Your New Healthcare

Your New Healthcare

Alarming health Realities... 

In 20 years, the elderly will outnumber the youth by a ratio 4:1

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Aging workforce is the biggest economic challenge over the next decades

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Heart disease is the number one cause of mortality in the Philippines

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Medical inflation hits nosebleed levels, 3-4 times economic inflation

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Cost of medicines in the Philippines is 600% higher than our neighboring Asian countries

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Health conditions in the Philippines remain among the poorest in East Asia

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More and more people die not because of no doctor or no medicine but because of money

Renewal not guaranteed if with high claims Renewal is guaranteed Yearly increase of premium Fixed premiums for 5 years Generally, no insurance coverage some provide insurance, but very low coverage With Four (4) Way Insurance Coverage up to the Long Term healthcare Plan:

a.

Term Life

b.

Accidental Death and Dismemberment

c.

Waiver of Installment due to death

d.

Waiver of Installment due to Permanent and Total Disability No accumulation of unused health fund All unused health fund accumulates with interest No return of premiums (ROP) for non-utilization With returns of premiums up to the contract price for non-utilization during the paying period Covers only up to age 60 Covers beyond age 60 with long term care yields * Pre-existing illness is not covered during the 1st year and lifetime / permanent exclusions may be issued on the 2nd year onwards Pre-existing is not covered during accumulation period. No exclusions after the 5th year of coverage * Inflexible, non-transferable benefit design Flexible, transferable, and may be redated benefit design Reinstallment is limited only within 30 days of lapsed policy Reinstallment within 2 years of lapsed policy Access to non-accredited physicians and medical network is not covered Access to non-accredited physicians and medical network is covered after the 5th year Out-patient medicines and cosmetic treatments not covered Out-patient medicines and all illness including cosmetic and maternity are covered after the 5th year * Continuous yearly payment terms Five (5) years or spot-cash payment options Anxious, worrisome and insecure healthcare status after employment or during retirement years No worries... *Subject to the availability of accumulated health fund

Long Term Care - Insurance Benefit If, at the time of signing the Membership Application, the Owner is in good health, is at least eighteen (18) but not more than sixty-five (65) years old and performing the normal activities of daily life, he shall be insured by Kaiser under a Group Master Insurance Contract underwritten by a reputable and duly authorized insurance company, as described below:

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Term Life Insurance - If the owner dies before attaining the age of sixty-five (65) years and prior to entitlement to the Long-Term Care Benefit as indicated in the Schedule of Benefits, his beneficiaries shall be entitled to an amount equal to the Long-Term Care Benefit upon approval of the claim by the insurance company.

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Accidental Death And Disbursement Insurance - Should the Owner suffer, directly and independently of all other causes, any bodily injury effected solely through external, violent and accidental means, occurring prior to the Owner's 65th Birthday and prior to entitlement to the Long-Term Care Benefit, which result in any of the specified losses within 180 days after the accident causing the injury, the insurance company will pay the following:

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Loss shall mean the dismemberment of hands and feet by severance at or above the wrist bone or ankle joints respectively. Loss of eyesight must be total and irrecoverable.

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Any partial benefit already paid for any loss(es) shall not be carried over in the subsequent contract year, i.e., the amount of benefits to be paid in the succeeding contract year shall not be reduced by any amount paid in the preceding contract year.

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The loss of the first joint of the thumb or any other finger or of any toe shall be considered as equal to the loss of one half of the thumb or finger or toe. The loss of more than one phalanx of the thumb or of any other finger or of any toe shall be treated as loss of the entire thumb or

finger or toe. Where there is loss of two or more parts of the hand, the percentage payable shall not be more than the loss of one whole hand. 

The aggregate of all percentages payable with respect to any more accident shall not exceed 100%.

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Credit Life Insurance - If the Owner dies during the Accumulation Period and before exceeding the age of sixty-five, the proceeds of the credit life insurance shall be applied to the balance of this Contract Price upon approval of the claim by the insurance company, if any.

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Waiver Of Installment Due To Total And Permanent Disability - If the Owner becomes totally disabled during the Accumulation Period and before his 60th birthday thereby preventing him from engaging in any occupation for compensation or profit, is so disabled for life, and such disability continues for at least six (6) months, Kaiser shall waive the payment of each installment becoming due during the period of disability. However, pending approval of the claim, installments should be paid as they fall due, subject to refund upon approval. Description

Benefit

Loss of life

100%

Loss of both hands

100%

Loss of both feet

100%

Loss of sight of both eyes

100%

Loss of one hand and one foot

100%

Loss of one hand and sight of one eye

100%

Loss of one foot and sight of one eye

100%

Loss of one hand or one foot

50%

Loss of sight of one eye

50%

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Loss shall mean the dismemberment of hands and feet by severance at or above the wrist bone or ankle joints respectively. Loss of eyesight must be total and irrecoverable.

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Any partial benefit already paid for any loss(es) shall not be carried over in the subsequent contract year, i.e., the amount of benefits to be paid in the succeeding contract year shall not be reduced by any amount paid in the preceding contract year.

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The loss of the first joint of the thumb or any other finger or of any toe shall be considered as equal to the loss of one half of the thumb or finger or toe. The loss of more than one phalanx of the thumb or of any other finger or of any toe shall be treated as loss of the entire thumb or finger or toe. Where there is loss of two or more parts of the hand, the percentage payable shall not be more than the loss of one whole hand.

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The aggregate of all percentages payable with respect to any more accident shall not exceed 100%.

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Credit Life Insurance - If the Owner dies during the Accumulation Period and before exceeding the age of sixty-five, the proceeds of the credit life insurance shall be applied to the balance of this Contract Price upon approval of the claim by the insurance company, if any.

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Waiver Of Installment Due To Total And Permanent Disability - If the Owner becomes totally disabled during the Accumulation Period and before his 60th birthday thereby preventing

him from engaging in any occupation for compensation or profit, is so disabled for life, and such disability continues for at least six (6) months, Kaiser shall waive the payment of each installment becoming due during the period of disability. However, pending approval of the claim, installments should be paid as they fall due, subject to refund upon approval. All claims under the above insurance coverage shall be subject to contestability as provided for by law, but for a reduced period of one (1) year from the date of issue or reinstatement of this Contract. If the member dies during the Accumulation Period, the Principal Beneficiary named herein shall be substituted as the new Member, but no longer with insurance benefits and subject to the provisions on Pre-existing Illness or Injury (Art. VII). If the Member dies during the Extended Period, this Contract shall be considered terminated and his Beneficiary shall be entitled to the corresponding Cash Value. Kaiser International Health Group - Our Broker

International Marketing Group International Marketing Group is one of the few companies of its kind in the industry today a marketing company that is dedicated to serving the financial needs of individuals and families from all walks of life. International Marketing Group's independent associates do not just work with clients who have large amounts of discretionary income - instead they work with everyday people helping them make critical financial decisions that help move them from where they are to where they want to be. International Marketing Group is one of the biggest and fastest growing financial distribution companies in the US, Canada, Taiwan, Hongkong, Philippines and going worldwide. IMG has established agreements with many of the world's leading financial services companies to provide us a broad array of financial products & services. Headquarters: 3/F King's Court I Building, 2129 Don Chino Roces Avenue (formerly Pasong Tamo), Makati City, Philippines 1200 Tel. No.: (632) 812-2551 | Fax No.: (632) 811-2327 Cebu Head Office: 16-A Salinas Drive, Lahug, Cebu City Tel. No.: (6332) 233-6584 / 233-8711 Cebu Ayala Branch: 6/F Rm. 605-606 Ayala FGU Business Center, Cebu Business Park, Cebu City Tel. No.: (6332) 415-5089 / 416-8898