GROUP INSURANCE AFFINITY Voluntary Scheme (Group Multiple Benefits Insurance Scheme)
Benefits for Group Master Policyholder Potential service No additional fee at 2% for cost to employer payroll deduction Employee own payment method Provide competitive & pay the policy company benefits eg: employee retention
Affordable Personal & Guaranteed rate Portable acceptance* Benefits for Employee / Same premium Member for all ages Tax relief, up to * T&C applied Comprehensive ** Subject to RM3,000** Inland Revenue coverage (6-in-1) Board’s guideline Maturity benefits
Minimum premium between GMBIS & Individual Life Benefits Individual Policy GMBIS Term Life 36 Critical illness RM1,200* per year or RM360 per year or Personal Accident RM100 per month RM30 per month Funeral Expenses Total Investment Value (TIV) * Based on 35 year old, Male, Non smoker Lowest premium for GMBIS = RM30/month Lowest premium for life = RM100/month
Introducing GMBIS Coverage for member: Monthly contribution: RM 40 + RM 4 a month, the coverage are: Death / Total Permanent RM40,000+TIV Disablement (natural / disease) Death / Total Permanent RM80,000 + TIV Disablement (accident) 36 Critical Illness RM40,000 + TIV Hospital Income Benefit RM40 per day (up to maximum 500 days per life) (optional with additional RM4 premium a month) Funeral Expenses RM5,000 Maturity Benefit Total Investment Value (TIV)
Term & Conditions (for Special Promotion) < = 60 days 61 days - 180 days 181 days to 720 days > 721 days Critical illness 0% 50% 100% 100% (Non pre-existing) Critical illness Reject claim Reject claim Reject claim Reject claim (Pre-existing) Death 100% 100% 100% 100% (Non pre-existing) Death (Pre-existing) 50% 50% 50% 100% TPD 50% 50% 100% 100% (Non pre-existing) TPD (Pre-existing) Reject claim Reject claim Reject claim Reject claim Accidental Death (pre-existing / Non 200% 200% 200% 200% pre-existing)
Eligibility & Participation Malaysian only. (expatriate – subject to management approval) Employee / Member 19 to 55 years Next Birthday for new scheme: allow entry age up to 60 years Next Birthday Plan benefits matures at age 65 years Next Birthday
Scheme Options & • Minimum of 100 lives from one single Special Promotion Company. (Company size: 100 to 499) • Eligible for Special Promotion* MINI • Free cover limit (FCL) up to SCHEME RM40,000* • Minimum sum assured = RM30,000 • Maximum sum assured = RM150,000 * Limited time offer only. GMBIS • Minimum of 500 lives from one single Company. (inclusive subsidiaries) • Eligible for Special Promotion* MEGA • Free cover limit (FCL) up to SHEME RM60,000* • Minimum sum assured = RM30,000 • Maximum sum assured = RM250,000 * Only applicable for those who have yet to enjoy the approved promotion limit.
36 Types of Critical Illness: 1. Heart Attack 21. End Stage Liver Failure 2. Stroke 22. HIV Infection from Blood Transfusion 3. Coronary Artery By-Pass Surgery 23. Encephalitis 4. Cancer 24. Chronic Aplastic Anaemia 5. End Stage Kidney Failure 25. Accidental Head Injury Resulting 6. Fulminant Viral Hepatitis In Major Head Trauma 26. Parkinson’s Disease 7. Major Organ/Bone Marrow Transplant 8. Paralysis/Paraplegia 27. Severe Cardiomyopathy 9. Multiple Sclerosis 28. Benign Brain Tumour 10. Primary Pulmonary Arterial 29. Systemic Lupus Erythematosus 11. Blindness/Total Loss of Sight with Lupus Nephritis 12. Heart Valve Surgery 30. Coma 13. Major Burns 31. Brain Surgery 14. Aorta Surgery 32. Bacterial Meningitis 15. Loss of Speech 33. Other Serious Coronary Artery 16. Alzheimer’s Disease 34. Full Blown Aids 17. Muscular Dystrophy 35. Angioplasty & Other Invasive treatments � 18. Deafness/Total Loss of Hearing for Major Coronary Artery Disease 19. Loss of Independent Existence 36. End Stage Lung Disease 20. Motor Neurone Disease
Personal Accident: Section A Loss Benefit (1) Death 100% Section B (1) Loss of both hands 100% (2) Loss of both feet 100% (3) Complete and irrecoverable loss of sight in both eyes 100% (4) Loss of one hand and one foot 100% (5) Injuries resulting in permanently being bedridden 100% (6) Any other injuries resulting in permanent total disablement 100% (7) Complete and incurable paralysis 100% Section C (1) Loss of arm at shoulder 100% 100% (2) Loss of arm between shoulder and elbow (3) Loss of arm at elbow 100% (4) Loss of arm between elbow and wrist 100% 100% (5) Loss of hand at wrist (6) Loss of leg at hip 100% 100% (7) Loss of leg between knee and hip (8) Loss of leg below knee 100% Loss of eye – whole 100% (9) Loss of eye – sight of (10) 100% (11) Complete and irrecoverable loss of sight in one eye except for perception of light 50% 50% (12) Loss of lens of eye (13) Loss of hearing - both ears 75% 15% - one ear (14) Total loss of speech 50% 50% (15) Loss of four fingers and thumb of one hand (16) Loss of four fingers 40% (17) Loss of thumb - both phalanges 25% 10% - one phalanx (18) Loss of index finger - three phalanges 10% 8% - two phalanges - one phalanx 4%
Standard Exclusion (A) Death / TPD & CI (covered event) 1. No benefit shall be payable in the event of suicide within one (1) year from the Risk Commencement Date or from the date of any reinstatement of a Certificate of Assurance, whichever is the later. 2. Advance payment as provided in Clause 5.1.1.2 (in policy contract) shall not be made for Total and Permanent Disability of the Assured Life which: • has existed prior to or on the Risk Commencement Date or on the date of any reinstatement of his Certificate of Assurance, whichever is the later; or • is resulted from the Assured Life committing, attempting or provoking an assault or a felony or from any violation of the law by the Assured Life; or • is caused directly or indirectly by self-inflicted injuries (except in an attempt to save human life), while sane or insane; or • is caused by bodily injury sustained as a result of parachuting or sky-diving, or engaging in aerial flights other than as a crew member or as a fare-paying passenger of a licensed commercial airline operating on a regular scheduled route; or • is resulted from war, whether declared or undeclared. 3. The Company shall not, be liable for any Covered Event diagnosed to the Assured Life which: • has existed prior to or on the Risk Commencement Date or on the date of any reinstatement of his Certificate of Assurance, whichever is the later; or • is caused directly or indirectly by self-inflicted injuries (except in an attempt to save human life), while sane or insane; or • is resulted from the Assured Life committing, attempting or provoking an assault or a felony or from any violation of the law by the Assured Life; or • resulted from war, whether declared or undeclared.
(B) Personal Accident 1.The Company shall not be liable for any Injury resulting in Loss suffered, as a result of, including of any of the following whether directly or indirectly: • suicide, attempted suicide or self-inflicted injuries, while sane or insane; • bodily infirmity, or mental or functional disorder, or illness or disease of any kind, or any infections, other than infections occurring simultaneously with and in consequence of an accidental cut or wound; • war or any act of war, declared or undeclared, criminal activities, active duty in any armed forces, direct participation in strike, riots and civil commotion or insurrection; • from the action of any armed forces, or from Accident or violence arising by reason of the existence of a state of armed conflict; • engaging in aerial flights other than as a crew member or as a fare-paying passenger of a licensed commercial airline operating on a regular scheduled route; • as a result of the Assured Life committing, attempting or provoking an assault or a felony, or from any violation or attempted violation of law by the Assured Life or resistance to arrest; • while under the influence of alcohol or drugs unless taken as prescribed by a physician; • Injury arising from racing of any kind (except for foot racing), hazardous sports or activities that involve speed, height, high level of physical exertion, highly specialized gear or spectacular stunts such as but not limited to bungee jumping, parachuting, scuba diving, sky-diving, water skiing, underwater activities requiring breathing apparatus, winter sports, Professional Sports and illegal activities. For the avoidance of doubt, “Professional Sports” means engaging in any physical activity in a professional capacity or where the Assured Life would or could earn income or remuneration from engaging in such activity; • from childbirth, pregnancy and/or any complications thereof; • ionising radiation or contamination by radioactivity from any nuclear fuel or nuclear waste from process of nuclear fission or from any nuclear weapons material; or • from the Assured Life engaging in commando or bomb disposal duties/training
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