Critical Illness Policy - FAQ’s 23-24

Who are my Insurance Company and Third Party Administrator (TPA)?

Your Insurance Company is United India Insurance Company

Is the insurance cover applicable for treatment outside India?

No, the insurance cover is for treatment taken within India only.

What am I covered for and who all are eligible for coverage?

Lump sum compensation in the event of an insured person being diagnosed with listed
critical illness and Only self is covered under critical illness policy.

What is the entry age for this policy?

Minimum 21 years – Maximum 60 years

Is there any gender specific criteria for this policy?

No, employee of any gender can avail this policy, whether male, female or LGTBQ

What is the payment basis for the claim incurred in this policy?

The Sum Insured on diagnosis of specified critical illness

What are the special condition & special benefit?

Once a claim is paid under the policy, the policy lapses. Survival period of 30 days on diagnosis
of critical illness for claim

What is the meaning of Survival Period?

It means that claim is payable if insured survives 30 days from the date of diagnosis

If I leave the Organization, then will I be able to continue this policy.

The policy can be converted from Group to Individual, if the employee leaves the organization.

What are the major exclusions in the policy?

Self-injury, suicide, Addiction to alcohol or drugs, HIV/AIDS, Smoking more than 40 cigarettes or
equivalent tobacco intake. Pre-existing disease and Critical illness symptom present at any time
before inception of first policy. War, Invasion, act of foreign enemy arising from ionizing
radiation or contamination by radioactivity. Waiting period initial waiting period of three
months from the commencement of first policy.

Is there any income tax benefit available?

Yes, Premium paid is exempted from Income Tax under Section 80-D

Is PED Covered?

Pre-existing disease isn’t covered under critical illness policy.