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SIGNAL IDUNA SI WorkLife EXKLUSIV für Beamte: the policy wording in full

Berufsunfähigkeitsversicherung mit Dienstunfähigkeitsklausel im Grundwerk: Entlassung oder Versetzung in den Ruhestand aufgrund amtsärztlichen Zeugnisses gilt als Berufsunfähigkeit, mit konkreter Verweisung auch im Ruhestand; Vollzugsdienstunfähigkeit ist als Klausel für 30 Monate wählbar.

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Everything about this policy

What the policy covers: 70 points, each with its clause

Quotes are shortened.

The full German wording of each point is on the German page for SIGNAL IDUNA SI WorkLife EXKLUSIV

für Beamte.

Basics

PointRuleWording (German)Clause
Insured monthly pension on unfitness for service or occupational disability (maximum, share of salary)yes, up to the sum insured„Wir zahlen die versicherte Berufsunfähigkeitsrente, längstens bis zum Ablauf der …“§ 1 Abs. 1, page 2
Product form: stand alone cover for unfitness for service, occupational disability cover with a civil servant clause, or rideryes„Allgemeine Bedingungen für SI WorkLife EXKLUSIV (Berufsunfähigkeitsversicherung)“Titel, page 1
Who can be insured (federal, state and municipal civil servants, judges, soldiers, church officials)yes„gilt für Richter und Kirchenbeamte“§ 2, page 3
Benefit for occupational disability from 50 percent alongside unfitness for serviceyes„Es besteht kein Anspruch auf die Leistungen nach § 1 Absatz 1, wenn der Grad der …“§ 2 Abs. 1, page 2
Retroactive payment after late notificationno„später als 3 Monate nach ihrem Eintritt in Textform mitgeteilt, entsteht der Anspruch …“§ 1 Abs. 2, page 2
Worldwide cover, including postings abroadyes„Der Versicherungsschutz gilt weltweit.“§ 1 Abs. 8, page 1
Maximum age at which cover ends (matched to the retirement age of the career)not addressed

Clause on unfitness for service

PointRuleWording (German)Clause
General unfitness for service counts as occupational disability (clause present)yes„aufgrund eines amtsärztlichen Zeugnisses oder ... wegen allgemeiner Dienstunfähigkeit …“§ 2 Abs. 5, page 3
Genuine clause: the insurer follows the employer's decision without its own medical reviewyes„aufgrund eines amtsärztlichen Zeugnisses oder ... wegen allgemeiner Dienstunfähigkeit …“§ 2 Abs. 5, page 3
Insurer reserves its own review of unfitness for service (non genuine clause)not addressed
Retirement on grounds of general unfitness for service triggers the benefityes„aufgrund eines amtsärztlichen Zeugnisses oder ... wegen allgemeiner Dienstunfähigkeit …“§ 2 Abs. 5, page 3
Dismissal on grounds of general unfitness for service triggers the benefit (complete clause)yes„aufgrund eines amtsärztlichen Zeugnisses oder ... wegen allgemeiner Dienstunfähigkeit …“§ 2 Abs. 5, page 3
Certificate or report of the public medical officer is sufficient proofyes„aufgrund eines amtsärztlichen Zeugnisses oder ... wegen allgemeiner Dienstunfähigkeit …“§ 2 Abs. 5, page 3
Benefit only if unfitness rests solely on health groundsnot addressed
Partial unfitness for service (limited fitness) insurednot addressed
Benefit for the whole period of unfitness up to the agreed endyes„Wir zahlen die versicherte Berufsunfähigkeitsrente, längstens bis zum Ablauf der …“§ 1 Abs. 1, page 2
Benefit period for unfitness limited in time (for example 15 years, or a few years for officials on revocable appointment)none„aufgrund eines amtsärztlichen Zeugnisses oder ... wegen allgemeiner Dienstunfähigkeit …“§ 2 Abs. 5, page 3
Benefit also for occupational disability without a formal finding of unfitness for serviceyes„Bei Beamten bzw. Richtern und Kirchenbeamten gilt zusätzlich“§ 2 Abs. 1, page 2
Waiver of abstract referral to another occupationyes„Wir verzichten auf die abstrakte Verweisung.“§ 2 Abs. 1, page 2
Concrete referral to another occupation actually pursuedyes„nicht oder nicht mehr vor, wenn eine andere Tätigkeit nach Absatz 7 ausgeübt wird.“§ 2 Abs. 5, page 3
Reappointment to service (reactivation): benefit endsyes„die Berufsunfähigkeit im Sinne dieser Bedingungen nicht mehr“§ 1 Abs. 3, page 2

Civil servant status and career

PointRuleWording (German)Clause
Officials on revocable appointment (trainees) insured with the clauseyes„aufgrund eines amtsärztlichen Zeugnisses oder ... wegen allgemeiner Dienstunfähigkeit …“§ 2 Abs. 5, page 3
Officials on probation insured with the clauseyes„aufgrund eines amtsärztlichen Zeugnisses oder ... wegen allgemeiner Dienstunfähigkeit …“§ 2 Abs. 5, page 3
Officials with lifetime tenure insured with the clauseyes„aufgrund eines amtsärztlichen Zeugnisses oder ... wegen allgemeiner Dienstunfähigkeit …“§ 2 Abs. 5, page 3
Fixed term officials and fixed term soldiers insurednot addressed
Change of status without new health check and without duty to notifynot addressed
Leaving the civil service: continuation as occupational disability covernot addressed
Becoming a civil servant after inception: clause applies automatically or can be added without health checknot addressed
Starter scheme: higher pension or reduced premium in the first years of servicenot addressed
Matched to the five year qualifying period of the civil service pension (pension falls once entitlement exists)not addressed
Civil service pension or transitional pay is set off against the benefitnot addressed

Special unfitness for service

PointRuleWording (German)Clause
Unfitness for police service insuredyes„Bei versicherten Beamten des Vollzugsdienstes gilt die Entlassung bzw. Versetzung in …“Vollzugsdienstunfähigkeitsklausel, page 1
Unfitness for fire service insurednot addressed
Unfitness for prison service insuredyes„Bei versicherten Beamten des Vollzugsdienstes gilt die Entlassung bzw. Versetzung in …“Vollzugsdienstunfähigkeitsklausel, page 1
Soldiers: unfitness for military service of career and fixed term soldiers insurednot addressed
Special unfitness: benefit on the finding itself, even if the official moves to another branchno„Bei versicherten Beamten des Vollzugsdienstes gilt die Entlassung bzw. Versetzung in …“Vollzugsdienstunfähigkeitsklausel, page 1
Benefit period for special unfitness limited (for example 30 or 72 months)yes„erfolgen für 30 Monate.“Vollzugsdienstunfähigkeitsklausel, page 1
Special unfitness insured only up to a certain agenot addressed
Missions abroad of soldiers and police (humanitarian aid, peacekeeping mandates) insurednot addressed

Adjustments and options

PointRuleWording (German)Clause
Guaranteed increase without new health checknot addressed
Service related events for increases: lifetime appointment, promotion, higher pay gradenot addressed
Premium indexation available, refusal without losing the rightnot addressed
Guaranteed pension increase during a claimnot addressed
Extension option if the retirement age of the career is raisednot addressed
Reducing the pension after lifetime appointment with the right to restore it laternot addressed
Premium deferral or break during payment difficulties, parental leave or leave of absenceyes„Ihr Recht auf Beitragspause besteht nur, wenn“§ 18 Abs. 3, page 11
Benefit for prolonged sick leave (incapacity for work clause) for civil servantsnot addressed

Benefits and claims

PointRuleWording (German)Clause
Premium waiver during a claimyes„Wir befreien Sie von der Beitragszahlungspflicht für diese“§ 1 Abs. 1, page 2
Reintegration aid on return to serviceyes, up to EUR 10,000„zahlen wir für weitere 12 Monate die versicherten Leistungen, höchstens jedoch …“§ 11 Abs. 1, page 9
Benefit for need of care regardless of unfitness for serviceyes„Berufsunfähigkeit infolge Pflegebedürftigkeit“§ 2, page 2
Infection clause (ban on working under infection protection law), relevant for teachers and health servicesyes„Berufsunfähigkeit aufgrund Tätigkeitsverbots (Infektionsklausel)“§ 2, page 3
Evidence for a claim: deed or notice of retirement or dismissalyes„die Entlassungs- bzw. Ruhestandversetzungs-Verfügung des Dienstherrn mit den zur …“§ 9 Abs. 1 g), page 8
Deadline for the insurer's claims decisionnot addressed
Review: insurer may check whether unfitness continuesyes„sind wir berechtigt, das Fortbestehen der Berufsunfähigkeit nachzuprüfen. Dabei können …“§ 12 Abs. 1, page 9

Exclusions

PointRuleWording (German)Clause
No benefit on dismissal or removal for disciplinary reasonsnot addressed
War and civil unrest excluded (exceptions for official duties)yes„Kriegs- oder Bürgerkriegsereignisse, es sei denn, das die Berufsunfähigkeit …“§ 7 Abs. 2 a), page 7
Terrorist attacks excludedyes„atomaren, biologischen oder chemischen Waffen bei terroristischen Akten“§ 7 Abs. 2 f), page 7
Deliberately caused illness or self harm excludedyes„durch absichtliche Herbeiführung von Krankheit oder mehr als altersentsprechendem …“§ 7 Abs. 2 c), page 7
Mental illness excluded or restrictednone„davon, wie es zu der Berufsunfähigkeit gekommen ist.“§ 7 Abs. 1, page 7

Contract and disclosure

PointRuleWording (German)Clause
Period covered by health questions (simplified questions for trainees)not addressed
Period in which the insurer may rely on a breach of disclosureyes„Nach Ablauf von 5 Jahren seit Vertragsschluss erlöschen unsere Rechte zum Rücktritt …“§ 8 Abs. 16, page 8
Waiver of withdrawal, termination and adjustment for innocent non disclosurenot addressed
No ordinary right of termination for the insurernot addressed
No duty to report a change of career, employer or risky hobbiesnot addressed

Specific to Austria and Spain

PointRuleWording (German)Clause
Austria: retirement for permanent unfitness for service (section 14 BDG) accepted as proof of occupational disabilitynot addressed
Spain: retirement for permanent incapacity for service (Clases Pasivas, MUFACE) as insured eventnot addressed
Spain: daily benefit during sick leave (temporary incapacity), compensates the cut in paynot addressed
Spain: compensation by scale (fixed days per diagnosis) instead of actual durationnot addressed
Spain: franchise (waiting days before payment starts)not addressed
Spain: maximum payment period per case and per yearnot addressed

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Policy wordings and provider

Legal entity
SIGNAL IDUNA Lebensversicherung AG
Distribution
brokers and direct

Full text of the wording

The full text exists only in German.

It is printed on the German page for SIGNAL IDUNA SI WorkLife EXKLUSIV für Beamte and available as

plain text.

Volltext SIGNAL IDUNA SI WorkLife EXKLUSIV für Beamte Dienstunfähigkeit · As text (Markdown) SIGNAL IDUNA SI WorkLife EXKLUSIV für Beamte Service disability