Accident and Sickness Policy
Accident and Sickness (AS) Insurance policy for Professional Jockeys
NEW DEVELOPMENT – PRIS is not taken into account when claiming on this policy, so you can get PRIS plus the benefits of this policy!
WHAT DOES IT DO?
Protects your Financial commitments if you can’t work due to an accident or sickness
You can choose:-
- the maximum period of any single claim is 12 or 18 months, with a maximum payment of £3,000 per month. Always ensure your total cover under this and any other private policies (NOT INCLUDING PRIS) does not exceed 90% of your net income after all normal deductions
- the number of days you will have to be injured/sick before you can claim from either day 1, after 30 days or after 60 days
- PRIS will not be taken into account – so you may receive PRIS payments on top of your benefit from this policy
You can choose to cover most normal regular account payments including mortgage payments, rental payments, car loans, car Insurance and many more. You do not have to cover them all but you must cover them for the correct amount.
WHO IS ELIGIBLE?
Professional Jockeys who are
- UK residents
- in full-time active work (be they full-time permanent employees, self-employed or on renewable contracts) and working for more than 16 hours per week.
- regularly paid and are responsible for the commitments covered.
- not off work due to ill health at the point of application and inception of cover.
- over 18 when taking out policy
COVER & BENEFITS
When will my benefit payments start, and for how long will you pay me?
- If you are unable to work due to an accident or sickness for a period in excess of the chosen waiting period, benefits will be paid direct to you, with the first month’s benefit payment becoming due as at the 1st qualifying day of a claim period that exceeds the waiting period. If the qualifying days you are off work do not exceed the waiting period no benefits will be paid.
- Claims will continue to be met, during the term of cover, at full calendar monthly intervals until you return to work, or have received the maximum number of monthly benefits (12 or 18) you have chosen as payable in respect of any one period of disability. For part months at the end of a claim the plan will pay 1/30th of the monthly benefit for each eligible day.
- Once a full duration (12 or 18 months) claim has been paid there must be a period of at least three months full-time permanent work before a further claim can be admitted.
- The first qualifying day of a claim for disability is the date on which you see a Doctor, whether it be your own General Practitioner or a Doctor at a hospital, and are certified by them as being totally unfit to carry out your normal employment or occupation. You must continue to be certified as above throughout the period of your claim
Any claims due to or arising from any of the following will not be covered:
- Intentional self inflicted injury.
- Stress, anxiety, depression, fatigue or other mental or nervous disorders, or conditions of a psycho-neurotic origin, unless diagnosed by and under the continuing care of a Consultant Psychiatrist.
- Pre-existing medical conditions. If you have a sickness, disease, condition, or injury from which you have suffered or for which you have consulted or been treated by a registered medical practitioner in the 12 months prior to the commencement of the insurance (or the date on which your cover was last extended –whichever is the later), then that particular condition, or any claim attributable to it is excluded, until you have been clear of it for a continuous 24 month period prior to the commencement of claim.
- Alcohol or drug use unless under the specific direction of a registered medical practitioner for any condition other than drug addiction.
- The normal course of pregnancy.
- War, riot, or civil commotion, or military or naval service outside Europe.
WHAT IS THE DURATION OF MY COVER AND HOW / WHEN DOES MY COVER END?
- We confirm the details of your cover on an annual basis but premiums are collected monthly. For every month that you honour your Direct Debit we may automatically renew your cover.
All cover under this policy will end and all monthly benefits will stop:
- At 65 or when you reach Government retirement age.
- When you fail to make any payments due.
- When you retire and are no longer in any type of employment.
- When you ask us to cancel which you can do without notice at any time.
- If we give you notice that the cover is to end.
POINTS TO REMEMBER
- You must continue to pay your premiums, including during a period of claim, to ensure that cover remains in force.
- Although we write to you annually you should regularly review your benefit against your current commitments and circumstances in order to ensure that the cover continues to meet your needs.
- You must tell us if you want to cease or alter cover as we may automatically renew cover if your direct debit is paid.
- Always ensure your total cover (under this and any other policies) does not exceed 90% of your net income after all normal deductions.
- If you have a claim you will be required to prove the amounts of all the commitments you have covered. Any claim payment will be limited to the value of commitments you can prove you normally pay and are responsible for at the time of claim and will exclude any amounts covered elsewhere.
- Alterations to cover or premium will only apply after you have advised us. No alteration to the cover or premium will be backdated under any circumstances.
- The premium for this cover is dependant on age. You may have to prove your date of birth before any claim can be considered.
- If we feel it is necessary we can change the terms of your cover, alter your premiums or even terminate your cover. We will give you a minimum of 30 days notice in any of these circumstances.