QUOTE(koja6049 @ Oct 23 2025, 06:57 PM)
premium paid is mostly fixed RM400/mth till 80 y/o sustainability age. This is because the excess premium paid in early years is invested to use to offset the high premiums at the later years. of course things may change if there's another round of medical repricing down the road

QUOTE(MUM @ Oct 23 2025, 07:24 PM)
If it is fixed then the premium should be not affected by any medical repricing down the road.
If the premium can be revised upwards due to repricing, then the premium of 400/mth is not fixed till 80 y/o sustainability age.
Of course, it is always good to hv a written clause in the medical ILP policy stating that the premium is fixed at RM400/mth till 80 y/o sustainability age regardless any medical inflation, number of claiming incidences in the pool and performance of the selected ILP funds
QUOTE(koja6049 @ Oct 23 2025, 07:50 PM)
repricing must be approved by govt. The current repricing is after the insurance companies pressure the govt to allow it. Otherwise, the COI can only follow the age-based increase. medical repricing is quite rare in malaysia before 2010.

premium is always fixed at 400/mth unless you yourself wants to increase it, whether forced or voluntary. If COI increase whether due to age or repricing, you can still pay 400/mth, but your investment units will be deducted more to pay for the difference.
When I was with AIA, they also keep sending me letters to increase premiums to maintain sustainability, i always ignore them.
If COI doesn't increase but your investment failed (due to financial crisis etc.), then you also can be forced to increase your premiums/top up because there are no units left to deduct.
When people say premium is fixed, it is based on the plan that your agent designed based on all those assumptions (no medical repricing, age-based COI increase, average investment returns of the selected ILP fund). Otherwise, you can say nothing is really fixed in this world, then there is no conversation to be held.
QUOTE(koja6049 @ Oct 23 2025, 08:46 PM)
you're mistaken. premium is always fixed, the insurance company cannot suka hati raise your premium any other day. They always need your consent. even under medical repricing, you can always choose not to increase your premium. If your ILP fund performs better than expectation, then you don't have to worry about repricing at all.
QUOTE(Wedchar2912 @ Oct 23 2025, 09:10 PM)
So is the premium always fixed or it is fixed unless gov allows it to be increased and then your consent is not needed? the latter means it is not fixed.
the last 2 years shenanigan basically tells you the answer already, regardless on how one wish to describe it. If can happen once, it most probably will happen again.
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.