One always needs support during bad times. LIC’s New Critical Illness Benefit Rider is a non- linked rider which provides aid in the form of financial assistance by reducing burden on the as-sured if he/she is diagnosed as suffering with any pre specified critical illness. This rider can only be attached to non-linked plans, at the time commencement of the base policy. LIC’s Critical Illness Benefit Rider offers an add-on benefit to the base plan.
Now let’s have a look at the plans to which this rider can be added;
LIC's New Endowment Plan (Table No 814)
LIC's New Jeevan Anand (Table 815)
LIC's New Money back Plans (Table 820 and 821)
LIC's Jeevan Pragathi
LIC's Limited Payment Endowment Plan
LIC's Jeevan Labh (Table 836)
The critical illness sum assured is paid on the first diagnosis of any one of the 1 critical illness mentioned below. The critical illness rider is only paid once during the term of the policy while the policy is in force. Once the Critical Illness Sum Assured has been the rider is no more applicable.
Critical Illnesses covered under this plan are:
Cancer of specified severity: in this policy particular types of cancer is covered including leukemia, lymphoma and sarcoma.
The following are excluded –
All tumors which are histologically described as carcinoma in situ, benign, pre-malignant, borderline malignant, low malignant potential, neoplasm of unknown behavior, or non-invasive, including but not limited to: Carcinoma in situ of breasts, Cervical dysplasia CIN-1, CIN -2 and CIN-3.
Any non-melanoma skin carcinoma unless there is evidence of metastases to lymph nodes or beyond;
Malignant melanoma that has not caused invasion beyond the epidermis;
All tumors of the prostate unless histologically classified as having a Gleason score greater than 6 or having progressed to at least clinical TNM classification T2N0M0.
All Thyroid cancers histologically classified as T1N0M0 (TNM Classification) or below;
Chronic lymphocytic leukaemia less than RAI stage 3.
Non-invasive papillary cancer of the bladder histologically described as TaN0M0 or of a lesser classification,
All Gastro-Intestinal Stromal Tumors histologically classified as T1N0M0 (TNM Classification) or below and with mitotic count of less than or equal to 5/50 HPFs;
All tumors in the presence of HIV infection.
Open Chest CABG: it includes actual undergoing of heart surgery to correct blockage.
The following are excluded –
Angioplasty and/or any other intra-arterial procedures.
Myocardial infraction: The first occurrence of heart attack or myocardial infarction, which means the death of a portion of the heart muscle as a result of inadequate blood supply to the relevant area. The diagnosis for Myocardial Infarction should be evidenced by all of the following criteria:
A history of typical clinical symptoms consistent with the diagnosis of acute myocardial infarc-tion (For e.g. typical chest pain).
New characteristic electrocardiogram changes.
of infarction specific enzymes, Troponins or other specific biochemical markers
The following are excluded-
Other acute Coronary Syndromes
Any type of angina pectoris.
A rise in cardiac biomarkers or Troponin T or I in absence of overt ischemic heart disease OR following an intra-arterial cardiac procedure.
Kidney failure requiring regular dialysis: only considering irreversible failure of both the kidneys. Diagnosis has to be confirmed by a specialist medical practitioner.
Major organ or bone marrow transplant: Includes Heart, lung, liver, kidney, pancreas which has irreversible end stage failure, Human bone marrow using haematopoietic stem cells.
Excludes: Other stem cell transplants.
Strokes resulting in permanent symptoms: This includes infarction of brain tissue, thrombosis in an intracranial vessel, haemorrhage and embolisation from an extracranial source.
The following are excluded:
Transient ischemic attacks (TIA).
Traumatic injury of the brain.
Vascular disease affecting only the eye or optic nerve or vestibular functions.
Permanent paralysis of limbs: Total and irreversible loss of use of two or more limbs as a result of injury or disease of the brain or spinal cord.
Multiple sclerosis with resisting symptoms: it includes unequivocal diagnosis of Definite Multiple Sclerosis. Other causes of neurological damage such as SLE and HIV are excluded.
Aortic surgery: The actual undergoing of major surgery to repair or correct an aneurysm. Surgery performed using only minimally invasive or intra-arterial techniques are excluded.
Primary (Idiopathic) Pulmonaryhypertension: An unequivocal diagnosis of Primary (Idiopathic) Pulmonary Hypertension by a Cardiologist or specialist in respiratorymedicine. Pulmonary hypertension associated with lung disease, chronic hypoventilation, pulmonary thromboembolic disease, drugs and toxins, diseases of the left side of the heart, congenital heart disease and any secondary cause are specifically excluded.
Alzheimer'sdisease/dementia: Deterioration or loss of intellectual capacity.
The following are excluded:
Non-organic disease such as neurosis and psychiatric illnesses; and
Alcohol-related brain damage.
Blindness: total or permanent and irreversible loss of eyesight in both the eyes as a result of accident.
Third degree burns: There must be third-degree burns with scarring that cover at least 20% of the body's surface area.
Open heart replacement or repair of heart valves: The actual undergoing of open-heart valve surgery is to replace or repair one or more heart valves, as a consequence of defects in, abnormalities of, or disease-affected cardiac valve(s).
Benign brain tumour: Benign brain tumour is defined as a life threatening, non-cancerous tumour in the brain, cranial nerves or meninges within the skull.
The following conditions are excluded:
Cysts, Granulomas, malformations in the arteries or veins of the brain, hematomas, abscesses, pitui-tary tumours, tumours of skull bones and tumours of the spinal cord.
Minimum entry age for the rider is 18 years (completed).
Maximum entry age is 65 years (last birthday).
Minimum sum assured for the rider is Rs.1,00,000.
Maximum sum assured for the rider is an amount equal to sum assured on death as fixed by the base plan, which should not be exceeding the overall limit of Rs. 25,00,000 Critical Sum Assured.
Premium paying terms are same as under base plan, where regular premium policies range between 5-35years.
Limited premium policies: 5 to (policy term -1) years.
Policy term is same as under base plan, where regular premium policies are for 5 to 35 years and limited premium policies are for 10 to 35 years.
Maximum cover casing age for the rider is 75 years.
Policy payment mode: annually, half-yearly, quarterly, and monthly.
Form the date of commencement of the base policy which the rider is attached, the critical illness benefit rider rate are guaranteed for the first 5 years and later wards are revised depending on the Corporations experience under the rider.
Rebate for mode of premium payment is same as mentioned under the base plan and there is no high sum assured under this rider.
Revival of critical illness benefit rider can only be considered along with the revival of base policy. All the terms and conditions applicable for the base policy will also be applicable for the rider.
There is no paid-up for this rider.
No surrender value is available under this plan.
Any taxes imposed on critical illness benefit rider shall be as per tax laws and the rate of tax appli-cable from time to time.
Free look period
A free look period of 15 days is given to the policyholder from the date of inception of policy bond, in case the policyholder is not satisfied with the terms and conditions of the rider, he/she can return it stating the reasons of objections.
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