- Paralysis/Paraplegia
- Parkinson's Disease
- Progressive Supranuclear Palsy
- Stroke
- Third Degree Burns
- Total and Permanent Disability
- Functional AssessmentTests or "own" occupation definition
Children are also covered for the conditions listed except for Total and Permanent Disability, or any congenital, familial and pre-existing conditions.
In order to make a valid claim, all diagnoses and medical opinions must be provided by a medical specialist who holds an appointment as a Consultant at a hospital in the UK, whose specialism is appropriate to the cause of the claim and who is accepted by our Chief Medical Officer.
| Please remember that the heading of each critical illness is only a guide to what is covered. For example, some types of cancer are not covered. Further details of how we will consider your claim, including the full definitions we will use and the evidence we will need, are given in the policy document, Technical Guide and GoforCustomer's Guide to Critical Illnesses. The Technical Guide and GoforCustomer's Guide to Critical Illnesses are available on request. |
How much does the policy pay out?
At the start of the plan you choose the monthly amount to suit your needs. The level of benefit and the period of cover you choose will determine your premium. At the time of a claim, you can choose to receive the amount monthly, or choose to receive a lump sum payment calculated by GoforCustomer at the time of a claim.
The attached personal illustration shows the period of cover, how much cover you have chosen, whether Critical Illness Cover and any other additional benefits are included and your monthly premium.
The plan only pays out benefit once, and then the cover ends. This limit does not apply for Children's Critical Illness Cover.
When will the plan not pay out?
For all plans, we will not pay a claim if:
- The policy has ceased due to non-payment of premiums.
- You do not truthfully provide all the information we ask for on your application form or when you claim.
- You commit suicide in the first 12 months of the plan.
For Critical Illness Cover, we will not pay a claim if:
- The cause of your claim results from drug abuse, HIV/AIDS(except named groups, blood transfusion or through assault), self inflicted injury or war and civil commotion.
- The cause of the claim is specifically excluded by any terms we apply to your plan when we accept your application (if applicable, these will be shown in your policy document).
- The claim is from a cause that arose while you are living abroad for more than 12 months.
- The claim is for a child diagnosed with a critical illness and:
- the condition runs in the family or was present at birth;
- the symptoms first arose before the child was covered; or
- the child dies within 28 days of the critical illnessbeing diagnosed.
- The claim is for any illness or condition which is not listed.
We may apply specific exclusions when we accept your policy.These will be shown in your policy document.
What other options are available?
Some of these benefits are optional. If required, they must be chosen at the start of the plan and there may be an additional cost. For full details, ask your financial adviser or mail us at: info@goforcustomer.co.uk
Waiver of Payment Benefit
You can choose to include Waiver of Payment benefit. This benefit means that you do not have to pay your premiums if you cannot work for six months or more as a result of illness or injury. Although you must continue to pay premiums at first, after 26 weeks incapacity, we will waive your premiums.
If you are not in gainful employment, you do not have to pay your premiums after 26 weeks if you suffer an illnessor accident which stops you performing three or more functional assessment tests.
We will continue to waive premiums until:
- you no longer qualify for Waiver of Payment benefit
- you reach the end of your policy
- your 60th birthday
- you die.
whichever is the earliest.
Indexation
This helps your cover to keep up with inflation. Both the premiums and the amount of monthly instalments we would pay, following a valid claim, will increase in line with the Retail Price Index each year (up to 10% in any oneyear). In addition, the premium will be subject to reviews as set out in the 'Will my payments ever go up?' section.
We will contact you yearly to see if you want to increase your cover, but if at any time you choose not to, the option will cease and we will not offer this option again. If you dorefuse this option, the amount of monthly instalments paid and premiums will remain constant at the then existing level. In addition, the premium may be subject to reviews as set out in the 'Will my payments ever go up?' section.This option must be chosen at outset.
Total and Permanent Disability definition under CriticalIllness Cover
Your plan will pay out if you are totally and permanently disabled.
Functional Assessment Tests Definition
Under this definition the plan will pay out if, due to illness or accident, you suffer an irreversible mental or physical disability which, in the opinion of GoforCustomer 's Chief Medical Officer, results in you being permanently unable to carry out at least three of the following functional assessment tests without the help of another person:
Walking - the ability to walk 200 metres on flat ground with or without the aid of a walking stick and without stopping or experiencing discomfort
Bending - the ability to get into and out of a standard saloon car and the ability to bend or kneel to pick up an object from the floor and straighten up again
Communicating - the ability to answer the telephone and to take a message
Reading - having the required eye sight (corrected if necessary) to be able to read a daily newspaper
Writing - having the physical ability to write legibly using a pen or pencil without aid
Climbing - having the ability to climb a flight of 12 stairs without stopping or suffering severe discomfort
| Further details about the cover and any limitation is in the
Policy Conditions Section of the Policy Document which is made up of
the Policy Schedule and the OLA(Ordinary Life Assurance) wrap. We
provide more information about cover and limits in GoforCustomer's
Guide to Critical Illness Cover and the Technical Guide. You can ask
us for a copy of any of these. We may apply specific exclusions when we accept your policy, such as excluding certain critical illnesses, conditions and pre-existing medical conditions. If this is the case, these will be shown in your policy schedule under Policy Condition 1. |