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CUSTOMIZED GROUP LIFE:

EMPLOYER EMPLOYEE
Who is Sun Life Financial?

• First and oldest life insurance company in the Philippines


• In existence since 1895
• 125 years in the Philippines
• No. 1 Life Insurance Company in the Philippines
> 39.51 Billion in Net Premium Income*
• P 254.52 Billion in Net Assets*
• P 4.7 Billion in Benefits paid in 2019**
• More than 20 Million Customers Worldwide
*https://www.insurance.gov.ph/wp-content/uploads/2018/03/
Premium-Income-of-Life-Insurance-Companies_Year-2017.pdf
**Based on Insurance Commission’s Report as of December 2016
SOURCE: Manila Bulletin, Feb 24, 2018, Business Bulletin, B3
S U N LIFE•
* Assumes Individual Life policy with Php50k Annual Premium 2
Who is Sun Life Financial?

S U N LIFE•
Life Insurance Metrics
2019 Results in Total Premiums
1. Sun Life of Canada Phils. – 39.51B
2. PRU Life – 26.97B
3. AXA Philippines – 26.24B
4. Manulife – 18.35B
5. BPI PHIL AM – 17.24B
6. PHIL AM – 16.64B
7. BDO Life – 14.88B
8. Insular – 12.67B
9. FWD – 9.52B
10. Allianz – 9.44B
Source: https://www.insurance.gov.ph/statistics/life/

S U N LIFE•
Customized Group Life (GL)
GYRT RIDERS
• Group Yearly Renewable Term (GYRT)
• Inclusion of riders FAB
• Eligibility Age: 18-65 years old AD&D
• Minimum of 20 employees MR
• Minimum Face Amount is Php 50,000.00
TPDIB
• Amount of Insurance:
a. Uniform GCIB
b. Position-Based GHCB
c. Salary-Based LBR
d. Combination of Position & Salary
• Minimum Annual Premium is Php10,000.00 *Attachment of riders depends on
the type of company.
S U N LIFE•
Customized Group Life (GL)
GROUP YEARLY RENEWABLE TERM (GYRT)
• Protection against loss of life, except for
suicide on the first twelve (12) months of an
insured’s coverage.
• Coverage is 24 hours a day, on and off the
job.
• 18 to 65 year old, subject to the Actively-at-
Work provision

S U N LIFE•
Customized Group Life (GL)
GROUP YEARLY RENEWABLE TERM (GYRT)

• Application of No Evidence Limit or Non-


Medical Limit underwriting guidelines

• Conversion Privilege
o No evidence of insurability
o 31 day Free coverage

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
• A rider to the GYRT that pays an additional FAMILY
benefit to defray burial expenses.
• 10% of the GYRT coverage but not
ASSISTANCE
exceeding Php 300,000.00, can also be BENEFIT
based on uniform or level amount. (FAB)
• Upon attainment of age 66,
a) 50% reduction for FAB coverage
amount of Php 10,000.00 and above; or
b) no reduction for FAB coverage amount
of below Php 10,000.00.
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
• Total Disability – incapacity due to bodily TOTAL &
injury or illness that prevents performance PERMANENT
of material and substantial duties of any
occupation, for wage or profit for which an DISABILITY
insured is or becomes qualified by INCOME
education, training and experience.
(TPDI)
• Permanent Disability - disability that has
continued uninterruptedly for at least 6
months and is expected to continue for life.
• Coverage is 24 hours a day on and off the job
• 18 to 59 years old
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
TOTAL &
EXCLUSIONS
PERMANENT
• Self - inflicted injuries; DISABILITY
• Injury that results from insurrection, civil
commotion, hostile action of the armed
INCOME
forces whether or not the life assured was (TPDI)
actually a participant.

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
ACCIDENTAL
• Provides additional indemnity for loss of life,
dismemberment and disablement resulting DEATH &
from accidental means. DISABLEMENT
(AD&D)
• Coverage is 24 hours a day on and off the job

• 18 to 64 years old

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
Schedule of Benefits
ACCIDENTAL
DEATH &
DISABLEMENT
(AD&D)

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS ACCIDENTAL
a. Bodily or mental infirmity or disease of any kind, or DEATH &
infection other than infection occurring simultaneously
with and in consequence of an accidental cut or wound; or DISABLEMENT
b. Suicide or attempted suicide while sane or insane, or self-
inflicted injuries, or (AD&D)
c. committing or attempting to commit any crime, felony or
other illegal act, or
d. Homicide; murder or provoked assault; or
e. Pregnancy, childbirth, miscarriage or any complications
thereof; or
f. Poison, carbon monoxide or drug overdose; or

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS ACCIDENTAL
DEATH &
g. War (declared or undeclared) insurrection, riots,
rebellion, civil commotion or hostile action of DISABLEMENT
h.
armed forces; or
Earthquake, volcanic eruption or tidal wave; or
(AD&D)
i. Atomic explosion, nuclear fission, or radioactive
gas; or
j. Entering, operating or servicing, ascending or
descending from or with any aerial or submarine
device or conveyance except while the Member is
riding as a passenger in an aircraft operated by a
commercial passenger airline or a scheduled air
service over an established route.
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS ACCIDENTAL
k. While engaging in hunting, motor-cycling or pillion DEATH &
riding, mountaineering which necessitates the use
of ropes or piton, racing of any kind other than on DISABLEMENT
(AD&D)
foot; hang gliding, ice or winter sports, water ski-
jumping and tricks, yachting beyond five kilometers
of a coastline, underwater activities involving the
use of underwater apparatus or using
woodworking machinery driven by mechanical
power other than portable tools applied by hand
and used solely for private purposes without
reward.

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
BENEFITS

• Sun Life shall reimburse the actual, MEDICAL


necessary, reasonable and customary REIMBURSEMENT
expenses, which the member incurred due
to an accident. (MR)
Note: Should be attached to AD&D

• 10% of the Accident Coverage, max of Php


200,000.00.

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
BENEFITS
• It pays a lump cash benefit upon first diagnosis of any
of the covered critical conditions, provided that such GROUP CRITICAL
diagnosis happened 90 days after the member
coverage is in effect and the member is alive within 15 ILLNESS BENEFIT
(GCIB)
days after diagnosis.
• Eligibility Age: 18 – 65 years old.
• Amount of Coverage: Minimum - Php 50,000
• Maximum - PHP 5,000,000
(subject for approval)

Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable provided that the
diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy contract.
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
BENEFITS
• Guaranteed Issue Limit: For employer paid groups
benefits, employees that meet the required criteria
are eligible for cover up to a given limit (Guaranteed
GROUP CRITICAL
Issue Limit) without any evidence of insurability.
Coverage beyond GIL will be subject to further
ILLNESS BENEFIT
evidence. (GCIB)
• Four (4) variants:
o Cancer only coverage
o 5 CI coverage
o 15 CI coverage
o 36 CI coverage
Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable
S U N L I F E • providedthat the diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy
contract.
Customized Group Life (GL)
GYRT - RIDER
BENEFITS
• Waiting Period: 90 days from the effective date of the
Member’s coverage. Benefit is not payable if the GROUP CRITICAL
Member is diagnosed with a covered critical condition
within the Waiting Period. ILLNESS BENEFIT
• Survival Period: 15 days from date of diagnosis. The
(GCIB)
Member must be alive within the Survival Period and
the Survival Period must happen after the Waiting
Period for the benefit to be payable.

Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable
S U N L I F E • providedthat the diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy
contract.
Customized Group Life (GL)
GYRT - RIDER

GROUP CRITICAL
ILLNESS BENEFIT
(GCIB)

Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable
S U N L I F E • providedthat the diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy
contract.
Customized Group Life (GL)
GYRT - RIDER

GROUP CRITICAL
ILLNESS BENEFIT
(GCIB)

Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable
S U N L I F E • providedthat the diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy
contract.
Customized Group Life (GL)
GYRT - RIDER

GROUP CRITICAL
ILLNESS BENEFIT
(GCIB)

Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable
S U N L I F E • providedthat the diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy
contract.
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS
• Any pre-existing or recurring critical illness which is diagnosed GROUP CRITICAL
or which the Member contracted prior to the date in which
this benefit is attached to the Member's life insurance ILLNESS BENEFIT
coverage, became in force, or if later, the date of last
reinstatement;
(GCIB)
For purposes of exclusion (1) above, pre-existing critical illness
means any illness:
o which existed or was existing; or
o the cause of which existed or was existing; or
o where the Member had knowledge, received treatment
or medical consultation of the disease; or
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS
o where any laboratory test or investigation showed the GROUP CRITICAL
likely presence of the illness; prior to the date in which this
benefit is attached to the Member's life insurance ILLNESS BENEFIT
coverage, became in force, or if later the date of last
reinstatement of his insurance coverage.
(GCIB)
• Critical illness arising from congenital abnormalities, whether
known or unknown to the Member;
• [Any Human Immunodeficiency Virus (HIV) and/or any HIV-
related illnesses including Acquired Immune Deficiency
Syndrome (AIDS) and/or any mutations, derivation or
variations thereof;]

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS
• Critical illness arising as a result of attempted suicide or self- GROUP CRITICAL

inflicted injury while sane or insane;
Taking or absorbing accidentally or otherwise, any intoxicating
ILLNESS BENEFIT
liquor, sedative or poison drug, narcotic or medicine, except as (GCIB)
prescribed by a Doctor;
• Inhaling any gas or fumes; biological, chemical or nuclear
contamination;
• Psychiatric disorder;

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS

• Wartime service or service (including peace time training) in GROUP CRITICAL


the armed forces or participation in military manoeuver or
activities or in any acts of war (declared or undeclared) or
ILLNESS BENEFIT
terrorism or any action taken in controlling, preventing, (GCIB)
suppressing or any way relating to these activities;
• War, invasion, act of foreign enemy, hostilities (whether war
be declared or not) armed or unarmed truce, civil war, mutiny,
rebellion, any act of terrorism, revolution, insurrection,
military or usurped power, riot or civil commotion, strikes;

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS
• Engaging or taking part in professional sport(s) or any GROUP CRITICAL
hazardous pursuits, including but not limited to, any kind of
driving or riding in any kind of race, underwater activities ILLNESS BENEFIT
involving the use of breathing apparatus, martial arts, hunting,
mountaineering, parachuting, bungee jumping, flying or aerial
(GCIB)
activities other than as a fare-paying passenger;
• Refusal or non-compliance to recommended, standard
medical treatments;
• Injury or illness incurred as a result of or while participating in
the commission of a crime or any illegal activity or violation or
attempted violation of the law;

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS
• Engaging or taking part in professional sport(s) or any GROUP CRITICAL
Pregnancy, childbirth, abortion, or miscarriage, or
complications thereof; ILLNESS BENEFIT
• Death of the Member during the required survival period; (GCIB)
• Any illness or condition not specified in List of Covered
Conditions.

S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
BENEFITS
• Pays a daily hospital cash benefit in case of the
member’s hospital confinement due to: (variant to GROUP HOSPITAL
choose)
• Accident (GYRT & Customized PA) CASH BENEFIT
• Comprehensive - Injury or Sickness (GYRT only) (GHCB)
• Additional benefit equal to the daily hospital cash
benefit in case of Intensive Care Confinement, for
each day of such confinement.
• Eligibility Age: 18 – 65 years old

Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable provided that the
diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy contract.
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
BENEFITS
• A waiting period of 30 days will apply before the GHCB
benefit becomes payable for any hospital confinement GROUP HOSPITAL
(minimum of 3 days) of the member due to sickness. If the
hospital confinement is due to an injury from an accident, CASH BENEFIT
(GHCB)
the waiting period does not apply.
• The maximum cumulative number of days payable for GHCB
and Intensive Care Confinement is 30 days for each benefit
per policy year.
• Amount of Coverage:
• Minimum Daily Hospital Cash Benefit: PHP 100.00
• Maximum Daily Hospital Cash Benefit: 0.125% of Basic Plan’s Coverage
or PHP 5,000.00, whichever is lower.
S U N LIFE• Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable provided
that the diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy contract.
Customized Group Life (GL)
GYRT - RIDER
BENEFITS
• Pre-Existing Conditions shall mean any Sickness which existed or
was existing, or where the member had knowledge, signs or
symptoms of the Sickness, or where medical advice or treatment
GROUP HOSPITAL
or any laboratory test or investigation showed the presence of
the Sickness, within two (2) years prior to the effective date or
CASH BENEFIT
the date of last reinstatement of the member’s benefit. (GHCB)
For any confinement due to a Pre-Existing Condition, a waiting
period of one (1) year will apply from the effective date or from
the date of last reinstatement of the member’s benefit,
whichever is later, before this benefit becomes payable.

Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable provided that the
diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy contract.
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS
• Functional disorders of the mind/psychiatric illness
such as but not limited to anxiety and depression; GROUP HOSPITAL

CASH BENEFIT
Congenital anomalies;
• Drug addiction or alcoholism;
• Injuries resulting from committing or attempting to (GHCB)
commit any illegal act;
• Self-inflicted Injuries whether sane or insane;
• Plastic surgery for any condition existing on the
effective date of this benefit; except if due to accident
to restore to normal function;
Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable provided that the
diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy contract.
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS
• Cosmetic surgery for purposes of beautification except
treatment of Injury sustained in an accident while covered; GROUP HOSPITAL

CASH BENEFIT
Injuries due to war (declared or undeclared), insurrection,
riots, rebellion, civil commotion or hostile action of armed


forces;
Injuries due to any aviation or marine activities except while
(GHCB)
the member is riding as a fare paying passenger in an air or
marine device operated by a duly licensed commercial airline
or shipping line on a scheduled passenger trip over its
established passenger route, or scheduled air service over an
established route;
Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable provided that the
diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy contract.
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS
• Medical or surgical procedures which are experimental in
nature or not generally accepted as standard medical GROUP HOSPITAL
treatment by the medical profession, which may include
but is not limited to chiropractic services, chelation CASH BENEFIT
(GHCB)
therapy, herbal treatment and acupuncture;
• Routine physical examinations required in school,
insurance and government licensing, physical examination
related to pre-employment, visa application and the like;
• Non-surgical care for tuberculosis/rest cures/PTB
medicines;
Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable provided that the
diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy contract.
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS
• Hospitalization related to medical exam or check-ups not
required in connection with the treatment of Sickness or GROUP HOSPITAL
Injury, e.g., sleep apnea test;
• Treatment for communicable disease in epidemic proportions CASH BENEFIT
(to be determined by the Department of Health) requiring
isolation or quarantine, e.g. smallpox, Severe Acute
(GHCB)
Respiratory Syndrome and any form of venereal disease;
• Circumcision, sex transformation, diagnosis and treatment of
fertility or infertility (i.e. IVF), such as oral contraceptives,
artificial insemination, sterilization or reversal of such;
Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable provided that the
diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy contract.
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS

• Poison, carbon monoxide or drug overdose; GROUP HOSPITAL


• Pregnancy, childbirth,
complications thereof;
miscarriage or any
CASH BENEFIT
• While engaging in motor-cycling; or pillion riding, (GHCB)
motor scooter, motor bicycle or any other two-
wheeled motor vehicle;

Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable provided that the
diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy contract.
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
EXCLUSIONS
• While engaging in hunting, mountaineering which
necessitates the use of ropes or piton, racing of any GROUP HOSPITAL
kind other than on foot; hang gliding, ice or winter
sports, water ski-jumping and tricks, yachting beyond CASH BENEFIT
(GHCB)
five kilometers of a coastline, underwater activities
involving the use of underwater apparatus or using
woodworking machinery driven by mechanical power
other than portable tools applied by hand and used
solely for private purposes without reward; or
• Hospitalization outside the Philippines
Note: Benefit is subject to contestability provisions, exclusions and/or provisions on pre-existing conditions and will be payable provided that the
diagnosis of any of the covered cancer conditions is aligned with the definitions stated in the insurance policy contract.
S U N LIFE•
Customized Group Life (GL)
GYRT - RIDER
BENEFITS

• Eligibility for the LBR: LIVING BENEFIT


Life insured diagnosed to be terminally ill with life
expectancy of 12 month or less. RIDER
• LBR Coverage: (LBR)
Allows advancement of 50% of life insurance subject to Ps.
1,000,000.00 maximum
This rider is attached to the policy for FREE subject to approval.

Note: upon death, life insurance will be paid net of LBR with interest
S U N LIFE•
Customized Group Life (GL)
EMPLOYEE BENEFITS PACKAGING SAMPLE
GYRT FAB TPDI AD&D MR GCIB GHCB LBR

Package 1
Package 2
Package 3
Package 4
Package 5
Package 6
Package 7
Package 8
Package 9
Package
S U N L I10
FE•
CLOSING
REQUIREMENTS
Closing
Documentary Requirements

Corporation/Partnership Cooperatives
• Certificate of • Certificates of Registration
Incorporation/Partnership • Valid Certificate of Good Standing
• Articles of Incorporation • Articles of Cooperation
• Latest General Information Sheet • Latest list of directors/trustees,
• Notarized Secretary Certificate officers & primary members duly
• Valid ID of the authorized rep. filed with CDA
• BIR 2307 form and Tax Certificate for • Notarized Secretary Certificate
Top 20,000 Philippine Corporations • Valid ID of the authorized rep.

Notes:
1. Include submission of application form and updated list of employees/members in excel file.
2. Coverage will take effect upon approval of complete documents and receipt of full payment, whichever is later.
3. TAT of review: 2 working days upon receipt of the documents.
4. AMLA-related requirements maybe subject to change based on guidelines communicated by the Compliance Department &/or other departments as deemed necessary
5. For other institutions not described above, please refer to Compliance Circular No: 01-2018 (Jan. 16, 2018) for the complete list of AMLA requirements.

S U N LIFE•
.
Closing
Documentary Requirements

Sole Proprietorship Public School


• Valid Certificate of Registration • Certification from the District Supervisor or the
issued by DTI School Principal to enter into business with
SLFP;
• Valid Business Permit
• Valid ID of the authorized rep
• Valid ID of the authorized rep • Bidding Process or Deed of Donation for
student’s coverage
Private School – Please Corporation/Partnership

Notes:
1. Application form and updated list of employees/members in excel file.
2. Coverage will take effect upon approval of complete documents and receipt of full payment, whichever is later.
3. TAT of review: 2 working days upon receipt of the documents.
4. AMLA-related requirements maybe subject to change based on guidelines communicated by the Compliance Department &/or other departments as deemed necessary
5. For other institutions not described above, please refer to Compliance Circular No: 01-2018 (Jan. 16, 2018) for the complete list of AMLA requirements.

S U N LIFE•
.
Reminders

✓ Submit AMLA documents to Sun Life Centre


14th Floor Sales-Group Life Team and E-mail soft copy
of documents at GroupLife_Sales@sunlife.com.
✓ Check payment shall be made payable to
Sun Life of Canada Philippines, Inc. (SLOCPI)
*Inform Client Center that it’s for a new business group life account

✓ Coverage will take effect upon approval of complete documents and


receipt of full payment, whichever is later.

S U N LIFE•
THANK YOU!

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