Edelweiss Tokio Life HealthShield+ is a Cancer + Heart illness Insurance plan. In case you are diagnosed with the unfortunate event of Cancer or a Heart ailment, you will be able to ensure that you and your family gets the required support to manage their day-to-day expenses as well as your treatment expenses. Under the plan, you can claim for minor
condition related to Heart and Cancer detection and later for major condition for Cancer/ Heart. We also ensure that the future premiums are waived for 5 years after each of the first and second valid minor claim so that you continue to get the benefit of protection.
All the future premiums will also be waived as well, as we realise that during those times, paying premiums will be last thing on anyone
s mind.
This benefit can only be selected with Option A
Cancer cover
3) Return of Premium Benefit: Opting for this benefit will provide you an added advantage
you will not only be covered against heart and/or cancer ailments
we will also return all the premiums paid by you minus any claim(s) paid by us, on maturity
This benefit can only be selected with Option A
Cancer Cover. However, it can
t be selected if Term Trigger Benefit is selected.
4) Waiver of Premium Benefit: This benefit ensures that you don
t have to worry about paying premiums in the event of incidence of first and second valid minor condition, as on such an event, next 5 years premiums are waived.
Option A
Cancer Cover -
Critical Illness Benefit
Minor Condition: On diagnosis of Early Stage Cancer or Carcinuma in Situ (CiS) during the policy term while the policy is In-Force, 15% of Sum Assured for each Early Stage Cancer/CiS claim is payable. A maximum of 2 Early Stage Cancer/CiS claims shall be payable during the policy term provided both claims are from different sites and/or organs subject to the cooling-off period of 180 days. In addition, the future premiums for the next 5 years from the date of most recent early stage claim will be waived off and the policy will continue. This benefit is available only on first and second valid Minor Condition claim. On completion of the 5 Years for which premiums have been waived, premium shall become payable by you on the due dates for the remaining Policy Term.
Major Condition: On diagnosis of Major Stage Cancer during the policy term while the policy is In-Force, 100% of Sum Assured less Early Stage Cancer/CiS claim(s) paid, if any, will be payable and the policy will terminate if Term Trigger Benefit is not selected.
Minimum Entry Age (Last Birthday) :
Option A - 0 years (18 years if opted with Term Trigger; 3 years if opted with Return of Premium Benefit)
Option B & C - 18 years
Maximum Entry Age (Last Birthday) : 65 years
Minimum Maturity Age: years. Maximum Maturity Age depends on the Premium Payment Term(PPT)
For Plan Option A - 10 years
For Plan Option B & C - 5 years
Maximum Policy Term :
Option A: 60 years
Option B & C: 40 years age
Minimum Critical Illness Sum Assured : Rs. 5,00,000
Maximum Critical Illness Sum Assured : Rs. 50,00,000
Death Benefit: This benefit will be applicable only if Term Trigger Benefit is selected. In case of death of the life insured after 365 days of survival from the date of diagnosis of any major condition, while the policy is in-force, we shall pay an amount equal to the Critical Illness Sum Assured. No Death Benefit will be paid if the death of the Life Insured happens before the expiry of 365 days from the date of diagnosis of any Major Condition. If this option is selected, then, on the diagnosis of Major Condition, all the future premiums will be waived.
Date of Diagnosis of cancer is defined as the date on which Major stage cancer is
unequivocally proven and qualifies the definition of Major stage cancer as per the
definitions of covered Critical Illnesses mentioned later in the document. In case of
histopathological evidence, it shall be the date of 1st such report confirming the diagnosis of
Major stage cancer.
This benefit will be applicable only if the Return of Premium Benefit is selected. If the life insured survives till the maturity date while the policy is in-force, we shall pay the sum of all the premiums payable for the entire policy term after deducting any amount paid towards claim(s), if any. The premiums payable above exclude taxes, if any.
If Option A is opted with Term Trigger benefit then Return of Premium benefit is not
available. Similarly, if Option A is opted with Return of Premium benefit, then Term Trigger
benefit is not available.
You may be eligible for tax benefits as per applicable tax laws. Tax benefits are subject to change in the tax laws. Kindly consult your tax advisor for detailed information on tax benefits/implications.
You may return this Policy to us within 15 days* of receipt of the policy if you disagree with any of the terms and conditions by giving us written reasons for your objection. We will refund the premium received after deducting stamp duty charges, proportionate risk premium for the period of cover and medical expenses (if any).
* A Free Look Period of 30 days will be offered for policies sold through distance marketing (where distance marketing means sale of insurance products through any means of communication other than in person).
If we do not receive the premium in full by the premium paying due date, then:
i. We will allow a Grace Period of 30 days during which you must pay the premium due in full.
ii. All the benefits under the policy will continue to apply during the Grace Period subject to the deduction of the due premiums.
If Return of Premium Benefit is selected:
The Policy will acquire Surrender Value only from 3rd Policy Year provided we have received full Premiums for at least first three Policy Years.
On surrender, the Surrender Value, if any, will be immediately paid, the Policy shall be terminated and all the benefits under the Policy shall cease to apply.
If Return of Premium Benefit is selected:
If all the premiums for at least first three policy years have not been paid in full within the grace period, the policy shall immediately and automatically lapse and no surrender value shall be payable by us under the policy.
If all the premiums for at least first three policy years have been paid in full, and if we do not receive subsequent premiums within the grace period, the policy will be eligible for Surrender Benefits as mentioned below.
You will be given two years from the date of first unpaid premium to revive the policy.
If Return of Premium Benefit is not selected:
If any premium remains unpaid at the end of the grace period, the policy shall lapse and no benefits shall be payable.
If due premiums are not paid within the grace period, the policy shall lapse or become reduced paid-up as the case may be. Any such policy may be revived within two years from the due date of the first unpaid premium by giving us a written intimation to revive the policy and payment of all overdue premiums with interest, as may be declared by the company from time to time, for every completed month from the due date of each unpaid premium.
The revival will be effected subject to the receipt of the proof of continued insurability of the Life Insured and the acceptance of the risk by the underwriter. Cost for the medical examination, if applicable shall be borne by the Policyholder. The effective date of revival is when these requirements are met and approved by us.
Revival would be as per the Board approved underwriting guidelines of the Company.
| Claim Ratio | Solvency Ratio |
|---|---|
| 99% (2023-24) | 2% (March 2024) |