PRODUCT DISCLOSURE SHEET Essential EliteShield (Type B)

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1 Read this Product Disclosure Sheet before you decide to take up Essential EliteShield. Be sure to also read the general terms and conditions. 1. What is this product about? This is a yearly renewable package group insurance plan which may be purchased by Employer (policy owner) to insure their full-time and actively-at-work Employees (Lives Assured). The benefits provided shall based on the plan selected by the Employer. This plan does not participate in our Company profit sharing. 2. What are the covers / benefits provided? Plan(s) Selected: Plan 1 : N/A Plan 2 : N/A Plan 3 : N/A Please refer below on the benefits provided under the plan(s) selected. The policy offers insurance coverage based on 24 hours 7 days a week worldwide basis for the following contingencies: A. Death, Total & Permanent Disability (TPD) and Partial & Permanent Disability (PPD) benefits It pays the basic sum assured of the plan chosen upon death or total permanent disability during the term of the policy. In the case of partial and permanent disability, a percentage of basic sum assured in accordance to the will be payable. (a) (b) (c) (d) (e) (f) (g) (h) (i) (j) (k) PRODUCT DISCLOSURE SHEET Essential EliteShield (Type B) Basic Sum Assured Death and Disability (TPD & PPD) Benefits Plan 1 Plan 2 Plan 3 Death 100, , , Total and Permanent Disability (TPD) 100, , , Partial and Permanent Disability (PPD) (Please refer to for the percentage of Basic Sum Assured payable) 100, , , Percentage of Sum Assured Payable (%) Loss of two limbs Loss of both hands, or of all fingers and both thumbs Total loss of sight of both eyes Total paralysis Injuries resulting in being permanently bedridden Any other injury causing permanent total disability Loss of arm at shoulder Loss of arm between shoulder and elbow Loss of arm at elbow Loss of arm between elbow and wrist Loss of hand at wrist (l) Loss of leg : - at hip - between knee and hip - below knee (m) Eye - Loss of : - whole eye - sight of - sight of, except perception of light - lens of (n) Loss of four fingers and thumb of one hand (o) Loss of four fingers 40% (p) Loss of thumb : - both phalanges 25% 10% (q) Loss of index finger : - three phalanges 10% 8% This is an illustration only (E. O.E) version1.0 l Page 1 of 5

2 Percentage of Sum Assured Payable (%) (r ) Loss of middle finger : - three phalanges 6% (s) Loss of ring finger : - three phalanges 5% (t) Loss of little finger - three phalanges 3% (u) Loss of metacarpals : - first or second (additional) - third, fourth, fifth (additional) 3% (V) Loss of toes: - all of one foot - great, both phalanges - great, one phalanx - other than great, if more than one toe lost, each 15% 5% 1% (W) Loss or hearing : - in both ear - in one ear 75% 15% (X) Loss of speech B. Hospital Income Benefit If Life Assured is confined in a hospital due to any covered Disability caused by accident or sickness/disease, a fixed amount of daily income based on the plan chosen will be payable for each day of the hospitalisation. This Hospital Income Benefit is subject to a maximum of 30 days per disability and up to 60 days per policy year. Hospital Income Benefit Plan 1 Daily Hospital Income Amount Plan 2 Plan Note: - The maximum expiry age of the insurance cover for Insured Employee shall be 65 years old (age nearest birthday). 3. How much is the premium payment to insure my employees? The premium you have to pay will depend on the plan type selected. Please refer to the annual premium rate per member (excluded GST, if applicable) at the table below: Annual Premium (per member) Death, Total & Permanent Disability and Partial & Permanent Disability Plan 1 Plan 2 Plan 3 Eligible Employee who is up to 64 years old (age nearest birthday) Hospital Income Benefits Plan 1 Plan 2 Plan 3 Eligible Employee who is up to 64 years old (age nearest birthday) Note: Employees who are aged above 55 years old will be subject to underwriting. Completion of Health Declaration Form is required and the acceptance is subject to Company's approval. Important Notes: - Premium rates upon renewal are not guaranteed and subject to be reviewed by the Company. - This is a Premium before Cover policy. Hence premium payment must be enclosed with Essential EliteShield application. - The calculation of the annual premium payable shall be in accordance to the applicable premium rate as stated in the table above or any subsequent revision thereof. - Essential EliteShield is a yearly renewable policy and unless renewed, the insurance cover will cease on the expiry date of the policy and the Company shall not be liable for any claims/loss that arises after the expiry date. - The Company will issue renewal invitation at least 30 days before the expiry date of the policy. This is an illustration only (E. O.E) version1.0 l Page 2 of 5

3 4. What are the fees and charges that Employer/Policyholder has to pay? Yes, the Employer needs to pay the additional fees and charges as below: - Stamp Duty of RM10.00 each time upon new business and policy renewal. - 6 % of Goods & Services Tax (GST) on the premiums except those premiums charged for Death and Total and Permanent Disability benefit and Partial and Permanent Disability. 5. What are some of the key terms and conditions that I should be aware of? - Importance of disclosure You are required to disclose all material facts such as business type, nature of occupation, the correct age of the employees (including their spouse and dependent children, if applicable), inform all employees to truthfully declare their medical conditions, any other information that could affect the risk profile. Effective cover will be void at inception for non-declaration of material facts. - Waiting period: (i) TPD No waiting period. However the disability must have continued for at least six (6) consecutive months from the date of disability. (ii) Hospital Income Benefit :- Waiting period whereby claims arising from sickness or disease are not payable within the first 30 days from commencement date or reinstatement date of Life Assured s cover. Waiting Period of 120 days from the commencement date of the Life Assured s cover; any claims arising from Specified Illness will not be payable. Please refer to the exclusion clause for the full list of Specified Illness. Pre-existing Conditions for the first 120 days of continuous cover. Note: This list is non-exhaustive. Please refer to the policy contract for the terms and conditions under this policy. Tokio Marine Life Insurance Malaysia Berhad reserves the right to discontinue underwriting this product without specifying any reasons. 6. What are the major exclusions under this plan? Total and Permanent Disability (TPD) benefit The TPD benefit shall not be payable for the event resulting from: - Resulting from suicide (whether felonious or not), self-inflicted bodily injury, disorderly conduct on part of Life Assured, or upon the Life Assured deliberately exposing himself to unnecessary danger; - Sustained whilst engaged in hunting, mountaineering, aviation (except as fare-paying passenger on a recognized airline), naval, military or aeronautical service, or racing (other than foot-racing) of any kind; - War invasion (whether war be declared or not), act of foreign enemy hostilities, terrorism, civil war, rebellion, revolution, insurrection or military or usurped power or direct or indirect participation in riot, strike and civil commotion; - Atomic, biological and nuclear energy reactions, radiation and contamination; or - TPD existing at the effective date or at the date of reinstatement of the Life Assured under the Policy. Partial and Permanent Disability (PPD) benefit The PPD benefit shall not be payable for the event resulting from: - Suicide or any attempt thereat or self-inflicted injury; - War (declared or undeclared), invasion, act of foreign enemy, hostilities, civil war, rebellion, insurrection, revolution, or any war-like operations, military or usurped power, military or naval service in time of declared or undeclared war or while under orders for warlike operations or restoration of public order; - Participation in riot, committing an assault or felony and any other unlawful act; - Participation in any hazardous sports; or - Terrorism, terrorism-related activities, nuclear war, biological and chemical warfare/activities. Hospital Income Benefit This benefit shall not be payable for any hospitalization & surgical expenses arising from: - Pre-existing conditions for the first one hundred twenty (120) days of continuous cover; - Specified illnesses for the first one hundred twenty (120) days of continuous cover; - Any medical or physical conditions arising within the first thirty (30) days of the Life Assured Person s cover except for accidental injuries; - Cosmetic Surgery or treatment, or treatment of their complications (inclusive of double eyelids, acne, keloids etc.) except as necessitated by accidental injuries; - Care and treatment that is experimental, investigative and not according to accepted professional standards and care that is not medically necessary; - Treatment for injuries sustained while committing a crime or felony, or while under the influence of alcohol, narcotics, or mind altering substance or injuries which are self-inflicted while sane or insane; - Any treatment for or arising from substance abuse such as alcohol, narcotics, etc; - Private nursing care engaged by member or services for rest cure provided by rest/nursing home for purely recuperative purposes and house calls by doctors for any reason; This is an illustration only (E. O.E) version1.0 l Page 3 of 5

4 - Contraceptive medications and devices, sterilization procedures, treatment for complications, reversal of such procedures and the work up or treatment of sexual dysfunction or infertility; - Investigation and treatment relating to pregnancy including childbirth and all complications arising therefrom except for miscarriage due to motor vehicle Accident under Hospital & Surgical coverage, subject to its limitations; - Sex transformation Surgery and sex hormone therapy related to such Surgery; - Any circumcision unless medically necessary; - Conditions related to sexually transmitted diseases, AIDS and AIDS Related Complex or its Sequelae; - Alternative therapies e.g. acupuncture, chiropractic, osteopathy, reflexology, etc; - Vitamins, Food Supplements, Herbal Cures and Anti-Obesity / Weight Reducing Agents including any off the counter medications; - Soaps, Shampoos, Vitamin Creams and Vitamin Ointment - Psychotic, mental or nervous disorders and behavioral conditions including any neurosis and their physiological or psychosomatic manifestations; - Treatment, therapy or Surgical Operation for congenital or hereditary diseases, deformities and disabilities and any medical or surgical complication arising therefrom e.g. childhood hernias, clubfoot, VSD, ASD, Thalassemia etc; - Diseases or disabilities of a newborn child contracted prior to or during birth or within the first fourteen (14) days thereafter; - Blood and topical allergy testing; - Routine physical examination, health check-ups or tests not incident to treatment or diagnosis of a covered Disability; - Speech and occupational therapy when not part of a rehabilitation program following Hospitalization due to trauma, unless it is a follow-up to an inpatient Disability and subject to its limitations; - Any process solely for the determination of eye refraction and the correction of the same by radial keratotomy, orthoptic or visual training or by any other means; - Supply of corrective glasses, or contact lens except for cataract Surgery or eye injury while insured or any associated material for correction of visual acuity; - Any dental treatment or Surgery except when required due to an injury sustained in an Accident under this Policy, subject to its limitations; - Use or acquisition of all external appliances (e.g. artificial limbs, hearing aids, aero chambers and equipment for nebulizing, orthopedic pads) and the rental charges of such devices except during Hospital confinement under this Policy, subject to its limitations; - Treatment for effects from exposure to ionizing radiation or contamination by radioactivity from any source; - Treatment for any form of Disability, injury or sickness sustained or contracted while on duty in any military, naval or air force of any country whether in time of peace or of war or due to direct participation in strikes, riots and civil commotion or insurrection; - Illness or injury sustained during air travel except as a fare paying passenger on a recognized airline operating on scheduled air routes and air travel by any chartered aircraft duly licensed as a recognized air carrier and flown by professional crews between properly established and maintained airports; - Services of a non-medical nature provided by a Hospital such as television, telephone, fax, radio or similar facilities. Charges for these services must be paid by the Life Assured prior to discharge from Hospital or daycare center unless otherwise specified; or - Any Outpatient treatment unless specifically provided under this Policy. Note: This list is non-exhaustive. Please refer to the policy contract for the full list of exclusions under this policy. 7. Can I cancel my purchase of the Essential EliteShield policy? You may cancel the policy by providing 30 days written notification to the Us. However, this is a term policy and does not contain any cash values. Upon the date of cancellation as specified by you, the insurance cover shall cease and We shall no longer be liable to any claim/expenses that occur from the date of cancellation. You shall be entitled to a refund of the unutilized premium paid in accordance to the table below: Period of cover not exceeding 15 days* (only applicable on 2nd policy year onwards, which is upon renewal) Refund of annual premium 90% 1 month 80% 2 months 70% 3 months 60% 4 months 5 months 40% 6 months 30% 7 months 25% 8 months 20% 9 months 15% 10 months 10% 11 months 5% This is an illustration only (E. O.E) version1.0 l Page 4 of 5

5 8. What do I need to do if there are changes to my contact details? It is important that you inform us of any change in your contact details to ensure that all correspondences reach you in a timely manner. 9. Where can I get further information? For additional information, you can refer to the insuranceinfo booklet available at all our branches or visit If you have any enquiries, please contact us at: Tokio Marine Life Insurance Malaysia Bhd. (Licensed under the Financial Services Act 2013 and regulated by Bank Negara Malaysia) Ground Floor, Menara Tokio Marine Life 189, Jalan Tun Razak, Kuala Lumpur. Tel: (please ask for EB Sales Department) Fax: groupeb@tokiomarinelife.com.my 10. Other similar types of cover available. Please consult with the RHB representative who is servicing you or you can contact Us directly at the number stated above for more information. IMPORTANT NOTE: PLEASE READ AND UNDERSTAND THIS INSURANCE POLICY TO ENSURE THAT THIS PLAN IS SUITABLE TO YOUR ORGANISATION S NEEDS. DO CONTACT THE RHB REPRESENTATIVE WHO IS SERVICING YOUR ACCOUNT OR CONTACT THE INSURANCE COMPANY DIRECTLY FOR MORE INFORMATION. This insurance plan is underwritten by Tokio Marine Life Malaysia Berhad ( X), a Company licensed under the Financial Services Act 2013 and regulated by Bank Negara Malaysia. RHB Bank Berhad (6171-M) is a distributor of this plan and located at RHB Centre, Jalan Tun Razak, Kuala Lumpur. The information provided in this disclosure sheet is valid as at dd/mm/yyyy. This is an illustration only (E. O.E) version1.0 l Page 5 of 5

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