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/ PRODUCT DISCLOSURE STATEMENT
VAU Income Protection Insurance Scheme.
JANUARY 2020
Provided by Point Insurance Next Gen Accident & Sickness 1300 362 766 pointinsurance.com.au

> Contents

Scheme Overview & Important Details

1

Key Providers of the Scheme

2

Cancelling Policy

3

Renewing your insurance

3

Key Features of the Scheme

4

Part A - Product Disclosure Statement (PDS)

6

Part B - The Policy

12

Table of Benefits

13

Definitions

16

Exclusions

18

Lump Sum Benefits & Limitations

20

Conditions

20

Other Important Matters

23

How to make a claim

25

SCHEME OVERVIEW & IMPORTANT DETAILS
Your union, Victorian Ambulance Union (VAU), has established an insurance scheme to provide income to scheme members in the event that they suffer a serious injury or illness and are unable to work for an extended period.
The insurance cover is underwritten by Lloyd's of London (Lloyd's). This document is designed to explain how the scheme works and the specific policy terms and conditions that determine what you are covered for. It is very important that you read the whole document and are comfortable that you understand all of this information before you decide to join, or leave the plan. You should note that if you leave the plan and decide to re-join at a later date your cover may be subject to restrictions that do not apply to you now.
This Product Disclosure Statement (PDS) has been prepared by Point Insurance as an information document for current and prospective members of the VAU Income Protection Insurance Scheme. This information is of a general nature. It does not take into account any person's individual circumstances and you should always consider your individual needs and seek professional advice where appropriate, before you enter into any kind of insurance contract. This PDS is available on the BankVic website.
Please seek independent financial advice relating to the tax implications of this product. Income protection schemes include a tax concession where premiums can be paid as a pre-tax salary packaging deduction.

DETAILS OF KEY PROVIDERS FOR
THE SCHEME
Below are the details of the related bodies involved in putting the insurance program together with their roles explained and their contact details.
Police Financial Services Limited (trading as BankVic) ABN 33 087 651 661 | AFSL 240293 BankVic Banking Operations Level 3, 215 Spring Street, Melbourne 3000. Telephone: 13 63 73 BankVic is the co-ordinator of the Scheme and distributor of the product.
Victorian Ambulance Union Inc (VAU) ABN 40 971 818 419 PO BOX 400 North Melbourne 3051 VAU owns the policy on behalf of its members. VAU may decide to change insurers where they believe it is in the best interest of their members.
About the Issuer| Point Underwriting Agency Pty Ltd ABN 53 605 479 070 | AFSL 477471 PO Box 744, Manly NSW 1655 Telephone: 1300 362 766 Facsimile: (02) 9913 8078 Email: enquiries@pointinsurance.com.au | pointinsurance.com.au
Point Underwriting Agency Pty Ltd (Point Underwriting Agency) is the product manufacturer and product issuer. Point is responsible for client administration, claims management, and the collection and disbursement of premiums. Point provides the Australian Lloyds broking agency as well as the accredited UK agency. It is a niche market underwriter specialising in Personal Accident and Sickness products. We pride ourselves on offering tailored insurance products backed by Our people and professional service
About the Insurer | Lloyd's of London Lloyd's Australia Limited Level 9, 1 O'Connell St Sydney NSW 2000 Telephone: (02) 8298 0783 Facsimile: (02) 8298 0788 Email: idraustralia@lloyds.com Lloyd's is the world's specialist insurance and reinsurance market, bringing together an outstanding concentration of underwriting expertise and talent. Over 80 syndicates underwrite insurance at Lloyd's, covering all classes of business. Together they interact with thousands of brokers daily to create insurance solutions for businesses in over 200 countries and territories around the world.
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IMPORTANT INFORMATION
Important documents Your insurance Policy documentation consists of: 1. this Policy booklet which sets out details of what is and
what is not covered by this Policy;

2. the Policy Schedule that We provide with details of:
- Who is insured; - Cover(s) selected; - Period of Insurance; - Respective sums insured and/or limits of liability; - Excesses and other important information. You should ensure that You read these documents carefully and keep them in a safe place. If You have any questions regarding the Policy or Policy Schedule, please contact Point Underwriting Agency.
About this Booklet
This booklet contains 2 sections: Part A is a Product Disclosure Statement (PDS) which sets out important information about Your Policy. The information contained in the PDS is designed to assist You in making an informed choice about Your insurance needs. It gives You a summary of the significant features and benefits of this product. It also contains information about how the Premium is calculated, Our dispute resolution system, the cooling off period, and other relevant information relating to this product.
Part B is the Policy, which sets out all the terms, conditions and exclusions applicable to this insurance. It is important that You read both Part A and Part B of this booklet carefully before applying for this insurance so that You understand the cover provided and its terms, conditions and exclusions.
Any statement in this PDS attributed to a person is done so with the consent of that person, with that consent not having been withdrawn as at the date of this PDS.
Cancelling the Policy
If You cancel this Policy within the cooling off period, We will refund any premium You have paid, less any government levies, taxes or duties that We cannot recover. Even after the cooling off period You can cancel your insurance at any time by letting Us know in writing. We will refund any unused portion of Your paid Premium less any commissions, taxes and charges that We are unable to recover. Point Underwriting Agency will usually retain the commission on the Policy. We can cancel Your insurance to the extent permitted by law, for example if You do not comply with the Policy terms and conditions, if You fail to pay Your premium, if You make a fraudulent claim or if You did not comply with Your duty of disclosure or misrepresented information when You entered into this insurance contract. If We cancel Your Policy, We will send You a cancellation letter.

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Renewing your insurance
At least 14 days before Your insurance expires We will advise You whether We intend to renew Your insurance or not, and if so, on what terms. You are not obliged to renew Your insurance with Us.
Your cooling off period continues to apply on each renewal. Each renewal is a separate contract and not an extension of the prior contract.

KEY FEATURES OF THE SCHEME
PREMIUM RATE: Your premium is charged as a percentage of Your insured income rate based on Your age and includes the Stamp Duty and all other charges.
These rates are as follows:

Age 16 - 40

Rate 1.35%

41 - 70 71 - 75 Over 75

1.85% 2.20% On referral

For example: a 45 year old policy holder with an annual salary of $100,000 is charged 1.85% or $1850 annual premium. This approximately $71.15 per fortnight.
Your premium will be updated annually and the new premium will be applied to Your first pay run from January each year. In some cases your premium update may be applied at a later date depending on Your payroll department
TAILORED GROUP POLICY BENEFITS

Benefit

Description

14 day waiting period

Benefits begin from the 15th day of disablement.

Up to 90% of Income

Receive up to 90% of pre-disability earnings

104 Week Benefit Period Maximum benefit period is 104 weeks ( 2 years)

Scope of Cover

24 hour / 7 days a week cover

Age up to 75 years

Cover available for members up to 75 years, with over 75 on referral to the insurer

Workers Compensation Top Up included

Difference between Workers Compensation Benefit and Pre-Disability earnings paid

Funeral Benefit

Up to $7,500

(Accidental Death Only)

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AUTOMATIC ACCEPTANCE FOR NEW MEMBERS OF THE SCHEME: If You are under 60 and are Actively at Work, and You join the plan within the initial period of eligibility, i.e. within 60 days of first joining the VAU, You are granted the cover without having to undergo any medical underwriting and Your cover will not be subject to the pre-existing conditions exclusion.
PREMIUM WAIVER: When You are on claim and receiving benefits You are not required to pay any premiums that fall due.
WORLDWIDE COVER: Your policy covers You worldwide 24 hours per day.
The only restriction is that if You are on claim You must return to Australia within 3 months of becoming disabled and remain in Australia undergoing treatment for benefits to be payable.
BENEFITS OFFSETS: If You are entitled to receive an income replacement payment from either a superannuation fund, other insurance policy or a social security payment, Your VAU scheme income protection benefit will be reduced by the amount of that entitlement.
COVER WHILST ON LEAVE WITHOUT PAY: If You are going on a period of leave without pay You may continue Your insurance cover by informing Point Underwriting Agency before You start that period of leave. You also need to arrange to pay Your premium for the period on leave. The maximum period that You can arrange the extension of cover is 12 months.
If You do suffer an injury or illness while on leave Your benefits will not start to be payable until the time when You would have normally returned to work and would have been earning an income.
REHABILITATION BENEFIT: To assist You to return to work, We will reimburse the cost of Your participation in a return to work program, up to $10,000, but only if the expenses are incurred while a Weekly Accident or Sickness Benefit is payable whilst You are Totally Disabled.
RECURRENT DISABLEMENT: If you have been on claim, then return to work, but find you need more time off because of the same injury or illness, if this is within 6 months of when you went back to work, there is no need to wait out another 30 days, as it is considered as a continuation of your earlier claim.
HIV/HEPATITIS B & C INFECTION BENEFIT: If you are infected during working hours with an incident or exposure to any of the following conditions, Human Immunodeficiency Virus (HIV) or any variation or develops Acquired Immune Deficiency Syndrome (AIDS) or AIDS Related Complex (ARC), including Hepatitis B & C, we will pay you up to the amount of $30,000 in compensation. The infection must be as a result of an at work incident or occurrence. Any of the above conditions pre-dating the inception date of this policy may be deemed a pre-existing condition.

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PART A | PRODUCT DISCLOSURE STATEMENT
What is the Product Disclosure Statement (PDS)?
This PDS provides general information only. It does not take into account any person's individual circumstances and you should always consider your individual needs and seek professional advice where appropriate, before you enter into any kind of insurance contract. It should be read in conjunction with the attached Policy wording and any endorsements attaching to it. The PDS and Policy wording contain important information that You should read carefully before deciding to take out any insurance cover.
Do not hesitate to contact Point Underwriting Agency should You wish to comment on any aspect of Your Policy.
All documentation and correspondence will be in plain English. If You or an Insured Person has any disability that makes communication difficult, please tell Us and We will be pleased to help. You can find a copy of this PDS on the BankVic website.
Policy Terms and Conditions
The Policy is Our legal contract with You and the Policy wording contains the terms, conditions and exclusions relating to the insurance cover. The PDS and the Policy, which includes the Policy Schedule, are important documents, so please check them carefully for the coverage they provide and retain them safely for future reference.
This insurance requires You or an Insured Person to provide documentary evidence to Us where a claim is made (e.g. medical certificates, financial documentation).
Should You require any further information about this product, please contact Point Underwriting Agency.
Updating the PDS
We may need to update this PDS from time to time if certain changes occur, where required and permitted by law. We will issue You with a new PDS or a Supplementary PDS or other compliant document to update the relevant information except in limited cases. Where the information is not something that would be materially adverse from the point of view of a reasonable person considering whether to buy this insurance, We may issue You with notice of this information in other forms or keep an internal record of such changes (You can get a paper copy free of charge by calling Us).
SUMMARY OF COVER
The following is a summary of some of the significant features, benefits and risks of this insurance. Please read this PDS and the Policy carefully before You apply for this insurance to make sure that You understand the cover provided and its terms, conditions and exclusions.
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VAU Income Protection Insurance is a Group Policy designed for Ambulance Victoria employees affiliated with the VAU. The Policy provides benefits for:A. Accident � Accidental Death � Capital Benefit(s) Cover � Permanent Total Disablement � Temporary Total Disablement � Temporary Partial Disablement � Broken Bone Benefit
B. Sickness � Temporary Total Disablement � Temporary Partial Disablement

Payments
The Policy provides for three different types of payments:
� Lump Sum Benefits � Refer to Table of Benefits
� Weekly Benefits - these apply to Temporary Total Disablement and Temporary Partial Disablement by Accident or Sickness.
� Broken Bone Benefit - refer to Table of Benefits

EXCLUSIONS
This Policy does not cover all possible risks In life. The Policy contains exclusions to ensure that premiums remain affordable, but this also means that We will not pay claims arising from certain causes. All of these are fully described in the Policy but can be summarised as:-

� War � Terrorism � Radioactivity � Nuclear/Chemical/Biological Terrorism � Certain excluded activities � Air Travel (other than as a passenger) � Professional Sport � Suicide � Intentional Self-Injury � Criminal Acts � Alcohol or Drugs � Pregnancy & Childbirth � Pre-Existing Conditions

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CONDITIONS
The Policy contains conditions which limit or exclude the cover available in certain circumstances. The conditions are fully explained in the Policy but can be summarised as: � Hazardous activities; � Aggravation by Pre-Existing Conditions; � Other Insurance.
LIMITATIONS
The Policy contains provisions that limit the maximum amount(s) payable in the event of Accident or Sickness. Additionally, You can only claim for the consequences of an Accident or Sickness if these occur within 12 months from the date of the Accident or Sickness.
No Benefit shall be payable where providing such payment would result in Us contravening the Private Health Insurance Act 2007 (Cth), the Health Insurance Act 1973 (Cth), the National Health Act 1953 (Cth) or any applicable legislation.
Our rights to refuse a claim We may refuse to pay or reduce the amount We pay under a claim if You do not comply with the Policy conditions, if You do not comply with Your Duty of Disclosure or if You make a fraudulent claim.
Waiver of rights of subrogation The Policy provides that You must not, without Our prior written consent, enter into any contract or agreement which excludes, limits or prejudices a right of recovery which You may have in respect of any claim covered under the Policy. Further, You must not do anything or fail to do anything which excludes, limits or prejudices Our rights of subrogation.
COOLING-OFF PERIOD
If You decide for any reason that this Policy is not for You and You have not made a claim, You may cancel this Policy within 21 days of it starting (this also applies to each renewal). Simply notify Point Underwriting Agency within 21 days of the start date of the Policy.
Provided that You have not and will not make a claim, We will return to You the entire Premium.
MAKING A CLAIM
We must be given notice as soon as reasonably practicable of any Accident or Sickness which causes or may cause disablement and You must as early as possible place Yourself under the care of a Medical Practitioner.
We must be given notice as soon as reasonably practicable in the event of Your death resulting or alleged to result from an Accident.
It is a condition precedent to Our liability to pay compensation to You or Your representatives, that all medical records, notes, and
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correspondence referring to the subject of a claim or a related Pre Existing Condition shall be made available on request to any Medical Practitioner appointed by or on behalf of Us and that such Medical Practitioner(s) shall, for the purpose of reviewing the claim, be allowed as often as We or they feel is necessary to examine You.
For weekly Benefits, ongoing medical certifications will be required. You are required to meet the cost of these medical certifications.
It should be completed and sent to Point as soon as is practically possible.

YOUR DUTY OF DISCLOSURE
Before You enter into this insurance with Us, You have a duty of disclosure under the Insurance Contracts Act 1984. The Act imposes a different duty the first time You enter into a contract of insurance with Us to that which applies when You vary, extend, reinstate or replace the contract. This duty of disclosure applies until the contract is entered into (or varied, extended or reinstated as applicable).
Your Duty of Disclosure when You enter into the contract with Us for the first time When answering Our specific questions that are relevant to Our decision whether to accept the risk of the insurance and, if so, on what terms, You must be honest and disclose to Us anything that You know and that a reasonable person in the circumstances would include in answer to the questions. It is important that You understand You are answering Our questions in this way for Yourself and anyone else whom You want to be covered by the contract.
Your Duty of Disclosure when You vary, extend, reinstate or replace the contract When You vary, extend, reinstate or replace the contract with Us, Your duty is to disclose to Us every matter that You know, or could reasonably be expected to know, is relevant to Our decision whether to accept the risk of the insurance and, if so, on what terms.
What You do not need to tell Us Your duty however does not require disclosure of any matter:
� that diminishes the risk to be undertaken by Us; or

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9

� that is of common knowledge; or � that We know or, in the ordinary course of Our business as an
insurer, ought to know; � or as to which compliance with Your duty is waived by Us.
Non-disclosure If You fail to comply with Your duty of disclosure, We may be entitled to reduce Our liability under the contract in respect of a claim, cancel the contract or both. If Your non-disclosure is fraudulent, We may also have the option of avoiding the contract from its beginning.
We reserve our rights to request other information that we deem to be reasonable and necessary in the circumstances in order to assess benefit entitlements under the Policy.
THE DISPUTE RESOLUTION PROCESS
Lloyd's aim is to provide the highest service to Our Australian policyholders and, to this end, We have developed the following procedures for the fair handling of complaints from Lloyd's policyholders.
Stage 1 Any enquiry or complaint relating to a Lloyd's policy or claim should be addressed to either Your Lloyd's insurance intermediary ("Point Underwriting Agency") or to the administrator handling Your claim in the first instance � in most cases this will resolve Your grievance.
They will respond to Your complaint within 15 business days provided they have all necessary information and have completed any investigation required. Where further information, assessment or investigation is required, they will agree to reasonable alternative timeframes with You. You will also be kept informed of the progress of Your complaint.
Stage 2 In the unlikely event that this does not resolve the matter or You are not satisfied with the way Your complaint has been dealt with, You should contact:
Lloyd's Underwriters' General Representative in Australia Level 9, 1 O'Connell Street Sydney NSW 2000 Telephone Number: (02) 8298 0783Facsimile Number: (02) 8298 0788 Email: idraustralia@lloyds.com
If Your dispute remains unresolved You will be referred to the Australian Financial Complaints Authority under the terms of the General Insurance Code of Practice.
How long will the Stage 2 process take? Your complaint will be acknowledged in writing within 5 business days of receipt, and You will be kept informed of the progress of Our review of Your complaint at least every 10 business days.
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The length of time required to resolve a particular dispute will depend on the individual issues raised, however in most cases You will receive a full written response to Your complaint within 15 business days of receipt, provided We have received all necessary information and have completed any investigation required.
External Dispute Resolution If Your complaint is not resolved in a manner satisfactory to You or We do not resolve Your complaint within 45 calendar days of receiving it at Stage 1, You may refer the matter to the Australian Financial Complaints Authority (AFCA). AFCA can be contacted; by post GPO Box 3, Melbourne Vic 3001 phone 1800 931 678 email info@afca.org.au via their website www.afca.org.au.
AFCA is an independent body that operates nationally in Australia and aims to resolve disputes between You and Your insurer. Your dispute must be referred to the AFCA within 2 years of the date of Our final decision. Determinations made by AFCA are binding upon Us.
GENERAL INSURANCE CODE OF PRACTICE
Point Underwriting Agency is bound to the General Insurance Code of Practice. The objectives of this Code are to:
1. commit Us to high standards of service;
2. promote better, more informed relations between Us and You;
3. maintain and promote trust and confidence in the general insurance industry;
4. provide fair and effective mechanisms for the resolution of complaints and disputes between Us and You; and
5. promote continuous improvement of the general insurance industry through education and training.
You can obtain a copy of the Code from the Insurance Council of Australia website www.insurancecouncil.com.au or by phoning (02) 9253 5100, or by visiting our website pointinsurance.com.au.

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PART B | THE POLICY
This Policy consists of this section B Policy wording and the Policy Schedule that We give You. Please read this Policy carefully and satisfy Yourself that it provides the cover You require. If You want more information about this Policy, please contact Point Underwriting Agency. The Policy and the Policy Schedule should be kept in a safe place for future reference. Point Underwriting Agency is the product issuer and has arranged this Policy for You. If You have any questions about Your cover, or You wish to contact Point Underwriting Agency, please contact Point Underwriting Agency for assistance. Law and Jurisdiction The laws of Victoria will apply and the Courts of Australia will have jurisdiction over all matters which may arise under the Policy. Definitions Apart from in the various headings, some words in the Policy have specific meanings attached to them, such as "You" and "Us". When reading the Policy please make sure that You refer to the various definitions to ensure that You understand what is being said.
PERSONAL ACCIDENT & SICKNESS INSURANCE POLICY
In consideration of the payment of the Premium and in reliance upon the contents of the Application Form and any other information submitted by or on Your behalf, We will pay You the applicable Benefit in accordance with the terms and conditions of this Policy.
INSURING CLAUSES
If You suffer an Insured Event during the Period of Insurance, We will pay You or Your executors or administrators (if any) the compensation listed in the Table of Benefits on this page after Your claim has been accepted by Us.
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TABLE OF BENEFITS
The Benefits specified in the table below are subject to any applicable
Excess Period.

INSURED EVENTS
Bodily Injury resulting directly in

THE COMPENSATION Being the Sum Insured or a percentage thereof

Insured Member with Dependants $200,000

Insured Member without Dependants $150,000

1. Accidental Death

100%

2. Permanent Total Disablement

100%

3. Permanent and incurable paralysis of all limbs
4. Permanent Total Loss of two limbs
5. Permanent Total Loss of one limb

100%
100% 100%

6. Permanent Total Loss of sight in both eyes

100%

7. Permanent Total Loss of sight in one eye

100%

8. Permanent Total Loss of the lens of 60% the eye

9. Permanent Total Loss of hearing in: a) Both ears b) One ear

a) 80% b) 20%

10. Third degree burns and or

50%

resultant disfigurement which covers

more than 40% of the entire external

body

11. Permanent Total Loss of use of

80%

four fingers and thumb of either hand

12. Permanent Total Loss of use of

50%

four fingers of either hand

13. Permanent Total Loss of use of the thumb of either hand: a) both joints b) one joint

a) 30% b) 15%

14. Permanent Total Loss of use of one finger of either hand: a) three joints b) two joints c) one joint

a) 10% b) 7.5% c) 5%

15. Permanent Total Loss of use of toes of either foot: a) all - one foot b) great - both joints c) great - one joint d) other than great - each toe

a) 15% b) 5% c) 3% d) 1%

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INSURED EVENTS
Bodily Injury resulting directly in

THE COMPENSATION Being the Sum Insured or a percentage thereof

16. Fractured leg or patella with established non-union 17. Shortening of Leg by at least 5cm 18. Permanent Total Disablement not otherwise provided for under Insured Events 8-17 inclusive
19. Temporary Total Disablement caused directly and solely by Bodily Injury
20. Temporary Total Disablement caused directly and solely by Bodily Injury
21.Temporary Partial Disablement caused directly and solely by Bodily Injury

10%
7.5%
Such percentage of the Sum Insured as We shall in Our absolute discretion determine and being in Our opinion not inconsistent with the compensation provided under Insured Events 8-17 inclusive. The maximum amount payable is $50,000.
Being the lump sum amount up to the benefit amount in the table below
During such disablement, the weekly Accident Benefit as specified in the Schedule or 90% of Your Gross Salary, whichever is the lesser.
If You return to work in a reduced capacity, the amount payable shall be the difference between Insured Event 20 and amount received from employment in a reduced capacity. If You do not return to work, the amount payable shall be 25% of the Insured Event 20.

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INSURED EVENTS
22. Broken bone Benefit caused directly and solely by Bodily Injury:
22. Broken bone Benefit a) neck or spine b) dental costs c) hip, pelvis d) skull, shoulder blade e) collar bone, upper leg f) upper arm, kneecap, forearm, elbow g) lower leg, jaw, wrist, cheek, ankle, hand, foot h) ribs i) finger, thumb, toe

THE COMPENSATION Being the Sum Insured or a percentage thereof up to 8 weeks
a) $5,000 b) $5,000 c) $500 d) $200 e) $200 f) $150 g) $100
h) $50 i) $50

INSURED EVENTS
Sickness resulting directly in

THE COMPENSATION Being the Sum Insured or a percentage thereof

23. Temporary Total Disablement caused directly and solely by Sickness

During such disablement, the weekly Sickness Benefit as specified in the Schedule or 90% of Your Gross Salary, whichever is the lesser.

24. Temporary Partial Disablement caused directly and solely by Sickness

If You return to work in a reduced capacity, the amount payable shall be the difference between Insured Event 22 and amount received from employment in a reduced capacity. If You do not return to work, the amount payable shall be 25% of the Insured Event 20.

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DEFINITIONS
The words below have a special meaning for the purposes of this Policy:
1. Accident means a sudden, unexpected, unusual, specific event which occurs at an identifiable time and place which is unforeseen or unintended by You which results in an Insured Event within twelve (12) calendar months.
2. Accidental Death means death occurring as a result of Bodily Injury.
3. At Work means the person is actively and competently performing all the essential duties of his or her usual occupation without restriction, or is on approved leave, other than leave which is taken for reasons related to injury or illness, and he or she is physically capable of competently performing all the essential duties of his or her usual occupation without restriction.
4. Air Travel means being in or on or boarding an aircraft for the purpose of flying in that aircraft. It also means getting off the aircraft following a flight.
5. Automatic Acceptance Limit means the maximum amount of benefit specified in the Schedule for which we do not require evidence of a person's state of health and who will not be subject to the Pre-existing health conditions exclusion.
6. Benefit means the compensation that You are entitled to under this Policy for an Insured Event.
7. Bodily Injury means identifiable physical injury which:-
(a) is caused by an Accident; and (b) solely and independently of any other cause (except Sickness directly resulting from, or medical or surgical treatment rendered necessary by such injury) results in Your death or disablement within twelve (12) months from the date of the Accident; and (c) is not a Pre-Existing Condition: and (d) is not an aggravation of a condition which existed before the start of the Period of Insurance; and (e) is not a degenerative condition.
8. Benefit Period means the period as specified in the Schedule commencing on the first day that a Benefit begins to accrue and excludes the Waiting Period.
9. Excess means the amount You must firstly contribute toward any claim. The excess relevant to each Benefit is specified in the Schedule.
10. Excess Period means the period (of consecutive days) stated in the Policy Schedule during which no Benefits are payable for a Bodily Injury or Sickness, commencing from the day medical treatment is sought from a Medical Practitioner on or after You are Totally Disabled as a result of such Bodily Injury or Sickness.
11.Gross Salary means: a) in the case of an employee, Your weekly pre-tax income, including commission, bonuses, overtime payments
16 Point Underwriting Agency | Personal Accident & Sickness Protection Policy | January 2020

and any allowances, averaged during the period of twelve (12) months immediately preceding the commencement of the disability or over such shorter period as You have been employed; or
b) in the case of a self-employed person, Your weekly pre-tax income derived from personal exertion, after deduction of all expenses incurred in connection with the derivation of that income, averaged over the period of twelve (12) months immediately preceding the commencement of the disability or over such shorter period as You have been self-employed. If pre-tax income is less than the Sum Insured, We will add back fixed Business Expenses when calculating Your weekly Benefit entitlement.
12. Insured, Insured Person, You and Your "Insured", "Insured Person", "You" ,"Your" and "Yourself" mean the person named as the Insured in the Schedule.
13. Insured Event(s) means the insured events described in the Table of Benefits.
14.Loss of a Limb means loss by physical separation of a hand at or above the wrist or of a foot at or above the ankle and includes total and irrecoverable loss of use of hand, arm or leg.
15. Medical Practitioner means a person duly qualified and legally registered or medicine in Australia and who is not an Insured, their relative or their employee.
16. Period of Insurance means the period shown in the Schedule as the Period of Insurance, unless terminated earlier.
17. Permanent Total Disablement means disablement which entirely prevents You from attending to any business or occupation of any and every kind and which lasts twelve months (12) and at the expiry of that period is beyond hope of improvement.
18. Permanent Total Loss means the full and permanent loss of the use of the part of Your body referred to in Insured Events 4-15.
19. Policy means this product disclosure statement, this Part B Policy wording, any endorsements, the Schedule, the Application Form and any other documents that We issue to You and advise You that they form part of the Policy.
20. Pre-Existing Condition means any injury or any illness, disease or condition that existed prior to the commencement of the Period of Insurance, of which You were aware before the Period of Insurance, or which a reasonable person in Your circumstances could have been expected to have been aware, or for which You have received or sought medical attention or treatment or for which You have undergone testing prior to the commencement of the Period of Insurance.
21. Premium means the amount stated as the premium in the Schedule.
22. Application Form means the Application Form form bearing the date stated in the Schedule together with any supplementary material submitted to Us by You or on Your behalf.

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23. Point Underwriting Agency means Point Underwriting Agency Pty Ltd ABN 53 605 479 070 AFSL 477471
24. Schedule means the current schedule to this Policy issued by Point Underwriting Agency.
25. Sickness means an illness, sickness or disease which first manifests during the Period of Insurance and occasions Your disablement within twelve (12) months.
26. Table of Benefits means the table of benefits listed after the Insuring Clause.
27. Temporary Partial Disablement means that, in the opinion of a Medical Practitioner, You are temporarily unable to perform a substantial part of Your usual employment, business or occupation activities while You are under the regular care of and acting in accordance with the instructions or advice of a Medical Practitioner.
28. Temporary Total Disablement / Totally Disabled means that in the opinion of a Medical Practitioner, You are temporarily unable to perform Your usual employment, business or occupation activities, or any other occupational or employment activities for which You have the experience, skills, education or training while You are under the regular care of and acting in accordance with the instructions or advice of a Medical Practitioner.
29. We, Us and Our means the insurer, certain Underwriters at Lloyd's of London, acting through its agent Point Underwriting Agency Pty Ltd, ABN 53 605 479 070
30. Dependents - means any person who's primarily dependent upon you for financial maintenance and support and includes:
(a) Your spouse or defacto who's continuously lived with you for at least 3 calendar months prior to an event giving rise to a claim.
(b) Your unmarried dependents under 19 years of age.
EXCLUSIONS
We will not pay any Benefits with respect to any Insured Event, Bodily Injury or Sickness directly or indirectly arising out of or resulting from or contributed to by:-
1. War War, invasion, acts of foreign enemies, hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection, or military or usurped power.
2. Terrorism Any act of terrorism, or any action taken in controlling, preventing, suppressing or in any way relating to an act of terrorism.
3. Radioactivity Radioactive contamination, nuclear reaction, nuclear radiation.
4. Nuclear/Chemical/Biological Terrorism Any act of terrorism involving the use or release, or the threat thereof, of any nuclear weapon or device or chemical or biological agent.
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For the purpose of this exclusion and Exclusion 2, an act of terrorism means an act, including but not limited to the use of force or violence and/or the threat thereof, of any person or group(s) of persons, whether acting alone or on behalf of or in connection with any organisation(s) or government(s), committed for political, religious, ideological or ethnic purposes or reasons including the intention to influence any government or to put the public, or any section of the public, in fear. If We allege that by reason of this exclusion any claim is not covered by this insurance the burden of proving the contrary shall be upon You.

5. Excluded Activities You engaging in or taking part in military service (including but not limited to naval or air force service or operations)

6. Air Travel Flying or other aerial activity unless as a passenger in a properly licensed multiengine aircraft being operated by a licensed commercial air carrier or owned and operated by a commercial operator.

7. Suicide/Intentional Self Injury/Insanity Suicide or attempted suicide, intentional self-injury, or being in a state of insanity.

8. Criminal Acts/Alcohol/Drugs a) any criminal or illegal act committed by You b) being under the influence of alcohol; c) being under the influence of drugs (unless prescribed by a Medical Practitioner). d) alcoholism or illicit drug use

9. Pregnancy/Childbirth Uncomplicated pregnancy or childbirth. Pregnancy is not considered as an insured event however if you suffer a pregnancy related health problem that stops you working earlier than would normally be the case, you may be entitled to a benefit.

10. Pre-Existing Condition No benefit will be payable for any injury or illness for which you have been treated for (or for which a reasonable person would have sought treatment) in the 2 years prior to becoming insured or having cover reinstated. Any such Injury or Illness will be covered after a period of two (2) continuous years during which there has been no treatment required for that injury or illness.

For members of the VAU who choose to join the scheme outside the first offer window, i.e. within 60 days of when they first became members of the VAU, they are subject to this restriction on cover.

This would also apply to anyone who leaves the plan and then chooses to re-join at a later date. This also applies to all members who are over the age of 60 when they first join the plan regardless of when that may be.

11. Legislative Exclusion

No Benefit shall be payable where providing such payment would result in Us contravening the Private Health Insurance Act 2007 (Cth), the Health Insurance Act 1973 (Cth), the National Health Act 1953 (Cth) or any applicable legislation.

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LUMP SUM BENEFITS / LIMITATIONS
If as a result of Bodily Injury, You suffer any of the Insured Events 1-19, We will pay the Benefit set out in the Table of Benefits.
Benefits will not be payable for more than one of the Insured Events 1-19 arising out of the same Bodily Injury. In that event, the highest Benefit applicable will be payable.
If Accidental Death Is Not Covered If You have chosen not to purchase cover under Item 1 of the Insured Events � Accidental Death, then We will not pay any claim, other than for weekly compensation, in respect of any Accident.
If Accidental Death Is Covered If You have chosen to buy cover under Item 1 of the Insured Events � Accidental Death, and an Accident causes Your death within twelve (12) months following the date of the Accident and before the settlement of the compensation for disablement provided for under Items 2 to 7 of the Insured Events, We will only pay You the compensation provided for in the case of Accidental Death.
Time Limitations We will only pay You Benefits for Insured Events if:-
(a) under Item 1, death occurs within twelve (12) months of the date of the Accidental Death; (b) under Items 4 to 7, loss occurs within twelve (12) months of the date of the Accident; (c) under Items 2 and 3, You become totally disabled within twelve (12) months of the date of the Accident and such disablement lasts for twelve (12) months. Disappearance Clause
We will presume that You have died from a Bodily Injury and pay any Lump Sum Benefit You are entitled to upon death from accidental Injury if:
(a) transport on which You are traveling disappears, sinks, or is wrecked during this policy; and (b) Your body is not found within twelve (12) months from the date of that Accident; and (c) Your presumed death is not excluded.
CONDITIONS
1. Hazardous Activities If You regularly take part in any occupation, sport, pastime or activity in which materially greater risk may be incurred and We were not told about this before the Policy started (or before any further Period of Insurance) then We will not pay any claim in respect of any Accident or Sickness arising out of that occupation, sport, pastime or activity unless You notify Us first and We give Our written agreement to cover You for this (subject to the payment of any additional Premium which We may reasonably require).
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2. Aggravation by Pre-Existing Condition If the consequences of an Accident are made worse because of any condition or physical disability which You had before the Accident occurred, the amount of any compensation We will pay in respect of the consequences of the Accident shall be the amount which We reasonably consider would have been payable if such consequences had not been made worse.

3. Recurrence Clause When We have paid a weekly Benefit amount and while this insurance is still in force, the Insured Person suffers a recurrence of Temporary Total Disablement or Temporary Partial Disablement from the same Bodily Injury or Sickness, any subsequent period of disablement will be deemed and considered by Us as a continuation of the prior period for any further weekly Benefit amount. If the Insured Person has held full time work for at least (6) consecutive months, the subsequent period of disablement will be deemed to have resulted from a new Bodily Injury or Sickness and a new Excess Period will apply.

4. Change of Occupation Cover is provided under this Policy on the condition that You continue in Your occupation as shown on Your Policy Schedule and remain as an employee of Ambulance Victoria (AV) and member of the VAU. Coverage will have cease if you are no longer employed by AV or not a VAU member.

We shall not pay any claims where You have changed occupation and not informed Us of such change.

5. Notice of Claim We must be given notice as soon as reasonably practicable of any Accident or Sickness which causes or may cause disablement within the meaning of this Policy, and You must as soon as possible place Yourself under the care of a Medical Practitioner.

We must be given notice as soon as reasonably practicable in the event of Your death resulting or alleged to result from an Accident.

Written notice shall be given to:

Point Underwriting Agency Pty Ltd PO Box 744, Manly NSW 1655 Email: enquiries@pointinsurance.com.au Web: www.pointinsurance.com.au Phone: 1300 362 766 Fax: 02 9913 8078

It is a condition precedent to Our liability to pay compensation to You or Your representatives, that all medical records, notes, and correspondence referring to the subject of a claim or a related Pre-Existing Condition shall be made available on request to any Medical Practitioner appointed by or on behalf of Us and that such Medical Practitioner(s) shall, for the purpose of reviewing the claim, be allowed as often as We or they feel is necessary to examine You.

6. Subrogation Where We have paid a claim under this Policy, We become entitled to any rights You may have against any party in relation to that

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claim. You must assist Us (including giving evidence at any civil trial) and provide such information (including signed statements) as We reasonably require to exercise such rights.
You must not, without Our prior written consent, enter into any contract or agreement which excludes, limits or prejudices a right of recovery which You may have in respect of any claim covered under this Policy. Further, You must not do anything or fail to do anything which excludes, limits or prejudices Our rights of subrogation.
7. Several Liability Notice The subscribing insurers' obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions.
The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or part of its obligations.
8. Claim Limitation Weekly Benefit payments are only payable whilst the Insured Person remains a resident in Australia. Weekly Benefits will cease immediately if the claimant leaves Australia (unless an Australian Resident departing temporarily or as agreed by Us).
9. Sanctions Limitation No (re)insurer shall be deemed to provide cover and no (re)insurer shall be liable to pay any claim or provide any benefit hereunder to the extent that the provision of such cover, payment of such claim or provision of such benefit would expose that (re)insurer to any sanction, prohibition or restriction under United Nations resolutions or the trade or economic sanctions, laws or regulations of the European Union, Australia, United Kingdom or United States of America.
10. Claim Offset The Weekly Benefits payable for Insured Events 20-23 will be reduced by the amount of any other weekly benefit You receive or are entitled to receive under any statutory workers' compensation or transport accident compensation scheme or legislation or any insurance policy specifically covering the same risk, so that the Benefits payable under this Policy will be the amount by which the Benefit payable under this Policy exceeds the other benefits to which You are entitled.
11. Weekly Benefits All weekly Benefits paid in relation to items 20-23 of the Table of Benefits will be paid fortnightly in arrears.
12. Other Insurance In the event of a claim, You must advise Us as of any other insurance that You may have covering the same risk.
13. Insurance Contracts Act 1984 This Policy is governed by and We will act in accordance with the Insurance Contracts Act 1984 (Cth).
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14. Fraud Subject to the provisions of the Insurance Contracts Act, if You make a claim knowing the same to be false or fraudulent, as regards amount or otherwise, We may refuse payment of the claim.
15. Maximum Amount We Will Pay The total amount We will pay under this Policy for any one or more claims shall not exceed in total the largest amount payable for any one Insured Event
16. Due Diligence You will exercise due diligence in doing all things to avoid or reduce any loss under this Policy.
Service of Suit Clause The underwriter hereon agrees that: (a) in the event of a dispute arising under this policy, Underwriters at your request will submit to the jurisdiction of any competent court in the Commonwealth of Australia. Such dispute shall be determined in accordance with the law and practice applicable in such Court; (b) Any summons notice or process to be served upon the Underwriters may be served upon: Lloyds's General Representative in Australia, Lloyd's Australia Limited, Level 9, 1 O'Connell Street, Sydney NSW 2000, Australia, who has the authority to accept service and to enter an appearance on Underwriters behalf and who is directed at your request to give a written undertaking to you that he will enter an appearance on Underwriters behalf; (c) if a suit is instituted against any one of the Underwriters all underwriters hereon will abide by the final decision of such Court or any competent Appellate court.
OTHER IMPORTANT MATTERS
How we protect your privacy We are bound by the Australian Privacy Principles (APPs) under the Privacy Act 1988 (Cth) and comply with that Act. We are committed to ensuring that all Our business dealings comply with the APPs and acknowledge the importance of keeping personal details for individuals confidential and secure.
We collect personal information for the purpose of providing insurance, including arranging insurance, policy administration and claims handling. Without this information, We are not able to provide You with the services You require.
If You would like a copy of Our privacy policy, would like to seek access to, or correct Your personal information, or opt out of receiving materials We send, please contact Us.
Determining your premium When You purchase Your insurance We will tell You the Premium You must pay, which is determined by considering factors such as the cover You want, the applicable limits and excesses and Your insurance history. It also includes any compulsory government charges, taxes or levies (such as Stamp Duty, GST and Fire Services Levy) that We are obliged to pay for Your insurance. Your Premium, including these charges, will be noted on Your Policy Schedule.

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How to make a claim
When you sustain an injury or a sickness which prevents you from attending your place of work, you must as soon as possible seek and follow medical advice from a qualified medical practitioner. The Claim Form is available on the BankVic website or as soon as possible contact Point Underwriting Agency direct on: 1300 362 766. Complete all questions on the claim form as required and have the doctor who first attended to you complete the medical certificate.
Forward the completed claim form including all medical certificates/reports to: Point Underwriting Agency Pty Ltd PO Box 744, Manly NSW 1655 T 1300 362 766 F (02) 9913 8078 enquiries@pointinsurance.com.au | pointinsurance.com.au ABN: 53 605 479 070 | AFSL: 477471
Police Financial Services Limited ABN 33 087 651 661 trading as BankVic. Australian credit licence and AFSL 240293. bankvic.com.au. Current as at 27.1.20 - 7099bv 24