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 Insurance Talk V2, Anything and everything about insurance

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conqu3ror
post Apr 24 2015, 03:07 PM

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QUOTE(koinibler @ Apr 24 2015, 02:46 PM)
So serious discussion....
Here, just would like to know everyone opinion on where should one keep their medical card.
Keep it within himself or nearest relative?
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Generally, we should keep the medical card with ourselves, keep well the policy contract at home or safe.

As in case of anything happen, police or medical personnel will first check the victim/patient ID and other documents.

But no worries if you lost or misplace the medical card, you can just call back the insurance company mention your name and IC, customer service will able to check your policy and the detail. So as issue Guarantee Letter for hospital admission.

Most important are to remember from which company you insured.

This post has been edited by conqu3ror: Apr 24 2015, 03:08 PM
conqu3ror
post May 3 2015, 10:30 PM

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QUOTE(danielwoo @ May 3 2015, 10:18 PM)
Dear all,

I am very new to insurance policies and would like some advise on the premium charges and how it was calculated.

How does the policy holder knows the premium they had been paying equals to the optimum benefits getting? I don't see any premium (charges) guidelines provided on website of those insurance companies (Prudential, AIA, Great Easterm etc) I only get to know the amount from the agents.

My concern is, can insurance agents mark up the premium let say RM 500 monthly for the same benefits that RM 300 premium can be getting as well. The difference of RM200 to be consider as agents commission.

I understand insurance agents need to earn commissions but just to make sure consumers are not slaughtered.

Please correct me if I am totally wrong of the above?

Thanks.
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Currently life insurance are very transparent as it govern by BNM & LIAM. Every T&C and the cost of insurance are show in the quotation, just it may too technical to understand.

For the mark up part, actually any of the additional premium will be add into the cash value which also mean higher return in future.
Agent's commission are base on the fixed percentage of the premium, even if premium are RM1000, the percentage rate are still the same. There is no such thing as agent earning the different of RM200 as commission or different rate given for higher premium .

If you have doubt, just go to their agency or ask agent to show you the illustration/system how it work and you may customised which ever suit you.

Hope I had answer your question.

This post has been edited by conqu3ror: May 3 2015, 10:32 PM
conqu3ror
post May 3 2015, 10:38 PM

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QUOTE(MNet @ May 3 2015, 10:35 PM)
u mean I buy RM1000 pa premium VS RM5000 pa premium for 100k life plan only.

Agent will get the same commission?
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Of cause the commission are different.

As I mentioned earlier Agent's commission are base on the fixed percentage of the premium

conqu3ror
post May 3 2015, 10:52 PM

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QUOTE(MNet @ May 3 2015, 10:46 PM)
u mean I buy RM1000 pa premium VS RM5000 pa premium for 100k life plan only.

so in this case how much will agent get?

rm1000 premium
agent commission ?

rm5000 premium
agent commission ?
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Agent's commission are different from company & product which from 10% to 35% (ILP, Trandisional, Saving, Education & etc)

It just a simple maths

Eg. 20% for ILP

Rm1000 x 20% = RM200

RM5000 x 20% = RM1000
conqu3ror
post May 6 2015, 05:16 PM

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QUOTE(speedo @ May 6 2015, 04:52 PM)
hi

anyone can recommend a pa based on below
-ride a bike daily
-travel 3 to 6 times a year
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Just for your info Personal Accident are mainly cover for Death and Permanent Disablement only (where scale of % of sum insured to be claim based on severity)

PA doesn't require the mode & frequent of travelling, but require to know the insured occupation & risk. Also PA is one of the cheapest insurance due to it only cover Death and Permanent Disablement which cause by accident.

Honestly we will need more medical protection then PA protection.
conqu3ror
post May 6 2015, 09:14 PM

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QUOTE(speedo @ May 6 2015, 05:50 PM)
agree.
btw, any pa you think okay?
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Yes, as for PA, you may approach any trusted general insurance company or agent.

Same as motor insurance.
conqu3ror
post May 11 2015, 08:10 AM

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QUOTE(ftan @ May 11 2015, 07:35 AM)
Ok, will read up. I'm not expecting total coverage with the many t&c.
Yes, I got that one. I was previously on standalone medical card but I feel the coverage isn't enough for future.

Does medical policy covers gov hospitals as well?
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Yes, government hospital will be cover as well. Of course, if we have a choice we will go for private, as we all know government hospital are always crowded and long queue.

For the panel hospital of the insurance companies, patient will not require to pay anything for admission & discharge, which we called it cashless admission. But as of non-panel hospital, then patient will need to pay and claim from insurance company which are quite a hassle process.

Just for info, if without medical card, private hospital will require deposit of the total estimate medical treatment cost before admission, which could be RM10k-50k depends on treatment require, also top up of deposit may require from time to time.


conqu3ror
post Jun 4 2015, 07:22 PM

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QUOTE(panafone @ Jun 4 2015, 04:06 PM)
Hi,

I'm want to get medical insurance with PruBSN for my parents (Dad 60yrs, Mom 57yrs). They only have high blood pressure, under control with medication. How much and how long will the process take?

Any help/advice is appreciated.

Thanks.
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Medical health insurance is the most confusing and complicated, especially if you are a first time policyholder and at the high risk age.

Applicant requiring a medical history declaration, or full medical underwriting, require the applicant to complete an application form that details the full medical history for each applicant. Insurance companies will normally will require high risk applicant go thru medical check up with their panel clinic in order to verify conditions or to investigate an applicant's medical history further. Having submitted your medical history a decision will be made by the health insurance company as to whether or not they will cover any previous medical conditions.

Insurance companies will not pay benefits for any conditions that you have been treated for in the past or have arranged treatment for prior to taking out your medical insurance policy. This also includes any chronic conditions that have been diagnosed before the health insurance policy was granted. If you fail to disclose details of any illness at the start of your health insurance application then you could be denied a future claim or your personal health insurance could be deemed invalid.

Generally underwriting process will take 2 weeks to 2 months, depend on the risk & complication.

As of your parents, they are in the high risk & complicated category, please don't surprise if it take more then 2 months for the whole underwriting & medical check up process . Underwriter will take the hypertension very serious as they see the risk it will lead to stroke, heart attack & other related disease.

However there is no harm to give it a try and hopefully there will be no loading or exclusion.

All the best.
conqu3ror
post Jun 26 2015, 08:53 AM

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QUOTE(ralyon @ Jun 25 2015, 08:42 PM)
RM 250 per month can get how much medical insurance coverage ?
Male, 35, room and board rm150 (cause company provide rm200 room and board already)
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Hi Ralyon,

As of your age with RM250 monthly if you just focus on Medical only.

With Allianz you may get Medical Room & Board RM300 with
-No Overall Annual Limit
-Lifetime Limit RM1,500,000
-Life/TPD: RM120,000

But if you reduce the medical plan a bit then you will have a comprehensive life insurance plan which include Critical Illness, Personal Accident, Hospital Income, Premium Waiver & etc.

Anyway medical plan are not for everyone, it only for individual which are still strong and healthy.

Hope you understand medical insurance are not like shopping when we have money we can buy as much as we want. My friend diagnosed with nose cancer when 27 and my father had diabetes at age 40's, they can never get any medical insurance and everything on their own. My friend force to resign to accept medical treatment, also mean gone for his company medical card.

These day disease & cancer are getting younger due to the worsen of environment & unhealthy food. Everyday we can see many people suffer from illness in newspaper and request for donation.

This post has been edited by conqu3ror: Jun 26 2015, 08:56 AM
conqu3ror
post Jun 30 2015, 11:56 AM

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QUOTE(ic no 851025071234 @ Jun 30 2015, 11:12 AM)
What is special feature of allianz over other insurance? For example great eastern got unlimited claim
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We had discussed earlier as the link below
Great Eastern Smart Extender Pros & Cons

The so called unlimited claim are GE Smart Extender which are additional rider to Smart Medic Extender. As you can check the attached Cost Of Insurance , there are additional cost for it and come with different T&C.
conqu3ror
post Jul 13 2015, 02:18 PM

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QUOTE(foxxy @ Jul 13 2015, 02:32 AM)
let say my gross salary is 3.5k / month. Would like to know what's the approximate or suitable amount that i should spend on insurance / month?
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As for general, we will suggest at least 5-10% of salary to be allocate to insurance. But at the end still depends on individual commitment and needs.

A typical age 25 with low risk occupation, with monthly RM200-250 premium, he/she will able to have a comprehensive coverage with Life, Medical, 36CI & PA & etc.

But when he/she having family & kids and also property commitment, then he/she might need more protection. As in case of need of heavy medical or a sudden permanent leaving his/her family. The living expenses and house instalment never stop because of the incident. Then he/she will need a different protection plan.
conqu3ror
post Jul 21 2015, 05:26 PM

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QUOTE(sarcast @ Jul 21 2015, 05:09 PM)
About the policy, agent says policy is only issue when contract is done. so means u have to pay and buy before u can read the policy ?
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Yes, policy contract is only issue when the application approved and payment made.

For information about the insurance cover, we can always refer to the quotation, as almost everything are stated or else it will mention in it. The quotation will become part of the Policy Contract.

As to protect policy holder from misleading, there is 15 days cooling period and full refund if he/she decide to cancel for any reason.

Insurance companies are constantly monitor and govern by Bank Negara Malaysia with strict rules. You may always complain to BNM if you found something wrong or mislead.

Hope this help to clear your doubt.

This post has been edited by conqu3ror: Jul 22 2015, 09:00 AM
conqu3ror
post Jul 24 2015, 11:35 AM

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QUOTE(dzila_87 @ Jul 24 2015, 10:56 AM)
I purchase 2 insurance from AIA (medical) for both my child. The first one success and never have a problem so far while the 2nd one I purchase for my 2nd child have a bit problem.

I put my contact number in AIA website for agent to call since my old agent already retired and later got call by this beautiful lady. Fill the form, submit the auto deduct form, handover the birth certificate copy and later on the 2 month money has been deducted from my account (total of RM500). Call the agent one month later as I did not received any policy document from her but ignore my call and sms. Call the aia call centre and they said, cannot do anything cos u do not have the policy number. But my bank statement clearly state is from AIA.

Anyone experience this before. How I should proceed from here?
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I guess this is the office admin and the agent problem. I heard there are some internal issue within AIA office last few months, just hope those are only rumours.

I believe you mean AIA deducted from your credit card, and it should be able to trace back.

Customer service should able to check by name and IC number of the name assured and policy holder. I guess you will need to walk in to AIA office or email the case to AIA to follow up.

Perhaps @JIUWEI can assist for this.
conqu3ror
post Aug 21 2015, 03:15 PM

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QUOTE(Cool_Breeze @ Aug 21 2015, 10:27 AM)
Need some advise! I'm planning to buy MLTA insurance for my upcoming house loan protection. I've been lingering between AIA, Allianz and Prudential. In the end, I decided to take Allianz because when I called to AIA, they said they no longer offer MLTA insurance. As for Prudential, I got a quotation of more than RM200/month for premium payable.

Under Allianz, I have a pretty good offer with RM160/month :-
1. Life & TPD cover RM300k
2. Payor cover
3. 39 Critical illness cover RM300k
Cash value for non-claim on 20th year will be RM32k.

Anyone can advise if Allianz MLTA insurance is good? smile.gif Will need to sign this soon.
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Basically MLTA or Life insurance are quite standard and almost the same across insurance companies.

The main different will be the COI (Cost of Insurance) and the monthly premium.

As from above, the coverage are pretty standard with minimal monthly premium and nothing unusual as for MLTA.




conqu3ror
post Sep 28 2015, 05:08 PM

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QUOTE(jpaul @ Sep 28 2015, 04:51 PM)
I got the same proposal from AIA. So far my current agent from PRU told me currently they do not have any plan to match what AIA offered.

Is it wise to cancel current PRU plan and switch to AIA ?
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Every company will release new plan every few years in order to meet the current market and the inflation of medical cost. Just like hand phone market, we will upgrade every few years. But normally with a new plan with better benefit, the cost of insurance will be higher, everything come with a cost.

But it is always better to upgrade then change to another company, mainly due to we may need to incur another admin cost/distribution cost and causing lower of cash value.

Anyway, most important is to get the highest medical plan that we affordable while we still strong and healthy. As once we diagnosed with any long term disease (hypertension, diabetes, kidney problem & etc), then we may need to stick with the current insurance plan for rest of the life.
conqu3ror
post Oct 6 2015, 11:27 PM

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QUOTE(OptimusStar @ Oct 6 2015, 06:04 PM)
I am currently on SM from GE and I been approached for Allianz Powerlink.  Both are ILP's.

I found that for 15 ringgit more, i am able to enjoy higher Death Benefits, Higher Critical Illness, Same accident benefits , same room and board and same amount of life time coverage .
The plus point i noticed from Allianz, is there
1)no co-insurance , GE has a 10% capped at 5000,
2)the Critical Illness payout is independent from the DB, in GE is it from the same pool as I understand.
3)They also cover for outpatient dialysis and cancer treatment meanwhile GE doesn't if i am not mistaken and
4)10 year more in coverage upto 90 years old , while GE is up to 80.
5) More panel hospitals compared to GE
6) No annual limit

The cons
1) No hospital daily cash allowance
2) No Smart Assist

I have been paying the GE policy for sometime, 5 years already , is there anything I should consider if i plan to switch to Allianz? Appreciate the help given.
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As some other suggest, you may seek for upgrade your current insurance as well and then compare the plan again with Allianz.

Whether there is a need to top up premium in future will really depends on the cash value available and whether it able to sustain.

Normally in 10-20 years time, it will be rare individual need to top-up their premium. Unless drastic economy or medical cost inflation in Malaysia which cause insurance company heavily increase the cost of insurance.
conqu3ror
post Oct 8 2015, 11:50 PM

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QUOTE(MUM @ Oct 8 2015, 11:08 PM)
just noticed this while surfing...
Admin executive paid yearly insurance premiums higher than annual pay
http://www.straitstimes.com/business/insur...er-than-her-pay

"Effect of Deduction" (EOD)  rclxub.gif
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As the article, she is paying for the Endowment plan.

This is purely due to irresponsible agent which misleading and mis-selling to the individual.

It is always important to read carefully the policy and the term and condition. If the individual do not understand the policy, he/she should get advise from third party or customer service. As to protect customers, any termination within 15 days of cooling period, insurance company will full refund the amount, so as recall back the agent commission.
conqu3ror
post Oct 19 2015, 04:39 PM

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QUOTE(Eng_Tat @ Oct 19 2015, 04:26 PM)
hi, i hv a question if we have multiple PA insurance - if death occur we are able to claim all?
i.e.
comp1 25k (buy from bank due to loan)
comp2 250k (company PA)
comp3 500k (personal)
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As for Personal Accident Insurance is only claimable when the cause of death is due to accident. Not any death by natural causes or illness.

Yes, we may claim all the PA policy.

ie. Total RM25k+250k+500k= RM775k

Only medical claim are on actual cost and is base on reimbursement basic. No double claim should be allow even from different company/policy.

http://www.insuranceinfo.com.my/choose_you...ngID=1#content4
conqu3ror
post Oct 23 2015, 01:42 PM

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QUOTE(tonytyk @ Oct 22 2015, 11:59 PM)
Since GE has lifetime limit and AIA has no such limit , and GE OCTKD is part of the annual limit, while AIA OCTKD is on top of the annual limit, I suppose AIA premium is higher, assuming the same insured amount for both insurance companies?
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Certainly, everything come with a cost.
Most importantly, get the best plan while we still healthy and strong, not regret when during claim and not enough Medical claim limit.

Allianz now with No Overall Lifetime limit and over RM1mil of annual limit plus cover for second medical opinion.
Most Importantly the Outpatient Cancer Treatment & Kidney Dialysis (OCTKD) are together with the annual limit not separated as AIA.
conqu3ror
post Oct 23 2015, 11:05 PM

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QUOTE(tonytyk @ Oct 23 2015, 04:13 PM)
Separated from the annual limit is better, right?
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If OCTKD are separate with no lifetime limit, then will be great.

But sorry to tell, AIA OCTKD will have lifetime limit. Mean if a person have finish the OCTKD lifetime limit, he have to bear all the remaining cost related to OCTKD.

With current Malaysia inflation rate, who know RM100k medical cost may become RM1mil after 20-30 years (I hope it never happen as well). And that time when we need them most and not enough. Worst if the medical plan are not guaranteed renewal, then he/she will really in deep trouble when company decide to terminate/revised them.

This post has been edited by conqu3ror: Oct 23 2015, 11:08 PM

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