Introducing JEEVAN AROGYA Table 903: New Health Benefit Plan Health Insurance, Central Office, Hyderabad

Comprehensive insurance for an entry level car in India is approximately Rs.12000/- and goes up to Rs.20000/- for mid level cars Comprehensive insurance for a motorcycle is approximately Rs.1500/-

That is all it takes for you and your family to be free from all hospitalization worries every year with LIC’s Jeevan Arogya YES Total family hospitalization & surgical insurance for the price of your car insurance… Because we believe you love your family more than your vehicle A little bit

Special Attractions Benefit payout is fixed irrespective of actual expenses incurred. Can be availed along with Medi-claim for the same Hospitalization/ Surgery On the basis of Xerox copies of Bills Guaranteed Premium for 3 years. Auto Renewal Date (ARD) after each 3 Yrs to revisit Premium depending on experience. New Premium rate applicable on age at entry 4

Special Attractions 1.Hospitalization Cash Benefit (HCB) : Rs.1000, 2000, 3000, 4000 PER DAY Up to Rs per day for maximum no. of 720 days Up to Rs per day for max. no. of 360 days in ICU 2. Major Surgical Benefit (MSB) :100 times HCB/ADB No of Surgeries increased to 140 MSB available for Minors also MSB Benefit is in addition to MSB under Plan 901/ Day Care Procedures (DCPB) : 5 times HCB/ADB Addition of 140 Surgeries, 3 in a year, 24 in life-time 4. Other Surgical Benefit (OSB) : 2 times HCB/ADB All other Surgeries covered

6 USPs Other Benefits : 5. Premium Waiver Benefit : One annualized premium w.e.f next instalment Premium following Surgery PWB under 57 Surgeries (15 Surgeries 100% % S.A.) 6. Ambulance Rs.1000 p.a per person for 57 Surgeries (15 Surgeries 100% % S.A.) 7. Auto 5% in both HCB & MSB up to 50% even if there is any claim to take care of inflation

7 USPs 8. Quick Cash : 50% Advance Payment under 57 Surgeries (15 Surgeries 100% % S.A under MSB only) Performed in Net Work Hospitals 9. No Claim Benefit 5% of Initial HCB on ARD is added without any upper limit 10. Term Assurance & Accident Benefit Riders : (Optional ) Up to 25/ 50 lacs respectively till age 60 years Maximum term 35 years. S.A.= MSB S.A. Minimum S.A. for Term Rs.1 lac, For A.B. Rs.25,000

Special Attractions Age at entry for PI and Spouse from 18 to 65 Yrs For Parents/ Parents-in-laws 18 to 75 Yrs For Children 91 days to 17 Yrs Maximum Health cover for every one up to 80 Yrs Except up to max. 25 Yrs for dependent Children Risk cover up to 4 lacs per insured Subject to overall limit of 10 lacs (All our Health Policies put together) 8

HCB limits for each Insured P.I As per his/her choice Spouse < or = P.I Children < or = Spouse / < or = P.I if no spouse Children to have equal HCB Parents < or = Insured Parents in law < = Insured Parents/ Parents in law to have equal HCB

10 HCB : Benefits at a glance HCB increases by 5% every year Up to1.5 times. Eg. Rs 1000/- after 1 Yr becomes Rs.1050 and in the 11 th Year becomes Rs.1500/-(Max) Hospitalization eligibility condition: Fraction of 4 Hours treated as a day First 28 hrs eligible for 1 day benefit First 24 hours : No benefit Exception: When hospital stay exceeds continuous period of 6 days and 4 hours, HCB for 7 days (including 1st day also) is allowed

11 HCB : Benefits at a glance Annual limit for each insured Maximum limit for each insured during entire policy term 1st policy year 30 days of hospitalization of which 15 days of ICU is allowed. subsequent years Each year- 90 days of hospitalization of which 45 days of ICU is allowed. 720 days. of which 360 days of ICU allowed

12 MSB- Benefits at a glance MSB allowed for 140 surgical procedures 100% SA 15, 60% SA 42, 40% SA 60, 20% SA 23 Annual Limit 100 times of HCB in a policy year (Max. 4 lacs) Life time Limit 800 times HCB in full policy term (Max. 32 lacs)

Day Care Procedure Benefit (DCPB) DCPB = 5 X HCB 140 Listed day care procedures 3 Day care Procedures per year 24 Day care Procedures in Policy Life time 13

Other Surgical Benefit (OSB) OSB = 2 x HCB Any surgery other than MSB, DCPB At least 24 hours stay in Hospital required Annual limit : 15 days in 1st policy year 45 days in each subsequent years Life time limit : 360 days per Insured 14

Term Assurance Benefit Rider  Minimum Term Assurance SA : Rs. 1,00,000  Maximum Term Assurance SA : Equal to initial MSB-SA (i.e.,100 X HCB )  Term Assurance SA : in multiples of Rs.25000/- 15 Minimum Entry Age18 Yrs completed Maximum Entry Age50 Yrs (NBD) Maximum age for cover60 Yrs (NBD) Maximum Term35 Years

Accident Benefit Rider This benefit available if Term Assurance Benefit rider opted  Minimum Benefit : Rs. 25,000  Maximum Benefit : Equal to initial MSB-SA ( i.e.,100 X HCB)  AB Sum Assured shall be in multiples of Rs.5000/- 16 Minimum Entry Age18 Yrs completed Maximum Entry Age50 Yrs completed Maximum age for cover60 Yrs completed Maximum Term35 Years

Quick Cash facility Advance 50% of MSB amount to PI Category I or II Surgeries Hospitalized in a ‘Net work’ Hospital PI/ Relative informs LIC/TPA TPA processes request/ advices LIC on payment LIC credits eligible amount to PI Bank account 17

Ambulance charges Rs. 1000/- reimbursed per insured per Year towards Ambulance charges Ambulance charges incurred for transportation of the insured to undergo Major Surgeries under category 1 or 2 18

No Claim Benefit  During the period between two Automatic Renewal Dates or from DOC to next Automatic Renewal Date, if there are no claims in respect of any insured, No claim Benefit is payable  No claim benefit would be equal to 5% of initial Daily Benefit  Effective from the immediately following automatic renewal date 19

20 USPs  Premium rate may be reviewed for every 3 years  If revised, the new rate corresponding to the age at entry of each insured will be the new premium

21 Illustration-1 Example PI takes a Policy in 2011 Age of PI in 2011 = 36 If premium revised in 2014 The new premium rate of PI will be the revised premium corresponding to age 36 in the new table.

Rebates available on Tabular premiums Mode Rebate Rebate for HCB Opted HlyYly 2000 HCB3000HCB4000HCB PIothersPIothersPIothers 1%2%Rs.500Rs.250Rs.1000Rs.500Rs.1500Rs

23 Addition of members Condition When to include The cover starts from Marriage/remarriage of the Principal Insured after DOC Within 1 Year from the date of marriage The following policy anniversary A Child born or Legally adopted child after DOC Health Cover starts from the policy anniversary falling immediately after the child completes 3 months Legally adopted child is more than 3 months old From the policy anniversary falling after date of adoption  New members must be included by the Principal Insured only. No new members will be allowed after the death of the principal insured.

24 The policy lapses… When premium is not paid within days of grace, the policy lapses and no benefits will be payable there after. Policy can be revived within 2 years from the date of first unpaid premium subject to payment of outstanding premiums with interest and underwriting. Others : Loan Facility is not there Assignment facility is not there

25 The waiting Period for availing the benefits……………….  0 days for accident claims  90 days from the Date of Commencement for HCB & MSB  45 days after revival, if revived within 90 days from FUP of the policy. for Hospital Cash Benefit and Major Surgical Benefit  90 days if revived after 90 days from FU P

26 Nature of Benefit 1st Pol Year (Rs) 2nd Pol Year (Rs) Max. eligible During the Policy term (Rs) Hospital Cash Benefit (HCB) including ICU Benefit 45,0001,41,75016,20,000 Major Surgical Benefit (MSB) 1,00,0001,05,00012,00,000 Other Surgeries Benefit (OSB) 30,00094,50010,80,000 Day Care Procedure Benefit (DCPB) 15,00015,7501,80,000 Maximum Benefit under the policy per insured 40,80,000 Ambulance Charges incurred Rs.1000/- per insured per year Premium Waiver Benefit One Year Premium No Claim Benefit Increase in HCB by 5% Benefit Illustration – for HCB 1000

27 Total Premium (Rs.)Total Maximum Benefits(Rs) Insured/ Age/ Term 4000 HCB 1. Male-PI-45/35 3,90,622 (4 lacs)1,68,72,000 (1.7 cr.) 2. Spouse-40/35 2,81,1601,68,72, Son-17/8 22,9831,21,92, Daughter-10/15 36,5161,59,20, Parent1-70/10 2,34,1461,43,48, Parent2-65/15 2,16,9001,59,20, Parent inlaw M-65/15 3,06,2081,59,20, Parent inlaw F-60/20 2,62,2931,59,20,000 Total Premium Paid Rs.17,50,829 Less IT Rebate Rs.2,47,163 Net Premium Paid / Total Maximum Benefits Rs.15,03,666 Rs.12,39,64,000 Total Premium/ Benefit Rs.15 lacsRs.12.5 crore Cost/ Benefit Illustration : 8 lives

28 Benefits during the policy term for a HCB of Rs.2000/- BenefitLICICICI Daily Hospital Cash Benefit (including. ICU benefit) 90,000 1 st yr 1,80,000/year 2,83,500 2 nd Yr Major Surgical Benefit MSB40,000 to 2 lacs20,000 to 3 lacs Day Care Procedure Benefit DCPB 30,000 1st yr--- Other Surgical Benefit 60,000 1 st yr --- 1,89,000 2 nd yr Non Surgical Benefit--2000/day (Max8000) Recuperative benefit Prolonged stay benefit / day after 30days of Hospital stay Health check up benefit (Total for all insured in the policy term) Benefit Comparison with ICICI Prudential Hospital Care II

29 Benefits during the policy term for a HCB of Rs.2000/- BenefitLICICICI Maximum per annum 3,80,000 1 st yr 8,00,000 7,14,000 2 nd Yr Benefits in the policy term 81,60,00040,00,000 Ambulance charges (extra) 1000/member/yr--- Additional Benefits PWB, AB rider, No such facilities Death Benefit rider Benefit comparison with ICICI Prudential Hospital Care II

Product Positioning Vis-à-vis Medi-claim As no Maturity/ Saving/ Unit Investment/ Withdrawal element Long term up to 80 yrs cover Auto Renewal Premium after each 3 years applicable on age at entry throughout term of policy Market Segment :Everyone & Anyone 30

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