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 Insurance Talk V4!, Anything and everything about Insurance

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ssh2222
post Jul 5 2017, 10:42 AM

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QUOTE(Lego Warfare @ Jul 4 2017, 04:52 PM)
Anyone familiar with Great Eastern Investment Link - Smart Protect Essential 2 which includes:
1) Smart Medic Xtra SMX150 which gives a 90k Annual Limit, No lifetime limit

plus

2) Smart Extender which gives RM900k Annual Limit, No lifetime limit.

According to the agent, the Smart Extender has a 90k deductible which actually uses from the Smart Medic Xtra annual limit. Meaning you actually get RM990k Annual Limit with No Life Time Limit.

Room rate is only RM150, but the premium per month is only around RM270 which is really cheap for a RM990k annual limit with no life time limit.
Includes premium waiver and early CI payout.

My current policy with AIA is catered more to investment side but only gives RM120k annual limit with no life time limit, no premium waiver and no early CI. Premium per month is also around RM270.
*
As you've been informed, there is a 90k deductible on the Smart Extender , which is handled by the SMX 90k annual limit.

What you've been quoted effectively has 990k annual limit, with lifetime no limit.

The basic summary of the SMX and SE can be seen below.

Hope this helps.

Cheers.

user posted image
Sunny zombie
post Jul 5 2017, 11:05 PM

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Medical Card with annual limit but no lifetime limit... like a highway with no speed limit but your car is limited to certain horsepower... is there any terms and condition mentioned that the insurance company can never terminate the policy or increase premium once a substantial claim has been made, I.e annual renewal... I understand guarantee renewal but is this guarantee extended to policy that have made out claim?
lifebalance
post Jul 5 2017, 11:09 PM

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QUOTE(Sunny zombie @ Jul 5 2017, 11:05 PM)
Medical Card with annual limit but no lifetime limit... like a highway with no speed limit but your car is limited to certain horsepower... is there any terms and condition mentioned that the insurance company can never terminate the policy or increase premium once a substantial claim has been made, I.e annual renewal... I understand guarantee renewal but is this guarantee extended to policy that have made out claim?
*
There is no longer such thing as guarantee renewal anymore, that clause had been taken out.

As for increase of premium, the insurance company has the right to increase it as they see fit based on the overall claim experience and claim history. Inflation also plays a part.
Sunny zombie
post Jul 5 2017, 11:17 PM

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QUOTE(lifebalance @ Jul 5 2017, 11:09 PM)
There is no longer such thing as guarantee renewal anymore, that clause had been taken out.

As for increase of premium, the insurance company has the right to increase it as they see fit based on the overall claim experience and claim history. Inflation also plays a part.
*
So, I have 1 mil annual limit, assume my inpatient cost a lot ... and coming year may still have need to use the annual 1 mil (no fully) ... so the companies has the right to terminate? Is my understanding correct?
lifebalance
post Jul 5 2017, 11:27 PM

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QUOTE(Sunny zombie @ Jul 5 2017, 11:17 PM)
So, I have 1 mil annual limit, assume my inpatient cost a lot ... and coming year may still have need to use the annual 1 mil (no fully) ... so the companies has the right to terminate? Is my understanding correct?
*
That will be incorrect on the terminate part, Its time you go back to your policy book to read it line by line. Because this doesn't happen within AIA policy. I can't say for the rest.

The only time your policy claim is no longer honored is in the event you lapse the policy or did not provide full disclosure of your health when taking up the policy.
Sunny zombie
post Jul 5 2017, 11:58 PM

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QUOTE(lifebalance @ Jul 5 2017, 11:27 PM)
That will be incorrect on the terminate part, Its time you go back to your policy book to read it line by line. Because this doesn't happen within AIA policy. I can't say for the rest.

The only time your policy claim is no longer honored is in the event you lapse the policy or did not provide full disclosure of your health when taking up the policy.
*
I left out one sentence, the inpatient cost a lot, the insurance has approve my claim, but will still need a lot in future...

From company point of view, do they reserve the right to not renew the policy looking at this is a loss-making policy.

For consumer point of view, what assurance we have, provided did not breach the two condition you mention?

Holocene
post Jul 6 2017, 07:06 AM

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QUOTE(Sunny zombie @ Jul 5 2017, 11:58 PM)
I left out one sentence, the inpatient cost a lot, the insurance has approve my claim, but will still need a lot in future...

From company point of view, do they reserve the right to not renew the policy looking at this is a loss-making policy. 

For consumer point of view, what assurance we have, provided did not breach the two condition you mention?
*
If you have an ILP medical card and make payment to your premium on time without having a lapse occur the Insurance company cannot "reserve the right not to renew the policy". Also assuming this particular illness is not a pre-existing illness that was undeclared and no exclusion was given upon application.

If for some reason your policy is lapsed and needs to be reinstated then there is a chance that the insurance company might then exclude certain coverage hence it's always important to make payment of your premium.

Additional information for others, if you are looking to purchase a medical card from a general insurance company, always be on the look out for a withdrawal clause.

Best,
Jiansheng
clickNsnap
post Jul 6 2017, 07:24 AM

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QUOTE(Holocene @ Jul 6 2017, 08:06 AM)
If you have an ILP medical card and make payment to your premium on time without having a lapse occur the Insurance company cannot "reserve the right not to renew the policy". Also assuming this particular illness is not a pre-existing illness that was undeclared and no exclusion was given upon application.

If for some reason your policy is lapsed and needs to be reinstated then there is a chance that the insurance company might then exclude certain coverage hence it's always important to make payment of your premium.

Additional information for others, if you are looking to purchase a medical card from a general insurance company, always be on the look out for a withdrawal clause.

Best,
Jiansheng
*

Insurance company cannot "reserve the right not to renew the policy".
....This apply to ILP medical card, does this apply to non-ILP, standalone medical card from life insurance companies, such as Prudential, GE and AIA?

Will the life insurance company gives priority to ILP medical card than standalone medical card customers, if both medical card plan is the same product?

This post has been edited by clickNsnap: Jul 6 2017, 07:47 AM
Holocene
post Jul 6 2017, 07:38 AM

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QUOTE(clickNsnap @ Jul 6 2017, 07:24 AM)

Insurance company cannot "reserve the right not to renew the policy".


This apply to ILP medical card, does this apply to non-ILP, standalone medical card from life insurance companies, such as Prudential, GE and AIA?

Will the life insurance company gives priority to ILP medical card than standalone medical card customers, if both medical card plan is the same product?
*
It's more about how the mechanics for ILP is designed. As you guys know, ILP tend to have cash value which is ensures that if premium is not paid, the COI is still covered if the cash value is sufficient. If for some reason the ILP lapses there is chance during reinstatement that exclusion will be included.

You will have to check with the respective insurance company on their standalone medical card terms and conditions.

Best,
Jiansheng
clickNsnap
post Jul 6 2017, 07:45 AM

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QUOTE(Holocene @ Jul 6 2017, 08:38 AM)
It's more about how the mechanics for ILP is designed. As you guys know, ILP tend to have cash value which is ensures that if premium is not paid, the COI is still covered if the cash value is sufficient. If for some reason the ILP lapses there is chance during reinstatement that exclusion will be included.

You will have to check with the respective insurance company on their standalone medical card terms and conditions.

Best,
Jiansheng
*
Assuming no lapses for the standalone policy...

Insurance company cannot "reserve the right not to renew the policy". ....This apply to ILP medical card, does this apply to non-ILP, standalone medical card from life insurance companies, such as Prudential, GE and AIA?

Just would like to find out same application for standalone policy.

Btw, will the insurance company add loading to the premium in the next due date, once we made claim with the medical card?

This post has been edited by clickNsnap: Jul 6 2017, 07:46 AM
lifebalance
post Jul 6 2017, 08:41 AM

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QUOTE(Sunny zombie @ Jul 5 2017, 11:58 PM)
I left out one sentence, the inpatient cost a lot, the insurance has approve my claim, but will still need a lot in future...

From company point of view, do they reserve the right to not renew the policy looking at this is a loss-making policy. 

For consumer point of view, what assurance we have, provided did not breach the two condition you mention?
*
The life insurance company will continue to insure you as long as your policy does not lapse based on the first day you sign up as an insured, it doesn't matter what happen in the future whether you're no longer insurable or not, that's called an insurance in the first place.

Which is why it's always important to apply for insurance when you're still healthy.

Whereas for general insurance company, some of them will have withdrawal clauses and guarantee renewal keywords. So make sure you double check on it before signing up with them.

QUOTE(clickNsnap @ Jul 6 2017, 07:24 AM)

Insurance company cannot "reserve the right not to renew the policy".
....This apply to ILP medical card, does this apply to non-ILP, standalone medical card from life insurance companies, such as Prudential, GE and AIA?

Will the life insurance company gives priority to ILP medical card than standalone medical card customers, if both medical card plan is the same product?
*
As I know for AIA, whether it's ILP or non-ILP, there is no such thing as withdrawing clauses whatsoever. Both are treated the same.

QUOTE(clickNsnap @ Jul 6 2017, 07:45 AM)
Assuming no lapses for the standalone policy...

Insurance company cannot "reserve the right not to renew the policy". ....This apply to ILP medical card, does this apply to non-ILP, standalone medical card from life insurance companies, such as Prudential, GE and AIA?

Just would like to find out same application for standalone policy.

Btw, will the insurance company add loading to the premium in the next due date, once we made claim with the medical card?
*
No, premium will not get loading, as I mentioned however, insurance company have the right to notify you if there is an increase in premium in the near future.
Holocene
post Jul 6 2017, 08:48 AM

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QUOTE(clickNsnap @ Jul 6 2017, 07:45 AM)
Assuming no lapses for the standalone policy...

Insurance company cannot "reserve the right not to renew the policy". ....This apply to ILP medical card, does this apply to non-ILP, standalone medical card from life insurance companies, such as Prudential, GE and AIA?

Just would like to find out same application for standalone policy.

Btw, will the insurance company add loading to the premium in the next due date, once we made claim with the medical card?
*
Let's get the respective agents from those companies to comment as Allianz Life does not provide any standalone

Whereas to if loading is added subsequently, NO. Hence there is always a judgement call to be made whether to get a high limit medical card now or later on.

Best,
Jiansheng
Ewa Wa
post Jul 6 2017, 11:35 AM

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QUOTE(Lego Warfare @ Jul 4 2017, 04:52 PM)
Anyone familiar with Great Eastern Investment Link - Smart Protect Essential 2 which includes:
1) Smart Medic Xtra SMX150 which gives a 90k Annual Limit, No lifetime limit

plus

2) Smart Extender which gives RM900k Annual Limit, No lifetime limit.

According to the agent, the Smart Extender has a 90k deductible which actually uses from the Smart Medic Xtra annual limit. Meaning you actually get RM990k Annual Limit with No Life Time Limit.

Room rate is only RM150, but the premium per month is only around RM270 which is really cheap for a RM990k annual limit with no life time limit.
Includes premium waiver and early CI payout.

My current policy with AIA is catered more to investment side but only gives RM120k annual limit with no life time limit, no premium waiver and no early CI. Premium per month is also around RM270.
*
1) Smart Medic Xtra SMX150 which gives a 90k Annual Limit, No lifetime limit
CONFIRMED NO LIFETIME limit!

Same as outpatient follow annual and lifetime LIMIT! thumbup.gif
Sunny zombie
post Jul 6 2017, 08:57 PM

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QUOTE(Holocene @ Jul 6 2017, 07:06 AM)
If you have an ILP medical card and make payment to your premium on time without having a lapse occur the Insurance company cannot "reserve the right not to renew the policy". Also assuming this particular illness is not a pre-existing illness that was undeclared and no exclusion was given upon application.

If for some reason your policy is lapsed and needs to be reinstated then there is a chance that the insurance company might then exclude certain coverage hence it's always important to make payment of your premium.

Additional information for others, if you are looking to purchase a medical card from a general insurance company, always be on the look out for a withdrawal clause.

Best,
Jiansheng
*
General insurance have withdrawal clause, ILP will be safe? assume i pay on time, on pre existing, never lapsed. Any written clause?
clickNsnap
post Jul 6 2017, 09:18 PM

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QUOTE(lifebalance @ Jul 6 2017, 09:41 AM)
The life insurance company will continue to insure you as long as your policy does not lapse based on the first day you sign up as an insured, it doesn't matter what happen in the future whether you're no longer insurable or not, that's called an insurance in the first place.

Which is why it's always important to apply for insurance when you're still healthy.

Whereas for general insurance company, some of them will have withdrawal clauses and guarantee renewal keywords. So make sure you double check on it before signing up with them.
As I know for AIA, whether it's ILP or non-ILP, there is no such thing as withdrawing clauses whatsoever. Both are treated the same.
No, premium will not get loading, as I mentioned however, insurance company have the right to notify you if there is an increase in premium in the near future.
*
Thanks for the info.

Btw, The life insurance company will continue to insure you as long as your policy does not lapse based on the first day you sign up as an insured, it doesn't matter what happen in the future whether you're no longer insurable or not, that's called an insurance in the first place. does this means guarantee renewable?

QUOTE(Holocene @ Jul 6 2017, 09:48 AM)
Let's get the respective agents from those companies to comment as Allianz Life does not provide any standalone

Whereas to if loading is added subsequently, NO. Hence there is always a judgement call to be made whether to get a high limit medical card now or later on.

Best,
Jiansheng
*
Thank you.

No loading, after claimed due to critical illness, just the premium increase accordingly over time (same premium as other with same age group without any claims), right?


lifebalance
post Jul 6 2017, 10:24 PM

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QUOTE(Sunny zombie @ Jul 6 2017, 08:57 PM)
General insurance have withdrawal clause, ILP will be safe? assume i pay on time, on pre existing, never lapsed. Any written clause?
*
Again, please refer back to your policy book because I do not know what policy you bought or how long you bought it ago or which company it belongs to.

No one can advise you accurately on this. It's best to get ur agent to advise you.

QUOTE(clickNsnap @ Jul 6 2017, 09:18 PM)
Thanks for the info.

Btw, The life insurance company will continue to insure you as long as your policy does not lapse based on the first day you sign up as an insured, it doesn't matter what happen in the future whether you're no longer insurable or not, that's called an insurance in the first place. does this means guarantee renewable?
Thank you.

No loading, after claimed due to critical illness, just the premium increase accordingly over time (same premium as other with same age group without any claims), right?
*
I won't use the word "Guarantee Renewable", not sure there is any word to describe it. The context I've given explained it.

QUOTE
No loading, after claimed due to critical illness, just the premium increase accordingly over time (same premium as other with same age group without any claims), right?


Correct.
Icona Pop
post Jul 6 2017, 11:40 PM

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Anyone heard before Insurance 101/ Insurance Wrapper?
ganaesan
post Jul 7 2017, 03:16 AM

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QUOTE(Icona Pop @ Jul 6 2017, 11:40 PM)
Anyone heard before Insurance 101/ Insurance Wrapper?
*
Nope

This post has been edited by ganaesan: Jul 7 2017, 03:16 AM
kok_pun
post Jul 7 2017, 12:05 PM

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QUOTE(lifebalance @ Jul 4 2017, 04:56 PM)
There is a lifetime limit, which is RM900,000. You may refer to their brochure.

You can always upgrade the AIA current policy to RM1.1 mil with A-Med Booster.
*
abang, get your fact right please...

otherwise you might sound really unprofessional here
kok_pun
post Jul 7 2017, 12:35 PM

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QUOTE(Sunny zombie @ Jul 5 2017, 11:58 PM)
I left out one sentence, the inpatient cost a lot, the insurance has approve my claim, but will still need a lot in future...

From company point of view, do they reserve the right to not renew the policy looking at this is a loss-making policy. 

For consumer point of view, what assurance we have, provided did not breach the two condition you mention?
*
every year there will be 990000 available, tak pakai then burn, the next year renew again. there will be some small 10% increment to annual limit every 3 years if no claim made within that 3 years.

"guarantee renewable" is not put in the policy clause, but they do not have the rights to reject you

Ini boleh refer BNM guidelines - Financial Services Act

financial services acthttp://www.bnm.gov.my/documents/act/en_fsa.pdf

go to pg 164, "non contestability for life insurance contract" :-

QUOTE
Non-contestability
Non-contestability for life
insurance contracts
13. (1) This paragraph shall apply to contracts of life insurance,
whether or not consumer insurance contracts.
(2) Where a contract of life insurance has been in effect for a
period of more than two years during the lifetime of the insured,
such a contract shall not be avoided by a licensed life insurer on the
ground that a statement made or omitted to be made in the proposal
for insurance or in a report of a doctor, referee, or any other person,
or in a document leading to the issue of the life policy, was
inaccurate or false or misleading unless the insurer shows that the
statement was on a material matter or suppressed a material fact and
that it was fraudulently made or omitted to be made by the policy
owner or the insured.
(3) For the purposes of subparagraph (2), “material matter” or
“material fact” means a matter or fact which, if known by the
licensed life insurer, would have led to its refusal to issue a life
policy to the policy owner or would have led it to impose terms less
favourable to the policy owner than those imposed in the life policy.
EVEN if you do not disclose your health and financial statement fully and the policy is inforce for 2 years, the insurance company have no GROUNDS to reject your claim unless they can provide PROOF that you intentionally/unintentionally deceives the insurance company into entering a contract

So what to worry on renewability IF you pay your premium ON TIME?

"Trust ONLY the professionals!!!"

QUOTE(clickNsnap @ Jul 6 2017, 07:24 AM)

Insurance company cannot "reserve the right not to renew the policy".
....This apply to ILP medical card, does this apply to non-ILP, standalone medical card from life insurance companies, such as Prudential, GE and AIA?

Will the life insurance company gives priority to ILP medical card than standalone medical card customers, if both medical card plan is the same product?
*
non ILP medical card will lapse if it is a standalone medical card.

Some medical cards are bundled into a main plan (traditional plan), therefore you need to check the availability of surrender value. If the surrender value is sufficient to cover your cost of insurance, then it might go on for a few years.

That is the rational most insurance company design the best medical card to be included into ILP policies, to avoid the policies getting lapsed. In another word, as u said, give priority to ILP medical cards

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