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Introducing JEEVAN AROGYA Table 903: New Health Benefit Plan

Introducing JEEVAN AROGYA Table 903: New Health Benefit Plan. LIC. Comprehensive insurance for a motorcycle is approximately Rs.1500/-. Comprehensive insurance for an entry level car in India is approximately Rs.12000/- and goes up to Rs.20000/- for mid level cars. A little bit.

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Introducing JEEVAN AROGYA Table 903: New Health Benefit Plan

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  1. Introducing JEEVAN AROGYATable 903: New Health Benefit Plan LIC

  2. Comprehensive insurance for a motorcycle is approximately Rs.1500/- Comprehensive insurance for an entry level car in India is approximately Rs.12000/- and goes up to Rs.20000/- for mid level cars

  3. A little bit That is all it takes for you and your family to be free from all hospitalization worries every year with LIC’s Jeevan Arogya YES Total family hospitalization & surgical insurance for the price of your car insurance… Because we believe you love your family more than your vehicle

  4. Special Attractions • Benefit payout is fixed irrespective of actual expenses incurred. • Can be availed along with Medi-claim for the same Hospitalization/ Surgery • On the basis of Xerox copies of Bills • Guaranteed Premium for 3 years. • Auto Renewal Date (ARD) after each 3 Yrs to revisit Premium depending on experience. • New Premium rate applicable on age at entry 4

  5. Special Attractions • Hospitalization Cash Benefit (HCB) : Rs.1000, 2000, 3000, 4000 PER DAY • Up to Rs. 4000 per day for maximum no. of 720 days • Up to Rs. 8000 per day for max. no. of 360 days in ICU 2. Major Surgical Benefit (MSB) :100 times HCB/ADB • No of Surgeries increased to 140 • MSB available for Minors also • MSB Benefit is in addition to MSB under Plan 901/ 902 3. Day Care Procedures (DCPB) : 5 times HCB/ADB • Addition of 140 Surgeries, 3 in a year, 24 in life-time 4. Other Surgical Benefit (OSB) : 2 times HCB/ADB • All other Surgeries covered

  6. USPs Other Benefits: 5. Premium Waiver Benefit : One annualized premium w.e.f next instalment Premium following Surgery • PWB under 57 Surgeries (15 Surgeries 100% + 42 60% S.A.) 6. Ambulance Expense @ Rs.1000 p.a per person for 57 Surgeries (15 Surgeries 100% + 42 60% S.A.) 7. Auto increase @ 5% in both HCB & MSB up to 50% even if there is any claim to take care of inflation 6

  7. USPs 8. Quick Cash : • 50% Advance Payment under 57 Surgeries • (15 Surgeries 100% + 42 60% S.A under MSB only) • Performed in Net Work Hospitals 9. No Claim Benefit • 5% of Initial HCB on ARD is added without any upper limit 10. Term Assurance & Accident Benefit Riders : (Optional ) • Up to 25/ 50 lacs respectively till age 60 years Maximum term 35 years. S.A.= MSB S.A. Minimum S.A. for Term Rs.1 lac, For A.B. Rs.25,000 7

  8. Special Attractions • Age at entry for PI and Spouse from 18 to 65 Yrs • For Parents/ Parents-in-laws 18 to 75 Yrs • For Children 91 days to 17 Yrs • Maximum Health cover for every one up to 80 Yrs • Except up to max. 25 Yrs for dependent Children • Risk cover up to 4 lacs per insured Subject to overall limit of 10 lacs • (All our Health Policies put together) 8

  9. HCB : Benefits at a glance HCB increases by 5% every year Up to1.5 times. Eg. Rs 1000/- after 1 Yr becomes Rs.1050 and in the 11th Year becomes Rs.1500/-(Max) • Hospitalization eligibility condition: Fraction of 4 Hours treated as a day First 28 hrs eligible for 1 day benefit First 24 hours : No benefit Exception: When hospital stay exceeds continuous period of 6 days and 4 hours, HCB for 7 days (including 1st day also) is allowed 9

  10. Annual limit for each insured Maximum limit for each insured during entire policy term 1st policy year 30 days of hospitalization of which15 days of ICU is allowed. subsequent years Each year- 90 days of hospitalization of which 45 days of ICU is allowed. 720 days . of which 360 days of ICU allowed HCB : Benefits at a glance 10

  11. MSB- Benefits at a glance • MSB allowed for 140 surgical procedures • 100% SA 15, 60% SA 42, 40% SA 60, 20% SA 23 Annual Limit • 100 times of HCB in a policy year (Max. 4 lacs) Life time Limit • 800 times HCB in full policy term (Max. 32 lacs) 11

  12. Day Care Procedure Benefit (DCPB) • DCPB = 5 X HCB • 140 Listed day care procedures • 3 Day care Procedures per year • 24 Day care Procedures in Policy Life time 12

  13. Other Surgical Benefit (OSB) OSB = 2 x HCB • Any surgery other than MSB, DCPB • At least 24 hours stay in Hospital required • Annual limit : 15 days in 1st policy year • 45 days in each subsequent years • Life time limit : 360 days per Insured 13

  14. Quick Cash facility • Advance 50% of MSB amount to PI • Category I or II Surgeries • Hospitalized in a ‘Net work’ Hospital • PI/ Relative informs LIC/TPA • TPA processes request/ advices LIC on payment • LIC credits eligible amount to PI Bank account 14

  15. Ambulance charges • Rs. 1000/- reimbursed per insured per Year towards Ambulance charges • Ambulance charges incurred for transportation of the insured to undergo Major Surgeries under category 1 or 2 15

  16. No Claim Benefit • During the period between two Automatic Renewal Dates or from DOC to next Automatic Renewal Date, if there are no claims in respect of any insured, No claim Benefit is payable • No claim benefit would be equal to 5% of initial Daily Benefit • Effective from the immediately following automatic renewal date 16

  17. The cover starts from Condition When to include Within 1 Year from the date of marriage Marriage/remarriage of the Principal Insured after DOC The following policy anniversary Health Cover starts from the policy anniversary falling immediately after the child completes 3 months A Child born or Legally adopted child after DOC Legally adopted child is more than 3 months old From the policy anniversary falling after date of adoption • New members must be included by the Principal Insured only. No new members will be allowed after the death of the principal insured. Addition of members 17

  18. The policy lapses… • When premium is not paid within days of grace, the policy lapses and no benefits will be payable there after . • Policy can be revived within 2 years from the date of first unpaid premium subject to payment of outstanding premiums with interest and underwriting. • Others : Loan Facility is not there • Assignment facility is not there 18

  19. The waiting Period foravailing the benefits………………. • 0 days for accident claims • 90 days from the Date of Commencement for HCB & MSB • 45 days after revival, if revived within 90 days from FUP of the policy. for Hospital Cash Benefit and Major Surgical Benefit • 90 days if revived after 90 days from FUP 19

  20. Nature of Benefit 1st Pol Year (Rs) 2nd Pol Year (Rs) Max. eligible During the Policy term (Rs) Hospital Cash Benefit (HCB) including ICU Benefit 16,20,000 45,000 1,41,750 Major Surgical Benefit (MSB) 1,00,000 1,05,000 12,00,000 Other Surgeries Benefit (OSB) 30,000 94,500 10,80,000 Day Care Procedure Benefit (DCPB) 15,000 15,750 1,80,000 Maximum Benefit under the policy per insured 40,80,000 Ambulance Charges incurred Rs.1000/- per insured per year Premium Waiver Benefit One Year Premium Increase in HCB by 5% No Claim Benefit Benefit Illustration – for HCB 1000 20

  21. Total Maximum Benefits(Rs) Total Premium (Rs.) Insured/ Age/ Term 4000 HCB 1,68,72,000 (1.7 cr.) 1. Male-PI-45/35 3,90,622 (4 lacs) 2. Spouse-40/35 2,81,160 1,68,72,000 22,983 3. Son-17/8 1,21,92,000 36,516 4. Daughter-10/15 1,59,20,000 2,34,146 1,43,48,000 5. Parent1-70/10 2,16,900 6. Parent2-65/15 1,59,20,000 7. Parent inlaw M-65/15 3,06,208 1,59,20,000 8. Parent inlaw F-60/20 2,62,293 1,59,20,000 Total Premium Paid Rs.17,50,829 Less IT Rebate Rs.2,47,163 Rs.12,39,64,000 Net Premium Paid / Total Maximum Benefits Rs.15,03,666  Rs.15 lacs Rs .12.5 crore Total Premium/ Benefit Cost/ Benefit Illustration : 8 lives 21

  22. Product Positioning • Vis-à-vis Medi-claim • As no Maturity/ Saving/ Unit Investment/ Withdrawal element • Long term up to 80 yrs cover • Auto Renewal Premium after each 3 years applicable on age at entry throughout term of policy • Market Segment :Everyone & Anyone 22

  23. THANK YOU 23

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