FAQS

Why do I need an adviser?

In both business and personal matters, correct insurance is vital. Wrong or inadequate insurance for business and it’s protection can lead to disastrous consequences. The right advice can put you, your business and your family in the best possible position to cope with unexpected events. Health & Life Specialists Group Limited will help you avoid the pitfalls, by drawing on many years of experience.

Pre-existing Conditions?

In the eyes of insurance companies, a previous and/or current medical condition is known as a preexisting condition. The rule of thumb is that you cannot transfer your pre-existing conditions from one insurance provider to another. However, not all pre-existing conditions are excluded. Talk to us about any pre- existing conditions.

Definition of a pre-existing condition?

A pre-existing condition is any sign, symptom, treatment or surgery of any medical condition that occurs on or before the date of policy Commencement Date, Effective Date or Join Date (as applicable), which:

• You or any insured person was aware of,
• You or any insured person had the first indication that something was wrong,
• You or the insured person sought investigation or medical advice where the medical condition, or the sign or symptom of the medical condition existed that would cause a reasonable person in the circumstances to seek diagnosis, care or treatment.

Clients Duty of Disclosure?

The Policy Owners and all Insured Persons have a legal duty to disclose everything they know, which would have influenced the decision of a prudent insurer whether to accept the applications, and if so, on what terms. For example, Insured Persons and Policy Owners must disclose any medical condition or any sign, symptom, treatment or surgery of any medical condition they had at the time of applying, or have had in the past.

All information given by, or on behalf of, the Policy Owner or any Insured Person must be true, correct and complete. The Insured Person/s and the Policy Owner/s must tell the insurance providers about any changes to the information given to them before any Commencement Date, Effective Date or Join Date (as applicable) of the Policy. If the Insured Person/s or the Policy Owner/s failed to do so, or if any of the above information was not disclosed to the insurance providers or was not true, correct and complete, the insurance providers can cancel the policies from the Commencement Date, Effective Date or Join Date (as applicable) and not pay any claims after those dates.

If insurance providers, at their discretion, cancel an insurance policy from the Commencement Date, Effective Date or Join Date (as applicable) due to the clients breach of duty of disclosure, they may retain any premiums paid to them and if they have already made any claims payments, they may recover these from the policyowner/s.