| 8- Family Floater Coverage - United india Insurance Company Limited |
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| Family Medicare Policy from United India Insurance Company |
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| PROCEDURE FOR TAKING A POLICY |
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The duly completed and signed Proposal form giving details of all Insured persons and signed copy of the Prospectus along with Health Check-up reports, if any, should be submitted to the Company. |
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| The pre-acceptance health check-up reports as detailed below have to be submitted at proposer’s cost in the following cases- |
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(i) Persons above 45 years of age (fresh entrants)
(ii) Persons above 45 years of age (Break in insurance)
(iii) Persons above 45 years of age and seeking enhancement of Sum Insured of Family Medicare Policy by more than two slabs.
(iv) Our Existing policy holders above 45 years opting for Sum Insured under Family Medicare Policy which is more than twice the maximum existing individual Sum Insured. |
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1. Medical Examination
2. CBC & ESR
3. Urine Routine & Microscopic
4. Cholesterol |
5. SGPT
6. Sr. Creatinine
7. ECG
8. Stress Test |
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The insured should declare the existence of Diabetes, Hypertension, Elevated Cholesterol levels, if any, at the time of taking the first policy. The policy will not pay for the expenses incurred for the direct treatment of these illnesses as per Pre-existing Disease Exclusion. An additional premium of 30% will be charged on the basis premium. |
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PAYMENT OF PREMIUM: As per table attached plus applicable loading if any. Age of the oldest person of the family is considered while referring to the Premium table. |
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| RENEWAL |
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| Premium shall currently be payable as per table attached being the prevailing rates of the company. |
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| The Premium for renewal shall ordinarily be payable at the said rates unless the Company deems it necessary to |
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a) revise the rates of premium for such Policies, in which event the Insured shall be liable to pay the revised rates of premium prevailing at the time of renewal and/or
b) load the Premium for the Insured, depending upon the claims experience under the Policy held by the Insured, as detailed below. |
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Renewal Clause: |
| The Company shall renew this Policy if the Insured shall remit the requisite Premium to the Company prior to expiry of the Period of Insurance stated in the Schedule. |
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| The Company shall be entitled to decline renewal if; |
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1 any fraud, misrepresentation or suppression by the Insured or on his behalf is found either in obtaining insurance or subsequently in relation thereto or,
2 the Company has discontinued issue of the Policy, in which event the Insured shall however have the option for renewal under any similar Policy being issued by the Company; provided however, benefits payable shall be subject to the terms contained in such other Policy.
3 If the Insured fails to remit Premium for renewal before expiry of the Period of Insurance, but within 15 days thereafter, admissibility of any claim during the period of subsequent Policy shall be considered in the same manner as under a Policy renewed without break. The Company however shall not be liable for any claim arising out of ailment suffered or hospitalisation commencing in the interim period after expiry of the earlier Policy and prior to date of commencement of subsequent Policy.
4 The Insured may seek enhancement of Sum Insured in writing at or before payment of premium for renewal, which may be granted at the discretion of the Company. However, notwithstanding enhancement, for claims arising in respect of ailment, disease or injury contracted or suffered during a preceding Policy period, liability of the Company shall be only to the extent of the Sum Insured under the Policy in force at the time when it was contracted or suffered. |
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