APPLICATION FOR ROP EXEMPTION FORM

IMPORTANT: ALL questions (Q1 – Q4 & justification) contained in the form MUST be duly completed.
Incomplete/partial completion will be treated as CANCELLED.

Agent’s Name
Agent’s Acc No
Life Assured’s (LA) Name
Policy Owner’s Name
(Please indicated if different from LA)
Agent's spouse/
Relationship with agent Others
children
Life Assured’s Occupation
New Policy No Policy status /date Plan Type Payer Name

Existing Policy No Policy status /date Plan Type Payer Name

Have you brought to the policyholder's attention the advantages of

retaining the existing policy? YES NO
If NO, pls state the reasons.
What was the policyholder's objective in purchasing the existing policy?

What was the policyholder's objective in purchasing the new policy?

If policyholder’s objective is to have medical card, have you

YES NO NA
highlighted that stand alone medical plan is available?
Is this ROP beneficial to the policyholder? YES NO
Will the policyholder suffer any penalty for replacing the existing
policy?
YES NO
e.g. fund allocation for ILP policies, surrender value is less than
premium invested, increase in age, change in current health
Will the replaced policy confer ANY of the following to the
policyholder?
Confer a lower level of benefit at a higher cost? YES NO
Confer the same level of benefit at a higher cost?
Confer a lower benefit at the same cost?
Note: Benefits are identified as Sum Assured, term of cover & future value cost is premium paid.
Please annualise premium to do comparison.
Please justify how the features of the NB is more beneficial to the policyholder

(Please attach separate paper if space is insufficient)

Agent’s Signature

Date

Please note : All applications must be attached with:

i- Reason(s) of Replacement by Policy Owner Form- with his/her justification and supporting documents (if any) to support your
application, please note that our customer service officer may contact policyholder (if necessary) to conduct an interview to reconfirm
the details of this replacement.
ii- Summary of Comparison Worksheet (ePartner > Application > ROP letter page 3/3)

Application for ROP Exemption – V3.0 2022

Internal use only - Great Eastern Life (ASD)