CRITICAL ILLNESS PLAN

Life threatening and serious illnesses cause much emotional upheaval. These dread diseases have major cost implications as well which even well to do families are unable to sustain and mitigate.


Jubilee Life's Critical Illness Plan provides much needed monetary support when one of a listed Critical Illness strikes.

  • A lump sum amount is paid to the Insured if during the policy term the Insured is diagnosed as having one of 18 major critical illnesses / medical conditions covered under the plan.
  • If death of the Insured occurs within thirty days of the diagnosis of a covered critical illness or if due to reasons other than a covered critical illness the Insured dies, a death benefit is payable to the Insured's beneficiary.
  • The premium payment term is proportionately lesser than the coverage term i.e. premiums are payable for a lesser number of years whereas coverage is available for a greater number of years.

For plan description, definitions and terms please refer to the brochure and standard policy conditions.


CRITICAL ILLNESSES COVERED

Sr.# Disease Description
1 Cancer A disease manifested by the presence of a malignant tumor characterized by the uncontrolled growth and spread of malignant cells and the invasion of tissue. Diagnosis has been confirmed by a specialist and evidenced by definite histology. The term cancer also includes leukemia and malignant diseases of the lymphatic system such as Hodgkin's Disease.
* For Medical Conditions that are not covered refer to Standard Policy Conditions
2 Coronary Artery bypass graft Surgery (CABGS) The actual undergoing of open chest surgery for the correction of two or more coronary arteries, which are narrowed or blocked, by coronary artery bypass graft surgery (CABGS). The surgery must have been proven to be necessary by means of coronary angiography and realization of the surgery has to be confirmed by a specialist.
* For Medical Conditions that are not covered refer to Standard Policy Conditions
3 Heart Attack (Myocardial Infarction) The death of a portion of the heart muscle as a result of inadequate blood supply to the relevant area. Diagnosis has to be confirmed by a specialist and evidenced by all the following criteria:
a. A history of typical chest pain
b. New characteristic electrocardiogram changes
c. Elevation of infarction specific enzymes, Troponins or other biochemical markers
* For Medical Conditions that are not covered refer to Standard Policy Conditions
4 Kidney Failure (End Stage Renal Disease) End stage renal disease presented as chronic irreversible failure of both kidneys to function, as a result of which either regular renal dialysis (hemodialysis or peritoneal dialysis) is instituted or renal transplantation is carried out. Diagnosis has to be confirmed by a specialist.
5 Stroke Any cerebrovascular incident producing permanent neurological sequelae and including infarction of brain tissue, hemorrhage and embolization from an extra-cranial source. Diagnosis has to be confirmed by a specialist and evidenced by typical clinical symptoms as well as typical findings in CT Scan or MRI of the brain. Evidence of neurological deficit for at least 3 (three) months has to be produced.
* For Medical Conditions that are not covered refer to Standard Policy Conditions
6 Aorta (Surgery of Aorta) The actual undergoing of surgery for a chronic disease of the aorta needing excision and surgical replacement of the diseased aorta with a graft. For the purpose of this definition aorta shall mean the thoracic and abdominal aorta but not its branches. Realisation of the aortic surgery has to be confirmed by a specialist.
7 Blindness (Loss of Sight) Total, permanent and irreversible loss of sight in both eyes as a result of sickness or accident. Diagnosis has to be confirmed by a specialist (best by an ophthalmologist) and evidenced by specific test results.
8 Heart Valve Replacement Surgical replacement of one or more heart valves with prosthetic valves. This includes the replacement of aortic, mitral, pulmonary or tricuspid valves with prosthetic valves due to stenosis or incompetence or a combination of these factors. Realisation of the heart valve replacement has to be confirmed by a specialist.
* For Medical Conditions that are not covered refer to Standard Policy Conditions
9 Major Organ Transplantation The actual undergoing of a transplantation as the recipient of a heart, lung, liver, pancreas, small bowel, kidney or bone marrow. Realisation of the transplantation has to be confirmed by a specialist.
10 Multiple Sclerosis Unequivocal diagnosis of Multiple Sclerosis by a specialist (preferably by a neurologist). The disease has to be evidenced by typical clinical symptoms of demyelination and impairment of motor and sensory functions as well as by typical MRI findings. For proving the diagnosis the Insured must either exhibit neurological abnormalities that have existed for a continuous period of at least 6 months or must have had at least two clinically documented episodes at least one month apart or must have had at least one clinically documented episode together with characteristic findings in the cerebrospinal fluid as well as specific cerebral MRI lesions.
11 Paralysis Total and irreversible loss of use of two or more limbs through paralysis due to accident or sickness of the spinal cord. These conditions have to be medically documented by a specialist for at least 3 months.
* For Medical Conditions that are not covered refer to Standard Policy Conditions
12 Aplastic Anaemia Unequivocal diagnosis of bone marrow failure confirmed by a specialist and evidenced by the result of bone marrow biopsy. Disease must result in anemia, neutropenia and from thrombocytopenia and must require treatment with atleast one of the following:
a. Blood Product Transfusion
b. Marrow stimulating agents
c. Immunosuppressive agents
d. Bone Marrow Transplantation
13 Benign Brain Tumour Removal of a non-cancerous growth of tissue in the brain under general anesthesia leading to a permanent neurological deficit or if inoperable also leading to a permanent neurological deficit. Diagnosis has to be confirmed by a specialist and evidenced by typical findings in CT Scan or MRI of the brain.
Permanent neurological deficit means that the condition has to be medically documented for at least three months. Specifically excluded are all cysts, granulomas, malformations in or of the arteries or veins of the brain, haematomas and tumors in the pituitary gland or spine.
* For Medical Conditions that are not covered refer to Standard Policy Conditions
14 Deafness (Loss of Hearing) Total, permanent and irreversible loss of hearing in both ears as a result of sickness or accident. The diagnosis has to be confirmed by a specialist (best by an ear, nose and throat specialist) and evidenced by means of audiometry.
15 End Stage Lung Disease Severe and permanent impairment of respiratory function which has to be confirmed by a specialist and evidence by all of the following criteria:
a. Persistent reduction in respiratory volume per second FEV1 to less than 1 litre (Tiffeneau Respiratory Test)
b. Persistent reduction in arterial oxygen retension (PaO2) below 55 mg Hg
c. Permanent Oxygen supply is necessary.
16 Loss of Limbs Total and irrecoverable severance of two or more limbs from above the elbow / wrist or knee / ankle joint as the result of an accident or a medically required amputation. Diagnosis has to be confirmed by a specialist.
17 Loss of Speech Total and irreversible loss of the ability to speak due to injury or disease of the vocal cords. The condition has to be confirmed and medically documented by a specialist (best by an otorhinolaryngologist) for at least 6 months. Psychogenic loss of speech is excluded from cover.
* For Medical Conditions that are not covered refer to Standard Policy Conditions
18 Major Head Trauma Major trauma to the head with disturbance of the brain function that has to be confirmed by a specialist and evidenced by typical findings in neuro radiological test (e.g. CT Scan or MRI of the brain). The trauma must result in a permanent inability to perform independently three or more activities of daily living - bathing (ability to wash in the bath or shower), dressing (ability to put on, take off, secure and unfasten garments), personal hygiene (ability to use the lavatory and to maintain a reasonable level of hygiene), mobility (ability to move indoors on a level surface), continence (ability to manage bowel and bladder functions), eating/drinking (ability to feed oneself (but not to prepare the food)) or must result in a permanent bed ridden situation and inability to get up without outside assistance. These conditions have to be medically documented for at least 3 (three) months.

OPTIONAL BENEFITS

  • Accidental Death (AD): An additional amount will be paid under this benefit in case death occurs due to an accident. An additional premium will be charged. Terms & conditions apply.
  • Accidental Death & Dismemberment (ADD): An additional amount will be paid under this benefit in case death or dismemberment as per schedule occurs due to an accident. An Additional premium will be charged. Terms & conditions apply.
  • Waiver of Premium (WOP): Your premium from the next premium due date will be paid by Jubilee Life till the end of policy term should you suffer a disability and are not able to follow your own occupation or any other occupation due to this disability. An additional premium will be charged. Terms & conditions apply.
Note:
You can only opt for either the AD Benefit or the ADD Benefit and not both.
WOP Benefit can be selected along with the AD Benefit or the ADD Benefit

ADMISSIBLE AGES AND TERMS

If you are between 18 years and 59 years nearest your birthday, you may purchase this plan. The coverage will last between 5 to 15 years as chosen by you subject to the maximum age of 60 at maturity.

GENERAL EXCLUSIONS

Critical illness being caused or aggravated by any condition existing prior to the commencement date of the policy such as self-inflicted injury, pregnancy and related conditions, AIDS and sexually transmitted disease are not covered under CIP. Please refer to the policy document for a complete list of exclusions applicable to this plan.

HOW TO APPLY

1. Choose the Amount of Basic Cover and the Policy Term.
2. Choose, if you so wish, rider(s) from available supplementary benefits.
3. Calculate premium.
4. Fill the application form and make online premium payment using Credit/Debit Card.