Corona Kavach, The New India Assurance Co

Ltd
Indemnity Cover
 Features – Corona Kavach, NIACL
• Entry Age: 18 Y to 65 Y

• Children from Day 1 to 25 Y of age can be covered. If the children are above 18 Y and are financially independent, he or she shall be ineligible.
• The upper age limit will not apply to a mentally challenged children and an unmarried dependent daughter(s).
• Proposer has to be mandatorily covered in the policy

• Type of Cover: Individual and Floater

• Sum Insured: 50,000 to 5 L (in Multiples of 50,000)

• Period of insurance: 3.5 m (105 Days), 6.5 m(195 Days) & 9.5 m(285 Days)

• Waiting period: 15 Days from the date of commencement of Insurance

• Renewal, Portability and Migration are not applicable

• No Mid – Term addition

• Cancellation – Pro-Rata refund in case of death of the member in case of no claim

 Coverages
• Covers Hospitalization only for COVID treatment.

• Home Care Treatment – Covered up to 14 days. Limit of 15,000 per Insured.

• Pre and Post Hospitalization – 15 and 30 days

• AYUSH – up to 100% of Sum Insured

• It covers the treatment of Co-Morbid conditions also.

Contd..
• Home Care Treatment – Definition and Coverages

• The Medical practitioner advices the Insured person to undergo treatment at home.
• There is a continuous active line of treatment with monitoring of the health status by a medical practitioner for each day through the
duration of the home care treatment.
• Insured shall be permitted to avail the services as prescribed by the medical practitioner on cashless basis which shall be arranged by
the Insurer through designated network provider  However, in case the insured intends to avail the services of non-network provider
claim shall be subject to reimbursement.

• The following are payable.

• Diagnostic tests undergone at home or at diagnostics centre 
• Medicines prescribed in writing 
• Consultation charges of the medical practitioner
• Nursing charges related to medical staff
• Medical procedures limited to parenteral administration of medicines.
• Cost of Oximeter, Oxygen cylinder and Nebulizer

• Optional Cover - Hospital Cash

• 0.5 % Sum Insured shall be payable as benefit for maximum of 15 days – 15% loading on the premium
 Premium
Base Premium Chart: 285 Days
SI/Age Band 50000 100000 150000 200000 250000 300000 350000 400000 450000 500000
<40 650 700 750 818 959 1,075 1,165 1,230 1,270 1,284
41-50 800 1,379 1,955 2,454 2,877 3,225 3,496 3,691 3,810 3,853
51-60 1,213 2,299 3,258 4,090 4,796 5,375 5,827 6,152 6,350 6,422
>60 1,698 3,218 4,561 5,726 6,714 7,524 8,157 8,613 8,890 8,991

Base Premium Chart: 195 Days

SI/Age Band 50000 100000 150000 200000 250000 300000 350000 400000 450000 500000
<40 618 665 713 777 911 1,021 1,107 1,169 1,207 1,220
41-50 760 1,310 1,857 2,331 2,733 3,064 3,321 3,506 3,620 3,660
51-60 1,152 2,184 3,095 3,886 4,556 5,106 5,536 5,844 6,033 6,101
>60 1,613 3,057 4,333 5,440 6,378 7,148 7,749 8,182 8,446 8,541

Base Premium Chart: 105 Days

SI/Age Band 50000 100000 150000 200000 250000 300000 350000 400000 450000 500000
<40 585 630 675 736 863 968 1,049 1,107 1,143 1,156
41-50 720 1,241 1,760 2,209 2,589 2,903 3,146 3,322 3,429 3,468
51-60 1,092 2,069 2,932 3,681 4,316 4,838 5,244 5,537 5,715 5,780
>60 1,528 2,896 4,105 5,153 6,043 6,772 7,341 7,752 8,001 8,092
 Underwriting
• Premium
• Co-Morbidity Loading – 30%
Diabetes Respiratory Diseases like Asthma, COPD etc.. Cancer
Hypertension Lung Fibrosis HIV
Cardiovascular Diseases (Heart related ailments) Stroke and Circulatory Diseases Auto Immune Diseases

• Discount for Female – 5%

• Health Care Worker Discount – 5% discount is applicable for Self, Spouse and Children
• Online Discount – 10% for Customer Channels
• Floater Discount – 5%
• Staff Discount – 33.33% Discount is applicable for Self, Spouse and Children. Maximum
Discount for employees is restricted to 33.33%.
• TPA Fee – Rs. 50
• Commission – 15% across all age bands
 CWISS Underwriting

• Product code – CZ
• User has to select Policy duration as either 105, 195 or 285 Days
 Premium Calculation
Premium Calculation (Base premium for Male or Female is arrived after applying Co-Morbidity Loading and Female Discount (if applicable)); Floater Discount is applicable for Optional Cover. Other
Discounts are applicable only on Base Premium.

Relation Age Sum Insured Days Base Premium Co-Morbidity M/F Calculation Total Base Premium

Self 34 1,00,000 285 700 Yes(30% Loading) F(5% Discount) 700*.95*1.

3 865

Spouse 34 1,00,000 285 700 No M 700 700

Child 18 1,00,000 285 700 No M 700 700

Parent 54 1,00,000 285 2,299 Yes(30% Loading) M 2299*1.3 2,989

Parent -in -Law 56 1,00,000 285 2,299 No F(5% Discount) 2299*.95 2,184

Total Premium 7,437

Thank You