Certificate of Insurance - Indiafirst Life Group Loan Protect Plan
Certificate of Insurance - Indiafirst Life Group Loan Protect Plan
Certificate of Insurance - Indiafirst Life Group Loan Protect Plan
A Non-linked, Non-Participating Group Credit Linked Insurance Plan UIN No. 143N055V01
S Soorya ..
Co M Sivaraman No 501 1st
Main Road Cross M S Nagar
Yelahanka Bengaluru
Karnataka
KARN
560064
9880628521
Life 1
Benefits
The plan offers the following benefit options: -
The death benefit can be taken either as lumpsum or in instalments over a period of 1 to 5 years as chosen at inception.
The benefit shall be payable as under:
• In case of Regulated Entities, under Lender- Borrower scheme, the Outstanding Loan amount, if any shall be payable to the Master
Policyholder subject to prior authorization from the Member taken at the inception of policy. Any residual benefit shall be paid to the Nominee.
• In case of Other Entities, the Benefit shall be payable to the Nominee.
Please Note -
Regulated Entities shall mean to include - Reserve Bank of India (“RBI”) regulated Scheduled Banks (including co-operative Banks), NBFCs
having Certificate of Registration from RBI, National Housing Bank (“NHB”) regulated Housing Finance Companies, National Minority Development
Finance Corporation (NMDFC) and it’s States Channelizing Agencies or Small Finance Banks regulated by RBI, Mutually aided cooperative
societies formed and registered under the applicable state Act concerning such Societies, Microfinance companies registered under section 8 of
Companies Act, 2013 and any other category as approved by Insurance Regulatory and Development Authority of India (IRDAI).
Other Entities shall mean the entities other than Regulated Entities as mentioned above.
The Life Insurer may audit or cause an audit into the accuracy of the Credit Account Statement(s) of the insured member in respect of which claim
was settled.
Cover Types
• Decreasing cover
The decreasing cover (at the member level) will be the cover outstanding as at monthly anniversary immediately preceding the date of
death/date of Accidental total permanent disability/date of Critical illness of the Member based on a cover schedule calculated at the inception
of cover. Under this there are following two types:-
1) Fixed Rate: Under this cover type, Sum Assured decreases over the term as per initial cover schedule mentioned in certificate of
insurance (COI). The COI will be generated at loan interest rate for which premium is charged and cover amount will not fall below
Rs.5,000. Single and limited premium payment options are available under this cover.
2) Floating Rate: Under this cover type, Sum Assured decreases over the cover term as per the cover schedule mentioned in COI as per the
loan interest rate at inception of policy. However, when interest rate changes the loan outstanding will be recalculated with the revised
interest rate keeping the EMI as at time of inception constant and revised COI will be generated at the time of claim. For the purpose of
cover, fluctuations of upto +/- 500 bps from interest rate at inception is allowed and cover amount will not fall below Rs. 5000/-. Increase in
loan outstanding due to EMI default would not be covered. Single and limited premium payment options for cover term greater than or
equal to 5 years are available under this cover.
• Level cover
Under this cover type, Sum Assured remains level throughout the term of the cover as per certificate of insurance. Single, Limited and Regular
premium payment options are available under this cover.
Maturity - No maturity benefit under this plan
Rider Benefits
Please refer to the annexures for rider benefits, terms and conditions, claim documents and exclusions as per the riders opted for.
Points to note
Moratorium Period
If the date of the loan disbursement and the start of loan repayment (EMI) are different, you can avail of a ‘Moratorium Period’. This allows for the
risk cover to start even before the actual loan repayment schedule begins. A moratorium period is a time during the coverage term when the
member does not make any payment towards the principal component of the loan.
Surrender
You may surrender the policy /cover at any time during the policy term. The insurance cover on your life shall cease immediately. On surrender of
the plan by the Master Policyholder or foreclosure of loan by you, you have the option to continue the life cover till the end of the policy term. You
can also surrender the cover before the end of loan term. There is no surrender value under regular premium option.
Under limited premium payment, in the event of Member’s demise after expiry of the grace period and before completion of the revival period of 5
years the death benefit will be the surrender value, if any
Foreclosure of loan
In case you wish to foreclose the loan before end of the policy term or the Master Policyholder surrenders the Plan then you have the option to
continue the cover till the end of the policy term. You also have the flexibility to surrender / terminate the policy/cover before the end of policy term.
Termination of Coverage
The Cover in respect of any Member under this policy will terminate on the earliest of the following:
1. Member attaining age 76 years or on death or ATPD/CI (if customer avails this benefit) whichever is earlier
2. Non-payment of premium under limited/regular premium during the grace period.
3. The end of cover term
4. Surrender of the contract by the member
5. Death of the first life in case of joint life coverage on first claim basis
6. On the date of payment of free look cancellation amount
Claims
The master policyholder or the nominee/legal heir/appointee, as the case may be, will give us a written notice of the claim on the member’s
demise / total permanent disability. They need to give us all the relevant information in writing to enable us to process the claim as specified in the
plan. The claim documents needs to be submitted to us directly at the address mentioned in this COI or to the Master Policyholder who then sends
the same to us.
In case of authorization provided by the Member to the Master Policyholder, at the time of Claim, the Master Policyholder will need to:
• Provide Member Form & Loan Account Statement in respect of the insured Member to whom/whose nominee or beneficiary the claim money are
payable.
• Provide a confirmation that the Insured Member / Nominee / Beneficiary who had submitted the Claim discharge form is the same person who
has been registered by Master Policyholder as the Insured Member / Nominee / Beneficiary under the Group Master Policy.
The Life Insurer shall audit or cause an audit into the accuracy of the Credit Account Statement(s) of the insured Member in respect of which
claim was settled on the completion of every financial year.
Nomination shall be governed as per section 39 of the Insurance Act, 1938 as amended from time to time.
(1) The holder of a policy of life insurance on his own life may, when effecting the policy or at any time before the policy matures for payment,
nominatethe person or persons to whom the money secured by the policy shall be paid in the event of his death:
Provided that, where any nominee is a minor, it shall be lawful for the policyholder to appoint any person in the manner laid down by the insurer, to
receive the money secured by the policy in the event of his death during the minority of the nominee.
(4) A transfer or assignment of a policy made in accordance with section 38 shall automatically cancel a nomination:
Provided that the assignment of a policy to the insurer who bears the risk on the policy at the time of the assignment, in consideration of a loan
granted by that insurer on the security of the policy within its surrender value, or its reassignment on repayment of the loan shall not cancel a
nomination, but shall affect the rights of the nominee only to the extent of the insurer's interest in the policy:
Provided further that the transfer or assignment of a policy, whether wholly or in part, in consideration of a loan advanced by the transferee or
assignee to the policyholder, shall not cancel the nomination but shall affect the rights of the nominee only to the extent of the interest of the
transferee or assignee, as the case may be, in the policy:
Provided also that the nomination, which has been automatically cancelled consequent upon the transfer or assignment, the same nomination
shall stand automatically revived when the policy is reassigned by the assignee or retransferred by the transferee in favour of the policyholder on
repayment of loan other than on a security of policy to the insurer.
(5) Where the policy matures for payment during the lifetime of the person whose life is insured or where the nominee or, if there are more
nominees than one, all the nominees die before the policy matures for payment, the amount secured by the policy shall be payable to the
policyholder or his heirs or legal representatives or the
holder of a succession certificate, as the case may be.
(6) Where the nominee or if there are more nominees than one, a nominee or nominees survive the person whose life is insured, the amount
secured by the policy shall be payable to such survivor or survivors.
(7) Subject to the other provisions of this section, where the holder of a policy of insurance on his own life nominates his parents, or his spouse, or
his children, or his spouse and children, or any of them, the nominee or nominees shall be beneficially entitled to the amount payable by the
insurer to him or them under sub-section (6)
unless it is proved that the holder of the policy, having regard to the nature of his title to the policy, could not have conferred any such beneficial
title on the nominee.
(8) Subject as aforesaid, where the nominee, or if there are more nominees than one, a nominee or nominees, to whom sub-section (7) applies,
die after the person whose life is insured but before the amount secured by the policy is paid, the amount secured by the policy, or so much of the
amount secured by the policy as represents
the share of the nominee or nominees so dying (as the case may be), shall be payable to the heirs or legal representatives of the nominee or
nominees or the holder of a succession certificate, as the case may be, and they shall be beneficially entitled to such amount.
(9) Nothing in sub-sections (7) and (8) shall operate to destroy or impede the right of any creditor to be paid out of the proceeds of any policy of life
insurance.
(10) The provisions of sub-sections (7) and (8) shall apply to all policies of life insurance maturing for payment after the commencement of the
Insurance Laws (Amendment) Act, 2015.
(11) Where a policyholder dies after the maturity of the policy but the proceeds and benefit of his policy has not been made to him because of his
death, in such a case, his nominee shall be entitled to the proceeds and benefit of his policy.
(12) The provisions of this section shall not apply to any policy of life insurance to which section 6 of the Married Women's Property Act, 1874,
applies or has at any time applied:
Provided that where a nomination made whether before or after the commencement of the Insurance Laws (Amendment) Act, 2015, in favour of
the wife of the person who has insured his life or of his wife and children or any of them is expressed, whether or not on the face of the policy, as
being made under this section, the said section 6 shall be deemed not to apply or not to have applied to the policy.
15. Assignment shall be governed as per section 38 of the Insurance Act, 1938 as amended from time to time.
1) A transfer or assignment of a policy of insurance, wholly or in part,
whether with or without consideration, may be made only by an endorsement upon the policy itself or by a separate instrument, signed in either
case by the transferor or by the assignor or his duly authorised agent and attested by at least one witness, specifically setting forth the fact of
transfer or assignment and the reasons thereof, the antecedents of the assignee and the terms on which the assignment is made.
(2) An insurer may, accept the transfer or assignment, or decline to act upon any endorsement made under sub-section (1), where it has sufficient
reason to believe that such transfer or assignment is not bona fide or is not in the interest of the policyholder or in public interest or is for the
purpose of trading of insurance policy.
(3) The insurer shall, before refusing to act upon the endorsement, record in writing the reasons for such refusal and communicate the same to the
policyholder not later than thirty days from the date of the policyholder giving notice of such transfer or assignment.
(4) Any person aggrieved by the decision of an insurer to decline to act upon such transfer or assignment may within a period of thirty days from
the date of receipt of the communication from the insurer containing reasons for such refusal, prefer a claim to the Authority.
(5) Subject to the provisions in sub-section (2), the transfer or assignment shall be complete and effectual upon the execution of such
endorsement or instrument duly attested but except, where the transfer or assignment is in favour of the insurer, shall not be operative as against
an insurer, and shall not confer upon the transferee or assignee, or his legal representative, any right to sue for the amount of such policy or the
moneys secured thereby until a notice in writing of the transfer or assignment and either the said endorsement or instrument itself or a copy
thereof certified to be correct by both transferor and transferee or their duly authorised agents have been delivered to the insurer:
Provided that where the insurer maintains one or more places of business in India, such notice shall be delivered only at the place where the policy
is being serviced.
Explanation- Except where the endorsement referred to in sub-section (1) expressly indicates that the assignment or transfer is conditional in
terms of subsection (10) hereunder, every assignment or transfer shall be deemed to be an absolute assignment or transfer and the assignee or
transferee, as the case may be, shall be
deemed to be the absolute assignee or transferee respectively.
(9) Any rights and remedies of an assignee or transferee of a policy of life insurance under an assignment or transfer effected prior to the
commencement of the Insurance Laws (Amendment) Act, 2015 shall not be affected by the provisions of this section.
(10) Notwithstanding any law or custom having the force of law to the contrary, an assignment in favour of a person made upon the condition
that—
(a) the proceeds under the policy shall become payable to the policyholder or the nominee or nominees in the event of either the assignee or
transferee predeceasing the insured; or
(b) the insured surviving the term of the policy, shall be valid:
Provided that a conditional assignee shall not be entitled to obtain a loan on the policy or surrender a policy.
(11) In the case of the partial assignment or transfer of a policy of insurance under sub-section (1), the liability of the insurer shall be limited to
the amount secured by partial assignment or transfer and such policyholder shall not be entitled to further assign or transfer the residual amount
payable under the same policy.
Disclosures
Misrepresentation/Fraudulent Disclosures: shall be governed as per Section 45 of Insurance Act, 1938 as amended from time to time.
Extract of Section 45 of the Insurance Act 1938, as amended from time to time states
1) No policy of life insurance shall be called in question on any ground whatsoever after the expiry of three years from the date of the policy, i.e.,
from the date of issuance of the policy or the date of commencement of risk or the date of revival of the policy or the date of the rider to the
policy, whichever is later.
2) A policy of life insurance may be called in question at any time within three years from the date of issuance of the policy or the date of
commencement of risk or the date of revival of the policy or the date of the rider to the policy, whichever is later, on the ground of fraud:
Provided that the insurer shall have to communicate in writing to the insured or the legal representatives or nominees or assignees of the
insured the grounds and materials on which such decision is based.
3) Notwithstanding anything contained in sub-section (2), no insurer shall repudiate a life insurance policy on the ground of fraud if the insured
can prove that the mis-statement of or suppression of a material fact was true to the best of his knowledge and belief or that there was no
deliberate intention to suppress the fact or that such mis-statement of or suppression of a material fact are within the knowledge of the insurer:
Provided that in case of fraud, the onus of disproving lies upon the beneficiaries, in case the policyholder is not alive.
4) A policy of life insurance may be called in question at any time within three years from the date of issuance of the policy or the date of
commencement of risk or the date of revival of the policy or the date of the rider to the policy, whichever is later, on the ground that any
statement of or suppression of a fact material to the expectancy of the life of the insured was incorrectly made in the proposal or other
document on the basis of which the policy was issued or revived or rider issued: Provided that the insurer shall have to communicate in writing
to the insured or the legal representatives or nominees or assignees of the insured the grounds and materials on which such decision to
repudiate the policy of life insurance is based: Provided further that in case of repudiation of the policy on the ground of misstatement or
suppression of a material fact, and not on the ground of fraud, the premiums collected on the policy till the date of repudiation shall be paid to
the insured or the legal representatives or nominees or assignees of the insured within a period of ninety days from the date of such
repudiation.
5) Nothing in this section shall prevent the insurer from calling for proof of age at any time if he is entitled to do so, and no policy shall be deemed
to be called in question merely because the terms of the policy are adjusted on subsequent proof that the age of the Life Insured was
incorrectly stated in the proposal.
Grievance Redressal Procedure
Any grievance/complaint pertaining to this Plan should be addressed to Us directly or may be addressed to the Master Policyholder who shall in
turn write to Us.
If You are not satisfied with the response or do not receive a response from us within 15 days, you may approach the Grievance Cell of the
Insurance Regulatory and Development Authority of India (IRDAI) on the following contact details:
IRDAI Grievance Call Centre (IGCC) TOLL FREE NO: 155255
Email ID: complaints@irda.gov.in
You can also register your complaint online at
http://www.igms.irda.gov.in/
Address for communication for complaints by fax/paper:
Consumer Affairs Department,
Insurance Regulatory and Development Authority of India
Sy. No. 115/1, Financial District, Nanakramguda, Gachibowli
Hyderabad, Telangana – 500032
IRDAI TOLL FREE NO: 18004254732, Fax No: 91- 40 – 6678 9768
Insurance Ombudsman
In case you are dissatisfied with the decision/resolution of the company, you may approach the Insurance Ombudsman located nearest to you
(refer to our website www.indiafirstlife.com) *For detailed definitions and benefits on Accidental Death Benefit, Accidental Total Permanent
Disability Benefit and Critical Illness Benefit, please refer to our website www.indiafirstlife.com
Please note that this certificate is issued for the purpose of information only and is merely a summary of the major features of the scheme. The benefits payable by
IndiaFirst Life will be based on the terms and conditions stated in the Master Policy. You can get in touch with the Master Policyholder or visit our website
www.indiafirstlife.com for the terms and conditions of this plan.