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PRODUCT DISCLOSURE SHEET (Read this Product Disclosure Sheet before you decide to take out the IKHLAS Foreign Worker Compensation Scheme Takaful. Be sure to also read the general terms and conditions.) 1) What is this product about? TAKAFUL IKHLAS BERHAD IKHLAS FOREIGN WORKER COMPENSATION SCHEME TAKAFUL Date: 07/05/2014 If you are employing foreign workers, you must comply with the statutory requirement legislated under Section 26(2) of the Amended Act 1996 of Workmen s Compensation Act 1952 to purchase this Takaful cover to protect all your foreign workers. 2) What are the Shariah concepts applicable? Tabarru shall mean donation for the purpose of solidarity and cooperation among the Participants and to be used to help Participants in times of misfortune. In the context of Takaful IKHLAS, Tabarru will be allocated into the Risk Fund. Wakalah shall mean agency. In this context, it refers to a contract between Company and the Participant where the Participant authorizes the Company to manage the fund on his/her behalf, which allows the Company to charge a Wakalah fee. Note: Please refer to the Takaful Certificate contract for more information. 3) What are the covers / benefits provided? This Takaful Certificate indemnifies you under the Act in respect of compensation for employment injury as well as non-employment injury sustained by the foreign worker. Duration of cover is for one year. You need to renew your Takaful certificate annually. Duration of cover is for one year. You need to renew your Takaful certificate annually. Coverage Workmen Compensation Death from occupational disease or accident during working hours Death by accident whilst in the course of employment Funeral Expenses Permanent Total Disablement Temporary Disablement (Half Monthly Payment) Repatriation Expenses Pays for the cost of transportation of the remains of the deceased worker or permanently disable worker backto his/her country of origin Personal Accident (Off-Work Hours) Payable in respect of personal injury or death sustained in an accident happening Limit of Indemnity RM18,000 or 60 times monthly salary whichever is lower RM18,000 or 60 times monthly salary whichever is lower and an additional of RM7,000 Up to RM1,000 if the deceased worker has no dependants RM23,000 or 60 times monthly salary whichever is lower RM165 or 1/3 of monthly salary (max. up to 60 months) whichever is lower Based on actual expenses incurred or RM4,800 whichever is lower 1

outside the working hours Death or Permanent Disablement Permanent Partial Disablement Temporary Disablement Medical Expenses RM23,000 Based on RM23,000 calculated according to the Workmen s Compensation(Amendment) Act 1996 According to the Workmen s Compensation Act 1952 Accoring to the Workmen s Compensation Act 1952 4) Does the Takaful certificate extend to cover the foreign worker outside Malaysia? No, the Takaful Certificate is confine to Malaysia geographical limit and subject to Malaysia jurisdiction only. 5) What if the worker does not possess a valid working permit? The Takaful Certificate only covers foreign workers who are legally employed. 6) Can I extend Common Law cover under the Takaful certificate? No, you cannot extend Common Law cover or any other kind of extensions because the Takaful Certificate coverage is regulated by the Authority. 7) How much contribution do I have to pay? The total Contribution that you have to pay depends on the number of foreign workers under your employment which you need to declare to us. The government has set RM67.00 as the Contribution and RM5 as the on-line service fee per worker. Total payment per worker is RM72.00 Example: if the total number of workers employed is 100 RM72.00 x No. of workers = RM7,200.00 Therefore, the total annual contribution that you have to pay is RM7,200.00 8) What are the fees and charges that I have to pay? The following charges are applicable: In addition to the contribution amount, you have to pay : Service tax (if any) : 6% of Contribution Stamp duty : RM10.00 What is included in the contribution amount :- Wakalah Fees - Commissions : up to max. 10% of Contribution Management Expenses : 15% of Contribution What you have to pay if you cancel the Certificate :- Cancellation Fee : RM10.00 2

9) What are some of the key terms and conditions that I should be aware of? Importance of Disclosure You must disclose all material facts that you know or ought to know; otherwise your Takaful Certificate may be invalidated. You must ensure that the particulars of the foreign worker are fully completed and correct. You must inform the agent or us in writing on any inclusion and deletion of workers or any material changes during the Takaful Certificate period so that the necessary amendments are endorsed to your Takaful Certificate. Contribution Warranty Your Takaful Certificate is subject to Contribution Warranty. Please ensure to pay your Contribution within 60 days from the Takaful certificate inception date. Surplus The Company shall charge a Surplus Administration Charge (SAC) of 50% of the gross distributable surplus arising at the end of the financial year. However, the Company may at its discretion and where appropriate charge SAC less than 50% of the gross distributable surplus. Any net distributable surplus arising (after deducting the SAC) from the Risk Fund will be allocated in full (100%) to the Participant. If the amount due to Participant is less than RM10 per Certificate, the amount shall be retained in the Risk Fund. 10) What are the major exclusions under the certificate? This Takaful Certificate does not cover : any actions for compensation brought in the Courts of Law of any territory outside Malaysia. loss damage injury by Accident or disease directly occasioned by or happening through or in consequence of :- a) war invasion act of foreign enemy hostilities (whether war be declared or not) civil war mutiny rebellion revolution incurrection or military or usurped power. b) Any act of any person or persons acting on behalf of or in connection with any organization with activities directed towards the overthrow by forces of any de jure or de facto Government or to influencing of it by terrorism or violence. any loss damage injury or liability directly or indirectly caused by arising from or in consequence of or contributed to by a) ionising radiations or contaminations by radioactivity from any nuclear fuel or from any nuclear waste from the combustion of nuclear fuel. Solely for the purpose of this Exception combustion shall include any self-sustaining process of nuclear fission. b) nuclear weapons material. 11) Can I cancel my certificate? You may cancel your Takaful Certificate by giving written notice to us. Upon cancellation, you are entitled to a refund of the pro rata Contribution for the Period of the Takaful Certificate which has been in force. No refund of Contribution is allowed if there is a claim under the Takaful Certificate. 12) 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. 3

13) Where can I get further information? Should you require additional information about Foreign Worker Compensation Scheme, please refer to the insuranceinfo booklet on Foreign Worker Compensation Scheme, available at all our branches or you can obtain a copy from your Takaful intermediary or visit www.insuranceinfo.com.my Should you require additional information about IKHLAS Foreign Worker Compensation Scheme, please contact us at: Takaful IKHLAS Berhad Customer Relationship Management IKHLAS Point Tower 11A, Avenue 5 Bangsar South No. 8 Jalan Kerinchi 59200 Kuala Lumpur Telephone No: 03-2723 9999 Fax No: 03-2723 9998 Website : www.takaful-ikhlas.com.my E-mail: ikhlascare@takaful-ikhlas.com.my 14) Other similar types of cover available. IKHLAS Foreign Worker Takaful Guarantee Takaful IMPORTANT NOTE: YOU SHOULD ENSURE THAT YOUR PROPERTY IS COVERED AT THE APPROPRIATE AMOUNT AS IT WILL AFFECT THE AMOUNT YOU CAN CLAIM. YOU SHOULD READ AND UNDERSTAND THE TAKAFUL CERTIFICATE AND DISCUSS WITH THE AGENT OR CONTACT TAKAFUL OPERATOR DIRECTLY FOR MORE INFORMATION. The information provided in this disclosure sheet is valid as at 07/05/2014 4

{Versi Bahasa Malaysia} HELAIAN PENERANGAN PRODUK (Sila baca Lembaran Pendedahan Produk ini sebelum anda membuat keputusan memilih IKHLAS Foreign Worker Compensation Scheme Takaful. Pastikan juga anda telah membaca terma-terma dan syarat-syarat.) 1) Produk apakah ini? TAKAFUL IKHLAS BERHAD IKHLAS FOREIGN WORKER COMPENSATION SCHEME TAKAFUL Tarikh: 07/05/2014 Sekiranya anda mengambil masuk pekerja asing, anda dikehendaki mematuhi keperluan berkanun menurut undang-undang di bawah Seksyen 26 (2) Akta Pindaan 1996 bagi Akta Pampasan Pekerja 1952 untuk membeli Takaful ini bagi melindungi semua pekerja asing anda. 2) Apakah konsep Shariah yang digunapakai? Tabarru - bermaksud derma bagi tujuan perpaduan dan kerjasama di kalangan Peserta-peserta dan akan digunakan untuk membantu Peserta yang ditimpa musibah. Di dalam konteks Takaful IKHLAS, Tabarru akan diperuntukkan ke dalam Dana Risiko. Wakalah - bermaksud agensi. Di dalam konteks ini, ia merujuk kepada kontrak di antara Syarikat dan Peserta di mana Peserta melantik Syarikat untuk menguruskan dana bagi pihak Peserta, yang membenarkan Syarikat untuk mengenakan yuran Wakalah. Nota: Sila rujuk kepada Sijil kontrak Takaful untuk maklumat lanjut. 3) Apakah perlindungan/manfaat yang ditawarkan? Sijil Takaful ini menanggung kerugian anda di bawah Akta tersebut berhubung dengan pampasan ke atas kecederaan pekerjaan dan juga kecederaan bukan pekerjaan yang dialami oleh pekerja asing. Tempoh perlindungannya adalah selama satu tahun. Anda dikehendaki membaharui Sijil Takaful anda setiap tahun. Perlindungan Pampasan Pekerja Kematian akibat penyakit atau kemalangan pekerjaan yang berlaku semasa waktu bekerja; Kematian akibat kemalangan semasa bekerja Perbelanjaan pengebumian Hilang keupayaan menyeluruh kekal Hilang keupayaan sementara (Bayaran setengah bulan) Perbelanjaan Repatriasi Membayar kos pengangkutan untuk menghantar mayat pekerja yang mati atau pekerja yang hilang keupayaan menyeluruh kekal kembali ke negara asalnya. Had Indemniti RM18,000 atau 60 kali gaji bulanan, yang mana lebih rendah. RM18,000 atau 60 kali gaji bulanan, yang mana lebih rendah dan tambahan RM7,000 Maksimum RM1,000 jika pekerja yang mati tidak mempunyai tanggungan. RM23,000 atau 60 kali gaji bulanan, yang mana lebih rendah. RM165 atau 1/3 daripada gaji bulanan (maksimum 60 bulan), Berdasarkan perbelanjaan sebenar yang tertanggung atau RM4,800, yang mana lebih rendah. 5

Kemalangan diri (selepas waktu bekerja) Boleh dibayar berhubung dengan kecederaan diri atau kematian yang dialami dalam kemalangan yang berlaku selepas waktu bekerja Kematian atau hilang keupayaan kekal Hilang keupayaan separa kekal RM23,000 Berdasarkan RM23,000 yang dikira mengikut Akta (Pindaan) Pampasan Pekerja 1952. Mengikut Akta Pampasan Pekerja 1952 Mengikut Akta Pampasan Pekerja 1952 Hilang keupayaan sementara Perbelanjaan perubatan 4) Bolehkah Sijil Takaful ini dilanjutkan untuk melindungi pekerja asing di luar Malaysia? Tidak, Sijil Takaful ini terbatas kepada batasan geografi Malaysia dan tertakluk kepada kuasa undangundang Malaysia sahaja. 5) Bagaimana jika pekerja tersebut tidak mempunyai permit kerja yang sah? Sijil Takaful ini hanya melindungi pekerja asing yang diupah secara sah. 6) Bolehkah saya melanjutkan perlindungan Common Law di bawah Sijil Takaful ini? Tidak, anda tidak boleh melanjutkan perlindungan Common Law atau mana-mana jenis pelanjutan kerana perlindungan Sijil Takaful ini adalah dikawal oleh Pihak Berkuasa. 7). Berapakah sumbangan yang saya perlu bayar? Jumlah Sumbangan yang anda perlu bayar adalah bergantung kepada bilangan pekerja asing di bawah penggajian anda yang perlu diisytiharkan anda kepada pihak kami. Pihak kerajaan telah menetapkan RM67.00 sebagai Sumbangan dan RM5 sebagai bayaran perkhidmatan atas talian untuk setiap pekerja. Jadi, jumlah bayaran untuk setiap pekerja ialah RM72.00. Contohnya: Jika bilangan pekerja asing anda adalah 100 orang, maka RM72.00 x Bilangan pekerja = RM 7,200.00 Maka, jumlah Sumbangan tahunan yang anda perlu bayar ialah RM7,200.00 8) Apakah yuran dan caj yang perlu dibayar? Berikut adalah yuran dan bayaran yang dikenakan: Bayaran yang perlu dijelaskan disamping jumlah Sumbangan Cukai Perkhidmatan (jika ada) : 6% dari Sumbangan Duti Setem : RM10.00 Bayaran lain yang termasuk dalam jumlah sumbangan Fi Wakalah - Komisen : sehingga maksima 10% dari Sumbangan Perbelanjaan Pengurusan : 15% dari Sumbangan Bayaran yang perlu dijelaskan jika anda membatalkan Sijil ini :- Caj Pembatalan : RM10.00 6

9) Apakah terma dan syarat utama yang perlu diketahui? Kepentingan Pendedahan Anda mestilah mendedahkan semua fakta yang anda tahu atau patut tahu jika tidak, Sijil Takaful ini akan dianggap tidak sah. Anda harus memastikan semua butiran pekerja-pekerja asing diisikan dengan lengkap dan betul. Anda dikehendaki memberi notis bertulis kepada ejen atau pihak kami tentang mana-mana penambahan dan pengurangan pekerja atau apa-apa perubahan material dalam tempoh Sijil Takaful skeupayaan pindaan-pindaan yang wajar dapat diendorskan pada Sijil Takaful anda. Waranti Sumbangan Sijil Takaful anda adalah tertakluk kepada Waranti Sumbangan. Sila pastikan anda membayar Sumbangan anda dalam tempoh 60 hari dari tarikh Sijil Takaful mula berkuatkuasa. Lebihan Pihak Syarikat akan mengenakan Caj Pengurusan Lebihan (SAC) sebanyak 50% daripada lebihan boleh-agih kasar dari Dana Risiko pada setiap akhir tahun. Walau bagaimanapun, pihak Syarikat boleh mengenakan caj SAC kurang daripada 50% daripada lebihan boleh-agih kasar mengikut budi bicara dan kesesuaian. Sebarang lebihan boleh-agih bersih (selepas ditolak SAC) daripada Dana Risiko akan diperuntukkan seluruhnya (100%) kepada Peserta. Sekiranya jumlah untuk Peserta kurang daripada RM10 untuk setiap Sijil, jumlah tersebut akan terus disimpan di dalam Dana Risiko. 10) Apakah pengecualian utama yang terdapat di dalam Sijil ini? Sijil Takaful ini tidak melindungi: sebarang tindakan bagi mendapatkan pampasan yang dibuat di Mahkamah Undang-Undang di luar Malaysia. kerugian, kerosakan atau kecederaan disebabkan secara langsung atau tidak langsung oleh Kemalangan atau penyakit a) peperangan, pencerobohan, penentangan musuh asing, (samada peperangan diisytihar atau tidak), perang saudara, dahagi, pemberontakan, revolusi, penderhakaan, rampasan kuasa tentera b) tindakan seseorang atau seseorang bagi pihak atau berkaitan dengan mana-mana pertubuhan dengan tujuan menyingkirkan secara kekerasan kerajaan dejure atau defacto atau mempengaruhi dengan menggunakan kekejaman atau keganasan. sebarang kerugian, kerosakan atau liabiliti secara langsung atau tidak langsung disebabkan oleh a) radiasi ion atau pencemaran radioaktif dari bahan api nukleus atau dari sebarang bahan buangan nukleus dari pembakaran bahan api nukleus. Bagi tujuan pengecualian ini pembakaran termasuk proses pembelahan semulajadi nukleus. b) bahan senjata nuklear. Nota: Senarai ini bukannya senarai yang lengkap. Sila rujuk Sijil kontrak Takaful untuk senarai penuh bagi pengecualian di bawah Sijil Takaful ini. 11) Bolehkah saya membatalkan Sijil Takaful ini? Anda boleh membatalkan Sijil Takaful ini dengan memberi notis bertulis kepada pihak kami. Selepas pembatalan, anda layak mendapat pulangan Sumbangan untuk kadar pro-rata bagi tempoh Sijil Takaful yang telah berkuatkuasa. Tiada pulangan Sumbangan dibenarkan jika ada sebarang tuntutan di bawah Sijil Takaful ini. 7

12) Apakah yang perlu dilakukan sekiranya terdapat perubahan kepada maklumat untuk dihubungi? Adalah penting bagi anda untuk memaklumkan pihak kami tentang sebarang perubahan mengenai maklumat anda bagi memastikan semua surat-menyurat dapat disampaikan kepada anda tepat pada masanya. 13) Bagaimanakah saya boleh mendapatkan maklumat lanjut? Sekiranya anda memerlukan informasi tambahan mengenai Takaful Foreign Worker Compensation Scheme, sila rujuk kepada buku panduan info-takaful mengenai Takaful Foreign Worker Compensation Scheme yang boleh didapati dari semua cawangan kami atau dapatkan satu salinan daripada pengantara Takaful anda atau layari laman web www.insuranceinfo.com.my Sekiranya anda memerlukan informasi tambahan mengenai IKHLAS Foreign Worker Compensation Schem, sila hubungi kami di: Takaful IKHLAS Berhad Jabatan Pengurusan Pelanggan IKHLAS Point Tower 11A, Avenue 5 Bangsar South No. 8 Jalan Kerinchi 59200 Kuala Lumpur No. Telefon: 03-2723 9999 No. Faks: 03-2723 9998 Laman Web : www.takaful-ikhlas.com.my E-mel: ikhlascare@takaful-ikhlas.com.my 14) Produk seumpama yang boleh didapati? IKHLAS Takaful Foreign Worker Takaful Guarantee Takaful NOTA PENTING: ANDA HENDAKLAH MEMASTIKAN HARTA ANDA DILINDUNGI PADA JUMLAH YANG BERSESUAIAN MEMANDANGKAN IA AKAN MENJEJASKAN JUMLAH TUNTUTAN. ANDA PERLU MEMBACA DAN MEMAHAMI SIJIL TAKAFUL DAN BERBINCANG DENGAN EJEN ATAU HUBUNGI PENGENDALI TAKAFUL UNTUK MAKLUMAT LANJUT. Informasi yang disediakan dalam lembaran pendedahan ini adalah sah pada 07/05/2014 8