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 Insurance Talk V7!, Your one stop Insurance Discussion

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Ramjade
post Jun 10 2023, 11:47 PM

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QUOTE(edwin1002 @ Jun 10 2023, 10:18 PM)
medical card "vs" Early & Advanced stages critical illnesses

Whether medical card enough and no need critical illnesses? because can use medical card for critical illnesses

Whether socso can claim for Early & Advanced stages critical illnesses?

I am poor people and want minimum coverage only.

Currently holding 4 policies as below:-
1) Medical card - RM100,000
2) Life / accidental / TPD - RM300,000
3) Accidental / TPD - RM50,000
4) Company paid for accidental / TPD - RM30,000
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Early critical illness is expensive. Keep in mind that. I don't think socso cover stuff like heart attack, stroke, kidney failure.

You might want to check the premium you are paying Vs coverage you are receiving. Some good place to start
Deartime fintech app designed for B40. If you are B40 you will received discount from Deartime.
Gathercare RM500+/year for crowdsharing insurance with coverage up to RM1m
Direct online insurance purchase from AIA/GE/Prudential
AXA emedic one of the cheap and good medical card in Malaysia.

Check your TPD/accident and death with medisavers. I believed they bundle their life insurance with critical illness as well.
Deartime also bundle their life insurance with critical illness coverage.

Ramjade
post Jun 11 2023, 04:35 AM

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QUOTE(adele123 @ Jun 11 2023, 01:28 AM)
You seemed to be well informed on the fintech. How would deartime prove b40 status? LOL...

Gathercare... let's no go there. Crowdsharing does not sound legal.
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Here you go. Fintech have always help me to save money. I would have lost few thousands today if not for fintechs.
» Click to show Spoiler - click again to hide... «


When gathercare was intro first time, BNM initially out them into the alert list as they were new and this kind of thing does not exist in Malaysia. They fought to be removed from the alert list.
https://gathercare.com/en/about-us/

You can check their claims as they published it monthly.
http://gathercare.com/en/crowd-share-may-2...yr-rm178782-50/

This post has been edited by Ramjade: Jun 11 2023, 04:36 AM
Ramjade
post Jun 14 2023, 03:02 PM

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QUOTE(mynameisjh @ Jun 14 2023, 02:44 PM)
Hi Sifus, I’m 28yr old male this year, currently looking to update a new insurance policy. Recently contacted GE agent and given proposal for the following ILP
50k life
50k TPD
50k CI
Waiver
1m medical card, rm300 deductible, 150 r&b
All these for monthly premium of rm216, coverage till 100 y/o

Almost wanted to sign up for it but after going through the policy, found out that after 70y/o , my premium drastically increases to rm1k+ PER MONTH with increments every 5 years. This is kind of a deal breaker for me because from what I know, premium for ILP is supposed to stay relatively constant since you’re paying high from the beginning unless the investment portion cannot cover for the premium later on right? Any comments for this?

user posted image
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Read back few pages and you will get the answer. In theory ILP is suppose to stay constant but in real life nope. Some people within purchase of ILP in 5 years time, the insurance company demanded more money.

Keep in mind they can tell you until 100 years old. But kindly look at the sustainability table. You will see that usually they are only able to sustain you until early 70 or mid 70s max.(table x, table y). If you want to increase your coverage say until, you will need to do a lump sum topup in the future or pay more premium in the future.

Majority of funds in ILP are not able to match EPF returns over long term. Yes there are a few but rare. So in theory what is happening is you want your ILP investment to pay for your medical insurance but in reality the investment can't keep up (due to very low return).

Also your agent should tell you to not to expect any cash value left at the end of your contract. I hope he/she did tell you that.

Here's a reply which sum up everything perfectly about ILP.

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


When I was doing my research, I was very tempted to go ILP until I dug deeper. That's when I realised I am overpaying for something that is useless for me. That's when I opted for standalone. Increasing in insurance premium is part of life. Can't run from it. Embrace it. Plan for it. Only take ILP if you are not a good pay master and want to take premium holidays or you foresee yourself downgrading your insurance if you are having financial constraint.

If you want the cheapest medical insurance with one of the highest coverage until age of 100, look into medisavers. It's not as popular as AIA or GE but it's underwritten by lonpac (lonpac is owned by public bank). You won't find AIA or GE able to match lonpac premium price. Trust me, I have looked. Yes it's a standalone.

Yes medisavers even have life, TPD and CI bundle together but that part I didn't research much. I am only interested in health insurance part.

Hope this help.

This post has been edited by Ramjade: Jun 14 2023, 03:05 PM
Ramjade
post Jun 14 2023, 05:15 PM

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QUOTE(mynameisjh @ Jun 14 2023, 04:14 PM)
Thanks Ramjade for the reply. Yes I understand that Investment part of ILP is used to offset the increasing premium later in life and I’m not expecting any monetary returns. Agent has also told me that premium will increase certain % every few years due to medical inflation. When I asked to change to 80 yr coverage instead with the same plan the premium increased to rm300 monthly till 80. (Will prolly expect it to increase till 400-500/ month later on in life but at least the policy doesn’t show such a drastic increase in monthly premium as per the previous table)

Thanks for the suggestion regarding Medisaver.Will definitely have a look at it.

user posted image
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Forgot to tell you every thing you add into the ILP there's a cost to it. So if you want your ILP medical part to last you for a long time (until your desired age), add only the bare minimum.

My suggestion is if you don't know how to invest this is how I will go about it.
1. Buy standalone. Either AIA or medisavers. I went with AIA (Expensive) cause of GE reputation of trying hard to refuse you GL when you are admitted to the hospital (had few friends working in private hospital and asked all of them which insurance cause the most headache for admission, they tell me most of the time it's GE).
2. Put the savings into EPF (difference between ILP and standalone premium) under voluntary contribution.
3. Rinse and repeat step 2 until 55 years old where you can withdraw some money out if I am not mistaken or at 60 where you can withdraw any amount out. Set aside this EPF money for your your medical insurance payment (withdraw it once a year to make payment for it for your medical insurance). You will find that you have more cash then if you went with an ILP.

Alternative step
1. Buy standalone. Either AIA or medisavers. I went with AIA (Expensive) cause of GE reputation of trying hard to refuse you GL when you are admitted to the hospital (had few friends working in private hospital and asked all of them which insurance cause the most headache for admission, they tell me most of the time it's GE).
2. Open interactive broker. Dump your savings into Ireland S&P500 etf
yearly and continue doing that until you are 55 years old instead of EPF. If you don't like US S&P500, you can always go with VWRA a global etf with ~60% exposure to US
3. At 55 years old slowly sell down your s&p500 etf and fund your medical insurance.

It's more or less the same with the first one with difference of replacing EPF with Ireland S&P500 etf or VWRA etf.

This alternative step will generate more money then EPF as historically they are giving you 7-9%p.a vs EPF at 5%p.a

EPF for those who are super conservative and don't want to do anything overseas. S&P500 etf if you want higher returns than EPF and is able to stomach the up and down of the market.

I got nothing to sell you and hence you will see that what I recommend is very different from agents/planners who will push you for unit trust, endowment and I give away my recommendation for free.
Ramjade
post Jun 14 2023, 06:24 PM

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QUOTE(Stinga @ Jun 14 2023, 05:39 PM)
Wanna to ask for life insurance, which company provides the better coverage and premium?

Tried search online but the coverage is too low.
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Fi.life offers you RM1m. Is that enough for you?
https://fi.life/

Alternatively you can combine say online AIA, Prudential, Deartime, to get the amount you want. That way you save on agent commission already.

Then get an agent from the company you want to get you a quotation for the amount you want. That way you can see if it's cheaper to combine different insurance provider or go with one insurance provider.

This post has been edited by Ramjade: Jun 14 2023, 06:44 PM
Ramjade
post Jun 14 2023, 06:45 PM

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QUOTE(Ultra+ @ Jun 14 2023, 06:37 PM)
DearTime eligible for B40 only?
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No. But I think it's designed for B40 in mind. Their medical coverage only have like RM15pk. Their life coverage I think only max RM350k.
Ramjade
post Jun 25 2023, 12:29 PM

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QUOTE(evedlab @ Jun 25 2023, 12:26 PM)
user posted image
user posted image

This is quote for Medical Card for 13 years old from Fi.Life. Is there any better medical card than this ? Or anything special T&C I should be aware of about Fi.Life ?
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They are ok. Not the cheapest if you want to take until 80 years old. If you want the cheapest, medisavers. Keep in mind all medical insurance premium price increase with age. Cannot run away.

Everything is online and no agent to service you (which I like).

This post has been edited by Ramjade: Jun 25 2023, 12:31 PM
Ramjade
post Jun 25 2023, 11:46 PM

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QUOTE(lifebalance @ Jun 25 2023, 12:50 PM)
There is always a better medical plan out there.

T&Cs wise, you may refer to the brochure / product disclosure.

By opting for online products, you will not get any servicing. The premium are usually not any cheaper as compared to getting through an agent.
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What does agent bring to the table? Time for industry to drop the middleman. How many good agents? Not many.

QUOTE(nick.remember.u @ Jun 25 2023, 11:25 PM)
Hi,

Any comparison chart for online medical plan VS through an agent medical plan?
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Yes and no.
Yes I make one myself. Comparing lots of ILPs and stsndalone. But I only compare premium. Nothing else.

No. You have to shop around like I did. Have to make your own table.

Holocene showed me his table before via zoom. His table compared all the features of the insurance Vs mine.
Ramjade
post Jun 26 2023, 08:25 AM

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QUOTE(JIUHWEI @ Jun 26 2023, 01:06 AM)
I have a tendency to agree with you that at some point in time, the agency distribution system would end.
However, seeing how U for Life failed, and Fi-Life hanging by a thread, with "cheap" as their only USP, I'd say we're far from ready as a society.
If our online platforms couldn't even get Term products through to our market, what makes you think by offering more sophisticated products would lift them off the ground?
Recently I've been imagining Insurance contracts in the form of NFTs.
THAT could certainly work.

Like it or not, brand matters, track record also matters.
Any U for Life policy holders here?
If the Life Insurance sum that you bought was as important to you as it should be, how did it feel that you effectively outlived your insurance company?
How does that instill confidence to consumers like you and me?
I don't know about you, but my policies kick in to provide 20 years for my family.
20 years of whatever that matters to them when I'm no longer around.
I'm not rolling the dice here.

Again, there's a product and plan to cater for all segments of the market.
Talk to your friend, your Life Planner, your FP/FA.
And I mean allow them the time of your day, not "let's make it a quick one".
Why leh?
Cuz it just shows you're not willing to pay attention.
How can they in turn take you seriously?
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Malaysia and Singapore still relies on agent heavily. It's different in the west where online insurance is easily available.

I give you an example. Just this week, agents which I contacted before for medical insurance, spam me promo for their other insurance product. Not only one. But 2 agents. One from GE and allianz. Had to tell them don't spam me. Not interested in any of their insurance. It's annoying when you are not looking for insurance and every month sure got spam from one insurance agent.

Btw where do you see fi-life hanging by a thread?

Guess Asians just love paying extra for everything.

This post has been edited by Ramjade: Jun 26 2023, 08:26 AM
Ramjade
post Jun 26 2023, 09:37 AM

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QUOTE(coolguy99 @ Jun 26 2023, 09:02 AM)
Have anyone used fi life before? I wonder for their yearly renewable medical card, is it guaranteed renewal? It says it is guaranteed renewal up to age 100 but it does not say if it is under the company's discretion.

Policy Renewal / Renewal Premium
(i) This is a yearly renewable policy. Unless renewed, the coverage will cease on expiry date and the insurance
company shall strictly not be liable for any expenses that take place after the expiry date.
(ii) The renewal of the policy is at the option of the Policyholder until the occurrence of any of the following:
(a) non-payment of premium or premium not made on time;
(b) fraud or misrepresentation of material fact during application;
© the policy is cancelled at the request of the Policyholder;
(d) the Insured Person ceases to qualify as a dependent based on the definition of the policy;
(e) the Insured Person attains the coverage age limit specified;
(f) the death of the Insured Person; and
(g) termination of coverage for all policies in a certain market and the Company withdraws this policy completely
from the market in accordance with the Portfolio Withdrawal Condition.
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Terms and conditions more or less like other companies contract.

Nowadays I don't think there is no more non Guarantee renewals. Last time yes. But all the new policy I have look, all have more or less the same terms and conditions.
Ramjade
post Jun 26 2023, 03:07 PM

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QUOTE(annoymous1234 @ Jun 26 2023, 01:14 PM)
is there insurance plan without any investment or saving link plan? when i ask my agent, she keep telling me all insurance must link with savings.
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Yes it's called standalone. Saving is optional. But investment is mandatory when you buy ILP. That's why it's call investment linked plan. Means there is investment.

You can take out the savings part but not the investment part as mentioned it's mandatory. How else is the insurance company going to make extra money from you?

Tell your agent you want standalone only. Be specific with the word standalone only. If they still try to push you towards ILP, you know already what are their priorities.
Ramjade
post Jun 26 2023, 11:37 PM

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QUOTE(adele123 @ Jun 26 2023, 09:56 PM)
Is this for medical protection or normal life insurance?

If you want to buy medical plan, still advisable to buy with IL. I give you analogy la...

I open a chicken rice shop. My customer come and buy chicken drumstick only. Do i sell? Nope. But i can sell chicken breast only, cheaper, drier meat.

If my customer come and buy chicken drumstick WITH rice i will sell.

Put this analogy where the chicken rice shop with the insurance company. The standalone medical plan do exist but usually the benefits are slightly less superior aka the chicken breast.

The medical plan that comes with the IL plan is the chicken drumstick. You want better benefits, you can get but also pay more.

While this is not always true but good enough to give you some idea.

Btw, Some companies dont even sell standalone medical.
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I think let me counter that. Buying ILP is like you want to buy a burger at mcd. You can buy a ala carte or buy the combo with drinks and fries. Many time the drinks and fries are rubbish stuff and increase the cost of the burger.

You can buy burger from say mcd. Then hop over to buy the chicken at KFC if you don't like mcd chicken and final cost can/maybe cheaper than buying the combo from mcd. That way you are only paying for burger and the chicken. Nothing else. No burger. no fries.

You get to pick what you want and shop around for better deals.

This post has been edited by Ramjade: Jun 27 2023, 07:17 PM
Ramjade
post Jun 29 2023, 12:23 AM

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QUOTE(WaNaWe900 @ Jun 28 2023, 10:00 PM)
notworthy.gif  what happened if I surrender some subscribed plan  hmm.gif
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Then you loose coverage and if insurance got cash value they give you the money.
Ramjade
post Jul 1 2023, 09:56 AM

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QUOTE(coolguy_0925 @ Jun 30 2023, 04:18 PM)
Noted :thumbsup:

Meaning existing insurance has to cover as long as illness is diagnosed after inception (plus x period of 'cooling' off or I don't what is that called that for eg. you can't claim within 2 years you bought the insurance)

And IINM my medical card claim I will always need to bear 10% of the total, this feature is called co-insurance, right? And the benefit of having this is lower premium? Like if I want to change to 100% bear by insurance then my premium will go up
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Yes. You are right. Very high blood pressure, high sugar, heart attack, stoke, ear nose and throat, gastric, kidney stone, gallstone all not covered less than 2 years of buying insurance. GL will decline and they ask you to pay and claim first.

Stuff like dengue, food poisoning, accident, all can lepas. The above mentioned cannot lepas.

Source: was looking for medical insurance for myself and ask friends working in private hospitals.

Yes that's right. You can have high deductible before insurance cover you to lower down the premium. Some plans allow you to tweak the deductible. This option is good to have lower premium when you are working (covered by company insurance) and be covered when you are not working.

QUOTE(lifebalance @ Jun 30 2023, 08:27 PM)
1. No such thing as within 2 years cannot claim.

2. That depends on your insurer and the plan offered.
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1. Check again. There's incontestability period in all insurance.

This post has been edited by Ramjade: Jul 1 2023, 09:59 AM
Ramjade
post Jul 1 2023, 10:01 AM

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QUOTE(lifebalance @ Jul 1 2023, 09:57 AM)
I don't understand woh, please explain to me
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Sure. If heart attack, very high blood pressure, very high sugar, any stones, less than 2 years, insurance will ask to pay and claim. Usually. If less than 1 year, straight decline as assume to have underlying. Of course can appeal and then insurance company will investigate.
Ramjade
post Jul 1 2023, 10:09 AM

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QUOTE(lifebalance @ Jul 1 2023, 10:04 AM)
You clearly don't know what contestability period is.

Why not I give you 1 more try?
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I don't need to know. All I need to know is I can't use the medical within 2 years. After 2 years should be fine.

Basically after the 2 years the insurance company is oblige to pay for my hospitalisation if I am admitted for heart attack, very high blood pressure, very high sugar, any stones, cancer cause after 2 years the insurance become incontestable.
https://ringgitplus.com/en/blog/insurance/3...nce-policy.html

This post has been edited by Ramjade: Jul 1 2023, 10:15 AM
Ramjade
post Jul 1 2023, 10:20 AM

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QUOTE(lifebalance @ Jul 1 2023, 10:15 AM)
Sorry, wrong again.

Here, let me teach everyone including you.

The insurer has the right to deny and investigate a claim during the first 2 years if they suspect there is a fraud/misrepresentation.

It doesn't mean they "WILL" deny claims in the first 2 years.

Also, the insurer can still deny your claims even if it's >2 years if you have committed fraud/misrepresentation.
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Ah but here is where on paper and real world differ. Based off what my friends told me, so many cases GL for admission got rejected cause insurance only 1-2 years old. They wont cover the current admission.

Yes doesn't mean will deny outright as they need to investigate. Need to pay and claim first but whether they will pay is another question. Will pay if after investigate, no issue. But generally after 2 years no issue (this one agents told me, don't shoot me).

This post has been edited by Ramjade: Jul 1 2023, 10:28 AM
Ramjade
post Jul 2 2023, 10:20 AM

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QUOTE(JIUHWEI @ Jul 1 2023, 10:50 PM)
Hahahahaha
Nobody trying to cucuk you la bro.  biggrin.gif

I truly enjoy your passion on the subject! Keep it up!

I don't know if you will take my word for it.
And I have handled 167 claims so far (and counting) in my decade-long career.
Here's what I can share with you regarding the first 2 years, aka "contestability period" (this is the actual jargon btw):

For easy reference, let's have a distinction between accidental injuries and illnesses.
(I will be skipping first 30-days, 90 days, and 120 days waiting periods)

Like what @lifebalance mentioned, the first 2 years contestability period is there mainly to prevent any fraudulent behavior.
Considering the very generous offerings of Medical Insurance here in Malaysia, I believe we can all agree that this is fair to the insurer as well, kan?
After all, most people in our society are good folks who understand the value of working within boundaries of contracts and laws, so the legal system then protects our rights and interests.  :thumbsup:

So what actually happens during the contestability period?

Yes, the insurer reserves the right to investigate. The term is to put your claims on "HOLD", while investigation efforts take place.
So can we all agree that "being put on hold pending investigation" does not carry the same weight as "reject"?

You may ask "Why need to investigate? My policy issued already leh, approved already leh! Now want to play around with me ka? I sue kao you! (followed by colorful expletives)"
During the application process, there is a "Health Questionnaire" that will ask you about your height and weight lah, medical history lah, your parents medical history lah, if you're pregnant lah, got do health screening recently or not lah, etc.
The expectation is for you to answer these questions to the best of your knowledge, and to be as truthful as the truth can be. This is my best effort at giving the definition of "utmost good faith".
So if you did answer these questions to the best of your knowledge, just let the insurer run the investigation.
How does it work?
The insurer will send a simple letter to all the registered and licensed medical facilities in your area, asking if they have records of you ever being diagnosed for whatever that you are claiming for, or anything related.
When all the replies come back negative, then the amount you're claiming for will be released to you.
Quite a fair process, no?

Let's say the insurer really got a reply from one specialist that say "ya, I treated this mofo for this issue before. Here are all the past records. Why ah?"
Then you might as well just surrender the policy if the insurer doesn't auto-void it lah.

So the above is for the part of "illnesses".

What happens then for accidental injuries?
No such thing they won't cover la, just terus masuk.
Just pay attention to the coverage for "Emergency Accidental Injuries"
Outpatient procedures - something simple like sapu ubat only or some simple dressing to prevent infection are generally not covered.

So what constitutes an "accident"?
1. secara tetiba
2. it is violent - blood exit the body where it's not supposed to.
3. external impact - impact from outside the body.
Any combination of 2 out of the 3 listed above, kira accident.

I dunno about other insurers, but for AIA, dengue also kira accident.
Think about it...
Nyamuk land on you - secara tetiba
then the nyamuk sting you - external impact lah tu
The nyamuk suck your blood - blood exit the body
3 out of 3... accident lah

I hope I did shed some light on the issue being discussed.
Sorry lah, a bit long-winded
Comes with age.
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Haiyo. In short, just wait 2 years. If less than 2 years basically GL admission likely decline unless it's accident or say dengue. If die die want to admit, pay and claim first lo.
Ramjade
post Jul 4 2023, 10:43 PM

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QUOTE(BrookLes @ Jul 4 2023, 06:27 PM)
If there is any insurance agent here that can explain how to maximize your tax returns it will be great. And I mean actually having the option to withdraw after say 10 years while maximizing your income tax returns

But doubt so. Most of you guys are just money grabbers that's all.
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I am no insurance agent but only stuff where you can get back your money with some returns is only prs.

Insurance is a lottery you don't wan to get. You can just buy medical insurance and in case hospitalised, that's your way "to get back your money'. Simple things like food poisoning, cough, runny nose to serious stuff like accident or heart attack.

There are critical illness insurance that if you never claimed, they will return you your premium at age 80 I think without any returns. That's the closest way "to get back your money".

Another one is buy critical illness insurance and hope you get one of the critical illness and get huge lump sum payout. Do you want that?
Ramjade
post Jul 4 2023, 11:28 PM

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QUOTE(BrookLes @ Jul 4 2023, 11:01 PM)
Appreciate your honesty.

I was thinking if they had those kind of special investment link policy which is also associated with medical or life investment at the same time associated with investment.

Those kind of structure plans.
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I am not an ILP guy. Need to check with those with ILP the statement does it break down say RM3k into medical, life and investment. If it's broken down into medical, life and investment, can't claimed the investment part.

But if you are going for ILP for medical, your agent should tell you upfront do not expect any cash value in your ILP at old age.

Not sure about ILP for life though.

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