Insurance broker / Occupational disability insurance (Berufsunfähigkeitsversicherung) / Policy wording archive
Zurich BerufsKasko: the policy wording in full
Berufsunfähigkeitsrente ab 50 Prozent bei sechs Monaten Prognose mit Pflegeleistung und wahlweise Dienstunfähigkeits- und Arbeitsunfähigkeitsleistung bis 24 Monate; ausgelesen aus der Produktinformation, nicht aus den AVB.
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Everything about this policy
What the policy covers: 79 points, each with its clause
Basics
| Point | Rule | Wording (German) | Clause |
|---|---|---|---|
| Insured monthly disability income | yes | „Wenn die versicherte Person berufsunfähig wird, zahlen wir für die Dauer der Berufsunfähigkeit eine monatliche Rente.“ | Was ist versichert?, page 1 |
| Product form: standalone disability income policy or rider to a life or pension policy | yes | „Es handelt sich um eine private Vorsorge für den Fall der Berufsunfähigkeit“ | Um welche Art von Versicherung handelt es sich?, page 1 |
| Definition of disability: last occupation as it was performed before the health impairment | yes | „ihren zuletzt ausgeübten Beruf, so wie er ohne die Beeinträchtigung ausgestaltet war“ | Was ist versichert?, page 1 |
| Benefit from a degree of disability of 50 percent | yes | „voraussichtlich für die Dauer von 6 Monaten ununterbrochen zu mindestens 50 % nicht ausüben konnte.“ | Was ist versichert?, page 1 |
| Prognosis period: disability exists if it is expected to last at least six months | yes | „voraussichtlich für die Dauer von 6 Monaten ununterbrochen zu mindestens 50 % nicht ausüben konnte.“ | Was ist versichert?, page 1 |
| Deemed disability: six months of continuous disability counts as disability from the start | not addressed | ||
| Retroactive payment in case of late notification (without time limit) | not addressed | ||
| Worldwide cover, also with permanent residence abroad | not addressed | ||
| Policy term: age up to which a disability occurring is covered | yes | „Sie endet spätestens am letzten Tag des vereinbarten Monats.“ | Wann beginnt und endet meine Versicherung?, page 3 |
| Benefit end age: age up to which the benefit is paid at most | not addressed | ||
| Meets the minimum standards of the German broker working group (AK Beratungsprozesse) | not addressed |
Referral to other occupations
| Point | Rule | Wording (German) | Clause |
|---|---|---|---|
| Abstract referral to another occupation that is not actually performed | not addressed | ||
| Concrete referral to another occupation actually performed | yes | „Die versicherte Person gilt nicht als berufsunfähig, wenn sie eine andere berufliche Tätigkeit konkret ausübt, die ihrer bisherigen Lebensstellung entspricht.“ | Was ist versichert?, page 1 |
| Concrete referral: acceptable loss of income as a fixed percentage | not addressed | ||
| Concrete referral: preservation of previous standard of living expressly stated | yes | „wenn sie eine andere berufliche Tätigkeit konkret ausübt, die ihrer bisherigen Lebensstellung entspricht.“ | Was ist versichert?, page 1 |
| Waiver of business reorganisation for the self-employed | not addressed | ||
| Reorganisation obligation for the self-employed: conditions (business size, capital, loss of income) | not addressed | ||
| Leaving the occupation: how long the last occupation remains decisive (years) | not addressed | ||
| Parental leave, unemployment, caring for relatives: which occupation applies during the break | not addressed | ||
| Students: definition of disability (subject, progress, intended occupation) | not addressed | ||
| Pupils: definition of disability (ability to attend school, grade, type of school) | not addressed | ||
| Apprentices: definition of disability (trade, completion of training) | not addressed | ||
| Infection clause for medical professions: official ban on practising counts as disability | not addressed | ||
| Civil servant clause: retirement due to unfitness for service counts as disability | yes | „Bei allgemeiner Dienstunfähigkeit zahlen wir für die Dauer der Dienstunfähigkeit die monatliche Berufsunfähigkeits-Rente.“ | Leistung infolge allgemeiner Dienstunfähigkeit, page 2 |
| Unfitness for service also for probationary and revocable civil servants (dismissal instead of retirement) | not addressed | ||
| Unfitness for sea service: certified unfitness of seafarers counts as disability | not addressed |
Sick leave and long-term care
| Point | Rule | Wording (German) | Clause |
|---|---|---|---|
| Sick leave clause: benefit for extended sick leave without proof of disability | yes | „Ist die versicherte Person während der Versicherungsdauer mindestens 6 Monate ununterbrochen arbeitsunfähig, so zahlen wir Arbeitsunfähigkeits-Leistungen“ | Leistung infolge Arbeitsunfähigkeit, page 2 |
| Sick leave clause: required duration of sick leave (months) | yes | „Ist die versicherte Person während der Versicherungsdauer mindestens 6 Monate ununterbrochen arbeitsunfähig“ | Leistung infolge Arbeitsunfähigkeit, page 2 |
| Sick leave clause: maximum benefit period per claim and in total (months) | yes | „Leistungen aufgrund von Arbeitsunfähigkeit zahlen wir längstens für 24 Monate.“ | Leistung infolge Arbeitsunfähigkeit, page 2 |
| Sick leave clause: amount of benefit (share of the disability benefit or monthly cap) | yes | „so zahlen wir Arbeitsunfähigkeits-Leistungen in Höhe der vereinbarten Berufsunfähigkeits-Rente.“ | Leistung infolge Arbeitsunfähigkeit, page 2 |
| Benefit in case of need for long-term care, also without disability | yes | „voraussichtlich für mindestens 6 Monate ununterbrochen pflegebedürftig, zahlen wir für die Dauer der Pflegebedürftigkeit Leistungen in Höhe der vereinbarten Berufsunfähigkeits-Rente.“ | Berufsunfähigkeit infolge Pflegebedürftigkeit, page 2 |
| Care clause: measure (care grade or points for daily activities) and required level | not addressed | ||
| Benefit in case of dementia (moderate dementia, regardless of occupation) | not addressed |
Adjustments and options
| Point | Rule | Wording (German) | Clause |
|---|---|---|---|
| Guaranteed insurability: increase of the benefit without new health assessment | not addressed | ||
| Guaranteed insurability: events (marriage, birth, pay rise, property purchase, self-employment, graduation) | not addressed | ||
| Guaranteed insurability: maximum per event and in total | not addressed | ||
| Guaranteed insurability: age limit and deadline after the event (months) | not addressed | ||
| Increase option without a specific event (usually in the first policy years) | not addressed | ||
| Premium indexation: annual increase of premium and benefit without health assessment | not addressed | ||
| Benefit indexation: guaranteed increase of the benefit in payment | not addressed | ||
| Extension option: extending the policy term without health assessment if the retirement age rises | not addressed | ||
| Premium deferral in financial difficulty and during claim assessment (duration, interest-free) | not addressed | ||
| Reinstatement without health assessment after paid-up status or interruption | not addressed |
Additional benefits
| Point | Rule | Wording (German) | Clause |
|---|---|---|---|
| Waiver of premium in case of disability | yes | „Solange wir Leistungen aus der Versicherung zahlen, müssen Sie keine Beiträge zahlen.“ | Wann zahle ich?, page 3 |
| Reintegration aid when benefit ends (lump sum, number of monthly benefits) | not addressed | ||
| Reorganisation aid for the self-employed (contribution to restructuring the business) | not addressed | ||
| Bridging payment during claim assessment | not addressed | ||
| Lump sum on onset of disability (start capital) | not addressed | ||
| Benefit for critical illness (add-on, list of illnesses) | not addressed | ||
| Support with rehabilitation and return to work (rehab management, costs) | not addressed | ||
| Deadline for the insurer's claim decision after receipt of documents (weeks) | not addressed |
Claims and review
| Point | Rule | Wording (German) | Clause |
|---|---|---|---|
| Notification deadline on onset of disability with consequences for late notice | not addressed | ||
| Duty to cooperate: examination by doctors appointed by the insurer (costs, travel, choice) | not addressed | ||
| Obligation to undergo treatment (operations, therapy) beyond simple measures | not addressed | ||
| Review: scope (only health improvement or new occupational activity) | not addressed | ||
| Review: referral to newly acquired skills | not addressed | ||
| Review: frequency (at most once a year) and notice before benefit stops (months) | not addressed | ||
| Time-limited acceptance of the claim (permitted, duration, once only) | not addressed | ||
| Individual agreement in the claim (time-limited settlement instead of acceptance) | not addressed |
Exclusions
| Point | Rule | Wording (German) | Clause |
|---|---|---|---|
| Exclusion of war (passive war risk abroad, deployments abroad) | yes | „innere Unruhen, sofern die versicherte Person auf Seiten der Unruhestifter teilgenommen hat, kriegerische Ereignisse oder der vorsätzliche Einsatz von ABC-Waffen.“ | Was ist nicht versichert?, page 2 |
| Exclusion of nuclear energy and ionising radiation (except medical treatment) | yes | „Strahlen infolge Kernenergie.“ | Was ist nicht versichert?, page 2 |
| Exclusion of terrorism (only where nuclear, biological or chemical weapons are used) | yes | „kriegerische Ereignisse oder der vorsätzliche Einsatz von ABC-Waffen.“ | Was ist nicht versichert?, page 2 |
| Exclusion of motor sport (races and practice with motor vehicles and motorboats) | not addressed | ||
| Exclusion of dangerous sports and aviation (diving, climbing, offshore sailing, pilots) | not addressed | ||
| Exclusion of self-harm and attempted suicide (waiting period, except mental disorder) | yes | „eine absichtliche Selbstverletzung oder eine absichtliche Herbeiführung einer Krankheit.“ | Was ist nicht versichert?, page 2 |
| Exclusion or waiting period for mental illness | not addressed |
Contract and disclosure
| Point | Rule | Wording (German) | Clause |
|---|---|---|---|
| Pre-contractual disclosure: period covered by the health questions (years) | not addressed | ||
| Rescission for breach of disclosure: period from conclusion (five years, ten for intent or fraud) | not addressed | ||
| Waiver of rescission, termination and adjustment for innocent or slightly negligent non-disclosure | not addressed | ||
| Insurer waives its right to cancel (ordinary termination and premium increase for change of risk) | not addressed | ||
| No duty to report change of occupation, new hobbies or moving abroad | not addressed | ||
| Rider: continuation if the base policy becomes paid-up or is cancelled | not addressed |
Specific to Spain
| Point | Rule | Wording (German) | Clause |
|---|---|---|---|
| Total permanent disability for the usual occupation (incapacidad permanente total) | not addressed | ||
| Absolute permanent disability for any occupation (incapacidad permanente absoluta) | not addressed | ||
| Severe disability needing another person's help for daily activities (gran invalidez) | not addressed | ||
| Form of benefit: lump sum (capital) or annuity (renta) | not addressed | ||
| Recognition by Spanish social security (INSS) as a condition of payment | not addressed | ||
| Temporary incapacity (daily benefit during sick leave) | not addressed | ||
| Consorcio de Compensación de Seguros for extraordinary risks (terrorism, natural disasters) | not addressed |
Evaluated by NAMMERT from published policy wordings. Despite care, a value may be misread; legally only the wording of your own contract in the edition stated there applies. Please report errors, we correct them the same day.
Policy wordings and provider
- Legal entity
- Zurich Deutscher Herold Lebensversicherung Aktiengesellschaft
- Distribution
- not known
- BerufsKasko, Information in einfacher Sprache (DB/PB 2025-12) Edition: unbekannt Original from the insurer (PDF, German)
Full text of the wording
Converted from the insurer's PDF, page numbers in square brackets. Tables may have shifted; if in doubt, the original applies. As text (Markdown)