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 Insurance Talk V7!, Your one stop Insurance Discussion

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contestchris
post Jul 21 2023, 11:55 PM

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Guys....I just realised I've been conned by Great Eastern (and potentially others offering ILP).

I was requested to increase my quarterly premiums for SPE2 ILP from RM800 to RM860.

But when I look into my statement, I am only getting RM825.8.

On further digging, it seems like the 43/43/76/76/85/85 premium apportionment will apply to any differential in premium increments (in this case, the differential is RM60).

I think this is a con job cause it was never made clear anywhere.

Can anyone help me out? Am I being dumb or is this information intentionally obfuscated?

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This post has been edited by contestchris: Jul 22 2023, 12:32 AM
contestchris
post Jul 22 2023, 01:17 AM

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QUOTE(Holocene @ Jul 21 2023, 10:52 PM)
Attached for your information:

Quote generated based on my information
Male
Non Smoker
NB 34
Office job

This is the minimum premium for RM50k Life/TPD/CI which is RM100/month. You may also refer to the COI for Basic (Life/TPD) and Unit Deducting Rider (IL CIBR) in the table below.

user posted image

I checked the quote for Great Critical Care Direct, it would be RM11/month.

Great Critical Care Direct looks like a pretty good deal if you ask me.

As to why the COI for Great Critical Care Direct is much higher, it could be due to the monthly expenses for mortality, administration, and other costs incurred by the Insurance Company on Great Critical Care Direct differs/projected to differ from IL CIBR.

I'll open the stage to other learned thread contributors to contribute.

Best,
Jiansheng
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May I confirm, Great Critical Care Direct is based on level premium or step up contribution (i.e. premium increase every year based on age)?
contestchris
post Jul 28 2023, 04:49 PM

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Let's say you go for a pre employment medical at a private clinic that does everything - urine, blood, ecg etc.

Will insurance companies have access to this information?

1. That you had a medical examination done at so and so date
2. The results of said medical examination
3. Any particular adverse findings, but no formal diagnosis
4. If yes to the above questions, how far back can insurance companies dig back?
5. What if you do your own blood test at a lab, does insurer have access to that too?
contestchris
post Jul 28 2023, 07:55 PM

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QUOTE(Ramjade @ Jul 28 2023, 06:39 PM)
If I am not mistaken, the insurance company pay for it. It's not free. Another word my agent use, insurance company will know. You cannot run away if you try hiding it.
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In this case, it's specific to a mandatory pre-employment medical check-up. No issue in terms of any symptoms or ailments. Just that one of the CVD markers is above the high threshold.


contestchris
post Jul 31 2023, 12:50 PM

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QUOTE(lifebalance @ Jul 31 2023, 09:01 AM)
To be reviewed by the insurance company. Discretion up to them if they need to impose anything after your disclosure.
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Why? At the point of purchase the disclosure made was accurate
contestchris
post Aug 14 2023, 10:33 PM

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Any Great Eastern agent here? How many times has SmartMedic Xtra (SMX) been repriced?
contestchris
post Sep 23 2023, 12:52 PM

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QUOTE(Ramjade @ Sep 23 2023, 12:49 PM)
Both will increase with time. See you want surprise increase or not. Cause I asked both AIA and GE agent no increase for standalone clients in past 10 years other than what's in the projected table increase. Any increase in ILP In the past 10 years? Yes.
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Nonsense no increase for standalone plans. Unless they are annual renewal with no guarantee. All medical plans with guarantees no matter what company be it ILP or standalone see increases every 3 to 5 years
contestchris
post Sep 23 2023, 01:41 PM

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I obviously mean increases above what was projected
contestchris
post Sep 23 2023, 04:32 PM

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QUOTE(MUM @ Sep 23 2023, 02:11 PM)
So premium of ILP for life insurance plan also goes up periodically like ILP of medical insurance plan?

Does the premium of the NON ILP LIFE insurance plan also goes up periodically like the ILP LIFE insurance
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Look, life insurance by itself (be it standalone or ILP) will not see repricing. Very, very unlikely, and even if yes, not in a major way. This is because life insurance is priced based on the mortality table, and life expectancy keeps increasing which is to the benefit of insurance company. Plus there is a lot of reinsurance for life insurance if there is a mass death event like a natural disaster.

Medical insurance (be it standalone or ILP) is subject to medical inflation and people cheating on their health status. As such, confirm got repricing every 3 to 5 years.

Simple story.
contestchris
post Oct 24 2023, 03:48 PM

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QUOTE(lifebalance @ Oct 24 2023, 09:34 AM)
Not necessary only the above, more ppl is claiming everything under insurance whether it is necessary or unnecessary.

As you can witness "discussion" on this thread that some would resort to unethical measure to file claims with insurance company. Why you think insurance cost won't go up?

Sick a little, pain a little. "I want to be hospitalized, I don't care, I paid for insurance, so I must claim from insurance" attitude is what is hiking the insurance cost.

if things can be remedied with Panadol / more sleep / right diet / less alcohol / less drugs / more exercise. Why trouble yourself to stay in the hospital.
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I think there must be a revamp of medical insurance as it is. People should be incentivized to not make frivolous claims. Maybe something like NCD for motor insurance. Perhaps having deductibles is one way, but also some kind of rewards for no claims made.
contestchris
post Dec 1 2023, 03:09 PM

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Hi all, any Great Eastern insurance agent here that can help clarify my query as follows:

In the ILP "Sustainability Notice" sent to policyholders annually, if the policy cannot sustain for the full contractual term, one of the options presented to policyholders is to increase the regular premium contribution.

There is a note that says: "The increased regular premium amount is treated as a Regular Top-Up based on the prevailing allocation rate."

May I clarify what does this mean?

If my policy is in the 7th year and my allocation rate is at 100%, what will the allocation rate be for the increased premium?

a. 100% - following the policy's allocation rate
b. 95% - following the single premium top-up allocation rate
c. 43% (Y1-Y2) / 76% (Y3-Y4) / 85% (Y5-Y6) / 100% (Y7 onwards) - following the allocation rate as per Schedule B of the policy contract
contestchris
post Dec 6 2023, 06:26 PM

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QUOTE(tkwmm @ Dec 6 2023, 03:30 PM)
Hi, I just want to explain my scenario quickly and ask for advice on what I can do in this situation.

7 years ago, I bought an ILP plan from GE (Insurance + Medical), and there has been an increase in the premium of the existing policy.

Then, a new GE agent offered me a new ILP policy. He proposed canceling the existing medical card in the current plan and adjusting the policy of the existing plan. This way, the overall cost of the Existing ILP policy (Insurance only) and the New ILP policy (Insurance + Medical Card) would be similar to the increase in premium.

After the new policy free look period expired, My old agent receive the letter of adjustment of old policy, and informed me that the investment fund in the existing policy would be affected, as the agent would no longer be taking commission from it. Thus, the money would go to the policy and investment fund.

Currently, I am planning to reverse the changes by sending an email to GE to appeal (cancel the New policy and reinstate whatever changes have been made in the existing policy).

If this fails, since the investment fund in the existing policy has been affected, I am planning to keep whatever is in the old policy and update the new policy to a standalone policy with Medical Card instead of ILP.

Can any expert (sifu) offer advice on any other steps I might not be aware of to fix this?
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Oh my how can people be so naive. Why restart a new ILP, bugger just change the medical rider for the existing policy. You wasted so much money as the allocation rate will reset!

If I was you I will report the new agent for engaging in dishonest practice.
contestchris
post Dec 6 2023, 06:27 PM

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QUOTE(contestchris @ Dec 1 2023, 03:09 PM)
Hi all, any Great Eastern insurance agent here that can help clarify my query as follows:

In the ILP "Sustainability Notice" sent to policyholders annually, if the policy cannot sustain for the full contractual term, one of the options presented to policyholders is to increase the regular premium contribution.

There is a note that says: "The increased regular premium amount is treated as a Regular Top-Up based on the prevailing allocation rate."

May I clarify what does this mean?

If my policy is in the 7th year and my allocation rate is at 100%, what will the allocation rate be for the increased premium?

a. 100% - following the policy's allocation rate
b. 95% - following the single premium top-up allocation rate
c. 43% (Y1-Y2) / 76% (Y3-Y4) / 85% (Y5-Y6) / 100% (Y7 onwards) - following the allocation rate as per Schedule B of the policy contract
*
Any Geeat Eastern agents here that can assist please?
contestchris
post Jan 10 2024, 11:06 AM

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Does any agent know what does "On renewal basis for all plans" mean? Under what conditions will, or will not, renewal be granted?

contestchris
post Jan 11 2024, 04:10 PM

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Great Eastern asks for family history on diabetes, hypertension, heart attack, stroke, cancer etc.

How does answering this question "yes" affect the policy? If people choose to answer "no" when there is some family history, what are the repercussions?
contestchris
post Jan 12 2024, 02:49 AM

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Question for Great Eastern agents.

Lets say I have a ILP with an attached medical rider (SMX200). My premium is currently RM200. However, the recent sustainability letter says I need to increase my premium to RM280, and the repricing letter says I need to increase premium to RM250.

I'm considering switching plans to SMS-250-D. The recommended premium by agent is BIP RM340 and GSR RM30 (for top-up premium), i.e. total premium of RM370.

1) Can I elect to maintain my BIP at RM200, and instead apportion all the recommended increase in premium to GSR, such that the GSR becomes RM170?

2) Can I elect to maintain my monthly premium at RM200 for the time being, and revisit in the future during the next sustainability letter? I have ample cash value, and for now the annual premium is around twice the total cost of insurance of the plan + riders.

Thanks!


contestchris
post Jan 12 2024, 06:17 PM

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Let's say somebody has high readings from a blood test. Examples - high cholesterol, high blood pressure, high blood sugar, high AST/ALT (fatty liver). Not all are high, just one or two.

When applying for insurance, upon disclosing these high readings, will there be any loading? If yes, how much? Has anyone (agent or customer) had an experience with this before?
contestchris
post Jan 13 2024, 10:59 PM

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QUOTE(lifebalance @ Jan 13 2024, 02:22 PM)
It's within your policy contract.
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I can't find it in my policy contract (at the time of inception).

However, I can find it when I upgraded my medical rider:

user posted image

I'm not sure what this even means, "will not dispute".

This post has been edited by contestchris: Jan 13 2024, 11:01 PM
contestchris
post Jan 15 2024, 07:05 PM

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Can we report people suspected of medical insurance fraud to anyone?

Today overheard someone was sharing how they got saja saja admitted to do CT scan as a precautionary measure. By right cannot, how they bypass?

He using SMX same card as me.
contestchris
post Jan 16 2024, 10:45 AM

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QUOTE(-kytz- @ Jan 16 2024, 10:16 AM)
I think when the word "pool" is used, it does not mean each individual plan has its own pool. I think it's more of a gigantic pool for all existing plans for medical claims, etc.

Are you on standalone or ILP?

Like Ramjade mentioned, for standalone, eg: AIA they cover until 100 years old if you continue to renew every year. Some perks like you may upgrade to a better plan in the future for "free" without health check up.
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You're wrong, "pool" does refer to each (similar) medical plan. Not sure how GE does it, but I will not be surprised if products like SmartMedic Million / SmartMedic Shield / GreatMedic Million / GreatMedic Shield are all pooled together as they are products of similar nature.

SmartMedic and SmartMedic Xtra(older plans) are confirm in a different pool as their benefits differ greatly.

Read Section 10 of the ILP Guidelines from BNM on Re-pricing and Risk Pooling Practices: https://www.bnm.gov.my/documents/20124/9481...MHIT-202212.pdf

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This post has been edited by contestchris: Jan 16 2024, 10:47 AM

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