Why cover?
  • affects 1 in 4 women / 1 in 5 men before retirement
  • 94.1% of the critical illness claims are paid
  • protect yourself and your family if you get seriously ill
Why us?
  • get the cover that will pay when you need it
  • save up to 35%, cover from £5 a month
  • free, fast and without obligation quotes
Insurers: Aviva, Legal & General, Liverpool Victoria, Scottish Widows, Vitality, Zurich

Overview of Zurich's Protection Plans Offering Critical Illness Cover

Zurich’s Critical Illness Cover is available through its Protection Plan offerings; it can be bought through the level protection plan (as life or earlier critical illness cover), or through the decreasing mortgage cover plan (usually bought as an add-on to a life cover).

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Quick Facts on Zurich Critical Illness

Availability of Zurich’s Critical Illness

Zurich’s Critical Illness Cover is available through its:

  • Level Protection Plan. Can be bought as:
    • Life or earlier critical illness cover
    • Life or earlier critical illness cover with extra life cover
  • Decreasing Mortgage Cover Plan. (Critical Illness is usually bought as an add-on to a life cover.)

This can either be for a single or joint coverage.

Payment of critical illness benefit

  • Critical illness Protection. Pays out a lump sum when the person insured is diagnosed with a covered critical illness.
  • Diagnosis of a children’s critical illness for the child of the person covered (payout will be a specified portion of the benefit amount)
  • The death of the person covered

The cover stops once the benefit amount or sum assured is paid out in full.

Condition for payout

The lump sum is paid upon diagnosis of a covered critical illness and the person insured survives for at least 14 days after the diagnosis.

Amount of cover

  • There is no minimum sum insured.
  • Maximum sum insured: £7,000,000
  • The client has the option of getting decreasing or level coverage.
  • For the child critical illness cover: 50% of the sum insured or £25,000, whichever is higher

Age and other restrictions

  • Covered person must be 16 to 69 at the start of the cover.
  • Covered child must be between 90 days to 18 years of age
  • The cover is only for permanent UK residents, including foreign nationals who are residents of the UK. British expatriates that reside overseas are excluded.

Length of coverage

  • Decreasing Mortgage Cover: Length of the term will be based on the length of the mortgage payment plan
  • Level Term Cover
    • Minimum term: 5 years
    • Maximum term:
      • Reviewable Payment Plans: 40 years or on the Person Insured’s 75th birthday
      • Guaranteed payment plans: 30 years or on the Person Insured’s 75th birthday

Premiums

For Decreasing Mortgage Cover, premiums remain level.

For Level Term Cover, premiums can be:

  • Guaranteed
  • Reviewable

Benefits automatically included

  • Terminal illness benefit
  • Children’s critical illness protection

Additional optional cover

  • Mortgage Decreasing Term Plan Optional Covers:
    • Total Permanent Disability (Own Occupation)
    • Payment Protection Benefit
    • Waiver of Payment Benefit
    • Guaranteed Insurability Option
    • Separation Option
  • Level Term Cover
    • Renewable Term
    • Total Permanent Disability (Own Occupation before age 60)
    • Payment Protection benefit
    • Waiver of Payment Benefit
    • Indexation

What Is the Critical Illness Cover of Zurich?

The Critical Illness Cover provided by Zurich is often bundled into life assurance or term life insurance cover. It can be bought as:

  • Level Protection Plan (Can be bought as):
    • Life or earlier critical illness cover
    • Life or earlier critical illness cover with extra life cover
  • Decreasing Mortgage Cover Plan. (Critical Illness  is usually bought as an add-on to a life cover.)

Amount of Coverage

  • Mortgage Decreasing Term Cover. The amount of insurance will decrease monthly until it reaches zero at the end of the term. Any life cover (after a successful critical illness claim is paid out) will pay the difference between the current coverage amount less payments already made for the critical illness claim.
  • Child critical illness cover is 50% of the sum insured or £25,000, whichever is lower.

Who Is Covered

The life insured. Age must be between 18 to 69 when the cover starts.

The life insured’s children:

  • Children, either by birth or legal adoption, as well as step children
  • The children should be between 3 months to 18 years old at the time of diagnosis of the critical illness
  • For the critical illness benefit to be payable, the covered person must survive for at least 14 days from the day of the diagnosis
  • There is no limit to how many children can be covered but only one claim can be made for each child. The critical illness benefit may be payable twice if each of the two parents have a critical illness policy.

What You Will Receive

The critical illness benefit will pay:

  • The benefit amount, if you are diagnosed with a covered critical illness. That is, if the critical illness meets the definitions stated in the policy. The insured person should survive 14 days after the date of the diagnosis.
  • £25,000 or 50% of the sum insured, whichever is lower, if your child is diagnosed with a covered critical illness. Only one claim per child will be paid out, regardless of the number of policies the parents has with Zurich. However, if both parents are covered by a separate single life critical illness policy, the child can be paid for each policy. Any claims for children’s critical illness protection will not affect the “main” benefit amount (or, the amount to be paid in case of a diagnosis of a covered illness). However, if the “main” benefit has already been paid out, the cover stops and any succeeding claims for children’s critical illness will no longer be payable.

Length of the Cover

Length of cover depends on the type of plan selected:

  • Decreasing Mortgage Cover: Length of the term will be based on the length of the mortgage payment plan
  • Level Term Cover
    • Minimum term: 5 years
    • Maximum term:
      • Reviewable Payment Plans: 40 years or on the Person Insured’s 75th birthday
      • Guaranteed payment plans: 30 years or on the Person Insured’s 75th birthday

Premiums

For the Decreasing Mortgage Cover plan, premiums remain level throughout the term of the policy.

Premiums can either be:

  • Guaranteed. Premiums remain the same throughout the life of the policy.
  • Reviewable. Premiums may change every time it is reviewed. The client has the option to pay the same amount of premium (for a lower amount of cover) or an increased/decreased premiums (for the same amount of cover, where the premiums are computed based on various factors). If the plan has a term of more than 10 years, the review will be made every five years and on every anniversary for the last four years of the plan’s term. If the plan has less than 10 years, the review will be made on the fifth year and every year after that.

Critical Illnesses Covered

The Critical Illness benefit will pay the benefit amount (or a portion) for the following critical illnesses:

Critical Illness Covered Type of Definition Exclusions

Alzheimer’s Disease

ABI

  • Other types of dementia

Aorta Graft Surgery

ABI+

Aplastic Anemia

Zurich

Bacterial meningitis

Zurich

  • Other forms of meningitis aside from the one defined
  • Meningococcal septicaemia

Benign Brain Tumour

ABI+

Blindness

ABI

Cancer

ABI

Cardiomyopathy

Zurich

  • Myocarditis
  • Heart enlargement
  • Other forms of heart disease.

Coma

ABI+

Coronary Artery Bypass

ABI+

  • Atherectomy
  • Balloon angioplasty
  • Insertion of stents
  • Laser treatments
  • Rotablation

Creutzfeldt-Jakob Disease

Zurich

Deafness

ABI

Encephalitis

Zurich

  • Chronic fatigue syndrome
  • Myalgic encephalomyelitis

Heart Attack

ABI+

  • Other acute coronary syndromes
  • Angina

Heart valve replacement or repair

ABI+

HIV Infection

ABI

Kidney failure

ABI

Liver failure

Zurich

  • Liver failure caused by drug or alcohol abuse

Loss of hands or feet

ABI

Loss of Independence

Zurich

Loss of speech

ABI

Major Organ Transplant

ABI

Motor Neurone Disease

ABI

Multiple Sclerosis

ABI

Paralysis of limbs

ABI

Parkinson’s Disease

ABI

Pre-senile Dementia

Zurich

Primary Pulmonary Hypertension

Zurich

  • Pulmonary hypertension where the cause is not primary

Progressive Supranuclear Palsy

Zurich

Pulmonary Artery Surgery

Zurich

Removal of an eyeball

Zurich

  • Self-inflicted injury
  • Deliberate injury by a plan owner to any of the Persons Insured

Severe lung disease/Respiratory Failure

Zurich

 

Stroke

ABI

Systemic Lupus Erythematosus

Zurich

Symptoms that are not acceptable for the illness to be payable include

  • fatigue
  • headaches
  • lethargy
  • seizures
  • any symptoms or psychological or psychiatric origin

Other forms of SLE are also excluded.

Terminal illness

ABI

Third Degree Burns

ABI+

Traumatic Head Injury

ABI

Additional Optional Benefits

Depending on the type of plan the client chooses, he can also opt for the following optional benefits:

Benefit Plan Available Benefit Definition

Total Permanent Disability

Mortgage Decreasing Term Plan

Level Term Plan

This can be taken out separately for each individual covered in the policy/

This pays the benefit amount if the Person Insured becomes totally and permanently disabled before the age of 60. The Person Insured must be no more than 54 years old at the time this benefit is applied for. The benefit ceases at the time the Person Insured reaches 60 or at the end of the term of the plan.

Disability can be defined as:

Own occupation (tasks needed to perform one’s trade, profession or type of work for pay or profit)

Waiver of Premium Benefit

Mortgage Decreasing Term Plan

Level Term Plan

This will pay out the premiums if the Person Insured is unable to perform tasks related to his own occupation for more than six months.

The Person Insured should be no more than 55 years old at the time this benefit is applied for. This will end when the Person Insured reaches 65 years of age. The longest term for this benefit is 49 years.

Payment Protection Benefit

Mortgage Decreasing Term Plan

Level Term Plan

This pays out a monthly income if the Person Insured becomes incapacitated and unable to perform the tasks of his own occupation. The Person Insured should be no more than 59 years old at the time this benefit is included.

The monthly income is computed as 1% of the critical illness cover (or life cover, whichever is higher), or 40% of the pre-incapacity earnings (where income is no more than £4,000 monthly). The monthly income may also be reduced, depending on other sources of income (i.e. sick pay, pensions (except for income support or other State benefits) or other insurance benefits). The income is provided until the Person Insured reaches 65 or when the terms ends, whichever is earlier.

Guaranteed Insurability Option

Mortgage Decreasing Term Plan

Level Term Plan

The Person Insured can increase coverage without the need to provide additional medical evidence for specific life events.

This includes:

  • Increase in mortgage amount
  • Marriage/Divorce/Entry or Dissolution of a civil partnership
  • Parenthood (either by natural birth or legal adoption)
  • Salary increase
  • Change in business assurance needs
  • New commercial loan or an increase in an existing loan

The Person Insured should be no more than 54 years old at the time the option is applied.

Separation Opton

Mortgage Decreasing Term Plan

Level Term Plan

For policies covering two or more people who are divorcing, they are allowed to take out separate plans without the need to show any further medical evidence.

Renewable Term

Level Term Plan

The Person Insured should be 64 years old or younger at the time the plan is renewed. There is an option to have a reduced amount of cover during the renewal.

Indexation Option

Level Term Plan

This increases the amount of cover yearly based on any of the following:

  • Retail Prices  Index (RPI)
  • Average Weekly Earnings
  • Choice between 5% or 10%

What You Are NOT Covered For

The client will not receive any Critical Illness payouts for:

  • Diagnoses that does not match the definitions provided for a specific critical illness
  • Non-disclosure of key information at the time of application, if the information that was not disclosed would have affected the decision to accept the application or would have changed the premiums charged
  • Failure to notify Zurich about the critical illness diagnosis within six months of diagnosis
  • Failure to provide information required for the claim
  • Failure to survive at least 14 days after the date of the operation or diagnosis
  • Illnesses that arise from pre-existing conditions (for children’s critical illness cover)
  • Injuries that result from suicide or acts of self-injury
  • Critical illnesses where the cause of the claim is specifically excluded
  • The illness was contracted at the time the Person Insured was living abroad and was not able to return to any of the accepted countries. The list of accepted countries include Australia, Austria, Belgium, Bulgaria, Canada, Channel Islands, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Republic of Macedonia, Germany, Gibraltar, Greece, Hong Kong, Jungary, Iceland, Ireland, Isle of Man, Italy, Japan, Latvia, Liechenstein, Lithuania, Luxembourg, Malta, Monaco, the Netherlands, New Zealand, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, Switzerland, Turkey, the UK and the United States of America.

Making a Claim

To make a claim, the insured person or representative:

  • Call Zurich’s Critical Illness claims hotline: 0870 850 0786
  • Submit the completed claims form
  • Zurich will obtain the medical information from one’s GP, specialist or consultant who has been treating the person insured. Send Zurich’s letter to the doctor/consultant, who will then send his medical report directly to Zurich’s office.
  • Zurich may need additional medical evidence of the critical illness being claimed. Where any additional medical evidence is needed, Zurich will shoulder all reasonable costs to obtain such evidence.

Submitting a claim should be done as soon as possible – after the diagnosis of a critical illness. Zurich has to be informed of any diagnosis or operation within six months.

This article is for informational pruposes only and should not be considered a financial advice. Contact Zurich directly for information about their products.

Last updated on: 25.07.2012

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