Life Insurance Application Terms

By signing an application for life insurance through Oneday, whether with an advisor or online, you make the declarations, authorizations and consents set out below. If there is any difference between this page and your signed application or your policy contract, the signed application and the policy contract govern.

1. Replacement of Existing Coverage (if applicable)

Where existing coverage is being replaced, a Life Insurance Replacement Declaration accompanies the application. Do not cancel the coverage being replaced until this policy is in force and you have accepted it.

2. Declarations and Acknowledgments

You declare and acknowledge the following:

Language Understanding

You understand written and spoken English.

Accuracy of Information

You declare that the information pertaining to your identification and contact information is accurate. You declare that the answers to the insurability questions are accurate.

Misrepresentation

You understand that any misrepresentation or false statement may result in the cancellation of any insurance coverage obtained as a result of the application.

Verification of Information

You undertake to verify the answers and information provided in the application upon receipt of the policy(ies) and inform Oneday and Humania of any erroneous or incomplete information.

Policy Conditions

You understand that any coverage under the insurance application will not take effect unless all of the following conditions are satisfied:

• The full amount of the first premium is paid during the lifetime of the proposed Insured under the policy.
• The policy is delivered to the policyowner during the lifetime of the proposed Insured under the policy.
• All statements and answers given in the insurance application continue to be true and complete on the date of delivery of the policy.
• No change has taken place in the insurability of the proposed Insured between the time the application is completed and the time the policy is delivered to the policyowner.

Temporary Insurance Agreement

You understand that the insurance application does not include any Temporary Insurance Agreement.

Cancellation and Refund

You understand that you may cancel any policy(ies) issued from the application by submitting a written request to Oneday and Humania within the cancellation period outlined in the policy(ies). Any premium paid under these policies will be refunded to the Policyowner.

3. Payment Authorization

You authorize Oneday TPA Inc. (Oneday) and/or its payment processor, on behalf of Humania Assurance Inc. (Humania), to make automatic payments from your account (as specified in the application) for insurance premiums that become due under your insurance policy, including the initial premium payment, and any fees related to your policy.

You understand that payments from your account may be for variable amounts, as they may change in accordance with your insurance policy, including for renewal premiums and as required to administer your policy. You waive the right to receive 10 days’ notice of an increase or decrease in the amount of automatic payment or a change in the date of the payment.

If the payment is not honoured, Oneday and/or its payment processor, on behalf of Humania, will try to re-process the payment for up to 31 days after the initial due date. You understand that if your premium payment is still not honoured, the policy may become null and void, and may become reinstated upon evidence of insurability.

This authorization will be terminated only on the earlier of the following dates: (a) the date that one of the parties (you, Humania or Oneday) provides written notice to the others to that effect, which may be no less than 10 days before the next scheduled payment date, and (b) the date on which the policy to which this authorization relates is no longer in force. You understand that cancelling this authorization may result in loss of insurance coverage unless Oneday and/or its payment processor, on behalf of Humania, receives payment by an alternate method, and you further understand and agree that if the authorization is terminated, the amount and/or frequency of the premium payable under the policy may be adjusted.

You certify that the information provided with respect to your payment method is accurate, and you agree to provide updated information if your payment method is changed. You consent to disclosure of any personal information that may be contained in this authorization to Oneday’s payment processor or its partners to the extent necessary for the purposes described in this authorization.

Where payment is by credit card or Debit Visa, please note that separate references to each policy (if applicable) will appear on your credit card statement.

4. MIB LLC (Medical Information Bureau) Disclosure

You understand that the information on your insurability will be kept confidential. However, Humania may submit a brief report to MIB, Inc., a non-profit membership organization of life insurance companies that operates an information exchange on behalf of its members. If you apply for life, critical illness or health insurance to another MIB member company, or if a claim for benefits is submitted to a member company, MIB will supply, on request, to that company the information in its file. Upon receipt of a request from you, MIB will arrange a disclosure of any information it may have in your file.

Contact Information for MIB

Email: Canadadisclosure@mib.com
Phone: 866-692-6901
Address: 50 Braintree Hill Park, Suite 400 Braintree, MA 02184-8734
Website: www.mib.com

5. General Authorization

You authorize, on your own behalf, the collection and use of information about you, by an Authorized Person for the Authorized Purposes set out below.

Authorized Persons

• Humania
• Oneday
• Their employees and authorized representatives
• Reinsurers, advisors, insurance agencies, managing general agencies, market intermediaries, physicians, medical practitioners, hospitals, clinics, medical facilities, employers, benefit plans, other insurers or institutions, public records, payment processors, and any affiliates and authorized representatives of each of the preceding.

Authorized Purposes

• Assessing, servicing or administering insurance coverage, an insurance policy, claim or benefits
• Identity verification
• Processing payments
• Auditing
• Any other purpose as required or permitted by law

6. Identity Verification Consent

To comply with federal requirements, we must confirm your identity. By submitting an application, you agree that your name, date of birth, and other identifying details may be verified through a third-party service provider (such as Equifax). This information will be used only for identity verification and handled in line with privacy laws.

7. International Transfer of Personal Information

You understand that your personal information may be securely used, stored or accessed in other countries and may be subject to the laws of those countries.

8. Marketing and Electronic Communication

You authorize Oneday to communicate with you about other insurance products and services. You also authorize Humania, Oneday, its payment processor, and their affiliates to use your current or any future email address or address or contact information to send messages, information or documents to you electronically relating, directly or indirectly, to them, the application, the policy, or to benefits, claims, administration or, in the case of Oneday only, other products.

9. Express Consent to Receive Electronic Communications

By signing an application, you expressly consent to receiving commercial electronic messages (CEMs) from Oneday TPA Inc., from licensed insurance advisors acting on its behalf, and in relation to insurance products issued by Humania Assurance Inc., by email, text message (SMS), or other electronic means. These messages may include information regarding insurance products and services, policy information, updates, and other related communications.

You understand that you may withdraw your consent at any time by using the unsubscribe mechanism included in any electronic message or by contacting Oneday TPA Inc. directly.

Contact information: 302-14845 Yonge Street, Aurora, Ontario, L4G 6H8 · support@onedayinsurance.ca · 1-800-655-2795

10. Privacy and Security

You understand that Humania and Oneday have safeguards to protect your personal information; however, in the event of unauthorized access, disclosure or use of your personal information, you may experience identity theft, negative effects on a credit record, financial loss, embarrassment or damage to reputation.

11. Access and Correction

You may access your file and request corrections to your personal information by sending a written request as set out in Humania’s or Oneday’s privacy policy, located at humania.ca or onedayinsurance.ca.

12. Revocation of Authorization

You may, by written notice to Humania or Oneday, revoke your authorization. However, revoking this authorization will not affect action(s) begun before receipt of notice or prevent an Authorized Person from using personal information to administer a policy, or report to MIB if previously authorized to do so.

You understand and agree that your signature applies to, and is for the purposes of, the entire application.