PERSONAL ACCIDENT INSURANCE

Loss of Income

What does this section cover?

This section covers weekly income foregone by an Insured Person who has suffered a Temporary Total Disablement which entirely prevents them from performing each and every duty of their occupation.

What is the benefit payable?

The cover will be either 80% of the player’s net weekly income or $600 per week whichever is the lesser.

The maximum benefit period is 104 weeks. Please note that payments will be made to claimants net of tax.

What is the Excess Period?

This section is subject to an Excess Period of 7 days. This means the claimant must lose 7 days income due to injury before a claim is payable.

What the Insurer Will Not Pay

The Insurer will not pay any claim under this section of the Policy if the claim arises directly or indirectly out of any of the following:

• Any injury, medical condition, infirmity or weakness known to the insured person or which would have been known to a reasonable person in the circumstances to have existed prior to the commencement of this Policy;
• Illness.

The Insurer will not pay weekly benefits:

• For junior persons.
• While you or the insured person are awaiting surgery unless agreed in writing by us.
• If you or the insured person commence any new occupation while receiving weekly benefits.
• If you or the insured person recommence participation in any sport.
• For more than one injury at any one time.

Loss of Income – Conditions

• Any payable condition claimed must occur within 12 months of the date of injury.
• Successive periods of disablement resulting from the same injury and which are not separated by a return to active full time employment for six months or more will be considered as one period of disablement.
• Weekly benefits will be paid after the excluded period of claim has elapsed.
• The Insurer will continue to pay weekly benefits while the insured person suffers disablement up to a maximum of 52 weeks or other period shown on the Policy Schedule.

The weekly benefit paid will be the amount shown in the compensation table or 80% of the earnings lost by the insured person whichever is less and will be reduced by:

• Paid sick leave / holiday pay.
• Weekly benefits paid or payable from any statutory transport accident scheme or statutory workers compensation scheme.

This is a summary of cover only and does not purport to contain all policy terms, conditions and exclusions. Please refer to the policy wording and PDS for full details.

Please note that in some cases the cover available is broader than the cover outlined in the Standard Policy Wording and PDS. Please contact JLT Sport for further details.