^ again you are twisting the facts. You can't even differentiate between a statement and a question.

Where in my statement that says we will Guarantee to issue GL? If during the admission and the initial check does not indicate it is not a pre existing or non disclosure, the GL will be issued.

Even if the GL is being issued and the insurer is being slap with a hefty bill (when the policy is still new), you can bet that there will still be investigations and even negotiations with the hospitals of why the bill appears higher.

This was the reason why there is a delay of 1-2 mths as we need to determine the legitimacy of the claim and why both kidney stones costs Rm30k.

Otherwise during the admission if there is evidence of it being a pre existing or non disclosure the GL will still be rejected.

If the GL is being denied, and if it is a life threatening situation most of the client will still go ahead with the hospital procedure and they will have to pay first the amount and file a claim of appeal later.

If the investigations shows evidence of a non declaration of material fact that has substantial impact on how the policy is being underwritten, the entire policy maybe null and void.

However if there is no such evidence, of course the appeal claim will be honored and the policy will continue.

Edit: for clarification

This post has been edited by roystevenung: Apr 10 2014, 08:09 PM

Don't misleading readers in forum to think that Prudential will issue the GL and investigations will follow. In fact, if the GL is issued, investigation is ceased, no investigation will be continue.

Guarantee Letter means that the insurance company is taking up the responsibility to bear the hospitalization bill up to annual/lifetime limit of the client medical card. It does not simply issue and withdrawn, the word of "Guarantee" in the context of "Guarantee Letter" is not light.

I'm giving you one example in car insurance of how ironic are you in explaining Guarantee Letter
Let's say a person is claiming for car insurance, the insurance company is guaranteed for the claim. Upon the car finish repaired, the company withdraw the "guarantee" for the claim and client have to pay for it.

In fact, the Prudential Customer Service Officer even told me that GL will be decline if they suspect there is non-disclosure in the policy upon admitting to hospital after the initial medical report is submitted and reviewed. Which I think she makes some sense there but not you.

There is no point to issue GL if there is some possibility of company not paying the claim upon discharge. What's the point of issue GL, Prudential pay the bill upon client discharge, if the investigation after discharge result shows non-disclosure and who will bear the payment?

Prudential will give a court order for the client to return the money? If it's not so, then what's the point of investigate?

Please call your own company and ask for the procedure for your claim knowledge.
Prudential Call Centre: 03 - 2116 0228
Operating Hours : Mondays to Fridays, 8.30am - 5.15pm (excluding Public Holidays)

Please see the highlighted above

The above is what I said and you conveniently left out the second part. GREAT JOB! It only proves your intention of defamation.

I still stand to this statement that "Once the initial GL has been issued it is very unlikely that it will be withdrawn unless there is clear evidence of mis-interpretation of material fact or non-disclosure that impacted on how the policy is being underwritten.

This means that there is still room for the insurer to contest for the claim should it warrants to.

May I ask for GE, if after the GL has been issued and during this time GE was presented with hard evidence it is a pre-existing illness or non-disclosure of material facts, will it continue to pay? So good? Sure?

On a separate note, would like to ask here,
when the GL is already decline, and the client still proceed to warded,
then try to claim back later and then found out that its pre-existing/undeclare,

thus the entire policy become null and void?

So, its also mean the insurer should not receive the payment (client not need to pay anymore) for month to come since its already null and void?

Whether the policy will be null and void will be dependent on the severity of the non disclosure. If the condition is not that serious, the application may need to be reviewed with exclusions and or loading. It is then up to the client whether to accept the exclusion and/or loading.

But yes, should it be null and void, the policy will not be continued, hence no payment is needed.

To make it short, is this what you are trying to say?
1)Client admit to hospital
2)Prudential check for pre-existing, non-disclosure
2a)If pre-existing is found, GL is declined
2b)If pre-existing is not found, GL is approved.
3)If GL approved, Prudential pay for the bill upon discharge, Prudential continue to check for pre-existing after client discharge, non-disclosure(isn't this has been check in step2? Why re-check again?)
3a)If pre-existing is found, Client have to pay back to Prudential
3b)If pre-existing is not found, no action will be taken
Please correct me using the above format instead of writing in a TLDR form.

In Great Eastern, we are talking about credibility of GL. There will be no chance for Great Eastern to withdraw the GL once it has been issued unlike Prudential where it have possibility of withdrawing GL after issuance since Prudential will still investigate after the issuance of GL.

Upon detection of non-disclosure, the policy will be temporary terminated and the policy will be re-underwrite. Shall the severity is not serious, loading or exclusion will be imposed. Upon client's consent is gotten, the policy will be reinstated and protection will be continue.

Shall the severity is serious, the policy will be null and void.

In both cases, upon investigation and the policy is temporary terminated, Great Eastern wouldn't ask for premium. However, shall the policy reinstated in the future, policyholder have to pay for the premium that has skipped.

Medical cost RM40k.

I have 2 card. 1. Allianz 2.TM deductible card RM10k

Let say use TM card, the remaining RM10k can claim from Allianz?

http://www.tokiomarine.com.my/product/medicplus.php

MNet,
yes, you may- Same applies for any other companies. Because this is 'medical expenses'.

I suggest you make a call to Allianz.

As far as I know, left-over medical expenses is not covered in all companies. Previously such condition is not covered in Great Eastern but after 2011, this is allowed for all the policies even those policy inforce before 2011.

can any expert here can advise me on LIFE INSURANCE ?

What is the standard/mininum for LIFE INSURANCE ?

say monthly installment vs insured amount


Eg. RM100/RM100,000

or RM250/RM250,000

1more noob question, how much it cost to buy a LIFE INSURANCE , that insured RM1million and above?

because nowadays society so dangerous, very high risk, easily getting snatch handbag and stab in the abdomen.

pls advise.

EZPRO,

PLEASE DO NOT ANSWER ON BEHALF OF 'ALL COMPANIES' IF YOU ARE UNSURE.

THIS IS A MEDICAL EXPENSE, BE IT LEFTOVER OR NOT. MEDICAL REPORT AND THE NECESSARY DOCS WILL OBVIOUSLY BE REQUIRED FOR THE CLAIM PROCESS, AS PER USUAL. AND CLAIMANT TO PROVE THAT THIS CLAIM IS NOT DOUBLE CLAIM BUT AN EXCESS PAYABLE BY HIS/ HER OWN POCKET.

Pls ANSWER ON BEHALF OF GE, THAT PRIOR TO 2011 THIS LEFT OVER CLAIM IS NOT ALLOWED FOR YOUR COMPANY.

ARE YOU TRYING TO HARD SELL GE HERE BY STATING THE OBVIOUS THAT THIS CAN BE CLAIMED. BUT BY PUTTING DOWN OTHER INS COMPANIES? NOT BASED ON FACTS BUT "AS FAR AS YOU KNOW OF.."

I HAVE SUCESSFULLY CLAIMED FOR MY CLIENT IN THIS SITUATION BEFORE, WAY BACK IN 2010. SO PRUDENTIAL CAN, GE CANNOT PRIOR TO 2011?

in any event catastrophic happen on you...you would like to prepare sum money for your love one.

Then go back your income and affordable to purchase. rm1 million compensation is nice to hv..but also squish your income paying for insurance. AT end of day only beneficiary enjoying.

any idea how much monthly installment for RM1million insured?

i don't know...there a table based on your age, gender, occupation and health to underwrite such amount.

Yes it depends on age, gender & occupation to get a precise amount.

To be very generally RM1mil Life/TBD insure (just for reference, please ask for actual quote)
age 20-30 RM5,000 annually
age 31-40 RM7,000 annually
age 41-50 RM12,000 annually

Thinking of getting RM1mil protection to settle debt or business successor plan or family & children future plan?

Wow... insured 1 million... how many percent of our income should one insured?

Please don't be surprise. As these RM1mil Life/TPD protection mostly use for trust, debt settlement, successor plan, Business contingency plan, family planning & etc.

How many percent really depends on individual (a businessman, company key personnel & etc). Of coz a fresh grad or who just started their career life wouldn't need a RM1mil Life/TPD insured. They will rather need a RM1mil medical plan, in order not to jeopardize his/her family in financial. As RM1mil medical plan for below 30's are as low as RM200 monthly.

This post has been edited by conqu3ror: Apr 14 2014, 10:09 PM

what about the premium paid over the years before the policy is nullified.....do they refund all, partly or none....and what happened if it is an investment linked....all burn....can withdraw or can still top up....

The premiums paid will be refunded, minus any claims. Once the policy is close, no transactions are allowed.

so i get back all the premium....but the portion in the investment link i need to sell to get the cash out ...either the fund is good/bad so i might gain some or loose some....is it right