Monday, March 16, 2009

What will the benefit consist of?

The benefit will consist of an accelerated payment of 50% of the basic sum assured under the policy (excluding the sum assured under any supplementary contracts), subject to a maximum of Rs. 250,000 for policies in full force for at least five years and a maximum of Rs. 500,000 for policies in full force for at least ten years as at the date of surgery. The benefit will be subject to the following further conditions:
a. If the insured is covered under a Whole Life or Endowment type policy, such as Table 01 or 03, the accelerated payment will be adjusted against the sum payable on death or maturity.
b. If the insured is covered under an Anticipated Endowment type policy, such as Table 05 or Table 74, the accelerated payment will be 50% of the total of all future survival and maturity benefits or the maximum limit, whichever is less. If a survival benefit due date has passed, it will not be included in the calculation of the 50%, even if the survival benefit installment was left with State Life under the Special Reversionary Bonus Scheme.The future survival and maturity benefits will be reduced by the specified major surgical benefit to adjust the accelerated payment made on the surgery. If the life insured dies before maturity, the balance of the accelerated payment not yet adjusted from survival benefits will be adjusted from the death benefit.
c. In case of Joint Life policy (Table 06) 50% of the sum assured or the maximum limit, whichever is less, will be payable if either of the insured lives undergoes a specified surgery. It will be recovered on maturity or on earlier death of either of the insured persons.
d. In case of Child Protection Plan (Table 07) and Child Education and Marriage Plan (Tables 75 & 76), 50% of the sum assured or the maximum limit, whichever is less, will be payable in advance, if the payor undergoes a specified surgery. It will be recovered on maturity. No specified major surgical benefit is payable in respect of surgery on a "child" covered under these tables.
e. In case of Jeevan Saathi Plan (Table 19), 50% of the sum assured or the maximum limit, whichever is less, will be payable in advance if either of the lives insured undergoes a specified surgery. It will be recovered on maturity or the earlier death of that particular life insured.
f. In case of a Big Deal policy (Table 14), amount of the basic sum assured will mean Rs. 25,000 per unit. 50% of this basic sum assured or the maximum limit, whichever is less, will be payable in advance, on undergoing a specified surgery. It will be recovered in lump sum on maturity or earlier death.

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