Waiting Periods & Exclusions-Permanent Disability Benefit

Waiting Periods

“Waiting Periods” means the periods, starting on the Commencement of Insurance, and any increase to the Sum Assured or benefit amount, during which the occurrence of a claim does not result in a benefit under this Addendum becoming payable. For the purpose of this definition “occurrence of a claim” means the earlier of any of the following events:

• The Life Assured is finally diagnosed with the illness or bodily injury;
• The Life Assured becomes aware that they have contracted the illness or suffered bodily injury;
• The actual occurrence of the illness or bodily injury

The Waiting Periods for this Benefit shall be:

• From Commencement of Insurance – 30 days.

Exclusions

OMART will not be obliged to make payment in respect of any illness or bodily injury arising directly or indirectly from or traceable to:

Pre-existing Conditions,Defects, Illnesses, Injuries and Disabilities

• If the Life Assured becomes ill, injured or disabled while the policy is in force due to any condition, physical defect, illness, bodily injury or disability which the Life Assured was aware of and/or received medical advice or treatment during the 24 months prior to the commencement date, or date of any reinstatement, or increase in cover, no claim will be paid and all premiums paid will be forfeited.

Psychological Disorders and Psychiatric Illnesses

No benefit will be admitted if the claim results directly or indirectly from any of the following:

• depression or dysthymia, whether as an episode or disorder, or as part of the symptom complex of another psychiatric diagnosis;
• post-traumatic stress disorder;
• fibromyalgia;
• chronic fatigue syndrome and its synonyms;
• Mental illness or symptoms caused by identifiable organic disorder or of a psychotic nature not caused by chemical dependency.

Back, Neck and Spinal Conditions

No benefit will be admitted if the claim involves back, neck or spinal conditions or disorders, which are not listed below

• Paraplegia
• Quadriplegia
• Malignant tumours of the spine or vertebral column
• Failed back syndrome after multiple spinal surgeries
• Fractures of the spine
• Auto-immune conditions affecting the spine

NB: Kindly refer to your policy document for the detailed exclusions, terms and conditions relating to the Bond Protection Endurance Policy.