What is Group Health Kavach Plan?
UIN: 140N061V02
Presenting Pramerica Life Group Health Kavach A Non-Linked Non-Participating Fixed Benefit Group Pure Risk Health Insurance Plan.
This is a Traditional Non-Linked, Non-Participating, Fixed
Benefit One Year Renewable and a Single Premium Credit
Linked Group Health Insurance plan. The product is designed
to provide health benefits to your quality employees and/or your
loyal customers.
Why choose this plan
Learn more about the plan
Eligibility
Member’s Age at Entry (last birthday)
Minimum
14 Years for education loan
18 Years for all other cases
Maximum
65 Years
Coverage Expiry Age (last birthday)
One Year Renewable Cover: 66 Years
Single Pay: 70 Years
Policy Term
1 Year
5 Years
Premium Payment Term
One Year Renewable and Single Premium in case of Policy Term 2 to 5 Years
Premium Payment Mode
For 1 Year Policy Term: Annual, Semi-annual, Quarterly and Monthly modes are applicable
For Policy Term from 2 to 5 Years: Single Premium
Sum Insured
₹ 10000 per life
Accidental Benefits: ₹3 Crore per life
Critical Illness Benefit: ₹50 Lakhs per life
For all benefits combined together, maximum sum insured shall be restricted to ₹3 Crore per life, subject to board approved underwriting policy.
Group Size
Minimum
10 members
Maximum
No limit
Benefits of buying a Group Health Kavach
Option I:
Accidental Death Cover Under this option, on occurrence of death due to an accident, a lump sum benefit equal to Accidental Death Sum Insured will be payable and the cover will cease.
Option II:
Critical Illness Cover Under this option, a fixed lump sum benefit equal to 100% of the Critical Illness Sum Insured will be payable on diagnosis with any of the 21 critical illnesses as mentioned below, provided that the insured member has survived the survival period following such diagnosis. The cover will cease thereafter.
Option III:
Accidental Death plus Accidental Permanent, Total or Partial Disability Cover Under this option, on occurrence of ATPD, a lump sum benefit (% of ATPD Sum Insured) will be payable as per the ATPD benefit defined below. The Sum Insured for the ADB cover will be reduced by the ATPD benefit already paid. Hence, on occurrence of death due to an accident, a lump sum benefit equal to Sum Insured less ATPD benefit already paid will be payable and the cover will cease.
Option-IV:
Accidental Death plus Critical Illness Cover
Under this option, a fixed lump sum benefit equal to 100% of
the Critical Illness Sum Insured will be payable on diagnosis
with any of the 21 critical illnesses, provided that the insured
member has survived the survival period following such
diagnosis.
In addition, on occurrence of death due to an accident, a lump
sum benefit equal to Accidental Death Sum Insured will be
payable in addition to the CI benefit already paid and the cover
will cease.
Option-V:
Accidental Death plus Accidental Permanent, Total or
Partial Disability plus Critical Illness Cover
Under this option, on occurrence of ATPD, a lump sum benefit
(% of ATPD Sum Insured) will be payable as per the ATPD
benefit defined below.
An additional fixed lump sum benefit equal to 100% of the
Critical Illness Sum Insured will be payable on diagnosis with
any of the 21 critical illnesses as mentioned above (in Optionll), provided that the insured member has survived the survival
period following such diagnosis.
Further, on occurrence of death due to an accident, a lump sum
benefit equal to Sum Insured less ATPD benefit already paid will
be payable and the cover will cease.
Under Option III & V, the ADB & ATPD Sum Insured
shall always be equal only at the inception of the Policy.
Subsequently, the benefits payable under ATPD for the different
insured events can be at 25%, 50%, etc. of the chosen ATPD
Sum Insured at policy inception
Under Option II, IV & V, the CI cover will terminate upon
payment of the first CI benefit for any of the mentioned 21
critical illnesses
For one year renewable cover, no surrender value is available under this product.
In case of policy term from 2 to 5 years, following surrender value shall be payable upon full pre-payment of loan:
60% of Single Premium paid (excluding taxes, if any) * (Unexpired coverage term in completed months / Total coverage term in months) * (Coverage In-force / Initial Coverage Amount)^
Where, Coverage In-force means the benefit amount as per the Benefit Schedule as on the monthly plan anniversary immediately before the date of surrender of the policy.
In case of surrender of the Master Policy at the request of the Master Policyholder at any time, the existing members will have an option to:
a) Continue the risk cover as per the contract, or
b) Terminate the risk cover and take the applicable surrender value (as mentioned above).
The members who choose to continue the risk cover, in such case the company shall continue to be responsible to serve such members on the existing terms and conditions till their coverage is terminated.
^In case of flat cover or cover as multiple of EMI, (Coverage Inforce / Initial Coverage Amount) factor will be 1(one).
Tax benefits may be applicable as per prevailing tax laws. Tax
laws are subject to change. Please refer to your tax consultant
for details.
For One year renewable cover, a grace period of 30 days in semi-annual & quarterly mode and 15 days in case of monthly mode is applicable under this product. There is no grace period applicable in case of yearly mode. If the company does not receive the premium due within the grace period, the policy will lapse at the expiry of the grace period. In case of a member(s) claim during the grace period, the claim benefit will be entertained, if the premium due for the scheme has been paid by the Master Policyholder before the end of the grace period.
For policy term of 2 to 5 years, only single premium option is
available and hence there is no grace period applicable.
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Disclaimer:
This product provides Health Insurance coverage. Pramerica Life Group Health Kavach UIN: 140N061V02. Goods & Service Tax and applicable cess will be charged over
and above the quoted premium.