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Product Benefits Summary
- In the event of TPD due to sickness or accidental causes, 100% of sum assured will be payable in one lump sum.
- In case the Company has fully paid the total sum assured amount according to the aforementioned coverage, the coverage of the Insured Member shall be deemed terminated.
Product Features Summary
| Insured’s age | From 0 to 70 years old |
| Sum assured | From $3,000 |
| Policy term | 1 year |
| Premium payment term | 1 year |
| Premium payment mode | Annually, semi-annually, quarterly and monthly |
Product Detail
If the statements in the group life policy contradict with the statements in this Rider, the statements in this Rider shall apply.
I. Coverage
While the group life policy is still in force and before the Insured Member reaches the age of …………, if the Insured Member becomes totally and permanently disabled, the Insured Member must inform the Company. Six months after the Company received the notification and proof of disability, the Company shall pay to the Insured Member at the amount of the sum assured on the date of disability stated in policy.
If the Insured Member dies before receiving the claim payment of Total Permanent Disability (TPD), the Company shall pay the amount equal to the sum assured, according to the terms and conditions stated in the group life insurance policy. In case the Insured Member dies before receiving the claim payment of Total Permanent Disability (TPD), the Company shall pay of the sum assured to the beneficiary as specified in the policy immediately upon receiving the proof of death.
In case the Company has fully paid the total sum assured amount according to the aforementioned coverage, the coverage of the Insured Member shall be deemed terminated.
II. General Conditions
1. Definition
Total Permanent Disability (TPD) mean the Insured Member suffers from complete loss or permanent paralysis and permanently irrecoverable of:
• Two arms; or
• Two legs; or
• One arm and one leg; or
• Two eyes; or
• One eye and one arm; or
• One leg and one eye.
In this definition, complete loss and permanently irrecoverable of (i) eye(s) means physical loss of eyes or complete blindness, (ii) arm(s) means loss above the wrist, and (iii) leg(s) means loss above the ankle.
In case of permanent paralysis, the Total and Permanent Disability condition must be certified by a registered hospital at provincial level or above no sooner than 180 days and not later than 270 days from the occurrence of the accident or the date the paralysis condition is verified.
In case of complete loss of arm(s) or leg(s) or eye(s), such certification could be carried out at any time.
2. Notification of Total Permanent Disability (TPD)
When there is a claim made upon the incurrence of Total Permanent Disability (TPD), the Insured Member or Insured Member’s party must notify the Company within thirty (30) days after the day that the disability is diagnosed or the occurrence of the accident and submit the proof of physician’s diagnosis and additional proofs as required by the Company as necessary on their own expenses. Unless there is a proof that the Insured Member has other significant and acceptable reasons for the absence but had informed the Company as soon as possible.
The Company has a right to request bodily examination of the Insured Member as it deems appropriate, during the claim underwriting process.
3. Required Documents for Claim
In case of claim based on Total Permanent Disability (TPD)
1. Completed Claim Request Form of Total Permanent Disability
2. Medical report as determined by the company
3. Group Insurance Certificate (original copy) (if any)
4. Certified copy of Insured’s ID card and also along with the real one
4. Exclusions
Exclusions for Death or Total Permanent Disability (TPD) Benefits
Total Permanent Disability (TPD) claims resulting directly or indirectly from any of the following shall be excluded:
a. Suicide or attempted suicide, self-inflicted injury, whether sane or insane within two years after the Policy Effective Date or the effective date of any reinstatement of this Policy, whichever is later; or
b. Committing or attempting to commit by the Insured Member or the Beneficiary a criminal offence; or
c. Using drugs or stimulators, abusively using alcohol or driving vehicles under the influence of alcohol as defined in the current laws and regulations.
If Total Permanent Disability (TPD) of Insured Member claims resulting directly or indirectly from the exclusions a to c, the Company will only refund the total actual paid premium, without interest, to the heir(s) of the Insured Member.
In returning the premium or paying Total Permanent Disability (TPD) benefit, the Company is entitled to deduct any outstanding obligations owed under this Policy.
5. Termination of the Rider
This Rider shall be terminated upon the occurrence of following events:
a) When Policyholder terminates this Rider by an advanced notice prior the renewal date or at the renewal date of this policy.
b) The mature date of the insurance of the Insured Member as specified in the conditions of the group life policy.
c) The date that the Insured Member is proven to be totally and permanently disabled and the Company has already paid the disability claim as specified in this Rider.