Documents

AIA

AIA Brochure

AIA Forms

Application Forms
ACCIDENTAL-INJURY-COVER-EXISTING-CUSTOMER-APPLICATION-FORM
‍AIA-LIVING-APPLICATION-FORM
‍APPLICATION-FOR-RETIREMENT-PROTECTION-BENEFIT
‍BUSINESS-CONTINUITY-SUPPLEMENTARY-PROPOSAL
‍EARLY-CANCER-UPGRADE-APPLICATION-FORM
‍KONNECT-CONSENT-FORM
‍LEGACY-RISK-TRANSFER-APPLICATION-FORM
‍REPLACEMENT-POLICY-ADVICE
‍SPECIAL-EVENTS-APPLICATION-FORM
‍START-UP-UPGRADE-APPLICATION-FORM

Claim Forms
ACCIDENTAL-INJURY-CLAIM-FORM
‍CONSENT-FOR-THE-COLLECTION-AND-DISCLOSURE-OF-INFORMATION
‍CONSENT-TO-DISCLOSE-PERSONAL-INFORMATION
‍CRITICAL-CONDITIONS-CLAIM-FORM
‍HEALTH-INSURANCE-CLAIM-FORM-ONLY
‍HEALTH-INSURANCE-CLAIM-FORM-WITH-PAYMENT-REQUEST
‍HEALTH-INSURANCE-PAYMENT REQUEST
‍INCOME-PROTECTION-CLAIM-FORM
‍MEDICAL-CERTIFICATE
‍REDUNDANCY-CLAIM-FORM
‍REDUNDANCY-CLAIM-FORM-AIA-LEGACY
‍REDUNDANCY-INDIVIDUAL-DECLARATION-UPDATE
‍REIMBURSEMENT-FORM
‍STATUTORY-DECLARATION
‍TERMINAL-ILLNESS-CLAIM-FORM
‍TOTAL-PERMANENT-DISABILITY-CLAIM-FORM
‍WAIVER-OF-PREMIUM-CLAIM-FORM

Servicing Forms
ADVISER-CHANGE-REQUEST
‍AUTHORITY-FORM
‍AUTHORITY-TO-ACCEPT-DIRECT-DEBITS
‍BENEFIT-ALTERATION-FORM
‍CANCELLATION-FORM
‍CERTIFICATE-OF-ENDURING-POWER-OF-ATTORNEY
‍CERTIFICATE-OF-NON-REVOCATION-OF-POWER-OF-ATTORNEY
‍CHANGE-OF-NAME-DECLARATION.pdf CHANGE-OF-OWNERSHIP-AML
‍CHANGE-OF-OWNERSHIP-NON-AML
‍CONFIDENTIAL-FINANCIAL-REPORT
‍CREDIT-CARD-REPAYMENT-INSURANCE-CANCELLATION-FORM
‍CREDIT-DEBIT-CARD-PAYMENT-AUTHORITY-FORM
‍CRITICAL-CONDITIONS-PROGRESSIVE-CARE-FORM
‍DECLARATION-OF-CONTINUED-GOOD-HEALTH
‍FUND-SWITCH-FORM
‍GP-QUESTIONNAIRE-MEDICAL-EXAMINATION-FORM
‍LOST-OR-DESTROYED-DOCUMENTS-INVESTMENT-CERTIFICATE
‍NON-RESIDENT-QUESTIONNAIRE
‍NON-SMOKER-DECLARATION
‍POLICY-OR-BENEFIT-SUSPENSION-APPLICATION-FORM
‍POLICY-SPLIT-FORM

Vitality Forms
‍AIA-VITALITY-APPLICATION-FORM
AIA-VITALITY-PAYMENT-FORM

AIA Policy Wordings

Asteron Life

Asteron Life Brochure

Business
‍BUSINESS INSURANCE OVERARCHING CUSTOMER BROCHURE
‍BUSINESS EXPENSES CUSTOMER BROCHURE
‍BUSINESS DISABILITY CUSTOMER BROCHURE

Claims Statistics
CLAIM STATISTICS FLYER – LIFE INSURANCE AND TERMINAL ILLNESS BENEFIT 1 JULY 2023 – 30 JUNE 2024
CLAIM STATISTICS FLYER – MONTHLY INCOME COVER INCL INCOME PROTECTION 1 JULY 2023 – 30 JUNE 2024
CLAIM STATISTICS FLYER – TRAUMA INSURANCE 1 JULY 2023 – 30 JUNE 2024

‍Personal
Customer Brochures

INCOME PROTECTION CLAIMS STATISTICS BROCHURE FY23_SEPT24LIFE INSURANCE CLAIMS STATISTICS BROCHURE FY23_SEPT24
PERSONAL INSURANCE OVERARCHING CUSTOMER BROCHURE
LIFE COVER CUSTOMER BROCHURE.pdfTRAUMA RECOVERY CUSTOMER BROCHURE.pdfCANCER COVER CUSTOMER BROCHURE
TOTAL AND PERMANENT DISABLEMENT CUSTOMER BROCHURE.pdfINCOME PROTECTION COVER CUSTOMER BROCHURE
KIDS COVER CUSTOMER BROCHURE.pdfTELE-INTERVIEW SERVICE CUSTOMER BROCHURE
WORKABILITY COVER CUSTOMER BROCHURE
STEPPED VS LEVEL PREMIUMS BROCHURE
MORTGAGE AND LIVING COVER CUSTOMER FLYER
CONTINUOUS TRAUMA CUSTOMER BROCHURE
SPECIFIC INJURY SUPPORT CUSTOMER BROCHURE
TRAUMA INSURANCE CLAIMS STATISTIC BROCHURE FY23_SEPT24
WHY ASTERON LIFE INFOGRAPHIC

Rural
‍
FARMERS DISABILITY COVER CUSTOMER BROCHURE

Asteron Life forms?

Application forms
‍ACCURO-SHORT-FORM-ASTERON-LIFE-EDITABLE
‍EMPLOYEE-INSURANCE-PERSONAL-STATEMENT-FORM
‍ADVICE-ON-REPLACEMENT-BUSINESS
‍COVER-ALTERATION-FORM
‍MEDICAL-CONSENT-FORM
‍LRQ011NZ-1024-SMOKING-UPDATE
‍NIB-SHORT-FORM-ASTERON-LIFE-EDITABLE
‍KIDS-COVER-APPLICATION
‍GENERAL-APPLICATION_SINGLE-PAGES_DIGITAL
‍NOMINATED-BENEFICIARIES-FORM_PERSONAL
‍NOMINATED-BENEFICIARIES-FORM_BUSINESS
‍STEPPED-TO-LEVEL-CONVERSION-FORM
‍CONVERSION-OF-KIDS-COVER-TO-ADULT-COVER
‍CONVERSION-OF-PORTION-OF-TRAUMA-TO-MAJOR-TRAUMA
‍CONVERSION-TO-FUNERAL-BENEFIT-FORM
‍MEMORANDUM-OF-TRANSFER-FORM
‍SPECIFIC-INJURY-SUPPORT-BENEFIT-FORM
‍INDEXATION-AT-COVER-LEVEL-FORM
‍REDUCTION-IN-WAITING-PERIOD-BENEFIT-FORM
‍BUSINESS-INSURANCE-COVER-CONVERSION-BENEFIT
‍DIRECT-DEBIT-AUTHORITY-FORM
‍CLIENT-DECLARATION-AND-CONSENT
‍FINANCIAL-HARDSHIP-FORM
‍SPECIAL-EVENTS-INCREASE-OR-CONVERSION
‍5TH-ANNIVERSARY-SPECIAL-EVENTS-INCREASE-OR-CONVERSION

Claim Forms
EMPLOYEE INSURANCE PERSONAL STATEMENT FORM
EMPLOYEE INSURANCE BRIDGING FORM
EMPLOYEE INSURANCE KIDS COVER CLAIM FORM
EMPLOYEE INSURANCE INCOME PROTECTION INITIAL CLAIM FORM
EMPLOYEE INSURANCE EARLY PAYMENT OF LIFE COVER
EMPLOYEE INSURANCE TPD CLAIM FORM
EMPLOYEES INSURANCE TRAUMA CLAIM FORM
EMPLOYEE INSURANCE LIFE CLAIM FORM
EMPLOYEE INSURANCE PERSONAL ACCIDENT AND MAJOR BURNS CLAIM FORM

Health Questionnaires
‍ACTIVITIES QUESTIONNAIRE LRQ001NZ (0824).pdf
APPLICANTS WORKING AT HOME QUESTIONNAIRE LRQ020NZ.pdf
AVIATION QUESTIONNAIRE LRQ005NZ (0824).pdf
BACKNECK QUESTIONNAIRE LRQ006NZ (0824).pdf
DECLARATION OF CONTINUED GOOD HEALTH LRQ008NZ.pdf
DIABETES QUESTIONNAIRE LRQ009NZ (0824).pdf
DRUG AND SUBSTANCE ABUSE QUESTIONNAIRE LRQ022NZ (0824).pdf
EPILEPSY QUESTIONNAIRE LRQ010NZ (0824).pdf
EXCESS WORKING HOURS QUESTIONNAIRE LRQ021NZ (0824).pdf
MENTAL HEALTH QUESTIONNAIRE LRQ003NZ (0824).pdf
MOTOR SPORTS QUESTIONNAIRE LRQ012NZ (0824).pdf
MOUNTAINEERING AND ROCK CLIMBING QUESTIONNAIRE LRQ007NZ.pdf
MUSCULOSKELETAL QUESTIONNAIRE LRQ013NZ.pdf
OVERSEAS TRAVEL RESIDENCE QUESTIONNAIRE LRQ014NZ.pdf
RESPIRATORY DISORDERS QUESTIONNAIRE LRQ004NZ.pdf
SPORTS AVIATION QUESTIONNAIRE LRQ017NZ.pdf
SUPPLEMENTARY HEALTH STATEMENT LRQ018NZ.pdf
UNDERWATER DIVING QUESTIONNAIRE LRQ019NZ.pdf

Employee Insurance

Employee Insurance
‍
‍EMPLOYEE INSURANCE BROCHURE
‍EMPLOYEE INSURANCE_WHATS NEW
‍EMPLOYEE INSURANCE LIFE COVER CUSTOMER FLYER
‍EMPLOYEE INSURANCE TRAUMA COVER CUSTOMER FLYER
‍EMPLOYEE INSURANCE TOTAL AND PERMANENT DISABLEMENT CUSTOMER FLYER
‍EMPLOYEE INSURANCE INCOME PROTECTION CUSTOMER FLYER

Chubb Life

Chubb Life Brochure

Business
‍ASSURANCE EXTRA BUSINESS COMPLETE DISABLEMENT COVER BROCHURE
‍ASSURANCE EXTRA BUSINESS PRODUCT BROCHURE
‍ASSURANCE EXTRA BUSINESS PRODUCT SUMMARY
‍ASSURANCE EXTRA BUSINESS START-UP MONTHLY DISABILITY COVER INFORMATION GUIDE
‍ASSURANCE-EXTRA-BUSINESS-BROCHURE
‍ASSURANCE-EXTRA-BUSINESS-LIFE-COVER-BROCHURE
‍ASSURANCE-EXTRA-BUSINESS-MONTHLY-DISABILITY-COVER-BROCHURE
‍ASSURANCE-EXTRA-BUSINESS-PREMIUM-COVER-BROCHURE
‍ASSURANCE-EXTRA-BUSINESS-SPECIFIC-INJURY-COVER-BROCHURE
‍assurance-extra-business-start-up-monthly-disability-cover-brochure
‍ASSURANCE-EXTRA-BUSINESS-TRAUMA-COVER-BROCHURE
‍BUSINESS RISK CONCEPT BROCHURE

‍General Brochures
ANNIVERSARY REVIEW BROCHURE
CHANGING YOUR INSURANCE POLICY
CLAIMS HOW TO GUIDE – MONTHLY BENEFIT CLAIM
CLAIMS HOW TO GUIDE – TRAUMA
CLAIMS STATISTICS 2023
CLIENT BENEFITS FLYER
LIFETIME REWARD FLYER
NEW PROFESSIONALS OFFER FACTSHEET
UNDERSTANDING SPECIAL TERMS
WHAT SHOULD I TELL MY INSURERS
WHY CHUBB LIFE (CUSTOMER)

‍Personal
‍ASSURANCE EXTRA BROCHURE
ASSURANCE EXTRA COMPLETE DISABLEMENT BROCHURE
ASSURANCE EXTRA INCOME COVER BROCHURE
ASSURANCE EXTRA LIFE & LIFE INCOME COVER BROCHURE
ASSURANCE EXTRA MORTGAGE REPAYMENT COVER BROCHURE
ASSURANCE EXTRA OPTIONAL CONTINUOUS TRAUMA FLYER
ASSURANCE EXTRA PREMIUM COVER BROCHURE
ASSURANCE EXTRA QUICK GUIDE
ASSURANCE EXTRA REDUNDANCY COVER BROCHURE
ASSURANCE EXTRA SPECIFIC INJURY COVER BROCHURE
ASSURANCE EXTRA TRAUMA COVER BROCHURE

Chubb Life Forms

Application Forms
‍
Business
‍BUSINESS PRODUCT CONVERSION APPLICATION FORM

Personal‍
CHUBB LIFE APPLICATION FORM
INTERIM COVER.pdfSPECIFIC INJURY APPLICATION FORM INTERACTIVE
SUPPLEMENTARY APPLICATION FORM WEB

‍Claim Forms
DEATH CLAIM – EXECUTORS OF ESTATE
DEATH CLAIM 3RD PARTY OWNER
EARLY PAYMENT LIFE COVER CLAIM FORM
EMPLOYER CLAIM FORM
INDIVIDUAL UPDATE FORM
INITIAL MEDICAL QUESTIONNAIRE
LUMP SUM CLAIM FORM
MEDICAL UPDATE FORM
MONTHLY BENEFIT CLAIM FORM
PREMIUM COVER, REDUNDANCY, BANKRUPTCY CLAIM FORM
SPECIFIC INJURY CLAIMS FORM

Servicing Forms
CHANGE OF ADDRESS FORM
CHANGE OF NAME FORM
DIRECT DEBIT AUTHORITY FOR ADVICE CHANNELLOSS OF POLICY DECLARATION
MEMORANDUM OF TRANSFER FORM
POLICY SPLIT FORM
SMOKING STATUS UPDATE FORM

UW Forms
‍BUSINESS EXTRA FINANCIAL REVIEW FORM
DECLARATION OF CONTINUED GOOD HEALTH
DEPENDANT LEAVE WITHOUT PAY BENEFIT REGISTRATION
DRUG & SUBSTANCE ABUSE QUESTIONNAIRE
EAPP DECLARATION AND CONSENT
FINANCIAL QUESTIONNAIRE
KONNECT CONSENT FORM
LIFE ASSURANCE CONFIDENTIAL FINANCIAL REPORT
MENTAL HEALTH QUESTIONNAIRE

Chubb Policy Wordings

Fidelity Life

Fidelity Life Brochure

Business

BUSINESS-LIFE-COVER
business-tpd-cover
business-trauma-cover
factsheet-business-expenses-cover
factsheet-key-person-cover

Personal
factsheet-income-protection-cover
factsheet-life-assurance-cover
factsheet-monthly-mortgage-repayments
factsheet-specific-injury-cover.pdffactsheet-survivors-income-cover
factsheet-total-and-permanent-disability-cover.pdffactsheet-trauma-cover
factsheet-trauma-multi-cover

Rural
‍factsheet-key-person-cover-for-farmers-1
‍factsheet-rural-key-person-cover
‍

Fidelity Life forms

Fidelity Policy Wordings

NIB

NIB Brochure

Group
‍Introduction to Group Health.pdf
‍Premier Health Business Brochure.pdf
‍Premier Health Business Fact Sheet.pdf
‍Private Hospital Gold Fact Sheet.pdf
‍Private Hospital Silver Fact Sheet.pdf
‍The Cost of Health procedures.pdf
‍Ultimate Health Max, Ultimate Health, Easy Health and Premier Health Business Health Cover Overview.pdf

‍Personal
‍Easy Health Brochure.pdf
Easy Health Guide to Pre-Existing Conditions.pdf
The Cost of Health procedures.pdf
Ultimate Health Max & Ultimate Health Brochure.pdf
Ultimate Health Max and Ultimate Health Cover Overview.pdf
Ultimate Health Max, Ultimate Health, Easy Health and Premier Health Business Health Cover Overview.pdf

NIB forms

Group
‍Application Form

‍Premier-Health-Business-Application-Form.pdf
‍Ultimate-Health-and-Ultimate-Health-Max-Application-and-Change-Form.pdf
‍Other Forms Change-of-Plan-Form.pdf
‍Claim-Form.pdf Declaration-of-Health-Form.pdf
‍Group-Change-of-Plan-Form.pdf
‍Non-Smoker-Declaration.pdf
‍Public-Hospital-Surgical-Grant-Form.pdf
‍
‍Other Forms
‍Change-of-Plan-Form.pdf
‍Claim-Form.pdf
‍Declaration-of-Health-Form.pdf
‍Group-Change-of-Plan-Form.pdf
‍Non-Smoker-Declaration.pdf
‍Public-Hospital-Surgical-Grant-Form.pdf T
PA-Continuation-Form.pdf

NIB Policy Document

Group
‍Premier-Health-Business-Policy-Document.pdf
‍Private-Hospital-Gold-Policy-Document.pdf
‍Private-Hospital-Silver-Policy-Document.pdf

Group
PersonalEasy-Health-Policy-Document.pdf
Ultimate-Health-Max-Policy-document.pdf
Ultimate-Health-Policy-document.pdf

ApplyFaqs.pdf

Partners Life

Partners Life Brochure

Businessfact
business-premium-cover_v01_2109.pdf
‍fact_business-protection-plan_v01_2109.pdf
‍fact_permanent-loss-of-key-person-cover_v02_2211.pdf
‍fact_variable-loss-of-revenue-cover_v02_2211.pdf

Medical
fact_hospital-cash-cover_v02_0623.pdf
FACT_Private-Medical-Cover_V0-4_0424.pdf

Personal LS
fact_accidental-death-cover_v02_2211.pdf
FACT_Life-Cover_V03_0424.pdf
fact_moderate-trauma-cover-acc-stand_v2_2211.pdf
fact_partners-protection-plan_v02_0623.pdf
fact_severe-trauma-cover-acc-stand_v3_1.pdf
FACT_Specific-Condition-Cover_V02_2211.pdf
fact_terminal-illness-cover_v03_0523.pdf
fact_tpd-cover-acc-stand_v02_1.pdf
fact_trauma-cover-acc-stand_v3_1023.pdf

Personal Monthly
‍fact_household-expenses-cover-without-redundancy_v04_0823.pdf
fact_income-and-expenses-cover_v01_0921.pdf
fact_income-cover-agreed-loss-of-earnings_v05_0823.pdf
fact_income-cover-agreed-value_v05_0823.pdf
FACT_Income-Cover-Indemnity-Loss-of-Earnings_V04_0823.pdf
fact_life-income-cover_v02_2211.pdf
fact_loss-of-revenue-cover_v02_2211.pdf
fact_mortgage-repayment-cover-without-redundancy_v05_0823.pdf
fact_premium-cover_v02_2211.pdf

Partners Life forms

Claim
Form PLCL_Life_Claim_v5_0324_INT.pdf
‍PLCL_Lump_Sum_Claim_Form_v7_1024_INT.pdf
‍PLCL_Monthly_Benefit_Form_DC_v1_0324_CT.pdf
‍PLCL_Monthly_Benefit_Form_v6_0624_INT.pdf
‍PLCL_Premium_Holiday_Claim_v2_0122.pdf
‍PLCL_Private_Medical_Claim_Form_v3_0422.pdf
‍PLCL_Redundancy_Benefit_Claim_v4_0124_CT.pdf

‍Servicing Forms
‍PL_CS_DIRECT_DEBIT_AUTHORITY_V2_1122.pdf
PL_CS_Memorandum_of_Transfer_v2_0823INT.pdf
PL_CS_Non_Smoking_Declaration_v1_0222_INT.pdf
PLCL_Policy_Suspension_v1_0921.pdf
PLCS_Change_of_Address_v1_0921.pdf
PLCS_Change_of_Name_v1_0921.pdf
PLCS_Loss_or_Destruction_V1_0921.pdf
PLNB_Special_Events_Increase_v1_0921.pdf

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