WAIVER OF PREMIUM ACCIDENTAL DEATH FAMILY INCOME BENEFIT

Contributions are paid by BENEFIT Pays ________________

_______________ if the Pays out on death within _____ income from date of
client is unable to do his days of accident. ____________ for period
__________ job through Maximum: ______% of Sum remaining of set number of
disability for more than Insured or $_________________ years between _______ and
______ weeks. whichever is the lower. _______ years.
FUTURA
PERMANENT TOTAL HOSPITALIZATION
DISABILITY ADDITION BENEFIT
Pays out a AL Cover commences
________________ in the BENEFITS __________ days after
event of ________________ acceptance. Pays out a
& ______________ LIMITS weekly amount after
disablement. Maximum : Benefit Entry more than _________ days
$_______________ . PTD will Benefit Ceases in hospital for up to
not ________________ Age Age ______ days. Pays up to
reduce life cover.
DISMEMBERMENT ______% of income
AEROPLANE (Max:
COVER
Hosp. ______ ______ $ ____________ / week.
BENEFIT Cost is __________.
Loss of ADB ______ ______ Increases Life Cover by
____________________ OR PTD ______ ______ __________% 0R
____________________ as a Maximum of $
result of an CIB ______ ______ ____________. If client
________________. WOP ______ ______ dies in an
Maximum: CRITICAL ILLNESS BENEFIT CHILDREN_________________
CRITICAL ILLNESS
$________________ Benefit
Pays ______________ of sum insured. Pays when accident.
BENEFIT
stops at age _________.
____________ ________________ is diagnosed. Benefit is Pays a lump sum of $____________ in
_________________. the event of your child
Of life cover. Comes into force after ___________ ___________________ with a critical
months of acceptance. Number of critical illness illness. Maximum of ________
 WAIVER OF PREMIUM ACCIDENTAL DEATH FAMILY INCOME BENEFIT
Contributions are paid by BENEFIT Pays ________________
_______________ if the Pays out on death within _____ income from date of
client is unable to do his days of accident. ____________ for period
__________ job through Maximum: ______% of Sum remaining of set number of
disability for more than Insured or $_________________ years between _______ and
______ weeks. whichever is the lower. _______ years.
FUTURA
PERMANENT TOTAL HOSPITALIZATION
DISABILITY ADDITION BENEFIT
Pays out a AL Cover commences
________________ in the BENEFITS __________ days after
event of ________________ acceptance. Pays out a
& ______________ LIMITS weekly amount after
disablement. Maximum : Benefit Entry more than _________ days
$_______________ . PTD will Benefit Ceases in hospital for up to
not ________________ Age Age ______ days. Pays up to
reduce life cover.
DISMEMBERMENT ______% of income
AEROPLANE (Max:
COVER
Hosp. ______ ______ $ ____________ / week.
BENEFIT Cost is __________.
Loss of ADB ______ ______ Increases Life Cover by
____________________ OR PTD ______ ______ __________% 0R
____________________ as a Maximum of $
result of an CIB ______ ______ ____________. If client
________________. WOP ______ ______ dies in an
Maximum: CRITICAL ILLNESS BENEFIT CHILDREN_________________
CRITICAL ILLNESS
$________________ Benefit
Pays ______________ of sum insured. Pays when accident.
BENEFIT
stops at age _________.
____________ ________________ is diagnosed. Benefit is Pays a lump sum of $____________ in
_________________. the event of your child
Of life cover. Comes into force after ___________ ___________________ with a critical
months of acceptance. Number of critical illness illness. Maximum of ________
INTERNATION
AL TERM
ASSURANCE
 FAB
FEATURES ADVANTAGE BENEFITS