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 Insurance Talk V7!, Your one stop Insurance Discussion

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contestchris
post Jul 26 2024, 10:19 AM

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QUOTE(iamwilliamcwl @ Jul 26 2024, 10:06 AM)
Yes, it is written in my policy renewability letter. Would you advice me to purchase a new policy with term up to 100 year old and surrender/terminate my existing policy or continue with my existing medical insurance? My concern is my policy is subject for review every 5 years, because I am afraid if I get any illness and Allianz can decide to not continue my policy. Correct me if I am wrong.
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I don't have your policy, but my policy also has a renewability clause. As far as I know, the renewability is at the option of the policyholder, not insurer.

user posted image

This post has been edited by contestchris: Jul 26 2024, 10:51 AM
contestchris
post Jul 29 2024, 12:17 AM

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QUOTE(liangzai84 @ Jul 28 2024, 09:39 PM)
I'm 39 male non smoker, zero claim history, and bought the following with a budget of RM609.04 per month:

1.Etiqa Ezy-Secure - Life & TPD 500,000 coverage (RM59.16 monthly)
2.Kurnia PA Supreme Plan 6 - Acci Death & TPD 1,000,000 + 500,000 coverage (RM105.83 monthly)
3.Etiqa OneMedical Plan 3 - Medical cashless zero deductible of 150,000 coverage (RM91.16 monthly)
4.Etiqa e-CancerCare Takaful - Cancer/CI 300,000 coverage (RM73.33 monthly)
5.Etiqa AafiahCare Takaful - Cancer/CI 200,000 coverage (RM113.50 monthly)
6.Etiqa Critical Care Takaful - Cancer/CI 50,000 coverage (RM10.83 monthly)
7.Prudential PruCareLife - Cancer/CI 200,000 coverage (RM43.33 monthly)
8.Prudential PruBSN Cegah - Cancer/CI 200,000 coverage (RM43.33 monthly)
9.FWD eCritical Illness Plan - Cancer/CI 100,000 coverage (RM31.41 monthly)
10.FWD i-Protect Plus Plan A - Cancer/CI 100,000 coverage (RM30.91 monthly)
11.MSIG EZ Cancer Care 365 P50 - Cancer/CI 50,000 coverage (RM6.25 monthly)

Combined coverage:
Life/TPD 500,000 coverage
Acci Life/acci TPD 1,500,000 coverage
Medical 150,000 coverage
CI 1,200,000 coverage

Is this a good lineup? I probably need to find better medical coverage? Buy 2nd medical insurance? What u think?

P/a: Sorry, i very frugal and may seem cheap, but i just want to get the best deal, best value and best buck for my pocket.
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I honestly think you have too many policies and might well be over-insured.

Funny enough, you have so many plans but your medical coverage is pretty poor. You need to have a RM1mil++ limit to future proof it.

1. What are you insuring against exactly? Married with kids?
2. Your cancer/CI plans, can't be consolidated?
3. Also, why do you need RM1.5mil accidental death coverage on top of your RM500k all-cause death coverage?
4. What is your gross/net monthly income?

This post has been edited by contestchris: Jul 29 2024, 12:20 AM
contestchris
post Jul 29 2024, 01:38 AM

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QUOTE(liangzai84 @ Jul 29 2024, 12:53 AM)
Thanks for the input. No choice, i mean where can u buy medical card under RM100 nowadays at the age of 39? I'm still on the lookout for better medical cards out there but within the range of Rm100.

1. Single. I'm insuring against any unexpected event that might happen in the future.
2. There's a maximum coverage limit for each policy. Insurance companies set a limit for their insurance packages.
3. Well, we all do need at least 1 Personal Accident insurance plan coz other policies do not cover a wide range of accident-related cases. Since it is so affordable and it came with a high coverage benefit, why not?
5. RM4200. I have no house and no car and no parents. I'm planning to buy a house and a car, so i cannot spend too much on insurance.
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If you are single and plan on being single, and have no parents or others who depend on you financially, what’s the point of buying any life insurance?

Spending RM600 per month on insurance on a salary of RM4.2k is just too much.

Again, with the information you’ve provided, it’s obvious you are over insured, but more critically, potentially underinsured in terms of medical coverage, which should be your main priority as a single individual.
contestchris
post Jul 30 2024, 09:57 PM

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QUOTE(ZZMsia @ Jul 30 2024, 09:21 PM)
Can I know, for CI policies, high possibility for repricing every 3 years? Or less frequent than Medical card..
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CI repricing will definitely be far less frequent than medical. Infact, if some insurers price it well, may not even need repricing. But logically, CI may need repricing as people live longer, and have higher chances of detecting CI early with modern technology.

Medical - Frequent repricing depending on the stability of claims and medical inflation (3-5 years for well managed pools, sometimes more frequent for mismanaged pools)

CI - Less frequent repricing if the product is priced adequately. Repricing might happen once every 10 years, if at all.

Life - Unlikely to be repriced unless product was wrongly priced at launch. If anything, Life Insurance pricing should go down over time as Malaysians live longer. But of course, no insurer will "reprice" down.
contestchris
post Jul 31 2024, 08:37 PM

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QUOTE(furuku89 @ Jul 31 2024, 11:31 AM)
No right or wrong. Buying insurance is just being responsible to your love one as one income and commitment is irreplaceable.

I myself got life 8.5M, TPD 2M, CI 600K, I am thinking adding more CI.
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Be has no dependents though
contestchris
post Aug 17 2024, 12:15 AM

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QUOTE(kiwifruit0 @ Aug 16 2024, 11:40 PM)
Just increasing my critical insurance amount. Agent mentioned better to have new policy..but didnt reply after that...i am thinking agent dont really care after few years down the road
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Please don't waste money buying a new policy, upgrade what you have to a higher limit. You might even qualify for a large sum assured discount in the process.
contestchris
post Sep 6 2024, 08:32 AM

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QUOTE(MUM @ Sep 6 2024, 07:17 AM)
Wrong stated income can get your claim nullified
Wrong or inconsistent signature can hv the claim nullified too.

Insured die due to multiple injuries sustained in a road traffic accident. His life insurance policies got nullified.

Wondering how to prevent signature to be deemed to be forged? Get the agent to countersign stating "verified to be true signature"?

When Premium paid time, signature made not important.
When Claim time, signature made very important.
When premium paid time, stated income not important
When claim time, stated income very important

Court dismisses bid by man’s estate to enforce RM2mil insurance policies
05 Sep 2024

https://www.freemalaysiatoday.com/category/...rance-policies/
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Those were issues yes, but the major issue was material misstatement of health. So much was wrong with these policies. Idiots to appeal again.
contestchris
post Sep 6 2024, 10:47 AM

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QUOTE(MUM @ Sep 6 2024, 08:57 AM)
Yes, I support his action to appeal again.

The insurer die in an accident . Not sure if there is any evident to show that that accident was caused by his undisclosed health information.
If he die of sickness due to that preexisting undisclosed health information, then clear cut

My assumption of accident could be hit by a drunk driver or accident caused by other party

But, nullify a policy due to wrong stated income and forged signature, ...that is too much.

Attached image was from OFS annual report.
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The issue here is he intentionally withheld certain information to cheat the insurance company. Had the insurer known at the onset, they wither would not have approved or loaded the policy.

I agree if it was a simple and honest mistake, or even if agent help to sign on behalf, they shouldn't be allowed to repudiate the claim. But there are so many things the insured did wrong here, it justifies the action to nullify the policies.
contestchris
post Sep 11 2024, 02:27 PM

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Sharing this new pure life + TPD policy called Kaotim Legasi.

It offers sum assured up to RM2mil, I've compared to the other "good plans" and it is superior for those specifically looking for RM1mil or RM2mil coverage. Significantly cheaper than other plans in the market.

Check it and let me know if you guys find it cheaper as well.

https://legasi.kaotim.my/getquote
contestchris
post Sep 13 2024, 09:59 AM

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QUOTE(ZZMsia @ Sep 13 2024, 08:26 AM)
I RECENTLY received a letter from my insurance company stating that my medical insurance premium would increase from RM540 per month to RM2,030 per month.

The reasons cited were the significant increase in the cost of medical treatments and my attaining the age of 65.

When I took out this policy in 2010, the insurance agent did not advise me that I should expect such an increase after I retired. It is ironic that when one stops receiving a salary, the premium would increase by 275%!

I was advised that if I did not agree to the increase, my premium would be buoyed for some months by the investment within the policy. After this, the policy would lapse and I would not have medical insurance anymore.

The customer service representative who attended to me was quite chirpy and blunt when she told me I should have taken out the policy at a much younger age. So, apparently the mistake was mine?

This week, I received an email from another insurance company, advising that the premium for my son will increase by 30% per month. The reason given was medical inflation.

I took out this policy for my son when he was 18 years old. Not young enough? It has only been two years and the insurance company is already making adjustments. What adjustments will be made in the next two years?

At the point when I am a retiree, I am facing a 30% increase for my son and a 275% increase for myself in premium rates.

These levels of increases are unfair. In fact, they are punitive. When we most need medical coverage and when we no longer have a regular stream of income, that is when the insurance company hits us. I wonder what Bank Negara Malaysia is doing to protect the public.

The excuse used by insurance companies is that they are facing significant increases in the value of claims. Yet, when I look at their profit and loss (P&L) accounts, they look very healthy. And I am not surprised. If customers have to face the increases that I have quoted, it is no wonder that the companies’ P&Ls look healthy – maybe too healthy.

I am disheartened that when the insurance agent was selling me the medical policy, no warning was given of premium changes in the very near future. In fact, the agent was applauding the wisdom of buying the policy when my son was young.

I recall asking about premium hikes, and the response was that insurance is a regulated industry and Bank Negara would not allow significant increases.

I now strongly believe that for every new policy sold, the insurance agent must disclose the potential for premium increases and how soon that could happen.

There must also be a sign-off by the customer that he/she has been informed of that clause and accepted it.

I took out my policy when I was younger, working, and when my medical coverage was provided by my employer.

During that period, I did not have to use my own policy, which was for my protection once I retired.

It is ironic that when one might most need medical insurance, the insurance company makes it unaffordable. In fact, it just might be their underlying business plan, drawn up by highly-paid actuaries, to make medical premiums more and more unfeasible as their customers grow older. It certainly makes lucrative sense for the industry.

Surely, Bank Negara as the regulator of insurance companies should be protecting the customers. The situation is already out of control and the government needs to get involved.

TONY PEREIRA

Petaling Jaya
https://www.thestar.com.my/opinion/letters/...surance-premium
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All this is true but I am not sure if there is any solution to it.

As a rule of thumb, there is around 12% to 15% medical inflation in Malaysia over the past 5 years.

When they priced investment-linked plans with medical riders at the point of purchase, they factor in some investment returns (2% or 5%) that in theory should cover medical inflation over time. But it does not, since the medical inflation we are actually experiencing is not at least 10%+ more than projection!

So the truth is, all medical plans (be it ILP riders or standalone) are "scams" if you look at it from a certain angle. You are lucky if you got 20% to 30% increase, mostly limited to well managed large companies like AIA and Great Eastern. Some of the smaller players are increasing by nearly 100%!!!

Also, I don't believe insurers are making bank from medical insurance. It's a very breakeven business. They make their money elsewhere, mainly from the life insurance policies that comes with savings plans, or the base ILPs (without the medical card rider).
contestchris
post Sep 13 2024, 01:06 PM

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QUOTE(YoungMan @ Sep 13 2024, 09:07 AM)
This is the aspect that concerns us as consumers. Even if we purchase a medical card at a young age, there's no guarantee we'll be able to handle the premium increases when we retire. I may have mentioned this point earlier in the discussion, possibly several pages back.In the end it boils down to a few conclusion.
1. if you have to decide between putting food on the table and paying your insurance, focus on survival, forget about insurance. Anything later just accept treatment at gov hospital.
2. may have to revise your medical plan, either go for lower coverage or with deductable.
3. Try to earn as much as possible, to the point that we have more than enough for retirement.
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There is one way to counter this, but it’s not widely available at the moment.

Have high deductible medical plans that zerorise at age 50/55/60 or even not at all.

This was you pay less early on as you are covered by company medical plan

This post has been edited by contestchris: Sep 13 2024, 01:06 PM
contestchris
post Sep 13 2024, 01:25 PM

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There is another separate letter. Can someone share the full text?

https://www.thestar.com.my/opinion/letters/...hike-in-premium
contestchris
post Sep 16 2024, 02:45 AM

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QUOTE(DaViDcHiN @ Sep 16 2024, 02:27 AM)
Hi all sifu, I had made claims with kidney stone removal, and now i would like to upgrade my policy, my agent said that if i upgrade my policy, the new policy will consider the kidney stone claim as a pre exsiting illness so it wont be covered eventhough the kidney stone is cleared.

He suggested that i should keep my existing policy and get an additonal policy if my existing one is not enough.

Can any sifu please advise whether this it true?
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From my experience, "one and done" procedures are not classified as pre-existing when upgrading. There was a small benign cyst removal, and something to do with preauricular sinus. Neither impacted the policy upgrade with the same company. Policy has been upgraded twice with full declaration each time. Great Eastern.

Not sure if kidney stones is considered "one and done".

From Google : Kidney stones increase the risk of developing chronic kidney disease. lf you have had one stone, you are at increased risk of having another stone. Those who have developed one stone are at approximately 50% risk for developing another within 5 to 7 years.

This post has been edited by contestchris: Sep 16 2024, 02:48 AM
contestchris
post Sep 16 2024, 09:46 PM

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QUOTE(tyenfei @ Sep 16 2024, 09:27 PM)
I'll advice my client to keep exiting policy for 2 years.
No matter they upgrade from exiting company or taking new company.

My main concern not because of kidney stone removal. Is because waiting period.
30 days 60 days 120 days & 2 years uncontestable period.

I want to protect my client ensure he been cover.

If client refuse after explain in detail... senang je pls apply from other and take your own risk.
I can enjoy coffee without worry.
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You're a shit agent though. No agent worth his salt will make this recommendation. Especially if you're upgrading within the same policy (from older medical card rider to a newer medical card rider) - there is a provision that those conditions subject to waiting period / uncontestable period can still be claimed under the older medical card limits and T&C.

This post has been edited by contestchris: Sep 16 2024, 09:47 PM
contestchris
post Sep 27 2024, 11:31 AM

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QUOTE(vez @ Sep 27 2024, 08:55 AM)
yes, my employer medical insurance also can view my kid in app biggrin.gif

but a lot insurance agent macam dont want do deductible medical insurance laugh.gif maybe takda comission, thats why asking sifus here any recommendation, i see tokio marine got, just need submit form ourself lol
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At the moment, high deductible insurance is not very common. It will be though, soon.

A common plan will be a high deductible policy that zerorises at specific triggers, e.g. at age 55/60/65 (i.e. retirement).

It only makes sense as currently so many people are paying for "useless" personal insurance as they are covered by the company's group health & surgical policies.

This post has been edited by contestchris: Sep 27 2024, 11:47 AM
contestchris
post Sep 27 2024, 09:18 PM

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QUOTE(hafizmamak85 @ Sep 27 2024, 08:58 PM)
I think the PRU case is grounds for unfair sales practice - product bundling. Can't buy the MHI coverage without basic plan. Lodge a complaint with BNM and financial ombudsman. Although I'm sure quite a number of other insurers do this.
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This is not considered bundling, it is an add-on. Just like ILP riders.
contestchris
post Sep 28 2024, 10:10 AM

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QUOTE(adele123 @ Sep 27 2024, 11:12 PM)
It works also one. Just the actual claim process may be abit ma fan.

My own policy is 15k deductible. Bought when i was fresh grad. My employer cover me 80k.

If i kena masuk hospital 100k, in theory i should claim 80k from my employer (company A) but the balance can claim from my own policy (company B).

Just that since A&B not same, need to submit paper work etc. I have not done it before obviously, but in theory la.

Ok so what you mean is you want a standalone medical plan. You can try out alternative

If you feel comfortable with tokio marine, go ahead. All same same anyway. As long as not too expensive, easy to transact.
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Of course it will be ma fan unless the group and individual deductible policy are with the same company, e.g. AIA. Then can kautim easily
contestchris
post Oct 2 2024, 03:26 PM

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QUOTE(poweredbydiscuz @ Oct 2 2024, 11:19 AM)
user posted image

GE just increase the premium by 37%. Bravo.
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What's the quantum of increase for the insurance charges specifically?
contestchris
post Oct 2 2024, 05:54 PM

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QUOTE(poweredbydiscuz @ Oct 2 2024, 04:13 PM)
40% (for SMM200)

New charges:
user posted image

Old charges:
user posted image

And this is a new policy bought in 2022.
No. Same bracket.
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Damn that's rough!

SMM was only launched in 2020/2021 I believe. So they're repricing it by 40% within the space of 3 to 4 years.

BNM needs to step in, pronto.

Great Eastern has one of the better managed medical books, if they are hiking by this much, I shudder to imagine how the others will be hiking theirs.
contestchris
post Oct 2 2024, 06:12 PM

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QUOTE(MUM @ Oct 2 2024, 06:05 PM)
Something almost similar to your experience and predicament as posted in your thread dated Jan 2024.
How to deal with medical insurance repricing?
https://forum.lowyat.net/topic/5432101

"For the second time in 3 years, I’ve received a letter on the increase in cost of insurance for my ILP’s medical plan. The quantum of increase is rather steep at 35%! This has resulted in increases to my monthly premium."
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Yes, that's with the older SMX plan though. I thought SMM being a newer plan should be able to last longer without repricing.

At the time, I already upgraded to SMS (SmartMedic Shield) with the same basic ILP plan.

SMS was launched last year. Hopefully a repricing is still some years away.

Anyways, I heard the experience after Year 2 is very bad for most medical plans as the "waiting period" is over and insurers don't have resources to go and investigate every single case. So many "bad risks" are falling through the cracks. These are people with pre-existing conditions and fail to declare. So in truth, we healthy people are subsidizing these bad risks with substandard health who aren't paying extra premiums or having their pre-existing conditions excluded.

All in all, it's a pretty dire situation that's about to get a whole lot worse before it gets better

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