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 INSURANCE TALK, ok let start

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mfitri77
post Dec 27 2009, 03:44 PM

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QUOTE(lin00b @ Dec 23 2009, 03:46 PM)
claim by insurance agent in support of ILP (looking for opinions or rebuttal)

1. the plan is ILP by name only - only small portion (<10% is put into funds)
2. the plan is all in one (3D + PA + some income replacement) for convinience
3. the medical card included is guaranteed renewal with no premium increase (ever)
4. cost comparison between this plan vs tradtional plan + traditional medic + traditional PA is only ~20-30/month
5. for this extra 20-30/month you are getting some income replacement/surgical/outpatient payment and a guarantee renewal no premium increase medic card which traditional medic dont offer.
6. fund from investment is planned to be used to cover premium incase you get laid off or when retired (so no need pay still can continue plan)
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1. When it is an ILP, you have options to set a certain amount just for investment, eg Total Payment = Premium + Fund Investment. Some of the premium will go to investment, percentage depends on the cover and attached riders. Fund Investment 100% goes to investment. It depends on the company also.

2. Convenient yes, only pay one policy at one time to one company, instead of tracking 3 policy covering three different things from three different company with three different rules. Honestly, do you have the time? Bayar bil api/air pun sometimes you forget.

3. Yes. Normally. This is a feature you only get from medical riders attached to an ILP or Term, again from certain companies only, whereas standalone premiums will increase when you have to renew every year.

4. Yes. And insurers love ILP because they also make money from investing your money. brows.gif

5. Again, yes. Read the fine print of most standalones, where they reserve the right to change the premium. They like jargons here, so they don't say that you pay more when you are sick, they say you pay more if you have a non-standard life. whistling.gif

6. Yes. They send you the investment report every year, so please read it.



mfitri77
post Dec 27 2009, 04:08 PM

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QUOTE(poolcarpet @ Dec 25 2009, 09:17 AM)
with insurance, hindsight is always 20/20. if something happens, one would look back and say "i should have gotten that policy......" so think carefully what need then go get it. but if you have evaluated and decided not to get it, don't go thinking "i should have gotten that policy.....".

insurance is about protecting current wealth and if you have dependents, their livelihood in the future in case you are not around anymore. i personally DO NOT believe in any returns from insurance. i think if one reads up more about investing, one can easily get similar or even more returns without needing to be locked down with a certain policy. personally for me, insurance should be 100% protection only, and make sure it's something you NEED and not WANT. it's very tempting to make a coverage of RM2million for example, but evaluate how much you need. i've read that coverage of your next 10 years annual salary is a good start, but again, i'm not an expert in these matters.

just something to bring out to discuss.

Merry Christmas and Happy New Year!
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The rule of thumb is always 10% of your salary should go to getting some form of insurance protection. Get the most cover you can with that 10% first. Here, the most important cover should be death, disability and critical illness. 10 years annual salary is a good start, however premium for that much cover is likely going to be quite high for most middle income salary worker. Sometimes after looking at prospect financials, the best we could offer is enough cover so your dependants can have time to adjust not having you around.

After you got cover for that, now time for yourself. You don't want to be a burden to your family should you need medical help, or you need long term treatment, so try and get medical cover.

Then you think about returns. Most people may say that insurance should not talk about getting returns, but we have to delve into the psyche of the society to see how they think. Reason why so many in Malaysia do not have insurance cover is because they see it as MONEY BURN only. ILP comes in and say, no, now you have investment and there will be money coming your way when policy matures. Which is why it is quite popular.

Lastly, for the masses out there that could only spend RM150 a month for insurance/savings/rainy day fund/ASB/ASM/Unit trust? I am not talking about majority of us here who could afford, and have the time to track 3 different unit trust investment, playing the stock market and feel only a tinge of regret if u lose 1k playing forex, I am talking about those people making RM1500 a month on salary that could only spare RM150 for their financial security? Tell them to get standalone medical cards with premiums increasing every year, in a disporportunate amount to your salary increase, (Level 17 govt staff btw, only have less than Rm50 increase every year)? Tell them to invest in ASB (And drawing it all out when paying hospital bills, leaving him without any savings? Or even worse, sipping into EPF to again pay the bills. That assumes he or she has the fortitude to keep it there in the first place) Tell them to invest it all in unit trust? This is what we are seeing on the ground today, people living paycheck to paycheck. One knock somewhere, and their lives are ruined!

So when you shop for insurance, don't be penny wise, and pound foolish. Don't save without cover, otherwise your savings will have to cover.


Added on December 27, 2009, 4:09 pm
QUOTE(weikian @ Dec 27 2009, 03:55 PM)
well lin00b, basically agents earn more on traditional products than ILP
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I don't think so.... Unless the industry changed and they forgot to tell us about it.



This post has been edited by mfitri77: Dec 27 2009, 04:09 PM
mfitri77
post Dec 28 2009, 10:27 AM

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QUOTE(HHalphaomega @ Dec 27 2009, 11:37 PM)
Hi Babychai,

I wouldn't say so unless you're considering that 90% cost saved as a form of savings.

Co-insurance usually relates to medical insurance products such as medical card etc.

When you say savings, it usually would mean amount saved using other insurance products such as term life, whole life plan, endowment plan, investment linked plan etc.

Cheers,

HH
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Ever wonder why you have to pay filing fees when you want to sue someone in court? Well, that's because we don't want people filing defamation suits just because you traded insults with your neighbour.

Same with co-insurance. The reason insurers make you pay the 10% (other than BNM rules) is because we want you to be warded beacuse you are really sick, and not because you want leave, watch world cup (legendary story this one) etc etc.

When you have to pay, takut skit wo..


Added on December 28, 2009, 10:28 am
QUOTE(poolcarpet @ Dec 28 2009, 09:51 AM)
you mean join them as agent or buy insurance from them? why the Xs ? is the full word censored here? sorry, just wondering
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If join as agent, good.

If get a policy, also good.

If joining as agent, PM me, we talk-talk, keh...

This post has been edited by mfitri77: Dec 28 2009, 10:28 AM
mfitri77
post Jan 5 2010, 02:57 PM

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QUOTE(weikian @ Jan 4 2010, 01:23 AM)
btw, 500k is already not a low coverage. If it happen that the person only encounter 3 accidents and after that he is fully recovered ( without any fractured or broken body parts), then the company might consider accept him. However, normally people will not use up so much in accident without serious permanent injury.

On the other hand, if it happens that the person used up the limits not because of accidents but illness such as leukemia, kidney dialysis, or cancer treatment, etc. Those illnesses need continuous treatments and when he used up all the limits, do you think any companies will sell him and then they need to prepare to settle the bills more than the patient ever pay? (lets say RM 500 a year, 50 years cost bout 25000, just a claim might cost away 30k).

Let say for the same situation you given above, company has right to not accept you, you have no legal binding that company has to accept you. It may just happen that no companies wanted to accept you. I have a lot of customers unable to buy medical cards because of that. Not that you need to buy the highest, but normally people always have the mindset that ' i just want the cheapest and lowest protection only'. More than 300k would be fine.
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And if all else fails, sue the one liable for the accident in the first place. Your insurer reserve that right too, I believe.

mfitri77
post Aug 6 2010, 09:00 AM

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What a real insurance agent will do is sit down, and talk to you about yourself.

Your background, medical history, family medical history, your financials, what you expect, what you want.

And we then tell you what is feasible, what is not, what you can expect, what you cannot have. In this instance, you will have experienced agents that would tell you no, I can't sell you any policy, not because I don't want to, but because I don't think my insurer would cover you. That is the actual type of agent you need to consult.






mfitri77
post Aug 7 2010, 08:59 AM

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Well, don't be too surprise if you don't get the discount. The mandatory rebate in question only deals with Motor Insurance.

On the grapevine also, thanks to the direct rebate, the insurance companies are now becoming more creative also to try and keep their agency base. Their solution is simple - Offices would not sell third party, only agencies. Offices will not renew cars more than 16 years old, only through agencies.


mfitri77
post Dec 3 2010, 10:17 PM

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QUOTE(simonhtz @ Nov 18 2010, 03:47 PM)
After long waiting and delayed lame excuses from my imbecile agent, I manage to find out status of my mom's claim. I manage to get insider info from my brother-in-law's agent (from GE, he know the guys working in AIA claim dept.) to probe and get the answer from claim department.

The claim is REJECTED.

THANK F*CK YOU VERY MUCH, AIA. AFTER LETTING ME WAIT FOR 6 MONTHS.

From what the claim department said, they reject the claim because of the Raised GGT levels found in the blood test that was done in 2006. From what I research, raised GGT is not a definite indicator of hepatitis, but an indicator of liver damage (they are a couple of reasons that cause this).

I will chase for an official reply from AIA AND I'm going to go for appeal. If there was a problem with my mother's blood test 4 years ago, the doc could have probe further that time.

My guest is correct when they are working on speculative facts to reject my mother's claim. This AIA is the MOST F*CKED UP insurance company that I've come across...SAME GOES FOR THIS AGENT 'FRIEND' OF MINE.
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It's the same for every other insurance and takaful. Explanation below.

QUOTE(rockets @ Nov 18 2010, 04:20 PM)
that is pretty messed up, is it legal for them to reject your claim like that since even they already knew about the Raised GGT but proceeded with the coverage with no exclusions in the underwriting?
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Likely ran into this exclusion in the policy. May not be word for word accurate, but same policy practices by everybody. Lifted this from my daughter's policy contract. (Old Policy from my former company).

Pre-Existing Condition

Will not pay for any benefit directly or indirectly from a pre-existing condition if such condition was not disclosed in the proposal form.

Disabilities that the Person Covered has reasonable knowledge of. A Person Covered may be considered to have reasonable knowledge of a pre-existing condition where the condition is one for which :-

a) The Person Covered had received or is receiving treatment.
b) medical advice, diagnosis, care or treatment has been recommended.
c) clear and distinct symptoms are or were evident; or
d) its existance would have been apparent to a reasonable person in the circumstance.

Most likely rejected due to B. Was the Raised GGT levels declared when you sign up the policy? Because that's the only way the insurance company would order an investigation on this during medical check-ups. Most probably the claims guy took one look and the raised GGT and connected it to the Hep C (Since both center on the liver).


QUOTE(simonhtz @ Nov 19 2010, 09:48 AM)
Like I mentioned before, raised GGT is not a correct indicator for hepatitis, but an indicator for liver damage. Raised GGT can be cause by a lot things. They are rejecting it merely base on a hunch that my mother had hepatitis. This is really ridiculous. IF they found out that my mother indeed had hepatitis base on a hepatitis diagnosis years ago...fair enough, but this is...*my blood pressure is spiking*

Another thing that pisses me royally is that...why it took them 6 months to do investigation??

I'm going for an appeal. If the appeal fail, I'm going for a third party appeal. My agent is no where to be seen and heard. My AIA agent useless. AIA USELESS.
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Because they were doing a very thorough check on the background. Asking clinics near house, or any other hospitals nearby your house.


QUOTE(MNet @ Nov 20 2010, 12:07 AM)
u GE agent?

wat u mean by "lency up to RM50" ?

Policy is RM150 can stay up to RM200 room?

100% will not kene 20% co insurance?

Or its under DISCRETION of insurance company?

Its very grey.

Scary.
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If it's not written, get one that's written. Don't just blindly trust what your agent is saying. Including me, since I am one too. blush.gif


QUOTE(Pseudonym @ Nov 30 2010, 05:05 PM)
I think already surrender, and the payment has been made by main branch. The main problem is no one is doing the following up work and it's my fault to have trusted the agent completely.  sad.gif  Do you think it'll work if i write a letter to the main branch, stating the agent in charge and hope that they will take action on her?
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Did you cancel through your agent? Cheques are normally posted direct to your address, unless you specify that you are getting it from your agent. Sometimes, the insurance company also didn't inform the agent that the client cancelled the policy, hence some agents having no idea that you expect a cheque to be sent by them.


mfitri77
post Oct 19 2012, 09:59 PM

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This thread is still around, I see...

1. Whatever insurance company you buy it from, your interest are watched over by BNM. Takeover or whatever does not mean that your insurance policy dies or terminated or whatever. Whoever takes over has to honor whatever contract that has been signed.

Don't get scared by agents claiming that company will go bankrupt etc etc and that you have to go with a certain insurance company because track record etc etc. It only takes one bad decision to tank a company.

2. Upgrades to ILP certainly is possible even desirable to the insurance company, but no one could predict how much increase in premium you need to pay for that privilege.

3. As always, get the best plan you could afford right now. When the time comes, if you want to asses your cover, then you certainly can asses your cover, if you want to increase or decrease.

4. Is there a difference between insurance companies? Not much. Most of the language talked about in Pru policies are almost the same as Maa policy and the same as Allianz policy. Since everyone is being controlled by BNM anyway.

5. You want quote from Allianz? PM me, and I'll give you one. Coming soon, we'll have room & board from RM500 going up for medical cards. Useful for those pesky Prince Court visits.

6. Lastly, and it bears stressing - Go and get Cover that You Can Afford Right Now.

I do service KL, Selangor, Melaka and NS area.



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