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| Life Insurance> Group Insurance > Kotak Group Assure Plan |
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| Overview |
| You have helped your customers realize their dreams; be it in supporting them to build their home, providing for their children's education, creating assets or providing other attractive credit and savings options. The easy financing terms, simplified documentation and flexible options that you offer them, bring along the responsibility of repaying the scheduled installments. As a distinguished and esteemed financial institution, you can show your concern for your customers' needs by supporting their responsibilities. |
| Kotak Group Assure is one of the group insurance plans that helps protect your customer's assets and savings in the unfortunate event of death, illness or disability. To your institution, it reduces the risk of default and provides financial security thereby enabling you to enjoy a competitive advantage. |
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| This is a reducing cover term plan that offers the following advantages: |
 Advantages
to you |
- Ensuring against non-repayment of loans due to death, illness and disability
- Various plan options ensure that you can satisfy all customers
- High non-medical underwriting limits
- Ease in getting Group Insurance
- Financial security to customer’s family creates loyalty towards you
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| Advantages
to your customer |
- Peace of mind since loans / targeted savings are covered
- Comprehensive coverage with additional benefits
- Easy and hassle-free signing-up
- High non-medical underwriting limits - Advantage of getting benefits of a Group insurance structure
- Convenient Premium Payment Options
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| Benefits of Kotak Group Assure |
 Protection against a loan liability
Kotak Group Assure is a group insurance policy that provides a cover that is equal to the outstanding balance of the loan amount as at the end of the date of death. This Sum Assured will be paid to you on the death of the customer to the extent of the outstanding loan amount and the balance, if any, will be entrusted to you for payment to the nominee. It not only gives peace of mind by relieving the customer's family of the loan liability, but also, eliminates the risk of non-repayment due to death. |
 Protection of a targeted savings amount
This plan may be used by depositors as well. In this case, the Sum Assured, which is the difference between the targeted savings amount of the deposits and the accumulated value of the deposit as at the end of the month of death, will be paid to the nominee, in case the insured customer befalls an unfortunate event. |
| The plan may also be used by investors of Fixed Deposit (FDs) or Recurring Deposits (RD) Systematic Investment Plan (SIP) and Collective Investments Vehicles (Mutual Funds etc.) where the outstanding installments of RDs / SIPs/CIVs as at the end of the month of death are reimbursed in a lump sum in case the insured customer befalls an unfortunate event. |
 Comprehensive solution
Kotak Group Assure is one of the group insurance plans which provide protection not only in case of death of the customer but also in case of other unfortunate events like: |
- Disability - temporary and permanent
- Inability to perform daily tasks
- Critical Illness
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| Plan options available with Kotak Group Assure |
Easy Group Assure
This is a simple group reducing cover term plan in which the Sum Assured will be paid in the unfortunate event of death of the insured customer |
Group Assure
This is a group reducing cover term plan that also provides terminal illness cover (a). The benefits of this plan are as follows: |
- The Sum Assured will be paid in the unfortunate event of death of the insured customer
- In case the insured customer is diagnosed with a terminal illness, the Sum Assured as on that date is paid to the customer. Terminal Illness is a non-correctable/non-curable medical condition or a non-response to specific disease therapy.
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Group Assure plus Disability Benefit
This is a group reducing cover term plan that also provides terminal illness cover (a) plus a permanent accidental disability benefit (b). This benefit is payable on either of the two conditions: |
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| The benefits of this plan are as follows: |
- The Sum Assured will be paid in the unfortunate event of death of the insured customer
- In case the insured customer is diagnosed with a terminal illness, the Sum Assured as on that date, is paid to the customer
- In case the insured is permanently unable to carry out a reasonable occupation or is physically impaired due to an accident, the Sum Assured will be paid.
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 Group Assure plus Critical Illness Benefit*
This is a group reducing cover term plan that also provides terminal illness cover(a) plus a critical illness benefit (c) that covers 12 critical illnesses. Diseases covered under this plan are: |
- Major Heart Attack (MI)
- Cancer
- Stroke
- Coronary Artery By-Pass Graft Surgery (CABG)
- Kidney failure
- Major organ transplant
- Paralysis
- Loss of limbs
- Aorta surgery
- Major burns
- Heart valve surgery
- Blindness
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| The benefits of this plan are as follows: |
- The Sum Assured will be paid in the unfortunate event of death of the insured customer
- In case the insured customer is diagnosed with a terminal illness, the Sum Assured as on that date, is paid to the customer.
- In case the insured customer is diagnosed with any of the specified 12 major diseases mentioned above, the Sum Assured will be paid.
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 Group Assure plus Daily Task Benefit
This is a group reducing cover term plan that also provides terminal illness cover(a) plus a daily task benefit (d) that provides cover if the insured customer is unable to perform certain daily tasks. |
| Daily Task Benefit will be applicable in the following conditions: |
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| This group insurance plan offers the following benefits |
- The Sum Assured will be paid in the unfortunate event of death of the insured customer
- In case the insured customer is diagnosed with a terminal illness, the Sum Assured as on that date is paid to the customer.
- If the insured customer becomes permanently functionally impaired and is unable to perform his/her daily activities like standing, walking, lifting etc., the sum assured will be paid. If the disability is diagnosed to be temporary in nature, originally scheduled installments for the loan, will be paid, as they fall due until the life insured recovers, or until 12 months from the date of claim event, whichever is earlier.
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 Group Assure plus Complete Disability Benefit
This is a group reducing cover term plan that also provides terminal illness cover (a) plus a temporary and permanent disability benefit (e). This plan offers the following benefits |
- The Sum Assured will be paid in the unfortunate even of death of the insured customer
- In case the insured customer is diagnosed with a terminal illness, the Sum Assured as on that date is paid to the customer.
- In case the insured is permanently unable to carry out a reasonable occupation or is physically impaired due to an accident this benefit becomes payable. If the disability is diagnosed to be temporary in nature, originally scheduled installments for the loan, will be paid, as they fall due until the life insured recovers, or until 12 months from the date of claim event, whichever is earlier.
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| *Available only with Home, Mortgage and Property Loan Covers |
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| Joint Life |
| The joint life coverage would be offered to a maximum of two lives (only where there is an insurable interest between the lives). The Joint Life option is available only for Easy Group Assure, Group Assure, Group Assure plus Disability Benefit and Group Assure plus Critical Illness Benefit options. |
| Option |
Event on which Benefit becomes payable |
| Easy Group Assure |
On the first Death out of the two lives |
| Group Assure |
On Death or Terminal Illness (whichever occurs first) of any of the two lives |
| Group Assure plus Disability Benefit |
On Death or Terminal Illness or Accidental Permanent Disability (whichever occurs first) of any of the two lives |
| Group Assure plus Critical Illness Benefit |
On Death or Terminal Illness or Critical Illness (whichever occurs first) of any of the two lives |
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| Surrender
Benefit |
| In case of cancellation of loan from inception/foreclosure of the loan / savings instrument or transfer of loan to another Company / Financial Institution, the surrender value will be paid for Single Premium policies. Surrender value will be calculated as follows: |
Surrender Value (unamortized premium) in case of surrender within the freelook period*, i.e. cancellation (or natural death within lien period) would be:
- In case of Single premiums:
Surrender Value = Single premium (net of service tax) × (Outstanding Cover Term/Cover Term)× (Outstanding Amount/Total Amount) - processing charges
- In case of Regular premiums,
Surrender Value = Regular premium (net of service tax) × (Term to next Premium Payment /Term between Premium Payments) × (Outstanding Amount/Total Amount) - processing charges
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| Where "Term to next premium payment" means the number of days until the client is due to pay another premium; and “Term between premium payments” means the number of days between scheduled premium payments |
Surrender Value in case of surrender after the free look period* would be calculated assuming that surrender has taken place at the end of 1st policy year :
- In case of Single premiums:
Surrender Value = 75% × Single premium x (1- [1 / Cover term] ) × (Outstanding Cover Term/Cover Term) × (Outstanding Amount/Total Amount) - processing charges
- In case of Regular premiums,
No Surrender value is available.
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| These policies acquire no paid-up values or loan values. |
| * The freelook period allows for the borrower to cancel the loan from inception. This must be notified to the Policyholder within 30 days of the borrower receiving the COI. |
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| Tax
Benefit |
| As per existing tax laws, premium paid by the financial institution could be considered as part of business expenses and may be tax deductible. |
| As per existing tax laws, any premium paid by a customer in his/her capacity as an individual will be eligible for tax deduction under section 80C of the Income Tax Act, 1961. Benefits received by the customer’s nominee are tax free under section 10(10 D) of the Income Tax Act, 1961. |
| Tax benefits are subject to change in tax laws. You are advised to consult your tax advisor for details. |
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| Eligibility
criteria |
| Individual borrowers and investors / co-borrowers / co-investors of your institution can be covered under this plan. |
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Eligibility |
Easy Group Assure
Group Assure |
Group Assure plus Disability Benefit
Group Assure plus Critical Illness Benefit
Group Assure plus Daily Task Benefit
Group Assure plus Complete Disability Benefit
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Entry Age
(last birthday) |
Minimum : 15 years
Maximum : 74 years |
Minimum : 18 years
Maximum : 64 years |
Cover Cease Age
(last birthday) |
Maximum : 75 years |
Maximum : 65 years |
| Cover Term |
Minimum : 1 years
Maximum : 30 years |
Minimum : 1 years
Maximum : 30 years |
| Premium Payment Term |
Regular: Full policy Term
Single Premium |
Regular: Full policy Term
Single Premium |
| Sum Assured |
For Easy Group Assure:
Minimum : Rs 5,000
Maximum : No limit
For Group Assure:
Minimum : Rs 25,000
Maximum : No limit |
For Group Assure plus Disability Benefit
Minimum: Rs. 25,000
Maximum: No limit
For other options:
Minimum : Rs 100,000
Maximum: No limit |
| Group Size |
Minimum: 50 |
Minimum: 50 |
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| Terms and Conditions of the Benefits provided |
| (a) Terminal Illness Benefit |
| Conditions |
- The medical illness has been exhaustively investigated, diagnosed and treated by specialists in that faculty, and at the end of the treatment, the attending medical experts have opined that the disease is incurable, and only supportive / empirical therapy can be offered and it is likely to culminate in death within a year. A certificate from the treating specialist confirming this condition is required.
- Where the life insured is an employee of a company, the employer (company) is required to certify that the life insured (employee) has not been able to fulfill the daily requirements of his/her job continuously during the last two months in view of his terminal illness immediately prior to the date of intimation of Terminal Illness to Kotak Life. Where the life insured is self-employed, he/she should provide suitable supporting evidence of inability to work as defined above to Kotak Life. Where the life insured is self employed, he/she should provide suitable supporting evidence of inability to work as defined above to Kotak Life Insurance.
- On payment of this benefit, the other benefits of the plan will stand terminated.
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| Exclusions |
- Terminal Illness diagnosis in the presence of HIV infection is excluded
- Self inflicted injuries or attempted suicide within the one year from the commencement of member cover/ date of revival of member cover.
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| (b) Disability Benefit |
| Conditions |
- There will be a waiting period of 180 days applicable from the date of accident and the disability should be continuous during the waiting period.
- On payment of this benefit, the other benefits of the group insurance plan will stand terminated.
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Exclusions
No benefits will be payable under this group life insurance policy if a claim or event suffered by the Life Insured is directly or indirectly caused or exacerbated as a result of any of the following: |
- Activities like Extreme climbing (soloing), Ice climbing, Extreme altitude climbing – above 6 000 m, Cave diving, Internal exploration of wrecks, Diving at depths greater than 30 m, Motorized racing (speed contests) , Boxing (including kick boxing), Base jumping, Sky surfing, Aerobatic flying, Parasailing , Employment as a mine-blaster
- Undisclosed recurrent participation in the following risky activities like Piloting any aircraft, Ballooning, Parachuting without a static line, Hang gliding, Paragliding and Rock climbing
- War or hostilities (whether war be declared or not), civil war, rebellion, revolution, civil unrest or riot, participation in any armed force or peace keeping activities, an act of any person acting on their own or on behalf of or in connection with any group or organization to influence by force any group, corporation or government by terrorism, kidnapping or attempted kidnapping, attack, assault, or any other violent means.
- Self inflicted injuries, suicide, insanity, and immorality, and deliberate participation of the life insured in an illegal or criminal act.
- Nuclear fusion, nuclear fission, nuclear waste or any radioactive or ionizing radiation.
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| (c) Critical Illness Benefit |
Conditions
No benefits will be payable in the following conditions: |
- If the condition is diagnosed within 120 days (lien period) after the risk commencement date or the date of any reinstatement.
- For any pre-existing diseases unless specifically mentioned in the Proposal Form and accepted by the Company and endorsed thereon.
- On payment of this benefit, the other benefits of the group insurance plan will stand terminated.
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Exclusions
No benefits will be payable for any event which is a direct or indirect result of a condition which was not disclosed in the life insured’s application for insurance, and for which, prior to the Risk Commencement Date: |
- Medical advice or treatment was recommended or given by a health professional; or
- Evidence of the event existed which would cause a reasonable person to seek diagnosis, care or treatment from a health professional.
- Unreasonable failure to seek or follow medical advice.
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| No benefit will be payable if the life insured is un-willing to be examined by a Medical Examiner nominated by the Company. |
| No benefits will be payable under this Policy if a claim or event suffered by the Life Insured is directly or indirectly attributed to or exacerbated as a result of any of the following: |
- War or hostilities (whether war be declared or not), civil war, rebellion, revolution, civil unrest or riot, participation in any armed force or peace keeping activities, an act of any person acting on their own or on behalf of or in connection with any group or organization to influence by force any group, corporation or government by terrorism, kidnapping or attempted kidnapping, attack, assault, or any other violent means.
- Self inflicted injuries, suicide, insanity, and immorality, and deliberate participation of the life insured in an illegal or criminal act.
- Drug-taking other than under the direction of a qualified medical practitioner, abuse of alcohol or the taking of poison
- Should any of the covered conditions ever be deemed to be generally curable on the basis of genetic manipulation, substitution, deletion, vaccination or any other treatment medical or otherwise, such condition will no longer be valid.
- Infection with Human Immunodeficiency Virus (HIV) or conditions due to any Acquired Immune Deficiency Syndrome (AIDS).
- Nuclear fusion, nuclear fission, nuclear waste or any radioactive or ionizing radiation.
- Injuries or diseases arising from professional sports, racing of any kind, scuba-diving, aerial flights (including bungee-jumping, hang-gliding, ballooning, parachuting and skydiving) other than as a crew member or as a fare-paying passenger on a licensed carrying commercial aircraft operating in a regular scheduled route or any hazardous activities or sports unless agreed by special endorsement.
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| (d) Daily
Tasks Benefit |
Conditions
No benefits will be payable in the following conditions: |
- At the end of a 60 day waiting period, if the impairment is not established as permanent in nature, then a temporary benefit is paid. The temporary benefit will stop if the life insured recovers from the impairment or if the impairment is not deemed to be permanent in nature at the end of 12 months from the date of occurrence of the event. But the life insured is eligible for permanent functional impairment benefit in case of another functional impairment subject to waiting period of 180 days from date of occurrence of that impairment.
- If the functional impairment is established to be permanent in nature within 12 months from the date of occurrence of the event, the temporary benefit will cease and the Sum Assured under would be paid immediately.
- On payment of this benefit, the other benefits of the group insurance plan will stand terminated.
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Exclusions
No benefits will be payable under this Policy if a claim or event suffered by the Life Insured is directly or indirectly caused or exacerbated as a result of any of the following: |
- Activities like Extreme climbing (soloing), Ice climbing, Extreme altitude climbing – above 6 000 m, Cave diving, Internal exploration of wrecks, Diving at depths greater than 30 m, Motorized racing (speed contests) , Boxing (including kick boxing), Base jumping, Sky surfing, Aerobatic flying, Parasailing , Employment as a mine-blaster
- Undisclosed recurrent participation in the following risky activities like Piloting any aircraft, Ballooning, Parachuting without a static line, Hang gliding, Paragliding and Rock climbing
- War or hostilities (whether war be declared or not), civil war, rebellion, revolution, civil unrest or riot, participation in any armed force or peace keeping activities, an act of any person acting on their own or on behalf of or in connection with any group or organization to influence by force any group, corporation or government by terrorism, kidnapping or attempted kidnapping, attack, assault, or any other violent means.
- Self inflicted injuries, suicide, insanity, and immorality, and deliberate participation of the life insured in an illegal or criminal act.
- Nuclear fusion, nuclear fission, nuclear waste or any radioactive or ionizing radiation.
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| (e) Complete Disability Benefit |
Conditions
No benefits will be payable in the following conditions: |
- At the end of a 60 day waiting period, if the disability is not established as permanent in nature, then a temporary benefit is paid. The temporary benefit will stop if the life insured recovers from the disability or if the disability is not deemed to be permanent in nature at the end of 12 months from the date of occurrence of the event and will be eligible only for the permanent disability benefit in case of an another accident. The waiting period in this case will be 180 days from the date of the accident.
- If the disability is established to be permanent in nature within 12 months from the date of occurrence of the event, the Sum Assured would be paid immediately.
- On payment of this benefit, the other benefits of the group insurance plan will stand terminated.
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Exclusions
The Exclusions are the same as that of the Accidental Permanent Disability Benefit stated above. |
| (f) General Conditions |
- Suicide claim will not be covered for one year from the date of commencement of cover for individual insured customer or one year from the date of revival/ reinstatement. All references made to the loan/ savings instruments are implied to be as per the original schedule.
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| Free
Look Period |
| The Policyholder is offered a 15 days free look period, from the date of receipt of this policy. During this period the Policyholder may choose to reconsider his/her decision to hold this policy, or may choose to return the same within the said 15 days. Should the Policyholder choose to return the Policy, he/she shall then be entitled to a refund of the premium paid after adjustments for expenses for medical examination, stamp duty and proportionate risk premium for the period of cover. |
| Service Tax and Education Cess |
| Service Tax and education cess shall be levied on all applicable charges as per the prevailing tax laws and/or any other laws. In case of any statutory levies, cess, duties etc., as may be levied by the Government of India from time to time, the Company reserves its right to recover such statutory charges from the policyholder(s) either by increasing the premium and / or by reducing the benefits payable under the plan. |
| Section 41 of the Insurance Act, 1938 states: |
(1) No person shall allow or offer to allow, either directly or indirectly, as an inducement to any person to take or renew or continue an insurance in respect of any kind of risk relating to lives or property in India, any rebate of the whole or part of the commission payable or any rebate of the premium shown on the policy, nor shall any person taking out or renewing or continuing a policy accept any rebate, except such rebate as may be allowed in accordance with the published prospectuses or tables of the insurer:
Provided that acceptance by an insurance agent of commission in connection with a policy of life insurance taken out by himself on his own life shall not be deemed to be acceptance of a rebate of premium within the meaning of this sub section if at the time of such acceptance the insurance agent satisfies the prescribed conditions establishing that he is a bona fide insurance agent employed by the insurer.
(2) Any person making default in complying with the provisions of this section shall be punishable with fine which may extend to five hundred rupees |
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| Section 45 of the Insurance Act, 1938 states: |
No policy of life insurance effected before the commencement of this Act shall after the expiry of two years from the date of commencement of this Act and no policy of life insurance effected after the coming into force of this Act shall, after the expiry of two years from the date on which it was effected be called in question by an insurer on the ground that statement made in the proposal or in any report of a medical officer, or referee, or friend of the insured, or in any other document leading to the issue of the policy, was inaccurate or false, unless the insurer shows that such statement was on a material matter or suppressed facts which it was material to disclose and that it was fraudulently made by the policy holder and that the policy holder knew at the time of making it that the statement was false or that it suppressed facts which it was material to disclose:
Provided that nothing in this section shall prevent the insurer from calling for proof of age at any time if he is entitled to do so, and no policy shall be deemed to be called in question merely because the terms of the policy are adjusted on subsequent proof that the age of the life insured was incorrectly stated in the proposal. |
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| Kotak Group Assure – UIN:107N051V02 Ref No: KLI/10-11/E-PB/172 Form ID: N051 |
Regn. No.: 107,
Regd. Office:
Kotak Mahindra Old Mutual Life Insurance Ltd.
4th Floor, Vinay Bhavya Complex,
159 A, C.S.T. Road, Kalina,
Santacruz (East),
Mumbai - 400 098
Website: http://insurance.kotak.com
Email: lifeexpert@kotak.com.
SMS KLIFE to 5676788 Toll Free No. – 1800 209 8800 |
| Insurance is the subject matter of the solicitation. This is a non-participating term group plan. This document is not a contract of insurance and must be read in conjunction with the Policy Document. Hard copy of the information will be provided on request. |
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