1. The document outlines non-medical underwriting guidelines for various age groups, occupations, incomes and sum assured amounts.
2. Specific medical requirements are listed for special reports depending on the sum assured, age and occupation. Tests like ECG, blood sugar, renal function tests and lipid profiles are required.
3. Maximum sum assured allowed is outlined based on the proposer's age and income - higher income groups can get higher sum assured amounts. Income proof documentation required also varies based on sum assured amount.
1. The document outlines non-medical underwriting guidelines for various age groups, occupations, incomes and sum assured amounts.
2. Specific medical requirements are listed for special reports depending on the sum assured, age and occupation. Tests like ECG, blood sugar, renal function tests and lipid profiles are required.
3. Maximum sum assured allowed is outlined based on the proposer's age and income - higher income groups can get higher sum assured amounts. Income proof documentation required also varies based on sum assured amount.
1. The document outlines non-medical underwriting guidelines for various age groups, occupations, incomes and sum assured amounts.
2. Specific medical requirements are listed for special reports depending on the sum assured, age and occupation. Tests like ECG, blood sugar, renal function tests and lipid profiles are required.
3. Maximum sum assured allowed is outlined based on the proposer's age and income - higher income groups can get higher sum assured amounts. Income proof documentation required also varies based on sum assured amount.
1. The document outlines non-medical underwriting guidelines for various age groups, occupations, incomes and sum assured amounts.
2. Specific medical requirements are listed for special reports depending on the sum assured, age and occupation. Tests like ECG, blood sugar, renal function tests and lipid profiles are required.
3. Maximum sum assured allowed is outlined based on the proposer's age and income - higher income groups can get higher sum assured amounts. Income proof documentation required also varies based on sum assured amount.
Single premi Class of lives Plans allowed (NBD) Age Proof 18 TO 35 8 lacs 15 lac (SP) Major males, major female 814,815,816 (SP 20 lakh), 817,818,820, 36 TO 45 5 lacs 10 lac (SP) with own income (earned or 821,827, 830, 833,835,836,838,841,842,843,845 For 815,820, 821,830 SUC is 1.25 times unearned) and literate Plan 827: non-medical limit is stand alone 46 TO 50 3 lacs 10 lac (SP) females with Std Age Proof Age group NSAP NSAP (NBD) (Maxi. Term 25yrs) 814,815,816(SP 20 lakh), 817,818,820, 18 TO 35 5 lac With medical 821,827,830,831, 833,835,836,838,841,842,843,845 36 TO 45 3 lac For 815,820, 821,830 SUC is 1.25 times 5 lacs maxi 46 TO 50 2 lac Sum Age (NBD) Class of lives Plans allowed Scheme Assured Employed literate Male and Non- SSC passed females with Medical 18 to 35 30 lacs 15 lac (SP) T No. 814,815,816(SP 20 lakh), 817,818,820, minimum service of 1 year 821,827 830, 833, 835,836,838, (Special) with Specified employers 848,841,842,843,845 , 848,TR, PWB. N.M.S. 36 to 45 20 lacs 10 lac (SP) For 815,820, 821,830, 848 SUC is 1.25 times NRI & FNIO residing in N.R.I. group V countries. HARISH 46 to 50 10 lacs 10 lac (SP) FNIO N.M.G. Age Sum Self-employed or Employed (Not cover by the firm under NMS) Plans allowed Std Age Group Assured proof 814,815,816(SP 20 lakh),,817,818,820, 1. 1. POST GRADUATE /C.A./ 821, 830, 833, 835,836, 841, 18 to 35 25 lacs 15 lac (SP) Doctor, Teachers B Ed, ,842,843,845,848 TR, PWB, for 815,820, Professional Lawyer, architects, 821,830,848 SUC is 1.25 times. 2. self- employed 36 to 45 15 lacs 10 lac (SP) Engineers, Computer & Males & Management Consultant, literate LIC agents with 5 yrs For lives under point 1. ITR female with agency. with mini income of 2.50 lacs 10 lakhs 46 to 50 8 lacs 10 lac (SP) 2. self-employed males and above ITR& literate females PAN card Class of lives Sum Assured Plans Allowed Table No. 814,817, 832, Non-Medical Age 0 to 9 years Rs.40 lacs 834,835,836,845,848 (Minor Children) Table No. 814, 816(SP 20 lakh), 817, Age 10 to 17 years Rs.15 lacs 820,821,832,834,835,836,834, 841.845 For 815,820,821 SUC is 1.25 times Class of lives Sum Assured Plans Allowed Non-medical T No. 814,815,816(SP 20 Not aged over 30 years Rs.20 lacs 15 lac (SP) lakh),,817,818,820, 821,827,830, 833, (Major Students) 835,836,838. 841,845,848 For 815,820, 821,830.848 SUC is 1.25 times
Single Prem: Age 51 to 60: Std. and NSAP: 3 Lacs NON-MEDICAL allowed Sum under consideration will be the basis for calling for special reports.S.U.C is such that it falls within the limits of non-medical business,
Financial Underwriting Maximum Sum Assured allowed as per income of Proposer agewise:
Age group SA allowed for Income below 10 lakh SA allowed for Income ABOVE 10 lakh Up to age 35 years. 25 times of gross income. 30 times of gross income. 36 to 45 years. 20 times of gross income. 25 times of gross income. 46 to 50 years. 12 times of gross income. 20 times of gross income. 51 to 55 years. 15 times of gross income. 56 years and above. 10 times of gross income. 10 times of gross income. (Revised INCOME PROOF Requirement for both male and female) 1. TRSA up to 25 lakh NOT required. 2. TRSA 25 to 50 lakh PFQ or CA Certificate. 3. TRSA > 50 lakh Form no. 16 OR FORM 26AS OR ITR for 3 Yr. with computation of Income. Special report : Chart I For NMS, NRI & FNIO Gr 5, NMG Prof. & Self-employed Males and literate female with >10 lakhs income & filing ITR SUC/ AGE LBD 18 -35 36-45 46-50 51-55 56- 60
Special report :Chart II for lives which cannot be covered under chart I above and for age above 60 and/or SUC above 50 lakhs SUC/ AGE LBD 18 -35 36-45 46-50 51-55 56 & above up to 2 LACS NMG NMG NMG FMR ECG, FBS NMG, (FMR ECG, FBS,RUA, >2 to 3 lakh NMG NMG FBS, RUA if NSPA) Lipidogram, Hb% NMG, (FMR ECG, FBS,RUA, >3 to 5 lakh NMG FMR ECG, FBS, RUA if NSPA) Lipidogram, Hb% NMG, (FMR ECG, FBS,RUA, ECG, FBS,RUA, >5 to 8 lakh FMR FBS, RUA, if NSPA) Lipidogram, Hb% Lipidogram, Hb% ECG, SBT 13, ECG, SBT 13, ECG, SBT 13, >8 to15 lakh FMR FMR RUA,Hb% RUA,Hb% RUA,Hb% RUA, Lipidogram, SBT 13, ECG, SBT 13, ECG, SBT 13, RUA, ECG, SBT 13, RUA, >15 to 30 lakh Elisa for HIV, RUA,Hb% RUA,Hb% Haemogram Haemogram, Hba1c Hb% ECG, SBT 13, ECG, SBT 13, RUA, ECG, SBT 13, ECG, SBT 13, ECG, SBT 13, RUA, >30 to 50 lakh RUA,HB% , Haemogram,Hba1c, RUA,Haemogram, RUA,Hb% Hb%,Hba1c,CTMT Hba1c. CTMT Hba1c,CTMT ECG, SBT 13, ECG, SBT 13, RUA, ECG, SBT 13, RUA, ECG, SBT 13, RUA, ECG, SBT 13, >50 to100 lakh RUA, Haemogram,Hba1c, Haemogram,Hba1c, Haemogram, RUA,Haemogram, Haemogram CTMT CTMT Hba1c,CTMT Hba1c,CTMT ECG, SBT 13, ECG, SBT 13, RUA, ECG, SBT 13, RUA, ECG, SBT 13, RUA, ECG, SBT 13, >100 Lakh to RUA, Hba1c Haemogram,Hba1c, Haemogram,Hba1c, Haemogram,Hba1c, RUA,Haemogram, 25 Crores Haemogram, CTMT CTMT CTMT Hba1c,CTMT, CHEST XRAY ECG, SBT 13, ECG, SBT 13, RUA, ECG, SBT 13, RUA, ECG, SBT 13, RUA, ECG, SBT 13, >25 crores to RUA, Haemogram,Hba1c, Haemogram,Hba1c, Haemogram,Hba1c, RUA,Haemogram, 39.99 Crores Haemogram, CTMT CTMT CTMT Hba1c,CTMT, CHEST XRAY Hba1c,CTMT ECG, SBT 13, RUA, Haemogram, Hb%,Hba1c,CTMT, CHEST X RAY, ANTI HCV, >40 Crores PSA Test for male lives in USG OF ABDOMEN & PELVIS, SPOT URINE MICRO ALBUMIN, 2D ECHO WITH & above addition to the left DOPPLER HRDesai 1. FMR is mandatory wherever special reports are needed OR wherever mentioned in above charts. 2. Additional proposal up to SAS 25 lakhs accepted on earlier valid FMR done. 3. P.H.C. medical reports not more than 6 months old from date proposal now acceptable for chart I Lives. Female insurance: Categories and sum assured allowed d
MAX. Category CRITERIA Other requirements / restriction S.A. Employed in NMS Rules of financial underwriting same as for male lives. At par with filing ITRs male adult When income from investment or rental: proof of income like rent agreement/ bank 1. employed lives statement required. If not than TRSA restricted to 200 lakhs. A - I. 2. Self-employed In case of self-employed/ income thru investment/property: Sp MHR by at least from BM Women with /having income needed. 200 lakhs Own income thru (For 3 &4 Or Under NMS 3. investment If no Only Standard age proof allowed. For NMS female: SSC qualification must supporting Funding from husband’s income allowed. More than 50 lakhs cases to be decided by and/or ZUS/CUS as per FPSO. 4. property. evidence) All plans allowed including PWB. All plans allowed. Only Standard age proof allowed Mini SSC qualification for term plan /Maxi. TRSA 50 lakhs including Term plan. A - II. 100 lakhs= single prem plan in case of death claim/ employer compensation recd. 50 lakhs Proof income such as PFQ/ CA certificate/ salary slip/investment income and / or Bank pass book WOMEN WITH Including with 3 months’ entry etc. required. Own INCOME which can be PWB TRSA above 25 lakhs to be sent to Higher office. Harish ascertained If funding from husband’s income for SA more than 50 lakhs = case to be decided by ZUC /CUS. Sp MHR of female lives (Annx -1) by DO and ABM/BM, Term plans up to 25 lakhs with MHR 3251 also needed by BM. A III. 15 lakh HSC & above qualification proof to Savings plans Only allowed. be submitted. No term plan/term rider allowed that can NOT for Below HSC. Savings plans Only allowed. WOMEN 10 lakhs be ascertained No term plan/ term rider allowed WITH Maxi age at entry up to 60 yrs. All types of age proof allowed. Own INCOME Sp MHR of female lives (Annx -1) by DO and ABM/BM All plans and Term plan up to 50 lakh Must have Passport/Credit card/ Driving Graduate and 100 lakhs or maxi.50 % of husband’s term license/ Mediclaim/ Aadhar Card/PAN B. (equal to insurance allowed. card above husband) Proof of qualification must. / Std. age proof must. Housewife MHR above 5 lakh must by Agent/DO/ ABM/BM. (without No term plan/ term rider allowed. All types of age proof allowed. income) 60 lakhs 1. In case husband, uninsurable due to medical reason= Maxi TRSA 50 lakhs with MHR Below graduate (equal to 3251 must by BM and to be decided by higher office. husband) 2. MHR above 5 lakh must by Agent/DO/ ABM/BM. Harish
Sum under Medical requirements for Minor life Age
Consideration Below 5 years 5 to 9 years 10 to 17 years No Medical No Medical requirements, No Medical requirements, but height and requirements but height and weight to be weight to be mentioned in the ACR. Up to Rs. 15 lacs mentioned in the ACR. i) Copy of latest school 1) Copy of latest school / College report report, if attending school i) Copy of latest school report No Medical Requirmt. No Medical requirements, i) Juvenile FMR Rs. 15,00,001 to i) Immunization record of but height and weight to be ii) Copy of latest school/college report the child ii) Copy of latest mentioned in the ACR i) Rs. 40 lacs school report, if attending Copy of latest school report school i) Juvenile FMR i) Juvenile FMR i) Juvenile FMR ii) Immunization record ii) Copy of latest school ii) Copy of latest school/college report Rs. 40,00,001 to of the child report Rs. 75 lacs iii) Copy of latest school report, if attending school i) Juvenile FMR i) Juvenile FMR i) Juvenile FMR ii) Immunization record ii) Haemogram ii) Haemogram of the child iii) Serum Creatinine iii) SBT-13 Rs. 75,00,001 and above iii) Copy of latest iii) RUA iv)Elisa test for iv) RUA school report, if HIV vi) HbsAg v) Copy of latest school report attending school v) Copy of latest attending school school/college report
