Welcome Guest ( Log In | Register )

Bump Topic Topic Closed RSS Feed
4 Pages  1 2 3 > » Bottom

Outline · [ Standard ] · Linear+

 Insurance Talk V3, Anything and everything about insurance

views
     
TSroystevenung
post Dec 29 2015, 01:34 PM, updated 9y ago

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


Version 3.00: 29Dec2015

Earlier thread will be closed by admin since it exceeds 2,500 posts.

Kindly reply to this thread if you have doubts in insurance. Thanks!


This post has been edited by roystevenung: Dec 29 2015, 01:35 PM
TSroystevenung
post Dec 30 2015, 12:34 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(loui @ Dec 30 2015, 11:03 AM)
Bro roystevenung, I am a 31 years old non smoker male

was asking agent to quote me stand alone life insurance for 100K & 200K

they quote me from RM130 & RM260

but "u for life" online quoting as below

[attachmentid=5654345]

how come so much different
*
No agent commission and the administrative fees are reduced
TSroystevenung
post Jan 5 2016, 12:35 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(cherroy @ Jan 4 2016, 09:58 PM)
ILP "fixed premium" will be higher than standalone premium, eg.
if standalone medical premium is RM900, ILP could come out with RM1500 or even more.

As ILP needs some money to channel to investment part.

Yup, cost of medical coverage is lower than standalone one (as insurance company can make some money through investment portion, hence can provide cheaper cost of medical coverage).
There is no free lunch.

Pay grade A premium will get grade A coverage.
Nobody expected pay grade C premium to have grade A coverage, everyone know insurance company is not charity organisation.

The agent should be the one explain all what is ILP about, and not directing some one doesn't know well about insurance, by saying if one wants to have fixed premium for medical coverage, ILP is the one provide fixed premium for it.

This is not a right message to someone totally doesn't know about insurance. He/she may totally misunderstand it.

One day, if the investment portion performs so bad, and policy holder need to top up the discrepancy due to insufficient fund from the investment portion to compensate the cost of insurance, then how?
Blame the agent never said or can claim from agent?

Whatever posted, is just want to channel a correct understanding about ILP.

If something is unknown aka investment return of ILP portion is not guaranteed then just explain it to clients, what is about.

While if the ILP fixed premium is not guaranteed to be fixed forever, and it only can be fixed if the investment return hit the projection, then just tell so.

It is as simple as that.

Why drag so many issues until need to show portfolio etc, and seems like so scare that people knowing the fixed premium is not guaranteed to be fixed forever?
It only fixed if everything fall into the projection or better than the projection.

ILP is a simple bundled or combo product. It is not a magical tool. It has its own strength, but has its own drawback as well.
I know ILP has good commission, but it is still agent responsibility to do the explanation about its mechanism especially for newbie in insurance, instead of just a simple statement ILP has fixed premium, you don't worry about raising premium like in standalone policy.  doh.gif
*
ILP premium is not fixed. nod.gif

It is also being mentioned in the Sales Illustration that the insurer reserves the right to revise the fees and charges by giving a 90 days notice period.

The insurer will increase the fees and charges (which will directly affect the premium paying) if the claims gets out of hand and that is the only way to maintain that portfolio apart from increasing the pool by getting more sales.

This is on top of the insurance charges which will increase by as you grow older.
TSroystevenung
post Jan 16 2016, 10:20 AM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(sainod @ Jan 15 2016, 03:41 PM)
curious on Day Care procedures, will consultation also be claimable or only procedure?
*
Consultation alone (without the procedure) will be deemed as the Consultation is for an investigative purpose and the claim will not be payable.

However, if after the Consultation and there is a medically necessary procedure (which does not fall under any Exclusion), then the claim for the Consultation, medical tests (eg, blood test) and its procedures (eg, scope) is claimable.

QUOTE(doraemonkiller @ Jan 16 2016, 12:02 AM)
i bought GE insurance n monthly pay RM200. Got this today... What if I dont pay?
*
As clearly stated in the letter, if you don't pay the policy will lapse.

Question:
1. How long have you bought the plan?
2. Was there any missed payment along the years?
3. How old are you now?
TSroystevenung
post Jan 17 2016, 11:38 AM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(doraemonkiller @ Jan 16 2016, 10:32 PM)
I bought it last year Jan. I pay every month. Age 28 this year.
Anyone face this issue before?
*
Should not be the case for a 28 yo. Unless you are in your sixties, the insurance charge should not rise that drastically.
TSroystevenung
post Jan 30 2016, 03:18 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(calvinchua93 @ Jan 30 2016, 03:09 PM)
Does anyone here know abt the etiqa takaful harmoni plan? izit good to invest?
*
Short answer: NO

Long answer: Insurance is for protection, not for investment.

Even long answer:
» Click to show Spoiler - click again to hide... «


TSroystevenung
post Mar 1 2016, 12:18 AM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(mIssfROGY @ Feb 29 2016, 10:34 PM)
Problem is now the nominee is not mine....it was changed without my knowledge I jus got to know it during my insurance review. If nominee can b changed without me knowing i wan my monies back with interest! Grrrr .....gawd knows how long have i been paying to insure someone livelihood after i passes. And i dun have a trustee never have n was never asked to assign one...
*
In cases like this, it is best to go to the insurance office personally and file a formal complaint preferably to the branch manager or regional manager so that a detailed investigation may be carried out.

Correcting the nomination now is just like dusting the problem under the carpet and does not provide answers as to why this can occur.

Whenever the nomination is changed, there is always a supporting document that comes with it.

This is very serious matter as it may involve huge sum of monies being paid to a total stranger.

This post has been edited by roystevenung: Mar 1 2016, 12:21 AM
TSroystevenung
post Mar 1 2016, 10:36 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(starry @ Mar 1 2016, 09:29 PM)
I recently surrendered a GE policy and was required to get nominee's consent for application for full surrender. Nominee had to sign a consent form before I could surrender the policy. Why do I need to get the nominee's consent to surrender my policy?
Any insurance agents here can enlighten me on this matter?
*
To answer this question, first of all we need to look at what was the problem with the Insurance Act 1996 on the Trust and Nomination as compared to the Financial Services Act in 2013.

Prior to the FSA, the Policy Holder (PH) is able to assigned himself as a Trustee (a person who wholly owns and control the policy).

As long as the PH is of sound mind there isn't any issue with the policy. However, if the PH later becomes of unsound mind (eg, coma, stroke, Alzheimer), changes to the policy is impossible. Changes here refers to surrender, withdrawal of the cash values (if any), re-nomination, even payments of Critical Illness requires the PH to 'sign'.

This is the problem faced under the old act and that is why under FSA, the PH himself cannot be appointed as a trustee.

A Trustee can be a person or an organization such as Rockwills to manage the insurance policy (or even the insurance proceeds) in the event when the PH himself is not able to due to coma, stroke etc.

For example, if the person is in coma, how is he able to claim under the CI coma? Secondly, since payment of the CI lump sum claim will be paid to the PH bank account, no one is able to touch the money.

The purpose of the trustee is to file a claim towards the insurer, and upon receiving the CI money, pays in accordance to the wishes of the PH in the case of Rockwills is being appointed as the Trustee of the policy. This is also why the policy with CI & Life Cover is normally 'absolutely assigned' to Rockwills.

Rockwills will then execute (without fear or favor) the wish of the PH (example, pay to the spouse gradually etc) and of course when executing the trust of the PH, there is charges involved. No free lunch okay.

Policies that are without the trustee, an auto trust will be created. See page 158/168 Trust of Policy Moneys.

<< Financial & Services Act 2013 >>

Page 158/168 Trust of Policy Moneys
» Click to show Spoiler - click again to hide... «

TSroystevenung
post Mar 1 2016, 10:42 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


A little bit of correction above to avoid confusion.

The nominee does not control the policy but the Trustee does. If there is no Trustee being assigned at the point of nomination, the auto trust will kick in.

HTH

TSroystevenung
post Mar 2 2016, 09:49 AM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(cherroy @ Mar 2 2016, 09:40 AM)
It doesn't state that nominee consent needed if want to assign new nominee.

It just states that trustee consent needed.
*
"(5) A policy owner shall not deal with a policy to which subparagraph (1) applies by revoking a nomination or adding a
nominee other than his spouse, child or parent under the policy, by varying or surrendering the policy, or by assigning or pledging the policy as security, without the written consent of the trustee."

For policy that has not been assigned with a Trustee, the auto trust applies.
TSroystevenung
post Mar 3 2016, 11:45 AM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(memento81 @ Mar 3 2016, 11:26 AM)
any insurans for a big guy ah?
i try to get medical card untill now cannot get approval
*
Sorry but if the insurer had rejected the case due to BMI way out of range, your best bet is to reduce weight before attempting to get from another. Do not fall prey on gullible insurance agent that say you can get it by mis declaring the BMI.

Even after having the weight reduced, you will still need to declare that you had tried to procure medical insurance before and got rejected due to the BMI.

Therefore it is advisable to keep the rejection letter of which it needs to be submitted to the insurer later.

Failure to declare material facts that may impact how the policy is being underwritten may null and void the policy.
TSroystevenung
post Mar 3 2016, 11:50 AM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(starry @ Mar 2 2016, 07:36 PM)
In my case, I still needed my nominee's consent coz there's no trustee assigned. So nominee becomes auto-trustee, that's what I understood from roystevenung's post, "For policy that has not been assigned with a Trustee, the auto trust applies."
*
That is absolutely correct.

Ps. Thank god someone got what i mean! Try typing that post on an iPad!

TSroystevenung
post Mar 10 2016, 09:51 AM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(lls119 @ Mar 10 2016, 12:06 AM)
I dont have any accident
Mayb some sports injurury
Now knee got a bit pain
If not staying at hospital, then cant claim?
4k for physio
*
Accidental injury is easy to claim as there are no Waiting Period, unlike sickness, 120 days.

Go see the panel specialist and let him know you want to claim from your insurance.

If the procedure can be done as a day surgery, it is not necessary to get admitted in order to claim. The Doctor will then write the Request for Guarantee Letter to the insurer.

As a matter of fact the insurer may even question the Doctor if the Doctor admit you for minor injuries as it will costs more.

You may even request to do the physiotherapy elsewhere if it is not convenient for you.

Just ask the Doctor to write a referral letter if you need it to be done elsewhere.

TSroystevenung
post Apr 20 2016, 12:55 AM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(0812454 @ Apr 19 2016, 08:49 PM)
my father just passed away due to cancer (diagnosed stage 3c last year).

if i want to take insurance for CI & cancer, am i covered? or cancer is considered as congenital disease?

i am healthy (never do medical checkup).
*
My condolences on your father's sudden demise. No words can describe the feeling of losing someone to Cancer.

--

During the insurance application, you'll be needed to declare your immediate family history (living or deceased) for Underwriting to access the risk.

They will look at father, mother and your siblings before coverage can be granted.

Cancer is not considered as congenital illness, but rather a hereditary condition (conferred by or based on inheritance).

Congenital Illness is something that a person was born with. For example, hole in the heart at birth.

This post has been edited by roystevenung: Apr 20 2016, 01:02 AM
TSroystevenung
post Apr 25 2016, 02:00 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(flintbatu @ Apr 24 2016, 07:43 PM)
Hi everyone,

Need some clarifications on deductible. I'm having a medical card with a 50k annual limit. Would like to buy a second MC from AXA SmartOptimum plan with a 20k deductible as it offers a 50% discount on premium. Not sure about how it works? Based on the following scenario, per calendar year

Hospitalization 1 used RM10k
Hospitalisation 2 used RM15k

Can I claim for the 5k which is above the deductible (if I don't choose to utilize my first Medical Card). Secondly any subsequent hospitalization, can I claim from the AXA?

For the outpatient kidney dialysis or cancer treatment, does it also subject to the 20k deductible too.

Thank you in advance all sifus.
*
No, the Rm5k is not claimable even though you have 10 cards as the deductible amount has not been reached.

Secondly most deductible has this statement "per the same disability per specific period.eg 90days".

Unless your above scenario is of the same disability, then its not claimable.

For outpatient cancer, ipf the deductible is applied, then yes you need to pay for the first Rm20k

TSroystevenung
post May 3 2016, 11:12 AM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(Vincentccw @ May 2 2016, 09:04 PM)
Just some random questions that pop up from my head, I'm currently having a medical insurance with AIA and I would like to ask:

1. If I was diagnosis with mild dengue that would not need me to be hospitalized but still required me to pay for my med, can I claim using my medical card?

2. If I accidentally fell and break my wrist and still no hospitalization required but required to put a plaster on. Will my insurance be able to pay for it?

3. This happens to one of my colleague, her wrist was diagnosis with crack and experience pain regularly and slowly becoming more serious due to long hour of sitting in front of computer and using the mouse which puts a lot of stress on her wrist. There are few remedies, one is through surgery and another is acupuncture. Her doctor recommended her acupuncture but the full treatment was more than 10k. She tried approaching her insurance company but they refuse her claim. So I was wondering does apply to AIA as well?
*
1. Not claimable unless there is an admission. Prior to the admission the resulting blood test results must show evidence that there is high fever. Otherwise the request for admission would be rejected.

2. You may get treated under the day surgery and it is claimable.

3. Acupuncture is not claimable as it falls under alternative treatment. Otherwise we may see claims for bomoh, sinsei and whatnot.

One of the terms and condition for the medical card is that it must be a certified Doctor and after the treatment, the patient gets well, if not better.
TSroystevenung
post Jun 23 2016, 01:06 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(Vingoh @ Jun 23 2016, 01:02 PM)
I have prudential basic term assurance policy ( medical card) which premium rm1200 payable annually, can i change to paid the premium monthly?
*
Yes, just fill up the change of payment frequency to monthly instead of annually. The mininum monthly premium is Rm100/mth.

You can contact your servicing agent for the form.
TSroystevenung
post Jun 30 2016, 01:22 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(smartinvestor01 @ Jun 30 2016, 07:27 AM)
My friend has a Pru Lady card.. She went to clinic and discover gallstones. One of the gallstones are big and require operation to remove. But doctor mentioned that its not urgent to remove.

So, if she go to private hospital, can she claim for the operation?
*
No, it is not claimable under PruLady as it is an added cover against female illnesses.

PruLady is not a medical card. She needs to use her medical card in order to claim for gallstones removal.

<< PruLady Cover Details >>

Does she has a medical card?

If yes, then feel free to pass my contact to her if she needs help to on claiming from her medical card.

QUOTE(lifebalance @ Jun 30 2016, 09:19 AM)
She needs to get the doctor to get her admitted and insist to remove on the stone
*
It is a wrong advise.

TSroystevenung
post Jul 21 2016, 06:50 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(Vingoh @ Jul 21 2016, 03:44 PM)
Hi, my brother has a prudential investment link insurance (medical card,life insurance , pa and some other rider), bought 10 years ago, recently he want to upgrade his medical card, but the agent told him not easier to upgrade due to the policy bought 10 years ago and he pursuit my brother buy new policy instead of upgrade. He give my brother 2 option
1, increase premium monthly rm150 to rm290 first, but all rider stay same with same amount, after that he try to upgrade my brother medical card but the problem is if prudential not approve to upgrade his medical card, my brother need to pay rm290 instead of rm150 every month, but all his rider stay same, is sound like not worth, pay rm290 every month but nothing increase or upgrade if new medical card not approved.
2, surrender old policy, bought new one. Not worth also,right? if everyone upgrade policy not approved, that mean we need to surrender old policy every 10 year and bought new policy every 10years, how about our cash value, we only can get back not much cash value if always surrender every 10 years. Please give some advise, thanks
*
Upgrading means an added risk to the insurer and it will require a full medical underwriting unless his policy is being offered with Guaranteed Issuance Offer (GIO) or Simple Issuance Offer (SIO).

GIO is normally granted to policy that has not claimed before while SIO, minimal claims and requires some medical underwriting.

Ask the servicing agent whether your brother's policy is offered for SIO or GIO.

If the policy is not selected for the GIO or SIO, then 3rd option is performing a manual upgrade which will require full medical underwriting.

At times it is advisable to get another policy if there are slight issue with our health. For example benign cysts which wasnt a problem in the old policy. If he is worried on the higher premium, he can get another plan with a higher deductible plan.

If we were to upgrade on the existing policy, the benign cysts will be an Exclusion, which will result in future cysts claims being rejected.

Do note that SIO or GIO has only 30 days Waiting Period, whereas getting a new policy up to 120 days Waiting Period for Specified Illness.

So the decision on whether to do an upgrade or an add on will be very much dependent on his health status.

Ps. In Prudential, there is a strict rule of trying to do a Replacement of Policy to protect the client. If the agent were to cancel your old plan and get another within 1 year, the new policy will not be paid with any commission.
TSroystevenung
post Jul 23 2016, 01:33 PM

Look at all my stars!!
*******
Senior Member
2,173 posts

Joined: Jan 2012
From: Butterworth, Penang


QUOTE(littlerainbow2016 @ Jul 23 2016, 12:24 AM)
Noted on that. Since I do not actually need the medical card now, what if I just get a medical card with the minimum limits, etc. Then subsequently in the future I upgrade it depending on my capability at that time. Would that be a better way?

When I upgrade in the future, will I be reassessed all over again I.e. the premiums charged will be equivalent to another person (with exactly the same age, health condition, occupational hazard, etc) who is buying a similar medical policy for the first time.

Is there any chance that I may not be able to renew in the future?
*
Another option to save on the medical insurance premium is to have a high deductible plan that co-exists with your company's medical plan.

The (high) deductible option is nothing new in the insurance industry and it has been used by International Insurer to lower the insurance premium especially at older age.

For example getting a medical plan with RM50K deductible (there are options of RM20K, RM50K, RM75k and RM100K) whereby the second medical card is only claimable after the RM50K has been claimed by your company / other personal medical card.

However just a word of caution, do take note that if you were to retire OR no longer has the company medical card (due to retrenchment/health issue, unable to work), you will need to pay the deductible amount yourself.

The option to upgrade (or in this case changing the deductible option to non-deductible) is an added risk to the insurer, therefore a medical underwriting may be necessary. Hence if we are seriously ill, upgrading may not be possible.

4 Pages  1 2 3 > » Top
Topic ClosedOptions
 

Change to:
| Lo-Fi Version
0.0837sec    0.33    7 queries    GZIP Disabled
Time is now: 3rd December 2025 - 07:23 AM