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 Insurance Talk V5!, Anything and everything about Insurance

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crusher
post Jun 29 2019, 11:12 AM

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Guys,

Lets say if I have an AIA card aplushealth, if for the second year I am diagnose with sickness A, upon third year renewal, can AIA exclude the sickness A that happen during the policy period?

Somehow the amendment by insurance company may be funny if they only cover ONE time then exclude the next year.
crusher
post Jun 29 2019, 10:07 PM

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QUOTE(MUM @ Jun 29 2019, 01:57 PM)
not an insurance knowledge guy responding here...

while waiting for this interesting question,
I googled and notice that, this "AIA card aplus health" is a medical insurance plan not a critical illness (CI) insurance plan.

COMPREHENSIVE MEDICAL PROTECTION
https://www.aia.com.my/content/dam/my/en/do...0(Compiled).pdf
https://www.aia.com.my/en/our-products/medi...lus-health.html

the difference .....
Medical Insurance Vs Critical Illness Insurance
https://www.aia.com.my/en/what-matters/fina...-insurance.html

thus, on this,....
"Lets say if I have an AIA card aplushealth, if for the second year I am diagnose with sickness A, upon third year renewal, can AIA exclude the sickness A that happen during the policy period?"

i think, it will still covers without any exemption, being not in the coverage scope of Aplus Health plan.....for that critical illness thing will be covered by CI insurance plan (if any purchased).

caveat emptor while waiting for the real sifus to corrects.....
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Yes same goes if diagnose with sickness A on year 2, would it be imposing LOADING on coming years?

crusher
post Jun 30 2019, 10:12 AM

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QUOTE(MUM @ Jun 30 2019, 12:42 AM)
from one of the link provided earlier....
(see attached image)
depending on the type of CI insurance you had ....
since they will pay out lump sum upon diagnose of one of the illness under coverage,

the policy i think will deem to be fulfilled/closed.

thus any new application will be subjected to their review ......
normal, loading, exclusion or not accepted.....

btw, if diagnose of an illness on 2 yr....i think they will look for sign of early symptom from the clinics/hospital around your house/workplace.....

if found, they may review the application to see if you did make any declaration or not......if no declaration during application...then  sweat.gif  sweat.gif
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I think CI and Medical Card is a different thing. CI is always pay a lump sum if you diagnose with it. Medical card can be include with loading and exclusion if there is no unilateral amendment clause.

crusher
post Jul 6 2019, 06:37 PM

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Found it*

Edited

This post has been edited by crusher: Jul 6 2019, 08:54 PM
crusher
post Jul 6 2019, 08:53 PM

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QUOTE(crusher @ Jun 29 2019, 11:12 AM)
Guys,

Lets say if I have an AIA card aplushealth, if for the second year I am diagnose with sickness A, upon third year renewal, can AIA exclude the sickness A that happen during the policy period?

Somehow the amendment by insurance company may be funny if they only cover ONE time then exclude the next year.
*
Just found out there is ALTERATION Clause in the policy, does it mean that company has the right to amend by giving 30 days notice?

user posted image
crusher
post Jul 8 2019, 02:45 PM

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QUOTE(ckdenion @ Jul 8 2019, 01:09 PM)
Alter the benefits and term of the plan, yes. If i recalled correctly, someone here (or other medical card related thread) posted the notification letter from the insurance company that the medical coverage term is extended and slight increase of annual limit/lifetime limit, thus increase of premium too.
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The clause mentioned terms and provision but did not say it will not impose any loading or exclusion. I've called up the HQ to clarify on this, I was informed that should any amendment given to us (Insured), there is always counter offer for us to accept or reject the new term. Of course, if we reject meaning the contract will be terminate. In short, they are forcing insured to suck it up if they wish to amend anything.

Anyhow, I've asked them to communicate with me via email. Any of your customers got the 'letter of notification' to impose new loading or exclusion on renewal for ILP?
crusher
post Jul 8 2019, 03:36 PM

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QUOTE(yklooi @ Jul 8 2019, 02:54 PM)
I got new loading and exclusion on my NEW policies upon buying new one....
1 company excluded it, the other put in loading for it.....

none, put in loading or amend exclusion on my existing policies with them...
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Yes, if you were purchase new policy without take-over endorsement. You definitely will have loading OR exclusion OR rarely both.

QUOTE(lifebalance @ Jul 8 2019, 03:11 PM)
So far never encounter such matter. You're buying from a general insurance company?
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Nope, its AIA wording. I am quite firmiliar with GI products but not Life products. Esp on ILP.
crusher
post Jul 9 2019, 11:40 AM

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QUOTE(ckdenion @ Jul 8 2019, 10:58 PM)
it wont impose loading/exclusion on your existing plan just because you made a claim after that. unless that policy is lapsed and you want to reinstate back then is subject to underwriting again just like when you bought a new policy with pre-existing condition.
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Thanks. So based on what had shared, the alteration only applicable on if to reinstate / change of benefit?

QUOTE(yklooi @ Jul 8 2019, 11:05 PM)
notworthy.gif kind to elaborate more on this?
hmm.gif wondering why my agents from 2 companies did not know about that....

was only told that I could write to have the exclusion/loading waived after some yrs.....
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Not sure about life's policy. GI standalone medical card can be take over from any other insurer's medical card product without reunderwriting. How it works basically during submission of the new application, you need to fill up another form under take over together with existing policy

This post has been edited by crusher: Jul 9 2019, 11:41 AM
crusher
post Jul 15 2019, 08:31 PM

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Guys, understand that ILP has fund to pay up the charges and fees in a policy, what if the fund make total lost and do we need to top up $ to sustain the insurance?
crusher
post Jul 15 2019, 09:02 PM

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QUOTE(Holocene @ Jul 15 2019, 08:33 PM)
Yes. You are right.

Best,
Jiansheng
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So based on bnm recent announcement, i think now insured will get to know if their fund sufficient or not.

https://www.nst.com.my/news/nation/2019/07/...nsurance-policy
crusher
post Jul 15 2019, 09:42 PM

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QUOTE(yklooi @ Jul 15 2019, 09:17 PM)
last time I was enticed to buy an insurance policy that "promised" that I can stop paying premium after 10 yrs, for the money inside will self generate money to pay for the premium.....

after 10 yrs, I asked the company...they said the money inside is not able to sustain the premium payment, thus I need to continue to pay.....extra 20 yrs later I am still paying....

I guess, it is high time BNM have some control over this sustainability of premium payment products...
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Hence, buying standalone medical better than ILP? Just wondering.
crusher
post Jul 15 2019, 11:23 PM

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QUOTE(Holocene @ Jul 15 2019, 09:45 PM)
You are correct. You will be notified during your anniversary date on the sustainability of your ILP. Whether you choose to contribute more to your ILP or invest on your own is up to you personally I go for the later option.
Unfortunately, that's just purely sales talk. Nobody can guarantee the fund performance and also the COI, both affects the fund value the most (assuming you've not made any withdrawal during the entire period).

Best,
Jiansheng
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Later option as in invest in other which not related to ILP?

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