Tamilnadu Chief Minister's Comprehensive Health Insurance Scheme

Tuesday 3 February 2015

OTHER KEY FINANCIAL PRODUCTS Part I

o   Insurers in case of critical illness riders specify terms & condition along with exclusions.
o   Benefit of the rider will not be payable under such terms condition.
o   Waiver of premium (WOP)
§  Waives future premiums of policy  holder in event of disability.
§  Insurance company always specifies the product with which this rider is
§  Available
§  WOP rider comes with the exclusions & terms condition.
o   Some other riders offered by some insurance companies are
§  Hospital care rider plan fixes an amount on a daily basis in event of hospitalization
§  The rider fixes an amount at the time when the policy is taken.
§  An insurance company may pay the actual cost for the treatment.
§  Amount may be paid for the number of days insured is hospitalized.
§  Amount is irrespective of actual amount spent in hospitalization.
§  Amount is additional amount paid apart from lump sum that maybe paid for surgery and/or critical illness.
§  The rider is similar to the individual policy mentioned above.
o   Guaranteed insurability rider gives insured right to increase cover in response to life events which are (a) marriage, (b) child birth etc.
Ø  Benefits of riders
o   Additional cover
o   nominal cover
o   customization – as per preference of customer
o   flexibility
o   an per the IRDA regulations issued in april 2002 and amended in October 2002:
§  the premium on all riders relating to health or critical illnesses, in case of term or group insurance products shall not exceed 100% of the premium of the base policy;
§  the premium on all the other riders put together should not exceed 30% of the premium on the base policy; and
§  the benefits arising under each of the riders shall not exceed the sum insured under the base policy.
Ø  Annuities
o   Annuities are a reverse of life insurance.
o   In life insurance insurer starts paying on the death of the insured whereas in annuity insurer stops paying upon death of annuitant.
o   Annuity is a series of regular payments from an annuity provider to an annuitant,
Ø  Annuity can either be immediate or deferred.
o   Immediate annuities become payable (vest) immediately after they have been purchased with a lump sum,
o   Payments commence monthly, quarterly, half-yearly as per option exercised by policyholder.
o   Deferred annuities are paid for in advance.
o   The annuity purchase price may be a lump sum paid at commencement before the annuity is due to vest (be paid).
o   Deferred annuities may bought by paying instalments  over a series of years before vesting date.
Ø  Life annuity the annuitant keeps receiving annuity payment from the insurance company throughout their lifetime.
Ø  Life annuities (immediate and deferred)  are often bought with money that is tied to pension purchase and which cannot be used for any other purpose.
Ø  Guaranteed period annuity is for a minimum fixed number of years
o   If the annuitant dies during the selected term instalments for remaining part will be paid to the beneficiaries.
o   If the annuitant is still alive after the guaranteed period has elapsed the payments are continued until his death
Ø  In joint life last survivor annuity where annuitants are husband and wife, regardless of who dies first the surviving spouse continues to receive annuity payment.
Ø  In life annuity with return of purchase price the annuitant receives
Ø  Regular annuity payments during their lifetime.
Ø  On their death, the original purchase p rice is returned to the nominee/beneficiary.
Ø  In increasing annuity the annuity increase every year by a fixed percentage or in line with an agreed inflation index.

Ø  Pensions.

o   Pension plans are savings and investment plans tied to the provision of pension benefits for individuals and their dependants.
o   Pension plans have two phases:
§  Accumulation phase
§  Annuity phase
o   In accumulation phase the individual makes regular or lump sum contributions,
o   In annuity phase the insurance company makes regular payments to the annuitant.
o   An individual can comm8ute a third of accumulated fund tax-free.
o   Two thirds of the commuted has to be used to buy an annuity.
o   Contributions made in a retirement plan qualify for deduction from taxable income.
o   The regular annuity received by the annuitant is taxable.
o   Commutation is receiving regular/periodic annuity payment  the individual can make a lump sum withdrawal of up to a third of the accumulated fund.
o   As per IRDA norms which came into effect from 1 september 2010, all unit-linked pension plans require insurance to guarantee minimum 4.5% returns (if all premiums are paid), and no partial withdrawals will be allowed during the accumulation period.
o   Tax and inflation implications for financial products.
o   Premium paid up to a specified limit for health insurance plans qualifies for deduction from taxable income.
o   Contributions made towards a retirement  plan quality for tax.
o   The regular pension received by an individual is taxable.
o   The finance bill 2011 a decision has been taken to implement the new direct tax code (DTC)  from 1 april 2012
o   This may bring in modifications in the existing tax treatment on all life insurance policies, at which time it will be necessary to be conversant with such changes before being licensed as an agent.
Ø  Prioritizing needs and applying financial products to needs
o   Health plans provide for costs incurred in event of hospitalization of the family income provider or any other family member.
o   Even though retirement is further from other financial goals, individuals should not give less priority to this goal;
o   One can start with a lower amount and increase contributions over a period of time for retirement planning.

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