Here are some common insurance terms. Please review your policy for specific details of your coverage.

  1. The Insured: The insured is the person who is covered by the insurance policy.
  2. Pre-Existing Condition: This is a sickness condition for which the insured has received advice or treatment in the 12 months preceding the date of issue of the policy or has shown clear symptoms which would have caused an ordinarily prudent person to seek advice or treatment.
  3. Total Disability: Benefits are paid for Total Disability when the insured is unable to perform each
    and every duty of their normal business or occupation (or usual activities if currently unemployed).
  4. Partial Disability: Benefits are paid for Partial Disability when the insured is unable to perform one
    or more important duties of their normal business or occupation (or usual activities if currently unemployed).
  5. Hospital In-Patient Benefit: This is paid for each overnight stay following admission to hospital. Hospital means any institution for reception, care and treatment of sick people with its own facilities and premises for diagnosis and major surgery that provides 24 hour nursing care. The word
    hospital does not include a clinic, nursing home or convalescent care facility.
  6. Intensive Care Unit: This means the part of a hospital where patients receive continual nursing
    care and which is commonly known as the Intensive Care or Cardiac Care Unit.
  7. Inflation Protection: Each year on the anniversary date of the issue of the policy, the premiums and benefits increase as shown in your policy document under Schedule of Benefits. If you make a
    claim, the amount of benefits payable will be those applicable on the date that your accident
    occurred or your sickness began.
  8. Fracture Benefit:
    Minor Fracture: This is a fracture of one or more of the following: fingers, thumbs, toes or nose.
    Major Fracture: This is a fracture of one or more bones of the body (other than fingers, thumbs,
    toes or nose).
  9. Convalescence: This is a term used to describe the period of recovery immediately following discharge from hospital when you are still unable to do every duty of your normal occupation and under regular care from your doctor.