Welcome Guest ( Log In | Register )

Bump Topic Topic Closed RSS Feed

Outline · [ Standard ] · Linear+

 Insurance Talk V4!, Anything and everything about Insurance

views
     
kok_pun
post Jul 7 2017, 12:05 PM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
» Click to show Spoiler - click again to hide... «


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

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
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
kok_pun
post Jul 7 2017, 03:37 PM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
QUOTE(lifebalance @ Jul 7 2017, 02:53 PM)
Good, and your company should come up with a new brochure rather than displaying the old one. No one especially the public will know about this if it's hidden somewhere in the website and expect people to navigate into that particular option to find it.
*
That is why I said "unprofessional". Other people is using smart medic xTra plus smart extender and you are using smart medic xTra plus smart medic enhancer as comparison.

So get your facts right before u start barking
kok_pun
post Jul 7 2017, 04:15 PM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
Wild_card_my. Please add this into your collection as well.

But I am glad that you admit your mistakes. Try to be professional when you state things that you know, like the products your company offers but not things that you have little knowledge of
kok_pun
post Jul 7 2017, 06:02 PM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
QUOTE(roystevenung @ Jul 7 2017, 05:29 PM)
The Rule of thumb is to only comment products that you carry which you are selling as we do not know the latest offerings by other companies.

Just a misunderstanding, so chill
*
I love this dude. Wise
kok_pun
post Aug 2 2017, 06:32 PM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
QUOTE(flintbatu @ Aug 1 2017, 11:58 AM)
Hi sifus,

Would appreciate kind advise on my situation

Male, 48 years old, non smoker, class 1 occupation

Current plan:
Prudential medical card participating
Board RM150
Annual limit: 50k
Lifetime limit: 1 mil
Deductible: RM300

Life: 50k
CI: 40k (early crisis defender) , 40k (late stage)

Current premium: RM290

I was offered to upgrade to no lifetime limit, annual limit of 1 mil and others remains the same with additional payment of RM110 (up to 80 years old) and another option to 70 years old at RM80.

My question is that any difference between 70 and 80 years limit besides the cost? Any input would be appreciated.

Thank you in advance.
*
It's a steal. Go for it.
kok_pun
post Jun 21 2018, 02:53 PM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
QUOTE(flintbatu @ Jun 17 2018, 06:51 PM)
Keith,

Thank you for the advise. I know my situation is not at all great. Whatever not disclose by my agent is academic now. I am looking at other option beside continuing with my existing policy and my kid too. Can I get another insurance policy?

I am in a dilemma as I believe my option is limited with my advancing age. I am going to lose out much if I surrender my policies now. Any other advise?

Thank you in advance
*
This is a good case study. But based on Financial Act 2013 write up, on grounds that material facts was not presented at the time of inception, be it intentionally omitted, or unintentional, should not be contested after the duration of 2 years aka "non-contestability period" (see attachment, cited from pg 164 of Financial Services Act 2013 FSA2013) UNLESS insurer has proof that it was a material matter that should affect the insurer's decision in accepting the insurance proposal.

In layman term, if you already have the knowledge that you have certain medical conditions that might hinder the acceptance of your proposal by the insurance company; and; should you not disclose such information and the policy is in inforcement for a full 2 years or more, the insurance company must pay the claim proceedings (aka non contestability period, this period is shorten to 1 year for Great Eastern, and is called indisputability period). However, if such omission forms a part of material matter and that the insurance company is able to provide such evidence that could affect the decision in the acceptance of the life to be assured in the first place (for this instance, more than 8 years back), the insurance company reserves the right to reject any claims and terminate such policy.

For unrelated conditions, it is matter to debate. For instance, you have had hearing loss and you did not disclose such material fact, but you suffered a TPD caused by a road accident yesterday, there are grounds for you to debate should you wanted to claim for TPD. but the common protocol from the insurance company is your policy would be terminated due to non disclosure. You may appeal your case after that.

Given your scenario, you suffered from the same illness that you (or you agent) omitted to disclose in your proposal 8 years back, in my professional opinion, it is a little hard to fight with the insurance company. But as pointed out by GunMetalX, there is no harm in trying to appeal on the case on the grounds that your agent failed to disclose such material fact. Please get your evidence ready such as your conversations with your agent, communication emails etc. When you receive your policy, it is your duty to check the contents in the policy to make sure it is the same as per what you have declared and take necessary actions such as freelook or amendments should the disclosure is not align with what you declared to your agent.

Good Luck


Attached thumbnail(s)
Attached Image
kok_pun
post Jul 10 2018, 08:34 PM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
Replacement of policy and claw back of agent commission - true. For agent commission purpose, the rationale is clear.

But looking into a broader sense, especially as far as policy holder benefit is concerned, there is a clause in each policy that is either called “indisputability period” or “incontestability period” — depending on which insurance company you purchased the policy from.

This clause states that for a duration of 2 years, omission of health or financial declaration, either intentionally or unintentionally, the insurance company holds no right to reject your claim unless they are able to present material facts that may affect the insurability of the proposal in the first place.

So, with that in mind, I believe it is wise for you to keep the old policy for a period of 2 years (1 year for some companies) prior to cancelling it.

The explanation above is from the technical aspect. From the ethical aspect wise, I don’t think any agent should ask you to cancel your old policy unless it is an obsolete medical plan.
kok_pun
post Jul 10 2018, 08:47 PM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
Medical plans go by natural risk and natural premium. There is no fixed pricing to the medical charges therefore there is something called “medical repricing” and your insurance go up as the general medical cost go up.

There is nothing wrong to upgrade your plan should you feel that the new plan provides better medical than the old one. The only things to take into consideration is the waiting period, the cooling period and the indisputability period and your current state of health.

Last time people purchase medical plans from multiple insurance companies because the medical limit of only one medical might not provides sufficient cover on the medical needs. But right now almost all insurance company have 1 million coverage, there is no wrong to opt for 1 medical coverthat can do a job of multiple medical plans. Just my 2 cents.

Please bear in mind, you can claim from one insurance company on MEDICAL bills. YOU CAN claim from another insurance company on the residual medical expenses provided that the
medical bill is not cover in full in the first medical card
kok_pun
post Jul 16 2018, 10:54 PM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
QUOTE(wcpon @ Jul 11 2018, 10:54 PM)
Hi Guys, I got a questions here about medical card,

In GE,
There is annual limit and no lifetime limit
What does no lifetime limit means? Is it refresh annual limit every yrs?

In Pru,
There is card limit and after card limit will become unlimited.
The unlimited will be 80/20, 20% patient need to pay, 80% Pru will pay for patient.

How do we compare this two company Medical card benefit?
Actually, I got my Pru medical card, but now I have seen GE is giving a better coverage compare to Pru, want to know you guys opinion, should I move forward to GE?
*
Since no GE agent is answering your question, I will try my level best to give you a satisfactory answer.

Yes. You get to refresh rm990000 coverage each year.

The insurance charges are quite competitive nowadays. If you compare GE with Prudential, Prudential cost is lower if co-insurance is applied (do bear in mind that GE also has a co insurance medical plan). You shoulder part of the medical fee (rm300) while Prudential covers the rest.

If you look at coverage GE provide annual coverage from rm990000 to rm1760000. So naturally the cost of insurance will be higher.

After all, it depends on your budget or your need for medical coverage. The algorithm for insurance charges are quite fair for both the companies. Should you need a large coverage go for GE, should you need a competitive annual premium and lower coverage, go for pru
kok_pun
post Jul 22 2018, 10:31 PM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
QUOTE(simonhtz @ Jul 20 2018, 03:33 PM)
Folks,

For Great Eastern, is it even possible to obtain a PDF copy of our policies?

I mailed customer service, they gave me the usual “confidentiality” cowpoop and requested me to sign some statutory form, declaring that the policy is lost and pay some cash to reproduce a copy of the policy.

Didn’t lost my policies, I still have the physical copies. I’m just looking to archive my policies in PDF format - in my private Dropbox.
*
You are in trouble. You need to do one more additional step. Go to the commissioner for oath and take an oath that u lost your policy. That would cost u rm5
kok_pun
post Oct 1 2018, 11:13 PM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
Kids do not need life coverage.

To the parents the lose of a child wouldn’t cause them to suffer financially albeit some funeral expenses (which would be a one-time cost)

But kids need 36 critical illnesses coverage. Should one of the critical illnesses befall on the kid, one of the parents need to leave their position to take care of the kid full time. Hence, it is important to buy this after medical insurance.
kok_pun
post Oct 10 2018, 11:39 AM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
QUOTE(alexkos @ Oct 10 2018, 09:07 AM)
Requesting

Disability insurance (lumpsum payout, or monthly payout)

Long term care insurance (nursing, in case of disability)

Identity theft insurance (if any)

Currently I have
Standalone term medical card

I don't want
Investment linked,
Life insurance,
Personal accident
36ci rider

Pls quote going 30, male, education

Tq
*
Disability insurance (lumpsum payout, or monthly payout)

- is bundled with life insurance (share limit)

Long term care insurance (nursing, in case of disability)

- is a rider that rides on a life insurance

" I don't want
Investment linked,
Life insurance,
"

how are the professionals going to help you? just my 2 cents

This post has been edited by kok_pun: Oct 10 2018, 11:40 AM
kok_pun
post Oct 11 2018, 11:12 AM

Mortgage Expert
*****
Senior Member
854 posts

Joined: Oct 2009
QUOTE(lifebalance @ Oct 11 2018, 10:31 AM)
All I can see is 2 non professional agent talking bad about each other for the business.

Would suggest you search for another 3rd party agent.

As for whether it's good or bad insurance is hard to dictate other than understanding your background and your priorities
*
how is insurance agent B non professional?

as you mentioned, it is "hard to dictate other than understanding his background and his priorities"

how much have you fact find on scarfe to come up with your conclusion?

i don't see 2 non professional agents here. I see only 1. And I believe he is neither A or B as mentioned by scarfe.

Topic ClosedOptions
 

Change to:
| Lo-Fi Version
0.1690sec    0.69    7 queries    GZIP Disabled
Time is now: 1st December 2025 - 11:11 AM