Professional Documents
Culture Documents
It highlights the key features and risks of this product and should be read together with the Policy Illustration, Product Summary and
Bundled Product Disclosure Document, where applicable.
It is important to read the Policy Illustration, Product Summary and Bundled Product Disclosure Document, where applicable, before
deciding whether to purchase this product. If you do not have a copy of these documents, please contact us at 6827 9933 or your
Financial Adviser Representative to ask for them.
You should not purchase this product if you do not understand or are not comfortable with the risks of this product.
This is a non-participating term plan which offers you critical illness coverage. It comprises guaranteed benefits only.
The total distribution cost of this product is the amount that you will pay for advice and for other distribution related expenses. It includes cash payments
in the form of commissions and benefits paid to the financial advisory firm and its representative(s) who have provided you with financial advice. This is
not an additional cost to you as it has been included in the premiums payable for this plan.
The Total Distribution Cost for this plan is $4,964 as shown in the Policy Illustration. This makes up 2.70% of the total premiums payable.
As this product has no savings or investment feature, there is no cash value if the policy ends or if the policy is terminated prematurely.
After purchasing a life insurance policy, you have a 14-day free-look period starting from the day you receive your policy documents to review the
documents carefully. During this time, if you choose to cancel your policy, the insurer will refund you the premiums you have paid, less any medical fees
and other expenses, such as payments for medical check-ups and medical reports, incurred by the insurer.
compareFIRST is an online portal that enables you to easily compare the premiums and features of life insurance products available to the retail market
in Singapore. compareFIRST empowers you to make informed decisions when purchasing life insurance products. You can access the portal at
www.comparefirst.sg before making a life insurance purchase. You can also find out more about life insurance products at www.moneysense.gov.sg.
Singapore Life Ltd. believes that it is important that you fully appreciate the benefits of your policy. You should also understand how the cost of your insurance cover
and the expenses of administration and sales affect the benefits that you will receive.
The illustration that follows shows how the value of your policy progresses over time and the sum(s) that would be payable. The methods used to derive the values
shown follow guidelines established by the Life Insurance Association, Singapore, to ensure that a fair and consistent approach is used in preparing this illustration.
As this product has no savings or investment feature, there is no cash value if the policy ends or if the policy is terminated prematurely.
If you need clarification, please do not hesitate to ask your Financial Adviser Representative.
EC4 Page 1 of 7
1.1 E&O.E
SG.FA.2.1.1.25
Policyholder and Plan Details
Summary Page
Total: 2,587.00
It is important that you examine the Product Summary as well. This document highlights key features of the policy, including the benefits, charges and your free-
look privilege.
You have also been given a copy of "Your Guide to Life Insurance", "Your Guide to Health Insurance and Infographic "Evaluating My Health Insurance
Coverage" (where applicable)" and "Your Guide to Investment-Linked Insurance Plan" (where applicable). This is intended to provide you with a general
understanding of life, health and investment-linked insurance, and it may cover product features that do not apply to the proposed policy.
Page 2 of 7
E&O.E
Date of Issue : 28/09/2022 Backdated : Not Applicable
Page 3 of 7
E&O.E
Date of Issue : 28/09/2022 Backdated : Not Applicable
Page 4 of 7
E&O.E
Date of Issue : 28/09/2022 Backdated : Not Applicable
This table shows the total costs of distribution that Singapore Life Ltd. expects to incur in relation to your policy, including the cost of any financial advice provided to
you.
End of Policy Total Premiums Paid To-date Total Distribution Cost To-date
Year/Age ($) ($)
1/29 2,587 3,095
2/30 5,174 4,341
3/31 7,761 4,651
4/32 10,348 4,798
5/33 12,935 4,881
6/34 15,522 4,964
7/35 18,109 4,964
8/36 20,696 4,964
9/37 23,283 4,964
10/38 25,870 4,964
11/39 28,457 4,964
12/40 31,044 4,964
13/41 33,631 4,964
14/42 36,218 4,964
15/43 38,805 4,964
16/44 41,392 4,964
17/45 43,979 4,964
18/46 46,566 4,964
19/47 49,153 4,964
20/48 51,740 4,964
Page 5 of 7
E&O.E
Date of Issue : 28/09/2022 Backdated : Not Applicable
End of Policy Total Premiums Paid To-date Total Distribution Cost To-date
Year/Age ($) ($)
25/53 64,675 4,964
30/58 77,610 4,964
35/63 90,545 4,964
40/68 103,480 4,964
45/73 116,415 4,964
50/78 129,350 4,964
55/83 142,285 4,964
60/88 155,220 4,964
65/93 168,155 4,964
70/98 181,090 4,964
71/99 183,677 4,964
1. The Total Distribution Cost To-date is the sum of each year's expected distribution-related costs, without interest. Such costs include cash payments in
the form of commission, costs of benefits and services paid to the distribution channel.
2. Please note that the Total Distribution Cost is not an additional cost to you; it has already been allowed for in calculating your premium.
3. You can obtain the Total Distribution Cost of each of the supplementary benefits (if applicable) from your Financial Adviser or its representatives.
Page 6 of 7
E&O.E
NOTES:
1. As this product has no savings or investment feature, there is no cash value if the policy ends or if the policy is terminated prematurely.
2. The client's Age Next Birthday (ANB) is used to calculate the premium and Surrender Values (if any) in the illustration. The Sum Assured/Benefit heading in this
illustration refers to the Sum Assured or Annual/Monthly Benefit you will receive depending on the plan.
3. This quotation is applicable to standard life and is for illustration purposes only. This illustration is not an offer by Singapore Life Ltd. to provide insurance.
Insurance cover is only effective when a policy is issued. The precise benefits, terms and conditions will be provided in the insurance policy contract. All
amounts quoted are based on the selected currency.
4. For the purpose of this Policy Illustration, Singaporean Nationality shall include Singapore Permanent Resident. Rates quoted for a Singapore Permanent
Resident shall be based on the rates quoted for a Singaporean.
5. For the purpose of the Supplementary Policy Illustration (where applicable), "-" shown under the Death Benefit Guaranteed and/or Surrender Value Guaranteed
indicates that there are no death benefit coverage and/or surrender value for the respective supplementary benefit.
6. Please note that the premium rates/charges for the following (where applicable) are not guaranteed. These rates/charges may be adjusted based on future
experience.
- Singlife Multipay Critical Illness
7. I/We declare that my/our Financial Adviser Representative has explained the values / key benefits / information in the Policy Illustration and Product Summary to
my/our satisfaction. I/We have read through all the pages of the Policy Illustration and Product Summary and understand the benefits of the plan.
Page 7 of 7
E&O.E
PRODUCT SUMMARY
Singlife Multipay Critical Illness
1. DESCRIPTION OF PRODUCT
This is a regular payment, non-participating plan that offers protection against different severities of Critical Illnesses
(CI) and allows multiple claims on early, intermediate and severe stage critical illnesses as well as specified re-
diagnosed and recurrent critical illnesses during the period of the policy term. It also provides additional benefits
such as the Intensive Care Benefit, Benign and Borderline Malignant Tumour Benefit and Special Benefit. This plan
also provides coverage for death.
The premium rates are level throughout the premium term. Please note that the premium rates are not guaranteed.
These rates may be adjusted based on future experience.
This is not a Medisave-approved Policy and You may not use Medisave to pay the premiums for this Policy.
Note: “You” / “Your” relates to the Policyholder. “We” / “Us” / “Our” / “the Company” relates to Singapore Life Ltd.
Product At-a-glance
• Choice of coverage term of 10 years and up to • Opt for Advance Care Option which pays an
99 Age Next Birthday (ANB), at every one year additional 100% of the Sum Assured when Your first
interval. Severe Stage Critical Illness Benefit claim under the
Critical Illness Benefit is made for any one of the
• Choose to pay Your premiums either monthly, eligible Severe Stage Critical Illnesses. Once this
quarterly, half-yearly or yearly. option is exercised, the Recurrent Critical Illness
Benefit shall cease.
• Pays a lump sum of S$5,000 (or equivalent
currency) in the event of death. • Pays an Intensive Care Benefit of an additional 20%
of the Sum Assured upon admission to Intensive
• Pays a Critical Illness Benefit of up to 600% of Care Unit (ICU) for 4 days or more in one hospital
the Sum Assured in total where: admission, up to S$25,000 (or equivalent currency)
- Upon diagnosis of an Early or Intermediate per life.
Stage Critical Illness, 100% of the Sum
Assured will be payable; and
• Pays a Benign and Borderline Malignant Tumour
- Upon diagnosis of a Severe Stage Critical
Benefit of an additional 20% of the Sum Assured
Illness, 300% of the Sum Assured less any
upon a complete surgical excision of a Benign
claim paid for the Early and Intermediate
Tumour (suspected malignancy) requiring surgical
Stage of the same CI Group will be payable.
excision or upon diagnosis of a Borderline Malignant
Tumour, up to S$25,000 (or equivalent currency)
• Pays a Recurrent Critical Illness Benefit of 150%
per life.
of the Sum Assured per claim, up to 2 claims:
- Upon diagnosis of the specified Severe Stage
Critical Illnesses covered under this benefit, • Pays a Special Benefit of an additional 20% of the
provided that the Critical Illness Benefit has Sum Assured upon diagnosis of any one of the 27
ceased; or conditions covered, up to S$25,000 (or equivalent
- Upon diagnosis of the specified Recurrent currency) per life per condition.
Critical Illnesses covered under this benefit.
• Six currency options are available:
SGD, USD, GBP, EUR, AUD and HKD.
For more details on the plan features, benefits and the applicable waiting periods, please refer to section 2 and 3.
This plan provides You with benefits such as the Death Benefit, Critical Illness Benefit, Recurrent Critical Illness
Benefit, Advance Care Option, Intensive Care Benefit, Benign and Borderline Malignant Tumour Benefit and Special
Benefit.
Benefits are only payable when We admit the claim(s) after receiving satisfactory proof.
Before We pay any benefit, We will first deduct the remaining premiums due for that Policy Year and any amounts
owing to Us from the benefits payable.
In the event that the Life Assured dies within the Policy term, We will pay a Death Benefit of S$5,000 (or equivalent
currency) in one lump sum and the Policy will terminate.
You can make multiple claims under this benefit for Early, Intermediate and/or Severe Stage Critical Illness, subject
to the respective benefit terms and conditions.
The total amount payable under Critical Illness Benefit shall not exceed 600% of the Sum Assured. This benefit
shall cease once 600% of the Sum Assured is fully paid out.
The payout from this benefit does not reduce the Policy’s Sum Assured or the Death Benefit.
If the Life Assured is diagnosed with any one of the Early or Intermediate Stage Critical Illnesses covered, 100% of
the Sum Assured will be payable in one lump sum.
We will pay the Early and Intermediate Stage Critical Illness Benefit subject to the following:
i. The Critical Illness Benefit has not ceased;
ii. The Life Assured survives at least 7 days after the date of diagnosis or the date of surgical procedure performed
for a Critical Illness covered under this benefit;
iii. Only one claim is allowed for the Early and Intermediate Stage of each CI group covered;
iv. If more than one Critical Illness covered under the Critical Illness Benefit and/or Recurrent Critical Illness Benefit
is diagnosed on the same date, We will only admit one claim with the highest possible benefit payout for the
Critical Illness diagnosed;
v. For Loss of Independent Existence (Early and Intermediate Stage), the amount payable will be after deducting
any claims paid under the Critical Illness Benefit. If the total claims paid under the Critical Illness Benefit have
reached 100% of the Sum Assured or more, no benefit shall be payable for future claims under Loss of
Independent Existence (Early and Intermediate Stage); and
vi. The waiting periods in Section 3.2.
For the avoidance of doubt, this benefit shall cease once the Critical Illness Benefit is terminated.
Refer to Appendix A and B for the list and definitions of the Critical Illnesses covered.
If the Life Assured is diagnosed with any one of the Severe Stage Critical Illnesses covered, 300% of the Sum
Assured less any claim paid for the Early and Intermediate Stage of the same CI group will be payable in one lump
sum.
We will pay the Severe Stage Critical Illness Benefit subject to the following:
i. The Critical Illness Benefit has not ceased;
ii. The Life Assured survives at least 7 days after the date of diagnosis or the date of surgical procedure performed
for a Critical Illness covered under this benefit;
iii. Only one claim is allowed for the Severe Stage of each CI group covered;
iv. If more than one Critical Illness covered under the Critical Illness Benefit and/or Recurrent Critical Illness Benefit
is diagnosed on the same date, We will only admit one claim with the highest possible benefit payout for the
Critical Illness diagnosed;
v. For Terminal Illness (Severe Stage) and Loss of Independent Existence (Severe Stage), the amount payable
will be after deducting any claims paid under the Critical Illness Benefit. If the total claims paid under the Critical
Illness Benefit have reached 300% of the Sum Assured or more, no benefit shall be payable for future claims
under Terminal Illness (Severe Stage) and Loss of Independent Existence (Severe Stage); and
vi. The waiting periods in Section 3.2.
If a claim under this benefit results in the total amount of claims under Critical Illness Benefit to exceed 600% of the
Sum Assured, We will only pay the claim for the amount up to 600% of the Sum Assured.
For the avoidance of doubt, this benefit shall cease once the Critical Illness Benefit is terminated.
Refer to Appendix A and B for the list and definitions of the Critical Illnesses covered.
List of specified Severe Stage Critical Illnesses and Recurrent Critical Illnesses covered under this benefit are as
follows:
* Refer to Appendix B for the definitions of the specified Severe Stage Critical Illnesses covered under this benefit.
^ Refer to Appendix C for the definitions of the Recurrent Critical Illnesses covered under this benefit.
We will pay the Recurrent Critical Illness Benefit subject to the following:
i. The Recurrent Critical Illness Benefit has not ceased;
ii. The Life Assured survives at least 7 days after the date of diagnosis or the date of surgical procedure performed
for a Critical Illness covered under this benefit;
iii. A maximum of 2 claims is allowed under this benefit and the total amount payable under Recurrent Critical
Illness Benefit shall not exceed 300% of the Sum Assured;
iv. If more than one Critical Illness covered under the Critical Illness Benefit and/or Recurrent Critical Illness Benefit
is diagnosed on the same date, We will only admit one claim with the highest possible benefit payout for the
Critical Illness diagnosed; and
v. The waiting periods in Section 3.2.
The payout from this benefit does not reduce the Policy’s Sum Assured or the Death Benefit.
This benefit shall cease once 300% of the Sum Assured is fully paid out or when the Advance Care Option is
successfully exercised under this Policy, whichever is earlier. Refer to Section 2.4 for more details on Advance Care
Option.
You may exercise the Advance Care Option if the Life Assured is diagnosed with any one of the eligible Severe
Stage Critical Illnesses listed below (“the eligible Severe Stage Critical Illnesses”) and the claim is the first Severe
Stage Critical Illness Benefit claim made under the Critical Illness Benefit.
List of the eligible Severe Stage Critical Illnesses for Advance Care Option are as follows:
1 Major Cancer
2 Heart Attack of Specified Severity
3 Stroke with Permanent Neurological Deficit
4 Open Chest Heart Valve Surgery
5 Major Organ / Bone Marrow Transplantation
6 Coronary Artery By-pass Surgery
The Life Assured must survive at least 7 days after the date of diagnosis or the date of surgical procedure performed
for the eligible Severe Stage Critical Illness before the Advance Care Option can be payable.
This option can only be exercised when the eligible Severe Stage Critical Illness Benefit claim that qualifies for this
option is made. If You did not exercise this option when the eligible Severe Stage Critical Illness Benefit claim that
qualifies for this option is made and once the claim is admitted, this option will no longer be available under this
Policy even if the Life Assured is diagnosed with any one of the eligible Severe Stage Critical Illnesses thereafter.
You can only exercise this option once and when this option has been exercised, it cannot be reversed.
For the avoidance of doubt, the Advance Care Option will no longer be available under this Policy if:
(i) the first Severe Stage Critical Illness Benefit claim made under the Critical Illness Benefit is not one of the
eligible Severe Stage Critical Illnesses; or
(ii) You did not exercise this option accordingly.
If the Life Assured is admitted to the ICU due to an illness or Accident, upon ICU stay of 4 days or more in one
hospital admission for Necessary Medical Treatment, an additional 20% of the Sum Assured will be payable, subject
to a maximum amount of S$25,000 (or equivalent currency) per life.
The payout from this benefit does not reduce the Policy’s Sum Assured or the Death Benefit.
This benefit shall cease on the date on which a claim is made, on the Policy Anniversary in which the Life Assured
is 85 Age Next Birthday (ANB) or upon the expiry of this Policy, whichever is earliest.
“Intensive Care Unit" or “ICU” means the intensive care unit of a hospital in Singapore. High Dependency Unit
and other accommodation ward are not considered intensive care unit.
"Necessary Medical Treatment" means reasonable and common treatment which, in the professional opinion of
a Registered Medical Practitioner or a specialist, is appropriate and consistent with the symptoms, findings,
diagnosis and other relevant clinical circumstances of the illness or injury and reduces the negative effect of the
illness or injury on the Life Assured.
The treatment:
• must be provided in line with generally accepted standards of good medical practice in Singapore, be consistent
with current standards of professional medical care, and have proven medical benefits;
• must not be for the convenience of the Life Assured or Registered Medical Practitioner or specialist, this
includes but is not limited to treatment that can reasonably be provided out of a hospital but is provided as an
inpatient treatment;
• must not be for investigation or research, this includes but is not limited to experimental or new physiotherapy,
medical techniques or surgical techniques, medical devices not approved by the Institutional Review Board and
the Health Sciences Authority, and medical trials for medicinal products, whether or not these trials have a
clinical trial certificate issued by the Health Sciences Authority or similar bodies; and
• must not be preventive, or for health screening or promoting good health, this includes but is not limited to
dietary replacement or supplement.
If the Life Assured undergoes a complete surgical excision of a Benign Tumour (suspected malignancy) requiring
surgical excision from any of the Specified Organs covered or is diagnosed with a Borderline Malignant Tumour, an
additional 20% of the Sum Assured will be payable, subject to a maximum amount of S$25,000 (or equivalent
currency) per life.
We will pay the Benign and Borderline Malignant Tumour Benefit subject to the following:
i. The Life Assured survives at least 7 days after the date of diagnosis of Borderline Malignant Tumour or the
date of surgical procedure performed for a covered Benign Tumour (suspected malignancy) requiring surgical
excision;
ii. Only one claim is allowed under this benefit; and
iii. The waiting period in Section 3.2.
The payout from this benefit does not reduce the Policy’s Sum Assured or the Death Benefit.
This benefit shall cease on the date on which a claim is made, on the Policy Anniversary in which the Life Assured
is 85 Age Next Birthday (ANB) or upon the expiry of this Policy, whichever is earliest.
Refer to Appendix D for definitions and the list of Specified Organs covered under this benefit.
If the Life Assured is diagnosed with any one of the conditions listed below, an additional 20% of the Sum Assured
will be payable, subject to a maximum amount of S$25,000 (or equivalent currency) per life per condition.
The coverage for conditions (1) to (16) shall cease on the Policy Anniversary in which the Life Assured is 85 Age
Next Birthday (ANB) or upon the expiry of this Policy, whichever is earlier.
1. Diabetic Complications
2. Angioplasty & Other Invasive Treatment For Coronary Artery
3. Osteoporosis with Fractures
4. Severe Rheumatoid Arthritis
5. Mastectomy
6. Chronic Adrenal Insufficiency (Addison's Disease)
7. Chronic Relapsing Pancreatitis
8. Hysterectomy due to Cancer
9. Dengue Haemorrhagic Fever
10. Wilson’s Disease
11. Severe Crohn’s Disease
12. Severe Ulcerative Colitis
13. Pheochromocytoma
14. Age-related Macular Degeneration with Visual Impairment
15. Severe Presbycusis (Age-related Hearing Loss)
16. Urinary Incontinence requiring Surgical Repair
The coverage for conditions (17) to (27) shall cease on the Policy Anniversary in which the Life Assured is 18 Age
Next Birthday (ANB) or upon the expiry of this Policy, whichever is earlier.
The payout from this benefit does not reduce the Policy’s Sum Assured or the Death Benefit.
This benefit shall cease on the date on which the sixth (6th) claim is made, on the Policy Anniversary in which the
Life Assured is 85 Age Next Birthday (ANB) or upon the expiry of the Policy, whichever is earliest.
Note:
For Angioplasty & Other Invasive Treatment For Coronary Artery, the payment of this Special Benefit shall be in
addition to any Angioplasty & Other Invasive Treatment For Coronary Artery benefits payable under other types of
Critical Illness Basic or Supplementary Benefit(s) issued by Us (if any), in respect of the same Life Assured. If You
have more than one Policy with Us which covers Angioplasty & Other Invasive Treatment For Coronary Artery under
Special Benefit, the payout for Angioplasty & Other Invasive Treatment For Coronary Artery will be aggregated up
to the limit of S$25,000 (or equivalent currency) per life.
3. ADDITIONAL INFORMATION
This Product Summary provides You with an overview of the plan. The Policy contract will provide the full terms and
conditions.
(b) in respect of Intensive Care Benefit, the date of the first day of ICU stay of an admissible claim;
(c) in respect of the Benign and Borderline Malignant Tumour Benefit, the date of diagnosis of the Borderline
Malignant Tumour or the date of diagnosis of any conditions leading to surgical excision of Benign
Tumour (suspected malignancy) requiring surgical excision; or
whichever is latest.
(ii) In addition to section 3.2 (i), waiting periods between claims are applicable for the respective benefits stated
below:
No benefit shall be payable if the Diagnosis Date of any of the Early or Intermediate Stage Critical
Illnesses covered under this benefit occurs within one (1) year from the Diagnosis Date of the latest claim
admitted under:
No benefit shall be payable if the Diagnosis Date of any of the Severe Stage Critical Illnesses covered
under this benefit occurs within one (1) year from the Diagnosis Date of the latest claim admitted under:
There is no waiting period from the Early or Intermediate Stage Critical Illness claim admitted under Early
and Intermediate Stage Critical Illness Benefit to the Diagnosis Date of any Severe Stage Critical
Illnesses covered under Severe Stage Critical Illness Benefit.
No benefit shall be payable if the Diagnosis Date of any of the specified Severe Stage Critical Illnesses
or Recurrent Critical Illnesses covered under this benefit occurs within two (2) years from the Diagnosis
Date of the latest claim admitted under:
For the purpose of section 3.2 (ii), “Diagnosis Date” refers to the date of diagnosis or the date of diagnosis
of the condition leading to the performance of the surgical procedure.
Refer to respective sections for the Survival Period for respective benefits.
3.5. Exclusions
(a) No benefit shall be payable under this Policy if death is caused by suicide, while sane or insane, within one
year from:
whichever is later.
This Policy will be void from the date immediately prior to the date of death. We will refund (without interest)
the total amount of premiums paid for this Policy from the Policy Issue Date or the date of the last reinstatement
of this Policy (whichever is later) to the date of death, less any amounts owing to Us.
(b) No benefit shall be payable under this Policy if any conditions covered under this Policy is directly or indirectly,
wholly or partly caused by or arising from or contributed to by:
“Pre-existing Condition” means any condition or illness which existed or was existing or the cause or symptoms
of which existed or were existing or evident, or any condition or illness which the Life Assured suffered or was
suffering from, prior to the Policy Issue Date, Benefit Commencement Date of this Policy or the reinstatement
date of this Policy, whichever is later, unless the condition or illness had been declared and accepted by Us.
(c) In addition to section 3.5 (b), no benefit shall be payable under the Intensive Care Benefit if any condition is
directly or indirectly, wholly or partly caused by or arising from or contributed to by:
(i) the Life Assured suffering symptoms of, had investigations for, or was diagnosed with illness any time
before or within 90 days from Policy Issue Date, the Benefit Commencement Date of this Policy or
reinstatement date of this Policy, whichever is latest;
(ii) attempted suicide;
(iii) treatment aimed at improving appearance, such as cosmetic surgery or any treatment relating to a previous
cosmetic treatment;
(iv) overseas medical treatment;
(v) pregnancy, childbirth, miscarriage, abortion or termination of pregnancy, or any form of related stay in
hospital or treatment;
(vi) Infertility, sub-fertility, assisted conception, erectile dysfunction, impotence or any contraceptive treatment;
(vii) Psychological disorders, personality disorders, mental conditions or behavioural disorders, including any
addiction or dependence arising from these disorders such as gambling or gaming addiction;
(viii) unlawful acts, provoked assault or deliberate exposure to danger;
(ix) Treatment of sexually-transmitted diseases;
(x) Sex-change operations;
(xi) Experimental or pioneering medical or surgical techniques and medical devices not approved by the
Institutional Review Board and the Centre of Medical Device Regulation and medical trials for medicinal
products whether or not these trials have a clinical trial certificate issued by the Health Sciences Authority
of Singapore;
You are advised to read the policy contract for the full list of exclusions.
3.6. Claims
Any benefits payable under the Policy are made to You, Your legal representative, the hospital or such other
authorised parties (as the case may be). We will not make any payment in respect of any claim incurred unless full
premium has been received by Us.
Please contact Your Financial Adviser Representative or visit https://singlife.com/en/make-a-claim/ for the claim
procedures.
Within 14 days after You have received the Policy, You may write to Us to cancel Your Policy. We will refund the
premium(s) You paid (without interest) after deducting any expenses We incurred in assessing the risk under Your
Policy and in issuing the Policy, after We have received the written notification for cancellation.
If this Policy was sent to You by post or delivered or downloaded via electronic means, You are considered to have
received it 7 days after posting or We consider it delivered 7 days after We sent the Policy by electronic means or
when the Policy is downloaded by You.
3.9. Note
The above is merely a summary of the plan offered. The precise terms and conditions of the plan are set out in the
policy contract.
You may wish to seek advice from a Financial Adviser Representative before making a commitment to purchase
the plan. In the event that You choose not to seek advice from a Financial Adviser Representative, You should
consider whether the plan in question is suitable for You. As this product has no savings or investment feature,
there is no cash value if the policy ends or if the policy is terminated prematurely. Buying a health insurance policy
that is not suitable for You may impact Your ability to finance Your future healthcare needs.
This Policy is protected under the Policy Owners’ Protection Scheme which is administered by the Singapore
Deposit Insurance Corporation (SDIC). Coverage for Your Policy is automatic and no further action is required from
You. For more information on the types of benefits that are covered under the scheme as well as the limits of
coverage, where applicable, please contact Us or visit the LIA or SDIC websites (www.lia.org.sg or www.sdic.org.sg).
*The Life Insurance Association Singapore (LIA) has standard Definitions for 37 severe-stage Critical Illnesses
(Version 2019). These Critical Illnesses fall under Version 2019. You may refer to www.lia.org.sg for the standard
Definitions (Version 2019). For Critical Illnesses that do not fall under Version 2019, the definitions are determined
by the insurance company.
Chronic persistent and irreversible bone Acute reversible bone marrow failure, confirmed by biopsy, which results in
marrow failure, confirmed by biopsy, anaemia, neutropenia and thrombocytopenia requiring treatment with any one
which results in anaemia, neutropenia (1) of the following:
and thrombocytopenia requiring • Blood product transfusion;
treatment with at least one (1) of the • Bone marrow stimulating agents;
following: • Immunosuppressive agents; or
• Blood product transfusion; • Bone marrow transplantation or haematopoietic stem cell transplantation.
• Bone marrow stimulating agents;
• Immunosuppressive agents; or The diagnosis must be confirmed by a haematologist.
• Bone marrow or haematopoietic
stem cell transplantation.
End stage lung disease, causing chronic Evidence of an acute attack of Severe Asthma with persistent status
respiratory failure. This diagnosis must asthmaticus that requires hospitalisation and assisted ventilation with a
be supported by evidence of all of the mechanical ventilator for a continuous period of at least four (4) hours on the
following: advice of a respiratory physician.
• FEV1 test results which are
consistently less than one (1) litre; Insertion of a Vena-cava filter
• Permanent supplementary oxygen
therapy for hypoxemia; The surgical insertion of a vena-cava filter after there has been documented
• Arterial blood gas analyses with proof of recurrent pulmonary emboli. The need for the insertion of a vena-cava
partial oxygen pressures of filter must be certified to be medically necessary by a consultant cardiologist.
55mmHg or less (PaO2 ≤ 55mmHg);
and Surgical removal of one lung
• Dyspnea at rest.
Surgical removal of an entire left or right lung as a result of an illness or Accident
The diagnosis must be confirmed by a of the Life Assured. Partial removal of a lung is not included in this benefit.
respiratory physician.
End stage liver failure as evidenced by Partial hepatectomy of at least one (1) entire lobe of the liver that has been
all of the following: found medically necessary as a result of illness or Accident as suffered by the
• Permanent jaundice; Life Assured.
• Ascites; and
• Hepatic encephalopathy. Liver disease caused directly or indirectly, wholly or partly, by alcohol or drug
abuse is excluded. Hepatectomy as a donor is excluded.
Liver disease secondary to alcohol or
drug abuse is excluded. Liver Cirrhosis
Cirrhosis of Liver with a HAI-Knodell Score of six (6) and above as evident by
liver biopsy. The diagnosis of liver cirrhosis must be unequivocally confirmed
by a hepatologist and based on the histological findings of the liver biopsy.
A coma that persists for at least ninety- A coma that persists for at least forty-eight (48) hours. This diagnosis must be
six (96) hours. This diagnosis must be supported by evidence of all of the following:
supported by evidence of all of the • No response to external stimuli for at least forty-eight (48) hours;
following: • Life support measures are necessary to sustain life; and
• No response to external stimuli for • Brain damage resulting in permanent neurological deficit which must be
at least ninety-six (96) hours; assessed at least thirty (30) days after the onset of the coma.
• Life support measures are
necessary to sustain life; and Coma resulting directly from alcohol, drug abuse or medically induced is
• Brain damage resulting in excluded.
permanent neurological deficit
which must be assessed at least Severe Epilepsy
thirty (30) days after the onset of the
coma. Severe epilepsy confirmed by all of the following:
• diagnosis made by a neurologist by the use of electroencephalography
For the above definition, medically (EEG), magnetic resonance imaging (MRI), positron emission tomography
induced coma and coma resulting (PET) or any other appropriate diagnostic test that is available;
directly from alcohol or drug abuse are • there must be documentation of recurrent unprovoked tonic-clonic or
excluded. grand mal seizures of more than five (5) attacks per week, and be known
to be resistant to optimal therapy as confirmed by drug serum-level testing;
and
• the Life Assured must have been taking at least two (2) prescribed
antiepileptic (anti-convulsant) medications for at least six (6) months on
the recommendation of a neurologist.
Febrile or absence (petit mal) seizures alone will not satisfy the requirement
of this definition.
Total means “the loss of at least eighty The actual undergoing of a surgical drainage for Cavernous Sinus
(80) decibels in all frequencies of Thrombosis. The presence of Cavernous Sinus Thrombosis as well as the
hearing”. requirement for surgical intervention must be certified to be medically
necessary by a neurosurgeon.
Irreversible means “cannot be
reasonably restored to at least forty (40) Cochlear implant surgery
decibels by medical treatment, hearing
aid and/or surgical procedures The actual undergoing of a surgical cochlear implant (relating to one (1) or
consistent with the current standard of both ears) as a result of permanent damage to the cochlea or auditory nerve.
the medical services available in The surgical procedure as well as the insertion of the implant must be certified
Singapore after a period of six (6) to be medically necessary by an Ear, Nose, Throat (ENT) specialist.
months from the date of intervention.”
The actual undergoing of open-heart Percutaneous valve surgery refers to percutaneous valvuloplasty,
surgery to replace or repair heart valve percutaneous valvotomy and percutaneous valve replacement where the
abnormalities. The diagnosis of heart procedure is performed via minimally invasive or intravascular catheter-based
valve abnormality must be supported techniques. The surgery must be considered medically necessary by a
by cardiac catheterization or consultant cardiologist and supported by appropriate investigations.
echocardiogram and the procedure
must be considered medically
necessary by a consultant cardiologist.
Total and irreversible loss of the ability The actual undergoing of tracheostomy for the treatment of lung disease or
to speak as a result of injury or disease airway disease or as a ventilatory support measure following major trauma or
to the vocal cords. The inability to speak burns.
must be established for a continuous
period of twelve (12) months. This Proof of care by a medical specialist is required.
diagnosis must be supported by
medical evidence furnished by an Ear, The tracheostomy must have been performed for the purpose of saving life.
Nose, Throat (ENT) specialist. The benefit is only payable if the tracheostomy is required to remain in place
and functional for a period of three (3) months.
All psychiatric related causes are
excluded. Irreversible Loss of Speech due to neurological disease
Total and irreversible loss of the ability to speak due to neurological disease
or injury. The inability to speak must be established for a continuous period of
twelve (12) months. This diagnosis must be supported by medical evidence
furnished by an Ear, Nose and Throat (ENT) specialist.
The definite diagnosis of Multiple The definite diagnosis of Multiple Sclerosis confirmed by a neurologist and
Sclerosis, and must be supported by all supported by investigations which unequivocally confirm the diagnosis to be
of the following: Multiple Sclerosis.
• Investigations which unequivocally
confirm the diagnosis to be Multiple Other causes of neurological damage such as Systemic Lupus
Sclerosis; and Erythematosus with Lupus Nephritis and Human Immunodeficiency Virus
• Multiple neurological deficits which (HIV) are excluded.
occurred over a continuous period
of at least six (6) months.
The unequivocal diagnosis of idiopathic The unequivocal diagnosis of idiopathic Parkinson’s disease by a specialist
Parkinson’s Disease by a consultant in the relevant field.
neurologist. This diagnosis must be
supported by all of the following This diagnosis must be supported by the following condition:
conditions: • The disease cannot be controlled with medication
• The disease cannot be controlled
with medication; and Moderately Severe Parkinson’s Disease
• Inability of the Life Assured to
perform (whether aided or unaided) The unequivocal diagnosis of idiopathic Parkinson’s Disease by a
at least three (3) of the six (6) consultant neurologist. This diagnosis must be supported by all of the
“Activities of Daily Living” for a following conditions:
continuous period of at least six (6) • The disease cannot be controlled with medication; and
months. • Inability of the Life Assured to perform (whether aided or unaided) at
least two (2) of the six (6) “Activities of Daily Living” for a continuous
For the purpose of this definition, “aided” period of at least six (6) months.
shall mean with the aid of special
equipment, device and/or apparatus and For the purpose of this definition, “aided” shall mean with the aid of special
not pertaining to human aid. equipment, device and/or apparatus and not pertaining to human aid.
For the purpose of this definition, Aorta shall mean the thoracic and
abdominal aorta but not its branches.
A submassive to massive necrosis of the A submassive necrosis of the liver by the Hepatitis virus leading to cirrhosis.
liver by the Hepatitis virus, leading There must be a definite diagnosis of liver cirrhosis by a gastroenterologist
precipitously to liver failure. This that must be supported by liver biopsy showing histological stage F4 by
diagnosis must be supported by all of the Metavir grading or a Knodell fibrosis score of four (4).
following:
• Rapid decreasing of liver size as Liver diseases secondary to alcohol and drug abuse are excluded.
confirmed by abdominal ultrasound;
• Necrosis involving entire lobules, Biliary Tract Reconstruction Surgery
leaving only a collapsed reticular
framework; Biliary tract reconstruction surgery involving choledochoenterostomy
• Rapid deterioration of liver function (choledochojejunostomy or choledochoduodenostomy) for the treatment of
tests; biliary tract disease, including biliary atresia, that is not amenable to other
• Deepening jaundice; and surgical or endoscopic procedures. The procedure must be considered to
• Hepatic encephalopathy. be the most appropriate treatment by a specialist in hepatobiliary disease.
This benefit is not payable if the procedure is done a means to treat the
consequences of gall stone disease or cholangitis.
Motor neurone disease characterised by This refers to severe peripheral motor neuropathy arising from anterior horn
progressive degeneration of cells resulting in significant motor weakness, fasciculation and muscle
corticospinal tracts and anterior horn wasting. The diagnosis must be confirmed by a consultant neurologist as a
cells or bulbar efferent neurones which result of nerve conduction studies and result in a permanent need for the
include spinal muscular atrophy, use of walking aids or a wheelchair. Diabetic neuropathy and neuropathy
progressive bulbar palsy, amyotrophic due to alcohol is excluded.
lateral sclerosis and primary lateral
sclerosis. This diagnosis must be Early Motor Neurone Disease (Intermediate stage)
confirmed by a neurologist as
progressive and resulting in permanent Motor neurone disease characterised by progressive degeneration of
neurological deficit. corticospinal tracts and anterior horn cells or bulbar efferent neurones which
include spinal muscular atrophy, progressive bulbar palsy,
amyotrophic lateral sclerosis and primary lateral sclerosis. This diagnosis
must be confirmed by a neurologist as progressive and supported by
appropriate investigations.
Primary Pulmonary Hypertension with Primary or Secondary Pulmonary Hypertension with substantial right
substantial right ventricular enlargement ventricular enlargement confirmed by investigations including cardiac
confirmed by investigations including catheterisation, resulting in permanent physical impairment of at least Class
cardiac catheterisation, resulting in III of the New York Heart Association (NYHA) Classification of Cardiac
permanent physical impairment of at Impairment.
least Class IV of the New York Heart
Association (NYHA) Classification of The NYHA Classification of Cardiac Impairment:
Cardiac Impairment.
Class I: No limitation of physical activity. Ordinary physical activity does
The NYHA Classification of Cardiac not cause undue fatigue, dyspnea, or anginal pain.
Impairment: Class II: Slight limitation of physical activity. Ordinary physical activity
results in symptoms.
Class No limitation of physical Class III: Marked limitation of physical activity. Comfortable at rest, but
I: activity. Ordinary physical less than ordinary activity causes symptoms.
activity does not cause Class IV: Unable to engage in any physical activity without discomfort.
undue fatigue, dyspnea, or Symptoms may be present even at rest.
anginal pain.
Class Slight limitation of physical
II: activity. Ordinary physical
activity results in symptoms.
Class Marked limitation of physical
III: activity. Comfortable at rest,
but less than ordinary activity
causes symptoms.
Class Unable to engage in any
IV: physical activity without
discomfort. Symptoms may
be present even at rest.
Benign brain tumour means a non- The actual undergoing of surgical removal of pituitary tumour necessitated as
malignant tumour located in the cranial a result of symptoms associated with increased intracranial pressure caused
vault and limited to the brain, meninges by the tumour. The presence of the underlying tumour must be confirmed by
or cranial nerves where all of the imaging studies such as CT scan or MRI. Partial removal of pituitary
following conditions are met: microadenoma (tumour of size 1cm or below in diameter) is specifically
• It has undergone surgical removal excluded.
or, if inoperable, has caused a
permanent neurological deficit; and Surgery for Subdural Haematoma
• Its presence must be confirmed by
a neurologist or neurosurgeon and The actual undergoing of Burr Hole Surgery to the head to drain subdural
supported by findings on Magnetic haematoma as a result of an Accident. The need for the Burr Hole Surgery
Resonance Imaging, Computerised must be certified to be medically necessary by a neurosurgeon.
Tomography, or other reliable
imaging techniques.
Severe inflammation of brain substance Severe inflammation of brain substance (cerebral hemisphere, brainstem or
(cerebral hemisphere, brainstem or cerebellum) requiring hospitalisation. The diagnosis must be confirmed by a
cerebellum) and resulting in permanent consultant neurologist and supported by any confirmatory diagnostic tests.
neurological deficit which must be
documented for at least six (6) weeks. Encephalitis caused by HIV infection is excluded.
This diagnosis must be certified by a
consultant neurologist and supported by
any confirmatory diagnostic tests.
Bacterial infection resulting in severe Bacterial infection resulting in severe inflammation of the membranes of the
inflammation of the membranes of the brain or spinal cord which requires hospitalisation. This diagnosis must be
brain or spinal cord resulting in confirmed by:
significant, irreversible and permanent • The presence of bacterial infection in cerebrospinal fluid by lumbar
neurological deficit. The neurological puncture; and
deficit must persist for at least six (6) • A consultant neurologist.
weeks. This diagnosis must be
confirmed by: Bacterial Meningitis in the presence of HIV infection is excluded.
• The presence of bacterial infection
in cerebrospinal fluid by lumbar
puncture; and
• A consultant neurologist.
The blindness must not be correctable Optic nerve atrophy resulting from alcohol or drug misuse is excluded.
by surgical procedures, implants or any
other means.
Accidental head injury resulting in The actual undergoing of re-constructive surgery above the neck (restoration
permanent neurological deficit to be or re-construction of the shape of and appearance of facial structures which
assessed no sooner than six (6) weeks are defective, missing or damaged or misshapen) performed by a surgeon in
from the date of the accident. This the relevant field such as Ear, Nose, Throat (ENT) or cosmetic surgeon to
diagnosis must be confirmed by a correct disfigurement as a direct result of an Accident that occurred after the
consultant neurologist and supported by Policy Issue Date, Benefit Commencement Date of this Policy, date of
relevant findings on Magnetic Endorsement or reinstatement date of this Policy, whichever is the latest.
Resonance Imaging, Computerised
Tomography, or other reliable imaging The need for surgery must be certified to be medically necessary by the
techniques. "Accident” means an event surgeon. Treatment relating to teeth and/or any other dental restoration alone
of violent, unexpected, external, and/or cosmetic nose surgery are all excluded.
involuntary and visible nature which is
Major head trauma due to self-inflicted injuries, alcohol or drug abuse are
excluded.
Self-inflicted injuries are excluded. Total and irreversible loss of use of one (1) entire limb (above elbow or above
knee) which has required the fitting and use of prosthesis due to illness or
accident. This condition must be confirmed by specialist in the relevant field.
Loss of use of limb due to self-inflicted injuries, alcohol or drug abuse are
excluded.
A systemic collagen-vascular disease A rheumatologist must make the definite diagnosis of progressive systemic
causing progressive diffuse fibrosis in scleroderma, based on clinically accepted criteria. This diagnosis must be
the skin, blood vessels and visceral unequivocally supported by biopsy or equivalent confirmatory test and
organs. This diagnosis must be serological evidence.
unequivocally confirmed by a consultant
rheumatologist and supported by biopsy The following are excluded:
or equivalent confirmatory test, and • Localised scleroderma (linear scleroderma or morphea);
serological evidence, and the disorder • Eosinophilic fasciitis; and
must have reached systemic proportions • CREST syndrome
to involve the heart, lungs or kidneys.
Systemic Sclerosis with CREST Syndrome
The following are excluded:
• Localised scleroderma (linear A rheumatologist must make the definite diagnosis of systemic sclerosis with
scleroderma or morphea); CREST syndrome, based on clinically accepted criteria. This diagnosis must
• Eosinophilic fasciitis; and be unequivocally supported by biopsy or equivalent confirmatory test and
• CREST syndrome.
Locked in Syndrome
32. Systemic Lupus Erythematosus with Lupus Nephritis (CI Group 32)
The occurrence of Poliomyelitis where The occurrence of Poliomyelitis where the following conditions are met:
the following conditions are met: • Poliovirus is identified as the cause,
• Poliovirus is identified as the cause, • Paralysis of the respiratory muscles supported by ventilator for a
• Paralysis of the limb muscles or continuous period of minimum ninety-six (96) hours.
respiratory muscles must be
present and persist for at least three The diagnosis must be confirmed by a consultant neurologist or specialist in
(3) months. the relevant medical field.
A condition as a result of a disease, Total and irreversible physical loss of all fingers including thumb at the same
illness or injury whereby the Life Assured hand due to Accident. This condition must be confirmed by a Registered
is unable to perform (whether aided or Medical Practitioner. Loss of fingers due to self-inflicted injuries is excluded.
unaided) at least three (3) of the six (6)
"Activities of Daily Living", for a Loss of Independent Existence (Intermediate Stage)
continuous period of six (6) months. This
condition must be confirmed by Our A condition as a result of a disease, illness or injury whereby the Life Assured
approved Registered Medical is unable to perform (whether aided or unaided) at least two (2) out of the six
Practitioner. (6) Activities of Daily Living for a continuous period of six (6) months.
Non-organic diseases such as neurosis This condition must be confirmed by Our approved Registered Medical
and psychiatric illnesses are excluded. Practitioner.
For the purpose of this definition, “aided” Non-organic diseases such as neurosis and psychiatric illnesses are excluded.
shall mean with the aid of special
equipment, device and/or apparatus and For the purpose of this definition, “aided” shall mean with the aid of special
not pertaining to human aid. equipment, device and/or apparatus and not pertaining to human aid.
The occurrence of Creutzfeld-Jacob An incurable brain infection that causes rapidly progressive deterioration of
Disease or Variant Creutzfeld-Jacob mental function and movement, which is unequivocally diagnosed by a
Disease where there is an associated consultant who is a consultant neurologist as Creutzfeld-Jacob disease based
neurological deficit, which is solely on clinical assessment, Electroencephalography (EEG), imaging or lumbar
responsible for a permanent inability to puncture.
perform at least three (3) of the six (6)
“Activities of Daily Living”. Disease caused by human growth hormone treatment is excluded.
Inflammation of the inner lining of the Inflammation of the inner lining of the heart caused by infectious organisms,
heart caused by infectious organisms, where all of the following criteria are met:
where all of the following criteria are met:
• Positive result of the blood culture • Positive result of the blood culture proving presence of the infectious
proving presence of the infectious organism(s);
organism(s); • Presence of at least mild heart valve incompetence (heart valve
• Presence of at least moderate heart regurgitant) or mild heart valve stenosis attributable to Infective
valve incompetence (heart valve Endocarditis; and
regurgitant) or moderate heart valve • The unequivocal Diagnosis and the severity of valvular impairment are
stenosis attributable to Infective confirmed by a consultant cardiologist and supported by echocardiogram
Endocarditis; and or other reliable imaging technique.
• The unequivocal Diagnosis and the
severity of valvular impairment are
confirmed by a consultant
cardiologist and supported by
echocardiogram or other reliable
imagine technique.
Eisenmenger's Syndrome shall mean Eisenmenger's Syndrome shall mean the occurrence of a reversed shunt as a
the occurrence of a reversed shunt as a result of pulmonary hypertension, caused by a heart disorder.
result of pulmonary hypertension,
caused by a heart disorder. All of the following criteria must be met:
• The unequivocal Diagnosis of Eisenmenger's Syndrome is confirmed by
All of the following criteria must be met: consultant cardiologist.
• The unequivocal Diagnosis of • There is history of left to right shunt heart disease before the date of
Eisenmenger's Syndrome is Diagnosis of Eisenmenger's Syndrome. The Diagnosis of left to right shunt
confirmed by consultant cardiologist. heart disease must be supported by echocardiogram or other reliable
• There is history of left to right shunt imagine studies.
heart disease before the date of • There is evidence of reversed shunt (from left-right shunt to right-left
Diagnosis of Eisenmenger's shunt) newly occurred on the date of Diagnosis of Eisenmenger's
Syndrome. The Diagnosis of left to Syndrome.
right shunt heart disease must be • Eisenmenger Syndrome has developed to the irreversible stage and there
supported by echocardiogram or is no any operation available to correct the abnormality.
other reliable imagine studies. • Presence of permanent physical impairment classified as NYHA III.
• There is evidence of reversed shunt
(from left-right shunt to right -left The NYHA Classification of Cardiac Impairment:
shunt) newly occurred on the date of
Diagnosis of Eisenmenger's Class I: No limitation of physical activity. Ordinary physical activity does not
Syndrome. cause undue fatigue, dyspnea, or anginal pain.
• Eisenmenger Syndrome has Class II: Slight limitation of physical activity. Ordinary physical activity
developed to the irreversible stage results in symptoms.
and there is no any operation Class III: Marked limitation of physical activity. Comfortable at rest, but less
than ordinary activity causes symptoms.
available to correct the abnormality.
Class IV: Unable to engage in any physical activity without discomfort.
• Presence of permanent physical
Symptoms may be present even at rest.
impairment classified as NYHA IV.
56. Resection of the whole small intestine (duodenum, jejunum and ileum) (CI Group 56)
Permanent means expected to last throughout the lifetime of the Life Assured.
Permanent neurological deficit means symptoms of dysfunction in the nervous system that are present on
clinical examination and expected to last throughout the lifetime of the Life Assured. Symptoms that are
covered include numbness, paralysis, localized weakness, dysarthria (difficulty with speech), aphasia (inability
to speak), dysphagia (difficulty swallowing), visual impairment, difficulty in walking, lack of coordination, tremor,
seizures, dementia, delirium and coma.
(i) Washing - the ability to wash in the bath or shower (including getting into and out of the bath or shower)
or wash satisfactorily by other means;
(ii) Dressing - the ability to put on, take off, secure and unfasten all garments and, as appropriate, any
braces, artificial limbs or other surgical appliances;
(iii) Transferring - the ability to move from a bed to an upright chair or wheelchair and vice versa;
(iv) Mobility - the ability to move indoors from room to room on level surfaces;
(v) Toileting - the ability to use the lavatory or otherwise manage bowel and bladder functions so as to
maintain a satisfactory level of personal hygiene;
(vi) Feeding - the ability to feed oneself once food has been prepared and made available.
Recurrent Critical
Definitions
Illnesses
Re-diagnosed Major “Re-diagnosed Major Cancer” means cancer for which any of the following conditions are
Cancer met after the stipulated waiting period, for which a claim for Major Cancer (Severe Stage)
or Re-diagnosed Major Cancer was admitted under this Policy:
• The Major Cancer persists since first diagnosis;
• The Major Cancer relapses, that is, though recovered temporarily (in remission), the
same Major Cancer recurs at the same organ as the preceding Major Cancer;
• Metastasis of the preceding Major Cancer to other parts of the body; or
• The new Major Cancer is unrelated to the preceding Major Cancer.
The date of diagnosis of Re-diagnosed Major Cancer refers to the date of the
histopathological report. If histopathological diagnosis is medically not possible; the date of
diagnosis of Re-diagnosed Major Cancer refers to the date of documentary proof or record
from a certificated oncologist of ongoing cancer therapy (including but not limited to
radiotherapy or chemotherapy or surgery).
Recurrent Heart Attack of “Recurrent Heart Attack of Specified Severity” means another occurrence of a heart attack
Specified Severity occurring after the stipulated waiting period, for which a claim for Heart Attack of Specified
Severity (Severe Stage) or Recurrent Heart Attack of Specified Severity was admitted under
this Policy.
The diagnosis must be supported with fresh evidence based on the criteria set out in the
definition of Heart Attack of Specified Severity (Severe Stage) in CI Group 2.
Recurrent Stroke with “Recurrent Stroke with Permanent Neurological Deficit” means another occurrence of a
Permanent Neurological stroke after the stipulated waiting period, for which a claim for Stroke with Permanent
Deficit Neurological Deficit (Severe Stage) or Recurrent Stroke with Permanent Neurological
Deficit was admitted under this Policy.
The diagnosis must be supported with fresh imaging evidence consistent with the diagnosis
of the Stroke with Permanent Neurological Deficit based on the criteria set out in the
definition of Stroke with Permanent Neurological Deficit (Severe Stage) in CI Group 3.
Repeated Open Chest “Repeated Open Chest Heart Valve Surgery” means the actual undergoing of open-heart
Heart Valve Surgery surgery to replace or repair heart valve abnormalities after the stipulated waiting period, for
which a claim for Open Chest Heart Valve Surgery (Severe Stage) or Repeated Open Chest
Heart Valve Surgery was admitted under this Policy.
To be eligible for a claim under Repeated Open Chest Heart Valve Surgery, the criteria set
out in the definition of Open Chest Heart Valve Surgery (Severe Stage) in CI Group 11 must
be met.
after the stipulated waiting period, for which a claim for Major Organ / Bone Marrow
Transplantation (Severe Stage) or Repeated Major Organ / Bone Marrow Transplantation
was admitted under this Policy.
To be eligible for a claim under Repeated Major Organ / Bone Marrow Transplantation,
the criteria set out in the definition of Major Organ / Bone Marrow Transplantation (Severe
Stage) in CI Group 14 must be met.
Repeated Coronary Artery “Repeated Coronary Artery By-pass Surgery” is defined as another occurrence of
By-pass Surgery Coronary Artery By-pass Surgery after the stipulated waiting period, for which a claim
for Coronary Artery By-pass Surgery (Severe Stage) or Repeated Coronary Artery By-
pass Surgery was admitted under this Policy.
To be eligible for a claim under Repeated Coronary Artery By-pass Surgery, the criteria set
out in the definition of Coronary Artery By-pass Surgery (Severe Stage) in CI Group 4 must
be met.
Specified Organs
1. Heart 12. Pituitary gland
2. Liver 13. Small intestine
3. Lung 14. Testis
4. Pancreas 15. Breast
5. Pericardium 16. Ovary
6. Ureter 17. Penis
7. Adrenal Gland 18. Uterus (cover endometrial polyps only)
8. Bone 19. Nasopharynx
9. Conjunctiva 20. Oesophagus
10. Kidney 21. Oral Cavity
11. Nerve in cranium or spine 22. Gallbladder
Where there is any doubt about the indication for a complete excision of tumour,
We reserve the right to obtain an independent opinion from a specialist.
“Solid Tumour” means an abnormal mass of tissue, which is not cyst and generally
does not contain liquid.
Tumours from the following organs are excluded from this benefit: skin, prostate
and thyroid.
For the purpose of this definition, “aided” shall mean with the aid of
special equipment, device and/or apparatus and not pertaining to
human aid.
4 Severe Rheumatoid Arthritis Widespread joint destruction with major clinical deformity of three (3)
or more of the following joint areas: hands, wrists, elbows, spine,
knees, ankles, feet. The diagnosis must be supported by all of the
following:
• Morning stiffness;
• Symmetric arthritis;
• Presence of rheumatoid nodules;
• Elevated titres of rheumatoid factors; and
• Radiographic evidence of severe involvement.
15 Severe Presbycusis (Age- Irreversible symmetrical loss of sensorineural hearing with loss of at
related Hearing Loss) least sixty (60) decibels in all audible frequencies
(500,1000,2000,4000 Hz) of hearing in both ears and as a result of age
degeneration that requires treatment with a hearing aid.
16 Urinary Incontinence requiring Urinary Incontinence requiring surgical repair is a condition where all
Surgical Repair the following diagnostic conditions are met:
• Urinary Incontinence has been diagnosed and under the
management of a Registered Medical Practitioner for at least six
(6) months during which time, there has been a need for
continuous incontinence medical treatment; and
• Medically necessary surgical repair has been undertaken for the
sole purpose of correcting the incontinence.
17 Severe Juvenile Rheumatoid A form of juvenile chronic arthritis characterised by high fever and
Arthritis (Stills Disease) signs of systemic illness that can exist for months before the onset of
arthritis. The condition must be characterised by cardinal
manifestations which include high spiking, daily (quotidian) fevers,
evanescent rash, arthritis, splenomegaly, lymphadenopathy, serositis,
weight loss, neutrophilic leucocytosis, increased acute phase proteins
and sero-negative tests for Antinuclear Antibodies (ANA) and
Rheumatoid Factor (RF). A claim for this benefit will be admitted only
if the diagnosis is confirmed by a paediatric rheumatologist and the
condition has to be documented for at least six (6) months.
18 Severe Haemophilia The Life Assured must be suffering from severe haemophilia A (VIII
deficiency) or haemophilia B (IX deficiency) with factor VIII or factor IX
activity levels less than one percent (1%). Diagnosis must be
confirmed by a haematologist.
Only Life Assured whose Age is between six (6) years old to seventeen
(17) years old on first diagnosis is eligible to receive a benefit under
this illness.
For the purpose of this definition, “aided” shall mean with the aid of
special equipment, device and/or apparatus and not pertaining to
human aid.
All the following criteria must be met to qualify for this benefit:
• Constant mechanical ventilation is instituted for at least three (3)
days as a medically necessary treatment for Generalised Tetanus
due to tetanus toxin; and
• Tetanus immune Globulin is administered.