Celebrate living with

FWD Set For Health

March 2017

Confidential
Our Brand Promise

Celebrate
Living
This is at the very core of our purpose,
our strategy, our customer experience,
and our internal culture.
Our Parent Company
FWD Group
Growing Pan-Asian
Footprint
FWD PH
Company Info
By end-2016
Celebrate
living in the
best of health
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Health matters
 With FWD
Life is full of adventures
and, of course, you’d want
to be in on all the action.
Don’t let anything, even
MCCI, you
multiple critical illnesses,
stop you from living your
life to the fullest.
can live
FWD Set For Health
allows you to celebrate life
no matter what comes your

your life to
way, keeping you
confidently secure when
you need protection the
most.
the fullest. 8
Set For Health
Set For Health is a comprehensive protection plan that provides coverage for multiple critical illnesses
(42 major and 15 minor) and death until age 75, and returns all the premiums if Insured suffers no
major critical illness at the end of coverage period. Payment term options are 5, 10 or 20 years.

With up to 300% Sum Assured for major critical illnesses, 20% for a minor critical illness and another
100% for death, Set For Health offers up to 420% protection benefits to ensure the family and loved ones9
get sufficient amount of financial security if the unthinkable happens.
Set For Health

“Unrelated Major Critical Illnesses” means

1. Each of the three (3) Major Critical Illness claims must
belong to a different Major Critical Illness Group (see
groupings below), and
2. Diagnosis of subsequent critical illness should be at least
one (1) year from the date of diagnosis of the preceding 1
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critical illness.
Set For Health

What we don’t cover (exclusions)

No Major Critical Illness and/or Minor Critical Illness Benefit claims will be paid if the
critical illness results directly or indirectly, wholly or partly, from any of the following
circumstances:
1. Attempted suicide or an intentional self-inflicted act by the Insured
2. Wilful participation in illegal and/or unlawful acts or omissions
3. Alcohol or drug abuse
4. HIV and/or any HIV-related illness including AIDS and/or any mutations,
derivations or variations thereof except HIV/AIDS due to Blood Transfusion and
Occupationally Acquired HIV/AIDS, or
5. War or any act of war (whether declared or not), civil or military insurrection
and civil commotion amounting to a popular uprising.
In the event of Insured’s death, no benefits will be paid in case of suicide within the
first two (2) years while Insured is sane. 1
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Set For Health
How does it work?
Howillustration:
Sample does it work?

or PHP500,000, whichever is lower

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Celebrate
living in
sickness and
in health
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FAQs

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Set For Health

Q1. Available payment options?

You may choose to pay for 5 years, 10 years, or 20 years. In all the payment options,
the coverage period is until age 75.
Q2. Eligible ages?
The age limits for each payment option were set so that you (Policyowner/Insured)
are able to finish paying for the premiums during your most productive years until
age 65 only.
For 5-pay option: 15 days to 60 years old
For 10-pay option: 15 days to 55 years old
For 20-pay option: 15 days to 45 years old
Q3. Minimum and maximum Sum Assured?
Minimum Sum Assured: PHP500,000
Maximum Sum Assured: PHP4,000,000 subject to applicable underwriting
guidelines on aggregation of Sum Assured for CI plans
Q4. Full underwriting?
Yes. 1
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Set For Health

Q5. What are the conditions for a valid critical illness claim?
1. Each of the three (3) Major Critical Illness claims must belong to a different
Major Critical Illness Group (see groupings in previous section).
2. Survival period is 14 days from diagnosis date before benefit becomes payable.
3. Claim shall be subject to the waiting period of 90 days from effective date or
date of last reinstatement.
4. Diagnosis of subsequent critical illness should be at least one (1) year from the
date of diagnosis of the preceding critical illness.
5. A 2nd benefit under Cancer Group may be claimed provided that Insured is
declared cancer-free for at least five (5) years prior to diagnosis of the 2nd
cancer.
6. No subsequent Major Critical Illness Benefit will be paid if a benefit due to
Terminal Illness or Loss of Independent Existence has been paid.

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Set For Health
Scenario Payable? Comments

Insured A was diagnosed with cancer (Group 1) 30 days from effective date No Claim shall be subject to the waiting
and then filed for a claim. period of 90 days from effective date
or date of last reinstatement.
One year from effective date, Insured B was diagnosed with early stage Minor Critical Illness Survival period is 14 days from
cancer (Minor Critical Illness) and filed for a claim. After three days, Insured Benefit – No diagnosis date before benefit
B died. Death Benefit - Yes becomes payable.

Halfway in Policy Year 2, Insured C suffered stroke (Group 4) and filed for Major Critical Illness Diagnosis of subsequent critical
claim. Six months later, Insured C was diagnosed with bacterial meningitis Benefit (Stroke) – Yes illness should be at least one (1)
(Group 5) and then filed for claim. Major Critical Illness year from the date of diagnosis
(Bacterial Meningitis) - of the preceding critical illness.
No
Six months from effective date, Insured D suffered an injury that resulted to Loss of Limbs (Group 5) After paying the benefit for
amputation of two feet and filed for claim. Three years later, Insured D was – Yes Terminal Illness, succeeding
diagnosed with terminal illness and filed for claim. Terminal Illness (Group claims for another Major Critical
2) - Yes Illness will no longer be payable.
Insured E was diagnosed on the 3rd policy year with breast cancer (Group 1) Breast Cancer (Group 1) A 2nd benefit under Cancer
and filed for claim. After six months of treatment, the doctor declared – Yes Group may be claimed provided
Insured E cancer-free. 5 years later, Insured E was again diagnosed with Breast Cancer (Group 1) that Insured is declared cancer-
breast cancer and then filed for claim. - Yes free for at least five (5) years
prior to diagnosis of the 2nd
cancer.
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Set For Health

Q6. Is Healthy Life Benefit still payable at age 75 even if Insured

already claimed for a Minor Critical Illness benefit?
Yes. The only condition for Healthy Life Benefit to be payable at age 75 is that no
Major Critical Illness has been paid.

Q7. Are there policy dividends?

Set For Health does not have policy dividends, which are non-guaranteed benefits
that are offered in other insurance plans. Set For Health is all about guaranteed
financial protection for critical illnesses and death, plus a guaranteed reward for
keeping yourself healthy.

Q8. Are there cash values available for loan?

Yes. For as long as the Policy is not under RPU (see Q9 on next slide), the Policyowner
may file a cash loan against the Policy with applicable interest.
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Set For Health

Q9. What are the available Non-Forfeiture Options (NFO) should

Policyowner decide to discontinue paying premiums?
The Policyowner may nominate any of the following NFOs:
NFO Brief Description
Reduced Paid-Up Policy continues to be effective but with a reduced
Insurance (RPU) Sum Assured
Automatic Premium Loan Policy remains inforce for as long as the cash values
(APL) are sufficient to pay the premiums falling due
Policy Surrender Policyowner receives cash value and Policy is
terminated

If no option is nominated, the RPU shall apply.

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Set For Health

Q10. When are benefits not payable? (exclusions)

Benefit payable shall be based on the definitions and conditions of each critical
illness set out in the Policy Contract. In all cases, no Major Critical Illness and/or
Minor Critical Illness Benefit claims will be paid if the critical illness results directly or
indirectly, wholly or partly, from any of the following circumstances:
1. Attempted suicide or an intentional self-inflicted act by the Insured
2. Wilful participation in illegal and/or unlawful acts or omissions
3. Alcohol or drug abuse
4. HIV and/or any HIV-related illness including AIDS and/or any mutations,
derivations or variations thereof except HIV/AIDS due to Blood Transfusion and
Occupationally Acquired HIV/AIDS, or
5. War or any act of war (whether declared or not), civil or military insurrection
and civil commotion amounting to a popular uprising.
In the event of Insured’s death, no benefits will be paid in case of suicide within the
2
first two (2) years while Insured is sane. 0