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 Insurance Talk V7!, Your one stop Insurance Discussion

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poweredbydiscuz
post Apr 14 2025, 05:03 PM

 
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QUOTE(boyboycute @ Apr 14 2025, 04:49 PM)
Recently, Unker heard medical and hospitalization coverage of 5 mil and some even 15 mil.

Will someone ever need a 5 mil coverage?

What is the purpose actually?
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So that they can have more "justification" to increase the premium in the future.
jutamind
post Apr 14 2025, 08:45 PM

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Since you've provided a rating of C for GE and B for Prudential in your previous posts (according to your analysis), what's the rating that you're going to give to AIA, Allianz, HLA etc?

QUOTE(hafizmamak85 @ Apr 13 2025, 02:06 AM)
The average medical pool claims cost per policyholder for a Great Eastern policy is only RM 730. You can derive this figure by multiplying Great Eastern's average medical claims size per claimant (RM 8.8k) with the proportion of claimants (8.3%).

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


The average medical pool claims cost per policyholder for Prudential's PruHealth policies is RM 1.1k (RM 14.7k average medical claims size per claimant with 7.4% proportion of claimants).

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Guess what Malaysia's current (2023) per capita health expenditure is??? It's around RM 2.5k. Went from RM 1.2k in 2011 to RM 2.5k in 2023. Growth of 6.2% per annum.

user posted image

Guess what the average annual premium paid for an investment-linked policy is??? Over RM 4k for more than 7 million policies in 2023.

Guess what the average sum assured (death) for an investment-linked policy is??? Less than RM 150k

Guess why a National Health Insurance Scheme funded by a 5% payroll tax may not be feasible in Malaysia??? It would be too burdensome for nearly half of the households, those within the higher income bands, and does not add any benefit to them. Good enough to only raise around RM 46 billion or equivalent to RM 1.3k per capita. Not worth it.

user posted image

user posted image

Guess what should be available for purchase by a 35 yr old with RM 4.2k? An insurance policy with:
- RM 3100 in average medical pool claims cost (12.1% proportion of claimants and average claims size of RM 25.4k)
- RM 200k death benefit
- Up to RM 200k in short and long term disability benefits

Assuming there are 12 million lives within households earning 10k and above per month, it's possible to collect RM 39.3 billion in medical insurance premiums or RM 3.3k per capita.

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


Guess why IL policyholders should sue BNM and the kootu ITOs (PRU, GE, AIA, Allianz, HLA)????
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hafizmamak85
post Apr 15 2025, 01:34 AM

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QUOTE(jutamind @ Apr 14 2025, 08:45 PM)
Since you've provided a rating of C for GE and B for Prudential in your previous posts (according to your analysis), what's the rating that you're going to give to AIA, Allianz, HLA etc?
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It's just a simple analysis. C for less than RM 1k in average medical pool claims cost per policyholder, B for between RM 1k and RM 2.5k, and A for anything above that. Having said that, this is just one cut of the analysis. Important to query on the average claims size per claimant - be suspicious of those ITOs that have average claims size below RM 15k.

Unless the other ITOs make their average medical pool claims cost per policyholder and other claims related statistics ( claims ratio, combined ratio (claims + expenses), average claims size per claimant) available online, so that consumers can be informed and make better choices, it's not possible to do an evaluation.

As i'm advocating for high deductible products (the ratings above are based on total claims (policyholder's + ITO's portion)), the coverage for a good one should not only be based on hospital admissions, but for all types of medically necessary treatments/procedures done at hospitals and specialist centres (including dental specialists). All GP and other primary care bills should be counted as part of the deductible.

P.S. I shouldn't have said it's not possible to do an analysis unless info is available online. I just don't have the data. Some of the info (number of claimants and average claims size per claimant) may still be gotten from agents who have clients within re-priced medical pools.

This post has been edited by hafizmamak85: Apr 15 2025, 03:48 PM
tadashi987
post Apr 16 2025, 03:58 PM

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Hi guys, any Prudential agents here who can offer some advise?
I tried contacting my previous agent, from whom I purchased my premium, back in 2017, but it seems the agent has gone MIA - no reply to me on WhatsApp sad.gif

I received this email from Prudential regarding an "offer" or "campaign" stating that I could upgrade my current medial plan - PruValue Med to PRUMillion Med Active with Active Booster or PRUMillion Med 2.0 with PRUMillion Med Booster 2.0 on a GUARANTEED offer with NO HEALTH QUESTIONS ASKED and NO ADDITIONAL WAITING PERIOD

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I am quite confused about whether I should upgrade? because:

1. I have done some readings but I still no clue what benefits the offer provides (compared to upgrading outside of this so-called 'offer' or 'campaign'). Does the offer refer to "NO HEALTH QUESTIONS ASKED" and "NO ADDITIONAL WAITING PERIOD"? these doesn't seem appealing to me hmm

2. I have done some research. It seems if I opt to upgrade, I likely need to pay more? please confirm me. but, I have no idea how much more I need to pay, compared to my existing premium (as mentioned, my agent seems MIA sad.gif, could I call Prudential to request another agent reassignment?)
2.1 anyone can estimate how much more I might need to pay?

3. My existing plan is PRUValue Med with a total 1 mil lifetime limit (according to the policy, Prudential will co-pay 80%, if the limit is exceeded, if I remember correctly. Is this co-pay 80% a one time benefit or unlimited after the 1mil limit?

4. I am 32 y/o this year, seeking some general advice. Is point#3 sustainable for my old age? considering inflation and increasing medical cost etc., or I am recommended to upgrade to the offer given to get a higher/unlimited lifetime limit for a worry-free future/elder life nod.gif ?

5. If I opt for the upgrade, do I still need to 'vest' for another two years before claims are processed without questions?
alphacross
post Apr 16 2025, 05:55 PM

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Hi all, wanted to ask about my insurance situation

I currently have an active investment linked medical insurance from G that i bought 5 years ago and last year dec, i changed to a new insurance A that i bought from my wife’s family friend. I stopped paying premiums for G and started paying for A Insurance

She mentioned that i dont directly cancel my G insurance cus for insurance against cancer/critical illness/brain/heart from the new A insurance need to wait atleast 13 months to take effect.

She mentioned that my old G insurance still in active even though i dont pay its premium as it still has cash value on the investment and it can cover the cost of insurance.

Then, few days ago, advisor from G insurance called and mentioned that i have not paid since dec and i have outstanding amount of the premium. And he mentioned that if you dont pay, they might not release GL in case of hospitalization. Even thought i still have cash value to cover the cost of insurance.

Any suggestions?

I asked the A insurance agent, she mention is still ok as still have cash value from the investment

This post has been edited by alphacross: Apr 16 2025, 05:56 PM
MUM
post Apr 16 2025, 06:09 PM

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QUOTE(alphacross @ Apr 16 2025, 05:55 PM)
Hi all, wanted to ask about my insurance situation

I currently have an active investment linked medical insurance from G that i bought 5 years ago and last year dec, i changed to a new insurance A that i bought from my wife’s family friend. I stopped paying premiums for G and started paying for A Insurance

She mentioned that i dont directly cancel my G insurance cus for insurance against cancer/critical illness/brain/heart from the new A insurance need to wait atleast 13 months to take effect.

She mentioned that my old G insurance still in active even though i dont pay its premium as it still has cash value on the investment and it can cover the cost of insurance.

Then, few days ago, advisor from G insurance called and mentioned that i have not paid since dec and i have outstanding amount of the premium. And he mentioned that if you dont pay, they might not release GL in case of hospitalization. Even thought i still have cash value to cover the cost of insurance.

Any suggestions?

I asked the A insurance agent, she mention is still ok as still have cash value from the investment
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Check how much cash value do you hv?
How long will that cash value last since you stopped paying?
alphacross
post Apr 16 2025, 09:31 PM

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QUOTE(MUM @ Apr 16 2025, 06:09 PM)
Check how much cash value do you hv?
How long will that cash value last since you stopped paying?
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I check on their online platform, i have 5.6k surrender/cash value
not sure how to check the cost of insurance, but if following what my A insurance agent say, it's 90 per month. If so, then i should be able to last 60+ months.
contestchris
post Apr 16 2025, 09:57 PM

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Anyone here knows how the "sum assured" of the IL Premium Waiver Extra Rider for Great Eastern is calculated? It is an odd figure and I can't seem to reconcile how it is computed.
MUM
post Apr 16 2025, 10:46 PM

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QUOTE(alphacross @ Apr 16 2025, 09:31 PM)
I check on their online platform, i have 5.6k surrender/cash value
not sure how to check the cost of insurance, but if following what my A insurance agent say, it's 90 per month. If so, then i should be able to last 60+ months.
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I googled and found this, ....
Not sure if it is applicable to your plan or is my interpretation is correct.

Mentioned .....Cash value is used for unpaid premium,
Did not say will be used for unpaid cost of insurance.


https://www.greateasternlife.com/my/en/cust...um-payment.html

This post has been edited by MUM: Apr 17 2025, 06:53 AM


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AhBoy~~
post Apr 17 2025, 12:10 AM

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how slow is GE communication to their customer?

I only received message from my agent about "LEVEL UP MEDICAL COVERAGE CAMPAIGN" and inform need to decide with next week or so?

I saw this campaign is starting since March until 30th April, but no email, letter until agent inform me, is this part of tactic to push customer to sign up new coverage?
MUM
post Apr 17 2025, 07:05 AM

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QUOTE(AhBoy~~ @ Apr 17 2025, 12:10 AM)
how slow is GE communication to their customer?

I only received message from my agent about "LEVEL UP MEDICAL COVERAGE CAMPAIGN" and inform need to decide with next week or so?

I saw this campaign is starting since March until 30th April, but no email, letter until agent inform me, is this part of tactic to push customer to sign up new coverage?
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Most probably yes, as it is a part of marketing plans to apply time pressure, giving the policy holder less time to think and decide.
As per few pages back, I think there is another tactics too.
That case is through enticement tactic. That case the insured, just pay 20% more premium but gets 2500% more coverage.

Btw, for your case, how much extra coverage and benefits and how much more you need to pay?
adele123
post Apr 17 2025, 08:28 AM

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QUOTE(AhBoy~~ @ Apr 17 2025, 12:10 AM)
how slow is GE communication to their customer?

I only received message from my agent about "LEVEL UP MEDICAL COVERAGE CAMPAIGN" and inform need to decide with next week or so?

I saw this campaign is starting since March until 30th April, but no email, letter until agent inform me, is this part of tactic to push customer to sign up new coverage?
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Dont have to smell menace everywhere.

More like inefficiency or your agent got too many customer to handle. You still have almost 2 weeks to decide if the end date is 30th april.

If you arent ready to decide then just dont do it.
ave_20
post Apr 17 2025, 10:56 AM

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QUOTE(AhBoy~~ @ Apr 17 2025, 12:10 AM)
how slow is GE communication to their customer?

I only received message from my agent about "LEVEL UP MEDICAL COVERAGE CAMPAIGN" and inform need to decide with next week or so?

I saw this campaign is starting since March until 30th April, but no email, letter until agent inform me, is this part of tactic to push customer to sign up new coverage?
*
same here, i only know this when i told my agent that i am thinking to cancel my current insurance a few days ago, then she suddenly told me you have been selected for this "LEVEL UP MEDICAL COVERAGE CAMPAIGN". my another friend also doesn't know got this upgrade. i saw two options, option 1 - increment RM210 to 443.35, option 2 increment RM340 to 573.35 monthly. i have email GE for the details, but not yet receive a reply.

This post has been edited by ave_20: Apr 17 2025, 11:16 AM
LeonTan
post Apr 17 2025, 01:33 PM

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QUOTE(AhBoy~~ @ Apr 17 2025, 12:10 AM)
how slow is GE communication to their customer?

I only received message from my agent about "LEVEL UP MEDICAL COVERAGE CAMPAIGN" and inform need to decide with next week or so?

I saw this campaign is starting since March until 30th April, but no email, letter until agent inform me, is this part of tactic to push customer to sign up new coverage?
*
actually this level up campaign started since last month, the agent just inform you now considered abit late doh.gif

we started to contact our customers since the first day about this campaign so at least they have time to consider
LeonTan
post Apr 17 2025, 01:35 PM

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QUOTE(ave_20 @ Apr 17 2025, 10:56 AM)
same here, i only know this when i told my agent that i am thinking to cancel my current insurance a few days ago, then she suddenly told me you have been selected for this "LEVEL UP MEDICAL COVERAGE CAMPAIGN".  my another friend also doesn't know got this upgrade. i saw two options, option 1 - increment RM210 to 443.35, option 2 increment RM340 to 573.35 monthly. i have email GE for the details, but not yet receive a reply.
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your friend's agent doesnt inform about this campaign?
ftan
post Apr 17 2025, 01:52 PM

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I got the GE offer via email and in the online account. Then I msg my agent to ask about it. Application was done online diy.

Just got the sms yday.
RM0 GREAT EASTERN: Your Service Request for Level Up Medical Coverage Campaign for Policy nnnnnnnnn is Approved.

My take is - if you are young and healthy, can survey other insurance plans.
Otherwise, see what other options to explore (higher deductible, etc).


ave_20
post Apr 17 2025, 02:02 PM

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QUOTE(LeonTan @ Apr 17 2025, 01:35 PM)
your friend's agent doesnt inform about this campaign?
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No,she is clueless
justanovice
post Apr 17 2025, 04:33 PM

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QUOTE(AhBoy~~ @ Apr 17 2025, 12:10 AM)
how slow is GE communication to their customer?

I only received message from my agent about "LEVEL UP MEDICAL COVERAGE CAMPAIGN" and inform need to decide with next week or so?

I saw this campaign is starting since March until 30th April, but no email, letter until agent inform me, is this part of tactic to push customer to sign up new coverage?
*
QUOTE(ave_20 @ Apr 17 2025, 10:56 AM)
same here, i only know this when i told my agent that i am thinking to cancel my current insurance a few days ago, then she suddenly told me you have been selected for this "LEVEL UP MEDICAL COVERAGE CAMPAIGN".  my another friend also doesn't know got this upgrade. i saw two options, option 1 - increment RM210 to 443.35, option 2 increment RM340 to 573.35 monthly. i have email GE for the details, but not yet receive a reply.
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Campaign date from early March to end April. It is in GE online system and very easily missed out. Some agents did informed their customers.
If your agent did not inform us, then we know how important we are to them. Fact.
Andr3w
post Apr 18 2025, 02:48 PM

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QUOTE(MUM @ Apr 16 2025, 10:46 PM)
I googled and found this, ....
Not sure if it is applicable to your plan or is my interpretation is correct.

Mentioned .....Cash value is used for unpaid premium, 
Did not say will be used for unpaid cost of insurance.
https://www.greateasternlife.com/my/en/cust...um-payment.html
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It seems that they can charge interest fee once they activate this APL if you never pay premium after 30 days grace period. However, I did not find any APL or close related terms in my policy wording contract. Can I say I am safe to ignore APL if I don't pay premium and let it minus my cash value which I have a lot?

Up for any advice please
hafizmamak85
post Apr 18 2025, 03:06 PM

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QUOTE(Andr3w @ Apr 18 2025, 02:48 PM)
It seems that they can charge interest fee once they activate this APL if you never pay premium after 30 days grace period. However, I did not find any APL or close related terms in my policy wording contract. Can I say I am safe to ignore APL if I don't pay premium and let it minus my cash value which I have a lot?

Up for any advice please
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There is no automatic premium loan facility for investment-linked policies - this facility is usually provided for traditional policies having cash values, like participating policies. Your ILP policy will be in-force, but not sustainable, as long as its cash value is available to finance any and all policy charges, including cost of insurance.

There is no need to provide an automatic, or otherwise, premium loan facility to ensure sustainability of ILP policies. What is needed is just a simple negative balance clearance mechanism (with no interest element), so that the ITO can track the IL policy's debts which will be gradually cleared as premiums get paid as time passes by. Any remaining negative balance at the end of the policy term will be absorbed by the ITO. The balance should not be deducted from any insurance/takaful policy payments should an insured/takaful event occur during the policy's term.

Just make sure to maintain your annual premium payments as per the level premium payment schedule set at the policy's inception.

Ignore any notice mentioning hikes in premium payments or cost of insurance charges. "Notices" are not contractually binding. The ITO must issue an amendment to the insurance/takaful contract, which cannot be executed unilaterally, if it wished to alter key terms, such as the annual premium/contribution amount or cost of insurance charges. Any right to unilaterally alter key terms of the contract, including annual premium and cost of insurance amounts, cannot be executed to maintain profits or to the detriment of policyholders.

This post has been edited by hafizmamak85: Apr 18 2025, 05:05 PM

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