{ "vertical": "trauma", "insurer": { "slug": "chubb-life", "name": "Chubb Life NZ", "brand_family": "chubb-life" }, "product": { "slug": "life-one-critical-illness", "name": "LifeOne Critical Illness Benefit", "status": "active", "positioning_summary": null }, "wording": { "version": "2026-05-17", "ingested_at": "2026-05-17T13:58:59.883537+00:00", "pdf_hash": "e2f0f377be273b9a1dd0e4e012d3cfbbe945516512132ef777fe7644a85af97a", "source_url": "https://www.chubb.com/content/dam/chubb-sites/chubb/nz-en/life/documents/cig0276-life-one-policy-wording-v1.pdf", "page_count": null }, "confidence_tier": "verified", "facts": { "exclusions": [ "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)" ], "buyback_rules": "You can apply to reinstate your policy if it has been cancelled because of unpaid premiums. To support your application, you may need to provide information about the life insured's health and lifestyle. The terms for the reinstated policy may be different. You'll receive a new policy summary when your policy is reinstated.", "inbuilt_benefits": [ "Life Benefit", "Advanced Funeral Benefit — lesser of 5% of the Life Cover Amount or $15,000", "Terminal Illness Benefit — Life Cover Amount up to a maximum of $500,000", "Special Events Increase Benefit", "Annual CPI-linked cover increase offer (up to 10%)" ], "premium_structure": "Stepped — premiums are adjusted each year on the anniversary date based on the life insured's age. Chubb Life may also change premium rates for all LifeOne policies with at least 30 days' notice. No level or conversion options are described.", "trauma_conditions": [ "Cancer", "Early stage cancer", "Stroke", "Heart attack", "Open coronary artery bypass surgery", "Coronary artery angioplasty", "Paralysis", "Third-degree burns" ], "max_sum_insured_nzd": "Life Cover Amount capped at $1,000,000; Critical Illness Cover Amount capped at $500,000", "survival_period_days": "Not specified", "waiting_periods_days": { "critical_illness_non_accidental": 90 }, "trauma_conditions_matrix": { "coma": { "qualifier": null, "payout_status": "not_on_file", "payout_percent": null, "source_paragraph": null }, "stroke": { "qualifier": "Permanent neurological deficit >24h + infarction or haemorrhage + CT/MRI confirmation + consultant neurologist evidence. TIAs excluded.", "payout_status": "full", "payout_percent": null, "source_paragraph": "The diagnosis of a cerebrovascular event producing permanent neurological deficit lasting more than 24 hours. A consultant neurologist must produce clear evidence of all the following: infarction of brain tissue or intracranial or subarachnoid haemorrhage; a CT, MRI, or similar scan that shows a stroke has occurred; the onset of objective neurological deficit. The following are excluded: transient ischemic attacks (TIA)" }, "deafness": { "qualifier": null, "payout_status": "not_on_file", "payout_percent": null, "source_paragraph": null }, "blindness": { "qualifier": null, "payout_status": "not_on_file", "payout_percent": null, "source_paragraph": null }, "paralysis": { "qualifier": "Permanent and total loss of function from spinal cord or brain injury: diplegia, hemiplegia, paraplegia, or tetraplegia", "payout_status": "full", "payout_percent": null, "source_paragraph": "Paralysis: The permanent and total loss of functions as a result of injury of the spinal cord or brain, as defined below: Diplegia – loss of function of both sides of the body; Hemiplegia – loss of function of one side of the body; Paraplegia – loss of function of both legs; Tetraplegia (Quadraplegia) – loss of function of both arms and both legs." }, "angioplasty": { "qualifier": "Angioplasty (with or without stent) to coronary arteries; benefit payable only once", "payout_status": "partial", "payout_percent": 20, "source_paragraph": "Coronary artery angioplasty – we'll only pay the benefit once and it will be limited to the lesser of: 20% of the Critical Illness Cover Amount, or $20,000. ... The undergoing of angioplasty (with or without insertion of a stent) to the coronary arteries to treat coronary artery disease." }, "encephalitis": { "qualifier": null, "payout_status": "not_on_file", "payout_percent": null, "source_paragraph": null }, "heart-attack": { "qualifier": "Troponin (T/I) or CK-MB rise (≥1 value >99th percentile) + ischemia symptoms or new ECG changes or imaging evidence of new myocardial loss", "payout_status": "full", "payout_percent": null, "source_paragraph": "The death of a portion of the heart muscle as a result of inadequate blood supply to the relevant area, confirmed by a cardiologist or general physician and evidenced by: typical rise and/or fall of cardiac biomarkers (Troponin T or Troponin I or CK-MB) with at least one value above the 99th percentile of the upper reference limit, and one of the following: signs and symptoms of ischemia... new serial ECG manifestations... imaging evidence of new loss of viable myocardium" }, "severe-burns": { "qualifier": "Full-thickness burns to ≥20% body surface area (Rule of Nines/Lund-Browder), or 50% of each hand and/or face, requiring surgical debridement/grafting", "payout_status": "full", "payout_percent": null, "source_paragraph": "Third-degree burns: Burns destroying the full thickness or third-degree burns to: at least 20% of the body's surface area (measured by the age-appropriate use of the Rule of Nines or the Lund and Browder Body Surface chart), or 50% of each hand and/or 50% of the face, requiring surgical debridement and/or grafting." }, "liver-failure": { "qualifier": null, "payout_status": "not_on_file", "payout_percent": null, "source_paragraph": null }, "aortic-surgery": { "qualifier": null, "payout_status": "not_on_file", "payout_percent": null, "source_paragraph": null }, "cardiomyopathy": { "qualifier": null, "payout_status": "not_on_file", "payout_percent": null, "source_paragraph": null }, "early-melanoma": { "qualifier": "Melanoma below Clark Level 3, or Breslow ≤1.5mm without ulceration, excluded", "payout_status": "not_covered", "payout_percent": null, "source_paragraph": "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 as determined by histological examination using the Breslow method, or the tumour is a malignant melanoma showing signs of ulceration" }, "kidney-failure": { "qualifier": null, "payout_status": "not_on_file", "payout_percent": null, "source_paragraph": null }, "loss-of-speech": { "qualifier": null, "payout_status": "not_on_file", "payout_percent": null, "source_paragraph": null }, "cancer-invasive": { "qualifier": "Excludes premalignant, CIS, non-metastatic skin cancers (except melanoma Clark ≥3 or Breslow >1.5mm or ulceration), T1 prostate Gleason ≤5 without major therapy, CLL