LIC’S HEALTH PROTECTION PLUS

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Presentation transcript:

LIC’S HEALTH PROTECTION PLUS PLAN 902 – A LONG TERM UNIT LINKED PLAN WITH ALL TYPES OF HEALTH RISK COVER www.insureguru.in

USP Long term unit linked Health Insurance policy Single Policy for all family members No restriction on number of members Addition of newly eligible members during the currency of the policy. 3 types of benefits viz., Hospital Cash Benefit, Major Surgical Benefit and Domiciliary Treatment benefit. Fixed Benefit schemes: irrespective of expenses for hospitalization and Surgeries Escalation in Hospital Cash benefits with no increase in premium. www.insureguru.in

USP: ( Continued…..) Extended Hospitalization and major surgical risk coverage after premium paying term Health Risk cover for hospitalization and Major Surgeries up to 75 years for Adults and 25 years for minor lives No age limit for Domiciliary Treatment Expenses claim Automatic recovery of risk charges from fund, in case of non payment of premiums No lapse – no foreclosure – Policy will continue as long as fund is available. www.insureguru.in

USP: ( Continued…..) Fund grows with the market Scheme continues for the family members on the death of the Premium Paying Person long as the fund is available. Compulsory savings for age related ailments . Income Tax Rebate under Section 80(D)of the Income Tax Act 1961 for full premium paid up to Rs.15000/= Any time, Any where premium payment facility Service through Fully Automated Systems. www.insureguru.in

The benefits offered: Hospital Cash Benefit: (Double for ICU admissions) Minimum Rs. 250/- Maximum Rs.2500/- for Principal Insured Rs.1500/- for other Insured. HCB of all Insured children are equal. In multiples of Rs.50/- HCB escalates at the rate of 5% per annum subject to a maximum of 1.5 times. 2. Major Surgical Benefit: 200 times the Hospital Cash Benefit. 3. Domiciliary Treatment Benefit: Reimbursement of the Domiciliary Treatment Expenses applicable from the fund value. www.insureguru.in

Benefit structure and the limits Annual Limit Maximum limit for the entire term HOSPITAL CASH BENEFIT (excluding first 48 hours and in excess of subsequent 4 hours) 18 days in first year including 9 days of ICU 60 days in subsequent years including 30 days of ICU 365 days For minor child up to age 5: 90 days MAJOR SURGICAL BENEFIT 200 times Hospital Cash Benefit 600 times Hospital Cash Benefit DOMICILIARY BENEFIT (REIMBURSEMENT) 2 times per year after payment of at least 3 full years’ premiums. Benefit starts from 3rd policy anniversary if the mode is Yearly. No Limit. During HCB and MSB coverage period. Up to the balance of 50% of the policy fund and one annualised premium www.insureguru.in

Who can be covered? Proposer From Age : 18 years last Birthday to 55 years Nearest Birthday. He/She pays the premium and is Principal Insured Spouse From Age: 18 years last Birthday to 55 years Nearest Birthday Children Children including adopted children from 3 months to 17 nearest birthday years are admitted. Risk cover for MSB starts at 18. No restriction in the number of children to be covered. Spouse after marriage/remarriage, new born children/ newly adopted children can also be included after the commencement of the policy. Cover commences from next policy anniversary after intimation. www.insureguru.in

Risk cover up to…… Principal Insured Up to the age of 75 years nearer birthday. Insured spouse Up to the age of 75 years age nearer birthday of self or the Principal Insured whichever is earlier. Insured Children Up to the age of 25 years nearer birthday and 75 years age nearer birthday of Principal Insured whichever is earlier www.insureguru.in

Risk cover ceases, when?…. On attaining the maximum age and at the end of the term of the policy On death of the any of the insured other than Principal Insured (for that insured only) On non payment of premiums and fund is in-sufficient to cover the risk. On exhaustion of maximum limits for each of the benefits for each of the insured. Insured spouse’s cover terminates on the date of divorce/ legal separation “Benefits are independent for their cessation”. www.insureguru.in

If premium paying person (Principal Insured) dies….. No death benefit is payable. However if the Principal Insured alone is insured then unit fund value is payable to the nominees. In other cases, On death of the Principal Insured, the policy continues on other lives till their maximum age or the fund value is available to cover the risk or the limit on the risk cover is exhausted whichever is earlier. www.insureguru.in

The waiting Period for availing the benefits………………. 0 days for accident claims 180 days for Hospital Cash Benefit and Major Surgical Benefit from the Date of Commencement 90 days for Hospital Cash Benefit and Major Surgical Benefit after revival of the policy Payment of 3 full years premium for reimbursement of Domiciliary Treatment Benefit. www.insureguru.in

The premium Principal Insured alone to be covered Rs.5000/= per annum and six times the Hospital Cash Benefit whichever is higher. Principal Insured and Insured Spouse are to be covered Rs.7500/= per annum and Six times the Hospital cash benefit of Principal Insured plus three times the Hospital cash benefit of the spouse whichever is higher. Principal Insured, spouse and Children are to be covered Rs.10000/= per annum and Six times the Hospital cash benefit of Principal Insured plus three times the Hospital cash benefit of the spouse plus three times the hospital cash benefit of all the insured children whichever is higher. Mode allowed : Yearly, Half Yearly and ECS www.insureguru.in

The premium for Sub-standard lives Principal Insured alone to be covered Rs.5000/= per annum and nine times the Hospital Cash Benefit whichever is higher. Principal Insured and Insured Spouse are to be covered Rs.7500/= per annum and nine times the Hospital cash benefit of Principal Insured if the Principal Insured is sub-standard plus five times the Hospital cash benefit of the spouse if the spouse is sub-standard , whichever is higher. Principal Insured, spouse and Children are to be covered Rs.10000/= per annum and nine times the Hospital cash benefit of Principal Insured plus three times the Hospital cash benefit of the spouse plus five times the hospital cash benefit of all the insured spouse/children if the insured spouse/children is Substandard, whichever is higher. www.insureguru.in

The charges from Premium Allocation charges 30% in the first year 6% from second year onwards Policy Administration Charges Rs.75/= per month during first year Rs.25/= per month on subsequent years Fund Management charges 1.25% of NAV. (NAV declared is net of these charges) Health Insurance Charges Separate charges for each insured for each of the benefits viz., HCB and MSB. Depends on the age nearer birthday on each policy anniversary. Recovered on monthly basis Service Charges 10.3% Charges on Allocation charges, HCB and MSB Charges, Policy Administration charges and Fund Management Charges www.insureguru.in

The policy lapses… If during the first three years if the premium is not paid within days of grace, the policy lapses. It can be revived within two years from the date of first unpaid premium on payment of premiums in full or on availing premium holidays. Deduction of charges will be made as long as the fund is available. If lapsation continues after two years and fund is insufficient, policy is foreclosed with a simple Notice to the Principal Insured! After three years, Principal Insured can pay all the premium or avail premium holidays subject to a balance of one annualised premium in the fund. www.insureguru.in

Addition of members Situation When to include The cover starts from Marriage/remarriage of the Principal insured after taking the policy Within one year from the date of marriage The following policy anniversary A Child born or Legally adopted child less than 3 months after taking the policy Health Cover starts from the policy anniversary falling immediately after the child completes 3 months Legally adopted child is more than 3 months old From the policy anniversary falling after date of adoption The new members will be eligible for the cover only if they satisfy the conditions of minimum premium and benefits. New members must be included by the Principal Insured only. No new members will be allowed after the death of the principal insured. www.insureguru.in

The policy does not have….. Surrender value Policy loan Assignment Maturity Value… End for the Term as long as fund is available Death Benefit Addition of new member after the death of PI. Extension of cover to already existing members after commencement www.insureguru.in

The attractive features of this policy…… Extended risk cover after cessation of premiums at the age of 65 of PI. Once HCB and MSB benefits are exhausted, there is no restriction on the Min. balance for DTB. DTB can be availed on one lumpsum at any interval. One can bring an end to their policy…. Contrarily if one wants to continue their policy endless……..will continue for DTB alone…. Benefits are independent of their cessation Premium can be increased/decreased depending on the financial circumstances subject to the conditions of no alternations in minimum premium requirements and benefits opted . www.insureguru.in

Policy servicing Premium payment facility through any mode : ECS, Networked Branches . All services viz., Change of address, Inclusion of member, Change of bank account, Deletion of member, Revivals etc, through automated systems. Request Process is initiated at Branch level. Issuance of Health ID cards by Third Party Administrators Hospital Cash Benefits and Major Surgical Benefits Claims services through Third Party Administrators All payments including Claims through LIC’s Centralized Systems. Simplest procedure for domiciliary treatment benefits through your nearest offices……. www.insureguru.in

A comparison with Medi-claim Charges for a Male Aged 42 years for 300000 SA under a Medi-claim scheme Rs.4373/= per annum Charges for a Male Aged 42 years under LIC’s Health Plus I: HCB amount of 1500 X 365 = 547500 upto the end of the term for MSB of Rs.300000/= is Rs.1631.50 . www.insureguru.in

Additional features… Proposer can take this policy for additional 5 lakhs SA if already Plan 901 is taken for 5 lakhs. Major students can be covered based on their parents income for a max of 5 lakh SA. Female lives falling under all three catergories can be covered under this plan. This plan is allowed for Non Resident Indians also subject to certain conditions. www.insureguru.in