Suffering a fracture can lead to unforeseen financial stress particularly for those who have physically demanding occupations. Fractures can make it difficult or even impossible for clients to work for weeks or even months whilst they recover. In this article we look at Fracture cover amid a number of recent changes ranging from Guardian and AEGON removing the benefit altogether to other insurers apply automatic exclusions.

Those that offer Fracture Cover include it as an added value benefit which will not affect the client’s ability to claim on the core cover. Currently all providers cover the life assured only and not wider family members. The table below shows which insurers currently offer Fracture Cover and the products they are available on.

What products do providers offer fracture cover with?

Aviva
Cirencester Friendly
LV=
Royal London
Zurich
Life Cover
Y
Y
Critical Illness
Y
Y
Income Protection
Y
Y
Y
Y
Y

 

Some providers offer Fracture Cover at no additional cost and automatically include this in their policy whilst others offer the benefit as an add on to their plan with an additional monthly premium applied. The table below shows each provider’s charging structure.

What do providers charge for fracture cover?

Aviva
Cirencester Friendly
LV=
Royal London
Zurich
Monthly Cost
£4 per month
£4 per month (includes hospitalisation benefit)
Automatically included
Automatically included
£6.50 per month

 

Fracture Cover can insure clients against various types of fracture, with providers specifying a different pay-out for each one. In general, the bigger an impact a fracture will have on the client’s lifestyle the bigger the amount that will be paid. The table below illustrates what providers will pay-out for different bone fractures.

Aviva
Cirencester Friendly
LV=
Royal London
Zurich
Skull (open fracture)
£6,000
£1,000
£2,200
£4,000
£6,000
Skull (closed fracture)
£4,000
£1,000
£1,250
£2,500
£6,000
Cheekbone
£1,500
£1,000
£1,000
£1,500
£2,000
Jaw
£3,000
£1,000
£1,000
£2,000
£2,000
Collar bone
£1,500
£1,000
£650
£1,000
£2,000
Shoulder blade
£2,000
£1,000
£1,000
£1,500
£2,000
Sternum
£2,000
£1.000
£1,000
£1,500
£2,000
Arm
£3,500
£1,000
£1,250
£2,500
£4,000
Ribs
£1,500
£1,000
£650
£1,000
£2,000
Vertebra
£2,500
£1,000
£1,000
£2,000
£4,000
Wrist
£2,000
£1,000
£1,000
£1,500
£4,000
Hand
£1,500
£1,000
£1,000
£1,500
£2,000
Pelvis
£2,500
£1,000
£1,250
£2,000
£6,000
Upper leg
£6,000
£1,000
£2,200
£4,000
£6,000
Knee
£6,000
£1,000
£2,200
£4,000
£6,000
Lower Leg
£4,000
£1,000
£1,250
£2,000
£6,000
Ankle
£2,500
£1,000
£1,250
£2,000
£6,000
Foot
£2,000
£1,000
£1,000
£1,500
£2,000

The table highlights that the providers who charge for Fracture Cover separately, Aviva and Zurich, offer larger pay-outs for most fracture types. Naturally, the greater the pay-out the greater the chance the client will not encounter financial difficulties. 

If a client fractures multiple bones at the same time then Aviva, Cirencester Friendly and LV= will all pay out on the fracture that offers the highest pay out. Whereas Royal London and Zurich will pay out for multiple fractures.

Zurich’s Fracture Cover takes the concept further, being the only insurer who also covers ligament tears, tendon ruptures and dislocations.

What ligament tears, tendon ruptures and dislocations do Zurich cover and how much?

Ligament tears & Tendon Ruptures
Knee and Achilles
£6,000
Disclocations
Spine or hip
£6,000
Knee or ankle
£6,000
Shoulder, elbow or wrist
£4,000
Jaw or middle ear bones
£2,000

 

In recent times, some insurers have added exclusions to their fracture cover which were not applicable when the benefit was first offered. Cirencester Friendly and Royal London do not specifically state any standard exclusions on their policy however Royal London do state that fractures as a result of intentional self inflicted injury will not qualify. Aviva, LV= and Zurich state that they will exclude claims related to certain pasttimes and the table below shows the specific pastimes they list within their policy documentation. This list, however may not be exhaustive. If an adviser has a client that takes part in a hobbie or pastime that may be considered dangerous, we would encourage them to contact the insurer to check whether a fracture due to this would be covered.  

Aviva
Cirencester Friendly
LV=
Royal London
Zurich
Abseiling
Excluded
Base jumping
Excluded
Boxing
Excluded
Excluded
Excluded
Caving
Excluded
Cage Fighting
Excluded
Excluded
Cliff jumping
Excluded
Coasteering
Excluded
Gaelic football
Excluded
Excluded
Excluded
Gliding
Excluded
Horse riding
Excluded
Excluded
Excluded
Hurling
Excluded
Excluded
Martial arts
Excluded
Excluded
Excluded
Motorcar sport
Excluded
Excluded
Motorcycle sport
Excluded
Excluded
Excluded
Mountain boarding
Excluded
Mountaineering
Excluded
Off road BMX
Excluded
Excluded
Excluded
Off road mountain biking
Excluded
Excluded
Excluded
Paragliding
Excluded
Parashuting
Excluded
Parkour
Excluded
Potholing
Excluded
Private flying
Excluded
Rock climbing
Excluded
Rugby
Excluded
Excluded
Excluded
Shinty
Excluded
Skiing
Excluded
Snowboarding
Excluded

*LV= have applied these exclusions from the outset

These unique features in Zurich’s Fracture Cover make for an appealing proposition. With their generous pay outs for fractures and the fact they offer the service across their whole product range, Zurich appear to be leading the way in Fracture Cover. For those that do partake in “hazardous pursuits” the fact that Cirencester Friendly and Royal London do not automatically apply exclusions may be favourable, however we would encourage advisers to speak to their insurer if they have such a client to be safe.

4 Comments

  1. Seb lewis

    what about cirencester fs? They dont currently offer it but they dont have the same range of exclusions.

    Reply
  2. Duncan schofiEld

    These articles are excellent. I took a lot from the fracture cover yesterday.
    Please can you run an article on split rates for income protection for NHS workers / teachers.
    Thank you

    Reply

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