Revised Life Underwriting Guidelines FY:
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- Domenic Watson
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1 Revised Life Underwriting Guidelines FY: Non Medical Limits for ULIPs, Traditional (excluding Term plans) and Guaranteed savings insurance plan (GSIP) A. Male,female and minor/student lives Age (in Years) General Partners Preferred Partners Up to 40 50L 75L L 50L L 50L 5L 10L For ULIP plans - Applicable for sum assured up to 10 times the premium For GSIP plans - Applicable for sum assured up to 10 times the premium If the above criteria are not fulfilled, please refer chart B Above limits not applicable for agriculturist below 10th STD profile Above limits can be offered to Group II/III female lives subject to financial eligibility (equal to husband s insurance or adequate income proof irrespective of the level of education )
2 B. Male,female and minor/student lives Age (in Years) Up to 40 All Lines of Business 15L L L For ULIP plans - If sum assured is greater than10 times the premium For Traditional Plans If term is greater than 20 yrs NIL C. Female Group II/III Female lives not providing HID*/IP* Category Age (in years) General Business Preferred Partners Female Group II & III Without HID/ IP Non earning single life /widows L 10 L NIL NIL L 3.5L NIL NIL *HID Husband s Insurance details *IP Income proof For ULIPs - Applicable for sum assured up to 10 times the premium For GSIP - Applicable for sum assured up to 10 times the premium
3 If the above mentioned criteria are not fulfilled, the non Medical limits for age upto 60 yrs is Rs.2.5 Lacs irrespective of the channel Standard Guidelines for all categories: Standard age proof required above Total rated up sum assured (TRSA) Rs. 15 Lacs KYC and enhanced KYC documents required as per existing AML guidelines and for FATF (Financial action task force) countries Income documents required if, TRSA more than Rs 25 Lacs for General Partners TRSA more than Rs 40 Lacs for Preferred Partners Financial eligibility is less than the cover applied Additional Guidelines for minor/student lives: Maximum sum assured allowed is Rs.2 Cr subject to financial eligibility Financial eligibility=double the parent s life insurance cover or 10 times the proposer s income whichever is less Grandparents can propose on grand children who are less than 18 years of age upto maximum sum assured of Rs.2 Cr Sum assured upto Rs.10 Lacs can be offered without parent s insurance Student proof is mandatory above age 5 years Special provision for NRI/PIO/OCI student lives - A declaration from the Proposer regarding the academic status of the life assured can be taken in cases where the life assured is studying in any approved countries (as per residential list),mentioning the school name, standard and academic year D.NRI/ PIO/ OCI: Age (in years) TRSA (in INR) Up to Cr L L 10L
4 Criteria and Guidelines: These limits will be applicable for cases sourced by international and Indian Business For ULIPs - Applicable for sum assured up to 10 times the premium For GSIP - Applicable for sum assured up to 10 times the premium If the above criteria are not fulfilled, please refer chart B Passport as age proof mandatory Income documents required for TRSA more than Rs 40 Lac, however income documents would be required if financial eligibility is less than the cover applied even for TRSA less than Rs 40 Lac OCI / PIO card not required KYC and enhanced KYC documents required as per existing AML guidelines. D. Guidelines for ULIP cases from High Risk Countries: Age (in Years) TRSA (in INR) Up to 40 15L L L NIL Cases from Declined countries not to be considered for traditional and GSIP plans Only applicable for cases sourced by preferred partners Passport as age proof mandatory Extra premium of Rs. 4/1000 sum assured over and above medical or other applicable extra premium Enhanced due diligence norms applicable Minimum premium of Rs Pre login approval from CUW mandatory for all countries not mentioned in Annexure 1 below
5 Annexure 1: List of Approved Countries S.No Country S.No Country 1 Iceland 28 Portugal 2 Norway 29 Brunei Darussalam 3 Australia 30 Barbados 4 Canada 31 Kuwait 5 Ireland 32 Qatar 6 Sweden 33 Hungary 7 Switzerland 34 Poland 8 Japan 35 Argentina 9 Netherlands 36 United Arab Emirates 10 France 37 Bahrain 11 Finland 38 Croatia 12 United States 39 Bahamas 13 Spain 40 Seychelles 14 Denmark 41 Mexico 15 Austria 42 Bulgaria 16 United Kingdom 43 Oman 17 Belgium 44 Saudi Arabia 18 Luxembourg 45 Malaysia 19 New Zealand 46 Mauritius 20 Italy 47 Brazil 21 Hong Kong, China (SAR) 48 China 22 Germany 49 Sri Lanka 23 Greece 50 Maldives 24 Singapore 51 Viet Nam 25 South Korea(Republic of ) 52 South Africa 26 Slovenia 53 Morocco 27 Cyprus 54 India
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