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 Insurance Talk V7!, Your one stop Insurance Discussion

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Ewa Wa
post Aug 2 2021, 09:51 PM

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QUOTE(yklooi @ Aug 2 2021, 09:18 PM)
thanks for the explanation,...
in your example,...

Eg.
I bought a policy for my children.
I am the policy owner and the 1st party and will pay the yearly premium.
My children are the 3rd party.
The insurance co is the 2nd party who will pay a claim for any injury or medical claim.
The money goes to the policy owner and not the 3rd party.

(same situation i am having too...)

so in this case, can i pass this policy to my children when they are working while i am not?......some thing like mentioned "absolute assignment"?
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Dear YK looi,


if talking about child policy. Your are the policy owner and ur child is the Life assured. in the policy contract we called it "Vesting Clause" when the child reaches 26yo where the payer benefit cease age. Read my print screen from policy contract.

is not done by "absolute assignment" but vesting clause.

Adult policy don't have this vesting clause only apply on child policy. refer my print screen for more information.

user posted image

For wan tan mee's case, better refer to ur policy contract and find this statement "if the policy owner death, all her interest, power.. shall transfer to the life assured." Kindly read through the contract to clear ur doubts. Policy contract is much better than all the guessing here.


user posted image
Ewa Wa
post Aug 2 2021, 10:15 PM

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QUOTE(yklooi @ Aug 2 2021, 09:58 PM)
so if before 26 yrs old or lets say at 20 when my children started to work and had money of their own....can i use "absolute assignment"

for 1tanmee case,....what if the policy owner is not yet die, cannot transfer?
mind telling what type of insurance are having that now? so as to take note of them and tell my relatives and buddies about it.
notworthy.gif
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Refer ur own policy I can't use this clause age for all policies. Mayb urs is age 20? But vesting clause is applied in all child policy.

This client of mine, her payer benefits till age 26yo so must follow the clause by reaching 26yo only allow to do the transfer of ownership. Under this kind of policy no nomination is needed. Life assured passes on money pay to policy owner.

Policy owner passes on, all the right transferred to Life Assured. But if Life Assured below 18-21yo. **I only know G company. We can submit a replacement policy owner.

Do note that absolute assignment can't do between (policy owner and Life assured- this set of ppl are same entity), absolute assignment is to different entity.

What type of policies is not a concern, all policies can do 3rd party policy. In my opinion, don't apply it as different policy owner and Life assured only if u r adult.

This post has been edited by Ewa Wa: Aug 2 2021, 10:20 PM
Ewa Wa
post Aug 3 2021, 05:13 PM

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QUOTE(Leo the Lion @ Aug 3 2021, 05:05 PM)
I recently got whatsapp from my agent telling me my application got rejected due to medical conditions (that I am too shy to share here). I waited months and did my due diligence by giving documents. 6-7 months and the answer is rejected. I am sad and in despair…

Applied to PruBSN…
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Understand ur frustration friend. Take care...
Ewa Wa
post Aug 3 2021, 09:40 PM

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QUOTE(1tanmee @ Aug 3 2021, 08:02 PM)
Thanks for the reply! and if I could enquire two concerns of mine, and hope you can enlighten me further:

1- Why is it that she can transfer it to any other person (e.g. my mother/her father) when the life insured is the same? I mean, it boggles me, as in either cases, the benefits are mine to enjoy (hospital admissions, daily cash allowance, etc) Except for death benefit, I guess, which the policyholder can grant to any persons mentioned as nominee.


2- How is it more complicated doing absolute assignment than to leave it as-is? I'd thought it'd be easier now, given that the consent can be easily given?


3- While this may be the case now, it may not be the same in the future, which worries me that the insurance lapses, or suspended(??) and I have to look for new insurance coverage. Which would be hard as I would have gotten older and maybe with medical conditions that would not allow me to get new insurance (or with very high loading)

what make u think "While this may be the case now, it may not be the same in the future", have u read the policy contract and have a really careful read? read and find the clause out. Policy contract can't change suka suka. If it mentioned Policy owner passes on then all the power will transfer to you (Life assured). When times come, transfer unsuccessful then bring to court and sue.

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This post has been edited by Ewa Wa: Aug 4 2021, 03:12 PM
Ewa Wa
post Aug 5 2021, 01:27 PM

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QUOTE(zzzxtreme @ Aug 5 2021, 10:55 AM)
Same same
So Im confused about the price difference
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There are 2 different plans. If according to Ping, Prubsn anugerah probably is a ILP plan which they can add in riders.

I-great medic harapan is just a standalone medical card without any cash value or riders. Depend what u r looking for. And that the reason cheaper by half without all the riders. This is the best to answer ur confuse.

This post has been edited by Ewa Wa: Aug 5 2021, 02:26 PM
Ewa Wa
post Aug 25 2021, 09:45 AM

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QUOTE(BacktoBasics @ Aug 25 2021, 09:18 AM)
hey bro, thanks for the reply.

however, i think it is unfair to the new agent as the new agent will be serving the client for free?

can new agents reject these kind of clients who wants to transfer out from original agent?

i dont see any merit for new agents to take up these cases.
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They can reject but in fact some agents outside willing to do so by FREE transferring other agent's policy for servicing. To compensate the new agent, you can refer more customers to her/him.
Ewa Wa
post Sep 17 2021, 09:24 AM

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QUOTE(ZZMsia @ Sep 16 2021, 09:32 AM)
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And now, it comes with complimentary COVID-19 medical coverage. Get the Great Combo today before it’s too late > http://my.gelife.co/smm1 – for a limited offer period only!
For free delivery, contact your Great Eastern agent today!
https://www.facebook.com/150215745052830/po...0590665953/?d=n

Saw this on FB. Anyone know what is this? We get a free rider with no extra premium??
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Yes, NO cost at all. till 31st Oct.
Ewa Wa
post Sep 19 2021, 07:15 PM

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QUOTE(MUM @ Sep 19 2021, 04:19 PM)
Mind telling, just for added knowledge sake,.... Did those insurance that quoted you,.....Did they exclude that preexisting illness or includes extra loading on the premium?
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The final loading or exclusion can only be known after the underwriting. Quotation provided based on the standard case.
Ewa Wa
post Sep 19 2021, 07:39 PM

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QUOTE(MUM @ Sep 19 2021, 07:27 PM)
So that means, after giving the quotation, the company can still choose NOT to accept providing the coverage too?
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This quotation just letting client knows with this budget you able to get these coverage. The quotation is quoted based on standard case.

Upon confirm on the quotation then proceed for submitting the application with payment.

Upon payment received, underwriting process starts.

Underwriter will come out the final decision whether the case is insurable or loading or impose exclusions.
Ewa Wa
post Oct 1 2021, 10:08 AM

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QUOTE(ping325 @ Oct 1 2021, 01:40 AM)
yeap need a lawyer to sue back insurer , however case to case basis.
this china press did not reveal which insurance company and what plan the client purchase.
if the covered terms is written black & white inside initial contract but still reject claim , then chances of winning is very high.
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Is clearly written as "non disclosure" to decline the claim regardless is related or non related on the death which compliance with the FSA 2013 act. Else the FSA can be challenged and revise. If claim is payout, insurer is charity center and not profit orientated.

Cant say winning in court because already breach the FSA compliance, if insurer pay the claim is in GOOD WILL or known as Charity. They have no obligation to pay due to the breach of non disclosure.

I want to question the single mother who knew she had thyroid problem WHY didn't disclosure? or The agent FAULT didn't write in the proposal form?? Whose fault? Agent or Client? The initial step when applying the policy is based on upmost good faith sad.gif

We as an insurance agent must must remind ourselves, all the health questionnaires must ask and answer honestly.

read this article https://www.enanyang.my/%E8%A8%80%E8%AE%BA/...-IfW2D3BvFz5x4E

In e-nanyang which written in Chinese. Is a good article on reviewing all the recent rejected claim.

This post has been edited by Ewa Wa: Oct 1 2021, 10:11 AM
Ewa Wa
post Oct 1 2021, 01:31 PM

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QUOTE(blibala @ Oct 1 2021, 10:32 AM)
Hemorrhoids treatment, back pain checkup but no treatment and etc
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Better ask ur agent to send in a letter signed by you to declare the above minor surgery. Then let the company to decide further investigate or remain the same conditions.

One recent declined CI claim was non disclosure of back pain check up with no treatment too. The back pain was slip disc and did a MRI.

This post has been edited by Ewa Wa: Oct 1 2021, 01:52 PM
Ewa Wa
post Oct 1 2021, 01:39 PM

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QUOTE(blibala @ Oct 1 2021, 10:27 AM)
My agent also never asked me on past medicsl record although all small case and minor surgery. Everything tick ok by himself. So what action csn i do? Bought aince many years ago. Just ask me give him blood test report.
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That's ur agent who a small group who didn't ask all the health questionnaire and infact putting customer in a dangerous situation when come to claim.

Alot responsible agents outside including myself, who read line by line all health questionnaires which consist of lots medical term. by doing so, client heard the term then they remembered they have done the surgery or had this condition b4. A great reminder for all insurance agents who reading this. we can't pay the price of non disclosure for customer.
Ewa Wa
post Oct 1 2021, 03:42 PM

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QUOTE(blibala @ Oct 1 2021, 02:00 PM)
Just curious. Actually how many years record can insurance company trace back? 5 years, 10 years or 20 years?
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There are no specific time frame I heard some after 20 years still encountered claim declined.

Any claim raised within 2 years of policy inforced, company will have a very detailed investigation compare those after 2 years but again don't try to hide any information and breach the non disclosure.

I have one customer has forgotten about a Brain MRI he did 5 years ago and policy has been inforced for 3 years. So I have to resubmit this non disclosure information in and let the policy re-underwrite. Although with lots of hassle by running in out hospital to get doctor report and finally the same policy was imposed exclusion. So at least death happen claim still payout. Peace of mind ah.. innocent.gif
Ewa Wa
post Oct 4 2021, 09:36 PM

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QUOTE(lamode @ Oct 4 2021, 02:17 PM)
If i have two medical plans, can i claim the full room and board from both plans?

Example: R&B hospital charge at RM300 / day

Card 1 - R&B coverage RM100
Card 2 - R&B coverage RM200

icon_question.gif  icon_question.gif  icon_question.gif
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As from my experience, you only can discharge using 1 medical card now. Either one of the card.

All the unpaid fees need to do reimbursement from ur 2nd card.

However, you unable to get a define answer here as we are not the claim department sweat.gif .

Call in to ur insurer claim department to get the real answer.
Ewa Wa
post Oct 5 2021, 02:13 PM

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QUOTE(mini orchard @ Oct 5 2021, 05:46 AM)
Buy the 2 plans from the same insurer....for ease of claim procedures.
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Actually it doesn't economic to buy 2 medical cards from same insurer unless there's some exclusion on the early card. Buy 1 card then add this rider calls Hospital Allowance in. Then any access R&B can get paid from this Hospital Allowance.
Ewa Wa
post Oct 5 2021, 02:27 PM

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QUOTE(yap1992 @ Oct 4 2021, 10:02 PM)
Hi guys, is there any fixed premium for standalone Critical Illness plan? I read that premium for standalone CI plans are usually not guaranteed unless it is tied with Life Insurance hmm.gif
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not fixed premium is available on CI plan.

Online CI term price revise every year:
https://www.greateasternlife.com/content/da...ct-brochure.pdf

The one you said tied with Life is either Par or non Par product. The premium can be leveled but subject to revise.

Ewa Wa
post Oct 5 2021, 06:33 PM

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QUOTE(WaCKy-Angel @ Oct 5 2021, 03:44 PM)
ohh that is how it works ya.

So how to claim back? like i mentioned official receipt (total 100K bill although only claim 40K) only issue one and submitted to company card insurance liao.
accept duplicate meh?
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From my past claim experience, the company medical card under GE limit 40K and personal card 100K- Pru.

Accident injury final total bill RM60k without any reimbursement paid by 2 insurers.

1st admitted by using the company card, hospital called me and said the bill almost 40k, then I asked them to discharge the almost 40K bill to GE.

After that re-admit with the personal P company card. So is doable. w/o any reimbursement involved here. So can try doing in way. But not apply on R&B access amount unable to compensate with another card.

Case to case and subject to claim approval. This is a accident injury case.


Ewa Wa
post Oct 7 2021, 01:45 PM

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QUOTE(kenloh7 @ Oct 7 2021, 08:48 AM)
Hi agents, is it true that upon changing of a new medical rider plan attached to my ILP, my plan is considered a restart? Which means I am subjected to more scrutinized investigation for 2 years upon starting of the policy?

And also if let's say I just want to upgrade my room and board from RM200 to RM300, am i subjected to this 2 years period also?
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If u are talking about GE riders from SMX to SMM from ur existing SPE2 is a conversion. You call in to this claim department 1300130088 to enquiry more.

My colleague has encountered this claim situation b4. After upgrading for 4 months in the same policy, kena cancer. GL rejected and required to do reimbursement on the old card SMX. So what the agent said not all wrong but there is a risk to bear. actually SMX is good enough with 1mil annual limit. Why not maintain it? Unless u wish to go for 3mil annually?
Ewa Wa
post Oct 7 2021, 02:32 PM

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QUOTE(kenloh7 @ Oct 7 2021, 01:56 PM)
Thanks for ur reply. My SMX 200 plan is only having 132k annual limit. But why is ur colleague GL rejected? And ur colleague is holding the old card as her co-exist card, therefore is able to fall back on it?
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Then why not add in SE so ur annual limit 1.32mil. Yes fall back to old card due to waiting period. No didn't hold 2 cards, covert the SMX to SMM in the existing SPE2 like what u are doing now. Some how still have this waiting period involved especially for chronic illness like cancer, kidney failure which take longer time to develop and not happen in these 4 months. Which u would like to take note on.

Call the number I have given you just now, they can explain better. Cross finger these 4 months u r healthy so ur conversion is successful. To be frank holding 2 cards not economically la if u r healthy now.
Ewa Wa
post Oct 7 2021, 02:56 PM

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QUOTE(wong_86 @ Oct 7 2021, 02:25 PM)
Question,  if upgrade from existing medical card Prumed (2009-2020) to Prumillion, is there still required 120 days waiting period? Within this period, is there any coverage?

Now the proposal approve and endorsement issued, but i didn't declare 2019 and 2021 blood test result, i need to concern ?
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Wait for Ping325 to answer you this.

This post has been edited by Ewa Wa: Oct 7 2021, 02:56 PM

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