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foreword : foreword : From the very earliest stages of life, it is man ’ s instinctive nature to seek security and safety. As life progresses, this survival.

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Presentation on theme: "foreword : foreword : From the very earliest stages of life, it is man ’ s instinctive nature to seek security and safety. As life progresses, this survival."— Presentation transcript:

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2 foreword : foreword : From the very earliest stages of life, it is man ’ s instinctive nature to seek security and safety. As life progresses, this survival instinct drives him to seek new ways to meet life ’ s challenges. To protect and shelter himself against life ’ s unpredictability's and thus ensure a life of secured prosperity. Malath understands this need for assured security. Which is why, with its higher standards of professionalism and service-oriented business philosophy, Malath is ushering in a change for the better in the world of insurance. From the very earliest stages of life, it is man ’ s instinctive nature to seek security and safety. As life progresses, this survival instinct drives him to seek new ways to meet life ’ s challenges. To protect and shelter himself against life ’ s unpredictability's and thus ensure a life of secured prosperity. Malath understands this need for assured security. Which is why, with its higher standards of professionalism and service-oriented business philosophy, Malath is ushering in a change for the better in the world of insurance.

3 About Malath : In Arabic MALATH means 'relief in times of hardship'. And the company is fully dedicated to living up to its name in every sense of the word. Founded by an elite investment consortium comprising prominent Saudi personalities, Malath is capitalized at SAR 300 Million with prime focus on setting new benchmarks of excellence in customer service in the new emerging and regulating environment resulting from implementation of Cooperative Insurance Companies Law. Malath offered 47.48% of its capital for IPO (Initial Public Offering). Not surprisingly, Malath has already been successful in putting in place highly talented team of most experienced professionals zealously devoted to bring about and deliver a ‘ Change For The Better ’ for its valued customers, shareholders as well as the industry. In Arabic MALATH means 'relief in times of hardship'. And the company is fully dedicated to living up to its name in every sense of the word. Founded by an elite investment consortium comprising prominent Saudi personalities, Malath is capitalized at SAR 300 Million with prime focus on setting new benchmarks of excellence in customer service in the new emerging and regulating environment resulting from implementation of Cooperative Insurance Companies Law. Malath offered 47.48% of its capital for IPO (Initial Public Offering). Not surprisingly, Malath has already been successful in putting in place highly talented team of most experienced professionals zealously devoted to bring about and deliver a ‘ Change For The Better ’ for its valued customers, shareholders as well as the industry.

4 Strategies and objectives : Our corporate strategy is to provide fair and competitively priced insurance products, for individuals and corporate clients that are innovative and transparent and backed by impeccable security and quality service to our policyholders, agents and brokers in the market place. The key objective of the company is to produce consistent and profitable results and ensure reasonable returns to both policyholders and shareholders. Our management objectives are squarely focused on steady and sustained growth with profitability, driven by long term security and reliability for our clients. Our corporate strategy is to provide fair and competitively priced insurance products, for individuals and corporate clients that are innovative and transparent and backed by impeccable security and quality service to our policyholders, agents and brokers in the market place. The key objective of the company is to produce consistent and profitable results and ensure reasonable returns to both policyholders and shareholders. Our management objectives are squarely focused on steady and sustained growth with profitability, driven by long term security and reliability for our clients.

5 Products and services : Malath cooperative Insurance and Reinsurance Company will be engaged in general, medical care insurance and facultative inward reinsurance activities. Premiums will be derived from motor, medical, property, aviation, marine cargo & hull, energy, engineering and other lines of business which Malath will underwrite depending on market conditions. Malath will be offering its products and services from its head office, regional offices, branches and other points of sale. Malath cooperative Insurance and Reinsurance Company will be engaged in general, medical care insurance and facultative inward reinsurance activities. Premiums will be derived from motor, medical, property, aviation, marine cargo & hull, energy, engineering and other lines of business which Malath will underwrite depending on market conditions. Malath will be offering its products and services from its head office, regional offices, branches and other points of sale.

6 Health insurance : The policy of Malath assure providing the best complete programs of health care coverage to all levels within the groups, companies and individuals. This coverage is in tune with the rules and regulations of the (CCHI) implemented in Saudi Arabia. These programs provide the beneficiaries and their families with health treatment at all medical centers in the Kingdom approved by Malath and CCHI.in addition, Malath allocates a specialized health department dedicated to ensure executing the program at the highest standards and continually working on its development and advancement.

7 Our services : The main rule of Malath ’ s health insurance department is serving Malath Care clients by providing the best health insurance a satisfying network coverage approved by Malath and CCHI within Saudi Arabia, in addition Malath Care coverage could be extended worldwide. Malath ’ s health insurance department is communicating with the providers management and doctors to ensure the proper functionality of Malath Care programs within the approved network providers and to enhance and develop these program if needed, just to guarantee the best service to you.

8 Our vision: Is to convert and transform what so called traditional health insurance concept that pays the medical bills of the patient who develop particular illness or medical conditions to manage care plan that has responsibility for providing the full spectrum of medical care to individuals join in the plan.

9 DWhiteCGreenBSilverAGoldVIPplatinum Program classes Up to SR 250000 Up to SR 500000 Up to SR 1000000 Max. Annual Limit Covered Coverage within KSA Extendable Worldwide Coverage Covered Coverage Outside Network Shared Room Private RoomRegular Suite Room and Board Covered In Patient companion Covered Chronic & pre- existing cases

10 100% Delivery cover within network Up to SR 10000 Up to SR 12000 Up to SR 15000 Delivery cover out of network Covered Pre term newly born babies Covered Life threatening congenital cases Covered Circumcision and ear piercing 100% Consultation fees Covered Vaccination and Preventive measurement Up to SR 2000 Up to SR 2500 Up to SR 3000 Up to SR 5000 Dental Up to SR 250 Up to SR 300 Up to SR 500 Up to SR 700 Optical Up to SR 1500 Up to SR 2000 Up to SR 3000 Hearing Aids

11 Covered Ambulance Up to SR 10000 Up to SR 1000Up to SR 1200Up to SR 1500 Repatriation 100% Physiotherapy Covered Psychiatric disease NIL In-Patient coinsurance Multiple options starting from NIL up to 20% Coinsurance maximum of SR100 per visit Out-Patient coinsurance

12 Designations and Exemptions A- This policy will not cover claims arising out of the following:- A- This policy will not cover claims arising out of the following:- 1- Injury caused deliberately by the person. 2- Illnesses, caused by misuse of certain medicaments, stimulants, tranquilizers or by consumption of alcoholic drinks, drugs and the like. 3- Plastic surgery or treatment unless necessitated by an accidental bodily injury not excluded in this part. 4- Full checkups, vaccinations, drugs or preventive procedures that do not require any medical treatment stipulated in this policy (with the exception of the preventive procedures stated by the Ministry of Health such as, vaccinations and maternity & childhood care).

13 5-Treatment related to pregnancy and delivery for a woman on a single status contract. 6- Free of charge treatment of an insured person. 7- Rest, general body health programmes and treatment at social welfare houses. 8- Any illness or injury resulting directly from the profession of the insured. 9-Treatment of genital diseases and the medically recognized diseases usually communicated by sexual intercourse. ' 10-The treatment expenses for the period following the diagnosis or HIV or the diseases related to HIV including AIDS (Acquired Immunity Deficiency Syndrome) their dirivatines, synonyms or other fon11S thereof.

14 11-All costs related to teeth transplanting, dentures, bridgework fixed & removab1e), orthodontics- excluding those caused by violent external actions. 12-Tests for correction of sight & hearing and audio - visual aids, unless ordered by a licensed physician. 13-Expenses of transportation of an insured by. local or authorized ambulances or by ambulances belonging to the Saudi Red Crescent Association. 14-Hair falling, baldness or wigs. 15-Psychotherapy, mental or neurotic disorders excluding acute cases. 16- Allergy tests of whatever nature excluding those related to drugs, diagnosis or treatment. 17- Equipment, aids, drugs, procedures or treatment by hormones for birth control, inducing or preventing pregnancy, sterility, impotency, lack of fertility, tube fertilization or any other means of artificial linsemination. 18- Any defects or congenital deformities existing before the effective date of policy and posing no threat to life...

15 19-Any additional costs or expenses incurred by the person escorting the insured during his hospitalization or stay in hospital with the exception of hospital room & board costs for one escort per an insured, i.e. the accompanying of the mother of her child - upto twelve years old or whenever this is medically necessary, all at the discretion of the treating doctor. 20-Treatment of acne or any other treatments relating to obscenity or overweight. 21-Transplant of organs taken from other persons bone marrow and artificial limbs replacing any organ in the body.

16 B-This policy- will not cover the health benefits and repatriation of the remains to country of origin if claims are directly arising- from the following. 1-War, invasion, foreign enemy actions, aggressive actions (whether war declared or not) and civil war. 2-Ionic radiation and contamination with radio active material resulting from nuclear fuel or any nuclear waste resulting from the burning of nuclear fuel. 3-The radioactive, poisonous, explosive properties or any other hazardous properties of any nuclear materials stored or any of their components. 4-The insured involvement or participation in the service of the armed forces, police or in any of their operations. 5-Riots, strikes terrorism or nay similar acts.

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