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| Individual/Family Health Insurance Products in India (Single Person) |
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| Policy information for individual health insurance products including premium rates, policy language, coverage etc. |
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| (1) |
Features of Individual Health Insurance Policies |
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(2) |
Premium Rate of Individual Health Insurance |
| (3) |
Coverage & Exclusion under Individual Insurance |
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(4) |
Policy Wording /Proposal Form/ Brochure |
| (5) |
Product details of Various Companies for Individual Health Insurance |
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| General/Health Insurance Companies Products |
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| Apollo Munich Insurance Co. Ltd. |
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Easy Health Individual Health Insurance Plan |
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| Bajaj Allianz General Insurance Company Limited |
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Health Guard |
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Hospital Cash |
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| Bharti AXA General Insurance Company Limited |
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Smart Health Individual Policy |
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| Cholamandalam Ms General Insurance Company Limited |
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Individual Health |
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| Future Generali India Insurance Co. Ltd. |
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Health Suraksha Individual Plan |
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| HDFC Ergo General Insurance Company Limited |
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Health Suraksha |
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| ICICI Lombard General Insurance Co. Ltd. |
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Health Advantage Plus |
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| IFFCO Tokio General Insurance Co. Ltd. |
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Individual Medishield |
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| National Insurance Company Limited |
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Mediclaim Policy |
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| Reliance General Insurance Co. Ltd. |
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Individual Mediclaim Insurance Policy |
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| Star Health and Allied Insurance Co. Ltd. |
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Medi Classic |
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Medi Premier |
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True Value |
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| Tata AIG General Insurance Co. Ltd. |
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Maharaksha |
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| The New India Assurance Co. Ltd. |
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Mediclaim 2007 |
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| The Oriental Insurance Co. Ltd. |
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Individual Mediclaim Policy |
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| United India Insurance Co. Ltd. |
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Mediclaim Policy |
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| (6) |
Specimen Premium Rates of Insurance Company's |
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| 6- Specimen Premium Rates of Insurance Company's |
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| SPECIMEN PREMIUM RATES OF INSURANCE COMPANY'S - ORIENTAL INSURANCE RATES |
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| 19 REBATE UNDER SECTION 80 D OF INCOME TAX ACT: Aa per existing provisions. |
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GROUP POLICIES |
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| The provisions as enumerated under the individual Policy remain the same except in respect of the following. |
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- Age: This insurance is available to a person between the ages of 5 years to 80 years, subject to the provisions detailed for inclusion of dependent children.
- Comulative Bonus: The Clause is not applicable.
- Cost of Health Check up: The Clause is not applicable.
- Renewal of Policy: Existing Group Policies (Standard or Tailor-made), if desired to be renewed on the
expiring terms & conditions special reference shall be made one month to
the Head office who alone shall sanction such renewals. The details should
include: - 3 years premium & claim (Number and Amount )year- wise, Number
of persons / families in each age band as per age bands given in premium
chart in para 3, any special feature about coverage and sum insured.
- Renewal of Other Insurers Policies: The Clause is not applicable.
- Group Discount: The Group Discount depending upon total number of insured persons (families) at inception of
the policy is allowed at the following scale.
P.S
a) No
discount is offered for a group consisting of less than 101 members. b) Addition / deletion during currency will not be considered for change in discount. Discount is applicable on number or persons on renewal / inception date
only. |
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| No of persons / Families |
Discount% |
| 101-1000 |
10.00 |
| 1,001-5,000 |
12.50 |
| 5,001-15,000 |
15.00 |
| 15,001-25,000 |
20.00 |
| 25,001-50,000 |
25.00 |
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Family Package Policy Clause and Family discount not applicable.
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- Pre-acceptance Health Checkup: As applicable under the individual Policy must be applied to the Group members also. However no reimbursement of expenses shall be allowed.
- Add on Benefit: The Clause is not applicable.
- Maternity Benefit Extension to new born baby: New born child shall be covered from day one upto the age of 3 months and expenses incurred for treatment taken in hospital as an inpatient only shall be payable subject to these being within the specifiedsum insured of Rs. 50,000/-.
- Special Rating for Group Policies : HO alone is authorized to specially rate a Proposal on the merits of the case. Proposals may be referred to HO along with the recommendations of the RO specifically keeping in mind the following factors.
- Insurance History Year-wise 3 years premium, claim( Number and Amount ) Number of Persons age band wise.
- Other Insurances/Portfolio of the client.
- Overall portfolio/Claims Experience for the last three years (year-wise 3 years premium & claim)
- Business potential of the client.
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