Special Events Benefits; great for clients and advisers but beware the time limits
Opinion: There are benefits and options in life, trauma and disability products that allow cover to be increased without underwriting.
Tuesday, April 14th 2026, 9:16AM
1 Comment
This is great for clients and advisers:
- Clients get to increase cover without having to go through the underwriting process, guaranteeing to some extent that cover can be increased when the need arises without new loadings or exclusions, even if their health has deteriorated. Of course, there are some limits, restrictions and conditions (they can’t increase if they can claim for example) and these differ across insurers.
- Advisers get to increase clients cover with minimal fuss, sometimes by fairly significant amounts (again different insurers allow different increase limits).
Think of benefits like Special Events Increase Benefits and Future (Guaranteed) Insurability Options. Both are hugely valuable, especially for people needing more cover but whose health has deteriorated since initial underwriting.
However, there are time limits within which these increases can be made, requiring action and usually within a relatively short time, or the opportunity is lost.
Unfortunately, there is no consistency of time limits among insurers and, even within insurers, there might be no consistency of time limit for the same benefits across different products.
By way of example, consider Special Events Increase Benefits (also called Life Events Benefits, Specified Life Events Increase and so on) under trauma covers.
Special Events Increase Benefits typically allow clients to increase existing trauma cover (subject to certain limits and restrictions – a topic for exploration all on its own!) when the life insured experiences a defined ‘special event’(for example, marriage, birth of a child or buying a house) without the need for general medical assessment by the insurer concerned.
For trauma covers, time limits range from:
- 60 days either side of the date of the special event – fine if you are aware of the event occurring and its date (Incidentally, the time limit is more generous at 12 months for the same benefit under Life Cover with this provider.)
- 180 days after the special event – more generous but still a good chance it could be missed if policy renewal or a scheduled review, is more than 180 days away; and
- Within 180 days after the special event or within 60 days (in some cases 30 days) after the next policy anniversary, allowing the possibility of two exercise windows.
The longer and more generous the time limit is, the better. The timing of some ‘special events’ is impossible to predict; they could happen at any time or not at all. This makes many special events impossible to ‘diarize’, so more time to ‘discover’ the event and take required action is valuable.
Of course, continually reminding your client of the advantages of Special Events Increase type benefits and the need to contact you as soon as they become aware of a special event occurring is a good idea, but realistically, how many clients would remember, especially if great excitement accompanies the event.
If the time window to exercise a benefit is linked also to policy renewal, this creates a ‘reminder’ opportunity for advisers to contact their clients and ask the necessary questions, even if regular scheduled reviews are some way off. This will allow action to be taken within the set time limits.
Should insurers advise clients of the benefits like Special Events Increase and the time limits involved, in their renewal notices? That would be useful, particularly for those insurers that link a time limit to policy renewal, but I’ve just received a policy renewal notice of my own and there is no such mention.
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Cover was deferred due to ongoing headaches of unknown origin, and so we turned to plan B: increase her trauma cover under the special events increase benefit (new mortgage lending). $50k became $87.5k, and there was only one thing left to do – increase the excess on her Southern Cross medical cover to help offset the increased premium for her trauma cover.
I spent the next couple of months trying to contact the client, with my calls, emails and texts going unanswered. I sent one final email letting her know that I was closing off the engagement and to get in touch if she still wanted to increase her excess.
She called almost immediately, and I could tell straight away that something wasn’t right. Her speech was slurred, and she was having trouble finishing her sentences. Turns out she had suffered a stroke shortly after the increase went in force and had been off work ever since. I’m picking the stroke may have been related to the headache condition that led to the deferral on the MRC, but I’m no brain scientist.
Asteron paid the full $87.5k, with no 3-month standdown on the increased sum.