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Unemployment Cover
You will be deemed to be unemployed if you are entirely without work because of one of the following:
- If you are employed , your employer has totally terminated your job because of circumstances beyond your control
- If you are self employed and the business you work for has totally and permanently stopped trading because of circumstances beyond the control of you or any co-director or partner in the business.
You must also be registered as available for work at a benefits office and be actively seeking work. We will consider the first date of your unemployment to be the date when you registered as unemployed at a Benefits Office. Your qualification period only begins when any payment instead of notice has ended. Important: If you are employed on a fixed term contract you must have at least 12 months continuous service with that business to receive the full entitlement to claim benefits under the policy. Alternatively, you will be considered as unemployed if you have to stop working to become a full time carer for a member of your family and you are receiving carers allowance.
The main reasons the policy does not pay out for unemployment are:
- You knew about unemployment (or that you would have to leave work to become a carer) on or before the start date
- Your work is casual, temporary or seasonal or you were working for a temporary employment agency
- Unemployment was a regular feature of your job
- You resign or accept voluntary unemployment
- You retire or take early retirement instead of unemployment
- You are dismissed because of misconduct, fraud, dishonesty or breach of contract
- You fail to meet any performance standards or targets laid down by your employer.
- If your mortgage, rental agreement or loan has been in force for more than a month on the start date of the policy you are classed as an existing borrower. If you are an existing borrower, you cannot claim for unemployment if this occurs (or you were notified of unemployment) in the 90 days following the start date of the policy, this is increased to 120 days following the start date of the policy if your monthly benefit is over £500.01 and increased to 180 days if your monthly benefit is £1000.01 or over. The full details of unemployment cover are shown in the policy document.
Disability Cover (Accident & Sickness)
You will be deemed to be disabled if you are suffering from a condition that stops you from doing your normal work and this is confirmed by a doctor or consultant. You must also not be receiving any form of payment or reward other than statutory sick pay. We will consider the first date of your disability to be the date on which a doctor or consultant first certifies that you were unable to work. The main reasons the policy does not pay out for disability are:
- You knew you would become disabled on or before the start date;
- Your disability is due to a pre-existing condition;
- Your disability is due to a chronic condition;
- Your disability is due to a self inflicted injury;
- Your disability is due to alcohol or drug abuse;
- Your disability is due to stress, anxiety, depression or a nervous disorder unless a suitably qualified consultant certifies the condition;
- Your disability is due to backache or back related conditions where there is no physical or radiological evidence of a medical abnormality unless a suitably qualified consultant certifies the condition
- Your disability is due to normal pregnancy. If your mortgage, rental agreement or loan has been in force for more than a month on the start date of the policy you are classed as an existing borrower. If you are an existing borrower, you cannot claim for disability if this occurs (or you were notified of disability) in the 90 days following the start date of the policy, this is increased to 120 days following the start date of the policy if your monthly benefit is £1,000 or over. The full details of disability cover are shown in the policy document.
