2.

CHAPTER TWO

CONSUMER PERCEPTION TOWARDS ADITYA BIRLA HEALTH POLICY

Introduction to the company:

Aditya Birla Group is an Indian multinational conglomerate, headquartered in Worli, Mumbai,
India.[5][6] It operates in 34 countries with more than 120,000 employees worldwide. The group was
founded by Seth Shiv Narayan Birla in 1857. The group has interests in viscose staple fibre, metals,
cement (largest in India), viscose filament yarn, branded apparel, carbon black, chemicals, fertilisers,
insulators, financial services, and telecom.
The group had a revenue of approximately US$48.3 billion in year 2019.[3] It is the third-largest Indian
private sector conglomerate behind Tata Group with revenue of just over US$110 billion
and RIL with revenue of US$90 billion.

Non-ferrous metals

The Group's non-ferrous metals' business is under Hindalco Industries.[ Its manufacturing locations
are primarily in India and it owns mines in Great Sandy Desert, Australia near Nifty Airport called
Birla Nifty Copper Operation (Nifty Copper Mine). On 11 February 2007, the company entered into
an agreement to acquire the Canadian company Novelis for US$6 billion,[making the combined
entity the world's largest rolled-aluminium producer. On 15 May 2007, the acquisition was completed
with Novelis shareholders receiving $44.93 per outstanding share of common stock. The Group
plans to close a part of its aluminium foil making mill in UK and shift that to its plant near Nagpur
Hindalco makes alumina chemicals, primary aluminium, rolled products, alloy wheels, roofing
sheets, wire rods, cast copper rods, copper cathodes and several other products.

Cement

The Group's cement business was earlier under Grasim Industries and UltraTech Cement. The two
entities have now been merged into UltraTech Cement to form India's largest cement company.
UltraTech Cement was acquired from L&T in 2004.

Carbon black
After purchasing Columbian Chemicals Co., the Group is now the largest manufacturer of carbon
black worldwide.
Textile business
Adi Birla Group. The Aditya Birla Group is the world's largest producer of Viscose staple fibre.] It
operates from India, Laos, Thailand, Malaysia and China. It owns the Birla Cellulose brand. Apart
from viscose staple fibre, the group also owns acrylic fibre business in Thailand, viscose filament
yarn businesses and spinning mills in India and South East Asia. The group has pulp and plantation
interests in Canada and Laos. It also owns the Domsjö factory in Sweden which exports viscose
today. The Swedish government is hoping to negotiate further investments in Sweden, in particular
in the hyper-modern future biorefinery in the city of Örnsköldsvik. Its two companies i.e. Aditya Birla
Nuvo Ltd and Grasim Bhiwani Textiles Ltd which is a subsidiary of Grasim Industries are in textile
business. Grasim Industries was recently placed 154th in a list of the world’s best regarded firms
compiled by Forbes.

Fashion

Aditya Birla Group sells in-house and other branded apparel via brick-and-mortar and online stores.
The group's firm Aditya Birla Fashion & Retail Ltd sells in-house brands such as Louis Philippe, Allen
Solly, Van Heusen, Peter England and People via their individual brand stores and through other
multi brand outlets. It operates a multi brand fashion retail chain Pantaloons [23] which it acquired
from Future Group.] It also acquired exclusive online and offline rights to American fast fashion
retailer Forever 21 in India.[25][26] The group ventured into niche target and select portfolio apparel in
October 2015 with Abof.[27] However, the group decided to shut ABOF citing non profitability of e-
commerce sector.[

Planet Fashion
Planet Fashion is a men’s clothing brand. Commencing in 2001, Planet Fashion now has more than
one hundred fifty retailers in 100 cities throughout India. Planet Fashion, right now, is an acronym
being a menswear getaway giving comprehensive closet alternatives for all those occasions, around
price things, while using greatest brands throughout each category.
The Aditya Birla Group’s retail store enterprise – Madura Fashion & Lifestyle – is one of the
strongest developing brand clothes corporations throughout the Indian subcontinent. Global
marketing involves models like Van Heusen, Allen Solly, Peter England and Louis Philippe. Madura
Fashion & Lifestyle has 1,607 shops, covering 2.2 sq. ft. connected with retail store room. It has
1,500 premium multi-brand shops along with 320+ departmental shops worldwide. The company
outsources engineering, textiles and apparel.

Telecom services
Idea Cellular was started as a joint venture of Aditya Birla Group with the AT&T and the Tata Group,
which was widely also known as, BATATA (Birla+AT&T+Tata) . After an IPO on the Indian stock
markets, Idea Cellular now accounts for a third of the group's market capitalisation. The company is
headquartered in Mumbai. On 31 August 2018 Idea Cellular completed its merger with Vodafone
India and thereby became largest telecom company in terms of subscribers and revenue, surpassing
Airtel.

Financial services
Aditya Birla Capital (ABC) is the umbrella brand for all the financial services business of the Aditya
Birla Group. Aditya Birla Capital is the holding company for Aditya Birla Finance Limited, Aditya Birla
Health Insurance Limited, Aditya Birla Housing Finance Limited, Aditya Birla Insurance Brokers
Limited, Aditya Birla Money, Aditya Birla Myuniverse Limited, Aditya Birla PE Advisors Limited,
Aditya Birla Sun Life Asset Management Company, Aditya Birla Sun Life Insurance, Aditya Birla Sun
Life Mutual Fund, Aditya Birla Sun Life Pension Management Limited and Aditya Birla Asset
Reconstruction Company Limited. ABFSG ranks among the top 5 fund managers in India (including
LIC) with an AUM of US$23 billion.Having a strong presence across the life insurance, asset
management, lending (excluding Housing), housing finance, equity & commodity broking, wealth
management and distribution, online money management portal—Aditya Birla Money MyUniverse,
general insurance advisory and private equity and health insurance businesses. In FY 2013–14,
ABFSG reported consolidated revenue from these businesses at just under ₹70
billion (US$1.0 billion) and profits of about ₹7.5 billion (US$110 million). The financial services arm of
the group is currently headed by Ajay Srinivasan.

ADITYA BIRLA CAPITAL:

About Aditya Birla Capital

Aditya Birla Capital Limited (ABCL) is the holding company for the financial
services businesses of the Aditya Birla Group.
Formerly known as Aditya Birla Financial Services Limited, ABCL’s subsidiaries
have a strong presence across Protecting, Investing and Financing solutions, ABCL is
a universal financial solutions group catering to diverse needs of its customers across
their life stages.
Powered by more than 18,000 employees, the subsidiaries of ABCL have a
nationwide reach with 850+ branches and more than 2,00,000 agents / channel
partners and several bank partners.
As of June 30th, 2019, Aditya Birla Capital Limited manages aggregate assets worth
Rs. 3000 plus billion and has a consolidated lending book of over Rs. 619 billion,
through its subsidiaries and joint ventures.
Aditya Birla Capital Limited is a part of the Aditya Birla Group, a US$ 48.3 billion
Indian multinational, in the league of Fortune 500. Anchored by an extraordinary
force of over 120,000 employees, belonging to 42 nationalities, the Aditya Birla
Group operates in 34 countries across the globe.

Aditya Birla Capital Limited (ABCL) is the holding company of all the financial services
businesses of the Aditya Birla Group. Through its subsidiaries and joint ventures, it
 manages aggregate assets worth more than Rs3000 billion and has a lending book of
Rs600 billion (including housing) as of December 31, 2018. ABCL is among the top five
private diversified NBFCs in India. It is also one of the largest private life insurance
companies, asset management companies and general insurance brokers in the
country. The company has undertaken various internal and external sustainability efforts
to be a sustainability leader in its sector

Aditya Birla Capital Limited is the holding company of all the following
financial services businesses:
 Aditya Birla Finance Limited
 Aditya Birla Health Insurance Limited
 Aditya Birla Housing Finance Limited
 Aditya Birla Insurance Brokers Limited
 Aditya Birla Money
 Aditya Birla Myuniverse Limited
 Aditya Birla PE Advisors Limited
 Aditya Birla Sun Life Asset Management Company
 Aditya Birla Sun Life Insurance
 Aditya Birla Sun Life Mutual Fund
 Aditya Birla Sun Life Pension Management Limited
 Aditya Birla Asset Reconstruction Company Limited

ADITYA BIRLA’S POLICY TOWARDS

HEALTH:
Features & Benefits of Aditya Birla Health Insurance
Aditya Birla Health Insurance is already operating in the Indian market, and it currently
offers multiple products for individuals, families, and groups. Some of the key features
and benefits of ABHI can be listed as follows.
 Flexible plan options: Aditya Birla offers variety of plans based on the requirements of
customers. Plans are available for individuals, families, and groups. There are plans available
for specific benefits including personal accident, critical illness, cancer, etc. In addition to this,
there are plans that provide benefits for groups.
  Multiple sum insured options: Customers can choose the sum insured amount based on
their requirement and affordability. Under specific plans, it is possible to get coverage for up
to Rs.2 crore.
 Wellness coaching: One of the features of Aditya Birla Health Insurance is that it provides
access to health industry experts anytime and anywhere. Customers can get their doubts
clarified anytime by various health specialists online.
 Network hospitals: The company has a big network of hospitals and doctors. Customers can
access the list of hospitals and doctors in their cities/towns by visiting the company website.
 Health Returns: The company offers rewards for healthy behaviour in its customers.
Customers can access this information by visiting the company’s official website.
 Tax relief: The premium amount paid towards various health insurance policies under Aditya
Birla is eligible for income tax benefit as per section 80D of the Income Tax Act.

Plans Provided by Aditya Birla Health Insurance

Aditya Birla Health Insurance offers a diverse range of plans based on the requirements
of customers. The plans offered by the company can be listed as follows.

Plan Name Plan Basis (Individual, family, etc.) Sum Insured (Min-Max)

Activ Health Essential Individual and Family Min: Rs.50,000 Max: Rs.10 lakh

Activ Health Enhanced Individual and Family Min: Rs.2 lakh Max: Rs.2 crore

Activ Secure - Personal Accident Individual Varies

Activ Secure - Critical Illness Individual Varies based on different plans

Activ Secure - Hospital Cash Individual Varies based on the cash amount and the duratio

Activ Secure - Cancer Individual Varies

Activ Assure - Diamond Individual and Family Up to Rs.2 crore

Group Activ Health Individual and Family Varies

 *Premiums may vary depending upon factors like age, location, term of the plan, and
prevailing taxes/GST.

ACTIV HEALTH INSURANCE

Activ Health Essential by Aditya Birla is a comprehensive medical insurance cover
specifically designed for the middle income segment of the country. This plan comes in
multiple sum insured options based on the affordability of the proposer. In addition to
the regular reimbursement and cashless treatment benefits, this policy also provides
access to the value added benefits offered by the company including Health Returns,
Wellness Coach, etc.

Unique Features of Activ Health Essential

 Sum insured options starting from as low as Rs.50,000
 No maximum limit on entry age
 Day 1 coverage for various chronic diseases including diabetes, hypertension, cholesterol,
etc.
 Deductible options available to get premium discounts
 Free health checkup available once per policy year
 Second e-opinion from qualified international specialists for various critical illnesses
Plan Details

Entry age From 91 days; no upper limit

Family floater cover Coverage offered for up to 9 members including dependent parents and parents-in-law

Sum insured Rs.50,000 to Rs.10 lakh

Copayment Mandatory copayment of 20%

Cumulative bonus Up to 10% per claim-free year subject to a maximum of 100%

Pre-hospitalisation
Up to 30 days prior to the date of hospitalisation
expenses

Post-hospitalisation
Up to 60 days after discharge from the hospital
expenses
ACTIV HEALTH
ONE OF THE MOST POPULAR HEALTH INSURANCE BY THE COMPANY
ENHANCED:

Activ Health Enhanced

Activ Health Enhanced by Aditya Birla is a health insurance cover designed to provide
enhanced coverage for policyholders. This policy is available in flexible terms ranging
from 1 to 3 years, and it offers a range of benefits for policyholders. This policy is
available for both individuals and families. In addition to the regular benefits, customers
who have this policy can also access the value-added benefits provided by the
company.

Unique Features of Activ Health Enhanced

 Enhanced protection with sum insured up to Rs.2 crore
 No limit on entry age
 Day 1 cover for various chronic illnesses including diabetes, hypertension, asthma, etc.
 Choice of room category for all policyholders with sum insured Rs.7 lakh and above
 Recovery benefit for variou ancillary expenses including travel expenses, attendant fees, etc.
 Worldwide Emergency Assistance Service for medical help in places across the world
Plan Details

Entry age From 91 days; no upper limit

Family floater cover Coverage offered for up to 9 members including dependent parents and parents-in-law

Sum insured Rs.2 lakh to Rs.2 crore

Copayment Not required

Recovery benefit Up to 1% of the sum insured subject to a maximum of Rs.10,000

Cumulative bonus Up to 20% per claim-free year subject to a maximum of 100%

Reload of sum Automatic reload for claims other than the one for which the sum insured got exhausted (For ac
insured claim.)
Organ donor
Covered for both receiving and harvesting an organ
expenses

Domiciliary
Available up to the sum insured limit
hospitalisation

Day care treatment Available for various medical procedures like dialysis

Road ambulance
Network hospitals - actual expenses Non network hospitals - up to Rs.5,000 per hospitalisation
cover

Pre hospitalisation
Covered for up to 60 days before admission in a hospital
medical expenses

Post hospitalisation
Covered for up to 180 days after discharge from the hospital
medical expenses

Activ Secure - Personal Accident

Personal accident covers are mainly for providing financial security against the
unexpected risk of accidental death or disability. Aditya Birla Activ Secure - Personal
Accident is designed just for that purpose. This personal accident cover offers coverage
against permanent total disability, permanent partial disability, and death. In addition to
the regular benefit, this policy also comes with a range of optional covers to provide
enhanced protection.

Unique Features of Activ Secure - Personal Accident

 Complete protection against death and disability
 Coverage provided for modification of vehicle and home following a disability
 Compensation for education benefit for children of the insured
 Protection against loans taken by the insured
 Multiple add-on covers to enhance protection
Plan Details

Accidental death 100% of the sum insured

Permanent total disability 100% of the sum insured

Permanent partial disability Up to 100% of the sum insured depending upon the nature of the dis

Education benefit Lump sum payment of 10% of the sum insured for a surviving child

Orphan benefit 10% of the sum insured subject to a maximum of Rs.15 lakh

Emergency ambulance service Up to Rs.1,000

Funeral expenses 1% of the sum insured subject to a maximum of Rs.50,000

Modification benefit Up to Rs.1 lakh for modification of home or vehicle

Compassionate visit for travel expenses Domestic travel - up to Rs.10,000 International travel - up to Rs.25,0

Cumulative bonus 5% of the sum insured per year subject to a maximum of 50%

Temporary total disability (optional) Weekly benefit up to Rs.50,000 for 100 weeks

Accidental hospitalisation (optional) 1% of the sum insured subject to a maximum of Rs.1 lakh

EMI protect (optional) Monthly instalments for loans as per the policy terms

Loan protect (optional) Coverage for any loans taken by the insured

Activ Secure - Critical Illness

 Activ Secure - Critical Illness policy by Aditya Birla is a health cover that pays lump sum
payment following the first detection of any of the named critical illness in the list. The
plan is available in different variants and comes with a lot of flexible options. It comes
with a low survival period to ensure that policyholders get the benefits immediately. As a
critical illness cover, this policy ensures that policyholders get adequate financial
support if they are diagnosed with a major illness.

Unique Features of Activ Secure - Critical Illness

 Three different plans available based on the sum insured chosen
 Protection offered for up to 64 critical illnesses
 Sum insured options up to Rs.1 crore in the most comprehensive plan
 Tax benefits under section 80D of the Income Tax Act
Plan Details

Plan 1 Coverage for up to 14 illnesses with 100% payout

Plan 2 Coverage for up to 50 illnesses with 100% payout

Coverage for up to 64 illnesses 100% payout for 50 critical illnesses under List A 50% payo
Plan 3
diagnosed with more than one critical illness

Wellness coach
Coaching to get advice on changes to lifestyle, fitness, and nutrition
(optional)

Medical second
Second e-opinion from a panel of medical experts
opinion (optional)

Activ Secure - Hospital Cash

Activ Secure - Hospital Cash by Aditya Birla is a health insurance cover that offers daily
cash benefit during the period of hospitalisation. While a regular medical insurance
cover pays for the medical expenses incurred during hospitalisation, there are many
hidden expenses involved in hospitalisation. This hospital cash benefit will come in
handy for a range of expenses including food, travel, convalescence, etc. This plan
comes with different options and ensures that patients have adequate money for their
day-to-day expenses during hospitalisation.

Unique Features of Activ Secure - Hospital Cash

 Daily cash benefit offered irrespective of the hospital bill
 Per day allowance ranges between Rs.500 to Rs.10,000 based on the plan chosen by the
insured
  Double cash allowance for hospitalisation in intensive care unit
 Additional benefit if hospitalisation extends beyond 7 days
Plan Details

Available after each completed period of 24 hours in hospital Available for 30

Daily cash benefit
plan chosen by the policyholder

Double benefit for ICU

Available for a maximum of 10 days in a policy year
hospitalisation

Convalescence benefit 1 day worth of cash benefit (for hospitalisation more than 7 days)

Parental accommodation 1 day worth of cash benefit if children aged 12 or less get admitted in a hosp

Deductible One day

Wellness coach (optional) Access to wellness coaches for advice on lifestyle, fitness, and nutrition

Activ Secure - Cancer Secure

Activ Secure - Cancer Secure is a disease specific covered offered by Aditya Birla
Health Insurance. Unlike a critical illness cover, this policy offers protection only against
cancer. Various stages of cancer are covered in this policy, and it pays a lump sum
upon the first diagnosis of cancer. Being a disease-specific policy with limited coverage,
this policy can be availed for a cheap price. In addition to providing coverage for cancer,
this policy offers a range of other benefits such as wellness coaching and medical
second opinion.

Unique Features of Activ Secure - Cancer Secure

 Coverage provided for all three stages of cancer - early, major, and advanced
 Payout percentage of sum insured differs based on the stage of detection
 Survival period of just 7 days following the first diagnosis of cancer
 Increased protection through cumulative bonus
Plan Details

Payout benefits 50% of sum insured for early detection 100% of sum insured for major stage detection
 Additional payout Payout available for major stage even after initial payout for early detection

Survival period 7 days following the first diagnosis of cancer

Cumulative bonus 10% per claim-free year subject to a maximum of 100%

Wellness coaching Access to wellness coaches for advice on lifestyle, fitness, and nutrition

Activ Assure - Diamond

Aditya Birla Activ Assure - Diamond is a health insurance cover that offers a range of
specific benefits for policyholders. This cover ensures that policyholders are well
protected and their financial security is not threatened following any illness. In addition
to offering protection against hospitalisation costs, this policy provides coverage for
various day-care procedures. This is a high-end plan intended to provide coverage for
people with huge coverage requirements.

Unique Features of Activ Assure - Diamond

 Multiple sum insured options up to Rs.2 crore
 Any room upgrade option for sum insured over Rs.5 lakh
 Various add-on covers to enhance overall benefits
 Coverage for AYUSH in-patient hospitalisation for treatments including Ayurveda, Unani,
Siddha, and Homeopathy
 Rewards for following a healthy lifestyle
 Tax relief for premium amount paid
Plan Details

Entry age From 91 days; no upper limit

Sum insured Up to Rs.2 crore

Day care
Covered for up to 586 procedures
treatment

Organ donor
Covered for both receiving and donating organs (If receiving organ, expenses of the dono
expenses
 Reload of sum
Reload up to 150% subject to a maximum of Rs.50 lakh
insured

Daily cash
Rs.500 per day (max. 5 days) for sum insured up to Rs.4 lakh
allowance

No claim bonus 10% per claim-free year subject to a maximum of 100%

Health checkup Once a year based on the age and sum insured amount of the insured person

Unlimited reload
of sum insured Reinstatement of sum insured multiple times after various claims
(optional)

Super NCB
50% per claim-free year subject to a maximum of 100%
(optional)

Group Active Health

As the name implies, Aditya Birla Group Active Health is a group medical insurance
covered provided by the company. Group covers are primarily taken by employers to
provide health cover for their employees. However, other groups such as members of
an association may also take this cover. The specific terms of the cover and the benefits
obtained can be discussed by contacting the company directly.

Unique Features of Group Active Health

 Simple underwriting and quick issuance of policy
 Easy documentation procedures
 Availability of cashless treatment
 Customisable features and benefits
 Variable options as per the requirements of the insured

Checklist before Buying Aditya Birla Health Insurance

 Compare the plans offered by the insurer
 Choose the appropriate sum insured you need
 Finalise the coverage amount
 Check out the exclusions listed in the policy
 Ensure that the waiting period is suitable for you
 Prepare the documents necessary for signing up
 Documents Required to Buy Aditya Birla Health Insurance
 Identity proof
 Address proof
 Aadhar number
 Medical certificates (if applicable)

Reasons to Choose Aditya Birla Health Insurance

 Additional benefits such as Wellness Coaching, Health Returns, etc
 Rewards for maintaining a healthy lifestyle
 Floater benefit in most insurance policies
 Multiple plans (critical illness, hospital cash, personal accident, etc.) under a single brand
 Plenty of add-on covers to enhance overall protection

Documents Required for Claim

The following documents must be submitted to the insurer while making a claim under a
particular policy.
 Claim form
 Medical bills
 Death certificate (if applicable)
 Physician’s certificate regarding diagnosis
 Other relevant bills and documents
The company’s customer service page will provide you with all the relevant details
about making a claim.

Claim Procedure
The website of Aditya Birla Health Insurance provides you access to all the details
about your policy and claim details. Following the occurrence of an event that may give
rise to a claim, the company must be notified immediately. You can contact the
company’s customer service regarding the claim. While filing for a claim, you must
provide all the above mentioned proofs and documents. Once the documents are
submitted, the company will verify the claim and provide the settlement amount. During
the claim process, you can check the status of your claim by logging in into the
company’s webs.