e.g. Tata motors, Reliance MF, 500570

Universal Sompo Gen - Loan Secure Insurance Policy

Objectives

Universal Sompo s Loan Secure Insurance Policy is a unique Policy that helps you transfer the burden of your loan in the event of an unforeseen contingency. This Policy is specially designed for customers of banks and financial Institutions. This Insurance Policy serves as safety net so that you and your near and dear ones are not worried about repayment of your loan in the event of your unfortunate diagnose of listed Major Medical Illnesses or undergoing of Surgical Procedures or witness Accidental Death, or Permanent Total Disablement on account of Accident resulting in inability to remain gainfully employed. This Policy also provides for Loss of Job and Cover of Dwelling and Content against Fire and Allied Perils.

Coverage

Policy is offered with following coverages with various options varying in terms of extend of coverage available as under:-
Section 1 - Major Medical Illnesses & Surgical Procedures: (Compulsory Section)
We will pay the Sum Insured if during the Policy Period the Insured Borrower unfortunately contracts with any of the following covered Major Medical Illnesses or undergoes Surgical Procedures for the first time during the Period of Insurance.
This Policy covers up to of 18 Major Medical Illnesses & Surgical Procedures as per the Plan chosen.
We bring a wide range of options as below depending on the number of Major Medical Illness Procedures to be covered. The options range from 9, 12, 15 and 18 Major Medical Illness Procedures.
Silver Plan
a) First Diagnosis of the below-mentioned Illnesses more specifically described below:
1. Cancer of Specified Severity
2. Kidney Failure requiring regular dialysis
3. Multiple Sclerosis with Persisting Symptoms
b) Undergoing for the first time of the following Surgical Procedures, more specifically described below:
4. Cancer of Specified Severity
5. Kidney Failure requiring regular dialysis
6. Multiple Sclerosis with Persisting Symptoms
c) Occurrence for the first time of the following medical events more specifically described below:
7. Permanent Paralysis of Limbs
8. First Heart Attack of Specified Severity
9. Stroke resulting in Permanent Symptoms.
Gold Plan
a) First Diagnosis of the below-mentioned Illnesses more specifically described below:
1. Cancer of Specified Severity
2. Kidney Failure requiring regular dialysis
3. Multiple Sclerosis with Persisting Symptoms
4. Benign Brain Tumor
5. Parkinson
s Disease
b) Undergoing for the first time of the following Surgical Procedures, more specifically described below:
6. Major Organ / Bone Marrow Transplant
7. Open Heart Replacement
8. First Heart Attack of Specified Severity
c) Occurrence for the first time of the following medical events more specifically described below:
9. Stroke resulting in Permanent Symptoms
10. Permanent Paralysis of Limbs
11. Stroke resulting in Permanent Symptoms.
12. Coma of Specified Severity
Platinum Plan
a) First Diagnosis of the below-mentioned Illnesses more specifically described below:
1. Cancer of Specified Severity
2. Kidney Failure requiring regular dialysis
3. Multiple Sclerosis with Persisting Symptoms
4. Benign Brain Tumor
5. Parkinson
s Disease
6. End Stage Liver Disease
7. Alzheimer
s Disease
b) Undergoing for the first time of the following Surgical Procedures, more specifically described below:
8. Major Organ / Bone Marrow Transplant
9. Open Heart Replacement
10. Coronary Artery Bypass Graft
11. Surgery of Aorta
c) Occurrence for the first time of the following medical events more specifically described below:
12. Stroke resulting in Permanent Symptoms
13. Permanent Paralysis of Limbs
14. Stroke resulting in Permanent Symptoms.
15. Coma of Specified Severity
Diamond Plan
a) First Diagnosis of the below-mentioned Illnesses more specifically described below:
1. Cancer of Specified Severity
2. Kidney Failure requiring regular dialysis
3. Multiple Sclerosis with Persisting Symptoms
4. Benign Brain Tumor
5. Parkinson
s Disease
6. End Stage Liver Disease
7. Alzheimer
s Disease
b) Undergoing for the first time of the following Surgical Procedures, more specifically described below:
8. Major Organ / Bone Marrow Transplant
9. Open Heart Replacement
10. Coronary Artery Bypass Graft
11. Surgery of Aorta
c) Occurrence for the first time of the following medical events more specifically described below:
12. Stroke resulting in Permanent Symptoms
13. Permanent Paralysis of Limbs
14. Stroke resulting in Permanent Symptoms.
15. Coma of Specified Severity
16. Major Burns
17. Deafness
18. Loss of Speech
Please refer to the Policy Wordings for definitions of the Major Medical Illnesses and Surgical Procedures available with your banker/our Agent/our office
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Section II - Personal Accident
This section covers the Insured Borrower against accidental risks as under:-
A. Death due to an Accident:
If You, the Insured Borrower, die within a period of 12 months from the date of bodily injury due to Accident and such bodily injury be the direct cause of Your death, then the Sum Insured, under the Policy shall become payable by Us.
B. Permanent Total Disablement due to an Accident:
We will pay Sum Insured upon your having met with an accidental bodily injury resulting in Permanent Total Disablement subject to the following that the disablement;
i. continues for a period of twelve (12) consecutive months, and
ii. is confirmed as total, continuous and permanent by a Medical Practitioner after the period of twelve (12) consecutive months, and
iii. entirely prevents you, the Insured Borrower from engaging in or giving attention to gainful occupation of any and every kind for the remainder of your life.
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Section III
Loss of Job
We will pay 3 EMIs* corresponding to the loan insured in the event of
i. Termination/ Dismissal of employment of the Insured borrower.
ii. Temporary suspension or retrenchment from employment
Covers Loss or Damage directly caused to dwelling and household contents of Insured borrower at Insured premises by Insured Perils listed hereunder
i) Fire
ii) Lightning
iii) Explosion/Implosion
iv) Aircraft Damage
i) Impact Damage
ii) Subsidence and Landslide including Rock slide
iii) Bursting and/or overflowing of Water Tanks, Apparatus and Pipes
iv) Missile Testing operations
v) Leakage from Automatic Sprinkler Installations
vi) Bush Fire
vii) Riots, Strike, Malicious Damage
viii) Storm, Tempest, Flood, Inundation
ix) Earthquake (on payment of additional premium only
x) Terrorism (on payment of additional premium only

Entry Age Details

The Policy can be taken by any person above 20 years of age holding loans with bank (including co-borrowers) till 50 years of age.The Policy can be renewed till 55 years of age.

Free Look Period

We shall give You a Free Look Period at the inception of the Policy and:
1. You will be allowed a period of at least 15 days from the date of receipt of the Policy to review the terms and conditions of the Policy and to return the same if not acceptable.
2. If You have not made any claim during the Free Look period, You shall be entitled to:
A refund of the premium paid less any expenses incurred by Us on Your medical examination and the stamp duty charges or;
where the risk has already commenced and the option of return of the Policy is exercised by You, a deduction towards the proportionate risk premium for period on cover or;
Where only a part of the risk has commenced, such proportionate risk premium commensurate with the risk covered during such period.

General Exclusions

General Exclusions applicable to Section I, Section II and Section III of the policy
We shall not be liable for any claim
1. Arising or resulting from the Insured person committing any breach of the law with criminal intent
2. Due to, or arising out of, or directly or indirectly connected with or traceable to, war, invasion, act of foreign enemy, hostilities (whether war be declared or not) civil war, rebellion, revolution, insurrection, mutiny, military or usurped power, seizure, capture, arrests, restraints and detainment of all Heads of State and citizens of whatever nation and of all kinds and acts of terrorism, Riots, Strike, Malicious Acts etc.
3. Directly or indirectly caused by or contributed to/by or arising from ionising radiation or contamination by radioactivity from any nuclear fuel or from any nuclear waste or from the combustion of nuclear fuel. For the purpose of this exclusion, combustion shall include any self-sustaining process of nuclear fission
4. Directly or indirectly caused by or contributed to/by or arising from nuclear weapon materials
5. Directly or indirectly caused by or contributed to/by or arising out of usage, consumption or abuse of alcohol and/or drugs.
6. Arising out of or as a result of any act of self-destruction or self-inflicted injury, attempted suicide or suicide.
7. Any sexually transmitted diseases. Acquired Immune Deficiency Syndrome (AIDS), AIDS related complex syndrome (ARCS) and all diseases caused by and/ or related to the HIV.
8. Any consequential or indirect loss or expenses arising out of or related to any Insured Event.
9. Arising out of or resulting directly or indirectly due to or as a consequence of pregnancy or treatment traceable to pregnancy and childbirth, abortion, Miscarriage and its consequences, tests and treatment relating to infertility and invitro fertilization.
10. Arising out of or resulting directly or indirectly while serving in any branch of the Military or Armed Forces of any country during war or warlike operations.
11. Arising out of or resulting directly or indirectly caused by, resulting from or in connection with any act of terrorism/sabotage regardless of any other cause or event contributing concurrently or in any other sequence to the loss. The Policy also excludes loss, damage, cost or expenses of whatsoever nature directly or indirectly caused by, resulting from or in connection with any action taken in controlling, preventing, suppressing or in any way relating to action taken in respect of any act of terrorism/sabotage.

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Frequently Asked Questions About Insurance

Health
Life
Auto
Home
What is health insurance? +
Health insurance is a type of coverage that pays for medical and surgical expenses incurred by the insured. It may also provide coverage for other types of health-related costs, such as prescription drugs, mental health services, and preventive care.
Why do I need health insurance? +
Health insurance helps protect you from high medical costs. It provides access to medical care when you need it, helping to pay for doctor visits, hospital stays, surgeries, prescription medications, and other health-related services.
What is a premium? +
A premium is the amount you pay for your health insurance every month. Depending on your plan, the premium may vary based on factors like age, location, and level of coverage.
What is a deductible? +
A deductible is the amount of money you must pay out-of-pocket before your health insurance starts covering your medical expenses. For example, if you have a deductible of $1,000, you must pay $1,000 out-of-pocket before your insurance starts covering your medical bills.
What are copayments and coinsurance? +
Copayment (copay): A fixed amount you pay for a covered health care service, typically when you get the service. Coinsurance: The percentage of the cost you pay for covered health services after you've paid your deductible. For example, if your coinsurance is 20%, you pay 20% of the bill, and the insurance company pays the remaining 80%.
What is an out-of-pocket maximum? +
The out-of-pocket maximum is the maximum amount you can spend on your health insurance. If you exceed this amount, your insurance company will pay 100% of your medical expenses.
What is the difference between in-network and out-of-network providers? +
In-network providers: Health care providers that have a contract with your health insurance plan to provide services at negotiated rates. Out-of-network providers: Providers that don't have a contract with your insurance plan. Services from these providers may cost more or not be covered at all.
What is a Special Enrollment Period (SEP)? +
The Special Enrollment Period (SEP) is a special time during the year when you can sign up for or make changes to your health insurance plan. If you miss this period, you may have to wait until the next one unless you qualify for a Special Enrollment Period (e.g., due to a life event like marriage or having a baby).
Can I keep my doctor with health insurance? +
If you have a preferred doctor, it’s important to check if they are in-network with your insurance plan. If they are not in-network, you may need to pay more out-of-pocket, or you may have to switch to another doctor who is in-network.
What is a Health Savings Account (HSA)? +
A tax-advantaged account for people with high-deductible health plans (HDHPs). The funds roll over from year to year and can be used for qualifying medical expenses.
What is a Flexible Spending Account (FSA)? +
A tax-advantaged account for people with low-deductible health plans (LDHPs). The funds roll over from year to year and can be used for qualifying medical expenses.
What is a Health Maintenance Organization (HMO)? +
An HMO is a type of health insurance plan that requires you to choose a primary care physician (PCP) and get referrals from them to see specialists. HMOs often have lower premiums and out-of-pocket costs but offer less flexibility in choosing providers.
What is a Preferred Provider Organization (PPO)? +
A PPO is a health insurance plan that offers more flexibility in choosing healthcare providers and doesn’t require referrals to see specialists. You can see any doctor, but you’ll pay less if you use in-network providers.
What is the difference between a Health Savings Account (HSA) and a Flexible Spending Account (FSA)? +
HSA: A tax-advantaged account for people with high-deductible health plans (HDHPs) The funds roll over from year to year and can be used for qualifying medical expenses. FSA: A tax-advantaged account for people with low-deductible health plans (LDHPs) The funds roll over from year to year and can be used for qualifying medical expenses.
What does the term "pre-existing condition" mean? +
A pre-existing condition is a medical condition that you had before you got your health insurance. It could include things like diabetes, high blood pressure, or heart disease.
Can I cancel my health insurance at any time? +
Yes, you can cancel your health insurance plan at any time. However, if you cancel outside the open enrollment period, you may not be able to get another plan until the next enrollment period unless you qualify for a Special Enrollment Period.
Are prescription drugs covered by health insurance? +
Many health insurance plans cover prescription medications, but the coverage may vary. Plans typically have a formulary, or list of covered drugs, and different drugs may have different levels of coverage, depending on whether they are generic, brand-name, or specialty drugs.
What is preventive care? +
Preventive care includes health services that help prevent illnesses, such as vaccinations, screenings, and annual checkups. Under the Affordable Care Act, most preventive services are covered by health insurance plans at no additional cost to the policyholder.
What should I do if my health insurance claim is denied? +
If your claim is denied, you can appeal the decision. Review the denial letter for reasons, contact your insurer for assistance, and file a written request for a hearing. If you win the appeal, you may be able to get a refund or other compensation.
How can I choose the best health insurance plan for me? +
When selecting a plan, consider factors like: Your health care needs (e.g., frequent visits, prescriptions) The plan’s network of doctors and hospitals The cost of premiums, deductibles, copays, and out-of-pocket maximums Coverage for specialized care or treatments Compare the different plans and benefits to find one that meets your needs.
What happens if I don't have health insurance? +
If you don’t have health insurance, you can still access some health care services, such as emergency care, in-network doctors, and in-network hospitals. You may be eligible for Medicaid, which provides some health care services at no cost to you.
What is life insurance? +
Life insurance is a contract between you and an insurance company, where you pay regular premiums in exchange for a lump sum payment (death benefit) to your beneficiaries upon your death.
What are the different types of life insurance? +
Term Life Insurance: Provides coverage for a specific period (e.g., 10, 20, or 30 years). If you pass away during this term, your beneficiaries receive the death benefit. It does not build cash value. Whole Life Insurance: Offers lifetime coverage with a death benefit and also builds cash value over time, which you can borrow against or use. Universal Life Insurance: A flexible policy that allows you to adjust the premiums and death benefit while also building cash value.
How much life insurance coverage do I need? +
The amount of coverage you need depends on factors like your income, debts, family needs, and long-term financial goals. A common rule is to have coverage worth 10 to 15 times your annual income, but this can vary based on your individual situation.
What is the difference between beneficiaries and policyholders? +
The policyholder is the person who owns the life insurance policy and pays the premiums, while the beneficiary is the person or group that receives the death benefit when the policyholder passes away.
Can I change my beneficiaries? +
Yes, you can change your beneficiaries at any time during the life of the policy, as long as the policy is in force and you follow the correct procedure with the insurance company.
What is the contestability period? +
The contestability period is the time during which you have the right to contest the decision of the insurer to pay the death benefit. This period varies depending on the type of life insurance policy and the insurer.
Does life insurance cover accidental death? +
Some life insurance policies include accidental death coverage, while others may require a separate rider for this benefit. Be sure to review your policy to understand what’s covered.
Can I cancel my life insurance policy at any time? +
Yes, you can cancel your life insurance policy at any time, provided you follow the correct procedure with the insurance company.
What is cash value? +
Cash value is the accumulated value of the life insurance policy that can be used to pay for expenses, such as medical bills or funeral expenses.
How do I borrow against cash value? +
You can borrow against the cash value of your life insurance policy, but it will need to be repaid, and any unpaid loan will reduce the death benefit.
What is the difference between whole life and universal life insurance? +
Whole life insurance provides coverage for a specific period (e.g., 10, 20, or 30 years) and builds cash value over time. Universal life insurance offers lifetime coverage with a death benefit and also builds cash value over time.
How are life insurance premiums determined? +
Life insurance premiums are based on factors like age, health, lifestyle (e.g., smoking), coverage amount, and type of policy. Generally, younger, healthier individuals pay lower premiums.
Can I borrow money from my life insurance policy? +
If you have a whole life or universal life policy, it may build cash value over time. You can borrow against this cash value, but it will need to be repaid, and any unpaid loan will reduce the death benefit.
What happens if I stop paying my life insurance premiums? +
If you stop paying premiums, your policy may lapse. For permanent policies like whole or universal life, the cash value may cover the premiums for a time, but eventually, if premiums are not paid, the policy will end.
What is auto insurance? +
Auto insurance is a contract between you and an insurance company that provides financial protection against damage or injury caused by accidents, theft, or other incidents involving your vehicle. It covers both liability and your vehicle's repair costs depending on the type of policy.
What types of auto insurance coverage are available? +
There are several types of auto insurance coverage, including liability, collision, comprehensive, uninsured/underinsured motorist, and additional coverage like roadside assistance and collision damage waiver.
How much auto insurance do I need? +
The amount of coverage you need depends on factors such as the value of your car, your driving habits, your state's legal requirements, and whether you own or lease your vehicle. A good starting point is to meet your state's minimum required coverage, but you may want additional coverage for added protection.
Can I cancel my auto insurance policy at any time? +
Yes, you can cancel your auto insurance policy at any time, provided you follow the correct procedure with the insurance company.
What is the difference between liability and comprehensive coverage? +
Liability coverage covers the damages and injuries caused by accidents, while comprehensive coverage also covers non-accident damages, such as theft or vandalism.
How do I choose the right auto insurance policy? +
When selecting an auto insurance policy, consider factors such as the type of coverage you need, your driving habits, the value of your vehicle, and your state's legal requirements.
What factors affect my auto insurance premium? +
Several factors impact your insurance premium, including: Your driving history (accidents, tickets), The make, model, and age of your car, Your location (accident rates in your area), Your age, gender, and marital status, The level of coverage you choose, Your credit score (in some states).
What is a deductible? +
A deductible is the amount you must pay out of pocket before your insurance policy starts to cover the remaining cost of repairs or claims. For example, if you have a $500 deductible and incur $2,000 in damages, you will pay $500, and your insurer will pay the remaining $1,500.
What is the difference between comprehensive and collision coverage? +
Collision coverage pays for repairs to your vehicle after a collision with another vehicle or object, regardless of who is at fault. Comprehensive coverage covers non-collision incidents, such as theft, vandalism, or damage from natural disasters.
Can I get uninsured/underinsured motorist coverage? +
Yes, uninsured/underinsured motorist coverage is available in some states. This coverage provides financial protection for you if another driver is uninsured or underinsured.
Is auto insurance required by law? +
Yes, in most states, you are required to have a minimum level of liability insurance. Some states also require additional coverage like Personal Injury Protection (PIP) or uninsured motorist coverage. The requirements vary by state, so it’s important to check your local laws.
What happens if I don’t have auto insurance? +
If you drive without insurance, you risk facing legal penalties, fines, and the possibility of your driver's license being suspended. If you're involved in an accident, you could be held responsible for the damages.
Can I add other drivers to my auto insurance policy? +
Yes, you can add other drivers, such as family members or friends, to your policy. However, their driving record and age may affect your premium. It's important to inform your insurer about all the drivers in your household.
What should I do if I get into an accident? +
If you're in an accident, follow these steps: Ensure safety by moving to a safe location if possible. Call the police and file a report. Exchange contact and insurance information with the other driver(s). Take photos of the accident scene, vehicle damage, and injuries. Notify your insurance company about the accident as soon as possible.
What is home insurance? +
Home insurance is a contract between you and an insurance company that provides financial protection against damage or loss caused by natural disasters, theft, or other incidents.
What types of home insurance coverage are available? +
There are several types of home insurance coverage, including flood, fire, burglary, and liability. You may also have coverage for water damage, mold, and other property damage.
How much home insurance do I need? +
The amount of home insurance coverage you need depends on the value of your property, the type of coverage you want, and your insurance provider. You may also need additional coverage for water damage, mold, and other property damage.
Can I cancel my home insurance policy at any time? +
Yes, you can cancel your home insurance policy at any time, provided you follow the correct procedure with the insurance company.
What is the difference between flood and fire coverage? +
Flood coverage covers damage caused by floods, while fire coverage covers damage caused by fires.
How do I choose the right home insurance policy? +
When selecting home insurance, consider factors such as the type of coverage you need, the value of your property, and your insurance provider.
What factors affect my home insurance premium? +
Factors such as the type of coverage you need, the value of your property, and your insurance provider can significantly impact your premium.
Can I cancel my home insurance policy at any time? +
Yes, you can cancel your home insurance policy at any time, provided you follow the correct procedure with the insurance company.

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