1500 Health Insurance Claim by exj20303

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									      HEALTH PLUS            T-901     (UNIT LINKED HEALTH INSURANCE)
             NO OF PERSONS IN THE FAMILY                           MAXIMUM IN LIFE TIME
SUM.ASSD   1     2     3     4     5     6     HCB    HCB (PI)   MSB (PI) HCB(SP+CH) MSB(SP+CH)
  50000   5000 7500 10000 10000 10000 10000    250     91250     150000     91250       150000
  60000   5000 7500 10000 10000 10000 10000    300    109500     180000     109500      180000
  70000   5000 7500 10000 10000 10000 10000    350    127750     210000     127750      210000
  80000   5000 7500 10000 10000 10000 10000    400    146000     240000     146000      240000
  90000   5000 7500 10000 10000 10000 10000    450    164250     270000     164250      270000
 100000   5000 7500 10000 10000 10000 10500    500    182500     300000     182500      300000
 110000   5000 7500 10000 10000 10000 12000    550    200750     330000     200750      330000
 120000   5000 7500 10000 10000 11000 13000    600    219000     360000     219000      360000
 130000   5000 7500 10000 10000 12000 14000    650    237250     390000     237250      390000
 140000   5000 7500 10000 10500 13000 15000    700    255500     420000     255500      420000
 150000   5000 7500 10000 11500 13500 16000    750    273750     450000     273750      450000
 160000   5000 7500 10000 12000 14500 17000    800    292000     480000     292000      480000
 170000   5500 8000 10500 13000 15500 18000    850    310250     510000     310250      510000
 180000   5500 8500 11000 13500 16500 19000    900    328500     540000     328500      540000
 190000   6000 9000 11500 14500 17500 20000    950    346750     570000     346750      570000
 200000   6000 9000 12000 15000 18000 21000    1000   365000     600000     365000      600000
 210000   6500 9500 13000 16000 19000 22500    1050   383250     630000     383250      630000
 220000   7000 10000 13500 16500 20000 23500   1100   401500     660000     401500      660000
 230000   7000 10500 14000 17500 21000 24500   1150   419750     690000     419750      690000
 240000   7500 11000 14500 18000 22000 25500   1200   438000     720000     438000      720000
 250000   7500 11500 15000 19000 22500 26500   1250   456250     750000     456250      750000
 260000   8000 12000 16000 19500 23500 27500   1300   474500     780000     474500      780000
 270000   8500 12500 16500 20500 24500 28500   1350   492750     810000     492750      810000
 280000   8500 13000 17000 21000 25500 29500   1400   511000     840000     511000      840000
 290000   9000 13500 17500 22000 26500 30500   1450   529250     870000     529250      870000
 300000   9000 13500 18000 22500 27000 31500   1500   547500     900000     547500      900000
 310000   9500 14000 18500 23000 27500 32000   1550   565750     930000     547500      900000
 320000  10000 14500 19000 23500 28000 32500   1600   584000     960000     547500      900000
 330000  10000 14500 19000 23500 28000 32500   1650   602250     990000     547500      900000
 340000  10500 15000 19500 24000 28500 33000   1700   620500     1020000    547500      900000
 350000  10500 15000 19500 24000 28500 33000   1750   638750     1050000    547500      900000
 360000  11000 15500 20000 24500 29000 33500   1800   657000     1080000    547500      900000
 370000  11500 16000 20500 25000 29500 34000   1850   675250     1110000    547500      900000
 380000  11500 16000 20500 25000 29500 34000   1900   693500     1140000    547500      900000
 390000  12000 16500 21000 25500 30000 34500   1950   711750     1170000    547500      900000
 400000  12000 16500 21000 25500 30000 34500   2000   730000     1200000    547500      900000
 410000  12500 17000 21500 26000 30500 35000   2050   748250     1230000    547500      900000
 420000  13000 17500 22000 26500 31000 35500   2100   766500     1260000    547500      900000
 430000  13000 17500 22000 26500 31000 35500   2150   784750     1290000    547500      900000
 440000  13500 18000 22500 27000 31500 36000   2200   803000     1320000    547500      900000
 450000  13500 18000 22500 27000 31500 36000   2250   821250     1350000    547500      900000
 460000  14000 18500 23000 27500 32000 36500   2300   839500     1380000    547500      900000
 470000  14500 19000 23500 28000 32500 37000   2350   857750     1410000    547500      900000
 480000  14500 19000 23500 28000 32500 37000   2400   876000     1440000    547500      900000
 490000  15000 19500 24000 28500 33000 37500   2450   894250     1470000    547500      900000
 500000  15000 19500 24000 28500 33000 37500   2500   912500     1500000    547500      900000

HCB for spouse and children=Less than or equal to that of PI subject to a maximum of Rs. 1,500

        MSB FOR SPOUSE AND CHILDREN IS 200 times of HCB - MAXIMUM=Rs.3,00,000 P.A
Premium       24000   18000   12000   10000
Net funding   22287   16710   11132    9313
               1713    1290     868     687
                                                                 PRABHUSWAMI A.PRABHUDEVARMATH                                                    Telefax:(0831)2454190
                                                                       Agency Code:06058635                                                             Cell:9731867502




                  HEALTH PLUS                                                                                                      DESIRED              25000
                                                                                                                                   PREMIUM
      MSB FOR P.I                500000                       HCB                                  YEARLY PREMIUM             PREMIUM TO BE PAID UP TO 65 OF AGE
                                                             for pi        2500                         25000                 TOTAL AMOUNT TO BE PAID Rs.750000

                                                                       CHARGES           CHARGES                               MAXIMUM HCB        MAXIMUM MSB
                                                              HCB /                 MSB            TOTAL      PER
NO.              NAMES                      AGE    =M / F
                                                              DAY
                                                                       FOR HCB           FOR MSB
                                                                                   /YEAR Rs./ YEAR /YEAR     MONTH
                                                                                                                              PER MEMBER IN      PER MEMBER IN
                                                                       Rs./ YEAR                                              LIFE =(365 DAYS)        LIFE
PI                               35        M   2500     840   500000  790                           1630       136                 912500            1500000
SP                               33        F   1500     404   300000  501                            905        75                 547500            900000
C1                               0.3       F   1500     416    MSB STARTS                            416        35                 547500            900000
C2                                                            FROM AGE 18                             0         0                     0                 0
C3                                                              YEARS ON                              0         0                     0                 0
C4                                                                WARDS                               0         0                     0                 0
 NOTE: C1, C2, C3, C4 MEANS CHILD - 1, 2, 3, 4   TOTAL FOR FAMILY ===>                              2950       246                2007500            3300000
             PI = PRINCIPLE INSURED ( PROPOSER ), SP = SPOUSE                                                                 IN CASE OF I.C.U DOUBLE HCB IS PAID
         CHARGES FROM 1st MONTH                   1st YEAR 2nd YEAR                                                            PROJECTED MATURITY AS PER IRDA
YEARLY PREMIUM            (A) Rs.                   25000      25000                TOTAL BENEFIT U CAN                       AT THE RATE OF 6%     AT THE RATE OF 10%
ALLOCATION CHARGES PER YEAR (B) Rs.                  7500       1500
                                                                                            CLAIM                                  1474591              3268675
ADMIN CHARGES PER MONTH '(C)    Rs.                    75         25
HCB+MSB CHARGES PER MONTH (D) Rs.                     246        221                 FROM THIS POLICY IS                            MATURITY AT THE RATE OF         12%
SERVICE TAX @ 12.36% ON 'D' (E)   Rs.                  30         27                   Rs.53.075 LAKHS
 NET FOR FUNDING= A-(B+C+D+E)               Rs.     17149      23227                                                               Rs.      49.25          LAKHS
 1     INCOME TAX REBATE U / S-80D UP        2     ON MATURITY : ON 65 YEARS         3        HCB / MSB BENEFITS ARE          4    ALL BENEFITS ARE INDEPENDENT
         TO Rs.15000. (In addition to the           OF AGE OF PROPOSER(PI)                   PAYABLE IRRESPECTIVE OF                 OF ANY MEDICLAIM BENEFITS
          1 LAKH benefit under sec.80.C             =FUND VALUE IS PAYABLE                      THAT AMOUNT SPENT                   CLAIMED. ( NOT LINKED TO ANY)

 5                                           6      DOMICILIARY TREATMENT            7
              WAITING PERIOD :                                                              THE INITIAL DAILY BENEFIT (HCB)   8     ADDITION OF MEMBERS IS ALLOWED IN
       180 DAY AT STARTING & 90 DAYS                 BENEFIT :                                INCREASES 5% EVERY YEAR.             CASE OF MARRIAGE & NEW BORN CHILD
       ON REVIVAL(EXCLU.ACCIDENTS)                 AFTER 3 YRS PREMIUMS ARE               (WITHOUT CHARGE) (MAXI UPTO 50%)           IF NOT AT STARTING OF THE POLICY
                                                              PAID

 9            GRACE PERIOD :                 10   CHILDREN : COVERED UPTO 25        11         HOSPITAL CASH BENEFIT :        12 DELETION OF MEMBERS : ON REQUEST
                  30 DAYS.                          YRS OF AGE. MAJORS CAN                  FIRST YEAR 18 DAYS, 2nd YEAR            BY PROPOSER, WILL BE EXCLUDED.
         POLICY LAPSES IF NOT PAID.                TAKE INDEPENDENT POLICY                   ONWARDS 60 DAYS PER YEAR               (PREMIUM ALSO WILL BE REDUCED)

 13                                          14        "PREMIUM HOLIDAY"            15
          REVIVAL : WITHIN 2 YEARS                                                       HCB IF IN ICU : DOUBLE PAYMENT.      16
                                                   (AFTER 3 yearly premiums are              HALF OF THE DAYS OF ELIGIBLE
         FROM LAPSE.REQUIREMENTS                                                                                                   THIS IS ONLY SHORT INFORMATION
                                                               paid)
           AS PER CHARTS & AGE                                                            PER YEAR, 1ST YR=9, SUB=30 DAYS             FOR FULL DETAILS VISIT B.O
                                                   PAY ONLY LATEST DUE ON
                                                   (This shall form a part of policy documen
         PRODUCT FEATURES :
                 1 Name of the Product:                LIC's Health Protection Plus
                 3 Premium Paying Term:
                 5 Amount of Instalment Premium:
                 7 Age:
                 9 Per day Hospital Cash Benefit (HCB):
                11 Major Surgical Benefit (MSB):


Statement of Various charges alongwith growth of the fund expected over the duration of the policy with assum

                      Premium               Amount Available
Policy    Annualised Allocation               for investment
 Year      Premium     Charge               ( out of premium )

    1        12000           3600                    8400
    2        12000            720                   11280
    3        12000            720                   11280
    4        12000            720                   11280
    5        12000            720                   11280
    6        12000            720                   11280
    7        12000            720                   11280
    8        12000            720                   11280
    9        12000            720                   11280
   10        12000            720                   11280
   11        12000            720                   11280
   12        12000            720                   11280
   13        12000            720                   11280
   14        12000            720                   11280
   15        12000            720                   11280
   16        12000            720                   11280
   17        12000            720                   11280
   18        12000            720                   11280
   19        12000            720                   11280
   20        12000            720                   11280
   21        12000            720                   11280
   22        12000            720                   11280
   23        12000            720                   11280
   24        12000            720                   11280
   25        12000            720                   11280
   26        12000            720                   11280
27   12000       720                   11280
28   12000       720                   11280
29   12000       720                   11280
30   12000       720                   11280
31     0          0                      0
32     0          0                      0
33     0          0                      0
34     0          0                      0
35     0          0                      0
36     0          0                      0
37     0          0                      0
38     0          0                      0
39     0          0                      0
40     0          0                      0

                            IN THIS POLICY, THE INVESTMENT RISK IS BORN BY THE

                      Note: 1) Other charges includes the charges for HCB,MSB and se
                            2)For fund at the end in the above benefit illustration, it is a
                            3)Maximum HCB shown above is inclusive of 9 days stay in
                            4) Maximum life time benefit for HCB is 365 days and for M


             I ……………………….(Name), having received the information with respect

             Marketing officials' Signature:
             Company Seal:

             Place:
             Date:
            BENEFIT ILLUSTRATION

    (This shall form a part of policy document)

        LIC's Health Protection Plus                  2   Unique Identification No.             512L253V01
                    30 Years                          4   Mode of Premium Payment :               Yearly
                      12000                           6   Funds opted for:                    Health Protection Plus Fund
                    35 Years                          8   Number of lives covered:             SINGLE MALE
                       2000                          10   Per day Hospital Cash Benefit            4000
                     400000                               in ICU (HCB):


xpected over the duration of the policy with assumed rate of interst as mentioned
                                                                                            Assuming gross interest rate of 6% p

                   Policy Admin            Fund Mgt          Other              Total            Addition to
                      Charge                Charge          Charges            Charges          Fund (if any)

                         900                   86             1912                   2898            401
                         300                  207             1626                   2132            961
                         300                  336             1691                   2327           1562
                         300                  470             1767                   2537           2187
                         300                  610             1874                   2783           2836
                         300                  754             2015                   3070           3507
                         300                  903             2246                   3449           4199
                         300                  1056            2389                   3745           4912
                         300                  1215            2547                   4062           5650
                         300                  1379            2732                   4411           6412
                         300                  1548            2913                   4761           7198
                         300                  1722            3135                   5157           8009
                         300                  1902            3355                   5558           8845
                         300                  2087            3581                   5969           9707
                         300                  2278            3830                   6409           10595
                         300                  2475            4064                   6839           11511
                         300                  2679            4248                   7226           12456
                         300                  2889            4509                   7697           13433
                         300                  3105            4774                   8179           14440
                         300                  3328            5073                   8701           15476
                         300                  3558            5364                   9221           16544
                         300                  3794            5681                   9775           17644
                         300                  4038            5988                  10326           18777
                         300                  4289            6307                  10896           19944
                         300                  4547            6652                  11499           21145
                         300                  4813            7003                  12116           22382
                      300                5087          7452             12838             23653
                      300                5366          7960             13627             24955
                      300                5653          8456             14410             26288
                      300                5946          9048             15294             27651
                      300                6102          9495             15897             28376
                      300                6258         10113             16671             29101
                      300                6413         10755             17468             29822
                      300                6567         11418             18285             30537
                      300                6719         12106             19125             31246
                      300                6870         12820             19989             31946
                      300                7018         13522             20841             32637
                      300                7165         14237             21702             33318
                      300                7309         14925             22534             33989
                      300                7452         15565             23317             34652

THE INVESTMENT RISK IS BORN BY THE POLICY HOLDER AND THE ABOVE INTEREST RATES ARE ONLY

includes the charges for HCB,MSB and service tax.
end in the above benefit illustration, it is assumed that premiums have been paid as and when due and no d
shown above is inclusive of 9 days stay in ICU in the first year and 30 days in subsequent years
ime benefit for HCB is 365 days and for MSB 3 times of the initial sum assured.


having received the information with respect to the above , have understood the above statement before entering into

                                      Policyholders' Signature:
Protection Plus Fund




gross interest rate of 6% p.a.                                                                Assuming
                                                     Maximum          Fund
             Fund at      Surrender   Death     Guaranteed Benefit   Mgmt.   Other   Total
             the End        Value     Benefit         During         Charge Charges Charges
                                                   HCB       MSB
                5902             0      --        54000    400000       88   1912    2900
               16011             0      --       189000    400000      214   1626    2141
               26527             0      --       198000    400000      355   1693    2348
               37457             0      --       207000    400000      507   1771    2577
               48789             0      --       216000    400000      670   1880    2850
               60507             0      --       225000    400000      846   2025    3171
               72537             0      --       234000    400000     1035   2259    3594
               84985             0      --       243000    400000     1237   2407    3945
               97853             0      --       252000    400000     1455   2572    4327
              111133             0      --       261000    400000     1690   2764    4754
              124850             0      --       270000    400000     1942   2953    5195
              138983             0      --       270000    400000     2213   3185    5698
              153550             0      --       270000    400000     2504   3417    6222
              168569             0      --       270000    400000     2818   3656    6774
              184036             0      --       270000    400000     3155   3921    7376
              199987             0      --       270000    400000     3518   4172    7990
              216497             0      --       270000    400000     3910   4375    8585
              233512             0      --       270000    400000     4332   4657    9289
              251053             0      --       270000    400000     4787   4947    10034
              269108             0      --       270000    400000     5277   5274    10851
              287711             0      --       270000    400000     5805   5595    11700
              306860             0      --       270000    400000     6374   5946    12620
              326591             0      --       270000    400000     6988   6292    13580
              346919             0      --       270000    400000     7650   6653    14603
              367845             0      --       270000    400000     8365   7045    15709
              389391             0      --       270000    400000     9135   7448    16883
             411486          0            --   270000    400000     9967     7954    18221
             434095          0            --   270000    400000     10863    8527    19690
             457254          0            --   270000    400000     11829    9093    21222
             480891          0            --   270000    400000     12870    9761    22931
             493369          0            --   270000    400000     13847    10293   24439
             505799          0            --   270000    400000     14898    11003   26201
             518153          0            --   270000    400000     16032    11745   28077
             530405          0            --   270000    400000     17253    12519   30071
             542526          0            --   270000    400000     18569    13326   32195
             554483          0            --   270000    400000     19988    14171   34458
             566280          0            --   270000    400000     21518    15016   36834
             577896          0            --   270000    400000     23169    15886   39355
             589351          0            --   270000    400000     24952    16742   41994
             600686          0            --   270000    400000     26877    17566   44743

ST RATES ARE ONLY FOR ILLUSTRATION PURPOSE.


nd when due and no domiciliary treatment benefit has been availed earlier.
uent years



ment before entering into the contract.
             (All charges are in Rupees)
 Assuming gross interest rate of 10% p.a.
                                             Maximum Guaranteed
 Addition to Fund at       Surrender Death       Benefit During
Fund (if any) the End        Value   Benefit        the year
                                                HCB        MSB
    668           6168         0       --      54000      400000
   1629          16936         0       --     189000      400000
   2696          28565         0       --     198000      400000
   3848          41115         0       --     207000      400000
   5090          54636         0       --     216000      400000
   6427          69172         0       --     225000      400000
   7860          84717         0       --     234000      400000
   9398         101450         0       --     243000      400000
   11053        119456         0       --     252000      400000
   12833        138815         0       --     261000      400000
   14748        159647         0       --     270000      400000
   16807        182036         0       --     270000      400000
   19020        206114         0       --     270000      400000
   21402        232022         0       --     270000      400000
   23964        259890         0       --     270000      400000
   26721        289901         0       --     270000      400000
   29695        322291         0       --     270000      400000
   32900        357182         0       --     270000      400000
   36354        394783         0       --     270000      400000
   40075        435287         0       --     270000      400000
   44086        478953         0       --     270000      400000
   48409        526021         0       --     270000      400000
   53071        576792         0       --     270000      400000
   58100        631568         0       --     270000      400000
   63525        690664         0       --     270000      400000
   69380        754440         0       --     270000      400000
 75694   823193    0   --   270000   400000
 82500   897284    0   --   270000   400000
 89837   977179    0   --   270000   400000
 97745   1063273   0   --   270000   400000
105159   1143993   0   --   270000   400000
113148   1230939   0   --   270000   400000
121753   1324615   0   --   270000   400000
131026   1425571   0   --   270000   400000
141022   1534397   0   --   270000   400000
151798   1651737   0   --   270000   400000
163420   1778323   0   --   270000   400000
175960   1914928   0   --   270000   400000
189497   2062432   0   --   270000   400000
204120   2221810   0   --   270000   400000
age   PRE ALLOC ADMIN HCB MSB TOT ST         FUND end
 36   25000 7500  900 1659 793 2452 303      13845    15507
 37   25000 1500  300 1686 858 2543 314      20343    40151
 38   25000 1500  300 1703 918 2620 324      20256    67656
 39   25000 1500  300 1726 988 2714 335      20151    98344
 40   25000 1500  300 1757 1068 2824 349     20027  132575
 41   25000 1500  300 1841 1123 2964 366     19870  170738
 42   25000 1500  300 1955 1253 3208 396     19596  213174
 43   25000 1500  300 2034 1368 3402 420     19378  260458
 44   25000 1500  300 2109 1498 3607 446     19147  313158
 45   25000 1500  300 2190 1638 3828 473     18899  371903
 46   25000 1500  300 2277 1774 4051 501     18649  437418
 47   25000 1500  300 2346 1954 4300 532     18368  510481
 48   25000 1500  300 2417 2124 4541 561     18098  592008
 49   25000 1500  300 2480 2309 4789 592     17819  683006
 50   25000 1500  300 2578 2505 5082 628     17489  784555
 51   25000 1500  300 2671 2680 5351 661     17188  897952
 52   25000 1500  300 2777 2805 5583 690     16927 1024665
 53   25000 1500  300 2885 3011 5896 729     16575 1166189
 54   25000 1500  300 2946 3452 6398 791     16012 1324065
 55   25000 1500  300 3078 3705 6783 838     15578 1500400
 56   25000 1500  300 3206 3944 7150 884     15166 1697434
 57   25000 1500  300 3360 4211 7572 936     14693 1917582
 58   25000 1500  300 3514 4461 7975 986     14239 2163640
 59   25000 1500  300 3671 4720 8391 1037    13772 2438701
 60   25000 1500  300 3859 4974 8833 1092    13275 2746213
 61   25000 1500  300 3689 4819 8508 1052    13640 3091035
 62   25000 1500  300 4041 5055 9096 1124    12979 3476496
 63   25000 1500  300 4392 5525 9917 1226    12057 3907180
 64   25000 1500  300 4803 6231 11034 1364   10803 4388141
 65   25000 1500  300 5308 7177 12485 1543    9172 4924990

								
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