Self-inflicted injury, war / civil unrest, criminal acts, drug use, and certain pre-existing conditions are commonly excluded. Specific exclusion lists vary by insurer.
5 active trauma products · 3 on file
Each section below is the verbatim text from that insurer's current policy wording PDF. Where a product doesn't address this topic specifically, we show "Not on file" rather than guess.
Wording effective 2026-05-17 · confidence verified
War or any act of war · Invasion · Terrorism or any acts of terrorism · Act of foreign enemy · Hostilities, strike, riot or civil commotion · Civil war, rebellion, revolution or insurrection · Military or usurped power · Attempted suicide or intentional self-injury by the life insured, whether sane or insane (Critical Illness Benefit) · An unlawful act by you or the life insured (Critical Illness Benefit) · Alcohol or drugs taken by the life insured — unless prescribed by a qualified medical practitioner (Critical Illness Benefit) · The life insured driving a motor vehicle with a blood alcohol level exceeding the minimum legal limit (Critical Illness Benefit) · Suicide, attempted suicide or intentional self-injury within 13 months of the cover start date or reinstatement date (Life, Advanced Funeral and Terminal Illness Benefits) · Conditions or symptoms of conditions (not caused by accidental injury) which occurred within 3 months after the later of: the original cover start date, any increase to the Critical Illness Cover Amount (in respect of the increased portion only), or the most recent date this policy was reinstated (Critical Illness Benefit) · All cancers which are histologically described as premalignant, or carcinoma in situ or cervical intraepithelial neoplasia, unless it results directly in the removal of the entire organ · All skin cancers unless: there is evidence of metastasis, or the tumour is a malignant melanoma of Clark Level 3 and above, or the tumour is a malignant melanoma with invasion greater than 1.5mm maximum thickness (Breslow method), or the tumour is a malignant melanoma showing signs of ulceration · Prostate cancers diagnosed as TNM classification T1 with a Gleason score of 5 or less, unless major interventionist therapy is performed · Chronic lymphocytic leukaemia less than Rai Stage 1 · Transient ischemic attacks (TIA) · Cerebral symptoms due to reversible neurological deficits, migraine, cerebral injury from trauma or hypoxia and vascular disease affecting the eye, optic nerve or vestibular functions (Stroke) · Carcinoma in situ of the cervix uteri of Cervical Intraepithelial Neoplasia (CIN) classifications CIN1 and CIN2 · Papillary micro-carcinoma, non-invasive papillary carcinoma and flat, non-invasive carcinoma in situ of the bladder · Early stage cancer that is the same, similar to, related to, or directly or indirectly caused by an early stage cancer that has previously been covered by the Critical Illness Benefit · A rise in cardiac biomarkers resulting from a percutaneous procedure for coronary artery disease unless the baseline value is normal and the elevation is greater than 10 times the 99th percentile of the upper reference limit (Heart Attack)
Wording effective 2025-04-30 · confidence verified
You can't claim under this cover in connection with an intentional self-inflicted act or injury of the insured person. · No benefit will ever be payable for a trauma condition that occurred, was diagnosed, or where signs or symptoms became apparent within 90 days of the date we receive the complete application and valid payment instruction, or the date of reinstatement (stand-down period applies to: cancer condition, heart attack, out of hospital cardiac arrest or stroke; angioplasty – two vessels or less or angioplasty – triple vessel if there was narrowing or blockage of one or more arteries; coronary artery bypass surgery if there was disease of the arteries; aorta surgery if there was narrowing, dissection or aneurysm of the abdominal or thoracic aorta; heart valve surgery if there was heart valve defects or abnormalities). · No benefit will ever be payable for a trauma condition for a child if the trauma condition directly results from known congenital conditions or any child pre-existing conditions. · Coma related to alcohol or drug abuse is excluded. · Coronary artery bypass surgery: angioplasty, intra-arterial procedures and other non-surgical techniques are excluded. · Benign brain tumour or benign spinal tumour: cysts, granulomas, malformations in or of the arteries or veins of the brain and haematomas are excluded. · Cancer: tumours showing the malignant changes of carcinoma in situ (including cervical dysplasia, CIN1, CIN2 and CIN3) are excluded; tumours histologically classified as pre-malignant or having low-malignant potential are excluded; all hyperkeratosis or basal cell carcinomas of the skin are excluded. · Heart attack: other acute coronary and other non-coronary syndromes, including but not limited to angina pectoris, are excluded; a rise in biological markers as a result of an elective percutaneous procedure for coronary artery disease is excluded. · Intensive care as a direct or indirect result of drug or alcohol abuse is excluded. · Loss of speech due to psychological reasons is excluded. · Major organ transplant: transplant of all other organs, parts of organs (except for liver transplant) or any other tissue transplant is excluded; cover is only applicable to the recipient, not the donor. · Medically acquired HIV: HIV that is medically acquired if a cure for HIV or AIDS was available at the time the procedure is performed is excluded; HIV transmission by any other means, other than Occupationally Acquired HIV, including sexual activity or deliberate injection of a drug not prescribed by a specialist medical practitioner, is excluded. · Occupationally acquired HIV: HIV transmission by any other means, other than Medically Acquired HIV, including but not limited to sexual activity or deliberate injection of a drug not prescribed by a specialist medical practitioner, is excluded. · Open heart surgery: repair via catheter surgery, minimally invasive 'keyhole' or similar techniques are excluded. · Peripheral neuropathy related to alcohol or drug use is excluded. · Relocation Benefit is not payable for a child under the Child's Trauma Benefit, or as a result of any partial benefit payment. · Trauma Reinstatement Benefit: the bought back cover won't pay if the trauma condition is the same as the original trauma condition, or directly or indirectly caused by or related to the original trauma condition or its symptoms or conditions, or a loss of independent existence, or a heart condition and the original trauma condition was also a heart condition, or a stroke or paralysis (directly or indirectly resulting from a stroke) and the original trauma condition was a stroke. · Trauma Reinstatement Benefit is not available where we have paid a claim for any partial benefit. · Special Events Increase is not available if the cover has been issued as a result of an optional Trauma Reinstatement Benefit being exercised; or the insured person has had a claim paid or is entitled to be paid a claim under any policy with us or any other insurance company; or premiums aren't up to date or are being waived; or the portion of cover is itself a result of a Special Events Increase.
Source: https://www.fidelitylife.co.nz/media/bpbdqczq/life-protect-trauma-cover-policy-wording.pdf
Wording effective 2026-05-18 · confidence verified
The life assured (or the child in the case of a Built-in Children's Trauma Benefit or the Optional Children's and Maternity Benefit) deliberately injures himself or herself or attempts to do so. · The life assured (or the child in the case of a Built-in Children's Trauma Benefit or the Optional Children's and Maternity Benefit) engages in or is part of any conduct that is criminal. · Any condition or any symptom or signs leading to the condition (whether or not a registered medical practitioner has been consulted) that existed before the risk commencement date, unless AIA is satisfied that you or the life assured could not have known of the existence of the condition or symptom or signs leading to the condition, or the condition or symptom or signs leading to the condition were declared on your application and accepted by AIA. · Any intentional act by you or by any parent or guardian of the life assured, or child (where the life assured or child is under age 21 at the time). · Any intentional act by someone who lives with or supervises the life assured, or child (where the life assured or child is under age 21 at the time). · A benefit under the Built-in Children's Trauma Benefit or the Optional Children's and Maternity Benefit that arises as a direct or indirect consequence of a pre-existing condition. · A benefit under the Built-in Children's Trauma Benefit or the Optional Children's and Maternity Benefit that arises as a direct or indirect consequence of any congenital condition, except where expressly covered under the Children's Congenital Conditions Benefit. · No payment will be made under the Built-in Return Home Benefit if the life assured is covered for the same event with a travel insurance provider. · Cardiac Defibrillator Insertion partial benefit is not payable if the life assured satisfies the criteria for a claim payment under another heart condition across all Personal AIA policies.
Wording effective — · confidence no data
Not on file for this product.
Wording effective — · confidence no data
Not on file for this product.
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