Quick Guide – Critical Care Plus & Critical Care Max

FEATURES ADVANTAGES BENEFITS

Critical Illness Provides a one-time lump-sum cash benefit equal to Avoid the financial worries of
Coverage the Critical Illness Rider Face Amount if the Insured is critical illness treatment so you
(for CRITICAL diagnosed with any of the covered fifty-six (56) major can focus on getting better
CARE PLUS) critical illnesses which commenced at least ninety (90)
days after the effective date and which the insured
survived after fourteen (14) days from diagnosis, prior
to age 75. Enhanced Critical Illness Coverage
terminates at age 75.

*Each of the covered critical illness has specified

definitions and exclusions (refer to product primer for
full details).

Early Stage Advances 25% of Early Stage Critical Illness Rider
Critical Illness Face Amount to the Insured upon diagnosis with any of
Coverage the 11 covered Early Stage conditions. This can be
(for CRITICAL claimed up to 4 times if due to different Early Stage
CARE MAX ONLY) conditions. If claims for Early Stage Benefit do not yet
reach the maximum of 4 times, the balance of the Early
Stage Critical Illness Rider Face Amount, after
deduction of all paid Early Stage Benefits, will be paid
out upon diagnosis with any of the covered 56 major
critical illnesses.
Fund treatment of early stage
illnesses for higher chances of
survival.
Get a more comprehensive
coverage for critical illness that
allows financial assistance even
for early-stage critical illnesses

*Each of the covered critical illness has specified

definitions and exclusions (refer to product primer for
full details).

Waiver of Waives the total premium of the policy equivalent to Plan will continue despite
Premium for basic premium plus regular top-up and special top-up diagnosis of a critical illness
Critical Illness (if any) upon diagnosis of a covered critical illness

Accident Provides additional money in case of accidental death, Additional cash fund for the
Coverage dismemberment and disability (Parts I-III) until age 72 beneficiary and money to cover
with an option to reimburse accidental medical expenses caused by accidents
expenses and receive cash benefits in the event of
accidental disability

Note: Option to attach Medical Reimbursement (Part

IV) and Weekly Income (Part V) is allowable for both
CCP and CCM.

Option to Attach Provides daily hospitalization income benefits (DHI), Tailor-fit health plan to avail of a
Hospital with options for additional health benefits such as: more comprehensive health
Confinement  Long Term Hospitalization (LTH) coverage
Benefit (for  Intensive Care Unit Confinement Benefit (ICU)
CRITICAL CARE  Surgical Allowance Benefit (SAB)
MAX ONLY)  Outpatient Treatment Benefit (OTB)

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 Quick Guide – Critical Care Plus & Critical Care Max

Growing Health Accumulates cash over time with returns dependent on Build a long-term health fund that
Fund (Account the choice of investment fund: can be used to pay for medical
Value) expenses incurred beyond
working years or in excess of
HMO coverage

Note: A maximum of 3 funds may be chosen per policy.

Life insurance Protection up to attained age 100 (as long as the policy Family will receive additional
coverage is in-force) or until full redemption of account value cash to sustain standard of living
or fund other needs
Death Benefit is the highest of:
 Face Amount (basic premium multiplied by the
corresponding death benefit multiple based on
age & payment term)
 Account Value
 Minimum Guaranteed Death Benefit (500% of
basic premium + 125% of all top-ups – 125%
of all withdrawals)

Short Payment Pay for as short as 5 years, 7 years, or 10 years Choose payment term that fits
Terms financial goal and budget

Top-ups Option to make additional investment Improves sustainability to ensure

 Regular top-ups longer coverage and potentially
 Ad hoc Top-ups increase your health fund

* Special top-ups – required to issue policy to sustain

coverage

Allowed as long as past regular premiums are

continuously paid on time.

One-Time Bonus Provides additional units equal to a percentage of the Get additional cost-free benefits
basic premium at the end of the policy’s 20th year to grow your health fund
provided that all past premiums are continuously paid
and no withdrawals are taken

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 Quick Guide – Critical Care Plus & Critical Care Max

UNDERWRITING GUIDELINES
Plan Name Critical Care Plus & Critical Care Max
Product A unit-linked health and life insurance plan that provides financial protection from serious sickness,
Description accidents or loss of life and a growing Health Fund for future healthcare needs.
CCP: The product is packaged with Critical Illness Rider, Accident & Health Rider, and Waiver of
Premium for Critical Illness Rider.
CCM: This product is a variant of CCP with Early Stage Critical Illness Rider, Accident & Health
Rider, and Waiver of Premium for Critical Illness Rider.
Paying Period 5-pay, 7-pay, 10-pay
Issue Age 5-pay: 18-65
7-pay: 18-63
10-pay: 18-60
Application Regular Application Form
Form
Proposal Sales The proposal/sales illustration must indicate the client’s chosen fund and corresponding fund
Illustration allocation based on the fund chosen in Client Suitability Assessment (CSA) Form. This must be
signed by the Policyowner and the BSE and submitted together with the application form.
Premium Limits

Note: Minimum premium quoted above applies to base plan only. Minimum rider premiums depend on
age,coverage and risk rating. Rider premiums shall be added to base plan premium.
***Subject to financial underwriting and due diligence
Riders Attached Termination
Rider Minimum Coverage Maximum Coverage
Age
Equal to Basic Plan's Face
Accident & Heath (A&H) 72 P50,000 Amount subject to P75,000,000
Coordination of Benefits.
Waiver of Premium for Critical Depends on Basic Premium plus Regular Top-Up and Special
75
Illness (WPCI) Top-Up
Equal to Basic Plan's Face
Amount subject to Coordination
of Benefits.
COB Limits
Critical Illness (CI) (applies to 5-Pay - 5x Basic Premium For Critical Illness (CI) Rider
both Early Stage CI and CI 75 7-Pay - 7x Basic Premium STD - 10,000,000
riders) 10-Pay- 10x Basic Premium Class 1 (A&B) - 7,500,000
Class 2 (C&D) - 5,000,000
For Early Stage Critical Illness
(ESCI) Rider
4,000,000
Payment Mode Annual, Semi- Annual, Quarterly, (no modal charge)
Monthly (multiply annual premium by 0.0834)

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Addition / Only Medical Reimbursement and Weekly Income in A&H rider are allowed to be added and
Deletion of deleted to the policy. Addition is allowed only within the first policy year.
Riders
Net Amount at (Death Benefit Multiple x Basic Premium) – [(1-PY1’s Premium Charge) x Basic Premium ]
Risk
Substandard Acceptable substandard rating for Critical Care Plus and Critical Care Max shall depend on the
Cases packaged riders.
A&H : Maximum acceptable occupational rating is class 4.
ESCI / CI / WPCI: CI, ESCI and WPCI may be granted on a Proposed Insured up to substandard
medical life rating of Class D.
Policy Charges

Basic and Rider

10-Pay 7-Pay 5-Pay
Premiums
Premium Holiday Charges Policy Year 1 90% 60% 60%
Policy Year 2 40% 30% 25%
Policy Year 3 10% 10% 5%

P200 per month through unit deduction. During the premium-

paying period, if last premium due was paid in full within the
Administrative Charge grace period, the administrative charge shall be decreased to
Php 100 per month. After premium-paying period, administrative
charge shall be P200.

Cost of mortality deducted monthly from the Account Value.

Cost of Insurance Charge The insurance charge shall vary depending on the age and risk
classification of the insured.
Fund Switch Charge None
Fund Allocation Charge None

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