A new conglomerate to preserve LIC's social status
Cancer Care Policy Beginning from 14/11, eligibility and details are filed in age-20 years to 65 years Ten years to 30 years ten million to 50 lakh weddings Basic Insurance Rashi Level 1 to 10 lakhs Level 2 for 10 lakhs and it increases by 10% per annum for 5 years only if there is a cancerous disease only 2 types of stage will be covered 1 Early stage cancer case will be paid immediately and 25% will be paid immediately after 3 years of premium waiver stage 2
Major or second stage cancer will be paid immediately by Basic S and after all the premium
waivers, 1% per year will be paid up to 10 years if the insured survives or dies
180 days waiting period after taking the policy, annual and half-yearly premium mode
Maturity of 2% higher premium of half yearly premium SV maturity
Tax dated to 55000 / - Rebate 80D
Premium rates vary from person to person / male and also for level 1/2
The plan offers two benefit options wherein you have the
flexibility to choose the type of Sum Insured at the inception. Option I Level
Sum Insured:
The Basic Sum Insured shall remain unchanged throughout
the policy term.
Option II Increasing Sum Insured: The Sum Insured
increases by 10% of Basic Sum Insured each year for first five years starting
from the first policy anniversary or until the diagnosis of first event of
Cancer, whichever is earlier. On diagnosis of any specified Cancer as mentioned
in
Para 1, all the claims shall be based on the Increased
Sum Insured at the policy anniversary coinciding or prior to the diagnosis of
the first claim and further increases to this Sum Insured will not be
applicable. The benefits payable under the plan shall be based on the
Applicable Sum Insured, where the Applicable Sum Insured shall be equal to-
·
The Basic Sum Insured for policies taken under Option I; or
·
Basic Sum Insured during first year and Increased Sum Insured thereafter, as
per the provisions detailed in
Option II. 1. BENEFITS: The following benefits are
payable during the policy year under an inforce policy: A. Early Stage Cancer:
Benefits payable on first diagnosis of any one of the specified Early Stage
Cancers, provided the same is admissible are - (
a)
Lump sum benefit: 25% of Applicable Sum
Insured shall be payable (b) Premium Waiver Benefit: Premiums for next three
policy years or balance policy term whichever is lower, shall be waived from
the policy anniversary coinciding or following the date of diagnosis.
b)
Early Stage Cancers covered: The
diagnosis of any of the listed below conditions must be established by
histological evidence and be confirmed by a specialist in the relevant field. · Carcinoma-in-situ (CIS):
Carcinoma-in-situ means the presence of malignant cancer cells that remain
within the cell group from which they arose. It must involve the full thickness
of the epithelium but does not cross basement membranes and it does not invade
the surrounding tissue or organ.
c)
The diagnosis of which must be positively
established by microscopic examination of fixed tissues. · Prostate Cancer – early
stage: Early Prostate Cancer that is histologically described using the TNM
classification as T1N0M0 with a Gleason Score 2 (two) to 6(six). · Thyroid Cancer – early
stage: All thyroid cancers that are less than 2.0 cm and histologically
classified as T1N0M0 according to TNM classification. ·
d)
Bladder Cancer – early stage: All tumors
of the urinary bladder histologically classified as TaNoMo according to TNM
classification. ·
e)
Chronic Lymphocytic Leukaemia – early
stage: Chronic Lymphocytic Leukaemia categorized as stage 0 (zero) to 2 (two)
as per the Rai classification. ·
f)
Cervical Intraepithelial Neoplasia:
Severe Cervical Dysplasia reported as Cervical Intraepithelial Neoplasia 3
(CIN3) on cone biopsy. The following are specifically excluded from all early
stage cancer benefits (Exclusions)
g)
All tumors which are histologically
described as benign, borderline malignant, or low malignant potential.
h)
Dysplasia, intra-epithelial neoplasia or
squamous intra-epithelial lesions ·
Carcinoma in-situ of skin and Melanoma in-situ .
i)
All tumors in the presence of HIV
infection are excluded B. Major Stage Cancer: Benefits payable on first
diagnosis of the specified Major Stage Cancer,provided the same is admissible
are-
j)
(a) Lump Sum: 100% of Applicable Sum
Insured less any previously paid claims in respect of Early Stage Cancer shall
be payable.
k)
(b) Income Benefit: In addition to above
lump sum benefit, Income Benefit of 1% of Applicable Sum Insured shall be
payable on each policy month following the payment of Lump Sum, for a fixed
period of next ten years irrespective of the survival of the Life Insured and
even if this period of 10 years goes beyond the policy term. In case of death
of the Life Assured while receiving this Income Benefit, the remaining payouts,
if any, will be paid to his/her nominee.
l)
(c) Premium Waiver Benefit: All the
future premiums shall be waived from the next policy anniversary and the policy
shall be free from all liabilities except to the extent of Income Benefit as
specified above.
m)
Major Stage Cancers covered: A malignant
tumor characterized by the uncontrolled growth and spread of malignant cells
with invasion and destruction of normal tissues. This diagnosis must be
supported by histological evidence of malignancy. The term cancer includes
leukemia, lymphoma and sarcoma. The following are excluded from major stage
cancer benefits (Exclusions):
n)
All tumors which are histologically
described as carcinoma in situ, benign, premalignant, borderline malignant, low
malignant potential, neoplasm of unknown behavior, or non-invasive, including
but not limited to: Carcinoma in situ of breasts, Cervical dysplasia CIN-1, CIN
-2 and CIN-3.
o)
Any non-melanoma skin carcinoma unless
there is evidence of metastases to lymph nodes or beyond;
p)
Malignant melanoma that has not caused
invasion beyond the epidermis; ·
All tumors of the prostate unless histologically classified as having a Gleason
score greater than 6 or having progressed to at least clinical TNM
classification T2N0M0 ·
All Thyroid cancers histologically classified as T1N0M0 (TNM Classification) or
below
q)
Chronic lymphocytic leukaemia less than
RAI stage 3
r)
Non-invasive papillary cancer of the
bladder histologically described as TaN0M0 or of a lesser classification,
s)
All Gastro-Intestinal Stromal Tumors
histologically classified as T1N0M0 (TNM Classification) or below and with
mitotic count of less than or equal to 5/50 HPFs;
t)
All tumors in the presence of HIV
infection. Benefit Limits and Conditions: (i) Early Stage Cancer Benefit shall
be payable only once for the first ever event and Life Assured shall not be
entitled to make another claim for the Early Stage Cancer of same or any other
cancer. However, the coverage for the Major Stage Cancer under the policy shall
continue until the policy terminates. (ii) Once a Major Stage Cancer Benefit is
paid no payment for any future claims under Early Stage Cancer or Major Stage
Cancer would be admissible. (iii) Total benefit under the Policy including
Early Stage Cancer Benefit and Major Stage Cancer Benefit as specified above
shall not exceed the maximum claim amount of 220% of Applicable Sum Insured.
(iv) If the life assured claims for different stages of the same Cancer at the
same time, the benefit shall only be payable for the higher claim admitted
under the policy.
u)
(v) If there is more than one Cancer
diagnosed in an event, the Corporation will only pay one benefit. That benefit
will be the amount relating to the stage of Cancer which has the highest
benefit amount.
v)
2. WAITING PERIOD: A waiting period of
180 days will apply from the date of issuance of policy or date of revival of
risk cover, whichever is later, to the first diagnosis of any stage cancer.
“Any stage” here means all stages of Cancer that occur during the waiting period.
No benefit shall be payable if any stage of Cancer occur before expiry of 180
days from the date of issuance of policy or date of revival and the policy
shall terminate.
w)
3. SURVIVAL PERIOD: No benefit shall be
payable if the Life Assured dies within a period of 7 days from the date of
diagnosis of any of the specified Early Stage Cancer or Major Stage Cancer. The
7 days survival period includes the date of diagnosis. 4. ELIGIBILITY: (a)
Minimum age at entry: 20 years (completed) (b) Maximum age at entry: 65 years
(last birthday) (c) Minimum Policy Term: 10 years (d) Maximum Policy Term: 30
years (e) Minimum age at maturity: 50 years (f) Maximum age at maturity: 75
years (g) Minimum Premium: Rs. 2400/- for all modes (h) Minimum Basic Sum
Insured: Rs.10,00,000 (i) Maximum Basic Sum Insured: Rs. 50,00,000 The maximum
Basic Sum Insured under this plan shall not exceed an overall limit of Rs.50
lakhs taking all existing Critical Illness Cover policies including Cancer
Cover and the Cancer Cover Sum Insured under the new proposal into
consideration. The Basic Sum Insured shall be in multiples of Rs. 1,00,000/-
only
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