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 Insurance Talk V6!, Everything about Insurance

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lifebalance
post Jan 14 2021, 11:08 PM

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QUOTE(rocketm @ Jan 14 2021, 04:13 PM)
May I know medical and critical illness insurance bought before covid-19 time (before 2019), which one will compensate if the policyholder positive to covid-19?
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It'll be covered as long as you're not gotten the covid 19.

Benefit wise depends on which company you're with
lifebalance
post Jan 14 2021, 11:25 PM

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QUOTE(rocketm @ Jan 14 2021, 11:14 PM)
My concern is when gotten covid-19  biggrin.gif
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Medical benefit, critical illness and death caused by covid 19 is payable.

However do check with your insurer if it's extended to your policy benefit.
lifebalance
post Jan 15 2021, 09:47 AM

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QUOTE(anhydrous @ Jan 15 2021, 07:32 AM)
Dear experts,

what kind would be my Life insurance, TPD and PA coverage if i am willing to pay about 2500 - 3000 MYR per annum?

40yo, non-smoker, no pre-existing
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About RM500,000 each
lifebalance
post Jan 15 2021, 03:47 PM

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Here is some community service announcement in regards to MXM since someone promote kao kao recently in here (or from time-to-time, last fella that came in here with it was 3 years ago).

For the benefit of any new comers or future readers:

Sos:
1. http://aididmuaddib.blogspot.com/2011/03/m...im-piramid.html
2. http://www.investlah.com/forum/index.php?topic=45830.0
3. https://forum.lowyat.net/topic/1146592/all

I would like to begin with some of the sources above so I'm not quoting out of no where.

The background of MXM is an MLM company which the members tries to get you to join them as a member to buy their insurance.

Do take note that the "members" may not have the license issued under LIAM / PIAM but are distributing the insurance plans via direct marketing.

Therefore as a potential consumer who is looking for insurance, take it with a pinch of salt that you may not get a professional advise from their members, they may not be liable as well for any mis-selling since they're not licensed under LIAM/PIAM as a member.

You may instead, go directly with the insurance company that they're partnering with instead of joining their MLM scheme in order to benefit on the medical plan (if you decided that their plans meet your requirements).

I do welcome any further info if the info above is inaccurate, do kindly provide sources / newspaper cutting / online article to substantiate your points.
lifebalance
post Jan 16 2021, 03:53 PM

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QUOTE(jacky1678 @ Jan 16 2021, 03:31 PM)
no really bro, it does under Piam License otherwise  wont have other insurance agency cari makan  jump over to join this business models.
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user posted image

The above is the list of members under PIAM, MXM is not enlisted.

user posted image

As mentioned, MXM operates under the MDDA.

I understand that you are trying to relate that they are partnering with the insurance company. However, are the members licensed under PIAM and being regulated under the Code of Ethic?

user posted image
Sos: http://www.mdda.org.my/faq.php

As per the definition and explanation on the difference between direct selling & direct marketing from MDDA.

user posted image

What's the history about MDDA ? the above picture says it all, MLM.

As for whether the members are regulated by PIAM, it's best for MXM to furnish any evidence / letter showing their members are regulated by PIAM & requires any new/existing members to sit through the PIAM exam to be licensed before they are allowed to distribute the insurance plan. This will be good to provide confidence to the general public.

The thing is that, anyone who wishes to advise and to sell on insurance in Malaysia are required to license under LIAM/PIAM and undergo CPD training before they can officially engage and solicit for business with regards to insurance. I don't see how someone just pays a membership fee, get some brochure, and start selling a Financial products. If yes, I do wonder why ppl still need to get themselves licensed and be regulated by BNM if ppl can just join an MLM to start selling. sweat.gif



This post has been edited by lifebalance: Jan 16 2021, 04:25 PM
lifebalance
post Jan 17 2021, 01:17 PM

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QUOTE(jacky1678 @ Jan 17 2021, 12:06 AM)
under loanpac  Sir.   refer to your pm for more info , hope it asnwer u .
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Hey Jacky,

user posted image

Based on your info given, the license holder is under Pathlab Health Management Sdn Bhd (PHM) which is the corporate license holder for Lonpac & MPI General.

However, the program is "outsourced/managed" to MXM and runs it like a MLM scheme instead of the normal insurance structure.

I'm getting a pattern here whereby, what you've shown me is that.

A (License Holder) ---> B (MXM - 3rd party)
- A says to B - Hey I got this product, help me market it/refer me cases, B runs a MLM structure, but to stay legal, B refers to case back to A for any signing.
- However in return, A pays an incentive to B for giving them the business.
user posted image
However, I am not sure to what extent the above regulation works as this is plucked from an insurance agreement contract under Life Insurance, I'm not sure if this is applicable to PIAM. But then again, since they are running as a corporate license holder, may not be applicable? Maybe an expert in this field can advise.

- B calls themselves "Advisor" - is this even legal to call yourself that if you're just a referee and you're not licensed under LIAM/PIAM?
» Click to show Spoiler - click again to hide... «

- PHM doesn't run recruitment for agents, instead, their agents are the "referees" who joins under MXM to bring in the business.
- In this context, I'm sure the referees has cross some lines to introduce the insurance plan as part of soliciting without a license.

user posted image
- Based on my findings, PHM is not a Insurance Broker as per http://www.mitba.org.my/EN/about.

Overall :-
I feel that there is something wrong / abuse in the system for this to get by without noticed by BNM for so many years..

Threads going back 10 years ago - https://forum.lowyat.net/topic/1146592/all
» Click to show Spoiler - click again to hide... «


However, there was no longer follow up by mfikri77 after that.

If the above can be abused, any company can simply set up a MLM company, ride under a company/agent who has an insurance license. Get their friends/customers to refer cases and give them an incentive and get them to keep asking more ppl to refer and soon enough, the MLM pyramid scheme comes out. (Now look back at MXM, isn't that what it is?) - Food for thought.

This post has been edited by lifebalance: Jan 18 2021, 09:31 AM
lifebalance
post Jan 18 2021, 09:26 AM

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QUOTE(jacky1678 @ Jan 18 2021, 12:43 AM)
u tell me , in insurance company, the agency schema which is not using MLM?? 

that why i say ,  no matter how i asnwer here, you wont feel satisfy ...

why dont you direct attend the zoom which is free sharing information in order to clarify your doubt?  becoz i only think from there experts able to fullfill what u want to know instead of writting so many  story here doubt this and that which wasting your time, then come  the end the asnwer from me you always not satisfy biggrin.gif
So strongly recommend you attend  the zoom  rolleyes.gif

To me is simple,  i pay what i want, and they have the package , simple as that.  if you doubt the claims will have issue , then u can take challege to question in Zoom or FB page  and so on.

https://www.facebook.com/mxm.international/
if you really think this MXM  have problem ....then it wont operate such long years dude and somemore recently get recognized by MSC otherwise if this program have probelm.. i believe it easily get sue already from long ago.
Lastly ,do me a favor Sir.  i share the screenshot info to you , which is i dont want to show in public becoz if do so consider bridge the compliance law from my end. 
Seeking your cooperation  notworthy.gif  notworthy.gif  kindly remove the screenshot, appreciated your helps.
Thank you for your actions.
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Don't worry, there are plenty of other available screenshot, I've replaced it with an even detailed version.

I don't think it'll help much to discuss this further, I'll bring the case to BNM
lifebalance
post Jan 18 2021, 10:46 AM

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QUOTE(adele123 @ Jan 18 2021, 10:00 AM)
There's nothing wrong with MLM. It's a legit model. What usually is scary is that the Multi-Level is being sold as infinity level. In proper insurance company structure, the level is capped and monitor and total payout is also capped for each policy sold.
My knowledge on this segment of the insurance industry is rather limited. However, suspect MXM may have very well managed to captured on the only section that can be unregulated or gray by BNM hence Lonpac and MPI continue to work with them legally by using the term referee very loosely. and they seem to only work with general insurers.

Purely my educated guess based on the fact that Lonpac and MPI did partner legally with them but do encourage you to bring a case up.
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Their previous insurer were MCIS Zurich and Pacific Insurance but seems to have dropped out and replaced with Lonpac and MPI General.

QUOTE(jacky1678 @ Jan 18 2021, 10:16 AM)
oh, okie, seem like u got from someone else.

i wonder what you wanna tell the problem with BNM ??? 

so you think this is an illegal business to bring to market ??
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Sorry was busy typing the mail, just sent out to BNM.

No ill-intention, just seeking clarification from the authorities.
lifebalance
post Jan 18 2021, 06:51 PM

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QUOTE(GreenSamurai @ Jan 18 2021, 06:41 PM)
Guys can anyone tell me usually how much would I have to pay per month for a person under my condition? I would prefer to just have medical card. I asked some insurance agents and most said at my age it’s impossible to pay less than 300 and that really put a sour taste in my mouth.

Age : 31
Gender : Male non smoker
Occupational : Office professional
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200 monthly
Room 200
Annual Limit 1.5m
No lifetime.
lifebalance
post Jan 19 2021, 09:25 AM

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QUOTE(Phonzy @ Jan 19 2021, 06:08 AM)
Can someone educate me?

Why is there a confusion on insurance coverage in terms of covid19?

I know it is an exclusion, but now some companies are claiming they cover. But its never the full bill, just "cash incentives or daily cash payouts". Therefore, it means they never cover the full bill.
However, LIAM and PIAM said insurers will cover. Is there a difference in definition here or is everyone issuing statements without consulting each other?

Thanks
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user posted image

A snippet from the statement from LIAM.

Pretty clear cut, if the insurer does pay you for some benefits pertaining to the pandemic, consider yourself blessed.
lifebalance
post Jan 19 2021, 03:12 PM

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QUOTE(plurbuddyskuppy @ Jan 19 2021, 03:04 PM)
Hi, everyone can help me to roughly quote for my family of 3.

1. Me, 31, non-smoker, office worker, no critical illness
2. My wife, 31, non-smoker, housewife, no critical illness
3. My son, 3, non-smoker, no work, no critical illness.

currently, my company support all famili members under medical card, PA & Life insurance for me.

Thank you.
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What sort of quote you're looking for?

What are the areas of concern?

What is your existing coverage amount?

What's your budget?
lifebalance
post Jan 19 2021, 03:37 PM

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QUOTE(plurbuddyskuppy @ Jan 19 2021, 03:30 PM)
1. medical card or any product that benefit us
2. just to have insurance for my famili
3. not very sure
4. below 1k for 3 of us izit possible?
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RM1,000 monthly or yearly ?
lifebalance
post Jan 19 2021, 06:48 PM

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QUOTE(plurbuddyskuppy @ Jan 19 2021, 03:38 PM)
1k/monthly.... im sure there is no such plan for 1k/yearly. if got, must be peanut plan. haha.
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Haha well have to clarify, with that budget, there are definitely options available , however I’d advise you to get a financial health check to get plans that are tailored to you without overspending on insurance.

QUOTE(digilife @ Jan 19 2021, 04:54 PM)
GE medical card insurance till what age is not Auto renewable ?

65 ?
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Which plan are you registered with ? You can refer to the policy handbook

QUOTE(eeesiang @ Jan 19 2021, 05:46 PM)
» Click to show Spoiler - click again to hide... «


Hi guys, was browsing thru the thread and found a point which perked my interest.

Could anyone further explain on what exactly does the 2 years of contestability applicable to?
Is it based on the type of insurance or the circumstances?

Something like:
(1) Standalone medical plan to ILP and vice versa? (changing the type of insurance plan)
(2) Switching ILP from company A to company B? (switching to another agency)
(3) Changing same type of insurance plan under the same company, e.g. ILP1 to ILP2, Medical card 1 to medical card 2
(from my understanding in previous post, some companies do offer waiver of waiting period in (3) subjected to T&C?)
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It’s applicable when you have claims within the first 2 years whereby the insurance company have the right to deny your claim and investigate if it’s found it be a fraud due to non disclosure, however this may not be limited to only the first 2 years as the insurance company may check even beyond the 2 years.

An example, you found out that you had diabetes and didn’t disclose it upon applying your insurance and there is a claim on the 4th year, the insurance company may find out and deny your claim.

This post has been edited by lifebalance: Jan 19 2021, 06:51 PM
lifebalance
post Jan 19 2021, 07:15 PM

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QUOTE(Phonzy @ Jan 19 2021, 07:12 PM)
with all these sustainability on ILP products, wouldn’t you agree traditional plans or medical cards are better now?
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It’s been there all these while, just not disclosed by the insurance company in writing (sustainability). Now they’re just being transparent about it.

What made you think traditional plan is better thereafter?
lifebalance
post Jan 19 2021, 07:56 PM

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QUOTE(eeesiang @ Jan 19 2021, 07:43 PM)
» Click to show Spoiler - click again to hide... «

» Click to show Spoiler - click again to hide... «


As this rule of contestability seems to work against those who is having ill intention, such as fraud claim, over claim, etc.,
isn't it relatively safe for a insurer with a clean medical history to surrender the previous plan after the waiting period of medical card, which is 120 days at most?

Perhaps the context suits better in those with medical claim or history in the past?
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why would someone with a sound mind would surrender his insurance policy every 120 days confused.gif
lifebalance
post Jan 19 2021, 10:49 PM

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QUOTE(ahleemaju @ Jan 19 2021, 10:23 PM)
hi, want to ask about disclosure duty

user posted image
for no medical underwriting product, do i still need to disclose my medical history? (the policy have no medical question)
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No need unless required within the application
lifebalance
post Jan 20 2021, 09:20 AM

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QUOTE(ahleemaju @ Jan 19 2021, 11:40 PM)
the 1.1(b) also added 'other than question in this proposal'
i have medical history, that's why i go for these 'offer' that meant for peoples like me, but still they like to add these blunt paragraph that appear they with accept my insuring yet reject my claim in future with word play.
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Some plans requires to answer at least 1 question in the application, and no, it's not a medical question. So you need not to worry about it.
lifebalance
post Jan 20 2021, 04:32 PM

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QUOTE(ahleemaju @ Jan 20 2021, 04:28 PM)
its no medical underwriting. not 'no medical examination'

totally different stuff
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¯\_(ツ)_/¯ if you think that such plan is still ambiguous and you're not confident with the plan & the insurance company even with such write up. Don't sign up for it.
lifebalance
post Jan 21 2021, 09:04 AM

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QUOTE(eeesiang @ Jan 20 2021, 10:56 PM)
Hi, guess we are missing the context with all the replies.  sweat.gif

I am talking about surrendering upon making the transition from one policy to another.
That's where the contestability kicks in right?

It's just something that I have been pondering for a long time, raised it up to my agent previously but always getting an ambiguous kind of explanation.
I was "adviced" to keep the old policy for at least 2 years due to the consideration of contestability period. But was not explained exactly why.
Well, it's just bothering my mind if I could surrender and claim back the cash value in the previous policy, without letting my cash value to drain away unnecessarily.

I just realized a policy could be managed differently in different hands. Just wish to get a better clarification by gathering different opinions.

@lifebalance @ckdenion nevertheless, thanks for replying patiently. Cheers.
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As mentioned based on my reply earlier, the clause is a safe guard for the Insurance company in the event of non-disclosure fraud claims.

Honestly, you shouldn't even worry about this if you have done your part on disclosing your health status to the insurance company.

And yes, it kicks in within a new policy that you've bought.
lifebalance
post Jan 23 2021, 11:41 AM

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QUOTE(netcrawler @ Jan 23 2021, 11:29 AM)
Now Im confused. Some said will get only net surrender value. Any GE agent can clarify? I dont see any clause says the policy will mature upon 87 years old. What I know i only have to pay 10 years that i already completed. Its in 16 years for the policy. Will i get 3 combined?
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What I've gathered from the old database is as followed:

This is a Whole Life Assurance policy with cash bonus, maturing at the age of 87. After the policy has been in force for 10 years, a guaranteed cash payment of 4.25% of the Basic Sum Assured will be payable every year until the maturity or death of the Life Assured.

Example 1:
Let’s say you buy a GJA policy with basic sum assured of RM100,000 in 2007 at age 25. When you reach age 35 (after 10 full years), you will get a payment check from Great Eastern for the amount of RM4250 (4.25% of RM100k). You don’t have to pay the policy anymore after 10 years, and you will be guaranteed a constant income of RM4250 every year until the day you pass away or reach age 87 whichever is earlier.

Survival Benefit which is the guaranteed cash payment of 4.25% of the Basic Sum Assured will be payable from the end of the 10th year, until maturity or death of the life assured, whichever is earlier.

Cash Bonus (Non-Guaranteed) – Starting from the end of the 2nd year, Cash Bonus will be declared annually on the Basic Sum Assured. Thereafter annual Cash Bonus will become payable on each policy anniversary, provided
the Life Assured is alive and the policy is still in force.

As for the Nett Surrender Value, it's best to check with GE whether they've lump in the figure from the Survival Benefit + Cash Bonus into the Nett Surrender Value.

Then probably the Nett Surrender Value is the total amount you'll get.

This post has been edited by lifebalance: Jan 23 2021, 11:46 AM

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