Page 29 - MEDICAL AND HEALTH INSURANCE
P. 29

MEDICAL AND HEALTH INSURANCE


               THE VOLUNTARY GROUP MARKET


               Voluntary       PMI       is     usually      a     group       policy,     whereby        an

               association/organisation/club  or  employer  wishes  to  offer  PMI  cover  but

               does not pay for the premium or partly subsidises the premium.


               The  product  benefits  may  be  based  on  the  individual  products  found  in  the

               market  or  have  some  alterations  or  be  exclusively  tailor-made  for  the
               group's  need.  The  premium  is  based  on  the  group'  size,  claim  experience,

               and  risk  exposure.  The  premium  may  be  'age-band'  or  'level  premium'

               regardless of age.


               The  members  or  employees  are  responsible  for  the  premium,  fully  or
               partly,  depending  on  the  arrangement  of  sponsorship  of  the  scheme,  if

               any.  The  mode  of  premium  payment  can  be  monthly  by  way  of  salary

               deduction  or  by  quarterly  or  annual  premium,  depending  on  the  group  size

               and  the  negotiated  terms.  Similarly,  a  personal  health  declaration  may  be

               imposed or waived depending on the group size and terms.


               Renewal  is  on  a  yearly  basis  subject  to  underwriter  consideration  and  the
               terms  and  premium  may  be  altered  during  renewal,  depending  on  the

               experience and changes of the group size.


               THE COMPANY AND CORPORATE GROUP MARKET


               The  company  and  corporate  group  market  refer  to  employers  providing

               group  PMI  for  their  employees  and  can  also  be  a  part  of  the  employee
               benefits scheme.


               In  most  corporate  group  policies,  the  premium  is  paid  by  the  employer  and

               coverage may extend to the dependants of the employees.








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