| 8- Family Medicare Policy from United India Insurance Company |
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| Source: Website of United India Insurance Company Limited |
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| Renewal Clause: |
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| 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 ofthe 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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| At renewal, the Company will review the claims experience and apply a No Claim Discount/ Loading based on the claims incurred as given below. |
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| No Claim Discount – 3% on renewal premium after three continuous claim free Policies for every subsequent claim free year subject to a maximum of 15%. |
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| If any claim is reported or if the policy is not renewed within the grace period, the Policy will not be eligible for any No Claim discount. |
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| Loading – If three or more claims are lodged during the two immediately preceding two policy periods – |
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Upto 25% of Sum Insured
26 to 50% of Sum Insured
51 to 75% of Sum Insured
Above 75%
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25% loading on applicable premium
50% loading on applicable premium
75% loading on applicable premium
100% loading on applicable premium |
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| The sum insured referred to above will be the total of sum insureds of immediately preceding two years. |
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| The applicable premium refers to policy premium only without any premium for add on covers. |
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| This loading will be removed after three continuous claim free years. The No Claim Discount will apply only after completion of four claim free years in such cases. |
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| TAX REBATE |
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| Tax rebate available as per provision of Income Tax rules under Section 80-D. |
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| HEALTH CHECK-UP BENEFIT |
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| For every block of three claim free years, the insured person(s) will be eligible for Cost of Health check-up up to a maximum of 1% of average SI of preceding three years. |
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