Commonwealth Consolidated Regulations

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INSURANCE CONTRACTS REGULATIONS 2017 - REG 25

Prescribed events

  (1)   The following, except in so far as they are excluded by subsection   ( 2) , are declared to be prescribed events in relation to a contract referred to in sub section   24 (1) :

  (a)   if the contract provides insurance cover (whether the cover is limited or restricted in any way) in respect of the insured person contracting a specified sickness or disease:

  (i)   the death of the insured person ; or

  (ii)   the t otal disablement of the insured person from carrying out all the normal duties of his or her usual occupation;

    being death or disablement that results from the insured person contracting that sickness or disease;

  (b)   if the contract (not being a contract referred to in paragraph   ( a)) provides insurance cover (whether the cover is limited or restricted in any way) in respect of the insured person contracting a sickness or disease--the total disablement of the insured person from carrying out all the normal duties of his or her usual occupation, being disablement that results from the person contracting a sickness or disease;

  (c)   the death of the insured person , or the total disablement of the insured person from carrying out all the normal duties of his or her usual occupation, as a result of the insured person sustaining an accidental injury, being death or disablement that occurs within 12 months after the insured person sustains the injury;

  (d)   the partial disablement of the insured person from carrying out the normal duties of his or her usual occupation as a result of the insured person sustaining an accidental injury, being disablement that occurs within 12 months after the insured person sustains the injury.

  (2)   The following are excluded:

  (a)   death or disablement that results from:

  (i)   a deliberately self - inflicted injury; or

  (ii)   war or warlike activities; or

  (iii)   the use, existence or escape of nuclear weapons material, or ioni s ing radiation from, or contamination by radioactivity from, any nuclear fuel or nuclear waste from the combustion of nuclear fuel;

  (b)   death or disablement that results from the insured person :

  ( i )   being under the influence of intoxicating liquor or of a drug, other than a drug taken or administered by or in accordance with the advice of a duly qualified medical practitioner; or

  (ii )   being addicted to intoxicating liquor or to a drug; or

  (iii )   taking part   i n a riot or civil commotion; or

  (iv )   acting maliciously; or

  (v )   engaging in professional sporting activities;

  ( c )   death or disablement occurring at a time when the insured person is flying, or engaging in aerial activities, otherwise than as a passenger in an aircraft that is authorised to fly under a law that relates to the safety of aircraft.



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