I attempt to shed some light ya.
ILP is designed to be a Leveled-Premium Product. What this means is that the premium is averaged out to the point that the annual premiums remain the same year on year. Why it is so important to distinguish it in such a way?
It is because the premium is not, never was, and will never be claimed to be fixed.

Why they cannot fix now leh?
Because the premiums will be very high. You also won't buy.
At the current, every repricing also create a wave of discussion demonizing the whole insurance industry liao.
Give you the option to fix the premiums into the far future... We don't want to deal with daily disturbance in the force neh.
As for the Life Planners like myself, lagi worse. Whole world want to check my pocket see how much I earn, count every cent I have on behalf of LHDN. (Really no need, I already kena audit few times)

So now that claims are going through the roof (and newfound roofs year on year), nobody happy liao.
As educated members of society, let's take a deep dive into the crux of the problem, the devil always in the details - the numbers.
Other company I don't know, so won't comment much.
In 2024, AIA Malaysia paid out RM 5.75b in claims.
Of that, RM 4.75b is paid to hospitals & clinics in the form of medical bills & charges. The deductibles, items that are not covered, tak kira sebab tak bayar.
Among the top 10 diagnosis, the average inpatient payout ranges between 6,000 to 51,000 per claim.
Total average per claim is 11,000.
Among the top 10 categories of diagnosis - standing at #2 is General Conditions with an average payout of RM 8,000; standing at #8 is General Infections with an average payout of RM 7,000.

Now, we cannot say for sure that these are abuses or fraudulent claims. Because we are not doctors.
Even if you ARE a doctor, you're most probably not the attending physician to these cases, kan? 
As educated members of society, we want to look at other ways to make the system efficient and optimized for everybody's benefit.
So the first move was to introduce deductibles as a means of lowering the premiums.
And the market reacted as it should. And a friendly deductible of RM 300 or RM 500 has proven to be acceptable to the market.
Hence the SMART Option arrived.

Crash Course on SMART Option: https://www.aia.com.my/en/help-support/clai...rt-journey.html

TL;DR version:
Why pay RM 500 deductible when the problem could easily be handled at the GP for RM 100 - RM 200?
Follow the SMART Journey, enjoy lower premiums.
Don't follow the SMART Journey, then let's shoulder the burden together.

As it is, the medical portfolio is currently running at a loss to insurers.
Yet, the gomen interfered to soften the blow to the rakyat.
As a commitment to continue as partners in nationbuilding, all members of LIAM agreed.
It doesn't mean that the insurers are out to get you.
Just like how the police force is not created to make our lives even harder.

I strongly believe that regular review and openly sharing with your Life Planners is the way to cultivate that symbiotic relationship.
Personally, I train my agents the same way - we will only grow when our customers grow.
They don't benefit from our advise, we won't benefit in the long term.

Don't understand why you are so adamant in claiming the premium is fixed.

Are you a insurance agent? Cos JIUHWEI do sell insurance...

And thanks to the recent 2 years debacle, many of us had our medical premium fees increased, with or without our consent.

Yes company cannot increase the premium without your consent. But it is like a blackmail by the company if you refuse to increase premium.

If you you don't increase your premium, your duration of coverage decreases. It is essentially an indirect blackmail.

Yes you can sign till 80 years old. Is whether the premium you pay can sustain you until 80 years old. If you look at the ILP, majority of the ILP premium cannot even sustain until the age you want unless you up the premium paid.

So if the premium cannot sustain you until 80 years old, the company can ask you to increase premium so that can reach your coverage age or perform a lump sum top-up.

yeah, prior to this year, I also mistakenly thought so... because the letters requesting for increase were mere advises/suggestions.

This year's letter proved otherwise.... and my provider's CS terang terang claim it is out of their hands and push the blame (verbally) squarely on BNM. how about that?

There are many threads in lyn about premium hike that are few years old.....
This is not a new things,
Attached image were 2 examples posted in 2019
No mentions of consent requirements.
But just suggestions/recommendations...as words used in image on 1 of that letter in year 2020
Ha ha ha

Btw, in my own family alone has minimum 4 medical insurance plans cater for different sex and age. These medical plan are at least 15 yrs old.
There had been premium hike / repricing many many times, but never once did we sign any consent to agree to their suggested/recommended repricing. We don't hv to do anything, the CC statements will just confirm those hikes and I just had to input it into my family annual budget allocations planning

It is very simple, ...check your policy, if there is a mention that
premium is fixed or cannot be change.
Check your policy, if there is a clause that mention that your consent is required for any premium repricing.
I believes BNM just stipulated that they need to gives you notice in advance prior to any changes.
In the contract, I think there is the mention of projected sustainability period for the stated premium.....just "projected", thus the premium can be changed to keep abreast with other cost increases or prolong until the next projected sustainability period.

If you did not want the auto reoccurrence features, then don't use CC to pay.
Auto reoccurrence feature helps to keep your insurance active by not have to remember to pay on due dates
Pay with auto debit feature of GIRO "standing instruction". Any change of that instructed amount, it will not deduct your bank account.
Or pay manually.

If you are on terms insurance, ...beware your policy does not hv cash value features, which would /may auto lapse your policy if full amount "suggested" is not followed. ( you need to confirm that with your insurance company for that)

Okay bro I bagi cara ya:

You request for the agent to first show you the repricing correspondence letter.
There should be a suggested premium amount there or what is the new premium that will be charged.
The insurer has to notify you 3 months in advance before actually charging you the new COI or premiums.

Then you can also request for a Sustainability Quotation.
Yes, want to change the premiums to increase the sustainability of the policy.
How much to increase to what age?
Gather the information first, then you decide.

Yes.

So there is 1) the premium and 2) the COI.

The insurer cannot force your hand on the premium.
But the insurer must notify you on the changes in COI before they charge you.

Keyword: notify

Refusing to do anything to the premium, does not mean the insurer cannot charge you the revised COI rates.
The policy will then be subject to a lower sustainability.

I'm just showing you how it works ya.

On the flip side, even if the insurer increases your premium without consulting with you, you still retain the right to move it back to the original premium via writing in.

Hmmm...afaik, Insurance companies' investment arms are among the most regulated lah.
No doubt there has been some years that surprised even me, but over the long term, it sticks quite closely to what's projected.
As it is, it is already uncommon for anyone to agree to pay above the minimum quotation for ILP policies with medical riders.
With COI hiking at the current rate now, the ones most affected are the customers who absolutely pushed for the lowest of low premiums for the highest of high coverages.
At the time of purchase, perhaps even patted themselves on their backs for their skill at kicking the can down the road.
Insurance is a numbers product. How far can numbers run?

Regarding fund performance
If you find that the investment portion is performing abnormally bad, perhaps consider fund switching before you withdraw from the policy entirely?
Again, please remember that you are buying insurance products for the coverage.
Because it is not an investment vehicle and it shouldn't be seen as such.