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 Insurance Talk V3, Anything and everything about insurance

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zest168
post Apr 8 2016, 03:49 PM

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QUOTE(Ayrehn @ Apr 8 2016, 02:12 PM)

Plus, talking about clauses.
AIA and GE has got the Withdrawal Portfolio Condition clause.
Anytime they FEEL right to stop their coverage, they can. 30days notice.
This clause is scary as hell.

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If I am not mistaken a Portfolio Withdrawal is a right of all the insurance companies to withdraw a product in event of adverse claims experience. All they need to do is to seek approval from BNM and justify why they want to withdraw the whole portfolio. Once approved, then that product will no longer be available for new business or renewals. So far, I have not seen one over the past 25 years, but never know what the future looks like. Hence, everybody should not worry about this Clause because it applies to all insurers.

What you need to worry is whether you have sufficient Life and Health insurance coverage in event of unforeseen circumstances.
zest168
post Apr 8 2016, 04:03 PM

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QUOTE(lifebalance @ Apr 8 2016, 03:57 PM)
You might be surprised that certain agent will use this to confuse their client for their own insurance sales advantage as most consumer are not knowledgeable about insurance product.
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Yes you are right. Companies like AIA and GE maybe more transparent in the sense that they put the clause upfront to avoid complaints later. While other insurers do not put it upfront thinking it might not happen. But these kind of things can never tell because we are talking about contracts that last until age, 85 or 100 years old! Ask some of the actuaries to see if this is true.
zest168
post Apr 8 2016, 05:17 PM

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QUOTE(Ayrehn @ Apr 8 2016, 04:11 PM)
Sorry but I dont think it applies to all insurers leh.
I've never seen this in my pru policy but I've seen my friend's policies, there is this withdrawal portfolio condition.
Reasons like nondisclosure then understandable but it says something like AIA reserves the right to cancel your portfolio if it decides to discontinue

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Well like I said, this Clause is a universal clause, ie., no need to put inside the policy contract because it is talking about the whole product portfolio. As long as gotten BNM approval, whole portfolio can be withdrawn. So it is up to insurance company practices whether they want to be transparent or not. Not there does not mean cannot execute it. This is part of financial risk management.


zest168
post Apr 8 2016, 05:21 PM

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QUOTE(leonard73 @ Apr 8 2016, 05:12 PM)
Particularly I am kind of concern of this clause, and I found not many insurance company without this clause.

I found out only Pacific insurance, Lon-Pac insurance and Prudential insurance without this clause.

Another clause I found out only Pacific and Lon-Pac have guaranteed renewable.
Last one is " insurance company does not have the right to amend or alter the policy benefits of policy holder........

That clause only I found out in Pacific, Lon-Pac and Prudential.

Although some mentioned it did not happens for the past 25 years but I still feel it is better to protect myself first then pointless arguing when it happened.

Example of mine.
[attachmentid=6340048]
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thumbup.gif thumbup.gif thumbup.gif Great! Keep this letter together with the policy, because one day this letter may become your protector.
zest168
post Apr 11 2016, 02:56 PM

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So many criteria to decide insurance plans:

1. Product Feature & Coverage
2. Premium rate
3. Claims Service
4. Agent's Professionalism
5. Insurance Company Financial Strength
zest168
post Apr 11 2016, 03:35 PM

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QUOTE(ExpZero @ Apr 11 2016, 03:27 PM)

Most of the plan are very similar, you can't get the best out of all. Just get one that among the best 3 choices. Example:
Let's say.
Company A
1. Product Feature & Coverage, number 1
2. Premium rate, number 3
3. Claims Service, number 2
4. Agent's Professionalism, number 1
5. Insurance Company Financial Strength, number 3

Better than

1. Product Feature & Coverage, number 1
2. Premium rate, number 1
3. Claims Service, number 1
4. Agent's Professionalism, number 6
5. Insurance Company Financial Strength, number 1
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Haha.....I like the example above on Agent's professionalism.....for me, as a consumer of any financial products, the consumer got to learn up and know what they are buying. We can only manage what we know, it is difficult to manage how Agent will service us either now or in future.

Claims service is also very important because if the company do not have strong and experience claims assessors, your claim will be investigated when it can be paid right away resulting in much delay and bad service.
zest168
post Apr 15 2016, 03:39 PM

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QUOTE(supersound @ Apr 15 2016, 01:37 PM)
I know you trying your very best to insult me since you have many backups here, but if you dare to cover the lost from the chart you used to cheat or mislead like the chart is saying making 10%, if in actual it is only doing merely 0.5-1%, can you cover that lost?
Up to today I've not seen any agent that lurking here looking for victim have the guts to answer this question.
And like you said it is an investment, sure will have up and down, but why not use the down trend when selling?
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Investment returns Projections are nothing but stay as projections. And such projections are based on the past historical data also are nothing but merely assumptions that if the future follows the past then the projections would like ...da..da...da....The fact is the future may not always follows the patterns in the past.

Hence, as an investors, we need to know how to assess for ourselves whether to invest or not. It is not fair to call it cheat unless somebody guaranteed black and white of a particular return. Having said that, our experience also will tell use that when something is too good to be true, it probably is.

Of course if somebody manipulated the historical data to make it look more convincing, then that is FRAUD!

This post has been edited by zest168: Apr 15 2016, 03:42 PM
zest168
post Apr 15 2016, 05:15 PM

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QUOTE(supersound @ Apr 15 2016, 04:32 PM)
Yup, but when an agent for the sake of cheating, they will use good numbers, till today I've yet to see an honest agent will use low numbers as projection rclxs0.gif
My ILP policy never do any number better than my savings account, but the "projection" chart he showed was 13%.
When a person can't manages his own money, the money will say good bye to him. That's why now why we can see fund managers are having luxurious lifestyle while people dumping money have to keep on work hard to hand over their wealth to others doh.gif
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As consumers, we need to protect our own interests as well. Nobody in the world can guarantee us abnormally high returns, we all know it when it sounded so "fishy". When the agent gives a 13% projection, we got know for ourselves if that is right.

If we cannot take risk, then keep the money in FD and buy a traditional policy instead of an investment linked policy.
zest168
post Apr 21 2016, 03:05 PM

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QUOTE(aromachong @ Apr 16 2016, 09:18 PM)
not excluded as my agent told me.. when i started to buy it.. the agent say must wait for 1 yr cooling period for commit suicide.. lol.. my agent..  bangwall.gif (hope experience agent can clarify this part)

he is the son of the branch manager.. i bet he won't dare to cheat me

explain everything from A to Z.. like 6 hrs ... free me umbrella and many gifts like pen calendar etc..
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For Life Insurance coverage, suicide after 1 year is covered.

For Accidental Insurance cover, suicide is forever NOT covered.

So kindly be clear on this.
zest168
post Apr 21 2016, 03:28 PM

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QUOTE(cocopuffs @ Apr 17 2016, 08:22 PM)
Appreciate if any one can help with these questions:

1) Does a person needs medical and PA insurance if the company he/she works for provides both?

2) If a person has 36 CI insurance but passed away due to natural death, what will the insurance company pay the person?

3) What happens to an insurance payout if both the insurance owner and beneficiary pass away same time and no wills?
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1) Personally I would buy a medical insurance plan myself while I am still healthy. Even though the company covers medical insurance, but you may leave the company one day, or until age 55 when you retire the medical cover is gone and that time your health condition could have changed to the worst, nobody knows what the future holds for our health.

2) If the 36 CI plan covers death benefit, then yes there will be claim, so 36 CI plan does not provide death cover, then there is no claim payable upon death on the CI plan itself.

3) Under the Presumptive Death principle, when the insured/ owner and nominee passed away simultaneously, it would presume that the older person will pass away first. However, in any circumstances, the insurance company can proceed to ask for the Grant of Letters of Administration (LA) (by Owner's estate or Nominee's Estate?) before they decide who to pay. So please ask the insurance company whose estate LA they need, it is tricky isn't it?
zest168
post Apr 26 2016, 04:58 PM

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QUOTE(supersound @ Apr 26 2016, 02:18 PM)
Well, before my case happened, I do believe private hospital gives better service, but when things gets dirty, nope, GH still the only way I have to go.
I still remember when I lost my first son, the O&G doctor in private hospital do have very advance equipment, 4D ultrasonic scan, wow we was very happy to see the photos. But that doctor never do basic important checks and this lead to complications and 1 life are gone. Medical card? We have, but the ambulance fee we cannot claim and I have to settle it before my wife can be sent to GH.
As for what you pay is not what you get, it is we are paying premium, but at the end,certain claims we cannot claim, as it falls under their general term on the exclusion.
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I am sorry to hear of your loss. However, I could see that you are getting very much educated on life and medical insurance. That's good as consumer we need to know what we are buying and do our homework.

Recently on one of the morning I heard an interview over BFM, try to search their potcast if you want to listen. They are saying that many senior and experience doctors and surgeons are moving to private practice for obvious reasons. No doubt GH may be good, but it will be long queue and some illness cannot wait.

So really get yourself and your loved ones protected.
zest168
post Apr 28 2016, 04:59 PM

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QUOTE(kokkit3 @ Apr 28 2016, 10:41 AM)
Dear,

I totally understand. I want to point out that no annual limit, then there is a life time limit is misleading! No annual limit means unlimited annually! But there is a life time limit! Meaning annually its limited to the maximum of a lifetime limit! Which in this case its 1.5mil, 1.5 mil it self is a limit, how can there not be limit?
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It is better to have a plan without an annual limit but with a lifetime limit. Of course if there is a plan with NO LIMITS at all would be the best, but the premiums may be sky high then.

Without annual limit cap, you have the flexibility of making claims as long as cumulative of all claims still remains below the Lifetime Limit.

Those with Annual Limit cap, means if the claim for that year is more than the Annual Limit, then claim payment will stop at the Annual Limit.
zest168
post Apr 29 2016, 02:55 PM

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QUOTE(JIUHWEI @ Apr 28 2016, 07:19 PM)
How about a plan with a RM1.5mil ANNUAL LIMIT,
with NO LIFETIME LIMIT,
and comparable premiums?
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Yes with a RM1.5mil Annual Limit without a lifetime limit with comparable premiums is definitely better than the other way round.

Under this situation, ensure that Annual Limit is really high enough for the next 30 years or so to cover medical inflation.


zest168
post May 3 2016, 11:54 AM

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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?
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Some medical insurance provides for emergency accidental treatment as out patient upto 30 days from the accident. Provided that treatment was sought within 24 hours of occurrence due to swollen of the wrist, bleeding, etc.
zest168
post Dec 13 2016, 03:44 PM

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QUOTE(Mark Renton @ Dec 9 2016, 04:09 PM)
Hi Sifus,

Need some explanation on this:
R&B 250 + 70,000 MME
So R&B is 250 per day if I understand this correctly? And what is MME stands for?
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I think MME = Major Medical Expenses; so you need to refer to the Policy Contract to read the definition of what constitute a Major Medical treatment i.e., heart bypass surgery, stroke, etc.
zest168
post Dec 13 2016, 03:53 PM

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QUOTE(bananapie2017 @ Dec 6 2016, 01:33 PM)
Hi all, any AIA expert here to give advice to me ! Currently I have an old AIA ILP which almost 9 years now, previously I took out the medical card raider and purchase another ILP from another insurance company due to it cannot be upgrade and now is just purely critical illness. Should I terminate the policy now ?
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A policy being in force for 9 years is very valuable and much appreciated by insurance company. if there is a claim, usually it will be paid very quickly. Hence, I would not suggest to terminate it. Keep it.

Any additional coverage that is required, just buy a new policy.

If you terminate the 9 years old policy and buy a totally new polic; touch wood if there is a claim coming in shortly, insurance company will usually investigate the claim which may takes time and some times you never knew that over the past nine years there is some minor ailments which the insurance company may take it rather seriously for example an innocent and small lump, an increase in cholesterol level in one of the check ups, etc. in which the layman usually took no notice but to the insurance company some of these may be material to them.
zest168
post Dec 13 2016, 04:23 PM

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QUOTE(lilsunflower @ Dec 13 2016, 04:09 PM)
Thanks for quick reply.

Yepp. I understand the reasons for me getting personal medical card and comprehensive insurance coverage for myself, but for kids.. my thinking is like this:

1. My husband and I are likely to be employed for next 20-30 years, both in industries that have comprehensive health insurance for dependents. So while the kids are dependents, they're unlikely to claim anything against our personal insurance.

2. Even if we both are laid off or resign, unlikely to be at the same time. And upon retirement, kids will be 20-30 years old.

3. Under the above circumstances, why pay for kids' insurance now? And 200-300 per month, isn't that expensive? How does standalone medical card for kids work?

4. Does it make more sense NOT to buy insurance while the are kids... And just buy when they are 18+? By then, medical coats will have changed too, and they will be under new insurance plans, rather than stuck with old ancient plans that we have to pay for 18 years (and hopefully never claim from)?

Sorry if my questions are stupid. I just don't understand the rationale for kids insurance, but many people seem to think I makes sense.
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Dependents coverage covered by employers are usually with a limit. You need to assess that limit and then think what kind of medical treatment such limit would cover your children. As we know staying in a private hospital in Malaysia nowadays is not cheap, if include some kind of surgery, it will be easily over RM10,000 per admission with surgery. Growing up kids may have much much lesser chance of diabetes, hypertension, high cholesterol, heart attack or cancer, unless there is family history linked to it; congenital conditions such as hole in a heart is naturally excluded under the contract. However, they may be more prone towards accidental injuries, dengue fever, malaria, etc which requires medical attention too. A medical card helps to give parents peace of mind in terms of financial strains should their children fall sick. Unless you are OK if the children go for government hospitals for such treatments. Otherwise, get them one decent plan to protect them during their growing up years. Later on, when they come out to work themselves, they buy their own insurance protection.

This post has been edited by zest168: Dec 13 2016, 04:25 PM

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