1. This Plan gives you flexibility to pick and choose benefits & customize offerings as per the requirement of group
2. Wide range of benefit offerings:
i. Cancer Care - Solution for every stage of cancer
ii. Cardiac Care - Protection from major heart conditions including Heart attack, Heart Trans plant etc.
iii. Vector Care - Protection from vector borne illnesses like Dengue, Malaria etc.
iv. Personal Accident Care - Protection from death plus disabilities and burns caused due to accident
v. Respiratory Care - Stay Protected from respiratory conditions like Asthma, Chronic Obstructive Pulmonary disease etc.
vi. Neuro Care - Provide protection from 15 major neurological conditions
vii. Renal Care - Covers cost of kidney transplant and kidney failure
viii. Covid Care - Protection from COVID-19 Pandemic
ix. Disability Care - Provides protection against all illnesses & accidents resulting in inability to perform 3 out of 6 'Activities of Daily Living
- Cancer Care 14 years to 65 years
- Vector Care 91 days to 65 years
- All other Variants 18 years to 65 years
Minimum Maturity Age: years. Maximum Maturity Age depends on the Premium Payment Term(PPT)
Minimum Sum Assured (per member) : i. Vector Care - Rs.10,000/-
ii. Covid Care - Rs.10,000/-
iii. All other Variants - Rs.50,000/- each variant
Maximum Sum Assured (per member) : The maximum Sum Assured for a member will be as per the Board Approved Underwriting Policy (BAUP) of the Company.
If the policyholder or a premium paying member (members of schemes where premium is directly paid by individual members) is not satisfied with any of the terms and conditions of the product, the policyholder or the premium paying member may return the policy document or certificate of insurance to the Company for cancellation within:
- 15 days from the date policyholder received it, if the policy is not purchased through Distance Marketing(2)
- 30 days from the date policyholder received the policy, in case purchased through Distance Marketing(2),
On cancellation of the policy within the free-look period, the Company shall refund premiums paid, subject to deduction of the proportionate risk premium for the period on cover, stamp duty paid and medical costs incurred (if any). The policy will terminate on payment of this amount and all rights, benefits and interests under this policy will stand extinguished.
On surrender of the policy, the individual members of the group will be given an option to continue the policy as an individual policy for the outstanding term as per the certificate of insurance issued to the member, wherever applicable. For members of Compulsory Employer-Employee groups, who don t wish to continue the cover, the unexpired policy premium less medical costs (if any) less stamp duty in lieu of such lives shall be payable as the surrender value. For all other groups, surrender value would be Nil. No surrender value is applicable for monthly mode policies.
If the Policy Premium due remains unpaid even after the expiry of Grace Period from the date of unpaid Policy Premium, the Policy will lapse with effect from the Due Date of the first unpaid Policy Premium(
Lapse Date
) and no benefit is payable in case of occurrence of covered conditions. Revival is available up to 90 days from the due date of first unpaid Premium but within the policy term of one year. The revival will be subject to the
Board approved underwriting policy
of the Company and payment of all outstanding premiums without any interest. No interest will be charged on revival. Being a one-year renewable group plan, the revival clause will not be applicable to yearly mode group schemes.
The revival of the Policy shall only be effective from the date on which the Company has issued a written endorsement confirming the revival of the Policy. The Master Policyholder understands and agrees that there is no obligation on the Company to revive the Policy or to revive it on the same terms.
| Claim Ratio | Solvency Ratio |
|---|---|
| 100% (2023-24) | 2% (March 2024) |