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Please read and answer the following declaration questions.

 
1. Have you or any members of your family, or any other person or entity to be covered under the policy(s), or any person who may benefit from the policy(s):
 

2. I/we declare that:
 
  • All answers and information given apply to all persons to be covered under the policy(s), or any person who may benefit from the policy(s).
  • All answers and information given are complete and correct.
  • I/we understand that failure to disclose any material information to Vero may result in my/our application insurance being declined or the policy being avoided or cancelled, or a claim being declined. I/we acknowledge the fact that the duty to disclose material information is an ongoing duty.
  • I/we agree that the information provided in this proposal constitues a proposal for insurance and forms the basis of the contract of insurance between me / us and Vero.
  • I/we have read and understand Vero's Financial Strength Rating, which is as follows:
  • Financial Strength Rating
  • These policies are underwritten by Vero Insurance New Zealand Limited (Vero). Vero has been given an A+ Insurer Financial Strength Rating by Standard and Poor's. The rating scale is: AAA Extremely Strong; AA Very Stron; A Strong; BBB Good; BB Marginal; B Weak; CCC Very Weak; CC Extremely Weak; SD Selective Default; D Default; R Regulatory Supervision and NR Not Rated. Ratings from 'AA' to 'CCC' may be modified by the addition of a plus (+) or minus (-) sign to show relative standing within the major rating categories. The rating scale above is in summary form. The full version of this rating scale can be viewed here.

3. We have notified you of the following matters which relate to Privacy:

Pursuant to the Privacy Act 1993 the following is brought to your attention:
  • In order to provide you with a quotation, both Aon and Vero collect personal information about you.
  • The information is collected to evaluate the insurance you seek, deciding whether to issue insurance cover, and if so on what terms.
  • The intended recipients of the information are Aon New Zealand, Vero, the reinsurer(s) of this insurance, any agent of the above, and Insurance Claims Register Limited.
  • The information is being collected and held by both Aon and Vero and can be accessed by contacting either Aon and/or Vero.
  • The collection of this information is required pursuant to the common law duty to disclose all material facts relevant to the insurance sought and is mandatory.
  • The failure to provide this information may result in your application for insurance being declined, or if cover has already been issued and the insurer becomes aware of undisclosed material information the insurer may void the policy from the beginning.
  • You have rights of access to, and correction of, this information. (Subject to the provisions of the Privacy Act 1993).
  • I/we authorise the disclosure of personal information held by any other party regarding my/our existing and previous insurances.
  • I/we agree to the releasing to other parties' personal information regarding the insurance policy(s) by both Aon and Vero.
  • I/we understand that services which Aon provides, will be provided on Aon's standard terms of business which can be found here.

By ticking the box: I/we have read, understood and agree to the above.
 
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