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Pramerica Life Group Health Kavach

Summary Info

Insurance Company	Pramerica Life Insurance Company Ltd
Plan Name	Pramerica Life Group Health Kavach
Plan Nature	TRADITIONAL
Plan Category	Health Plan
UIN No.	140N061V01
About 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.

Basic Details

Minimum Entry Age	14 Years - for Education loan; 18 Years - for all other cases;
Maximum Entry Age	65 Years
Maximum Coverage Age	66 Years - for One Year Renewable Cover; 70 Years - for Single Pay;
Minimum Policy Term	1 Years
Maximum Policy Term	5 Years
Premium Payment Term	One Year Renewable and Single Premium in case of Policy Term 2 to 5 Years
Minimum Sum Assured	Rs. 1,000/- per life
Maximum Sum Assured	Rs. 3 Crore per life - for Accidental Benefits option; Rs. 50 Lakhs per life - for Critical Illness Benefits Option; for all benefits combined together, maximum sum insured shall be restricted to Rs.3 Crore per life
Minimum Group Size	7 Members

Key Benefits

Benefits

Particulars	Description
Surrender Benefit	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: i) Continue the risk cover as per the contract, or ii) Terminate the risk cover and take the applicable surrender value (as mentioned above).
Accident Benefit	A) Accidental Death Benefit (ADB): On occurrence of death due to an accident, a lump sum benefit equal to Accidental Death Sum Insured will be payable subject to the following and the cover will cease thereafter. a) The member has sustained any bodily injury directly and solely from the accident, which has been caused by external, violent and visible means and the injury is independent of all other causes. b) The death must occur within 180 days of the date of accident due to such injury as stated above solely, directly and independently of all other causes of death. c) The accident which eventually leads to death has occurred during the term of the policy, even if the death occurs after policy term but within 180 days of accident. B) Accidental Permanent, Total or Partial Disability (ATPD): On occurrence of ATPD, a lump sum benefit as per certain percentage based on the event will be payable. There can be multiple claims upon occurrence of ATPD; however the total lump sum benefit paid shall be subject to a maximum of 100% of ATPD Sum Insured chosen at policy inception
Critical Illness Benefit	C) Critical Illness (CI): A fixed lump sum benefit equal to 100% of the Critical Illness Sum Insured will be payable on diagnosis with any of the specified 21 critical illnesses, provided that the insured member has survived for a period of at least 14 days.

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