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| Life Insurance> Group Insurance > Kotak Group Shield |
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| Overview |
| You have helped your customers realize their dreams; be it in supporting them to create wealth / assets and provide various financial solutions to best fulfill their needs. Your solutions have helped them build their home, provide for their children’s education or provide them other attractive 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 Shield is a comprehensive solution 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 level 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 Shield |
 Protection against a loan liability
Kotak Group Shield provides a cover that is equal to the loan amount. This Sum Assured will be paid to you on the death of the customer to the extent of the loan amount and the balance, if any, will be paid to the nominee. It not only gives the customer peace of mind by relieving the customer’s family of the loan liability, but also, eliminates your 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 targeted savings amount of the deposits, 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) and Systematic Investment Plan (SIP) where the total of the installments of RDs / SIPs are reimbursed in a lump sum in case the insured customer befalls an unfortunate event. Joint borrowers will also be considered for this plan. |
 Comprehensive solution
Kotak Group Shield provides protection not only in case of death of the customer but also in case of other unfortunate events like: |
- Disability
- Critical Illness
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| Plan options available with Kotak Group Shield |
There are four options available with Kotak Group Shield. These options provide different benefits to suit various customer needs.
Easy Group Shield
This is a simple group level cover term plan in which the Sum Assured will be paid in the unfortunate event of death of the insured customer |
Group Shield
This is a group level 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 that is likely to culminate in death within a year.
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Group Shield plus Disability Benefit
This is a group level 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 Shield plus Critical Illness Benefit*
This is a group level cover term plan that also provides terminal illness cover(a) plus a critical illness benefit that covers 12 critical illnesses (c). 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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| Joint Life Option |
| Kotak Group Shield also has the option of joint life coverage. Under this option the life coverage would be offered to a maximum of two lives when there is an insurable interest between the two lives. Benefit payable under the joint life option would be as following: |
| Option |
Event on which Benefit becomes payable |
| Easy Group Shield |
On the first Death out of the two lives |
| Group Shield |
On Death or Terminal Illness (whichever occurs first) of any of the two lives |
| Group Shield plus Disability Benefit |
On Death or Terminal Illness or Accidental Permanent Disability (whichever occurs first) of any of the two lives |
| Group Shield 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 loan cancelled from inception, foreclosure of the loan / savings instrument or transfer of loan to another Company / Financial Institution, the surrender value will be paid. Surrender value will be calculated as follows: |
| Surrender Value (unamortized premium) in case of surrender within the free look 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) - 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 |
| Where ** “Term to next premium payment” means the number of days until the client is due to pay another premium; “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: |
In case of Single premiums
Surrender Value =75% × Single premium
x (1 – [1 / Cover term] )× (Outstanding Cover Term/Cover Term)
- processing charges |
In case of Regular premiums
No Surrender value is available. |
| These policies acquire no paid-up values or loan values. |
| * The free look 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 Shield
Group Shield |
Group Shield plus Disability Benefit
Group Shield plus Critical Illness Benefit |
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 |
For Easy
Group Shield
Minimum: 1 year
Maximum: 30 years
For Group Shield
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 Shield
Minimum : Rs 5,000
Maximum : No limit
For Group Shield
Minimum : Rs 25,000
Maximum : No limit |
For Group Shield plus Disability Benefit
Minimum: Rs. 25,000
Maximum: No limit
For Group Shield plus Critical Ilness Benefit
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. 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 (which is likely to culminate in death within a year – to be certified by the treating specialist), 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.
- 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 plan will stand terminated.
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Exclusions
No benefits will be payable under group life insurance 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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| (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 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.
- No benefits will be payable if the Life Insured is not available for medical examination or other reasonable tests in India to confirm the occurrence of an insured event
- 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) 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 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 group insurance 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.
Policy not to be called in question on ground of mis-statement after two years |
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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 calf 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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| About Us |
| Kotak Mahindra Old Mutual Life Insurance Ltd. |
| http://insurance.kotak.com |
| Kotak Mahindra Old Mutual Life Insurance Ltd is a 74:26 joint venture between Kotak Mahindra Bank Ltd., its affiliates and Old Mutual plc. A Company that combines its international strengths and local advantages to offer its customers a wide range of innovative life insurance products, helping them take important financial decisions at every stage in life and stay financially independent. |
| The Kotak Mahindra Group |
| www.kotak.com |
| Kotak Mahindra is one of India's leading banking and financial services organizations, offering a wide range of financial services that encompass every sphere of life. From commercial banking, to stock broking, to mutual funds, to life insurance, to investment banking, the group caters to the diverse financial needs of individuals and corporate sector. The group has a net worth of over Rs.79 billion and has a distribution network of branches, franchisees, representative offices and satellite offices across cities and towns in India, and offices in New York, London, San Francisco, Dubai, Mauritius and Singapore servicing around 7 million customer accounts. |
| Old Mutual plc |
| www.oldmutual.com |
| Old Mutual plc is an international long-term savings, protection and investment Group. Originating in South Africa in 1845, the Group provides life assurance, asset management, banking and general insurance in Europe, the Americas, Africa and Asia. Old Mutual plc is listed on the London Stock Exchange and the JSE, among others. |
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| Numbers as on 14th June 2010 |
| Kotak Group Shield – UIN 107N050V02, Form No: N050 Ref No: KLI/10-11/P-PB/158 |
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. |
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