Life insurance exclusions in NZ: what isn't covered?
Most New Zealand life policies pay when the person insured dies from illness or an accident. The two underwritten cover wordings we read list one exclusion, suicide or self-harm in the first 13 months. Momentum's Quick Life, which asks no health questions, has a longer list: pre-existing conditions and suicide for two years, then alcohol or drug effects, war, terrorism, crime and dangerous jobs or pastimes.
In short
- An exclusion is a cause of death or situation the policy will not pay for. A wait is a period at the start when only some causes are paid. Both come from the wording, so the wording decides, not the product name.
- Fidelity Life's LifeProtect and Chubb Life's Life & Living cover wordings each list a self-inflicted death within 13 months as their exclusion. Other limits are set for you at underwriting and appear in the schedule (Fidelity Life, Chubb Life).
- Quick Life excludes pre-existing conditions and suicide for the first 2 years, and some causes at any time (Momentum Quick Life wording).
- Momentum's Funeral Insurance has no list of excluded causes. In the first 24 months it pays only for accidental death.
What counts as an exclusion, and what is only a wait?
A life insurance exclusion is a clause that lets the insurer refuse a claim for a stated cause or circumstance. Some last for the life of the policy. Others are an initial restriction: for a set period at the start, after an increase, or after the policy is reinstated, the insurer will not pay for a stated cause, and after that period the cover works normally. The difference matters because a wait ends and an exclusion does not. A third group is individual: terms added for one person when they apply, such as a loading, a condition excluded for a time or for good, or a residency exclusion. Those appear on the schedule you receive, not in the general wording. This page keeps the three apart and shows which one each clause is. It describes wordings we read on 20 October 2026; yours may differ, and the document in your hand always wins.
Clause by clause: two underwritten wordings against Quick Life
Underwritten cover means the insurer asks about your health and lifestyle before it accepts you. Quick Life is guaranteed acceptance: no health questions, so more of the risk is handled by exclusions after the sale. The table shows what each cover wording lists. "Not listed" means we did not find it in that cover wording, not that no other document could contain it: the Fidelity wording is read with the separate LifeProtect terms and conditions and your schedule, and Chubb's with the general terms of your policy.
| Situation | Fidelity LifeProtect Life Cover | Chubb Life & Living Life Cover | Momentum Quick Life |
|---|---|---|---|
| Suicide or intentional self-harm | Death "by their own hand" excluded for 13 months from the start, reinstatement or an increase (CPI increases excepted); cover cancelled and premiums kept | Excluded for 13 months from commencement, an increase (not inflation) or reinstatement; applies to the increased amount only | Excluded for the first 2 years "regardless of your mental state"; the 2 years restart for an increase (increase only, unless automatic) and for reinstatement |
| Pre-existing conditions | Not listed | Not listed | Excluded for the first 2 years |
| Alcohol or drug effects | Not listed | Not listed | Excluded at any time, unless a prescribed drug was taken as instructed by a registered New Zealand doctor |
| War, insurrection, terrorism | Not listed | Not listed | Excluded at any time |
| Criminal activity or illegal acts | Not listed | Not listed | Excluded at any time |
| Dangerous job or pastime | Not listed; assessed at underwriting | Not listed; assessed at underwriting | Excluded at any time, as defined in the policy |
| Terms set for you | Loadings and exclusions set at underwriting | Same | A few conditions can be permanently excluded in your schedule |
Sources: the three wordings linked in the references. Fidelity's wording also says the self-harm exclusion does not apply where the cover replaced similar cover of at least 13 months with another insurer, up to the replaced sum insured, and you prove it at claim time.
Initial restrictions: the suicide and pre-existing windows
Suicide. Fidelity and Chubb both use 13 months, not 12. Quick Life uses two years. The detail of how the clock runs, and what a coroner's finding does, is on our page about whether life insurance covers suicide. Momentum's Funeral Insurance has no separate suicide clause; its only early restriction is the 24-month accident-only rule below. If you or someone close to you is struggling, call or text 1737 any time to talk to a trained counsellor (1737 Need to talk?).
Pre-existing conditions. Quick Life defines one as any illness, condition or symptoms in the 2 years before the policy started, an increase or a reinstatement, including anything treated, noticed (even if undiagnosed) or that you would reasonably have been aware of. It names markers: very high blood pressure, cholesterol over 7.0, a BMI over 40, or complications related to diabetes. The same two-year restriction applies to a terminal illness diagnosis. If someone dies of a pre-existing condition in the first two years and no claim is payable, premiums are refunded. After the two years the condition is covered, except any specific conditions permanently excluded in the schedule. Underwritten insurers handle existing conditions earlier: Asteron says it can usually still offer cover by adding a stand-down period, raising the premium, or excluding the condition for a set time or permanently (Asteron).
Funeral Insurance. In the first 24 months Momentum's Funeral Insurance pays only if the death is the direct result of an accident and happens within 90 days of it. Any other death in that window pays nothing and all premiums for that person are refunded (Momentum Funeral Insurance wording). Total premiums over the years can add up to more than the benefit, and the benefit may not cover the whole funeral.
Quick Life's permanent exclusions
The wording sets these out in two places, so read them as one list. Quick Life will not pay for a death caused by the effects of alcohol or drugs, war or war-like activity, insurrection, terrorism, criminal activity or illegal acts, or a dangerous job or risky pastime. The definition of the last one reads "any high-risk job or activity, such as" handling explosives or weapons, working 40 metres underwater, driving or riding faster than 130 km/h (outside commercial flights), taking part as a professional sportsperson, and active duty in the armed forces. The wording adds that these activities "can impact your ability to claim".
Two points follow. First, "such as" means the list is examples. Second, the wording we read does not show a question about your job or hobbies at application. The clause bites at claim time, so a person who takes up a listed activity later is also caught. If you do any of these things, ask Momentum before you apply, and read the wording rather than the product summary: Momentum's Quick Life web page leaves the dangerous job clause out.
How underwritten cover handles risky jobs, hobbies and residency
An underwriter asks about your work, health, pastimes and travel, then offers terms: standard, with a loading, with an exclusion, postponed, or declined. Fidelity Life offers a pre-assessment for "medical, occupational, financial or hazardous pursuits risks" before you apply, which it calls "an indication of possible terms only" and not an offer (Fidelity Life underwriting guide). Fidelity also says exclusions and loadings can often be reviewed after a period. The point is that a risky hobby is priced or limited for you, in writing, before you pay, rather than discovered at claim time.
Residency is handled the same way. Fidelity applies a residency exclusion to lump sum cover for anyone who is not a permanent resident or citizen. Chubb's guide describes an "Expiry of Visa Exclusion" for work-visa holders, under which no claim is payable if the visa has expired or not been renewed, and which ends when the person gains permanent residency or citizenship (Chubb Life underwriting guide, May 2025). Both guides are written for advisers and are guidelines, not promises.
Things that are not exclusions but can still stop a payout
- Not telling the insurer something material. The Insurance and Financial Services Ombudsman (IFSO) has published cases where an insurer reduced a stroke claim by applying 50% loadings retrospectively, and settled a colon cancer claim at half the life benefit, after non-disclosure (IFSO stroke case, IFSO colon cancer case). From 15 November 2027 (not yet in force) the Contracts of Insurance Act 2024 replaces the current duty with a duty to take reasonable care not to misrepresent, with remedies in proportion to the breach (FMA). Our page on non-disclosure goes further.
- Unpaid premiums. Cover can be cancelled if premiums are not paid, and reinstating it can restart the early restrictions.
- Assisted dying. Under the End of Life Choice Act 2019 (section 35), a person who dies by assisted dying is for any life insurance contract treated as having died of their terminal illness as if assisted dying had not been provided (legislation.govt.nz).
- Natural disasters. None of the three wordings above lists them as an exclusion. Our page on natural disasters and life insurance covers the question.
How to check your own policy wording
- Find the exclusions or "what we don't cover" heading in the cover wording, then the general terms, then the schedule. Read all three.
- Write down every start date: the policy start, each increase and any reinstatement. Early restrictions run from each.
- Mark which limits are a wait and which are permanent.
- Check the schedule for terms added for you, such as a loading or a condition excluded.
- Ask the insurer or a licensed adviser to explain any clause that uses a defined word.
- If you replace a policy, keep the old one running until the new one is in force, because a new policy can restart exclusions (FMA). For a no-health-question option, see life insurance with no medical exam.
Advice is provided by Craig Smith Business Services Limited, trading as Smiths Insurance & KiwiSaver, a licensed Financial Advice Provider (FSP712931). This page is general information, not personal advice. QuoteHub is a Momentum Life partner, and Smiths Insurance & KiwiSaver may receive a commission if you buy through our link; see how we are paid and our disclosure. Momentum Life Limited has an A.M. Best financial strength rating of B (Fair), which sits in A.M. Best's "Vulnerable" range, affirmed 11 February 2026 (Momentum's financial strength page). Details of the Momentum plans are on the Quick Life page, and the guaranteed acceptance hub compares the options. The buttons on this page lead to Momentum's own online application. Last reviewed 20 October 2026.
Frequently asked questions
What deaths are not covered by life insurance?
It depends on the wording. In the two underwritten wordings we read, only suicide or self-harm in the first 13 months is listed. In Quick Life, pre-existing conditions and suicide are excluded for 2 years, and alcohol or drug effects, war, terrorism, criminal activity and listed dangerous jobs or pastimes are excluded at any time. Your schedule may add terms for you.
Does life insurance cover all types of death?
Mostly illness and accident, yes, once any early restriction has passed. The exceptions are the causes the wording lists. Momentum's Funeral Insurance is narrower at the start: only accidental death is paid in the first 24 months.
Is a pre-existing condition excluded forever?
Not in Quick Life, where the exclusion lasts 2 years, unless your schedule permanently excludes a specific condition. Underwritten insurers decide case by case.
Does life insurance pay if I die doing a dangerous sport?
Underwritten insurers set terms for hazardous pursuits you declare. Quick Life excludes a dangerous job or risky pastime, with professional sport named, at any time.
References
- Momentum Life: Quick Life Insurance Policy Wording (November 2025), retrieved 17 October 2026
- Momentum Life: Funeral Insurance Policy Wording (17 August 2023), retrieved 17 October 2026
- Momentum Life: Financial strength, retrieved 20 October 2026
- Fidelity Life (Westpac LifeProtect): Life Cover wording, effective 22 September 2026, retrieved 20 October 2026
- Chubb Life: Life & Living Insurance, Life Cover (CIG0360 V1), retrieved 20 October 2026
- Chubb Life: Essential Underwriting Guide (May 2025), retrieved 20 October 2026
- Fidelity Life: Underwriting guide (October 2025), retrieved 20 October 2026
- Asteron Life: Insurance options for pre-existing conditions, retrieved 20 October 2026
- IFSO: Non-disclosure case (stroke claim), retrieved 20 October 2026
- IFSO: Colon cancer non-disclosure case, retrieved 20 October 2026
- 1737 Need to talk?, retrieved 20 October 2026
- Financial Markets Authority: Contracts of Insurance Act 2024, retrieved 20 October 2026
- Financial Markets Authority: Insurance, retrieved 20 October 2026
- End of Life Choice Act 2019, retrieved 20 October 2026
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