Critical Illness Insurance
Critical Illness Insurance – This policy is designed to pay the sum insured if, during the policy period, the insured is found to have a critical illness contracted during the period of insurance and survives such critical illness for at least 30 days from the date of its discovery.
Critical Illness shall mean one of the following suffered by the insured as long as it is shown in the schedule to be an operative event:
- Coronary Artery Bypass Graft Surgery
- Myocardial Infarction (Heart Attack)
- End Stage Renal Failure
- Major Organ Transplant
- Heart Valve Replacement Surgery
- End Stage Liver Disease
- Loss of Limbs
- Loss of Speech
- Major Burns
- Alzheimer’s Disease
- Parkinson’s Disease
- Multiple Sclerosis
- Any critical illness existing or for which the insured sought or received treatment prior to:
- The inception date of the first policy of a series of critical illness policies taken by the insured from the company without any break, where this insurance is shown in the schedule to be an annual contract or a longer-term contract.
- The inception date of this policy, where this insurance is shown in the schedule to be an annual contract and either:
- This is the insured’s first critical illness policy taken from the company or
- There has been a break between this critical illness policy being taken and an earlier critical illness policy having expired
- Any critical illness discovered or discoverable within 90 days of the inception date of the policy. But this exclusion shall not apply to the second or subsequent critical illness policy taken by the insured from the company without any break.
- Congenital external illness or defects or anomalies, intentional self-injury and the use or misuse of intoxication, liquor or drugs.
- Pregnancy and childbirth.
- Conditions commonly referred to as AIDS.
When and how to stake a claim under the critical illness policy?
It is a condition precedent to the company’s liability that upon the discovery of any event of critical illness, the insured shall:
- Give the company notice in writing to the address shown on the schedule within 21 days from the date of discovery.
- Promptly give the company any and all information and documentation concerning the claim or the company’s liability for it.
- If asked to by the company, submit to a medical examination by the company’s own doctor as often as the company considers necessary.