# embeddings_queue

created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 91b7da61-f4d6-4617-8aa8-f4060c63f8e6
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"91b7da61-f4d6-4617-8aa8-f4060c63f8e6\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"e4548c23-e9fc-4956-89bc-9e45991d5b69\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"944fb3b9c6aa70deb9e5806e1567e02bc96cdd10f5cb7b747cd6f01fa1edfe03\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"b2f76c6a-3fb5-475e-b072-9908d1677d2c\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"f6010540aedd328b7d553b24aa60804ba5b75d8d9a029bd1e52df246d85ebc7f\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 280729, \"end_char_idx\": 284547, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "4] 3.28 This ensures fairness within the portfolio , such that those  who pay  lower \npremium s for lower plan s should be encouraged to use the services available \nonly on the selected plan s. \n \n3.29 Example 2.4 illustrates how pro -ration factors, deductible and co -insurance \nprinciples are applied to a Medical Expense Insurance policy.  \n \nExample 2.4 : Illustration  Of The Application Of Pro -ration Factors, Deductible \nand Co -insurance Under A Medical Expense Insurance Policy  \n \nPlan Entitlement :  Restructured Hospital \u2013 any standard B1 ward  \nHospitalisation :  Private Hospital in Singapore  \nPro-ration Factor :  35% \nWard of discharge :  Standard Single Bed  \n \nExpenses  Limits  Amount \nincurred  Pro-rated \namount  Amount \ncovered by \ninsurance  \nDaily room, board \nand medical \nrelated services  As charged  S$4,000  S$1,400  S$1,400  \nSurgical Benefits  As charged  S$20,000  S$7,000  S$7,000  \nTotal Bill   S$24,000  S$8,400  S$8,400  \nAnnual Deductibles  S$3,500  \nCo-insurance :  \n10% x (S$8,400 \u2013 S$3,500)  S$490  \nYou Pay  S$S$3,500 + S$490 + S$15,600 = \nS$19,590  \nInsurer Pays  S$4,410  \n \nF. Benefit Limits  \n \n3.30 Most Medical Expense Insurance plans have maximum  limits on the  benefits \nthat can be claimed. The three main types of limits are as follows:  \n \n \n \n \n \n \n \n3.31 Lifetime limit is often set at a very high amount, e.g. S$1,000,000. This amount \nis the maximum total amount of all reimbursements that the insurer is liable to \nthe policy owner  throughout the life insured\u2019s  lifetime. Once this limit is \nreached, the policy will terminate . There is no such limit in some Medical \nExpen se Insurance policies recently issued by some insurers.  \n \n \n Lifetime \nLimit  Annual  \nLimit  Event  \nLimit  THREE MAIN TYPES OF BENEFIT LIMITS  \n\n2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 29  \n3.32 Annual limit , lesser  than lifetime limit , is the amount of reimbursable costs \npayable over an annual period, either a calendar year or a policy year. Simply \nstated, it is the maximum annual reimbur sement for benefits payable by the \ninsurer as stated in the Schedule of Benefits of the policy .  \n \n3.33 Event limit is the maximum  amount payable per disability or illness as defined \nin the policy.  \n \n3.34 There will also be limits on the individual items of the benefit schedule  and \nthese are known as sub -limits. Examples of sub -limits are room and board \ncharges (S$300 per day) or surgical benefits ( S$10,000  per claim).  For benefits \nthat are  represented as \u201c as charged\u201d, sub -limits are not applicable , but lifetime \nand annual limits will still apply.   \n \nG. Covered Charges  \n \n3.35 All Medical Expense Insurance policies will specify the expenses and its limits \nthat will be covered under the plan . Charges, services  and expenses are three \ninterrelated terms used. The covered services and treatments typically include \nall or some of the following medical expenses:  \n\u25aa room and board;  \n\u25aa intensive care;  \n\u25aa miscellaneous hospital services, such as laboratory fees, X -rays, medicati on \nand the use of an operating room;  \n\u25aa surgery  (including anaesthesia and oxygen administration) ; \n\u25aa hospital consultation;  \n\u25aa ambulance service s; \n\u25aa in-hospital doctor\u2019s fees;  and \n\u25aa specified outpatient expenses, such as specialist consultation, emergency \naccidental t reatment and post -hospitalisation treatment, etc.  \n \nH. Geographical Limit  \n \n3.36 Most  Individual Medical Expense Insurance policies will automatically \nterminate if the insured resides outside of Singapore  for more than a specified \nperiod of time (e.g. 180 days). Ho wever, some insurers will terminate the policy \nonly if the insured is not a Singapore Citizen or Singapore Permanent Resident \n(SPR)."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: b2f76c6a-3fb5-475e-b072-9908d1677d2c
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"b2f76c6a-3fb5-475e-b072-9908d1677d2c\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"91b7da61-f4d6-4617-8aa8-f4060c63f8e6\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"2b80fd84685b22a52017934b4f4d5889c602085f530964f6d08599be004666e6\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"7395dc0c-2282-4728-af60-9832b4953c73\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"7ab94035e3cfbe2d076036d787107780189e9f8ed61cbfe6a3c19eccbb926717\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 284399, \"end_char_idx\": 288595, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "180 days). Ho wever, some insurers will terminate the policy \nonly if the insured is not a Singapore Citizen or Singapore Permanent Resident \n(SPR).    \n  \n3.37 In addition, some insurers will still pay for the medical treatments even though \nthe insured has resided outside of Singapore longer than the specified period \nallowed, but any medical expenses incurred overseas will be based on the \nreasonable and customary ch arges for that particular medical treatment in \nSingapore, and will be subject to the limits as stated in the policy.  \n \n  \n\n\nHealth Insurance   \n30 Copyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 3.38 If the insured is a Singapore Citizen or SPR, the insurer will usually allow the \npolicy to renew at an extra premium, even though the i nsured is stationed \noverseas after a specified period of time, subject to the insured's written \nconfirmation of the insurance cover for the insured.   \n \n3.39 Some high -end Individual Medical Expense Insurance plans also allow the \ninsured to seek medical treatment  overseas, although the medical treatment is \navailable in Singapore. However, the reimbursement of such incurred medical \nexpenses will be based on the reasonable and customary charges for that \nparticular medical treatment in the country of treatment, and w ill be subject to \nthe limits as stated in the policy.   \n \nI. Waiting Period   \n \n3.40 When an individual signs up for a new Health Insurance policy, the cover may \nnot start on the policy issue date. Some insurers impose a waiting period \u2013 a \nperiod of time stated in the policy which must pass , before some or all of his \nHealth Insurance coverage can begin. In other words, the insurer is liable to pay \nany claim amount filed only after this waiting period. The waiting period is not \napplicable  for accidental injury. This means that , in the case of injury caused by \nan accident, the insured will be covered immediately.  \n \n3.41 A waiting period protects members within the portfolio , by ensuring that \nindividuals are  not able to make claim s shortly after joining and then cancelling \ntheir membership. This kind of behavio ur will result in increased premiums for \nall members. Some insurers may impose a  waiting period for pre -existing \nconditions.  \n \nJ. Age Limit s \n \n3.42 Most insurers issue this policy to people who are as young as 15 days old and \nbelow a specified maximum age of entry, e.g. 74 or 75 years old . Children are \nallowed to be insured under the parent\u2019s policy up to the age 18 or 25 years , if \nhe is still pursuing full -time tertiary education.  \n \nK. Premiums  \n \n3.43 The premiums for Medical Expense Insurance are usually based on age band \nand increase as one ages,  i.e. if a person crosses to the next age band, he has \nto pay a higher premium  upon renewal , based on the new age band that he falls \nunder. Premium  rates are not guaranteed  and may be adjust ed on the premium \ndue date or next renewal  date to account for higher claims, medical inflation , \netc. However, the  insurer  will need to give advance notice  (e.g. 30 days) to the \npolicy owner before effecting the premium increase.    \n \n3.44 Premiums can be  payable on a monthly, quarterly, half-yearly  or yearly basis , \nand are normally higher for female lives . Note that insurers may use the same \npremium tables for male and female lives.  \n \n  \n\n2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 31  \nL. Renewability  \n \n3.45 Some Medical Expense Insurance policies are issued on a guaranteed \nrenewable basis. This means that the insurer cannot terminate the policy owing \nto poor claims experience , so long as the policy owner  pays his premium to \nkeep the policy in force. All the IP policies are guaranteed renewable.  \n \n3.46 However, there are policies which are cancellable at the option of the insurer , \nby giving a specified number of days\u2019 notice (e.g. 60 days) to the policy owner .  \n \nM. Exclusions & Limitations  \n \n3.47 All Medical Expense Insurance policies have limitations and exclusions that \nspecify the circumstances under which a claim will not be payable ."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 7395dc0c-2282-4728-af60-9832b4953c73
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"7395dc0c-2282-4728-af60-9832b4953c73\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"b2f76c6a-3fb5-475e-b072-9908d1677d2c\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"f6010540aedd328b7d553b24aa60804ba5b75d8d9a029bd1e52df246d85ebc7f\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"09a1ab87-2cf1-4648-8a2e-8670fecbe813\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"db686f5795077686515afcd186ce6c804d89d5d553517c18eb4de2c1e357e25c\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 288379, \"end_char_idx\": 292633, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "60 days) to the policy owner .  \n \nM. Exclusions & Limitations  \n \n3.47 All Medical Expense Insurance policies have limitations and exclusions that \nspecify the circumstances under which a claim will not be payable . \n \n3.48 Generally, exclusions and limitations are designed for the following reasons:  \n\u25aa to avoid the possibility of a policy owner  receiving reimbursement twice for \nthe same charges , or making a profit from his insurance;  \n\u25aa to make the premium more affordable;  \n\u25aa to define more clearly the necessary medical care and treatment; and  \n\u25aa to avoid the policy owner  selecting against the insurer  (i.e. anti -selection).  \n \nM1. Exclusions  \n \n3.49 The common exclusions under Medical Expense Insurance policies usually \ninclude:  \n\u25aa pre-existing conditions that were present during a specified period (e.g. 12 \nmonths) prior to the inception of the insurance;  \n\u25aa congenital anomalies;  \n\u25aa cosmetic surgery, dental tre atment and vision care;  \n\u25aa convalescent and special nursing care, general medical check -up; \n\u25aa pregnancy, infertility, birth control , childbirth  and their related \ncomplications;  \n\u25aa mental or nervous disorder, drug addiction and alcoholism;  \n\u25aa Acquired Immune Deficienc y Syndrome ( AIDS ) and its related complications, \nsexually transmitted diseases;  \n\u25aa flying or aerial activity, other than as a fare -paying passenger on a regularly \nscheduled flight of a commercial aircraft;  \n\u25aa hazardous sports, such as mountaineering, scuba diving, ice skating, bungee \njumping, etc.; \n\u25aa illnesses or injuries arising from war, nuclear, participation in str ike, riot or \ncivil commotion;  \n\u25aa self-inflicted injuries and injuries resulting from a criminal or unlawful act; \n\nHealth Insurance   \n32 Copyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] \u25aa purchase of hospital -type equipment, such as wheelchair, dialysis machine, \netc.; and \n\u25aa treatment for obesity, weight reduction or improvement.  \n \n3.50 Exclusions vary from insurer to insurer. Clients should be advised and \nreminded to read the policy documents i.e. they need to understand the specific \nexclusions imposed by their insurers.  \n \nM2. Limitations (Co -ordination Of Benefits)  \n \n3.51 Most Medical Expense Insurance policies are issued with the Co -ordination of \nBenefits Clause.  The purpose of this Clause is to ensure that the total claims \nmade by the policy owner cannot exceed  the total actual medical expenses \nincurred.   \n \n3.52 Hence, should t he policy owner be able to obtain payments from other sources \n(e.g. employer\u2019s Group H&S Insurance policy or Work Injury Compensation  \nInsurance policy , etc .), the amount payable by the insurer under a Medical \nExpense Insurance policy will be reduced , so th at the total benefits received will \nnot exceed  the total incurred medical expenses.  \n \n \n4. UNDERWRITING  \n \n4.1 The main source of underwriting information for individual Medical Expense \nInsurance is the proposal form. For group coverage , the empl oyer is required \nto complete a G roup Insurance Fact-Finding (GIFF) Form which is the main \nsource of information for the un derwriting assessment. For small groups (e.g. \nbelow 10 members /employees ), the underwriter may also require the individual \nemployee to complete a health declaration form.  \n \n \n5. HEALTHCARE SUBSIDY  LEVEL  \n \n5.1 Citizens, SPRs and foreigners  in Singapore  are charged differently for public \nhealthcare services. Citizens enjoy heavy subsidies in Class B2 /B2+ and C \nwards. SPRs receive significant subsidy , while foreigners are not subsidised at \nall. The subsidy level distinction reflects the privi leges of citizenship, and to \nfurther sharpen the distinction between citizens and SPRs. Refer to Appendix \n2C for the Table of Subsidy Level .   \n \n5.2 Owing to the differences in healthcare subsidy  for citizens, SPR and foreigner s, \nsome insurers apply a citizenship factor on the hospitalisation claims. \nCitizenship factor means a percentage applied to the medical expenses o f an \ninsured person (who is not a Singaporean) , that is claimable under th e policy.  \n \n \n \n \n \n\n2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 33  \n6."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 09a1ab87-2cf1-4648-8a2e-8670fecbe813
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"09a1ab87-2cf1-4648-8a2e-8670fecbe813\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"7395dc0c-2282-4728-af60-9832b4953c73\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"7ab94035e3cfbe2d076036d787107780189e9f8ed61cbfe6a3c19eccbb926717\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"0076f90a-0d16-4f35-8e5f-832d1a9927cd\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"de149227100151fcd9b8d93e1370866054254b781d1fead1fa2ac5cf6dccf6de\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 292514, \"end_char_idx\": 296636, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 33  \n6. TERMINATION O F COVER  \n \n6.1 The coverage for an insured person will terminate when one of the following \nevents  occurs : \n\u25aa death of the insured  person ;  \n  \n\u25aa date on which the insured person \nenters into full -time military service , \nexcept during National Service \nreservist duty or training  in \naccordance with the Enlistment Act \n1970 ; \n  \n\u25aa the end of the policy period during \nwhich the insured person attains the \nmaximum age covered under the \npolicy (e.g. 80 years old);  \n       \n      \n    Applicable to both  \nindividual and group  \npolicies  \n\u25aa date on which the policy is \nterminated;  \n  \n\u25aa date of expiry of the period for which \nthe last premium payment is made on \naccount of the insured person\u2019s \ninsurance;  \n  \n\u25aa the total amount of claims made has \nreached the lifetime limit;  \n  \n\u25aa date of cessation of  the insured  \nperson  as an employee .     Applicable to group  \n    policies only  \n \n \n7. CLAIMS  \n \n7.1 In the event of a claim, the  insured ( policy owner /employer ) is required to \nfurnish the following supporting documents to the insurer:  \n\u25aa claim form to be completed by the insured;  \n\u25aa physician \u2019s statement by the attending doctor;   \n\u25aa discharge summary; and  \n\u25aa original medical bills.  \n \n  \n\nHealth Insurance   \n34 Copyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 7.2 These are the standard documents  required by the insurer to assess the claim. \nThe insurer reserves the right to call for other necessary documents . As \nmentioned previously, for any patient claiming under an Integrated Shield Plan  \napproved under Medisave, all he need s to do is to inform the hospital of the \nname of t he insurer, fill in a standard claim form and the hospital will file the \nclaim on his behalf for inpatient expenses , through the MediClaim System. This \napplies to public hospitals and major private hospitals  in Singapore . \n \n7.3 The policy owner  is required to notify the insurer within a specified period of \ntime (e.g. 90 days) after the date of incurring the medical costs.  \n \n \n8. NOTICE No.: MAS 117 - TRAINING AND COMPETENCY REQUIREMENTS \u2013 \nHEALTH INSURANCE  \n \n8.1 This Notice  issued on 26 January 2004 and last revised on 16 April 2020,  is \nissued pursuant to sections 71 and 154(4) of the Insurance Act 1966  and  \n(a)  applies to:  \n(i) a direct insurer;  \n(ii) a direct insurance broker;  \n(iii) an exempt direct insurance broker;  \n(iv) a licensed financi al adviser; or  \n(v) an exempt financial adviser,  \n \nwhich carries on a business in relation to health insurance products, whether or \nnot it carries on any other business; and  \n \n(b) applies to \u2014  \n(i) any person employed by or who act as an insurance agent for a direct \ninsurer, other than a Trade Specific Agent;  \n(ii) any person employed by or who act for a direct insurance broker or an \nexempt direct insurance broker; or  \n(iii) any person employed by or who acts a s an appointed representative \nfor a licensed financial adviser or an exempt financial adviser,  \n \nwho provides advice on or arranges contracts of insurance or both, in respect \nof health insurance products.  \n \n8.2 This Notice sets out the minimum examination requ irements and continuing \nprofessional development (\u201cCPD\u201d) requirements in respect of shield plans. \nPlease refer to Appendix 2D  for Notice No: MAS 117 which has been entirely \nextracted from MAS website.  \n \n8.3 The last revision of Notice No: MAS 117 on 16 April 20 20 also outlined certain \nrelief measures during the COVID -19 situation as detailed in paras 7A to 7D of \nthe Notice as detailed in Appendix 2D.  \n \n\n2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 35  \nAPPENDIX  2A \n \nABC Insurance Company (Singapore) Ltd  \n21 Any Street, ABC Centre, Singapore 654321  \nTel: (65) 6789 8181   Fax: (65) 6789 8282  \n \nMEDICAL EXPENSE INSURANCE  (WITH SUB -LIMITS)  \n \n \nCore Benefits  Benefit Limits  \nRoom & Board Daily Limits  \n(max."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 0076f90a-0d16-4f35-8e5f-832d1a9927cd
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"0076f90a-0d16-4f35-8e5f-832d1a9927cd\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"09a1ab87-2cf1-4648-8a2e-8670fecbe813\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"db686f5795077686515afcd186ce6c804d89d5d553517c18eb4de2c1e357e25c\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"89772983-caa1-4071-ad48-532e7b8d4cf8\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"08d2800576dcc72b58e81192a1ca2cbc017de686c5555f34026e6d90b61cbab8\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 296637, \"end_char_idx\": 300659, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "90 days per Disability \nPeriod per Policy Year)   \n$300  \nIntensive Care Unit  \n(max.15 days per Disability \nPeriod per Policy Year)   \nIn-Patient Doctor/ Specialist \nConsultation   \nPre-Hospitalisation Benefits  \n(max. 30 days before date of \nhospitalisation)   \nPost-Hospitalisation Treatment  \n(max. 90 days after date of \ndischarge)   \nAs Charged  \nSurgical Benefits   \nEmergency Dental Treatment   \nEmergency Outpatient  \nAccidental Treatment   \nEmergency Ambulance Service   \nMiscellaneous Hospital \nExpenses   \nAnnual Limit for Core Benefits  S$100,000  \nAdditional Benefits   \nOutpatient  \nKidney Dialysis Treatment  \n(annual limit)   \nS$50,000  \n \nOutpatient Cancer Treatment  S$50,000  \nIn-Patient Organ Transplant  S$50,000  \nLifetime Limit for Core Benefit \n& Additional Benefits  S$500,000  \nEmergency Assistance Services  Available  \n \n \n \n \n \n \n \n \n \n\nHealth Insurance   \n36 Copyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] \nAPPENDIX  2B \n \nABC Insurance Company (Singapore) Ltd  \n21 Any Street, ABC Centre, Singapore 654321  \nTel: (65) 6789 8181   Fax: (65) 6789 8282  \n \nSCHEDULE OF SURGICAL BENEFITS  \n \nHospital  ward type  Any standard ward of a \nprivate hospital  Any standard ward of \na restructured \nhospital  Any 4 -bed (B1) \nstandard ward of a \nrestructured \nhospital  \nInpatient hospital treatment  \nDaily room, board and medical \nrelated services1 As charged  \nIntensive care unit (ICU)1 \nSurgical benefit  \nSurgical implants 2 \nRadio surgery  3,4 \nMajor organ transplant benefit 5 \nStem cell transplant  benefit 4 \nAccident inpatient dental \ntreatment 6 \nPre-hospital treatment  \n \n(Accident and emergency (A&E) \ntreatment within 24 hours prior to an \ninpatient treatment for the same \ninjury  or illness  is covered.)  As charged up to 90 days prior to admission.  \n \nor  \n \nAs charged up to 180 days prior to admission  \n(panel specialist  in a priv ate hospital  with certificate of pre -\nauthorisation , restructure hospital  or community hospital ). \n \n \n \nPost-hospital  treatment7 \n \n \n As charged up to 180 days after discharge.  \n \nor  \n \nAs charged up to 365 days after discharge  \n(panel specialist7 in a private hospital with certificate of pre -\nauthorisation , restructure hospital  or community hospital ). \nStay in a community hospital  8 As charged  \nInpatient  congenital anomalies \n(first diagnosed after a waiting \nperiod  of 12 months)  As charged  \nInpatient  pregnancy complications \n9 (after a waiting period  of 10 \nmonths)  As charged  \nLiving donor organ transplant 10 \n(after a waiting period of 24 \nmonths)  S$50,000  \nper lifetime  S$30,000  \nper lifetime  $20,000  \nper lifetime  \n \n \n \n \n \n \n \n\n2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 37  \nABC Insurance Company (Singapore) Ltd  \n21 Any Street, ABC Centre, Singapore 654321  \nTel: (65) 6789 8181   Fax: (65) 6789 8282  \n \nSCHEDULE OF SURGICAL BENEFITS (CONT\u2019D)  \n \nMajor outpatient treatment  \nOutpatient kidney dialysis  \n \n \n \n \n \n \n \nAs charged  Outpatient erythropoietin  \nOutpatient cancer treatment4  which \nincludes:  \n- Chemotherapy  \n- External or superficial radiotherapy  \n- Brachytherapy, with or without \nexternal radiotherapy  \n- Immunotherapy  \n- Stereotactic radiotherapy  \nMajor organ transplant \u2013 approved \nImmunosuppressant drugs  \nSpecial benefits  \nExtra  inpatient benefit for 5 critical \nillnesses  \u2013 heart attack of specified \nseverity, major cancer4, stroke, end \nstage lung disease and end stage liver \ndisease   \nS$150,000  \nper policy year   \nS$100,00  \nper policy year  \n  \nS$50,000  \nper policy year  \nInpatient  psychiatric treatment11  \n(after 10 months of continuous cover)  As charged up to \n60 days per policy \nyear  As charged up to \n45 days per policy \nyear  As charged up to \n35 days per policy \nyear  \nInpatient  psychiatric treatment11  \n(within 10 months of continuous cover)  S$500 per day up to 35 days per policy year  \nFamily discount for child(ren)  Yes Yes N.A."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 89772983-caa1-4071-ad48-532e7b8d4cf8
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"89772983-caa1-4071-ad48-532e7b8d4cf8\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"0076f90a-0d16-4f35-8e5f-832d1a9927cd\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"de149227100151fcd9b8d93e1370866054254b781d1fead1fa2ac5cf6dccf6de\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"dee8c433-382e-4172-97a7-05a5e906f4cc\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"259f249df68384b02d7559d94257b63c007fc71a1524fb10dddc6b7468f11d15\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 300661, \"end_char_idx\": 304034, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Free new -born benefit12 S$50,000 per policy year  N.A. \nEmergency overseas treatment13 As charged  \n(pegged to costs of \nprivate hospital s in \nSingapore)  As charged  \n(pegged to costs of \nrestructured  \nhospital s in \nSingapore)  As charged  \n(pegged to costs of \nrestructured \nhospital s in \nSingapore)  \nPlanned overseas treatment13 As charged  \n(pegged to costs of \nprivate hospital s in \nSingapore)  As charged  \n(pegged to costs of \nrestructured  \nhospital s in \nSingapore)  As charged  \n(pegged to costs of \nrestructured \nhospital s in \nSingapore)  \nInpatient and outpatient Proton Beam \nTherapy treatment14 S$25,000  \nper policy year  S$15,000  \nper policy year  S$10,000  \nper policy yea r \nInpatient and outpatient Cell, Tissue \nand Gene Therapy14 S$70,000  \nper policy year  S$45,000  \nper policy year  S$30,000  \nper policy year  \nWaiver of pro -ration factor benefit for \noutpatient kidney dialysis  N.A. As charged  \n(if kidney dialysis is received at a panel \nprivate dialysis centre15) \nPreventive treatment for cancer16 As charged  \nFinal Expenses Benefit17 S$10,000  \n \n \n \n\nHealth Insurance   \n38 Copyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] \nABC Insurance Company (Singapore) Ltd  \n21 Any Street, ABC Centre, Singapore 654321  \nTel: (65) 6789 8181   Fax: (65) 6789 8282  \n \nSCHEDULE OF SURGICAL BENEFITS (CONT\u2019D)  \n \n \nPro-ration factor  Restructured \nHospital  Class A ward /  \nUnsubsidised short stay \nward   \n \n \n \n \n \n100%   \n100%   \n85%18 Private \nHospital  Inpatient  \n(including day surgery)    \nMajor outpatient treatment  50%18 35%18 \nCommunity hospital \u2013  \nUnsubsidised ward   100%  85% \nHospital outside Singapore  50%18 35%18 \nMyShield annual deductible20 for life assured age 80 years and below next birthday  \nInpatient  \nClass C ward  S$1,500  \nClass B2 / B2+ ward  S$2,000  \nClass B1 ward  S$2,500  \nClass A ward / Private hospital  \nS$3,500  \nHospital outside Singapore  \nSubsidised short stay ward  S$2,000  \nUnsubsidised short stay ward  S$3,500  \nDay surgery  S$3,000  S$3,000  S$3,000  \nMyShield annual deductible20 for life assured age 81 years and above next birthday  \nInpatient  \nClass C ward  S$2,250  \nClass B2 / B2+ ward  S$3,000  \nClass B1 ward  S$3,750  \nClass A ward / Private hospital  \nS$5,250  \nHospital outside Singapore  \nSubsidised short stay ward  S$3,000  \nUnsubsidised short stay ward  S$5,250  \nDay surgery  S$4,500  S$4,500  S$3,000  \nCo-insurance  \n(applicable to claimable amount \nafter  MyShield annual deductible)  10% \nMaximum S$25,500 per policy year.  \n \n\n2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 39  \n \nABC Insurance Company (Singapore) Ltd  \n21 Any Street, ABC Centre, Singapore 654321  \nTel: (65) 6789 8181   Fax: (65) 6789 8282  \n \nSCHEDULE OF SURGICAL BENEFITS (CONT\u2019D)  \n \n \nMaximum claim limits  \n \n \n \n \n \n \nPolicy year limit  S$1,000,000  \n \nor \n \nS$2,000,00021 \n(Panel specialist in a \nprivate hospital with \ncertificate of pre-\nauthorisation, \nrestructured hospital \nor community \nhospital )  \n \n \n \n \nS$1,000,000   \n \n \n \n \nS$500,000  \nLifetime limit  Unlimited  \nAge limits (age next birthday)   \nLast entry age  75 years old  \nMaximum cover age  Lifetime  \n \n \n \n \n \n \n \n \n \n \n  \n\nHealth Insurance   \n40 Copyright reserved by the Singapore College of Insurance Limited [ Version 1."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: dee8c433-382e-4172-97a7-05a5e906f4cc
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"dee8c433-382e-4172-97a7-05a5e906f4cc\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"89772983-caa1-4071-ad48-532e7b8d4cf8\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"08d2800576dcc72b58e81192a1ca2cbc017de686c5555f34026e6d90b61cbab8\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"0f34024a-a384-4dbb-9e73-3ef229f06fc7\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"b452895115d909b255cadc65682b343132027cb1f4448fb7c5322d3a09b12017\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 304035, \"end_char_idx\": 307387, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "4] \nAPPENDIX  2C \n \nSubsidy Level For Singapore Citizens & S PRs At Public Hospitals  \n \nWard Class/  \nService Type  Singapore \nCitizen  \nSubsidy Level  Singapore \nPermanent \nResidents \nSubsidy Level  \nClass B2  50-65% 25-40% \nClass C  65-80% 32.5-55% \n   \n \nOnly Singaporeans and Permanent Residents (PRs) are eligible for hospital \nsubsidies. Subsidy level accorded depend on the choice of ward class and \nresident status. Subsidy level would also depend on your income level.   \n \nWith effect  from 1 November 2022, subsidies for acute inpatient care will \nbe means -tested based on a patient\u2019s per capita household income (PCHI). \nA single common subsidy framework for C and B2 Wards will also be \napplied. The revised subsidy framework is as shown belo w. \n \nWard Class/  \nService Type  Singapore \nCitizen  \nSubsidy Level  Singapore \nPermanent \nResidents \nSubsidy Level  \nClass B2 /C 50-80% 25-50% \n   \n \n \nSource:  MOH Website   \n \n \n\n2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 41  \nAPPENDIX  2D \n \nNotice No    :     MAS 117  \nIssue Date   :     26 January 2004  \n \nLast revised on: 16 April 2020*  \n \n(Refer to endnote for history of amendments)  \n \nTRAINING AND COMPETENCY REQUIREMENT: HEALTH INSURANCE  \n \nIntroduction  \n \n1. This Notice is issued pursuant to sections 71 and 154(4)  of the Insur ance Act \n1966  [\u201cthe Act\u201d] and \u2014  \n \n(a) applies to \u2014  \n \n(a) a direct insurer;  \n(b) a direct insurance broker;  \n(c) an exempt direct insurance broker;  \n(d) a licensed financial adviser; or  \n(e) an exempt financial adviser,  \n \nwhich carries on a business in relation to health insurance products, \nwhether or not it carries on any other business; and  \n \n(b) applies to \u2014  \n \n(i) any person employed by or who act as an insurance agent for a direct \ninsurer, other than a Trade Specific Agent;  \n \n[MAS 117 (Amendment) 2010, wef 11 Aug 2010]  \n \n(ii) any person employed by or who act for a direct insurance broker or \nan exempt direct insurance broker; or  \n(iii) any person employed by or who acts as an appointed representative \nfor a licensed financial adviser or an exempt financial adviser,  \n \n[MAS 117 (Amendment) 2010, wef 26 Nov 2010]  \n \nwho provides advice on or arranges contracts of insurance or both, in respect  of health \ninsurance products.  \n \n1A. This Notice sets out the following:  \n \n(a) minimum examination requirements; and  \n(b) continuing professional development (\u201cCPD\u201d) requirements in respect of \nshield plans.  \n \n\nHealth Insurance   \n42 Copyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] [MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \nDefinitions  \n \n2. For the purpose of this Notice \u2014  \n\u201cAgents\u2019 Registration Board\u201d means the board set up by the General Insurance  \nAssociation of Singapore (\u201cGIAS\u201d) to register any general insurance agent \nacting for one or more licensed insurers carrying on general business;  \n \n[MAS 117 (Amendment) 2010, wef 11 Aug 2010]  \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n \n\u201cbusiness day\u201d means any calendar day, other than a Saturday, Sunday or \npublic holiday;  \n[MAS 117 (Amendment) 2020, wef 16 Apr 2020]  \n \n\u201cexempt financial adviser\u201d mean s a person exempt from holding a financial \nadviser\u2019s licence under section 23(1)(a) to (e) of the Financial Advisers Act \n(Cap."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 0f34024a-a384-4dbb-9e73-3ef229f06fc7
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"0f34024a-a384-4dbb-9e73-3ef229f06fc7\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"dee8c433-382e-4172-97a7-05a5e906f4cc\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"259f249df68384b02d7559d94257b63c007fc71a1524fb10dddc6b7468f11d15\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"169c9926-abda-49d1-af4f-15fabba19530\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"bf2e5997ba64d225e87c660db167aa4743bdee1e42e0cba81f9e43ce59f85468\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 307388, \"end_char_idx\": 311076, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "110);  \n \n\u201cexempt direct insurance broker\u201d means a person exempt from registration as \na direct insurance broker under section 35ZN( 1)(a) to (ea) of the Act;  \n \n[MAS 117 (Amendment) 2010, wef 11 Aug 2010]  \n \n\u201chealth insurance product\u201d means a life policy with accident and health \nbenefits or an accident and health policy, but excludes such policy where \naccident and health benefits are pai d out only \u2014  \n \n(a) in the event of an injury to, or disability of, the insured as a result of an \naccident;  \n(b) in the event that the insured becomes total and permanently disabled;  \n(c) on the death of the insured by accidental cause; or  \n(d) on the occurrence of a combination of the events set out in (a) to (c);  \n \n[MAS 117 (Amendment) 2010, wef 11 Aug 2010]  \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n \n\u201cintegrated shield plan\u201d has the same m eaning as in regulation 2 of the \nMediShield Life Scheme (Private Medical Insurance Scheme) Regulations;  \n \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n \n\u201cMediShield Life Scheme\u201d means the Scheme established under section 3 of \nthe MediShield Life Scheme Act 2 015 (No. 4 of 2015);  \n \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n \n\u201cnon -integrated shield plan\u201d has the same meaning as in regulation 2 of the \nMediShield Life Scheme (Private Medical Insurance Scheme) Regulations;  \n \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n\n2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 43  \n\u201crelevant date\u201d means the earliest of the dates mentioned in paragraph 7A(c), \n(d) or (e);  \n[MAS 117 (Amendment) 2020, wef 16 Apr 2020]   \n \n\u201cshield plan\u201d means an integrated shield plan or non -integrated shield plan;  \nand  \n \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n \n\u201cTrade Specific Agent\u201d means an insurance agent for a direct general insurer \nwho is \u2014  \n \n(a) not carrying on business in Singapore as his core business; and  \n(b) registered with the Agents\u2019 Registration Board purs uant to paragraph 6 \nof MAS Notice 211.  \n \n[MAS 117 (Amendment) 2010, wef 11 Aug 2010]  \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n \n3. The expressions used in this Notice shall, except where expressly defined in this \nNotice or where the context otherwise requires, have the same respective meanings as \nin the Act.  \n \nMINIMUM EXAMINATION REQUIREMENTS  \n \nRequirements to pass the health insuranc e module  \n \n4. Subject to paragraphs 6, 7 and 7A, any individual \u2014  \n[MAS 117 (Amendment) 2020, wef 16 Apr 2020]  \n(a) who\u2014  \n \n(i) is employed by or acts as an insurance agent for a direct insurer, \nother than a Trade Specific Agent;  \n \n[MAS 117 (Amendment) 2010, wef 11 Aug 2010]  \n \n(ii) is employed by or acts for a direct insurance broker or an exempt \ndirect insurance broker; or  \n \n(iii) is employed by or acts as an appointed representative for a licensed \nfinancial adviser or an exempt financial advi ser;  \n \n[MAS 117 (Amendment) 2010, wef 11 Aug 2010]  \nand  \n \n(b) who wishes to provide advice on or arrange contracts of insurance or both, \nin respect of health insurance products,  \n \nis required to pass the health insurance module conducted by the Singapore Colle ge of \nInsurance (SCI).  \n \n\nHealth Insurance   \n44 Copyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 5. Subject to paragraph 7B, a direct insurer, a direct insurance broker, an exempt \ndirect insurance broker, a licensed financial adviser or an exempt financial adviser shall \nensure that any individual it employs or, where applicable, who acts for it, acts as its \ninsurance agent or acts as its appointed representative, complies with the requirement \nin paragraph 4."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 169c9926-abda-49d1-af4f-15fabba19530
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"169c9926-abda-49d1-af4f-15fabba19530\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"0f34024a-a384-4dbb-9e73-3ef229f06fc7\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"b452895115d909b255cadc65682b343132027cb1f4448fb7c5322d3a09b12017\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"9576aa9a-1ad8-4312-b10e-71441c6c2d93\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"72c0d2f0f790290ceaba9264c0617f13ed5d909cad22a6261e29a1b9a4c697a1\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 311081, \"end_char_idx\": 314821, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "[MAS 117 (Amendment) 2010, wef 26 Nov 2010]  \n[MAS 117 (Amendment) 2020, wef 16 Apr 2020]   \n  \nExclusion  \n \n6. Any individual \u2014  \n \n(a) who, prior to 1 January 200 2,\u2014  \n \n(i) is employed by or acts as an insurance agent for a direct insurer; or  \n \n(ii) is employed by or acts for a direct insurance broker or an exempt \ndirect insurance brokers;  \n \nand  \n \n(b) who had been providing advice or arranging contracts of insurance or \nboth, in respect of health insurance products that contain what is \ncommonly known as critical illness benefit as the only accident and health \nbenefits in the product,  \n \n[MAS 117 (Amendmen t) 2015, wef 1 Jan 2016]  \n \nis not required to comply with the requirement in paragraph 4 if he has completed a \nnon-examinable  course on critical illness insurance conducted by SCI or an approved \nin-house course covering SCI\u2019s syllabus on critical illness insurance by 1 July 2002.  \n \n7. Any individual \u2014  \n \n(a) who, \u2014  \n \n(i) is employed by or acts as an insurance agent for a direct insurer;  \n \n(ii) is employed by or acts for a direct insurance broker or an exempt \ndirect insurance brokers;  \n \n(iii) is employed by or acts as an appointed representative for a licensed \nfinancial adviser or an exempt financial adviser;  \n \n[MAS 117 (Amendment) 2004, wef 13 Feb 200 4]  \n[MAS 117 (Amendment) 2010, wef 26 Nov 2010]  \n \nand  \n \n\n2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 45  \n(b) who provides advice on or arranges contracts of insurance or both, in \nrespect of health insurance products that contain what are commonly \nknown as critical illness benefit or hospital income benefit o r both, as the \nonly accident and health benefits in the product,  \n \nis not required to comply with the requirement in paragraph 4 if he has obtained passes \nin any of the following modules:  \n \n(i) Certificate in General Insurance - Basic Insurance Concepts & \nPrinciples and Personal General Insurance;  \n(ii) Capital Markets & Financial Advisory Services Module 9: Life \nInsurance and Investment -Linked Policies.  \n \n[MAS 117 (Amendment) 2004, wef 13 Feb 2004]  \n \nRelief Measures During the COVID -19 Situation  \n7A An individual  \n \n(a) who \u2014  \n \n(i) is employed by or is appointed to act as an insurance agent for a \ndirect insurer;  \n(ii) is employed by or is appointed to act for a direct insurance broker or \nan exempt direct insurance bro ker; or  \n(iii) is employed by or is appointed to act as an appointed representative \nfor a licensed financial adviser or an exempt financial adviser, and  \n \n(b) who wishes to commence providing advice on or arranging contracts of \ninsurance or both, in respect of health insuran ce products, between 16 \nApril 2020 and 30 September 2020 (both dates inclusive),  \n \nis not required to comply with the requirement in paragraph 4, for a period of six \nmonths (or such longer period as may be allowed by the Authority in writing) from the \nearliest of the following dates:  \n \n(a) the date the individual commences providing advice on health insurance \nproducts;  \n(b) the date the individual commences arranging contracts of insurance in respect \nof health insurance products;  \n(c) the date the individual commences providing advice on health insurance \nproducts and arranging contracts of insurance in respect of health insurance \nproducts.  \n \n[MAS 117 (Amendment) 2020, wef 16 Apr 2020]  \n \n7B Any \u2013  \n(a) direct insurer which employs, or appoints to act as its insurance agent, an \nindividual mentioned in paragraph 7A(a)(i) who wishes to commence activities \nmentioned in paragraph 7A(b);  \n\nHealth Insurance   \n46 Copyright reserved by the Singapore College of Insurance Limited [ Version 1."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 9576aa9a-1ad8-4312-b10e-71441c6c2d93
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"9576aa9a-1ad8-4312-b10e-71441c6c2d93\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"169c9926-abda-49d1-af4f-15fabba19530\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"bf2e5997ba64d225e87c660db167aa4743bdee1e42e0cba81f9e43ce59f85468\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"48c8bd04-2696-4594-8728-a8cc9ae1814b\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"36845f9e2381336db97096a125e60ea5c796b49bdff6f77c5c378e37ce02b543\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 314822, \"end_char_idx\": 319031, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "4] (b) a direct insurance broker or exempt direct insurance broker, which employs, \nor appoints to act for it, an individual mentioned in paragraph 7A(a)(ii ) who \nwishes to commence activities mentioned in paragraph 7A(b);  \n \n(c) licensed financial adviser or exempt financial adviser, which employs, or \nappoints to act as its appointed representative, an individual mentioned in \nparagraph 7A(a)(iii) who wishes to com mence activities mentioned in \nparagraph 7A(b);  \n \nis not required to comply with the requirement in paragraph 5 in respect of that individual \nfor a period of six months from the relevant date (or such longer period as may be \nallowed by the Authority in writ ing).  \n[MAS 117 (Amendment) 2020, wef 16 Apr 2020]  \n \n7C A direct insurer, a direct insurance broker, an exempt direct insurance broker, a \nlicensed financial adviser or an exempt financial adviser which relies on the \nexemption under paragraph 7B must for the duration where the individual relies \non the exemption under paragraph 7A (called in this paragraph the \u201crelevant \nindividual\u201d) \u2013 \n  \n(a) put in place measures1 to properly supervise the activities and conduct of the \nrelevant individual, including measures to ensure that all obligations assumed \nand liabilities incurred by the relevant individual are properly fulfilled, whether \nactual or contingent and howsoever a rising, in relation to the provision of \nadvice on or arrangement of contracts of insurance or both, in respect of health \ninsurance products, by the relevant individual;  \n \nand \n \n(b) put in place measures, including proper training, to ensure that the relevant \nindividual understands and complies with all Singapore laws that are relevant \nto the provision of advice on or arrangement of contracts of insurance or both, \nin respect of health insurance products, by the relevant individual.  \n \n[MAS 117 (Amendment) 2020, we f 16 Apr 2020]  \n____________________  \n1 The direct insurer, direct insurance broker, exempt direct insurance broker, licensed \nfinancial adviser and exempt financial adviser may refer to the Frequently Asked \nQuestions (FAQs) on Relief Measures Relating to COV ID-19 Situation - General Insurance \nand Health Insurance Examinations and Continuing Professional Development \nRequirements.  \n \n7D Where a direct insurer, a direct insurance broker, an exempt direct insurance \nbroker, a licensed financial adviser or an exempt financial adviser (called in this \nparagraph a \u201crelevant person\u201d) employs or, where applicable, appoints to act for \nit, or appoin ts to act as its insurance agent or appointed representative, as the \ncase may be, an individual who relies on the exemption under paragraph 7A, the \nrelevant person must submit to the Authority all of the following information, \nwithin three business days fr om the relevant date \u2013  \n \n\n2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 47  \n(a) the individual\u2019s name;  \n(b) the relevant date;  \n(c) the individual\u2019s representative number, if applicable.  \n[MAS 117 (Amendment) 2020, wef 16 Apr 2020]  \nAdditional requirements  \n \n8. A direct insurer shall not accept any business in respect of any health insurance \nproduct from any individual whom it employs or who acts as its insurance agent and \nwho has not complied with the requirement in paragraph 4 and does not fall under \nparagraphs 6, 7 or 7A of this Notice.   \n \n[MAS 117 (Amendment) 2020, wef 16 Apr 2020]  \n \n9. A direct insurance broker ,  an exempt direct insurance broker, a licensed financial \nadviser or an exempt financial adviser shall not pass on any business in respect of any \nhealth insurance product to an insurer if it is received from any individual whom it \nemploys or, where applicable, who acts for it or act as its appointed representative, and \nwho has not complied with the requirement in paragraph 4 and does not fall under \nparagraphs 6, 7 or 7A of this Notice.  \n \n[MAS 117 (Amendment) 2010, wef 26 Nov 2010]  \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n[MAS 117 (Amendment) 2020, wef 16 Apr 2020 ]  \n \nCPD REQUIREMENTS IN RESPECT OF SHIELD PLANS  \n \nMinimum number of CPD training hours required  \n \n9A."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 48c8bd04-2696-4594-8728-a8cc9ae1814b
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"48c8bd04-2696-4594-8728-a8cc9ae1814b\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"9576aa9a-1ad8-4312-b10e-71441c6c2d93\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"72c0d2f0f790290ceaba9264c0617f13ed5d909cad22a6261e29a1b9a4c697a1\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"65d302db-44ab-451f-a383-21d8d3f9a19c\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"876533d975052cf3e0f0217da386c470e0a9f3a897f1370eab5024c6e3f86c45\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 319032, \"end_char_idx\": 323142, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Any individual \u2014  \n \n(a) who\u2014  \n \n(i) is employed by or acts as an insurance agent for a direct insurer, other \nthan a Trade Specific Agent;  \n(ii) is employed by or acts for a direct insurance broker or an exempt direct \ninsurance broker; or  \n(iii) is employed by or acts as an appointed representative for a licensed \nfinancial adviser or an exempt financial adviser;  \n \nand  \n \n(b) who wishes to provide advice on or arrange contracts of insurance or both, \nin respect of shield plans,  \n \n \n \n \n \n \n \n\nHealth Insurance   \n48 Copyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] is required to complete a minimum of 2 hours of structured CPD training2 on \u2013  \n \n(i) MediShield Life Scheme content;  \n(ii) shield plan content; or  \n(iii) a combination of MediShield Life Scheme content and shield plan \ncontent,  \n \nbefore the end of each calendar year  (or within such longer period as may be allowed by \nthe Authority in w riting) .  \n \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n[MAS 117 (Amendment) 2020, wef 16 Apr 2020]   \n \nExclusion  \n \n9B. Any individual \u2014  \n \n(a) who\u2014  \n \n(i) is employed by or acts as an insurance agent for a direct insurer, other \nthan a Trade Specific Agent;  \n \n(ii) is employed by or acts for a direct insurance broker or an exempt direct \ninsurance broker; or  \n \n(iii) is employed by or acts as an appointed representative fo r a licensed \nfinancial adviser or an exempt financial adviser;  \n \nand  \n \n(b) who wishes to provide advice on or arrange contracts of insurance or both, \nin respect of shield plans,  \n \nis not required to comply with the requirement in paragraph 9A,  \n \n(i) for the calendar year that he passes the health insurance module \nconducted by SCI; or   \n \n(ii) for the calendar year that he was appointed, if he was appointed \nanytime between 1 October and 31 December (both dates inclusive) of \nthat calendar year.  \n \n \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n_________________  \n2Structured CPD training includes lectures, conferences, workshops and courses, which \nhave clear learning objectives and outcomes, and such learning objectives and outcomes \nare clearly documented and independently verified. Structured CPD training excludes \nactivities that are part of the job scope of the individual referred to in paragraph 9A such \nas carrying out research on products and services for clients but will include product \nseminars prior to the launch of new products and e -learning courses.  \n\n2. Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [ Version 1. 4] 49  \n9C. A direc t insurer, a direct insurance broker, an exempt direct insurance broker, a \nlicensed financial adviser or an exempt financial adviser shall ensure that any individual \nit employs or, where applicable, who acts as its insurance agent or appointed \nrepresentati ve complies with the requirements in paragraph 9A.  \n \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n \n9D. A direct insurer, a direct insurance broker, an exempt direct insurance broker, a \nlicensed financial adviser or an exempt financial adviser shall obtain, and retain for a \nperiod of 5 years from the date of the written records, written records and supporting \ndocuments that show that any individual which it employs or who acts as its insurance \nagent or appointed representative has complied with the requirements i n paragraph 9A.  \n \n[MAS 117 (Amendment) 2015, wef 1 Jan 2016]  \n \nContravention of requirements imposed  \n \n10. Contravention of any requirement imposed under this Notice is an offence and \nattracts the penalty specified in section 55(2) of the Act.  \n \nCommencement and cancellation  \n \n11. This Notice shall take effect on 26 January 2004. Notice MAS 117 on \u201cTraining and \nCom petency Requirement: Health Insurance Module\u201d dated 31 December 2002 is \ncancelled.  \n \n \n \n \n \n*Endnotes of History of Amendments  \n \n1. MAS Notice 117 (Amendment) 2004 dated 13 February 2004 with effect from 13 \nFebruary 2004  \n2. MAS Notice 117 (Amendment) 2010 dated 11  August 2010 with effect from 11 \nAugust 2010  \n3."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 65d302db-44ab-451f-a383-21d8d3f9a19c
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"65d302db-44ab-451f-a383-21d8d3f9a19c\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"48c8bd04-2696-4594-8728-a8cc9ae1814b\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"36845f9e2381336db97096a125e60ea5c796b49bdff6f77c5c378e37ce02b543\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"8f02385e-a48c-4fe6-9cbb-24bd6cfd9bba\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"176abf3a5e82033caa847a7a939b5d1e4e040e5960575c6940748b78c51a84c2\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 323051, \"end_char_idx\": 327660, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "MAS Notice 117 (Amendment) 2010 dated 11  August 2010 with effect from 11 \nAugust 2010  \n3. MAS Notice 117 (Amendment) 2010 dated 26 November 2010 with effect from 26 \nNovember 2010  \n4. MAS Notice 117 (Amendment) 2015 dated 28 December 2015 with effect from 1 \nJanuary 2016  \n5. MAS Notice 117 (Amendment) 2020 dated 16 April 2020 with effect from 16 April \n2020  \n \n \n \n\n3\nMEDICAL EXPENSE INSURANCE\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nThree broad categories of \nHealth Insurance\u2022 A reimbursement for the cost of medical treatment or nursing care; or\n\u2022 A periodic income upon disability or hospitalisation; or\n\u2022 A fixed cash amount upon disability or suffering from a major illness.\nTypes of coverage \nprovided under a Medical \nExpense Insurance policy\u2022 Inpatient expenses.\n\u2022 Outpatient expenses.\n\u2022 Catastrophic outpatient expenses.\nSome policies also extend cover to include:\n\u2022 Emergency medical evacuation.\n\u2022 Private nursing home care.\nOther benefits offered by \ninsurers under a Medical \nExpense Insurance policy\u2022 Specific disease insurance;\n\u2022 Miscarriage benefit;\n\u2022 Private nursing home care;\n\u2022 Daily hospital cash;\n\u2022 Emergency medical evacuation benefit; and\n\u2022 Final expenses benefit.CHAPTER\n02\nKey features of Medical Expense Insurance\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nStand-alone or a rider Medical Expense Insurance can be offered as a rider or a stand-alone policy. If \nissued as a rider, it is often attached to a permanent Life Insurance policy. Note that \nit is not common in Singapore for Medical Expense Insurance to be offered as a \nrider.\nChoice of plans Insurers normally offer Medical Expense Insurance with a variety of plans, giving the \npolicy owner the option to choose a plan that best meets his needs and budget.\nFamily coverage Unlike other types of Health Insurance, most Medical Expense Insurance policies \nallow the policy owner to include immediate family members (i.e. spouse and \nchildren) in the policy. Most insurers also give the policy owner the flexibility of \nselecting different plans for his family members. In addition, some insurers give a \nfamily discount (e.g. 5%) if the application is submitted at the same time.\nReimbursement of \nexpensesBenefits under the Medical Expense Insurance are provided on a reimbursement \nbasis, i.e. the insurer will reimburse the policy owner up to a maximum dollar \namount, or limit for each medical expense item covered under the policy which the \ninsured person incurs.\nExpense participation \n(deductible, co-insurance \nand pro-ration factor)\u2022 A deductible is a flat dollar amount of medical expenses that the policy owner \nmust pay out of his own pocket, before the insurer will begin making any \nbenefit payment under the policy. It is usually on a per year basis, i.e. it is \napplicable again on the yearly renewal of the policy.\n\u2022 Once the policy owner has satisfied the deductible, he is then eligible for \nreimbursement under the policy. However, if there is co-insurance, he is \nrequired to pay a specified percentage (e.g. 10%) of the total covered medical \nexpenses which are in excess of the deductible. This helps to reduce over-\nconsumption.\n\u2022 When the insured person is admitted to a hospital better than and/or ward \nhigher than what he is entitled to under his existing insured plan, a percentage \n(expressed as pro-ration factor in the benefit schedule) is applied on the actual \ncharges incurred and covered under the policy. Therefore, the benefit payable \nis reduced, to take into account the differences in the Government subsidies \napplicable to the ward type of the insured plan.\n\n4\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nBenefit limits \u2022 Lifetime limit. This amount is the maximum total amount of all reimbursements \nthat the insurer is liable to the policy owner throughout the life insured\u2019s \nlifetime.\n\u2022 Annual limit. It is the maximum annual reimbursement for benefits payable by \nthe insurer as stated in the Schedule of Benefits of the policy.\n\u2022 Event limit. The maximum amount payable per disability or illness as defined in \nthe policy\nCovered charges All Medical Expense Insurance policies will specify the expenses and its limits \nthat will be covered under the plan. Charges, services and expenses are three \ninterrelated terms used.\nGeographical limit Most Individual Medical Expense Insurance policies will automatically terminate if \nthe insured resides outside of Singapore for more than a specified period of time \n(e.g. 180 days). However, some insurers will terminate the policy only if the insured \nis not a Singapore Citizen or Singapore Permanent Resident (SPR)."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 8f02385e-a48c-4fe6-9cbb-24bd6cfd9bba
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"8f02385e-a48c-4fe6-9cbb-24bd6cfd9bba\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"65d302db-44ab-451f-a383-21d8d3f9a19c\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"876533d975052cf3e0f0217da386c470e0a9f3a897f1370eab5024c6e3f86c45\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"39851d42-1471-4dee-bdc1-5687224026df\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"6fe36cad6bb41a770278c8f3afbce30e9c4d086c3e1018101562a978780d84a9\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 327514, \"end_char_idx\": 332291, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "180 days). However, some insurers will terminate the policy only if the insured \nis not a Singapore Citizen or Singapore Permanent Resident (SPR).\nWaiting period A period of time stated in the policy which must pass, before some or all of his \nHealth Insurance coverage can begin. In other words, the insurer is liable to pay \nany claim amount filed only after this waiting period. The waiting period is not \napplicable for accidental injury. This means that, in the case of injury caused by an \naccident, the insured will be covered immediately.\nAge limits Most insurers issue this policy to people who are as young as 15 days old and below \na specified maximum age of entry, e.g. 74 or 75 years old. Children are allowed \nto be insured under the parent\u2019s policy up to the age 18 or 25 years, if he is still \npursuing full-time tertiary education.\nPremiums The premiums for Medical Expense Insurance are usually based on age band and \nincrease as one ages, i.e. if a person crosses to the next age band, he has to pay \na higher premium upon renewal, based on the new age band that he falls under. \nPremium rates are not guaranteed and may be adjusted on the premium due date \nor next renewal date to account for higher claims, medical inflation, etc.\nRenewability Some Medical Expense Insurance policies are issued on a guaranteed renewable \nbasis. This means that the insurer cannot terminate the policy owing to poor claims \nexperience, so long as the policy owner pays his premium to keep the policy in \nforce. All the IP policies are guaranteed renewable.\nCommon exclusions under \nMedical Expense Insurance\u2022 Pre-existing conditions that were present during a specified period (e.g. 12 \nmonths) prior to the inception of the insurance;\n\u2022 Congenital anomalies;\n\u2022 Cosmetic surgery, dental treatment and vision care;\n\u2022 Convalescent and special nursing care, general medical check-up;\n\u2022 Pregnancy, infertility, birth control, childbirth and their related complications;\n\u2022 Mental or nervous disorder, drug addiction and alcoholism;\n\u2022 Acquired Immune Deficiency Syndrome (AIDS) and its related complications, \nsexually transmitted diseases;\n\u2022 Flying or aerial activity, other than as a fare-paying passenger on a regularly \nscheduled flight of a commercial aircraft;\n\u2022 Hazardous sports, such as mountaineering, scuba diving, ice skating, bungee \njumping, etc.;\n\u2022 Illnesses or injuries arising from war, nuclear, participation in strike, riot or civil \ncommotion;\n\u2022 Self-inflicted injuries and injuries resulting from a criminal or unlawful act;\n\u2022 Purchase of hospital-type equipment, such as wheelchair, dialysis machine, etc.; \nand\n\u2022 Treatment for obesity, weight reduction or improvement.\nExclusions vary from insurer to insurer. Clients should be advised and reminded \nto read the policy documents i.e. they need to understand the specific exclusions \nimposed by their insurers.\n\n5\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nLimitations (co-ordination \nof benefits) under Medical \nExpense Insurance\u2022 The purpose of this Clause is to ensure that the total claims made by the policy \nowner cannot exceed the total actual medical expenses incurred.\n\u2022 Should the policy owner be able to obtain payments from other sources, the \namount payable by the insurer under a Medical Expense Insurance policy will \nbe reduced, so that the total benefits received will not exceed the total incurred \nmedical expenses.\nGeneral guidelines on \nhow group policies can be \nextended to cover\nEmployees\u2019 immediate \nfamily membersUnlike other types of Health Insurance, most Medical Expense Insurance policies \nallow the policy owner to include immediate family members (i.e. spouse and \nchildren) in the policy. Most insurers also give the policy owner the flexibility of \nselecting different plans for his family members. In addition, some insurers give a \nfamily discount (e.g. 5%) if the application is submitted at the same time.\nUnderwriting \nrequirements for both \nindividual and group \ncoversThe main source of underwriting information for individual Medical Expense \nInsurance is the proposal form. For group coverage, the employer is required to \ncomplete a Group Insurance Fact-Finding (GIFF) Form which is the main source \nof information for the underwriting assessment. For small groups (e.g. below 10 \nmembers/employees), the underwriter may also require the individual employee to \ncomplete a health declaration form.\nSubsidy distinction \nbetween citizens and non-\ncitizensOwing to the differences in healthcare subsidy for citizens, SPR and foreigners, \nsome insurers apply a citizenship factor on the hospitalisation claims. Citizenship \nfactor means a percentage applied to the medical expenses of an insured person \n(who is not a Singaporean), that is claimable under the policy."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 39851d42-1471-4dee-bdc1-5687224026df
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"39851d42-1471-4dee-bdc1-5687224026df\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"8f02385e-a48c-4fe6-9cbb-24bd6cfd9bba\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"176abf3a5e82033caa847a7a939b5d1e4e040e5960575c6940748b78c51a84c2\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"f1a010ce-cb61-4a31-9937-6b26aa33c2d7\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"b6a17851389474d332d6455895ceb02afbd63d6c299556843724847f16c00d69\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 332135, \"end_char_idx\": 333402, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Citizenship \nfactor means a percentage applied to the medical expenses of an insured person \n(who is not a Singaporean), that is claimable under the policy.\nWhen the coverage of an \ninsured person under a \nMedical Expense Insurance \npolicy will terminate\u2022 Death of the insured person. \n\u2022 Date on which the insured person enters into full-time military service, except \nduring National Service reservist duty or training in accordance with the \nEnlistment Act 1970.\n\u2022 The end of the policy period during which the insured person attains the \nmaximum age covered under the policy (e.g. 80 years old).\n\u2022 Date on which the policy is terminated.\n\u2022 Date of expiry of the period for which the last premium payment is made on \naccount of the insured person\u2019s insurance.\n\u2022 The total amount of claims made has reached the lifetime limit.\n\u2022 Date of cessation of the insured person as an employee. Applicable to group \npolicies only.\nDocuments to be \nfurnished in the event of a \nclaim\u2022 Claim form to be completed by the insured;\n\u2022 Physician\u2019s statement by the attending doctor; \n\u2022 Discharge summary; and\n\u2022 Original medical bills.\nThese are the standard documents required by the insurer to assess the claim. The \ninsurer reserves the right to call for other necessary documents."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: f1a010ce-cb61-4a31-9937-6b26aa33c2d7
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"f1a010ce-cb61-4a31-9937-6b26aa33c2d7\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"39851d42-1471-4dee-bdc1-5687224026df\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"6fe36cad6bb41a770278c8f3afbce30e9c4d086c3e1018101562a978780d84a9\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"747dda82-e31a-44c7-b7d5-3b87ef8acbb1\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"b3ff33346a5d45a934c5382022fa6bab1b0fa46520ae6e9c92fd854fdc4fbd1b\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 333254, \"end_char_idx\": 338514, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "These are the standard documents required by the insurer to assess the claim. The \ninsurer reserves the right to call for other necessary documents.\n\n\nHealth Insurance   \n50 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4]       CHAPTER 3  \nGROUP MEDICAL EXPENSE INSURANCE  \n \n \n \n \nCHAPTER OUTLINE  \n \n1. Introduction  \n2. Group Insurance  \n3. Individual & Group Medical Expense Insurance  \n4. Portable, Transferable Medical Benefits & Shield Plans For Employees  \nAppendix 3A - Transferable Medical Insurance Certification  \n \n \n \nLEARNING OUTCOMES  \n \nAfter studying this chapter, you should be able to:  \n\u25aa know the criteria for a group to be eligible for Group Insurance cover  \n\u25aa state the characteristics of a Group Insurance policy  \n\u25aa understand the Medical Insurance  requirements  for foreign workers  \n\u25aa explain the differences between a compulsory and a voluntary plan  \n\u25aa list the advantages of a compulsory plan and a v oluntary plan  \n\u25aa understand the difference s between Individual and Group Medical Expense \nInsurance  \n\u25aa understand how the Portable Medical Benefit s Scheme (PMBS) works  \n\u25aa know the advantages of the PMBS  \n\u25aa understand how the Transferable Medical Insurance Scheme (TMIS) works  \n\u25aa know the areas that an employer must do in order to be eligible for the TMIS  \n\u25aa explain the two main features under the TMIS, namely:  \n- continuation benefit  \n- transferability benefit  \n\u25aa list the medical expenses that qualify under the TMIS Special Benef it \n\u25aa state the differences between PMBS and TMIS  \n\u25aa understand the provisions of a n Integrated S hield Plan on tax deductions  \n \n \n \n \n \n \n \n\n3.Group Medical Expense Insurance\nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]  51 Contents  \nCHAPTER OUTLINE  ................................ ................................ ................................ ...........  50 \nLEARNING OUTCOMES  ................................ ................................ ................................ .... 50 \n1. INTRODUCTION  ................................ ................................ ................................ ....... 52 \n2. GROUP INSURANCE  ................................ ................................ ................................  52 \nA.Medical Insurance Requirement For Foreign Workers  ................................ .... 53 \n3. INDIVIDUAL & GROUP MEDICAL EXPENSE INSURANCE ................................ ..... 54 \nA.Compulsory & Voluntary Plans  ................................ ................................ ........  54 \nA1. Advantages Of A Compulsory (Non -Contributory) Plan  ..........................  55 \nA2. Advantages Of A Voluntary (Contributory) Plan  ................................ ....... 55 \nB.Individual Versus Group Insurance  ................................ ................................ .. 55 \n4. PORTABLE, TRANSFERABLE MEDICAL BENEFITS & SHIELD PLANS FOR\nEMPLOYEES  ................................ ................................ ................................ .............  56 \nA.Portable Medical Benefits  Scheme (PMBS)  ................................ .....................  57 \nB.Transferable Medical Insurance Scheme (TMIS)  ................................ .............  58 \nB1. How To Qualify For The TMIS?  ................................ ................................ .. 58 \nB2. How Can The Two TMIS Features Benefit The Employees?  ....................  58 \nB3. What Are The Medical Expenses That Qua lify Under TMIS Special \nBenefits?  ................................ ................................ ................................ ..... 60 \nB4. Who Are The Employees Eligible For TMIS Benefits?  ..............................  60 \nB5. How Are The Claims Paid?  ................................ ................................ .........  60 \nB6. How Do Insurers Verify The Eligibility Of An Employee Under The TMIS?\n ................................ ................................ ................................ .....................  60 \nB7. Will It Cost More For A Company To Adopt The TMIS?  ...........................  61 \nC.PMBS Versus TMIS  ................................ ................................ ...........................  61 \nD.Provision Of Medisave -Approved Shield Plan ................................ .................  62 \nE.  Ad -hoc Contributions To Employees' Medisave Accounts  .............................  62 \nAPPENDIX  3A ................................ ................................ ................................ ....................  63 \n\n\nHealth Insurance  \n52 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] 1. INTRODUCTION\n1.1 Medical Expense Insurance  (MEI)  policies can be issued on an individual or a\ngroup basis. Hence , it is important that you know how a group policy works and\nwhat the differences are between an individual policy and a group polic y. This\nchapter aims to give you an understanding of the se two categories of policies.\nIn addition, you will also learn about two me dical benefit schemes, namely the\nPortable Medical Benefits Scheme and the Transferable Medical Insurance\nScheme , introduced by the Government in year 2003.\n2."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 747dda82-e31a-44c7-b7d5-3b87ef8acbb1
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"747dda82-e31a-44c7-b7d5-3b87ef8acbb1\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"f1a010ce-cb61-4a31-9937-6b26aa33c2d7\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"b6a17851389474d332d6455895ceb02afbd63d6c299556843724847f16c00d69\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"9103c923-b833-47e3-8674-fed72d568724\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"e1b7d8f7f73fa1f86d046b3ff95f5e9595e42166dfb7cd69b54725bfaa8670df\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 338308, \"end_char_idx\": 342835, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "In addition, you will also learn about two me dical benefit schemes, namely the\nPortable Medical Benefits Scheme and the Transferable Medical Insurance\nScheme , introduced by the Government in year 2003.\n2. GROUP INSURANCE\n2.1 Group I nsurance , one example being  the Employee Benefit  Insurance,  provides\ncoverage to many people under one  master  policy. The requirement is that\nseveral people must first be members of a group , before they can be eligible to\npurchase the insurance. The  group must have been formed for some purpose s\nother than to obtain insurance, such as companies, trade unions , professional\nassociations  and clubs.\n2.2 The characteristics of Group Insurance include:\n(a) Master Contract \u2013 Group In surance is issued under a single contract called\nthe master contract which is kept by the master , i.e. employer, club or\nassociation.  Unlike individual insurance, when a n insured member of the\ncontract dies or leaves the group, only this member\u2019s coverage is\nterminated. The plan itself w ill still carry on , because it belongs to the\nholder of the master contract. For example, under a company\u2019s  Group\nInsurance policy, the employer is the policy owner, while the employee s\nor any of their immediate family membe rs (spouse and children) if\nincluded are the insured person s.\n(b) Minimal Underwriting Requirements  \u2013 If the group size is large  enough,\nthe underwriter may either require the members to complete a health\ndeclaration form , a simplified application form , or waive all underwriting\nrequirements  and rely on the pre -existing condition exclusion clauses in\ntheir policies to avoid anti -selection risks.\n(c) Experience -rating  \u2013 It is usually underwritten based on the past claims\nexper iences of the group to be insured. Such a practice is called\nexperience -rating.\n(d) Cost Effective ness  \u2013 It provides low-cost protection owing to savings in\nadministrative costs , since  only one Group Insurance policy is issued.\n(e) Plan Continuation  \u2013 The pla n is usually renewable on a yearly basis.  As\nsuch, at the end of each policy period, your corporate client will need to\nreview the plan to assess the comprehensiveness of the coverage. You\nhave to  advise your client on this aspect.\nPortable  \nTransferable  \n\n3. Group Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   53  \n(f) Eligibility Requirements  \u2013 Group Insurance policies usually define eligible \nmembers as those in a specified class. For example, most Group \nInsurance policies state that an employee must work full-time , in order to \nbe eligible for coverage . Part-time workers will be excluded from the class \nof eligible employees.  Others include age specifications , e.g. from the age \nof 16 to 65 years and that the insured employees have to be Singaporeans, \nSingapore Permanent Residents ( SPRs), or with valid employment passes \nin order to be eligible.  \n \n2.3 In addition, Group Insurance policies have an actively -at-work clause which \nrequires an employee to be actively at work on the day  that the insurance \ncoverage takes effect , in orde r to be eligible for the cover. If an employee is on \nsick leave or annual leave on the day that the insurance coverage takes effect, \nhe will not be covered by the Group Insurance policy until he returns to work.  \n \n2.4 Some employers may also include a probationary period (typically three to six \nmonths) requirement that a new employee must wait , before becoming eligible \nto enrol in the Group Insurance plan. Such an arrangement will avoid the \nadministrative work involved with new employees resigning shortly after \njoining the company. It also helps to reduce the overall premium payable for \nthe Group Insurance  policy.  \n \nA. Medical Insurance Requirement For  Foreign Workers   \n \n2.5 Since 1 January 2008, subsidies on hospital bills for foreigners have been \nremoved. With this revision, t he Ministry of Manpower (MOM) requires every \nemployer to buy, pay and maintain a minimum Medical I nsurance coverage  for \nits foreign workers and foreign domestic workers (maids) during their \nemployment stay in Singapore  This insurance is compulsory to  every S Pass \nholder and Work Permit holder  before MOM issues or renews their work permit.  \n \n2.6 The insurance coverage must be at lea st S$15,000 per year  and covers medical \nbill incurred for inpatient and day surgery, including hospital bills for conditions \nthat may not be work related."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 9103c923-b833-47e3-8674-fed72d568724
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"9103c923-b833-47e3-8674-fed72d568724\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"747dda82-e31a-44c7-b7d5-3b87ef8acbb1\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"b3ff33346a5d45a934c5382022fa6bab1b0fa46520ae6e9c92fd854fdc4fbd1b\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"276a8683-1c5b-45d9-91dc-d79f06bfe822\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"4dc53d4fdcbdeb384186188315d0a96aa1eb835605927ec0ccc5d6cd1f7e7fe3\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 342636, \"end_char_idx\": 347068, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "2.6 The insurance coverage must be at lea st S$15,000 per year  and covers medical \nbill incurred for inpatient and day surgery, including hospital bills for conditions \nthat may not be work related.  \n \n2.7 A co -payment arrangement may be made with the Work Permit holder if the \nfollowing conditions are met : \n\u25aa The co -pay amount is reasonable and does not exceed 10% of the \nemployee\u2019s monthly salary . \n\u25aa The duration co -payment does not exceed six (6) months .- The co -payment \noption is explicitly in the employment contract or collective agreement and \nhas the worker\u2019s full consent . \n \n2.8 For all Work Permit and S Pass holders  entering Singapore from 1 January 2021,  \nthey are required to have a COVID -19 medical insurance policy before they \narrive in Singapore which:  \n\u25aa covers at least $10,000 for their medical expenses i f they develop COVID -19 \nsymptoms or test positive within the first 14 days of arrival in Singapore; \nand \n\u25aa covers workers on work pass in -principle approvals (IPAs).  \n\n\nHealth Insurance   \n54 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] 3. INDIVIDUAL & GROUP MEDICAL EXPENSE INSURANCE  \n \n3.1 Medical Expense Insurance can be issued on an individual or a group basis. \nIndividual insurance policies are issued to individuals. In some instances, such \na policy can be extended to include the individual\u2019s immediate family members \n(usually spouse and ch ildren).  \n \n3.2 Group Medical Expense Insurance policies are more often purchased by \nemployers as part of their employee benefits to attract and retain their \nemployees . Like the individual insurance policies, the coverage of Group \nMedical I nsurance policies can also be extended to cover the employees \u2019 \nimmediate famil y members (spouses and children) . An example  on how the \ncover may be arranged for an employee and his immediate family members \nunder a Group Medical Insurance policy is shown in Table 3.1. \n \nTable 3.1: Example On How The Cover May Be Arranged For An Employee \nAnd His Immediate Family Members Under A Group Medical Insurance Policy  \n \nInsured  Person  Commencement Date Of Cover  \nNew employees and \ndependants  Date of employment or date of \nconfirmation  upon probation . \nNew dependants  (provided \nthat employee s are already \ninsured)  Spouse  \u2013 at any time within a specified \nperiod of time  (usually 30 days) after \nmarriage.  \n \nChild  \u2013 at any time between 15 and 30 \ndays after birth.  \nEmployer effects a new Group Medical I nsurance policy  \nCompulsory Plan \u2013 Employee and dependants  will be covered from the date \nof commencement of the policy , as long as the employee is actively at work \nor on normal paid leave.  \n \nVoluntary Plan \u2013 Employee  and dependants  can join the scheme at any time \nwithin a specified period of time (usually 30 days) from the commencement \ndate of the policy  or the enrolment period.  \n \nNote : Most insurers will grant the cover only to the employee\u2019s dependants  \nwho are residing in Singapore.  \n \nA. Compulsory & Voluntary Plans  \n \n3.3 Group Insurance policies can be issued on a compulsory or voluntary basis. For \na compulsory (also known as non -contributory) plan, all the eligible employees \nmust be covered under the plan, and the premium s have to be paid solely by \nthe employer. A voluntary (also known as contributory) plan, on the other hand, \ndoes not require full participation from the employees who may be expected to \npay part of the premium s. However, the insurer will normally require a \nminimum number of employees or percentage (e.g. 75%) of participation in the \nplan.  The advantages of both types of plans are  described below : \n\n3. Group Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   55  \nA1. Advantages Of A Compulsory (Non -Contributory) Plan \n \n(a) It provides ease of administration , since there is no regular payroll \ndeduction to monitor.  \n(b) It comes  with l ower costs owing to less administrative work involved , and \nthe greater pooling effect of risks  as a result of many lives insured .  \n(c) It helps the employer  to retain greater control of the benefit structures and \nprovisions.  \n \nA2. Advantages Of A Voluntary (Contributory) Plan \n \n(a) Employer  \n\u25aa Participating employees assume part of the cost s of the benefit s as \nprovided under the Group Insurance plan."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 276a8683-1c5b-45d9-91dc-d79f06bfe822
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"276a8683-1c5b-45d9-91dc-d79f06bfe822\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"9103c923-b833-47e3-8674-fed72d568724\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"e1b7d8f7f73fa1f86d046b3ff95f5e9595e42166dfb7cd69b54725bfaa8670df\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"e00c08d3-9dda-4bd1-9945-885a30c5f7d4\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"57088e623535602a372fd9b2abe6104f5f7faab5aa2dfe68d1e99fa2c4877367\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 346887, \"end_char_idx\": 351277, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "A2. Advantages Of A Voluntary (Contributory) Plan \n \n(a) Employer  \n\u25aa Participating employees assume part of the cost s of the benefit s as \nprovided under the Group Insurance plan. \n\u25aa It generates interest and appreciation from the participating employees  \nof the Group Insurance  plan.  \n \n(b) Employee s \n\u25aa It gives the participating employees some control over the Group \nInsurance plan. \n\u25aa They can o btain cover age at a lower premium rate than buying it \nindividually.  \n \nB. Individual Versus Group Insurance  \n \n3.4 There are some  differences between I ndividual and Group I nsurance. Table 3. 2 \nshows the differences between them.  \n \nTable 3. 2: Differences Between Individual & Group Insurance  \n \n Individual Insurance  Group Insurance  \nEligibility  Only the individual who \napplies for the coverage \nis covered.  \n \nAn individual need s \nonly to be insurable , in \norder to be granted  the \ncoverage.  Only members who belong to the \ngroup and are actively at work are \ncovered.  \n \nMembers under a group must \nsatisfy the eligibility requirements \nas stated in the Group Insurance \npolicy , before they are granted the \ncoverage.  \nContract  Each individual policy \nowner gets a policy \ncontract.  Only one master contract is issued \nto the employer or an affiliated \norganisation. The number of \ninsured  members  is more than \none. \nChoice of \nPlan An individual policy \nowner has the right to \nselect the amount of \ncoverage that he wants.  Insured members may or may not \nhave the right to decide on the  \namount of coverage that they \nwant. In the employer -paid \nplans/compulsory plans, the \n\nHealth Insurance   \n56 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4]  Individual Insurance  Group Insurance  \namount of coverage is determined \nby the employer.  \nUnderwriting  Individual\u2019s health \nhistory, lifestyle and \nfinancial status are \nevaluated.  Group as a whole is  evaluated \ndepending on the gender and age \ndistribution of the group, \noccupation mix and past claims \nexperience . \nTermination \nof Cover  \n Coverage continues \nuntil the individual or \ninsurer chooses to \nterminate it.  \n The individual life insured\u2019s \ncoverage stops when he leaves \nthe group. However, the insurance \nplan continues for the remaining \nmembers.  \nPremium  Cost of coverage is \nhigher because of \nindividual underwriting \nand higher \nadministrative costs.  \n \nPremium is age -related.  Cost of coverage is lower because \nof group underwriting and lower \nadministrative costs.  \n \nPremium is unit -related.  \n \n3.5 The above information is a general description of how a Group Insurance policy \nworks. It applies not only to Medical Expense Insurance policies , but also to all \nother types of Health Insurance policies , which you will learn about in the \nchapters that follow.  \n \n \n4. PORTABLE , TRANSFERABLE MEDICAL BENEFITS  & SHIELD PLANS  FOR \nEMPLOYEES  \n \n4.1 With shorter employment tenure and frequent job changes in the tight labour \nmarket, employees will need continuous inpatient medical provision , when they \nchange jobs or during the period of unemployment. With each change, the \nemployee may lose his medical benefits provided by the respective employer.  \n \n4.2 This will result in the employee being left with no cover while waiting to join \nhis new employer, or he may become uninsurable and unable to be covered \nunder his new employer\u2019s Group  Medical Expense Insurance policy.  To \nincentivise employers to make the move towards enhancing the portability of \ninpatient  or hospitalisation medical benefits for their employees, the Singapore \nGovernment , since 1 April 2004,  has revised the tax policy to allow employers \nimplementing any of the following portable medical bene fits options to enjoy \nhigher tax deduction for medical expenses of up to 2% of the total employees\u2019 \nremuneration:  \n\u25aa Portable Medical Benefits Scheme (PMBS) ; \n\u25aa Transferable Medical Insurance Scheme (TMIS) ;  \n\u25aa Provision of a Shield Plan ; or \n\u25aa Ad-hoc Contributions to Employees' Medisave Accounts.  \n\n3. Group Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   57  \n4.3 Let us now look at the two schemes in greater detail.  \n \nA. Portable Medical Benefits Scheme (PMBS)  \n \n4.4 This scheme  rides on the Medisave/MediShield Life framework."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: e00c08d3-9dda-4bd1-9945-885a30c5f7d4
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"e00c08d3-9dda-4bd1-9945-885a30c5f7d4\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"276a8683-1c5b-45d9-91dc-d79f06bfe822\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"4dc53d4fdcbdeb384186188315d0a96aa1eb835605927ec0ccc5d6cd1f7e7fe3\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"50c79d14-14d5-4a59-aa63-d82c8a9789ee\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"5f5c75853082c23a12bb12d0fa2df70a771ce17f26c9473de815b07d5fcc21bc\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 351165, \"end_char_idx\": 355322, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "A. Portable Medical Benefits Scheme (PMBS)  \n \n4.4 This scheme  rides on the Medisave/MediShield Life framework. Under this \nscheme, the employer s, instead of providing their employees with Group \nMedical Insurance coverage, make additional monthly contribution s to the \nemployees' respective Medisave accounts . Employees can then use the \nMedisave contributions to purchase MediShield Life or any one of the private \ninsurers\u2019 Integrated Shield Plans , to cover the ir inpatient or hospitalisation \nneeds.  \n  \n4.5 Any surplus Medisave contribution will accumulate in the employee\u2019s Medisave \nAccount and generate interest. Do v isit the Central Provident Fund ( CPF) Board  \nwebsite at www.cpf.gov.sg  to find out the latest Medisave interest rate. The \nsavings in the employee\u2019s Medisave Account can be used to meet his future \nmedical needs, as well as the medical needs of his dependants . \n \n4.6 The advantage of this scheme is that the employee can continue to be medically \ninsured , even though he may be unemployed or is in -between jobs.  This is \nbecause the coverage will continue as long as  the premium is paid, regardless \nof his employment status . It also reduces duplication of insurance plans and \npremium payments . \n \n4.7 The employer will enjoy a 2% tax deduction. To be eligible for the tax deduction, \nthe employer must satisfy the following condi tions:  \n\u25aa The scheme must cover at least 20% of the local employees1 recruited as at \nthe first day of financial year being assessed , and all local employees  who \ncommence their employment during that financial year ; \n\u25aa For full -time employees, the additional monthly contributions to Medisave \naccounts should be at least 1% of each employee\u2019s gross monthly salary, \nsubject to a minimum amount of S$16 per calendar month ; and  \n\u25aa For part -time employees2, the additional monthly Medisave contributions \nshould be compute d based on 1% of their actual gross salary  for the calendar \nmonth . \n \n4.8 An employer who wish es to make additional Medisave contribution for his \nemployee s may register with the Employer  Registration Section  of the CPF \nBoard  with a new CPF Submission Number .  \n \n4.9 However, for employers who choose not to implement either the PMBS or \nTMIS, their tax deductibility in respect of medical expenses will be maintained \nat the present 1% of the total employees\u2019  remuneration .  \n \n \n1   Local employees refer to Singapore citizens or Singapore Permanent Residents employed on a full -time \nor part -time contract of employment, regardless of the number of hours worked.  \n2  Part-time employees refer to employees who are required under their contr act of service with their \nemployers to work regularly for less than 30 hours a week.   \n\n\nHealth Insurance   \n58 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] B. Transferable Medical Insurance Scheme (TMIS)      \n \n4.10 The TMIS is a private hospitalisation insurance arrangement among \nparticipating insurers . It is  to provide continuous Medical Expense Insurance \ncoverage to an employee , starting from the date of leaving the  service of his \nemployer  for whatever reasons up to  a period of 12 months , as long as the \ninsurance premium is paid.  \n \n4.11 A TMIS policy is an enhancement of the existing employer -sponsored Group \nMedical Expense Insurance  outside of the CPF Medisave framework . It is \nbasically an employer -sponsored Group Medical Insurance programme with \nthe following two additional features:  \n\u25aa continuation of coverage; and  \n\u25aa transferability  of benefits . \n \n4.12 Let us look at how the TMIS works.  \n \nB1. How To Qualify For The TMIS?  \n \n4.13 To qualify  for the TMIS, the employer must:  \n\u25aa have a group size of 11 or more employees ; \n\u25aa take up a Group Medical Expense Insurance plan;  \n\u25aa insure at least 50% (computed using X/Y x 100%, where X  = all local \nemployees who are on the PMBS or TMIS , and Y  = total number of local \nemployees in the  employing  company) of its local employees , subject to a \nminimum total of 11 employees. The benefits can be provided for pre -\ndefined categories of employees, e.g."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 50c79d14-14d5-4a59-aa63-d82c8a9789ee
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"50c79d14-14d5-4a59-aa63-d82c8a9789ee\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"e00c08d3-9dda-4bd1-9945-885a30c5f7d4\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"57088e623535602a372fd9b2abe6104f5f7faab5aa2dfe68d1e99fa2c4877367\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"5d008ff0-6b3c-4c76-8bef-b260507594fb\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"357c0c2516f7019165d9f05931b0dbebb3fbace51372e054187dfb279b14e003\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 355246, \"end_char_idx\": 359464, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "The benefits can be provided for pre -\ndefined categories of employees, e.g. rank -and-file employees or \nexecutives;  \n\u25aa pay 100% of the premium for the Group Medical Expense Insurance \ncoverage ( Note : Employers are allowed to recover the premiums for \ncontinuation benefits after the termination of employment, whol ly or partly \nfrom the employees, based on agreement with the employees); and  \n\u25aa not give their employees the option as to whether they wish to be insured \nunder the Group Medical Expen se Insurance plan.  \n \nB2. How  Can The Two TMIS Features Benefit The Employees?  \n \n4.14 Continuation  Of Coverage Benefits  \n \nThis feature enables an employee whose employment is terminated either by \nhis employer, or on his own accord, to continue enjoying hospitalisation \ncoverage from the employment termination date up to a period of 12 months \n(not exceeding the prescribed statutory age).  \n \n  \nEmployees are \nnot given option \nas to whether \nthey wish to be \ninsured under the \nGroup MEI Plan . \n\n3. Group Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   59  \n4.15 Transferability  Of Benefits  \n \nThis feature enables an employee who resigns from one employing company \nwhich holds a TMIS policy, and joins another which also holds a TMIS policy , \nto enjoy the following benefits:  \n(a) automatic coverage under the new employer\u2019s Group Medical Expense \nInsurance plan , without  the need to provide  evidence of good health;  and \n(b) waiver of any exclusion on pre -existing medical conditions if the \nemployee has been  continuously insured under one or more TMIS plans \nfor 12 months before joining his new employer. If he has not been insured \ncontinuously for at least 12 months under the TMIS plans before joining \nhis new employer, he will be entitled to the waiver when he  completes the \n12 months of continuous coverage under the new employer\u2019s TMIS plan.  \n \n4.16 However , if the employee is hospitalised  for treatment of a condition which is \npre-existing when he joins the new employer, he will enjoy a lower benefit \nwithin the first 12 months of cover under the new employer\u2019s plan. The cover is \nthe lower entitlement of either the:  \n\u25aa new employer\u2019s TMIS plan; or    \n\u25aa prior employer\u2019s TMIS plan.  \n \n4.17 Example 3.1  illustrates  how an employee\u2019s medical fees are covered should he \ncontract an illness while working for his previous employer.  \n \nExample 3.1  \n \nDanny  changed his job in year 2019. Below are the details:  \n \nDate of termination with Employer A \u2013 1 January 2019 \nDate of employment with Employer B \u2013 15 January 2019 \n \nBenefit Entitlement             Employer A          Employer B        \nDaily Room & Board           S$250 per day    S$350 per day   \nTotal of eligible benefits      S$5,000             S$8,000  \n \nDanny  was hospitalised on 1 April 2019 due to an illness while he contracted \nwhile in Employer A\u2019s employment. He received  a total benefit  of S$5,000  as \nhe has not been continuously insured by Employer B for 12 months  as at 1 \nApril 2019  \n \nShould Danny be once again hospitalised on 1 March 2020 , the total benefit \nthat he would receive  would be  S$8,000.  \n \n4.18 Note that the transferability of benefit s will not be available , if the employee \nmoves from an employer with a non -TMIS group Medical Expense Insurance \nplan to an employer with a TMIS plan, and vice versa.  \n \n\nHealth Insurance  \n60 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] B3. What Are The Medical Expenses That Qualify U nder TMIS Special Benefits?  \n4.19 The following  are the medical expenses that qualify under the TMIS benefits:  \n\u25aadaily room and board charges;\n\u25aaintensive care unit charges;\n\u25aacharges for miscellaneous hospital services;\n\u25aacharges for in -hospital doctor\u2019s visits; and\n\u25aacharges for inpatient and outpatient benefits .\n4.20 All pre/post hospitalisation outpatient, emergency outpatient accident and \noutpatient kidney dialysis/cancer treatment expenses are not eligible for TMIS \nbenefits , even if they can  be reimbursed u nder the TMIS plan.  \nB4. Who Are The Employees Eligible For TMIS Benefits?"}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 5d008ff0-6b3c-4c76-8bef-b260507594fb
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"5d008ff0-6b3c-4c76-8bef-b260507594fb\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"50c79d14-14d5-4a59-aa63-d82c8a9789ee\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"5f5c75853082c23a12bb12d0fa2df70a771ce17f26c9473de815b07d5fcc21bc\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"382b1a95-64a5-4190-b4aa-72a2499077ae\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"52941ee15bb2b884d22ef32ea593ebc58105bb54d8f79f5819fd7c6ddd859c50\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 359411, \"end_char_idx\": 363520, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "B4. Who Are The Employees Eligible For TMIS Benefits?  \n4.21 To be eligible  for the TMIS benefits, an employee must be:  \n\u25aabelow the prescribed statutory retirement age;\n\u25aaa Singapore  Citizen  or SPR based in Singapore;\n\u25aaworking full -time with the same employer; and\n\u25aaworking on a permanent employment contract , or on a temporary\nemployment contract with a term of 24 months or more.\n4.22 At the time of writing, the current statutory minimum retirement age is 63 years \nold in Singapore.  This means that employers are not allowed to dismiss any \nemployee below age 63 because of the employee\u2019s age. The retirement age will \nbe raised gradually to 65 by 2030.  Currently, employers must offer re -\nemployment to eligible employees who turn 63, up to the re -employment age \nof 68. This provides older workers with more opportunities to work longer, if \nthey wish to do so. It is not compulsory for workers to continue working until \nthe re -employment age.  On the contrary, it is their choice whether th ey wish to \ndo so. The re -employment age will be raised gradually to 70 by 2030  \nB5. How Are The Claims Paid?  \n4.23 Claims for continuation of benefits will be payable from the \nprevious employer\u2019s TMIS plan.  \n4.24 Claims for transferability of benefits on or after the employee has joined the \nnew employer will be payable from the new employer\u2019s TMIS plan.  \nB6. How Do Insurers Verify The  Eligibility Of An Employee Under The TMIS?  \n4.25 An employer has to issue a Transferable Medical Insurance Certificat ion (TMIC) \n(see Appendix 3A) at the request of an employee upon the termination of his \nemployment. The TMIC must be submitted to the insurer when the employee \nsubmits a claim for Continuation Benefit , or to the new employer\u2019s insurer \nshould a claim arising from a pre -existing condition be made within 12 months \n\n3. Group Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   61  \nof joining the new employer.  \n \nB7. Will It Cost More For A Company To Adopt Th e TMIS?  \n \n4.26 The insurer will charge an additional premium if a policy is issued under the \nTMIS. However, this will be partially offset by the additional tax deduction (1%) \nwhich the employer is entitled to.  \n \nC. PMBS Versus TMIS  \n \n4.27 The differences  between PMBS and TMIS are  described below : \n \nPMBS  TMIS  \nThe e mployer makes an additional \ncontribution to the Employ ee\u2019s \nMedisave Account for him to  purchase  \nthe policy on his own.  \n The e mployer purchases the policy.  \nCan purchase only a Medical \nInsurance policy approved under the \nMedisave Scheme  (e.g. an Integrated \nShield Plan from an approved private \ninsurer) . \n Can purchase any Group Medical \nExpense Insurance policy offered in \nthe market other than those \napproved under the Medisave \nScheme.  \n \nThe c overage is lifetime  for most \nIntegrated Shield Plans  in the \ninsurance market.  \n The c overage expires at the \nprescribed statutory retirement \nage.  \nThe coverage continues even when \nthe employee is between jobs or out \nof a job , as long as the premium is \npaid.  \n The coverage continues up to a \nmaximum period of 12 months \nfrom the date of termination from a \njob.  \n \nThere are deductibles and co -\ninsurance features.  Riders c an be \npurchased  to offset the deductibles \nand co -insurance.  \n It is unlikely  to have deductibles \nand co -insurance features , as \nGroup Medical Expense Insurance \npolicies rarely have these features.  \n \nTreatment for pre -existing illnesses is \ntypically excluded.  \n Waiver on pre -existing conditions \nis allowed, when employees \nchange jobs and where both \nemployers provide TMIS benefits.  \n \nThe e mployer has no control over the \npolicy which the employee has \npurchased.  The e mployer continues to have full \ncontrol over the Group Medical \nExpense Insurance policy , and the \nlevel of benefits can be structured \naccording to the corporate \nemployee benefit philosophy.  \n\nHealth Insurance   \n62 Copyright reserved by the Singapore College of Insurance Limited [Version 1."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 382b1a95-64a5-4190-b4aa-72a2499077ae
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"382b1a95-64a5-4190-b4aa-72a2499077ae\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"5d008ff0-6b3c-4c76-8bef-b260507594fb\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"357c0c2516f7019165d9f05931b0dbebb3fbace51372e054187dfb279b14e003\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"cf202434-ebe7-47cc-8667-a6a18f0b39d0\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"f0e31901cba0741d80df7dc9b68cf3fe499267e60462b73b0521b75227763b6d\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 363421, \"end_char_idx\": 368233, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Health Insurance   \n62 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] D. Provision Of Medisave -Approved Shield Plan   \n \n4.28 This is a variation of the PMBS , where the employer may choose to pay for a  \nMedi Shield Life or Integrated Shield Plan ( IP) for the  employees. An employer \nproviding employees with an IP can claim tax deduction for medical expenses \nincurred, up to 2% of the total employees\u2019 remuneration, upon meet ing the \nfollowing qualifying conditions:  \n\u25aa provide an IP  for at least 20% of the local employees as at the first day of the \nfinancial year being assessed , and all local employees who commence their \nemployment during that financial year; and  \n\u25aa pay IP premium s on behalf of the employees directly to the approved insurer , \nor reimburse the premium s into the respective employees\u2019 Medisave \nAccounts.  \n \n4.29 However, the additional tax deduction  as mentioned above excludes premiums \nfor the \u201cRiders on IPs\u201d that cover deductibles and co -insurance payments. This \nis because the Singapore Government does not want to incentivise employers \nto take up such riders that can potentially result in an over -consumption of \nhealthcare services.  \n \nE.     Ad-hoc Contributions To Employees' Medisave Accounts    \n \n4.30 An employer can make ad -hoc Medisave contributions to the employees' \nMedisave Accounts, even if it is not adopting any of the portable medical \nbenefits options  as described earlier . \n \n4.31 To encourage such contri butions, the employer can get an additional tax \ndeduction beyond the 1% limit for the amount o f ad-hoc Medisave contributions \nmade . Additional contributions are subject to a limit of  $2,730  per employee per \nyear.  The overall tax deduction for medical expenses will be subject to the \noverall cap of 2%.  \n  \n4.32 If the employer wishes to make additional Medisave contributions for the \nemployees, the employer will need to register with the Employer and Accounts \nManagement Section of the CPF board for a new CPF Submission Number. \nSuch contributions are tax -free, and are subject to a cap per employee per year. \nRefer to the MOM website under schemes for employers and employees for the \ncap amount: http://www.mom.gov.sg   \n \n \n \n\n\n3. Group Medical Expense Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   63  \nAPPENDIX  3A \n \nTRANSFERABLE MEDICAL INSURANCE CERTIFICATION  \n(Important Note: Applicable for TMIS eligible employee only)  \n \nPolicy Particulars  \n \nName of policy owner            ___________________________________________  \nName of Insurer                     ___________________________________________  \nPolicy Number                       ___________________________________________  \n \nLife Insured\u2019s (or Insured Member\u2019s) Particulars  \n \n__________________________________________   \n__________________________________________  \n__________________________________________    \n__________________________________________  \n__________________________________________     \nPeriod of Employer\u2019s Coverage   \n \nPeriod of Continuation Coverage  \n \nCommencement Date _____________   \nCommencement Date ____________  \nTermination Date       _____________  Termination Date       ____________  \n \nPolicy Benefits  Maximum Limit  \n \nRoom & Board (xx days)  S$ _____________________  \nIntensive Care Unit (xx days)  S$ _____________________  \nHospital Services  S$ _____________________  \nSurgical Benefit  S$ _____________________  \nIn-hospital Doctor\u2019s Visit Per Day  S$ _____________________  \n \nCertification  \n \n I/We certify that the information furnished here is true, correct and complete:  \n \n \n_____________________________  \nSignature of Authorised Officer   \n \n                             ____________________  \n                             Company Stamp  \n  Name:  \n  Designation:  \n  Date Issued:  \n \n \nSource: LIA Website \u2013 \u201cTransferable Medical Insurance Certificate\u201d (1 January 2004)  \n \n \n Name of Life Insured  \nNRIC/Passport No.  \nDate of Birth  \nDate of Employment  \nDate of Termination  \n\n6\nGROUP MEDICAL EXPENSE INSURANCE\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nCriteria for a group to \nbe eligible for Group \nInsurance coverThe requirement is that several people must first be members of a group, before \nthey can be eligible to purchase the insurance. The group must have been formed \nfor some purposes other than to obtain insurance, such as companies, trade \nunions, professional associations and clubs.\nCharacteristics of a Group \nInsurance policy\u2022 Master Contract. \n\u2022 Minimal Underwriting Requirements.\n\u2022 Experience-rating.\n\u2022 Cost Effectiveness.\n\u2022 Plan Continuation.\n\u2022 Eligibility Requirements.\nIn addition, Group Insurance policies have an actively-at-work clause."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: cf202434-ebe7-47cc-8667-a6a18f0b39d0
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"cf202434-ebe7-47cc-8667-a6a18f0b39d0\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"382b1a95-64a5-4190-b4aa-72a2499077ae\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"52941ee15bb2b884d22ef32ea593ebc58105bb54d8f79f5819fd7c6ddd859c50\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"cfa33a50-842b-4987-ac2e-ff1a735dbd6f\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"754a335a15e4c3fd9214667ee3c042b2851dd3bdb4b60cc8d4b0843afd62f26a\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 368034, \"end_char_idx\": 372845, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "\u2022 Minimal Underwriting Requirements.\n\u2022 Experience-rating.\n\u2022 Cost Effectiveness.\n\u2022 Plan Continuation.\n\u2022 Eligibility Requirements.\nIn addition, Group Insurance policies have an actively-at-work clause.\nCharacteristics of Medical \nInsurance for foreign \nworkersInsurance coverage must be at least S$15,000 per year and covers medical bill \nincurred for inpatient and day surgery, including hospital bills for conditions that \nmay not be work related.\nDifferences between \na compulsory and a \nvoluntary plan\u2022 For a compulsory (also known as non-contributory) plan, all the eligible \nemployees must be covered under the plan, and the premiums have to be paid \nsolely by the employer.\n\u2022 A voluntary (also known as contributory) plan, on the other hand, does not \nrequire full participation from the employees who may be expected to pay part \nof the premiums.\nAdvantages Of A \nCompulsory (Non-\nContributory) Plan\u2022 It provides ease of administration, since there is no regular payroll deduction to \nmonitor.\n\u2022 It comes with lower costs owing to less administrative work involved, and the \ngreater pooling effect of risks as a result of many lives insured. \n\u2022 It helps the employer to retain greater control of the benefit structures and \nprovisions.\nAdvantages Of A Voluntary \n(Contributory) Plan\u2022 Employer\n \u00bbParticipating employees assume part of the costs of the benefits as \nprovided under the Group Insurance plan.\n \u00bbIt generates interest and appreciation from the participating employees of \nthe Group Insurance plan.\n\u2022 Employees\n \u00bbIt gives the participating employees some control over the Group Insurance \nplan.\n \u00bbThey can obtain coverage at a lower premium rate than buying it \nindividually.CHAPTER\n03\n\n7\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nDifferences between \nIndividual and Group \nMedical Expense Insurance\u2022 Individual insurance policies are issued to individuals.\n\u2022 Group Medical Expense Insurance policies are more often purchased by \nemployers as part of their employee benefits to attract and retain their \nemployees.\n\u2022 Can be extended to include the individual\u2019s immediate family members (usually \nspouse and children).\nIndividual Insurance Group Insurance\nEligibility Only the individual who \napplies for the coverage \nis covered.\nAn individual needs \nonly to be insurable, in \norder to be granted the \ncoverage. Only members who \nbelong to the group and \nare actively at work are \ncovered.\nMembers under a group \nmust satisfy the eligibility \nrequirements as stated \nin the Group Insurance \npolicy, before they are \ngranted the coverage. \nContract Each individual policy \nowner gets a policy \ncontract.Only one master \ncontract is issued to \nthe employer or an \naffiliated organisation. \nThe number of insured \nmembers is more than \none.\nChoice of Plan An individual policy \nowner has the right to \nselect the amount of \ncoverage that he wants.Insured members may or \nmay not have the right to \ndecide on the amount of \ncoverage that they want. \nIn the employer-paid \nplans/compulsory plans, \nthe amount of coverage \nis determined by the \nemployer.\nUnderwriting Individual\u2019s health \nhistory, lifestyle and \nfinancial status are \nevaluated.Group as a whole is \nevaluated depending \non the gender and age \ndistribution of the group, \noccupation mix and past \nclaims experience.\nTermination of Cover Coverage continues until \nthe individual or insurer \nchooses to terminate it.The individual life \ninsured\u2019s coverage stops \nwhen he leaves the \ngroup. However, the \ninsurance plan continues \nfor the remaining \nmembers.\nPremium Cost of coverage \nis higher because \nof individual \nunderwriting and higher \nadministrative costs.\nPremium is age-related.Cost of coverage is \nlower because of group \nunderwriting and lower \nadministrative costs.\nPremium is unit-related.\n\n8\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nHow the Portable Medical \nBenefits Scheme (PMBS) worksThis scheme rides on the Medisave/MediShield Life framework. Under this scheme, the employers, instead of providing their employees with Group Medical Insurance coverage, make additional monthly contributions to the employees' respective Medisave accounts. Employees can then use the Medisave contributions to purchase MediShield Life or any one of the private insurers\u2019 Integrated Shield Plans, to cover their inpatient or hospitalisation needs.\nAdvantages of the PMBS \u2022\nAny surplus Medisave contribution will accumulate in the employee\u2019s MedisaveAccount and generate interest.\n\u2022\nEmployee can continue to be medically insured, even though he may beunemployed or is in-between jobs. This is because the coverage will continueas long as the premium is paid, regardless of his employment status. It alsoreduces duplication of insurance plans and premium payments.\n\u2022\nThe employer will enjoy a 2% tax deduction, subject to conditions."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: cfa33a50-842b-4987-ac2e-ff1a735dbd6f
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"cfa33a50-842b-4987-ac2e-ff1a735dbd6f\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"cf202434-ebe7-47cc-8667-a6a18f0b39d0\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"f0e31901cba0741d80df7dc9b68cf3fe499267e60462b73b0521b75227763b6d\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"eb6b9413-593d-4bf5-bfa6-21a298e4e879\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"1a198a8d2943c8d434467db022f8e3a03527bdbc4bfd96016df68c4120f544cb\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 372709, \"end_char_idx\": 377530, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "It alsoreduces duplication of insurance plans and premium payments.\n\u2022\nThe employer will enjoy a 2% tax deduction, subject to conditions.\nHow the Transferable Medical Insurance Scheme (TMIS) worksThe TMIS is a private hospitalisation insurance arrangement among participating insurers. It is to provide continuous Medical Expense Insurance coverage to an employee, starting from the date of leaving the service of his employer for whatever reasons up to a period of 12 months, as long as the insurance premium is paid. A TMIS policy is an enhancement of the existing employer-sponsored Group Medical Expense Insurance outside of the CPF Medisave framework.\nAreas that an employer must do in order to be eligible for the TMISTo qualify for the TMIS, the employer must:\u2022\nhave a group size of 11 or more employees;\n\u2022take up a Group Medical Expense Insurance plan;\n\u2022insure at least 50% (computed using X/Y x 100%, where X = all local employeeswho are on the PMBS or TMIS, and Y = total number of local employees inthe employing company) of its local employees, subject to a minimum totalof 11 employees. The benefits can be provided for pre-defined categories ofemployees, e.g. rank-and-file employees or executives;\n\u2022\npay 100% of the premium for the Group Medical Expense Insurance coverage(Note: Employers are allowed to recover the premiums for continuation benefitsafter the termination of employment, wholly or partly from the employees,based on agreement with the employees); and\n\u2022\nnot give their employees the option as to whether they wish to be insuredunder the Group Medical Expense Insurance plan.\nTwo main features under the TMIS, namely:\u2022\ncontinuation benefit\n\u2022transferability benefitContinuation Of Coverage Benefits\u2022\nThis feature enables an employee whose employment is terminated eitherby his employer, or on his own accord, to continue enjoying hospitalisationcoverage from the employment termination date up to a period of 12 months(not exceeding the prescribed statutory age).\nTransferability Of Benefits\n\u2022automatic coverage under the new employer\u2019s Group Medical Expense  \nInsurance plan, without the need to provide evidence of good health; and\n\u2022waiver of any exclusion on pre-existing medical conditions if the employee  has \nbeen continuously insured under one or more TMIS plans for 12 months  before \njoining his new employer. If he has not been insured continuously for  at least \n12 months under the TMIS plans before joining his new employer, he  will be \nentitled to the waiver when he completes the 12 months of continuous  \ncoverage under the new employer\u2019s TMIS plan.\nMedical expenses that qualify under the TMIS Special Benefit\u2022\nDaily room and board charges;\n\u2022Intensive care unit charges;\n\u2022Charges for miscellaneous hospital services;\n\u2022Charges for in-hospital doctor\u2019s visits; and\n\u2022Charges for inpatient and outpatient benefits.\nAll pre/post hospitalisation outpatient, emergency outpatient accident and outpatient kidney dialysis/cancer treatment expenses are not eligible for TMIS benefits, even if they can be reimbursed under the TMIS plan.This feature enables an employee who resigns from one employing company which \nholds a TMIS policy, and joins another which also holds a TMIS policy, to enjoy the \nfollowing benefits:\n\n9\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nDifferences between PMBS \nand TMIS\nProvisions of an Integrated \nShield Plan on tax \ndeductionsAn employer providing employees with an IP can claim tax deduction for medical \nexpenses incurred, up to 2% of the total employees\u2019 remuneration, upon meeting \nthe following qualifying conditions:\n\u2022 provide an IP for at least 20% of the local employees as at the first day of the \nfinancial year being assessed, and all local employees who commence their \nemployment during that financial year; and \n\u2022 pay IP premiums on behalf of the employees directly to the approved insurer, \nor reimburse the premiums into the respective employees\u2019 Medisave Accounts.PMBS TMIS\nThe employer makes an additional \ncontribution to the Employee\u2019s \nMedisave Account for him to purchase \nthe policy on his own.The employer purchases the policy.\nCan purchase only a Medical Insurance \npolicy approved under the Medisave \nScheme (e.g. an Integrated Shield Plan \nfrom an approved private insurer).Can purchase any Group Medical \nExpense Insurance policy offered in \nthe market other than those approved \nunder the Medisave Scheme.\nThe coverage is lifetime for most \nIntegrated Shield Plans in the \ninsurance market.The coverage expires at the prescribed \nstatutory retirement age.\nThe coverage continues even when the \nemployee is between jobs or out of a \njob, as long as the premium is paid. The coverage continues up to a \nmaximum period of 12 months from \nthe date of termination from a job. \nThere are deductibles and co-\ninsurance features."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: eb6b9413-593d-4bf5-bfa6-21a298e4e879
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"eb6b9413-593d-4bf5-bfa6-21a298e4e879\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"cfa33a50-842b-4987-ac2e-ff1a735dbd6f\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"754a335a15e4c3fd9214667ee3c042b2851dd3bdb4b60cc8d4b0843afd62f26a\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"1b384be3-c932-4163-a0cc-9344865d5cd2\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"0d74136340ba42c70fe5a88faf40602712a3f1461b8ca2fc737a6291c521b9e0\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 377378, \"end_char_idx\": 382601, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "The coverage continues up to a \nmaximum period of 12 months from \nthe date of termination from a job. \nThere are deductibles and co-\ninsurance features. Riders can be \npurchased to offset the deductibles \nand co-insurance.It is unlikely to have deductibles and \nco-insurance features, as Group \nMedical Expense Insurance policies \nrarely have these features.\nTreatment for pre-existing illnesses is \ntypically excluded.Waiver on pre-existing conditions is \nallowed, when employees change jobs \nand where both employers provide \nTMIS benefits.\nThe employer has no control over \nthe policy which the employee has \npurchased.The employer continues to have \nfull control over the Group Medical \nExpense Insurance policy, and the level \nof benefits can be structured according \nto the corporate employee benefit \nphilosophy.\n\n\nHealth Insurance  \n64 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4]  CHAPTER 4  \nDISABILITY INCOME INSURANCE  \nCHAPTER OUTLINE  \n1. Introduction\n2. What Is Disability Income Insurance?\n3. Disability Income Insurance & Total And Permanent Disability\n4. Computation Of Disability Income Insurance Benefit\n5. Definitions\n6. Benefits Offered Under Disability Income Insurance\n7. Features Of A Disability Income Insurance Policy\n8. Underwriting\n9. Cessation Of Benefits\n10. Exclusions\n11. Termination Of Cover\n12. Group Disability Income Insurance\n13. General Underwriting Principles For Group D isability Income Insurance\n14. Disability Income Claims\n15. Conclusion\nAppendix 4A - Clinical Abstract Form\nLEARNING OUTCOMES  \nAfter studying this chapter, you should be able to:  \n\u25aadescribe what Disability Income Insurance is\n\u25aadifferentiate between Disability Income Insurance and Total and\nPermanent Disability Benefit\n\u25aaunderstand how Disability Income Insurance works\n\u25aabriefly describe:\n-total disability\n-partial disability\n-recurrent disability (linked claims)\n-benefit period\n-deferred /elimination  period\n\u25aaknow the difference between \u201cown occupation\u201d , \u201cmodified own occupation\u201d , \u201cany\noccupation\u201d and \u201csevere disability\u201c  definitions\n\u25aalist the eligibility criteria for payment of Disability Income Insurance benefit\n\u25aadescribe the types of benefits offered by Disability Income Insurance:\n-total disability benefit\n-partial disability benefit\n\n4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   65  \n- rehabilitation expense benefit  \n- escalation benefit  \n- waiver of premium benefit  \n- death benefit  \n\u25aa know how to compute the partial disability benefit  \n\u25aa know how the escalation benefit wo rks \n\u25aa explain how the limitation of disability benefit clause works  \n\u25aa list the features of Disability Income Insurance  \n\u25aa list the documents required for the underwriting of Disability Income Insurance for \nan individual employee , as well as for the self -employed  person  \n\u25aa briefly describe the following underwriting consideration s for Disability Income \nInsurance:  \n- occupation  \n- benefit amount  \n- benefit period  \n- deferred /elimination  period  \n\u25aa know when the benefits under a Disability Income Insur ance policy cease to be \npayable  \n\u25aa list the exclusions commonly found under Disability Income Insurance  \n\u25aa list the events that will cause a Disability Income Insurance policy to be terminated  \n\u25aa understand the coverage and features of Group Disability Income Insur ance  \n\u25aa know the general underwriting principles and claims procedures for both Individual \nand Group Disability Income Insurance  \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\nHealth Insurance   \n66 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] Contents  \nCHAPTER OUTLINE  ................................ ................................ ................................ ...........  64 \nLEARNING OUTCOMES  ................................ ................................ ................................ .... 64 \n1. INTRODUCTION  ................................ ................................ ................................ ....... 68 \n2. WHAT IS DISABILITY INCOME INSURANCE?  ................................ ........................  68 \n3. DISABILITY INCOME INSURANCE & TOTAL AND PERMANENT DISABILITY  ..... 68 \n4. COMPUTATION OF DISABILITY INCOME INSURANCE BENEFIT  .........................  69 \n5. DEFINITIONS  ................................ ................................ ................................ ............  71 \nA. Total Disability  ................................ ................................ ................................ ... 71 \nA1. Own Occupation  ................................ ................................ .........................  71 \nA2. Modified Own Occupation  ................................ ................................ .........  71 \nA3. Any Occupation  ................................ ................................ ..........................  72 \nA4. Severe Disability  ................................ ................................ .........................  72 \nB. Partial Disability ................................ ................................ ................................ ."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 1b384be3-c932-4163-a0cc-9344865d5cd2
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"1b384be3-c932-4163-a0cc-9344865d5cd2\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"eb6b9413-593d-4bf5-bfa6-21a298e4e879\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"1a198a8d2943c8d434467db022f8e3a03527bdbc4bfd96016df68c4120f544cb\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"d31024e0-6ead-430f-8848-5be671da51ec\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"055b394da5269061d5b1be627bfc2f92d91658da54c24ee0b8511bddfba8c48b\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 382245, \"end_char_idx\": 386721, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Any Occupation  ................................ ................................ ..........................  72 \nA4. Severe Disability  ................................ ................................ .........................  72 \nB. Partial Disability ................................ ................................ ................................ . 72 \nC. Recurrent Disability (Linked Claims)  ................................ ................................  73 \nD. Benefit Period  ................................ ................................ ................................ .... 73 \nE. Deferred/Elimination Period  ................................ ................................ .............  73 \n6. BENEFITS OFFERED UNDER DISABILITY INCOME INSURANCE  ..........................  74 \nA. Eligibility Criteria For Payment Of Disability Income Insurance Benefit  ........  74 \nB. Types Of Benefits Off ered  ................................ ................................ .................  74 \nB1. Total Disability Benefit  ................................ ................................ ...............  74 \nB2. Partial Disability Benefit  ................................ ................................ .............  75 \nB3. Rehabilitation Expense Benefit  ................................ ................................ .. 76 \nB4. Escalation Benefit  ................................ ................................ .......................  76 \nB5. Waiver Of Premium Benefit  ................................ ................................ ....... 78 \nB6. Death Benefit  ................................ ................................ ..............................  78 \nC. Limitation Of Disability Benefit Clause  ................................ ............................  78 \n7. FEATURES OF A DISABILITY INCOME INSURANCE POLICY  ................................  78 \n8. UNDERWRITING  ................................ ................................ ................................ ...... 79 \nA. Underwriting Requirements  ................................ ................................ .............  79 \nA1. Individual (Salaried Employee)  ................................ ................................ .. 80 \nA2. Self-employed Person  ................................ ................................ ................  80 \nB. Underwriting Considerations  ................................ ................................ ...........  80 \nB1. Occupation  ................................ ................................ ................................ .. 80 \nB2. Benefit Amount ................................ ................................ ...........................  82 \nB3. Benefit Period  ................................ ................................ .............................  82 \nB4. Deferred/Elimination Period ................................ ................................ ....... 82 \n\n\n4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   67  \n9. CESSATION OF BENEFITS  ................................ ................................ ......................  82 \n10. EXCLUSIONS  ................................ ................................ ................................ ...........  82 \n11. TERMINATION OF COVER  ................................ ................................ .......................  83 \n12. GROUP DISABILITY INCOME INSURANCE  ................................ ............................  83 \nA. Coverage Provided By Group Disability Income Insurance  ............................  83 \n13. GENERAL UNDERWRITING PRINCIPLES FOR GROUP DISABILITY INCOME \nINSURANCE  ................................ ................................ ................................ .............  84 \n14. DISABILITY INCOME CLAI MS ................................ ................................ .................  84 \nA. Claims Procedure For Disability Income Policy  ................................ ...............  84 \nB. Foreign Residency During Claims Period  ................................ ........................  85 \n15. CONCLUSION  ................................ ................................ ................................ ...........  86 \nAPPENDIX  4A ................................ ................................ ................................ ....................  87"}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: d31024e0-6ead-430f-8848-5be671da51ec
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"d31024e0-6ead-430f-8848-5be671da51ec\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"1b384be3-c932-4163-a0cc-9344865d5cd2\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"0d74136340ba42c70fe5a88faf40602712a3f1461b8ca2fc737a6291c521b9e0\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"a98e054d-f1de-4595-a232-75e9bf4bff5a\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"cb3e03fdba3d1c08477ca8d489005e6312d3def24f0857a1ab7ad9552e1e4f26\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 386737, \"end_char_idx\": 390023, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Health Insurance   \n68 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] 1. INTRODUCTION  \n \n1.1 While it is appropriate for an individual to plan for his retirement and premature \ndeath, it is also critical for an individual to protect his earning capacity, whether \nhe is an employee or a self-employed  individual . This is because he could lose \nhis earning po wer should he become disabled as a result of  an accident or \nillness . If that happens, he may be incapable of paying  his living and medical \nexpenses, including  the premiums to keep his insurance policies in force.  On \ntop of this, his family\u2019s current expens es need to be paid , and these expenses \nmay even increase as a result of his medical treatments or the need to employ \na personal nurse to take care of him. In addition, he may still have outstanding \nloans to repay. Thus, many families would be financially w orse off with the \nincapacity of the bread -winner s, than they would  be had the bread -winner s \npassed on .  \n \n1.2 Hence, a Disability Income Insurance policy is a useful insurance product to help \nto safeguard a person\u2019s earning capacity in any of the above -mentione d \nsituation s. In this chapter, we will look at both Individual and Group Disability \nIncome Insurance, including their underwriting and claim procedures.  \n \n \n2. WHAT IS DISABILITY INCOME INSURANCE?  \n \n2.1 Disability Income Insurance is sold as an income -protection product in that it \nhelps to replace a portion of the insured\u2019s income that he loses if he becomes \nincapacitated and unable to work as a result of an accident or  illness , subject to \ncertain conditi ons, as we will see later. It is also known as Permanent Health \nInsurance  because the insurer cannot  cancel the policy, no matter how many \ntimes the insured make s a claim. The policy will continue to pay out until he \nreturn s to work, die s, or the policy en ds, whichever happens first.  Alternative \nnames for this type of insurance include  \u201cIncome Protection\u201d Insurance or \n\u201cIncome Replacement\u201d Insurance. For the purpose of this Study Guide , we will \nuse the term \u201cDisability Income\u201d Insurance.  \n \n \n3. DISABILITY INCOME INSURANCE & TOTAL AND PERMANENT DISABILITY  \n \n3.1 Many people confuse Disability Income Insurance with the Total and Permanent \nDisability (TPD) Benefit offered under Life Insurance policies. While both \nprovide the insured with a cash benefit i n the event of his disability arising from \nan accident or  illness , there are distinct differences between the two benefits . \n \n3.2 The main difference between Disability Income Insurance and Total and \nPermanent Disability Benefit lies in the purpose of the insur ance  and the \ndefinition of \u201cdisability \u201d. Disability Income Insurance provides an income \nreplacement if the insured is unable to work , whereas Total and Permanent \nDisability Benefit serves to accelerate the death benefit payable under a Life \nInsurance policy , to alleviate the financial burden or hardship of the insured and \nhis dependants. The benefit under the Total and Permanent Disabil ity Benefit is \npayable in instalments , or one lump sum, depending on the terms and \nconditions as specified in the Life I nsurance policy.  On the other hand, Disability"}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: a98e054d-f1de-4595-a232-75e9bf4bff5a
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"a98e054d-f1de-4595-a232-75e9bf4bff5a\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"d31024e0-6ead-430f-8848-5be671da51ec\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"055b394da5269061d5b1be627bfc2f92d91658da54c24ee0b8511bddfba8c48b\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"33eca5e3-8862-4929-ae74-15905a07a201\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"3b540633280d2223dea1957c755618db32a37226b303c7934133068cf8825bc4\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 390027, \"end_char_idx\": 394142, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   69  \nIncome Insurance benefits are payable on a monthly basis  for up to  a fixed \nnumber of years  (such as five or ten years) , or until the insured  reaches a certain \nage (such as the age of 60 or 65 years ). The other differences are shown  in Table \n4.1. \n \nTable 4.1: Other Differences Between Disability Income Insurance & Total And \nPermanent Disability Benefit  \n \nDisability Income Insurance  Total And Permanent Disability Benefit  \nDisability definition relates to the \nextent the insured can fulfil the \nduties of his occupation.  Disability is defined to be total and \npermanent , such as loss of limbs or loss \nof eyesight.  \n \nIt can be purchased as a stand -\nalone policy or as a rider.  It is u sually incorporated into the Life \nInsurance policies in Singapore.  \nMaximum sum assured is up to a \nspecified percentage of the salary.  Sum assured is not pegged to salary.  \nEscalation benefit is available.  There is no  escalation benefit.  \nPartial disability benefit is \navailable.  Partial disability benefit is not available.  \nChoice of deferred /elimination  \nperiod is available (e.g. one \nmonth, three months, six months, \netc.).  No deferred period as specified (but \nusually there is a 6-month waiting \nperiod requirement as proof of \npermanent disability).  \n \nIt is usually  only available to \nworking adults  with earn ed \nincome/salary.  There is u sually no restriction on non -\nworking people, e.g. children and \nhousewives, as it is bundled with  the \ndeath benefit under a Life Insurance \npolicy.  \n \n \n \n4. COMPUTATION OF DISABILITY INCOME INSURANCE BENEFIT     \n \n4.1 Disability Income Insurance policy pay s a monthly income to the insured upon \nhis disability. Let us look at how it actually works , using the case of an employed \nindividual. See Example 4.1 . \n \nExample 4.1: Example Of Computation Of Disability Income Insurance \nBenefit  \n \nAndrew , aged 30  years , is an assistant accountant in a finance company . His \nmonthly income is S$5,000. He wish es to purchase a Disability Income \nInsurance policy to provide maximum coverage . \n \nHowever, the maximum amount of monthly benefit that he can purchase is \nunlikely to be 100% . Why?  \n\n\nHealth Insurance   \n70 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] Insurers will allow the benefit amount to cover only up to 75% of the insured\u2019s \naverage income over the past 12 months immediately prior to his disability. \nMost insurers also impose a ceiling on the income to be covered (e.g. \nS$15,000). Some insurers grant a lower percentage for the self -employed, e.g. \n60% of the past 12 months\u2019 income. The purpose of replacing only a certain \npercentage of the insured\u2019s income is to ensure that the insured will not be \nbetter off financially from the benefit which he receives  under his Disability \nIncome Insurance policy, so that he will have the incentive to go back to work.  \n \nDetails of his policy  are as follows : \n \nMale, Age Next Birthday  30 years old  \nMonthly Income  S$5,000  \nMonthly Benefit  S$3,750 (75% of his monthly income \nbeing the maximum amount  as \nallowed by Alpha Insurance \nCompany and assuming  that he has \nno other disability benefits).  \nEscalation Benefit  5% per year  \nBenefit Period  Up to  the age of 65 years  next \nbirthday  \nDeferred /Elimination  Period  6 months  \nAnnual Premium  S$599.10  \n \n \n \n4.2 If Andrew  becomes disabled ( must meet the definition of \u201cdisability\u201d as \nspecified in the policy) and is out of work four and a half years after the policy \ncommences, he will receive the benefit amount every month from the insurer \nafter the Deferred /Elimination  Period , as long as he is unable to work. Should  \nhe be disabled  throughout the Benefit Period  (30 years) , he would  receive a total \nof S$2,989, 746 (S$3,750 x 12 x 66.4 388\uf02a), although he would have paid only five \nyears of premiums amounting to S$2,995.50 ( S$599.10 x 5). Premiums are \nwaived upon disability."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 33eca5e3-8862-4929-ae74-15905a07a201
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"33eca5e3-8862-4929-ae74-15905a07a201\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"a98e054d-f1de-4595-a232-75e9bf4bff5a\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"cb3e03fdba3d1c08477ca8d489005e6312d3def24f0857a1ab7ad9552e1e4f26\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"73cf81ba-b3c7-49e3-9bec-7047853304ef\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"a3b640d8159ce4740e21f15f8e5ed1c7e3a02334428009242a08ca6fbb8ef222\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 394105, \"end_char_idx\": 398333, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Premiums are \nwaived upon disability.  \n \n4.3 Now that you have seen how a Disability Income Insurance policy works, we \nwill look at the definitions of the various terms used in Example 4.1 , including \nthe term \u201cdisability\u201d.  \n \n \n \n \n \n \n \n \n \n \n\uf02a  66.4388 is the future value annuity interest factor derived from the formula [(1+i)n-1]/i (where i = \nescalation benefit,  n = number of years). Alternatively, you may refer to Table A1  on Future Value Of \nAnnuity  Factors at the back of this Study Guide.  \n\n4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   71  \n5. DEFINITIONS  \n \nA. Total Disability  \n \n5.1 Since the major purpose of a Disability Income Insurance policy is to provide \nincome when an insured is totally disabled and unable to work, the meaning of \nTotal Disability is important. As such, the term \u201cTotal Disability\u201d is clearly \ndefined in the policy and may take one of the following forms:  \n\u25aa own occupation disability;  \n\u25aa modified own occupation disab ility;  \n\u25aa any occupation disability  and \n\u25aa severe disability  \n \n5.2 Let us look at each of the definitions in turn.  \n \nA1. Own Occupation  \n \n5.3 This definition  considers the  occupation the insured is engaged  in. Here, t otal \ndisability is defined as:  \n\u201cthe insured\u2019s inability to perform the material duties of his own \noccupation\u201d  \n \n5.4 This refers to the insured\u2019s own occupation at the time that the disability begins. \nFor example, Penny , a pianist, met with an accident which resulted in two \nfingers on her left hand and one finger on her right hand being severed. As a \nresult, she was  unable to work as a pianist anymore. Thus, she had met the \nabove definition of \u201cdisability \u201d and would  be able to claim under her Disability \nIncome Insurance policy . \n \n5.5 The policy will state the insured\u2019s occupation , and the insurer has to be notified \nof any occupation change while the policy is in force. Some insurers do not \nspecify the occupation in the policy.  However, their definition states that the \ninsured must be unable to follow the occupation engaged in immediately prior \nto the disability , or work at any other occupation.  \n \nA2. Modified Own Occupation  \n \n5.6 Here \u201cTotal Disability \u201d means : \n\u201cthe insured\u2019s inability to perform any gainful occupation or a similar \noccupation for which the insured is reasonably suited by reason of \neducation, training or experience\u201d  \n \n5.7 This definition is more stringent than  \u201dOwn Occupation\u201d  in that the definition \nis extended to include \u201ca similar occupation\u201d. Thus, if an insured whose service \nhas been terminated by his former employer because of his disability , but \nmanages to find a job which is similar in nature to the previous occupation a fter \nhis recovery, he will not be able to meet the definition of \u201cTotal Disability \u201d.  \n \n \n\nHealth Insurance   \n72 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] A3. Any Occupation  \n \n5.8 This is a more  restrictive definition of Total Disability. It means : \n\u201cthe insured\u2019s inability to perform any occupation\u201d  \n \n5.9 Again, consider Penny , the pianist, whose fingers were severed. Under the \nprevious definition, she was totally disabled because she was unable to perform \nthe duties of her own occupation. However , suppose that she is able to teach, \ni.e. prepare students for the piano theory examination. Under \u201cAny \nOccupation\u201d definition, she will no longer be considered as being totally \ndisabled.  \n \n5.10 Note that the above examples show  just how the term \u201c Total Disability\u201d may \nbe defined. The wording used may vary from insurer  to insurer , and there are \nmany hybrids in the insurance market , which may not be easy to classify. \nTherefore, it  is important that you find out the exact definition as used by your \ninsurer  and be able to explain it clearly to your prospective clients.  \n \nA4. Severe Disability  \n \n5.11 This definition follows the Long-Term Care Insurance definition where the \ninsured is unable to perform at least three  of the six Activities of Daily Living  \n(ADLs)  \u2013 washing, dressing, feeding, toileting, mobility, and transferring."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 73cf81ba-b3c7-49e3-9bec-7047853304ef
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"73cf81ba-b3c7-49e3-9bec-7047853304ef\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"33eca5e3-8862-4929-ae74-15905a07a201\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"3b540633280d2223dea1957c755618db32a37226b303c7934133068cf8825bc4\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"fec918c5-ce22-4cea-b9e9-ab7c73d0e7b8\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"ebbe93d10dcb9b4a76f50b1a7671b723c7c83b9c98bdff234defb78444a92afa\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 398338, \"end_char_idx\": 402522, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "5.12 The insurer uses this definition when the insured\u2019s disability occurred during a \nnon-working period (a period of time in -between jobs , where the insured is still \ncovered under the plan). When a disability occurs during the non -working \nperiod , the benefit amount will not be based on the last drawn salary , but will  \nusually be pre-determined  (e.g. S$500 a month)  and stated in the policy by the \ninsurer.  \n \nB. Partial Disability  \n \n5.13 This is when the insured recover s from a total disability to perform some major \nduties of his occupation , but at a salary which is at least 25% lower than the pre-\ndisability salary.  For example, Walter was paid S$2,500 a month as a warehouse \nworker. His work involved moving materials both  with a mechanical forklift and \nby hand.  \n \n5.14 After an accident, Walter\u2019s spine was injured resulting in him having weak \nhands. Since then, he could  operate only the forklift, but was not able to move \nthe materials using his hands. As such, he was given a low er pay of S$1,800 \n(S$1,800 \uf0b8 S$2,500 x 100 =  72% i.e. 28% less than his original pay). In th at \ninstance, Walter was considered to be partially disabled.  \n \n \n \n \n \n \n\n4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   73  \n \n \n \n \n \n \n \n5.15 Some insurers allow Partial Disability benefit to  the insured who work s in other \noccupation  (not related to his own occupation)  on a part -time or full -time basis , \nand which pays him a salary of 75% (or less) of his Pre -disability Earnings.  \n \nC. Recurrent Disability (Linked Claims)  \n \n5.16 If the insured who has been receiving the disability benefits returns to work , but \nsuffers a relapse within a specified period of time (usually 180 days) from the \nsame cause, most insurers will waive the deferred /elimination  period , and the \nbenefit payments will re -commence immediately.  \n \n5.17 In such a case, the claim will be treated as a continuation of the earlier claim for \nthe purpose of determining the duration of the benefit payment period.  \n \nD. Benefit Period  \n \n5.18 Benefit period is the max imum period for which disability benefits are payable \nto the insured for any one episode of disability. It can be short  term (e.g. five \nyears) or long  term  (e.g. up to age  of 60 years ). Obviously, the shorter the \nbenefit term, the lower will be the premium s. \n \n \n \n \n \n \n \n \n \nE. Deferred/Elimination Period   \n \n5.19 A Disability Income Insurance policy will start paying its benefits after the \ninsured has been disabled for a specified period known as the deferred , \neliminatio n or pre -benefit  period. The condition for a deferred period eliminates \ncostly claims for disabilities which are only short term. Insurers may offer to the \ninsured different deferred /elimination  periods  (e.g. 45, 90 or 180 days ), or by \nnumber of months  (e.g. three months ). \n \n5.20 Insurers offer these various deferred /elimination  periods to meet the different \nindividual\u2019s specific needs. For example, a self -employed person may need a \nshort deferred period , as his income may be immediately  affected by his \ninability to work. An employed person, on the other hand, will usually contin ue \nto receive his salary for some specified period  (e.g. three or six months) . As \nsuch, you should advise your prospective client to find out from his employing =  Longer Benefit   \n     Period              Premium  \n \n \n \n \n \n \n =  Shorter Benefit  \n      Period  Premium  \n \n \n \n Income  \n Before    \nDisability  \nIncome  \n= S$2,500  After disability, income \nwas reduced to S$1,800 \n(being 72% of  \npre-disability income).  \n\nHealth Insurance   \n74 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] company or his employment contract to see how long his company will \ncontinue to pay him his sal ary in the event that he is disabled , so that he can \nselect the right deferred period. This will help him to save on the premium , as \nthe longer the deferred period, the cheaper will be the premium , since the \nduration and frequency of claims are thereby reduced."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: fec918c5-ce22-4cea-b9e9-ab7c73d0e7b8
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"fec918c5-ce22-4cea-b9e9-ab7c73d0e7b8\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"73cf81ba-b3c7-49e3-9bec-7047853304ef\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"a3b640d8159ce4740e21f15f8e5ed1c7e3a02334428009242a08ca6fbb8ef222\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"3caa6071-d7b5-407f-965f-e6d072471527\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"3aab71b229c725cf11737cfe6e1eb2c93301f118c06dafc933830b86c63ee253\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 402344, \"end_char_idx\": 406565, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "This will help him to save on the premium , as \nthe longer the deferred period, the cheaper will be the premium , since the \nduration and frequency of claims are thereby reduced.  \n \n5.21 You can also advise prospective clients with financial constraints to purchase a \npolicy with a longer deferred period , where the premium is affordable to them , \ninstead of not having the cover at all.  \n \n \n \n \n \n \n \n \n \n6. BENEFITS OFFERED UNDER DISABILITY INCOME INSURANCE  \n \nA. Eligibility Criteria For Payment Of Disability Income Insurance Benefit  \n \n6.1 To be eligible for the disability income benefit payment, the insured MUST:  \n(a) keep  the policy in force;  \n(b) be working (employed)  or in -between jobs  when being disabled;  \n(c) still be disabled after the deferred /elimination  period;  \n(d) meet the definition of total or partial disability as stated in the policy;  \n(e) not have reached the expiry age  as stated in the policy;  \n(f) not have resided outside Singapore for more than a certain period of time  \n(usually not more than six months ); and \n(g) not have other sources of income (e.g. payment from Work  Injury  \nCompensation Insurance), which when totalled up, is more than the \nbenefits due to him under his Disability Income Insurance policy.  \n \nB. Types Of Benefits Offered  \n \nB1. Total Disability Benefit  \n \n6.2 The main benefit offered  by Disability Income Insurance is obviously the \nmonthly cash benefit payable to the insured to replace his lost income  (e.g. up \nto 75%) , when he becomes totally disabled  through an accident or  illness .  \n \n6.3 The benefit will be paid , regardless of whether or not the insured is hospitalised. \nHowever, his disability has to  be certified by a registered medical practitioner1 \n \n1  A registered medical practitioner is a doctor who is qualified by degree in western medicine and is \nlegally licensed to pr actice medicine and surgery in the geographical area of his country, but does not \nrefer to a medical practitioner who is the insured himself, as well as his spouse, child or parent of the \ninsured.  =  Short Deferred  \n     Period  Premium  \n \n \n \n \n \n \n =  Long Deferred  \n      Period  Premium  \n \n \n \n Income  \nInsurers \nusually \ninsure up \nto 75% of \nincome  \n\n4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   75  \nin order for him to make a claim under his policy.  \n \n6.4 If the insured\u2019s total disability continues after the expiry of the deferred period, \nthe insurer will pay the monthly benefit at the end of each month . For example,  \nif the policy is issued for a monthly benefit of S$1,000 ( as stated in the policy \nschedule), this will be the amount that the insured will get for that month. If the \nperiod of disability is less than one month, the insurer will usually pay a  pro-\nrata amount based on a daily rate of one -thirtieth (1 /30) of the disability benefit.  \n \n6.5 The benefit ceases when the insured recovers and returns to work, either full-\ntime  or part-time , and even to a different occupation . \n \nB2. Partial Disability Benefit  \n \n6.6 Partial Disability Benefit is also known as \u201cRehabilitation Benefit\u201d. It provides a \nreduced benefit to the insured if he is able to return to work at a reduced income \nof 75% of his Pre-disability Earnings, or lower, even though he has not been \nfully recovered. The reduced benefit is computed based on the following \nformula:  \n \n \nPre-disability Earnings \u2212 Present Earnings    \n           X    Tota l Disability Benefit  \n   Pre-disability Earnings  \n \n  \n\nHealth Insurance   \n76 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] 6.7 Example 4.2  shows how the partial disability benefit is arrived at.  \n \nExample 4.2: Computation Of Partial Disability Benefit  \n \nLarry , a lecturer who earn s S$8,000 a month suffered brain injury in a car \naccident. This caused him to be totally disabled for two years during which he \nreceived S$6,000 (75% of his Pre-disability Earning s) a month from his \nDisability Income Insurance policy. In the third year, he man aged to find a job \nin a printing firm that paid him S$1,000 a month."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 3caa6071-d7b5-407f-965f-e6d072471527
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"3caa6071-d7b5-407f-965f-e6d072471527\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"fec918c5-ce22-4cea-b9e9-ab7c73d0e7b8\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"ebbe93d10dcb9b4a76f50b1a7671b723c7c83b9c98bdff234defb78444a92afa\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"826203e6-c6f0-4c86-bb35-a7496c97b4d3\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"5e28daa683631e435b8c15094e7f002f9eb93c393047f580f3d885e2580e326a\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 406470, \"end_char_idx\": 410202, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "In the third year, he man aged to find a job \nin a printing firm that paid him S$1,000 a month. In view of this, the insurer \nreduced the monthly benefit to S$5,250, calculated as follows:  \n \n   S$(8,000 \u2013 1,000)  \n                                    X    S$6,000    =  S$5,250 \n          S$8,000                                    \n \nNote: You can see that the total monthly benefit and reduced income after the \npartial disability is S$6,2 50 (S$5,2 50 + S$1,000). This is still lower than the \noriginal income of S$8,000 a month before th e disability.  \n \n6.8 The insurer will pay a pro -rata amount , based on a daily rate of one -thirtieth \n(1/30) of the partial disability benefit if the period of the partial disability is less \nthan a month.  \n \nB3. Rehabilitation Expense Benefit  \n \n6.9 Insurers  encourage the disabled insured to participate in rehabilitation \nprogrammes. They will reimburse an insured for the rehabilitation costs \nincurred. The benefit is  limited to a per disability basis and may include items , \nsuch as:  \n\u25aa training courses;  \n\u25aa medical aids (e.g. wheelchair , walking frame, crutches ); and  \n\u25aa workplace modifi cations.  \n \n6.10 The insured must first get the insurer\u2019s approval in writing , before going ahead \nwith any rehabilitation programmes, etc. The rehabilitation benefit may be \npayable in addition to the monthly disability benefit  (e.g. up to three times the \nmonthly benefit ). \n \nB4. Escalation Benefit  \n \n6.11 Escalation benefit is a benefit offered by insurers as a hedge against inflation. \nWith  an additional premium, the insured can opt for a 3% or 5% escalation \nbenefit per annum.    \n \n6.12 This benefit is useful for long -term disabilities. Example 4.3  illustrates how the \nescalation benefit works.  \n \n \n \n\n4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   77  \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n Example 4.3: Illustration Of The Working Of The Escalation Benefit  \n \nEddy, an engineer, became disabled on 30 June 2018. He was insured for \nS$6,000 (75% of his monthly salary of S$8,000) and had opted for a 3% per \nannum escalation benefit and a 6 -month deferred period.  \n \nThe events following his disablement were as follows:  \n \nDate  Event  \n1-1-2019  Insurer made the first monthly payment of S$6,000  \n1-2-2019  Insurer made the second monthly payment of S$6,000  \n \n \n \n \n \n \n \n \n \n \n1-1-2020  Insurer paid S$6,180 [(S$6,000 + S$6,000 x 3% (escalation \nbenefit)]  \n1-2-2020  Eddy had since found a job as a clerk which paid him S$2,000 \na month. The insurer paid him a partial disability benefit of \nS$4,635 derived as follows:  \n \n Pre-Disability Earnings \u2013 Present Earnings  X Disability  \nBenefit   Pre-Disability Earnings  \n   \n= S$(8,000 \u2013 2,000)  X   S$6,180  S$8,000  \n= S$4,635   \n \n \n \nEddy will continue to receive the Disability Income benefit until he dies or \nwhen the benefit period expires, depending on which is earlier.  \nEddy continued  \n \nto be disabled  \nInsurer continued to  \n \npay S$6,000 each \nmonth  \n\nHealth Insurance   \n78 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] B5. Waiver Of Premium Benefit  \n \n6.13 The premiums due under the Disability Income Insurance policy will be waived \nduring the disability benefit payout period (applies to both total and partial \ndisability).  If the insured has paid the premium annually in advance, the waiver \nof the premium will  effect from the next premium due date, even though the \ndisability benefit payment has started. In other words, the premiums paid will \nnot be refunded.  \n \nB6."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 826203e6-c6f0-4c86-bb35-a7496c97b4d3
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"826203e6-c6f0-4c86-bb35-a7496c97b4d3\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"3caa6071-d7b5-407f-965f-e6d072471527\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"3aab71b229c725cf11737cfe6e1eb2c93301f118c06dafc933830b86c63ee253\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"a50aec27-1935-4b5c-905f-b5c3b0d7f7e1\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"6c898e2f2ec58c38541706e69777b9925ba872a9a35f591a7e9d3838ec51b1f8\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 410138, \"end_char_idx\": 414640, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "In other words, the premiums paid will \nnot be refunded.  \n \nB6. Death Benefit   \n \n6.14 Most insurers provide a lump sum amount to be paid to the insured\u2019s \ndependants , in the event of the insured\u2019s death . \n \nC. Limitation Of Disability Benefit Clause  \n \n6.15 To ensure the insured will not be better off financially by claiming, insurers have  \na limitation clause in their policies. The purpose is to  prevent over -insuring by  \nrestrict ing the monthly benefit payable , so that the total benefit (including other \nDisability Income policies that the insured may have) shall not exceed the \ninsured\u2019s pre -disability earnings or some proportion of it.   \n \n6.16 In the event  of a claim, the disability benefit payable will be reduced by the \nfollowing sources of income:  \n\u25aa payments from other insurance  policies  against disability (except the Total \nand Permanent Disabilit y Benefit under Life Insurance policies) , including \nWork Injury Compensation Insurance ; and  \n\u25aa any continuing salary, commission or other incomes derived from the \ninsured\u2019s occupation or business in which he was engaged immediately prior \nto his disability.  \n \n6.17 In other words, the amount of disability income benefit paid together with any \nof the above sources of income will at no time be more than the amount of \nmonthly benefit insured under the policy.  That is why it is important for the \ninsured to select the rig ht deferred /elimination  period , especially if his employer \nwill continue to pay him his salary even after he is disabled. If his employer \npays him six month s\u2019 salary in the event  that he is disabled , and the \ndeferred /elimination  period chosen by him is three months, the insurer will not \npay him any benefits after his  deferred /elimination  period has expired , as long \nas the employer continues to pay him his full salary.   \n \n \n7. FEATURES OF A DISABILITY INCOME INSURANCE POLICY  \n \n7.1 The features of a typical Disability Income Insurance policy are  described below : \n(a) It can be issued as a stand -alone (for which then, no rider  is possible) \npolicy, or as a rider to a basic Life Insurance plan . \n(b) It provides a regular monthly income during the insured\u2019s total and partial \ndisablement . \n\n\n4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   79  \n(c) The premiums are waived during the benefit period . \n(d) The benefits may be level , or may increase at a given rate . \n(e) There is a choice of deferred /elimination  period . \n(f) There is a choice of benefit period . \n(g) There is a choice of escalation benefit (if available) . \n(h) The level premium can be paid on a monthly, quarterly, half -yearly or \nannual basis , depending on the insurer \u2019s practice . \n(i) There is payment of partial disability benefits if a person returns to work \nearning a lower income . \n(j) There is provision of rehabilitation expense benefit . \n(k) There is provision of death benefit . \n(l) There is no restriction on the use of the cash benefits paid . \n(m) Disability benefit may discontinue if the insured stays outside Singapore \nfor a sp ecified period . \n(n) The cover will be terminated if the insured resides outside Singapore for \nmore than a  continuous  specified number of  days , within any one policy \nyear, unless the insurer grants the insured the continuity of cover  (an \nadditional premium may be charged) . \n(o) The cover will be terminated if the insured is not engaged in any full-time \noccupation or profession for a continuous period of a specified number of \ndays, when he is not suffering from a disability (see Section 11  of this \nchapter for the other causes for the termination of a policy) . \n(p) The policy is usually guaranteed renewable and non -cancellable (the \ninsurer has the right to adjust the premium rates if th e insured changes \nhis occupation to one which is of a higher risk) by the insurer . \n(q) There is no surrender value, i.e. the insured cannot return the policy to the \ninsurer for cancellation in exchange for cash payment . \n(r) No assignment is allowed . \n(s) The policy can not be written as a third -party policy . \n(t) The benefits received are non -taxable . \n(u) The policy will lapse if the premium is not paid within the 30 days \u2019 grace \nperiod.  \n \n \n8. UNDERWRITING  \n \nA. Underwriting Requirements  \n \n8.1 The underwriting process for Disability Income Insurance is very similar to Life \nInsurance."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: a50aec27-1935-4b5c-905f-b5c3b0d7f7e1
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"a50aec27-1935-4b5c-905f-b5c3b0d7f7e1\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"826203e6-c6f0-4c86-bb35-a7496c97b4d3\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"5e28daa683631e435b8c15094e7f002f9eb93c393047f580f3d885e2580e326a\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"87f59cce-3d24-4ec7-baa7-a0c2f984a74c\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"5d68c5821a99914f10205784ada5cb28478c66f892765f5e5d5bc4d4862a4d5f\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 414491, \"end_char_idx\": 418655, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "8. UNDERWRITING  \n \nA. Underwriting Requirements  \n \n8.1 The underwriting process for Disability Income Insurance is very similar to Life \nInsurance. The different underwriting tools for individual employees and the \nself-employed persons are described below : \n \n \n\nHealth Insurance   \n80 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] A1. Individual  (Salaried Employee)  \n \n8.2 Proposal  form  (also called Application form)  plus:  \n\u25aa computerised  payslip;  or \n\u25aa certified letter from company  (with company letterhead) or \n\u25aa Notice of Assessment ; or \n\u25aa Central Provident Fund ( CPF) Statement ( six months) and large amount \nquestionnaire if the annual benefit is more than a certain amount, e.g. \nS$60,000;  and \n\u25aa medical test  report  (e.g. medical examination  report , etc.) based on the age \nand amount of disability benefit proposed.  \n \nA2. Self-employed  Person  \n \n8.3 Proposal  form  plus: \n\u25aa Notice of Assessment for the last three years; or  \n\u25aa audited company\u2019s accounts for the last three years; and  large amount \nquestionnaire if the annual benefit is more than a certain amount  (e.g. \nS$60,000 ); and \n\u25aa medical test  report  (e.g. medical examination  report , etc.) based on the age \nand amount of disability benefit proposed.  \n \n8.4 The underwriter  will process the proposal form in the same way  as explained \nin later chapter of this Study Guide, except that he will be looking at the risk of \nthe proposer (intending insured) being disabled through an accident  or illness , \nrather than the risk of death.  \n \nB. Underwriting Considerations  \n \n8.5 The underwriting considerations for Disability Income Insurance are similar to  \nthe other classes of Health Insurance . Underwriters  will pay more attention to \nthe following factors:  \n\u25aa occupation;  \n\u25aa benefit amount;  \n\u25aa benefit period;  and \n\u25aa deferred /elimination  period.  \n \nB1. Occupation  \n \n8.6 Occupation  is a crucial underwriting consideration for two reasons. Firstly, \nsome occupations have a higher risk of disability from accidents (e.g. lorry \ndriver), or  illnesses , than others. Secondly, it is easier to return to work with \nsome degree of incapacity in s ome occupations than in others. For example, \nnot only is a manual worker more likely to be disabled than an accountant, but  \nalso is easier for an accountant to work with, say, a broken arm than  that for a \nmanual worker. Thus, most insurers have a rating structure depending on the \nclass of occupation. A typical rating structure is as shown in Table 4.1 .  \n   \nProposal  \nForm   \n\n4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   81  \n \nTable 4. 2: Rating Structure Based On The Class Of Occupation  \nClass I  Professions and occupations involving indoor work mainly of \na sedentary (deskbound) nature, e.g. accountants , doctors , \nand lawyers.  \nClass II  Office -based occupations with significant travelling to sites or \nproduction lines, shop -based jobs involving minimal manual \nwork and senior supervisory positions for light manufacturing \ncompanies, e.g. insurance representatives , tour guides, and \njournalist s. \nClass III  Occupations involving light skilled manual work, medical \nrelated occupations, shop -based occupations involving light \nmanual work, e.g. baker s, deliverymen, and hawkers.  \nClass IV  Occupations involving semi -skilled or unskilled manual work \nof a medium to he avy nature, e.g. bus driver s, commercial \nairline crew, and armed security guards.  \nDecline \n(uninsurable)  Occupations involving very heavy manual work, highly \nspecialised skills, dangerous conditions or highly variable \nincome, e.g. construction workers , oil riggers, professional \ndivers , timber loggers , musicians , and authors.  \n \n8.7 Rate tables are usually based on Class I with extra premium for the other \nclasses. Many insurers will not grant coverage to those in hazardous jobs, such \nas motorcycle delivery drivers. Housewives are  usually not insurable as they \nhave no regular income, a lthough some insurers may offer a limited benefit."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 87f59cce-3d24-4ec7-baa7-a0c2f984a74c
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"87f59cce-3d24-4ec7-baa7-a0c2f984a74c\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"a50aec27-1935-4b5c-905f-b5c3b0d7f7e1\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"6c898e2f2ec58c38541706e69777b9925ba872a9a35f591a7e9d3838ec51b1f8\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"9efaf52d-6528-440b-8cf5-1d65266c22be\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"116465d248d820152c2a5c1493aaa1be6056b2dab7d8df91dad884f0f22624c7\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 418428, \"end_char_idx\": 422885, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Many insurers will not grant coverage to those in hazardous jobs, such \nas motorcycle delivery drivers. Housewives are  usually not insurable as they \nhave no regular income, a lthough some insurers may offer a limited benefit.  \n \n8.8 Hence , it is a key requirement that the insured should inform the insurer in \nwriting of any change in his occupation, especially if the new occupation is \nmore hazardous, or he has taken on a part -time job  which expose s him to \naccidental or health hazards (e.g. exposure to radiation). In fact, insurers will \nrequire the insured to inform them within a specified number of days (e.g. 21 \nor 30 days) of the change of occupation. The insurer reserves the right to \nimpose a loading, reduce the benefit , or to exclude  any claim arising as a result \nof his new occupation , especially if it is more hazardous  than the previous one . \nFailure to inform the insurer of the change in occupation entitles the insurer to \nrepudiate any claim made under the policy , or to adjust the benefit payable.  \n \n \n  \n \n \n \n \n \n\nHealth Insurance   \n82 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] B2. Benefit Amount  \n \n8.9 The underwriter will assess to ensure the benefits proposed are reasonable for \nthe type of occupation , nature of work involved,  and stated earnings.  \n \nB3. Benefit Period  \n \n8.10 The benefit  period is the duration that the insurer needs to pay out the benefit. \nUnderwriters may use this to determine the terms of acceptance.  \n \nB4. Deferred /Elimination  Period  \n \n8.11 The deferred /elimination  period chosen helps the underwriter to determine \nwhether ther e is any moral hazard involved. For example, if an employee opts for \na short deferred /elimination  period, the underwriter, before making a decision on \nthe terms of acceptance, may wish to find out the period for which the employer \nwill continue to pay the employee in the event of a disability.  \n \n \n9. CESSATION OF BENEFITS  \n \n9.1 The benefits under a Disability Income Insurance policy will cease upon the \noccurrence of any one of the following events:  \n\u25aa when the insured is fit to return to work;  \n\u25aa when death occurs; or  \n\u25aa when the benefit period has expired.  \n \n9.2 If the Disability Income Insurance cover is issued as a rider, the cover will \ncease upon the expiry of the basic plan , or when one of the above -mentioned \nevents occurs.  \n \n \n10. EXCLUSIONS  \n \n10.1 Most Disability Income Insurance policies do not pay the disability benefit or \nwaive the premiums if the disability is directly or indirectly due to:  \n(a) self-inflicted injury , while sane or insane;  \n(b) indulgence in alcohol or drug taking , unless taken under the direction s of \na registered medical practitioner;  \n(c) invasion, strike, riot, civil commotion, war (declared or undeclared) or act \nof war  or warlike operation;  \n(d) illness or injury sustained while the ins ured is in the service of the armed \nforces of any country , except for reservist in -camp training during \npeacetime operation  in accordance with the Enlistment Act 1970 ; \n(e) pregnancy or childbirth or any complication arising there from , except in \nthe case of pregnancy , where the disability continues for more than 90 \ndays after the termination of pregnancy, the disability will be deemed to \nhave commenced 90 days after the term ination of the pregnancy;  \n \n \n \n \n B E N E F I T  \nP E R I O D  \n \n \n\n4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   83  \n(f) participation in any aerial activity , including parachuting and sky -diving or \ntravel in any type of aircraft , other than as a fare paying passenger on a \nregularly scheduled flight of a commercial airline;  \n(g) sexually transmitted dise ase, or any disability, illness or injury or any \ncondition or complication arising from or caused by (whether directly or \nindirectly) the human immunodeficiency virus  (HIV),  including  Acquired \nImmune Deficiency Syndrome ( AIDS) and AID S-related conditions;  \n(h) participation in any professional sports or hazardous sports , including \nracing of any kind on horse or wheel s, mountaineering, rock climbing and \nscuba diving;  \n(i) any pre -existing condition (i.e. c ondition occurring before the payment of \nthe initial payment).  \n \nThe above list of exclusions may differ from insurer to insurer.  \n \n \n11."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 9efaf52d-6528-440b-8cf5-1d65266c22be
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"9efaf52d-6528-440b-8cf5-1d65266c22be\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"87f59cce-3d24-4ec7-baa7-a0c2f984a74c\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"5d68c5821a99914f10205784ada5cb28478c66f892765f5e5d5bc4d4862a4d5f\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"4f4e2757-b0e8-42c4-be6e-9e657de2dfbb\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"d67cab8fbf9a894d9878e6e8b2cc5da66d90733eac81f81d04f6ca530b9518d1\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 422741, \"end_char_idx\": 426987, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "c ondition occurring before the payment of \nthe initial payment).  \n \nThe above list of exclusions may differ from insurer to insurer.  \n \n \n11. TERMINATION OF COVER  \n \n11.1 The Disability Income Insurance  policy will terminate upon the happening of \none of the following events:  \n(a) the policy has reached its expiry date;  \n(b) the premiums due are not paid within the grace period;  \n(c) the insured dies;  \n(d) the insured reaches the expiry age  as stated in the policy schedule;  \n(e) the insured resides outside  Singapore for an aggregate period of more \nthan a specified number of days (e.g. 300 days) within one policy year , \nwithout seeking the insurer\u2019s prior written approval for continuation of \ncover; or  \n(f) the insured is not employed in a full -time occupation or profession for a \ncontinuous period of a specified number of days (except if he is disabled).  \n \n \n12. GROUP DISABILITY INCOME INSURANCE  \n \n12.1 Group Disability Income Insurance  is usually purchased by the employer as an \nemployee benefit for its employees.  It can  be issued on a s tand -alone basis or \nas a rider.  \n \n12.2 Insurers will only issue a Group Disability Income policy if the employer  has a \nGroup Term Life Insurance policy with them, or they may also issue it as a rider \nto a Group Term Life Insurance policy.  \n \nA. Coverage Provided By Group Disability Income Insurance  \n \n12.3 The cover provided by a Group Disability Income Insurance policy works in the \nsame way as an individual Disability Income Insurance policy . The benefits and \nexclusions are also the same . Hence, we will not repeat them here.  \n \n \n\n\nHealth Insurance   \n84 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] 13. GENERAL UNDERWRITING PRINCIPLES FOR GROUP DISABILITY INCOME \nINSURANCE  \n \n13.1 The selection process in Group Disability Insurance policies is similar to that for \nthe individual disability plans. As the group must have a Group Term Life \nInsurance policy before they are eligible for this disability policy, most of the \nunderwriting cri teria will have already been met. The additional factors that the \nunderwriters will need to take into consideration are:  \n(a) nature of the company\u2019s business;  \n(b) age of the individual employee;  \n(c) exact nature of work of each employee;  \n(d) salary of each employee;  \n(e) benefit period applied for;  \n(f) benefit amount applied for;  and \n(g) claims experience of the group under the previous Group Disability Income \nInsurance policy.  \n \n13.2 The above information will enable the underwriter to determine the \noccupational class  that each employee falls under , and whether the benefit \namount applied for is justifiable. The past claims experience will enable the \nunderwriter to determine the overall terms of acceptance.  \n \n13.3 Note that some insurers may issue this policy  only for white -collar occupations.  \n \n \n14. DISABILITY INCOME CLAIMS  \n \nA. Claims Procedure For Disability Income Policy  \n \n14.1 Claims procedures for individual or group disability income are similar.  In the \nevent of a claim, the insured must  notify the insurer within a specified period of \ntime (e.g. 60 days) from the date of commencement of the disability. Failure to \ncomply with this requirement might cause the claim to be invalidat ed, unless \nthe insured could prove that it was not possible for him to notify the insurer \nwithin the specified period, and that he had tried his best to do so.  \n \n14.2 The documents  that the insurer normally asks for are as follows:  \n(a) claim form giving the persona l particulars of the insured , as well as details \nof his occupation and disability;  \n(b) claimant\u2019s statement;  \n(c) Clinical Abstract form (see Appendix 4A ); \n(d) physician\u2019s statement /doctor\u2019s statement to be completed by the \ninsured\u2019s attending physician giving full det ails of his disability;  \n(e) NRIC or birth certificate  for verification of the insured\u2019s age;  \n(f) evidence of earnings, which can be  in the form of income tax returns (IR8A \nform), copies of payslips for the 12 months prior to the commencement of \n \nCLAIM \nF\n\n4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 4f4e2757-b0e8-42c4-be6e-9e657de2dfbb
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"4f4e2757-b0e8-42c4-be6e-9e657de2dfbb\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"9efaf52d-6528-440b-8cf5-1d65266c22be\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"116465d248d820152c2a5c1493aaa1be6056b2dab7d8df91dad884f0f22624c7\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"dd8b9724-63b0-4067-842f-cd3d53a8ca32\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"70d15ddee9395bd2848269b708550b6beaa36fbd0ff6d242f82855e3689be8d2\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 426881, \"end_char_idx\": 431449, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   85  \ndisability, and letter from employer to certify that the claimant (insured) is \nnot being paid during the period of disability;  \n(g) letter from company certifying that the insured\u2019s service has been \nterminated (if available);  \n(h) copies of Medical Certificates;  \n(i) all available Laboratory and Tests results ; \n(j) a copy of the Polic e Report if the cause of the disability is due to an \naccident ; and \n(k) a copy of the Incident Report (required to be submitted to the  Ministry of \nManpower  if the incident occurs at the workplace) . \n \n14.3 The insurer may request for any other relevant supporting documents or \ninformation not listed above , on a case -by-case basis.  \n \n14.4 Some insurers may set a deadline for the submission of the evidence of \ndisability  or may require the insured to bear the cost of the evidence (e.g. \nmedical reports) used to support his claim.  \n \n14.5 For long -term disabilities, the insurer may request , at specified times, evidence \nto prove that the insured is still disa bled.  \n \nB. Foreign Residency During Claims Period  \n \n14.6 If the insured resides outside Singapore while the policy benefits are payable, \nthe insurer may impose some or all of the conditions  as specified below : \n(a) The i nsurer must be notified of the change of residence within 30 days of \nthe change . \n(b) The insurer has approved the new country of residence . \n(c) The insurer has determined that the evidence , which can be submitted to \nmake or support a claim under the policy from th e new country of \nresidence, is of similar  (or better) standard , in terms of quality and \nreliability, as compared to that which would be available if the insured \nwere to remain in Singapore . \n(d) The insurer has determined that the expertise and facilities for t he care, \ntreatment and rehabilitation of the insured in the new country of residence \nare of a similar (or better) standard , as compared to those which would be \navailable in Singapore . \n(e) The insurer reserves the right to require an independent examination of \nthe insured by its preferred doctor as and when reasonable.  \n \n14.7 If any of these conditions are not satisfied, the insurer reserves the right to \nsuspend the benefits payable under the policy until such time that the insured \nreturns to Singapore , and that the insurer receives satisfactory evidence to \nresume payment of benefits.  \n \n \n\nHealth Insurance   \n86 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] 15. CONCLUSION  \n \n15.1 As you can see, a Disability Income Insurance policy provides benefits that are \nnot available under  other types of policies. The regular monthly income \nprovided by a Disability Income Insurance policy , to replace a portion of the \ninsured\u2019s lost income , in the event that he is disabled and is not able to work , \nhelps to ease the financial difficulties that the insured and his family may face \nin such a situation. The fa ct that the policy also pays a reduced benefit if the \ninsured is able to return to work after a disability , but has to accept a job with \nlower pay , helps the family to maintain more or less the same standard of living \nimmediately prior to his disability. I n addition, as there is no specification on \nhow the income received should be used, it could  thus be used for any purpose, \nsuch as repaying an outstanding loan.  \n \n15.2 As this policy contains a Limitation Clause to prevent over -insuring, you must \nensure that the deferred period and percentage of salary to be insured are \ncorrect , so that in the event of a claim, your client will not be subject to the \nLimitation Clause. Besides, you must ensure that the cover will c ontinue for the \nwhole of the insured\u2019s working life. As such, a thorough fact -finding or advisory \nprocess  is important.  \n \n\n4. Disability Income Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   87  \nAPPENDIX  4A \n \nABC Insurance Company (Singapore) Ltd  \n21 Any Street, ABC Centre, Singapore 654321  \nTel: (65) 6789 8181   Fax: (65) 6789 8282  \n \nClinical Abstract Form  \n \nImportant Notes:  \n1. This form is required for the application of medical report from hospital/clinic and should be completed by the patient \nor the patient\u2019s parent (if patient is below 21 years of age) or the patient\u2019s next -of-kin (if patient is deceased)  \n2."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: dd8b9724-63b0-4067-842f-cd3d53a8ca32
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"dd8b9724-63b0-4067-842f-cd3d53a8ca32\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"4f4e2757-b0e8-42c4-be6e-9e657de2dfbb\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"d67cab8fbf9a894d9878e6e8b2cc5da66d90733eac81f81d04f6ca530b9518d1\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"c6093924-2ab9-4917-80f4-04308bd38165\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"c8d0de4deb0316461de903741164962e04e715416bcdfa8f49ad98b82dcee33f\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 431450, \"end_char_idx\": 435938, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "For request of medical report from hospital, this form is to be submitted to the Medical Records Department of the \nhospital.  \n \n Date (dd/mm/yyyy) _____________  \nTo: Doctor -In-charge  \n \nDear Sir/Madam   \n \nName of Patient______________________________________                    NRIC No.____________________  \n \n \nRe: Application for Medical Report  \n \nI hereby authorise you to furnish ABC Insurance Company (Singapore) Ltd, 21 Any Street Centre, Singapore \n654321, with a detailed medical report on the above -named patient. This report is required for insurance purposes. \nI agree that a photocopy of this form shall be as valid as the original.  \n \n \n \n \nYours sincerely  \n \n \n_________________________  ___________________________________________ _ \n Signature of Patient   Signature of Patient\u2019s Parent/Patient\u2019s Spouse/Next -of-kin1 \n    (if patient is below 21 or is deceased)  \n \n \nParticulars of Patient  \n \nName (as shown in NRIC)  \n \nNRIC No.  \n \nAddress  \n \n \nParticulars of Patient\u2019s Parent/Patient\u2019s Spouse/Next -of-kin (if patient is below 21 or is deceased)  \nName (as shown in NRIC)  \n \nNRIC No.  \n \nAddress  \n \nRelationship to patient  \n \n \n\n10\nDISABILITY INCOME INSURANCECHAPTER\n04\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nWhat is Disability Income \nInsurance?It is sold as an income-protection product in that it helps to replace a portion of the \ninsured\u2019s income that he loses if he becomes incapacitated and unable to work as a \nresult of an accident or illness, subject to certain conditions.\nDifferentiate between \nDisability Income \nInsurance and Total and \nPermanent Disability \nBenefit\nHow Disability Income \nInsurance works?\u2022 Insurers will allow the benefit amount to cover only up to 75% of the insured\u2019s \naverage income over the past 12 months immediately prior to his disability. \n\u2022 Most insurers also impose a ceiling on the income to be covered (e.g. S$15,000). \n\u2022 Some insurers grant a lower percentage for the self-employed, e.g. 60% of the \npast 12 months\u2019 income. \n\u2022 The purpose of replacing only a certain percentage of the insured\u2019s income is to \nensure that the insured will not be better off financially from the benefit which \nhe receives under his Disability Income Insurance policy, so that he will have the \nincentive to go back to work.Disability Income Insurance  Total And Permanent Disability \nBenefit \nProvides an income replacement if the \ninsured is unable to work.Serves to accelerate the death benefit \npayable under a Life Insurance policy, \nto alleviate the financial burden \nor hardship of the insured and his \ndependants.\nBenefits are payable on a monthly \nbasis for up to a fixed number of years \n(such as five or ten years), or until the \ninsured reaches a certain age (such as \nthe age of 60 or 65 years).Benefit under the Total and \nPermanent Disability Benefit is \npayable in instalments, or one lump \nsum, depending on the terms and \nconditions as specified in the Life \nInsurance policy.\nDisability definition relates to the \nextent the insured can fulfil the duties \nof his occupation.Disability is defined to be total and \npermanent, such as loss of limbs or \nloss of eyesight. \nIt can be purchased as a stand-alone \npolicy or as a rider.It is usually incorporated into the Life \nInsurance policies in Singapore. \nMaximum sum assured is up to a \nspecified percentage of the salary.Sum assured is not pegged to salary.\nEscalation benefit is available. No escalation benefit.\nPartial disability benefit is available. Partial disability benefit is not \navailable.\nChoice of deferred/elimination period \nis available (e.g. one month, three \nmonths, six months, etc.).No deferred period as specified (but \nusually there is a 6-month waiting \nperiod requirement as proof of \npermanent disability). \nIt is usually only available to working \nadults with earned income/salary. There is usually no restriction on \nnon-working people, e.g. children and \nhousewives, as it is bundled with the \ndeath benefit under a Life Insurance \npolicy.\n\n11\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nTotal disability Term \u201cTotal Disability\u201d is clearly defined in the policy and may take one of the \nfollowing forms:\n1. Own occupation disability;\n2. Modified own occupation disability; \n3. Any occupation disability and\n4. Severe disability.\nPartial disability When the insured recovers from a total disability to perform some major duties of \nhis occupation, but at a salary which is at least 25% lower than the pre-disability \nsalary."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: c6093924-2ab9-4917-80f4-04308bd38165
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"c6093924-2ab9-4917-80f4-04308bd38165\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"dd8b9724-63b0-4067-842f-cd3d53a8ca32\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"70d15ddee9395bd2848269b708550b6beaa36fbd0ff6d242f82855e3689be8d2\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"91e3f306-09dc-4baf-9783-6eab5f3f0ced\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"03907ae919ef8e3de1384b49e17f811c062cec9f6902768c444d8c3e225f23ce\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 435725, \"end_char_idx\": 440212, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Severe disability.\nPartial disability When the insured recovers from a total disability to perform some major duties of \nhis occupation, but at a salary which is at least 25% lower than the pre-disability \nsalary.\nRecurrent disability (linked \nclaims)\u2022 The insured who has been receiving the disability benefits returns to work but \nsuffers a relapse within a specified period of time (usually 180 days) from the \nsame cause, most insurers will waive the deferred/elimination period, and the \nbenefit payments will re-commence immediately. \n\u2022 In such a case, the claim will be treated as a continuation of the earlier claim for \nthe purpose of determining the duration of the benefit payment period.\nBenefit period \u2022 It is the maximum period for which disability benefits are payable to the insured \nfor any one episode of disability. \n\u2022 It can be short term (e.g. five years) or long term (e.g. up to age of 60 years). \n\u2022 The shorter the benefit term, the lower will be the premiums.\nDeferred/elimination \nperiod\u2022 A Disability Income Insurance policy will start paying its benefits after the \ninsured has been disabled for a specified period known as the deferred, \nelimination or pre-benefit period. \n\u2022 The longer the deferred period, the cheaper will be the premium, since the \nduration and frequency of claims are thereby reduced.\nDifference between \u201cown \noccupation\u201d, \u201cmodified \nown occupation\u201d, \u201cany \noccupation\u201d and \u201csevere \ndisability\u201c definitionsOwn Occupation\n\u2022 \u201cThe insured\u2019s inability to perform the material duties of his own occupation\u201d\nModified Own Occupation\n\u2022 \u201cThe insured\u2019s inability to perform any gainful occupation or a similar \noccupation for which the insured is reasonably suited by reason of education, \ntraining or experience\u201d\nAny Occupation\n\u2022 This is a more restrictive definition of Total Disability. It means: \u201cthe insured\u2019s \ninability to perform any occupation\u201d\nSevere Disability\n\u2022 This definition follows the Long-Term Care Insurance definition where the \ninsured is unable to perform at least three of the six Activities of Daily Living \n(ADLs) \u2013 washing, dressing, feeding, toileting, mobility, and transferring.\nEligibility criteria for \npayment of Disability \nIncome Insurance benefit\u2022 Keep the policy in force;\n\u2022 Be working (employed) or in-between jobs when being disabled;\n\u2022 Still be disabled after the deferred/elimination period;\n\u2022 Meet the definition of total or partial disability as stated in the policy;\n\u2022 Not have reached the expiry age as stated in the policy;\n\u2022 Not have resided outside Singapore for more than a certain period of time \n(usually not more than six months); and\n\u2022 Not have other sources of income (e.g. payment from Work Injury \nCompensation Insurance), which when totalled up, is more than the benefits \ndue to him under his Disability Income Insurance policy.\nTypes of benefits offered by Disability Income Insurance\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nTotal disability benefit The main benefit offered by Disability Income Insurance is the monthly cash benefit \npayable to the insured to replace his lost income (e.g. up to 75%), when he becomes \ntotally disabled through an accident or illness.\nPartial disability benefit Partial Disability Benefit is also known as \u201cRehabilitation Benefit\u201d. It provides a \nreduced benefit to the insured if he is able to return to work at a reduced income \nof 75% of his Pre-disability Earnings, or lower, even though he has not been fully \nrecovered.\n\n12\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nRehabilitation expense \nbenefitInsurers encourage the disabled insured to participate in rehabilitation \nprogrammes. They will reimburse an insured for the rehabilitation costs incurred.\nEscalation benefit It is a benefit offered by insurers as a hedge against inflation. With an additional \npremium, the insured can opt for a 3% or 5% escalation benefit per annum.\nWaiver of premium benefit The premiums due under the Disability Income Insurance policy will be waived \nduring the disability benefit payout period (applies to both total and partial \ndisability).\nDeath benefit Most insurers provide a lump sum amount to be paid to the insured\u2019s dependants, \nin the event of the insured\u2019s death.\nHow to compute the \npartial disability benefit?\nHow the escalation benefit \nworks?Eddy, an engineer, became disabled on 30 June 2018. He was insured for S$6,000 \n(75% of his monthly salary of S$8,000) and had opted for a 3% per annum \nescalation benefit and a 6-month deferred period."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 91e3f306-09dc-4baf-9783-6eab5f3f0ced
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"91e3f306-09dc-4baf-9783-6eab5f3f0ced\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"c6093924-2ab9-4917-80f4-04308bd38165\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"c8d0de4deb0316461de903741164962e04e715416bcdfa8f49ad98b82dcee33f\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"3e1c7d92-e4e1-4b0a-bd31-df94e57dec70\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"367b775aa8322cb8a2b976dc03a38f7fedd8f87b0bf4a3ceefb4c56444f84e07\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 440062, \"end_char_idx\": 444424, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "He was insured for S$6,000 \n(75% of his monthly salary of S$8,000) and had opted for a 3% per annum \nescalation benefit and a 6-month deferred period. \nThe events following his disablement were as follows:\n1-1-2019: Insurer made the first monthly payment of S$6,000\n1-2-2019: Insurer made the second monthly payment of S$6,000\nEddy continued to be disabled. Insurer continued to pay S$6,000 each month.\n1-1-2020: Insurer paid S$6,180 [(S$6,000 + S$6,000 x 3% (escalation benefit)]\n1-2-2020: Eddy had since found a job as a clerk which paid him S$2,000 a month. \nThe insurer paid him a partial disability benefit of S$4,635\nHow the limitation of \ndisability benefit clause \nworks?Purpose is to prevent over-insuring by restricting the monthly benefit payable, so \nthat the total benefit (including other Disability Income policies that the insured may \nhave) shall not exceed the insured\u2019s pre-disability earnings or some proportion of it.  \nIn the event of a claim, the disability benefit payable will be reduced by the \nfollowing sources of income:\n1. Payments from other insurance policies against disability (except the Total and \nPermanent Disability Benefit under Life Insurance policies), including Work \nInjury Compensation Insurance; and\n2. Any continuing salary, commission or other incomes derived from the insured\u2019s \noccupation or business in which he was engaged immediately prior to his \ndisability.Pre-disability Earnings - Present Earnings\nPre-disability EarningsX Total Disability Benefit\nPre-disability Earnings - Present Earnings\nPre-disability EarningsX Disability Benefit\nS$(8,000 - 2,000)\nS$8,000X S$6,180\nS$4,635=\n=\n\n\n13\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nFeatures of Disability \nIncome Insurance\u2022 Can be issued as a stand-alone (for which then, no rider is possible) policy, or as \na rider to a basic Life Insurance plan.\n\u2022 Provides a regular monthly income during the insured\u2019s total and partial \ndisablement.\n\u2022 Premiums are waived during the benefit period.\n\u2022 Benefits may be level, or may increase at a given rate.\n\u2022 A choice of deferred/elimination period.\n\u2022 A choice of benefit period.\n\u2022 A choice of escalation benefit (if available).\n\u2022 Level premium can be paid on a monthly, quarterly, half-yearly or annual basis, \ndepending on the insurer\u2019s practice.\n\u2022 Payment of partial disability benefits if a person returns to work earning a lower \nincome.\n\u2022 Provision of rehabilitation expense benefit.\n\u2022 Provision of death benefit.\n\u2022 No restriction on the use of the cash benefits paid.\n\u2022 Disability benefit may discontinue if the insured stays outside Singapore for a \nspecified period.\n\u2022 Cover will be terminated if the insured resides outside Singapore for more than \na continuous specified number of days, within any one policy year, unless the \ninsurer grants the insured the continuity of cover (an additional premium may \nbe charged).\n\u2022 Cover will be terminated if the insured is not engaged in any full-time \noccupation or profession for a continuous period of a specified number of days, \nwhen he is not suffering from a disability (see Section 11 of this chapter for the \nother causes for the termination of a policy).\n\u2022 Policy is usually guaranteed renewable and non-cancellable (the insurer has the \nright to adjust the premium rates if the insured changes his occupation to one \nwhich is of a higher risk) by the insurer.\n\u2022 No surrender value, i.e. the insured cannot return the policy to the insurer for \ncancellation in exchange for cash payment.\n\u2022 No assignment is allowed.\n\u2022 Policy cannot be written as a third-party policy.\n\u2022 Benefits received are non-taxable.\n\u2022 Policy will lapse if the premium is not paid within the 30 days\u2019 grace period.\nDocuments required \nfor the underwriting \nof Disability Income \nInsurance for an individual \nemployee, as well as for \nthe self-employed personIndividual (Salaried Employee)\nProposal form (also called Application form) plus: \n1. Computerised payslip; or\n2. Certified letter from company (with company letterhead) or\n3. Notice of Assessment; or\n4. Central Provident Fund (CPF) Statement (six months) and large amount \nquestionnaire if the annual benefit is more than a certain amount, e.g. \nS$60,000; and\n5. Medical test report (e.g. medical examination report, etc.) based on the age and \namount of disability benefit proposed.\nSelf-employed Person\nProposal form plus:\n1."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 3e1c7d92-e4e1-4b0a-bd31-df94e57dec70
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"3e1c7d92-e4e1-4b0a-bd31-df94e57dec70\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"91e3f306-09dc-4baf-9783-6eab5f3f0ced\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"03907ae919ef8e3de1384b49e17f811c062cec9f6902768c444d8c3e225f23ce\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"aa3663d6-1bce-4afc-8047-0e5de5abf36f\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"0512855ec4bc026ef97358a8614563fba4dddb75b274aeedf53496617868cc39\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 444243, \"end_char_idx\": 448682, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "S$60,000; and\n5. Medical test report (e.g. medical examination report, etc.) based on the age and \namount of disability benefit proposed.\nSelf-employed Person\nProposal form plus:\n1. Notice of Assessment for the last three years; or\n2. Audited company\u2019s accounts for the last three years; and large amount \nquestionnaire if the annual benefit is more than a certain amount (e.g. \nS$60,000); and\n3. Medical test report (e.g. medical examination report, etc.) based on the age and \namount of disability benefit proposed.\n\n14\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nUnderwriting \nconsiderations for \nDisability Income \nInsurance:\n\u2022 OccupationOccupation is a crucial underwriting consideration for two reasons:\n1. Some occupations have a higher risk of disability from accidents (e.g. lorry \ndriver), or illnesses, than others. \n2. It is easier to return to work with some degree of incapacity in some \noccupations than in others.\nTypical rating structure as follows:\n1. Class I.\n2. Class II.\n3. Class III.\n4. Class IV.\n5. Decline (uninsurable).\nUnderwriting \nconsiderations for \nDisability Income \nInsurance:\n\u2022 Benefit amountUnderwriter will assess to ensure the benefits proposed are reasonable for the type \nof occupation, nature of work involved, and stated earnings.\nUnderwriting \nconsiderations for \nDisability Income \nInsurance:\n\u2022 Benefit periodBenefit period is the duration that the insurer needs to pay out the benefit. \nUnderwriters may use this to determine the terms of acceptance.\nUnderwriting \nconsiderations for \nDisability Income \nInsurance:\n\u2022 Deferred/ elimination \nperiodThe deferred/elimination period chosen helps the underwriter to determine \nwhether there is any moral hazard involved.\nWhen would the benefits \nunder a Disability Income \nInsurance policy cease to \nbe payable?\u2022 When the insured is fit to return to work;\n\u2022 When death occurs; or\n\u2022 When the benefit period has expired.\nExclusions commonly \nfound under Disability \nIncome Insurance1. Self-inflicted injury, while sane or insane;\n2. Indulgence in alcohol or drug taking, unless taken under the directions of a \nregistered medical practitioner;\n3. Invasion, strike, riot, civil commotion, war (declared or undeclared) or act of war \nor warlike operation;\n4. Illness or injury sustained while the insured is in the service of the armed forces \nof any country, except for reservist in-camp training during peacetime operation \nin accordance with the Enlistment Act 1970;\n5. Pregnancy or childbirth or any complication arising there from, except in the \ncase of pregnancy, where the disability continues for more than 90 days after \nthe termination of pregnancy, the disability will be deemed to have commenced \n90 days after the termination of the pregnancy;\n6. Participation in any aerial activity, including parachuting and sky-diving or travel \nin any type of aircraft, other than as a fare paying passenger on a regularly \nscheduled flight of a commercial airline;\n7. Sexually transmitted disease, or any disability, illness or injury or any condition \nor complication arising from or caused by (whether directly or indirectly) the \nhuman immunodeficiency virus (HIV), including Acquired Immune Deficiency \nSyndrome (AIDS) and AIDS-related conditions;\n8. Participation in any professional sports or hazardous sports, including racing of \nany kind on horse or wheels, mountaineering, rock climbing and scuba diving;\n9. Any pre-existing condition (i.e. condition occurring before the payment of the \ninitial payment).\nThe above list of exclusions may differ from insurer to insurer.\n\n15\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nEvents that will cause \na Disability Income \nInsurance policy to be \nterminated\u2022 Policy has reached its expiry date;\n\u2022 Premiums due are not paid within the grace period; \n\u2022 Insured dies;\n\u2022 Insured reaches the expiry age as stated in the policy schedule;\n\u2022 Insured resides outside Singapore for an aggregate period of more than a \nspecified number of days (e.g. 300 days) within one policy year, without seeking \nthe insurer\u2019s prior written approval for continuation of cover; or\n\u2022 Insured is not employed in a full-time occupation or profession for a continuous \nperiod of a specified number of days (except if he is disabled).\nCoverage and features of \nGroup Disability Income \nInsuranceCover provided by a Group Disability Income Insurance policy works in the same \nway as an individual Disability Income Insurance policy."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: aa3663d6-1bce-4afc-8047-0e5de5abf36f
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"aa3663d6-1bce-4afc-8047-0e5de5abf36f\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"3e1c7d92-e4e1-4b0a-bd31-df94e57dec70\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"367b775aa8322cb8a2b976dc03a38f7fedd8f87b0bf4a3ceefb4c56444f84e07\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"4e8f08e9-29a5-4419-8690-b4a5422ec2b2\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"f04fd0fa8c31dd385e2da07a86ccd0e2ee0e8ffc642154d886925ed3d1b188fb\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 448486, \"end_char_idx\": 453336, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Coverage and features of \nGroup Disability Income \nInsuranceCover provided by a Group Disability Income Insurance policy works in the same \nway as an individual Disability Income Insurance policy. The benefits and exclusions \nare also the same\nGeneral underwriting \nprinciples for both \nIndividual and Group \nDisability Income \nInsuranceThe selection process in Group Disability Insurance policies is similar to that for the \nindividual disability plans. \nAs the group must have a Group Term Life Insurance policy before they are eligible \nfor this disability policy, most of the underwriting criteria will have already been \nmet. \nThe additional factors that the underwriters will need to take into consideration are:\n1. Nature of the company\u2019s business;\n2. Age of the individual employee;\n3. Exact nature of work of each employee;\n4. Salary of each employee;\n5. Benefit period applied for;\n6. Benefit amount applied for; and\n7. Claims experience of the group under the previous Group Disability Income \nInsurance policy.\nGeneral claims procedures \nfor both Individual and \nGroup Disability Income \nInsuranceClaims procedures for individual or group disability income are similar. \n\u2022 In the event of a claim, the insured must notify the insurer within a specified \nperiod of time (e.g. 60 days) from the date of commencement of the disability. \n\u2022 Failure to comply with this requirement might cause the claim to be invalidated, \nunless the insured could prove that it was not possible for him to notify the \ninsurer within the specified period, and that he had tried his best to do so.\n\u2022 If the insured resides outside Singapore while the policy benefits are payable, \nthe insurer may impose conditions.\nGeneral claims documents \nfor Disability Income Policy\u2022 Claim form giving the personal particulars of the insured, as well as details of \nhis occupation and disability;\n\u2022 Claimant\u2019s statement;\n\u2022 Clinical Abstract form (see Appendix 4A);\n\u2022 Physician\u2019s statement/doctor\u2019s statement to be completed by the insured\u2019s \nattending physician giving full details of his disability;\n\u2022 NRIC or birth certificate for verification of the insured\u2019s age;\n\u2022 Evidence of earnings, which can be in the form of income tax returns (IR8A \nform), copies of payslips for the 12 months prior to the commencement of \ndisability, and letter from employer to certify that the claimant (insured) is not \nbeing paid during the period of disability;\n\u2022 Letter from company certifying that the insured\u2019s service has been terminated \n(if available);\n\u2022 Copies of Medical Certificates;\n\u2022 All available Laboratory and Tests results;\n\u2022 A copy of the Police Report if the cause of the disability is due to an accident; \nand\n\u2022 A copy of the Incident Report (required to be submitted to the Ministry of \nManpower if the incident occurs at the workplace).\n\nHealth Insurance   \n88 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4]       CHAPTER 5  \nLONG -TERM CARE INSURANCE  \n \n \n \nCHAPTER OUTLINE  \n \n1. Introduction  \n2. What Is Long -Term Care (LTC) Insurance?  \n3. Benefits Offered Under LTC Insurance  \n4. Other Benefits Provided Under LTC Insurance  \n5. Maximum Benefit  \n6. Benefit Payment Term  \n7. ElderShield  \n8. CareShield Life  \n \n \n \nLEARNING OUTCOMES  \n \nAfter studying this chapter, you should be able to:  \n\u25aa explain Long -Term  Care  (LTC)  Insurance  \n\u25aa know the types of LTC Insurance  \n\u25aa know the benefits offered under L TC Insurance  \n\u25aa know the eligibility criteria for payment of L TC benefit s \n\u25aa know what are considered as \u201cActivities of Daily Living  (ADLs) \u201d and how they are \nrelated to the benefit payment under L TC Insurance  \n\u25aa know the other benefits provided  under L TC Insurance  \n\u25aa explain maximum benefit sum  payable  and benefit payment term  under LTC \nInsurance  \n\u25aa know what is Elder Shield  \n\u25aa know the persons covered under Elder Shield  \n\u25aa know how to check Elder Shield coverage  \n\u25aa know the scope of protection under Elder Shield and its premiums  \n\u25aa explain when an insured is eligible to claim under Elder Shield  \n\u25aa know how to make a claim under Elder Shield  \n\u25aa know what is CareShield Life and how it provides better protection  \n\u25aa know the differences between Elder Shield and CareShield Life  \n\u25aa explain the features o f MediSave Care  \n \n \n \n\n5. Long -Term Care Insurance  \n \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   89  \nContents  \nCHAPTER OUTLINE  ................................ ................................ ................................ ...........  88 \nLEARNING OUTCOMES  ................................ ................................ ................................ .... 88 \n1. INTRODUCTION  ................................ ................................ ................................ ....... 90 \n2."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 4e8f08e9-29a5-4419-8690-b4a5422ec2b2
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"4e8f08e9-29a5-4419-8690-b4a5422ec2b2\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"aa3663d6-1bce-4afc-8047-0e5de5abf36f\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"0512855ec4bc026ef97358a8614563fba4dddb75b274aeedf53496617868cc39\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"5594a8b6-7ff4-495c-84cb-9386ead4c13a\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"309f4953750ab01d1838bbc8ef921f244e06f40f7a1b2db71d7e55a5b60bdb2b\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 453209, \"end_char_idx\": 458573, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "INTRODUCTION  ................................ ................................ ................................ ....... 90 \n2. WHAT IS LONG -TERM CARE (LTC) INSURANCE?  ................................ .................  90 \n3. BENEFITS OFFERED UNDER LTC INSURANCE  ................................ ......................  91 \nA. Types Of LTC Policies ................................ ................................ ........................  91 \nB. Eligibility Criteria For Payment Of LTC Benefits  ................................ ..............  92 \nB1. Meets The Definition Of Inability To Perform Activities Of Daily Living \n(ADLs) Or Advanced Dementia  ................................ ................................ .. 92 \nB2. Meets The Deferred Period Requirement  ................................ ..................  93 \nB3. Does Not Cover Pre -existing Conditions  ................................ ...................  94 \n4. OTHER BENEFITS PROVIDED UNDER LTC INSURANCE  ................................ ....... 94 \n5. MAXIMUM BENEFIT  ................................ ................................ ................................  95 \n6. BENEFIT PAYMENT TERM  ................................ ................................ ......................  95 \n7. ELDERSHIELD  ................................ ................................ ................................ ...........  95 \nA. What is ElderShield?  ................................ ................................ .........................  95 \nA1. Overview  ................................ ................................ .............................  95 \nA2. Monthly pay -outs ................................ ................................ .................  96 \nA3. Fixed pr emiums  ................................ ................................ ...................  96 \nA4. Government administration of ElderShield  ................................ ..........  96 \nB. The Persons Covered Under ElderShield  ................................ .........................  96 \nB1. The Persons Enrolled  ................................ ................................ .................  96 \nB2. Chec king on ElderShield Coverage  ................................ ...........................  96 \nB3. Protection Afforded Under ElderShield ................................ .....................  97 \nB4.   Premiums of ElderShield  ................................ ................................ .........  97 \nB5. When The Insured Is  Eligible to Claim  ................................ .....................  97 \nB6. Making A Claim  ................................ ................................ ..........................  98 \n8. CARESHIELD LIFE  ................................ ................................ ................................ .... 98 \nA. A Comparison Between CareShield Life And ElderShield  ............................  100 \nB. MEDISAVE CARE  ................................ ................................ .............................  100 \n \n \n  \n\n\nHealth Insurance   \n90 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] 1. INTRODUCTION  \n \n1.1 Growing old gracefully and leading a healthy, independent lifestyle is the desire \nof most people. However, age-related illnesses and injuries may be serious \nenough to prevent them from being able to take care of themselves \nindependently. Chronic medical co nditions like diabetes, stroke, hypertension , \ndementia , Alzheimer\u2019s disease,  and the complications that arise from these \nmedical conditions may render the elderly people unable to care for themselves \nindependently. They will need help with Activities of Daily Living  (ADL s), such \nas feeding , bathing,  dressing, using the toilet , and moving around. Some may \neven require special care in a facility, such as a nursing home. The costs of such \ncare can strain one\u2019s financial resources and , therefore , become a financial \nburden to one\u2019s famil y.  \n \n1.2 Singapore\u2019s population is ageing rapidly,  and the repercussions are being felt \nacross the country. An ageing population coupled with increased longevity will \nlead to higher national healthcare and long -term care expenditure for the \nelderly. National expenditure on healthcare will rise, given that there will be \nthree times the number of Singapore citizen s aged 65 years and above by 2030. \nWith fewer children to support parents and grandparents, and the increasing \nnumbers of elderly  people  living alone, more paid help , such as domestic \nworkers, home -based caregivers and nurses , will also be needed.  This wil l be a \ngrowing and worrying concern for the Singapore Government , as it will have \nto ensure that this group of elderly will have enough protection against the cost \nof long -term care when such needs arise.  \n \n1.3 In this chapter, we will look at how Long -Term Car e Insurance can help to \nprovide funds to supplement the cost of financing an individual\u2019s long -term \ncare needs.  \n \n \n2. WHAT IS LONG -TERM CARE (LTC) INSURANCE?  \n \n2.1 LTC Insurance is designed to meet the costs of care for a person who, because \nof an accident, illness , frailty or a combination of these, is physically unable  to \nfunction  independently. Instead, he must  depend on others to help him to \nperform most basic  ADLs ."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 5594a8b6-7ff4-495c-84cb-9386ead4c13a
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"5594a8b6-7ff4-495c-84cb-9386ead4c13a\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"4e8f08e9-29a5-4419-8690-b4a5422ec2b2\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"f04fd0fa8c31dd385e2da07a86ccd0e2ee0e8ffc642154d886925ed3d1b188fb\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"24533f2a-02bf-457b-9d75-f4bd000aac92\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"25810e1946d6fdf1a817dfe6616095a633a916436a5866cd0ecd8e960bda5bc6\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 458496, \"end_char_idx\": 462545, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Instead, he must  depend on others to help him to \nperform most basic  ADLs . In the next section of this chapter, we shall see what \nconstitutes  ADLs .  \n \n2.2 Even though  people of all ages may require long -term care at some point of \ntime in their life, th is product is usually positioned as a vehicle to provide funds \nfor long -term care for the elderly  people . However, there are two key \nadvantages of buying LTC , while clien ts are still young and healthy, with no \nexisting medical disabilities.  \n\u25aa Firstly, the product will cost less as the premiums will rise considerably with \nage.  \n\u25aa Secondly, buying at a younger age also means  that there is less risk of being \nrejected for cover owing to existing disabilities or medical history.  \n \n \n \nLTCI  \n\n5. Long -Term Care Insurance  \n \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   91  \n2.3 Although LTC is a complex and relatively high -cost product, it offers customers \nan alternative to supplement any public benefit or other sources of funds that \nthey may have. LTC Insurance covers care generally not covered by other \nMedical Insurance. It will pay in addition to other insurance policies that the \ninsured has, e.g. MediShield  Life, Hospi tal Income and Critical Illness Insurance \npolicy . \n \n \n3. BENEFITS OFFERED UNDER LTC  INSURANCE  \n \nA. Types Of LTC Policies  \n \n3.1 Two types of LTC policies are available and they are:  \n(a) \u201cService -based\u201d  policy pays a benefit when a n insured incurs costs for a \nservice covered under the policy  (e.g. home care or nursing care)  and \nsatisfies the benefit trigger. This type of policy can pay benefits in two ways:  \n\u25aa Expense incurred method  where  the insurer will reimburse the insured \nfor the cost incurred in using one of the services covered under the \npolicy, up to the  covered amount.  \n\u25aa Indemnity method  pays the covered amount , regard less of the actual  \ncost of the services received.  \n \n(b) \u201cDisability -based\u201d  polic y pays a benefit when a n insured meets the benefit \ntrigger, regardless of the service use. The benefit  trigger may be based on \nlimitations in ADLs and/or degree of cognitive impairment. This means that \nthe benefits may be paid if the insured is diagnosed to be suffering from \nadvanced dementia (including Alzheimer\u2019s disease) , or when the insured is \nassessed to be suffering significant limitations in ADLs, or where there is a \ndeterioration or loss of intellectual capacity resulting in a significant \nreduction in mental and social fu nctioning, and the need for  continuous \nsupervision.  \n \n3.2 Benefits are usually  paid daily or monthly:  \n(a) The \u201cdaily benefit\u201d  polic y provides  up to  the fixed benefit amount per day \n(e.g. up to S$300 per day) usually to cover costs incurred on nursing home \ncare services. Such policies may also include home care benefits which are \nusually expressed as a percentage (e.g. 50%) of the nursing care benefit. \nThis type of policy may be issued on a \u201cservice -based\u201d or \u201cdisabili ty-based\u201d \nbasis.  \n(b) The \u201cmonthly benefit\u201d  policy is the most common type of LTC plan found \nin Singapore . This policy pays a monthly cash benefit to the insured upon  \nbeing certified by an approved and registered medical practitioner to be \nunable to perform the specified minimum number of defined ADLs after a \nprescribed period . Some insurers pay 100% of the LTC monthly benefit if the \ninsured is unable to perform at least the minimum number of ADLs , whereas \nothers p ay on a graduated scale, e.g. if the insured cannot perform two of \nthe six ADLs , only 50% of the LTC  monthly benefit is payable , whereas if the \ninsured cannot perform four out of the six ADLs, 100% of the LTC monthly \nbenefit will then be payable.  \n \n\nHealth Insurance   \n92 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] B. Eligibili ty Criteria For Payment Of LTC Benefit s  \n \n3.3 The insured need not be hospitalised to be eligible for the LTC benefits."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 24533f2a-02bf-457b-9d75-f4bd000aac92
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"24533f2a-02bf-457b-9d75-f4bd000aac92\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"5594a8b6-7ff4-495c-84cb-9386ead4c13a\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"309f4953750ab01d1838bbc8ef921f244e06f40f7a1b2db71d7e55a5b60bdb2b\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"dfa2291d-e11c-478e-b16e-8ab0e7f27637\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"3ae6ba186315de38b35eb1ec19e12e249869b86598680542dc4262b1a0e41694\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 462407, \"end_char_idx\": 466597, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "4] B. Eligibili ty Criteria For Payment Of LTC Benefit s  \n \n3.3 The insured need not be hospitalised to be eligible for the LTC benefits. He can \nuse the benefits received under his LTC to pay for the costs of engaging a  \ndomestic helper (maid),  to pay for the costs of staying in  a nursing home , or to \nprovide coverage of expenses in an assisted -living facility or home -care \nprogramme .  \n \n3.4 However, he must meet certain other criteria , before he can be eligible to claim \nfor the LTC benefit s. \n \nB1. Meets The Definition Of Inability To Perform Activities Of Daily Living (ADL s) Or \nAdvanced Dementia  \n \n3.5 Inability To Perform ADLs  \n \n(a) One of the key criteria for paying the benefit s in LTC policies is the insured\u2019s \ninability to perform certain specific actions , which are essential , if an \nindividual is to be able to live independently without support from others. \nThese are known as \u201cActivities of Daily Living\u201d (ADLs) . Insurers offering LTC  \nInsurance  typically adopt the following ADLs , which is in line with the ADLs \nused in internatio nally recognised  functional assessments :   \n \n \n  \n \n \n \n \n \n \n \n \n(b) The definitions of these ADLs are important. Some policies will pay benefits \nif, for example, three out of the specified list of ADLs cannot be performed , \nwhile others may insist on five or six. The premiums will obviously be higher, \nthe lower the number o f ADLs which the insured is required to be unable to \nperform , to qualify for the benefit s. \n \n(c) The ADLs are generally defined as follows:   \n\u25aa Washing : the ability to wash in the bath or shower (including getting \ninto and out of the bath or shower) or wash  by other means.  \n\u25aa Dressing : the ability to put on, or take off, secure and unfasten all \ngarments and, as appropriate, any braces , artificial limbs , or other \nsurgical  or medical  appliances.  \n\u25aa Feeding : the ability to feed oneself after the food has been prepar ed \nand made available.  \nWashing  \n Dressing  \n Feeding  \nMobility  \n Transferring  \nToileting  \nActivities of Daily  \nLiving (ADLs)  \n\n5. Long -Term Care Insurance  \n \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   93  \n\u25aa Toileting : the ability to use the lavatory or manage bowel and bladder \nfunction through the use of  protective undergarments  (e.g. diapers)  or \nsurgical appliances  (e.g. urinary catheters)  if appropriate.  \n\u25aa Mobility : the ability to move indoors from room to room on level  \nsurfaces.  \n\u25aa Transferring : the ability to move from a bed to an upright chair or \nwheelchair , and vice versa.  \n \nWashing  Dressing  Feeding  Toileting  Mobility  Transferring  \n  \n \n  \n \n(d) Failure to perform any of the above ADLs means that the insured will be \nunable to perform the task , even with the aid of assistive devices (e.g. \nwheelchair , clutches ) on his own and always require the assistance of another \nperson throughout the entire activity.  \n \n3.6 Advanced Dementia  \n(a) Advanced dementia means that the insured is suffering from deterioration o r \nloss of intellectual capacity or abnormal behaviour as evidenced by the \nclinical state and accepted standardised questionnaires or tests, arising from \nAlzheimer\u2019s disease or irreversible organic disorders, excluding neurosis and \npsychiatric illness, resu lting in significant reduction in mental and social \nfunctioning requiring the continual supervision of the insured to prevent the \ninsured from harming others or himself.  \n(b) The important issues are that the dementia must arise from an organic \nreason , and that the insured requires continual supervision.   \n \nB2. Meets The Deferred Period Requirement  \n \n3.7 Besides failure to perform the ADLs, the insured may also need to fulfil a deferred \nperiod requirement before being eligible to receive the LTC benefits. Most \ninsurers have a deferred period of 90 days, i.e. the insured will receive the benefits \nonly if he is still unable to perform the specified minimum number of ADLs after \nthe lapse of 90 days , with the deferred perio d commencing from the first day of \nany continuous period of inability to perform the ADLs."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: dfa2291d-e11c-478e-b16e-8ab0e7f27637
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"dfa2291d-e11c-478e-b16e-8ab0e7f27637\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"24533f2a-02bf-457b-9d75-f4bd000aac92\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"25810e1946d6fdf1a817dfe6616095a633a916436a5866cd0ecd8e960bda5bc6\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"562c1587-f480-4f7d-a9f3-3d4bf811e6cc\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"791b4e0e8a56eb0bdebeee3a1b94328daf438b22c85acfc15a7e929ab24ba50d\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 466598, \"end_char_idx\": 471041, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Many elderlies  may suffer \nshort periods of dependence after a stay in hospital for an illness or injury, and a \ndeferred period will ensure that short -term claims are  avoided and , therefore, \nreduce the premium costs. Insurers that offer hospital benefits as an extension to \nthe LTC cover may impose a shorter deferred period for such benefits to take \neffect.  \n \n \n \n \n \n \n \n \n \n \n \n \nDeferred Period usually \n90 Days  \n\nHealth Insurance   \n94 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] B3. Does Not Cover Pre -existing Conditions  \n \n3.8 LTC policy would  not pay if the claim arose from a pre -existing condition that was \nnot disclosed in the proposal form . If disclosed, the insurer may accept the \napplication at standard premium rates, or at sub -standard premium rates, i.e. may \ncharge a higher pr emium, accept the application with exclusions , or reject the \napplication. The decision s taken on the application and premium rates charged \nare largely dependent on the severity of the conditions of the proposer ( also called \nthe applicant  or the intending i nsured ). \n \n3.9 The purpose of the provision is to guard against people buying the coverage \nknowing that they have a condition that is likely to lead to a claim . This is also \nknown as anti -selection against the insurer . \n \n3.10 The insurer  may also impose other policy conditions for the insured to comply \nwith, before they are eligible to claim the benefits.  \n \n \n4. OTHER BENEFITS PROVIDED UNDER LTC  INSURANCE  \n \n4.1 Insurers also usually include a death benefit which is payable to the insured\u2019s \nbeneficiaries upon the death of the insured. However, t he quantum is small , \nranging from an indicative amount of S$5,000 to six times the LTC monthly \nbenefit  for example . Upon paying out the death benefit, the cover ceases.  \n \n4.2 Some insurers, in addition to LTC and death benefits, may also package it with \nother benefits, such as:  \n(a) Hospital Room And Board Benefit \u2013 a daily rate for each day is payable if \nthe insured is hospitalised;  \n(b) Surgical Procedure Benefit \u2013 a specified amount is payable if the insured \ngoes for surgical procedures that are medically necessary;  \n(c) Financial Assistance With Adaptation  Benefit  \u2013 a specified sum, such as two \ntimes of the monthly benefit, is payable if the use of assistive devices (e.g. \nwheelchair) is deemed necessar y by a doctor , to assist the insured to \nperform an ADL;   \n(d) Extended Care Benefit \u2013 an extra specified sum, such as an extra monthly \nbenefit, is payable every three or five years ; and \n(e) Rehabilitation Benefit \u2013 a reduced benefit (e .g. 50% of the insured amount ) \nwhen the insured makes partial recovery (such as if he is unable to do two \ninstead of three  ADLs). \n \n4.3 These benefits are subject to limits on the maximum sum that can be claimed , \nas well as limits on the benefit payment period. Otherwise, the product will \nbecome prohibitively expensive. The main purpose of LTC Insurance is not  to \nfulfil the need of income protection , or for reimbursement of medical expenses, \ne.g. hospital and surg ical bills. Such needs are better met by other policies, such \nas Disability Income Insurance and/or Hospital and Surgical Insurance.  \n \n\n5. Long -Term Care Insurance  \n \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   95  \n5. MAXIMUM BENEFIT  \n \n5.1 For LTC benefits, depending on the plan that the insured chooses, he may claim, \nfor example, between S$300 and S$5,000  per month , as long as he is unable to \nperform the specified number of ADLs , and meets the other policy conditions. \nSome insurers may limit the maximum benefit sum payable.  \n \n5.2 For polic ies packaged with hospital benefits, there is usually a maximum \namount that can be claimed per day (the hospital stay must also exceed a \nspecified number of hours , e.g. 12 hours,  for the benefit payments to be \nclaimable) , subject to a maximum number of days per year of hospital isation .   \n \n5.3 For those with Surgical Benefits, the insured, again depending on the plan that \nhe has purchased, can claim only a maximum amount per surgery . All the \nbenefits may then be s ubject to a maximum combined (i.e. combining LTC and \nHospital and Surgical benefits) limit. Once the insured has claimed the \nmaximum limit (or combined limit), the policy expires.  \n \n \n6."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 562c1587-f480-4f7d-a9f3-3d4bf811e6cc
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"562c1587-f480-4f7d-a9f3-3d4bf811e6cc\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"dfa2291d-e11c-478e-b16e-8ab0e7f27637\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"3ae6ba186315de38b35eb1ec19e12e249869b86598680542dc4262b1a0e41694\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"01a6b1f8-bd47-4b2b-abca-38e9fbff6fbb\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"e3fc6a3cfeba7c7636da967e3d54c423a217a08a8267ecb6b98b8b9fc3eeddf5\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 470886, \"end_char_idx\": 474780, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "combining LTC and \nHospital and Surgical benefits) limit. Once the insured has claimed the \nmaximum limit (or combined limit), the policy expires.  \n \n \n6. BENEFIT PAYMENT TERM  \n \n6.1 While most insureds prefer  the policy benefits to be payable as long as they \nlive, the premiums for such plans may be too expensive for them to buy . Some \ninsurers allow customers to choose the benefit payment term . This means that \nthe benefits will be payable for the chosen  period  (e.g. 12 years of benefits) . The \npremiums payable for a shorter benefit payment term will be cheaper and more \naffordable.  During the benefit payment period, premiums payable are waived.  \n \n6.2       Notwithstanding the above, there are LTC insurance schemes  (with affordable \npremiums) that offer l ifetime cash pay-outs for as long as the insured is severely \ndisabled  such as CareShield Life which we shall examine in a later part of this \nchapter.  \n \n7. ELDERSHIELD1   \n \nA.   What is ElderShield ?  \n \n7.1 ElderShield is a long -term care insurance scheme targeted at severe disability, \nespecially during old age.  \n \nA1. Overview  \n \n7.2 When it was introduced in 2002, ElderShield provided pay-outs of $300  per \nmonth for up to five years upon severe disability. It was subsequently reviewed \nin 2007 to provide better benefits of $400  per month for up to six years. The \nbenefits the insured  will receive depends on which scheme he joined. Please \nnote that the ElderShield scheme is no longer open for new ap plications.  \n \n \n1 https://www.cpf.gov.sg/member/healthcare -financing/eldershield   \n\n\nHealth Insurance   \n96 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] A2. Monthly pay-outs \n \n7.3 ElderShield provides monthly cash pay-outs for up to 72 months to help pay \nout-of-pocket expenses for the care of the severely disabled.  \n \nA3. Fixed premiums  \n \n7.4 Premiums are determined when the insured  enter s the scheme,  and the \npremiums  remain fixed. The insured must  pay the premium  each year until the \npolicy anniversary after turning age 65, or when the insured  make s a successful \nclaim.  \n \nA4. Government administration of ElderShield  \n \n7.5 From 1 November 2021, the Government has taken over the administration of \nElderShield from private insurers ( Singlife with Aviva , Great Eastern Life \nAssurance Co Ltd, and Income Insurance Limited ). \n \nB. The Persons  Covered Under ElderShield  \n \nB1. The Persons  Enrolled  \n \n7.6 Until 2019, all Singapore Citizens and Permanent Residents with MediSave \nAccounts  were enrolled in ElderShield at the age of 40, unless they opted out.  \n \n7.7 Since 2020, auto -enrolments into ElderShield  were discontinued. Singapore \nCitizens and Permanent Residents who turned 40 in 2020 were instead enrolled \ninto CareShield Life.  \n \n7.8 For those   born on 30 September 1932 or before, or had a pre -existing disability \nas of 30 September 2002, they would  not have been able to join ElderShield in \n2002. Instead, they may be eligible for assistance under the Interim Disability \nAssistance Programme for the Elderly (IDAPE) if they become severely disabled.  \n \n7.9 To learn more about IDAPE, please visit this website:  \nhttps://www.aic.sg/financial -assistance/interim -disability -assistance -\nprogramme -elderly  \n \nB2. Check ing on ElderShield Coverage  \n \n7.10 The following steps should be performed in checking on one\u2019s  coverage:  \n(a) Log in to one\u2019s  CPF Digital Services using one\u2019s  Singpass.  \n(b) Hover over \"my cpf\" and click on \"Healthcare\" under \"My dashboards\".  \n(c) Click on \u201cLong -term care insurance\u201d on the anchor links or scroll down to \nthe \u201cLong -term care insurance\u201d section.    \n \n7.11 If the person is  not covered, no information on ElderShield will be reflected. To \ncheck one\u2019s  coverage, he or she shoul d visit the CPF website at Central \nProvident Fund Board (CPFB) ."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 01a6b1f8-bd47-4b2b-abca-38e9fbff6fbb
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"01a6b1f8-bd47-4b2b-abca-38e9fbff6fbb\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"562c1587-f480-4f7d-a9f3-3d4bf811e6cc\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"791b4e0e8a56eb0bdebeee3a1b94328daf438b22c85acfc15a7e929ab24ba50d\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"77fd3c5b-9ec9-4987-887c-cba091c18ba9\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"24af25b82a1ae3e05c706e662699c92ba3bb4af10e1aca963cf0626a44ccbc64\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 474789, \"end_char_idx\": 477316, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "5. Long -Term Care Insurance  \n \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   97  \nB3. Protection Afforded Under ElderShield  \n \n7.12 ElderShield provides the following protection and benefits:  \n(a) Lifetime coverage \u2013 The insured continue s to be covered for life once he \nhas completed  paying all his premiums at age 65.  \n(b) Up to 72 months  of cash pay-outs \u2013 The insured stands to r eceive a \nmonthly cash pay-out for up to five or six years, depending on the plan  \nchosen . With ESH400, he will  get $400 per month for up to 72 months, and \nwith ESH 300, he will  get $300 per month for up to 60 months.  \n(c) Fully payable with MediSave \u2013 The insured  can use his MediSave to pay \nhis ElderShield premiums. Family members can help the insured  by \npaying from their own MediSave or  topping up the insured\u2019s  account w ith \ncash.  \n(d) Worldwide coverage \u2013 The insured will  remain covered, be able to make \na claim, and receive pay-outs no matter where he lives in the world.  \n \nB4.   Premiums of ElderShield  \n \n7.13 The premium payment for ElderShield  is up to age 65, with a coverage for life. \nElderShield premiums are based on the age at which the insured  joins the \nscheme and  are payable until the policy anniversary after his 65th birthday.    \n \n7.14 To learn more about ElderShield  premiums, please visit this website:  \nhttps://www.cpf.gov.sg/member/healthcare -financing/eldershield/eldershield -\npremiums . \n \nB5. When The Insured Is  Eligibl e to Claim  \n \n7.15 One can apply to receive ElderShield pay-outs if he is  determined by an MOH -\naccredited assessor to be unable to carry out three of the six activities of daily \nliving (ADL) listed below:  \n(a) Washing \u2013 The ability to wash in the bath or shower (including getting into \nand out of the bath or shower) or wash by other means.  \n(b) Dressing \u2013 The ability to put on, take off, secure, and unfasten all garments \nand, as appropriate, any braces, artificial limbs, or other surgical or \nmedical appliances.  \n(c) Feeding \u2013 The ability to feed oneself food after it has been prepared and \nmade available.  \n(d) Toileting \u2013 The ability to use the toilet or manage bowel and bladder \nfunction using  protective undergarments, such as diapers or surgical \nappliances, if appropriate.  \n(e) Mobility \u2013 The ability to move indoors from room to room on level \nsurfaces.  \n(f) Transferring \u2013 The ability to move from a bed to an upright chair or \nwheelchair, and vice versa."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 77fd3c5b-9ec9-4987-887c-cba091c18ba9
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"77fd3c5b-9ec9-4987-887c-cba091c18ba9\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"01a6b1f8-bd47-4b2b-abca-38e9fbff6fbb\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"e3fc6a3cfeba7c7636da967e3d54c423a217a08a8267ecb6b98b8b9fc3eeddf5\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"2904578a-dbaa-43e8-9850-824a8c231a6e\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"17e16ef12173d5e5ededdbb3f886d7e6cad3a01eb74bbbcb217b49ded9a2ca9c\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 477326, \"end_char_idx\": 481330, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Health Insurance   \n98 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] B6. Making A Claim  \n \n7.16 To make a claim, one should complete the claim assessment. First, the insured  \nneeds to arrange for a d isability assessment which can be conducted by any \nMOH -accredited severe disability assessor. For a list of assessors, please visit \nthis link:  \nhttps://www.aic.sg/financial -assistance/Documents/ApplicationForms/IDAPE \nAssessor List.pdf  \n \n7.17 The assessment costs $100 for a clinic assessment and $250 for a house call, \nboth of which are payable to the assessor at the time of assessment. The full \nfee will b e reimbursed if the insured is  assessed to be severely disabled and will \nbe reimbursed with the first pay out . \n \n7.18 Next, the insured needs to log in to AIC\u2019s e -Service portal (eFASS) with his \nSingpass to submit a claim.  The insured can access the link: AIC eFinance  to \nlearn more about s ubmitting a claim .  \n \n \n8. CARESHIELD LIFE2 \n \n8.1 An enhanced version of ElderShield \u2013 known as CareShield Life was launched \non 1 October 2020. CareShield  Life is a long -term care insurance scheme that  \nsupport s the basic long -term care needs of Singaporeans with severe disability.  \n \n8.2 CareShield is compulsory for all Singaporeans born in 1980 or later. Those born \n1980 to 1989 w ere automatically enrolled in 20 20 at one go, while those born \n1990 onwards will be automatically enrolled under the scheme upon turning 30. \nThose with pre -existing disability and illnesses will still be covered under \nCareShield Life.  \n \n8.3 For a person born  in 1979 or earlier:  \n(a) His current ElderShield plans will continue to protect him. \n(b) He could  choose to join CareShield Life when the scheme was launched in \n2021 i f he was not severely disabled  (defined as the inability to perform at \nleast three  out of six ADLs) . \n(c) He can enjoy partici pation incentives of up to $2,500, if he joins by end -\n2023. The Merdeka and Pioneer Generation seniors will receive an \nadditional $1,500.  \n \n8.4 For a person born in 1980 or later:  \n(a) Universal coverage \u2013 he will be covered even if he has pre-existing medical \ncondi tions and/or disabilities.  \n(b) If he was   born between 1980 and 1990, he would have  automatically join ed \nCareShield Life in 2020.  \n(c) If he was  born after 1990, he will join CareShield Life when he turns 30.  \n \n2 https://www.careshieldlife.gov.sg  \n\n\n5. Long -Term Care Insurance  \n \nCopyright reserved by the Singapore College of Insurance Limited [Version 1. 4]                                   99  \n(d) Transitional subsidies were  available from 2020  onwards and these \nsubsidies end in 2024 . \n \n8.5 The figure below shows an example of Adam, a  Singapore an who is enrolled \ninto CareShield Life at 30 years old.  \n \n \nSource: \nhttps://www.careshieldlife.gov.sg/content/dam/cshl/pdf/CareShield%20Life%20\nWelcome%20Booklet.pdf  \n \n8.6 CareShield Life provide s better protection and assurance in four ways:  \n(a) Lifetime cash pay-outs for as long as the insured is  severely disabled  \n(b) Pay-out start ing at $600  per month in 2020 and increases annually  until age \n67 or when a successful claim is made  \n(c) Government subsidies  are given  to make premiums affordable  i.e. no one \nwill lose coverage because of an inability to pay premiums  \n(d) Premiums can be fully paid by MediSave  \n \n8.7 In addition to CareShield Life, Singaporeans will benefit from two new schemes  \nstarting  in 2020 :  \n(a) MediSave Care which was launched on 1 October 2020. Singaporeans  who \nare severely disabled  can make a cash withdrawal up to $200 per month \nfrom MediSave . \n(b) ElderFund which was launched on 31 January 2020. It serves as an \nassistance for lower -income Singaporeans who are severely disabled , \nwhere they can claim u p to $250 per month to help with long -term care \nneeds.  \n\n\nHealth Insurance  \n100 Copyright reserved by the Singapore College of Insurance Limited [Version 1."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 2904578a-dbaa-43e8-9850-824a8c231a6e
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"2904578a-dbaa-43e8-9850-824a8c231a6e\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"77fd3c5b-9ec9-4987-887c-cba091c18ba9\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"24af25b82a1ae3e05c706e662699c92ba3bb4af10e1aca963cf0626a44ccbc64\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"a0eeea01-cf90-4c00-8ba6-ec6ed1d69d0f\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"037163467e126c84c15578c0f3dccfc8503cd86bc71ca186c6613d63e090256d\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 481231, \"end_char_idx\": 485583, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Health Insurance  \n100 Copyright reserved by the Singapore College of Insurance Limited [Version 1. 4] A. A Comparison Between CareShield Life And ElderShield\n8.8 The table below shows how CareShield Life compares against ElderShield .\nElderShield300  ElderShield400  CareShield Life  \nPay-out Amount  $300  $400  Pay-outs start at \n$600  per month in \n2020 and increase \nover time  \nPay-out Duration  60 months  72 months  For entire duration \nof disability  \nGovernment \nSubsidies and \nIncentives  None  Yes, depending on \ncircumstances  \nPayable by \nMediSave  Yes Yes Yes \nPay-out Criteria  Unable to perform 3 or more of the 6 activities for daily \nliving  \nB. MEDISAVE CARE\n8.9 MediSave  Care is a long -term care scheme which was launched on 1 October\n2020. Under MediSave Care, Singapore Citizens and Permanent Residents aged\n30 and above who are severely disabled will be able to make monthly cash\nwithdrawals from their own and/or their spo use\u2019s MediSave for their long -term\ncare needs.\n8.10 After setting aside a minimum amount to ensure adequacy for other medical \nexpenses, severely disabled Singapore Citizens and Permanent Residents will be \nable to withdraw up to a total of $200/month from their  own and/or their spouse\u2019s \nMediSave.  \n8.11 The table below shows the MediSave balances and corresponding monthly \nwithdrawal quant um. \nMediSave Balance  Monthly Withdrawal Quantum  \nS20,000 and above  $200  \nS15,000 and above $150  \n$10,000 and above  S100  \n$5,000 and above  $50 \nBelow $5,000  N.A. \n8.12 A Singaporean citizen or a Permanent Resident is eligible to withdraw under \nMediSave  Care if he or she is assessed by an MOH -accredited assessor to be \nunable to perform three or more of the six activities of daily living.  \n\n16\nLONG-TERM CARE INSURANCECHAPTER\n05\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nWhat is Long-Term Care \nInsurance (LTC)?LTC Insurance is designed to meet the costs of care for a person who, because of \nan accident, illness, frailty or a combination of these, is physically unable to function \nindependently. Instead, he must depend on others to help him to perform most \nbasic Activities of Daily Living (ADLs). \nBenefits offered under \nLong-Term Care Insurance\u2022 \u201cService-based\u201d policy pays a benefit when an insured incurs costs for a service \ncovered under the policy (e.g. home care or nursing care) and satisfies the \nbenefit trigger. This type of policy can pay benefits in two ways:\n \u00bbExpense incurred method where the insurer will reimburse the insured for \nthe cost incurred in using one of the services covered under the policy, up \nto the covered amount. \n \u00bbIndemnity method pays the covered amount, regardless of the actual cost \nof the services received. \n\u2022 \u201cDisability-based\u201d policy pays a benefit when an insured meets the benefit \ntrigger, regardless of the service use. The benefit trigger may be based on \nlimitations in ADLs and/or degree of cognitive impairment. This means that the \nbenefits may be paid if the insured is diagnosed to be suffering from advanced \ndementia (including Alzheimer\u2019s disease), or when the insured is assessed to be \nsuffering significant limitations in ADLs, or where there is a deterioration or loss \nof intellectual capacity resulting in a significant reduction in mental and social \nfunctioning, and the need for continuous supervision.\nEligibility criteria for \npayment of Long-Term \nCare Insurance benefit\u2022 Meets The Definition Of Inability To Perform Activities Of Daily Living (ADLs) Or \nAdvanced Dementia.\n\u2022 Meets The Deferred Period Requirement.\n\u2022 Does Not Cover Pre-existing Conditions.\n\u201cActivities of Daily Living \n(ADLs)\u201d and how they are \nrelated to the benefit \npayment under Long-Term \nCare Insurance.One of the key criteria for paying the benefits in LTC policies is the insured\u2019s inability \nto perform certain specific actions, which are essential, if an individual is to be able \nto live independently without support from others. These are known as \u201cActivities of \nDaily Living\u201d (ADLs).\nOther benefits are \navailable under Long-Term \nCare Insurance\u2022 Usually include a death benefit which is payable to the insured\u2019s beneficiaries \nupon the death of the insured. However, the quantum is small.\n\u2022 Hospital Room And Board Benefit.\n\u2022 Surgical Procedure Benefit.\n\u2022 Financial Assistance With Adaptation Benefit.\n\u2022 Extended Care Benefit."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: a0eeea01-cf90-4c00-8ba6-ec6ed1d69d0f
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"a0eeea01-cf90-4c00-8ba6-ec6ed1d69d0f\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"2904578a-dbaa-43e8-9850-824a8c231a6e\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"17e16ef12173d5e5ededdbb3f886d7e6cad3a01eb74bbbcb217b49ded9a2ca9c\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"bed17435-583b-451b-8f09-4336506d9d3c\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"00b59f2e78bd9ac239490b61822de676517496bca253308b76ba9c1a5beca097\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 485415, \"end_char_idx\": 490182, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "However, the quantum is small.\n\u2022 Hospital Room And Board Benefit.\n\u2022 Surgical Procedure Benefit.\n\u2022 Financial Assistance With Adaptation Benefit.\n\u2022 Extended Care Benefit.\n\u2022 Rehabilitation Benefit.Toileting Transferring MobilityFeeding Dressing Washing\nActivities of Daily Living (ADLs)\n\n17\nIMPORTANT CONCEPTS DEFINITIONS/EXPLANATIONS\nMaximum benefit sum \npayable\u2022 For LTC benefits, depending on the plan that the insured chooses, he may claim, \nfor example, between S$300 and S$5,000 per month, as long as he is unable to \nperform the specified number of ADLs, and meets the other policy conditions. \nSome insurers may limit the maximum benefit sum payable.\n\u2022 For policies packaged with hospital benefits, there is usually a maximum \namount that can be claimed per day, subject to a maximum number of days per \nyear of hospitalisation.\n\u2022 For those with Surgical Benefits, the insured, again depending on the plan that \nhe has purchased, can claim only a maximum amount per surgery.\nBenefit payment term While most insureds prefer the policy benefits to be payable as long as they live, \nthe premiums for such plans may be too expensive for them to buy. Some insurers \nallow customers to choose the benefit payment term. This means that the benefits \nwill be payable for the chosen period (e.g. 12 years of benefits). The premiums \npayable for a shorter benefit payment term will be cheaper and more affordable. \nDuring the benefit payment period, premiums payable are waived.\nElderShield and CareShield \nLifeElderShield300 ElderShield400 CareShield Life\nPay-out amount $300 $400 Pay-outs start at \n$600 per month in \n2020 and increase \nover time\nPay-out duration 60 months 72 months For entire \nduration of \ndisability\nGovernment \nsubsidies and \nincentivesNo Yes, depending on \ncircumstances\nPayable by \nMediSave?Yes\nPay-out criteria Unable to perform 3 or more of the 6 activities for daily \nliving\n\n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               101  \n      CHAPTER 6  \nCRITICAL ILLNESS INSURANCE  \n \n \n \nCHAPTER OUTLINE  \n \n1. Introduction  \n2. Critical Illness (CI) Insurance  \n3. LIA Critical Illness Framework  \n4. Benefits Offered under Critical Illness Insurance  \n5. Variation of Illness Insurance  \n6. Underwriting  \n7. Factors To Consider In Determining Adequacy of Critical Illness Coverage  \n8. Exclusions  \n9. Termination of Cover  \n10. Claims  \n11. Group Critical Illness (CI) Insurance  Policy  \nAppendix 6A \u2013 Standard Definitions for Severe Stage of 37 Critical Illnesses: Version \n2019  \nAnnex 1 - List of changes to the standard list of 37 critical illness under the Critical Illness \nFramework 2019  \n \nLEARNING OUTCOMES  \n \nAfter studying this chapter, you should be able to:  \n\u25aa describe how a Critical Illness  Insurance  policy works  \n\u25aa understand the Critical Illness Framework proposed by the  Life \nInsurance Association  \n\u25aa know the eligibility criteria for payment of the Critical Illness Insurance benefit  \n\u25aa state the features of Critical Illness Insurance  \n\u25aa outline and differentiate the two types of Critical Illness covers  \n\u25aa know the advantage s of severity -based Critical Illness covers  \n\u25aa know  the latest market developments in Critical Illness Plans and understand the \nvarious coverage s \n\u25aa understand the factors to consider in determining the adequacy of Critical Illness \nInsurance coverage  \n\u25aa list the common exclusions under a Critical Illness Insurance policy  and know the \ncircumstances under which it will be terminated  \n\u25aa list the documents that the insured has  to submit when making a claim and know the \nclaim procedure s \n\u25aa know how a Group Critical Illness Insurance policy works  \n \n\nHealth Insurance   \n102 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] Contents   \nCHAPTER  OUTLINE  ................................ ................................ ................................ ..........  101 \nLEARNING OUTCOMES  ................................ ................................ ................................ ... 101 \n1. INTRODUCTION  ................................ ................................ ................................ ...... 104 \n2. CRITICAL ILLNESS (CI) INSURANCE ................................ ................................ ...... 104 \n3. LIA CRITICAL ILLNESS FRAMEWORK 2019 (\u201cTHE CI FRAMEWORK\u201d)  ................  104 \nA. The benefits to policyholders arising from the new definitions under the CI \nFramework 2019.  ................................ ................................ ..............................  107 \nB. Coverage for Covid -19 ................................ ................................ .....................  108 \n4."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: bed17435-583b-451b-8f09-4336506d9d3c
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"bed17435-583b-451b-8f09-4336506d9d3c\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"a0eeea01-cf90-4c00-8ba6-ec6ed1d69d0f\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"037163467e126c84c15578c0f3dccfc8503cd86bc71ca186c6613d63e090256d\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"515c8430-0c32-4f38-92d4-a3a3eb48a38f\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"55ce1cdcc1f905f8e5aba120d87947a5b99e5290087d8f482169391d27f6e361\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 489957, \"end_char_idx\": 495387, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "................................ ................................ ..............................  107 \nB. Coverage for Covid -19 ................................ ................................ .....................  108 \n4. BENEFITS OFFERED UNDER CRITICAL ILLNESS INSURANCE  ............................  108 \nA. Eligibility Criteria For Payment Of Critica l Illness Benefit  ..............................  108 \nB. Features Of CI Insurance  ................................ ................................ ..................  111 \nC. Types Of CI Insurance Covers  ................................ ................................ .........  112 \nC1. Acceleration Benefit Critical Illness (CI) Insurance Cover  .......................  112 \nC2. Additional Benefit Critical Illness (CI) Insurance Cover  ...........................  114 \n5. VARIATIONS OF CRITICAL ILLNESS INSURANCE  ................................ ................  117 \nA. Severity -Based Critical Illness (CI) Insurance Plan (Early Pay CI)  ..................  117 \nA1. The Advantages of Severi ty-Based Cover  ................................ ...............  118 \nA2. Premium and Other Considerations  ................................ .........................  119 \nB. Multiple Pay Critical Illness (CI) Insurance Plan  ................................ .............  119 \nC.  Critical Illness Plans Covering Mental Illnesses ................................ ..............  120 \nD. Insurance Covering Diabetes  ................................ ................................ ...........  120 \nE. Combination of CI Cover ................................ ................................ ..................  120 \nF.  Insurance Covering Pregnancy Complications  ................................ ...............  120 \n6. UNDERWRITING  ................................ ................................ ................................ ..... 121 \nA. Underwriting Requirements  ................................ ................................ ............  121 \nB. Underwriting Considerations  ................................ ................................ ..........  121 \n7. FACTORS TO CONSIDER IN DETERMINING ADEQUACY OF CRITICAL ILLNESS \nCOVERAGE  ................................ ................................ ................................ .............  122 \nA.  Life Insurance Association\u2019s (LIA) Recommended Amount ...........................  122 \nB.  Minimum Five Years Of Income, After Taking Into Account Debt .................  123 \nC.  Recovery Expenses  ................................ ................................ ..........................  123 \nD.  Providing For Dependents  ................................ ................................ ...............  123 \n8.  EXCLUSIONS  ................................ ................................ ................................ ..........  124 \n9.  TERMINATION OF COVER  ................................ ................................ ......................  124 \n10. CLAIMS  ................................ ................................ ................................ ....................  125 \n11. GROUP CRITICAL ILLNESS (CI) INSURANCE POLICY  ................................ ..........  125 \n\n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               103  \nAPPENDIX 6A  ................................ ................................ ................................ ...................  127 \nANNEX 1  \u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026\u2026 138 \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n\n\nHealth Insurance   \n104 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] 1. INTRODUCTION  \n \n1.1 The first Critical Illness Insurance was developed and launched  in 1983 in South \nAfrica . The initial product was known as dread disease insurance, covering four \nprimary health conditions: Cancer, Stroke, Heart Attack and Coronary Artery \nBypass. Since then, the coverage has been widely accepted worldwide as \npeople become more aware of the financial implication of serious medical \nconditions and the need  for protection in  the event of  an unforeseen diagnosis \nof the illness. Critical Illness Insurance has evolved over the last three decades. \nIn this chapter, we will take a closer look at Critical Illness Insurance, including \nthe recent development s of the product in the market.     \n \n \n2. CRITICAL ILLNESS (CI) INSURANCE  \n \n2.1 A Critical Illness (also known as Dread Disease) policy is an insurance product \ndesigned to provide a lump sum benefit to a policyholder in the event that the \ninsured is diagnosed to be suffering from one of the critical illnesses or has \nundergone a surgic al procedure covered under the policy. Each critical illness \nor surgery covered by the policy is precisely defined in the policy, and the \nbenefits will be paid only if he suffers a condition that meets the standard \ndefinition as specified in the policy.  \n \n2.2 Critical -illness coverage is a hyper -specific benefit, meaning that a condition \nmust be specified within the policy to be covered  \n \n2.3 Benefits received from a Critical Illness policy can be used to finance  the cost of \ncare and treatment, recuperation, medical aids, replacing any income loss or \neven funding a change in lifestyle."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 515c8430-0c32-4f38-92d4-a3a3eb48a38f
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"515c8430-0c32-4f38-92d4-a3a3eb48a38f\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"bed17435-583b-451b-8f09-4336506d9d3c\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"00b59f2e78bd9ac239490b61822de676517496bca253308b76ba9c1a5beca097\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"a5896d40-d6a6-4ba6-92d5-ca1e69bcf1e2\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"c17d4a13f3913e2731065539579ba21b71e45782ebc94f2b235bcafc75d5a32f\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 495392, \"end_char_idx\": 499536, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "2.4 Critical Illness (CI) Insurance policy can be sold as a stand -alone policy \n(individual or group basis), or as an optional rider to a Whole Life, Endowment, \nTerm Insurance or Investmen t-Linked Policy (ILP), to provide either an additional \nsum assured or the advanced payment of a portion, or the entire sum assured \npayable on death.  \n \n \n3. LIA CRITICAL ILLNESS FRAMEWORK  2019 (\u201cTHE CI FRAMEWORK\u201d)   \n \n3.1 The CI Framework seeks to balance the interest s of both the consumers and the \ninsurance companies  i.e. offering clear and consistent coverage on the core \ncritical illness benefits will allow for easier product comparison by consumers \nas well as consistent outcome s in CI claim s. It seeks to reduce ambiguity of the \nsame CI claim being paid by one insurer but rejected by another.  \n \n3.2 The CI Framework was set up i n consultation with the Monetary Authority of \nSingapore . Member companies of L ife Insurance Association (LIA)  and G eneral \nInsurance Association (GIA)  undertake to comp ly with the framework which \ngoverns the provision of CI coverage by insurers.  Under the CI framework, \n \nDread \nDisease  \n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               105  \nsevere Critical Illness definitions is standardised for 37 medical conditions by  \nway of common definitions.  \n \n3.3 Since 2003, the industry has standardised definitions for a list of 37 severe \ncritical illnesses for insurers to adopt to provide consistency for policyholders.  \nSubsequent  review s were  done in 2014 and 2019 to update  the standard  \ndefinitions having considered  advancements in medical technology , health \ntrends,  diagnosis  as well as the experiences gathered by the industry to address \nany issues that aro se due to lack of clarity on the definition s.  \n \n3.4 In the 2014 review, the previous maximum limit of 30 medical conditions per CI \nplan was abolished.  Insurers could then  offer  any number of medical conditions \nunder a CI plan including  single -illness CI plans. For each insured medical \ncondition, subject to th e adoption of the common definitions, there were  no \nrestrictions on how many stages and what the stages of illness progression to \nbe covered by the insurers. Definitions for additional critical illnesses not \ncovered by the 37 standardised definitions were to be  set by the individual \ninsurers.  \n \n3.5 In the latest review of 2019 , the standardised definitions were updated  to \nenhance clarity.  Critical Illness insurance products c ould  incorporate  either \nVersion 2014 or Version 2019 definitions . On and after 26 August 2020, CI \nproducts using Version 2014 definition s were  no longer sold in Singapore.  For \nIndividual Policies, t he application of Version 2019 definitions w as to be based \non the Proposal Signed Date.  For proposals that were  signed by 25 August 2020, \ninsurers were to  ensure that the policies were  issued by 25 November 2020. This \ngave  insurers a grace period of three months to issue all such policies under \nVersion 2 014 definitions.  Policyholders with existing Critical Illness policies \nwere  not impacted by the new definitions.  \n \n3.6 However, the above -mentioned  timelines have been affected by the COVID -19 \npandemic. On 29 June 2020, LIA issued a circular to members advising  them of \nan extension of Grace Period .  In view that COVID -19 has presented a practical \ndifficulty for applications requiring medical  examinations, LIA members were \nadvised that the grace period for transition to Version 2019 Definitions w ould  be \nextended from the original three months to six months, i.e. by 25 February 2021.  \n \n3.7 Insurers that were  implementing Version 2019 Definitions before 26 August \n2020 could , if they wish,  align to the same cut -off date of 25 February 2021.  For \nproposals that had been  signed by 25 August 2020, insurers had to  ensure that \nthe policies were  issued no later than 25 February 2021. This g ave insurers a \ngrace period of six months to issue all such policies under Version 2014 \ndefinitions."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: a5896d40-d6a6-4ba6-92d5-ca1e69bcf1e2
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"a5896d40-d6a6-4ba6-92d5-ca1e69bcf1e2\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"515c8430-0c32-4f38-92d4-a3a3eb48a38f\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"55ce1cdcc1f905f8e5aba120d87947a5b99e5290087d8f482169391d27f6e361\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"45a41e0f-7d03-4c7f-ad4a-4d5cf3cc9baa\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"67ff7f95cb1f0e2ccf1b88f6a467bb25ba89476d35d2c55afdc0f20d32c39f5c\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 499427, \"end_char_idx\": 503834, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "This g ave insurers a \ngrace period of six months to issue all such policies under Version 2014 \ndefinitions.  \n \n3.8 In short, if the insured is purchasing critical illness insurance from 26 August \n2020 onwards, the updated set of definitions for the standard list of 37 critical \nillnesses would apply as per the Life Insurance Association (LIA) Critical Illness \nFramework 2019 outlined above.  \n\nHealth Insurance   \n106 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] 3.9 In orde r for financial advisors to better advise their clients, they need to know \nthe CI definitions well as well as be able to highlight to their clients regarding \nthe definitions. Conditions are covered under the policy only if they meet the \ndefinitions.  \n \n3.10 The l ist of changes to the standard list of 37 critical illness under the Critical \nIllness Framework 2019 are shown in Annex 1. \n \n3.11 Appendix 6A  shows the Standard Definitions for Severe Stage of 37 Critical \nIllnesses: Version 2019 extracted from the LIA Website at: www.lia.org.sg  \n \n3.12 In addition, insurers must adopt a 90-day waiting period   for the severe stage of \nfive CIs to minimise anti -selection risk . Waiting period refers to the period of \ntime stated in the policy which must pass, before some or all of the insured\u2019s \nHealth Insurance coverage can begin. These five CI s are: \n(a) Major Cancer  \n(b) Coronary Artery By -Pass Surgery  \n(c) Heart Attack of Specified Severity  \n(d) Angioplasty and Other Invasive Treatments for Coronary Artery  \n(e) Other Serious Coronary Artery Disease  \n \n3.13 Although each insurer is free to adopt its own wordings on  the waiting period \nclause, the waiting period  is to begin  from the date that cover commences, or \ndate of  reinstatement  and t he \u201cdate of diagnosis\u201d shall be used to apply to the \nwaiting period. For conditions that pay a benefit on surgical procedure, this \n\u201cdate of diagnosis\u201d is the  date of diagnosis of the medical cond ition  that leads \nto the surgical procedure  but not to the date of surgical procedure  itself . \n \n3.14 The following are within the scope of the CI Framework : \n(a) New individual policies or benefits  \n(b) New group policies or renewals, including any new CI cover during the \npolicy year  \n(c) CI benefits issued as a standalone policy or a rider  \n(d) CI benefits issued on an individual basis or a group basis  \n(e) CI benefits issued as a rider to an H&S policy or a PA policy   \n(f) For cases of top -up to existing CI policies, insurers are given the discretion \nto decide to either apply the existing definitions to the top -up amount or \napply the prevailing current definitio ns to the top -up amount. Where it is \nthe latter, it is for the insurer to decide on the date of implementation of \nsuch a practice. Further, the insurer should disclose this practice to the \npolicyholder in order to avoid any misunderstanding or difficulties  in the \nfuture.  \n(g) Where an existing individual CI term policy (yearly renewable type) is auto -\nrenewed or has to be cancelled and re -issued due to administrative \n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               107  \nreasons, for example: change of payment mode or credit cards, the same \napproach applies as under (f) above.    \n(h) Where an existing CI benefit attached to a health policy (including \nIntegrated Shield Plan) is auto -renewed, the same approach applies as \nunder ( f) above.   \n \n3.15 The following are out of scope of the CI Framework:  \n(a) CI products for Male or Female o r Children which do not cover any of the \nCI conditions in its entire scope. Example, a Female CI product which \ncovers only Female Organs Cancer does not need to apply the Major \nCancer definition.  \n(b) Terminal Illness issued under the general benefits of a bas ic plan.  \n \n3.16 However, the above does not preclude insurers from customising their products \nby extending coverage for more medical conditions and stages of illness \nprogression, beyond the standard list of 37 critical illnesses. Therefore, \npolicyholders need to  fully understand the benefits of any critical illness \ninsurance they are purchasing.  \n \n3.17 For example, some plans offer coverage for 187 conditions that go beyond \ncritical illnesses, including 150 multi -stage critical illnesses."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 45a41e0f-7d03-4c7f-ad4a-4d5cf3cc9baa
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"45a41e0f-7d03-4c7f-ad4a-4d5cf3cc9baa\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"a5896d40-d6a6-4ba6-92d5-ca1e69bcf1e2\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"c17d4a13f3913e2731065539579ba21b71e45782ebc94f2b235bcafc75d5a32f\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"1a87bc31-567b-4039-9dc7-334acae46013\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"19c10336fe12faf797e2928d0be88e32b48df28981fcfaefd2138525c5bd1e05\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 503689, \"end_char_idx\": 508126, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "3.17 For example, some plans offer coverage for 187 conditions that go beyond \ncritical illnesses, including 150 multi -stage critical illnesses.  \n \nA. The benefits to policyholders  arising from the new definitions under the CI \nFramework 2019.  \n \n3.18 While the main objective of the changes made was to enhance the clarity of the \ndefinitions of coverage in respect of severe stages of CI, there are additional \nbenefits for policyholders as detailed below:  \n \n3.19 Previously,  those who suffer from Thalassaemia or Haemophillia  could not \nclaim under \u201cHIV Due to Blood Transfusion and Occupationally Acquired HIV\u201d. \nThis group can claim under this category now.  \n \n3.20 The legal definition of blindness of 6/60 has been adopted for \u201cBlindness \n(Irreversible Lost of Sight)\u201d condition as compa red to the previous definition of  \n3/60.The latest critical illness definitions offer both pros and cons for \npolicyholders. Policyholders and consumers should be advised to check with \ntheir insurer on coverage options available to them. Financial advisors should \nadvise their clients on how much coverage they need before purchasing critical \nillness insurance. The policyholders can look to LIA\u2019s  2017 Protection Gap Study \n\u2013 Singapore1 as a guide, which recommends having enough coverage to last for \nan assumed critical illness recovery period of five years. Certain insurers also \navail to their policyholders critical illness calculators  so that they can work out \nhow much critical illness coverage they need today.  \n \n \n1 https://www.lia.org.sg/media/1332/protection -gap-study -report -2017.pdf  \n\n\nHealth Insurance   \n108 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] B. Coverage for Covid -19  \n \n3.21 In Singapore, COVID -19 is not one of the critical illnesses under the insurers\u2019 list \nof critical illness conditions.  \n \n3.22 However, for any consequential complication arising after the diagnosis of \nCOVID -19 leading to a critical illness, such as End Stage Lung Disease, the \ncritical il lness benefit covered under these plans will apply.  \n \n \n4. BENEFITS OFFERED UNDER CRITICAL ILLNESS INSURANCE  \n \nA. Eligibility Criteria For Payment Of Critical Illness Benefit  \n \n4.1 The common eligibility criteria are highlighted below : \n(a) The policy must be in force.  \n \n(b) The life insured has not reached the expiry age of the CI Insurance cover  (if \napplicable) . \n \n(c) Critical Illness Must Be One That Is Covered . \nThe critical illness suffered must be one of the diseases as specified in the \npolicy contract , and it must be the first incidence of it for the life insured. \nThis means that  if the critical illness is a pre -existing illness or is excluded \nfrom the policy, it will not be covered.  \n \n(d) Meets The Definition  Of Critical Illness . \n(i) The definitions of the various critical illnesses as specified in the policy \nforms an extremely important part of the policy, as they will determine \nwhether a claim is payable. For a severe Critical illness that is under the \nlist of 37 conditions in the LI A CI framework, the definition shall follow \nthe industry standard. For any i llness not found in the list , it shall follow \nthe respective definition which the insurer has adopted. It is important \nthat you take some time to explain to your prospective client , and \nensure that your prospective client understands that the benefits will be \npaid only if the illness  qualifies and meets the definition as specified in \nthe policy.  \n(ii) Let us look at one of the severe CI definitions (based on LIA CI \nFramework 2019), to illustrate  how you should explain the \u201cmeeting the \ndefinition \u201d criteria  to your prospective clients . \n \n\u201cMajor Cancer \u201d \nA malignant tumour positively diagnosed with histological confirmation \nand characterised by the uncontrolled growth of malignant cells with \ninvasion and destruction of normal tissue.  \n \n\n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               109  \nThe term Major Cancer includes, but is not limited to, leukemia, \nlymphoma and sarcoma.  \n \nMajor Cancer diagnosed on the basis of finding tumour cells and/or \ntumour -associated molecules in blood, saliva, faeces, urine  or any other \nbodily fluid in the absence of further definitive and clinically verifiable \nevidence does not meet the above definition."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 1a87bc31-567b-4039-9dc7-334acae46013
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"1a87bc31-567b-4039-9dc7-334acae46013\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"45a41e0f-7d03-4c7f-ad4a-4d5cf3cc9baa\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"67ff7f95cb1f0e2ccf1b88f6a467bb25ba89476d35d2c55afdc0f20d32c39f5c\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"79970bd9-ae67-4bbb-81af-6f53a9da700f\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"467f8359514bc65104ae5524b4c4d9271e35d0814f64f9aea841705efe5ac9e4\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 508131, \"end_char_idx\": 512350, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "For the above definition, the following are excluded:  \n\u25aa All tumours which are histologically classified as any of the \nfollowing:  \n- Pre-malignant;  \n- Non-invasive;  \n- Carcinoma -in-situ (Tis) or Ta;  \n- Having borderline malignancy;  \n- Having any degree of malignant potential;  \n- Having suspicious malignancy;  \n- Neoplasm of uncertain or unknown behaviour; or  \n- All grades of dysplasia, squamous intraepithelial lesions (HSIL \nand LSIL) and intra epithelial neoplasia;  \n\u25aa Any non -melanoma skin carcinoma, skin confined primary \ncutaneous lymphoma and dermatofibrosarcoma protuberans \nunless there is evidence of metastases t o lymph nodes or beyond;  \n\u25aa Malignant melanoma that has not caused invasion beyond the \nepidermis;  \n\u25aa All Prostate cancers histologically described as T1N0M0 (TNM \nClassification) or below; or Prostate cancers of another equivalent \nor lesser classification;  \n\u25aa All Th yroid cancers histologically classified as T1N0M0 (TNM \nClassification) or below;  \n\u25aa All Neuroendocrine tumours histologically classified as T1N0M0 \n(TNM Classification) or below;  \n\u25aa All tumours of the Urinary Bladder histologically classified as \nT1N0M0 (TNM Class ification) or below;  \n\u25aa All Gastro -Intestinal Stromal tumours histologically classified as \nStage I or IA according to the latest edition of the AJCC Cancer \nStaging Manual, or below;  \n\u25aa Chronic Lymphocytic Leukaemia less than RAI Stage 3;  \n\u25aa All bone marrow malignan cies which do not require recurrent \nblood transfusions, chemotherapy, targeted cancer therapies, bone \nmarrow transplant, haematopoietic stem cell transplant or other \nmajor interventionist treatment; and  \n\u25aa All tumours in the presence of HIV infection .\u201d \n\nHealth Insurance   \n110 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] (iii) As can  be seen from the above specification, it does not mean that, so \nlong as the life insured is diagnosed to be suffering from cancer, he can \nmake a critical illness claim under his policy. Standard definitions allow \nconsumers to compare the CI plans covering  the severe stage of \nmedical conditions of different insurers. The scope of coverage is clear \nand consistent across the industry, giving consumers assurance and \nconfidence. These standard definitions have been refined to clearly \nreflect the intent of cover age.  \n(iv) As the definitions can be very technical, you may have difficulties \nexplaining them to your prospective clients. In such a case, it is \nadvisable that you approach your underwriter or claims manager, with \nthe request for your company to provide you with ade quate training in \nthis technical area.   \n \n(e) Diagnosis Meets The Conditions Set Down By The Insurer . \n(i) The diagnosis of the critical illness must be made by registered medical \npractitioners. It excludes physicians who are themselve s the life \ninsureds , their spouses and other lineal  relatives2 of theirs.  \n(ii) The diagnosis must be supported by medical evidence , such as \nradiological,  clinical, histological or laboratory evidence acceptable to \nthe insurer. In addition, some insurers require that the diagnosis must \nbe supported by their own medical director who may base his opinion \non the medical evidence submitted by the claimant and/or any \nadditional evidence requested by him.  \n(iii) If there is any dispute on the appropriateness or correctness of the \ndiagn osis, the insurer has the right to call for a medical examination of \nthe life insured , or the evidence used in arriving at such a diagnosis by \nan acknowledged independent expert in the field of medicine \nconcerned , as selected by the insurer. The expert\u2019s o pinion will be \nbinding on both the insurer and the life insured.  \n \n(f) Meets The Waiting Period Requirement . \n(i) The critical illness must be diagnosed after the waiting period. Waiting \nperiod for CI plans can be u p to 90 days  starting  from the date of issue , \nor the date of any reinstatement  of the policy. For example, a CI \nInsurance policy was issued on 1 January 2020. The life insured could  \nmake a claim under his policy , if he was diagnosed to be suffering from \none of the critical ill nesses only on or after 1 April 2020."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 79970bd9-ae67-4bbb-81af-6f53a9da700f
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"79970bd9-ae67-4bbb-81af-6f53a9da700f\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"1a87bc31-567b-4039-9dc7-334acae46013\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"19c10336fe12faf797e2928d0be88e32b48df28981fcfaefd2138525c5bd1e05\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"1e380163-446a-4d79-9917-92766d8a4a00\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"7346bfe48f380792ebc9f7779fb62c6951593740d96a5662ce8ea1320f4bc0ed\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 512190, \"end_char_idx\": 516500, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "The life insured could  \nmake a claim under his policy , if he was diagnosed to be suffering from \none of the critical ill nesses only on or after 1 April 2020.  \n(ii) The waiting period is imposed to prevent consumers from buying the \npolicy only when they suspect that there is something wrong with their \nhealth; a practice known as anti -selection. If a person is found to be \nsufferin g from any of the critical illnesses before or during the waiting \nperiod, the insurer will void the policy and refund the premiums  paid.  \n \n \n2 Lineal relatives refer to people who are descendants from the same ancestor.  \n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               111  \n(g) Meets The Survival Period Requirement . \n(i) The life insured must survive a period before the critical illness benefit \nbecomes payable. This survival period is the period of time ( which  \ntypically  range from 7 to 30 days ) starting from the date of occurrence \nof a critical illness.  Note that this survival period is applicable only to \nthe Additional Benefit type of Critical Illness cover.   \n \n(ii) In a nutshell,  \n \nThe benefits under a CI Insurance policy are payable ONLY if the:  \n\u25aa policy is in force;  \n\u25aa life insured has not reached the expiry age of the CI Insurance cover ; \n\u25aa critical illness which the life insured is suffering from is one that is covered \nunder the policy  and meets the condition s as specified  in the policy ; \n\u25aa critical illness is not a pre -existing illness;  \n\u25aa critical illness contracted meet s the definition of the particular critical \nillness as specified in the policy;  \n\u25aa critical illness is diagnosed to have commenced after the waiting period;  \nand \n\u25aa life insured survives the surviv al period if there is one imposed on the \npolicy . \n \nB. Features Of CI Insurance  \n \n4.2 Although there are two types of CI Insurance covers, each  of them  share s \ncommon features  as described below : \n(a) It pays a lump sum amount upon diagnosis of an insured critical illness .  \n(b) Generally, one critical illness claim is allowed  unless it is a  Multi ple Pay CI \nInsurance  plan. \n(c) It has a specific waiting period  (usually ranging from 30 to 90 days) .  \n(d) Some insurers may impose a limit on the total amount  of sum assured  (e.g. \nS$2,000,000 ) that a policy owner  can buy . This is to minimise the risk of \nmoral hazard . \n(e) The premium is usually level and non -guaranteed . \n(f) The premium is  usually not fixed and is based on the age band basis (e.g. \nage of 35 to 39  years  is one rate, age of 40 to 44 years is another rate) for \npolicies that are renewable on a yearly basis . \n(g) There is no restriction on how the CI Insurance benefit payable is to be used . \n(h) It can be packaged or attached to a n ILP, Term, Endowment  or Whole Life \nInsurance policy . \n(i) It can be issued on a stand -alone basis (such a policy pays the benefit  only \nupon diagnosis of one of the covered critical illnesses. It does not pay upon \nthe life insured\u2019s death or  total and permanent disability ). \n(j) It can be attached as a supplementary benefit to a basic policy . \n(k) The CI Insurance rider do es not acquire any cash value . \n\nHealth Insurance   \n112 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] (l) The CI Insurance rider is automatically terminated once the basic policy is \nsurrendered or converted into an Extended Term Insurance policy . \n(m) The packaged CI Insurance policy which accumulate s cash value (e.g. Whole \nLife type of CI Insurance policy) also provide s non-forfeiture opti ons. \nHowever, the CI Insurance cover may be terminated once the policy owner  \nexercises any of the non -forfeiture options (excluding the paid -up option) . \n(n) A stand -alone Term CI Insurance policy does not acquire cash value . Hence, \nit does not have any non-forfeiture option . \n(o) It provides 24  hours a day , worldwide coverage , unless otherwise endorsed \nor amended in the policy . \n(p) Assignment of the policy may or may not be allowed . \n(q) There is a maximum (e.g. age of 60 years ) and minimum  (e.g. age of one  \nyear) entry age restriction . For young lives, it may be subject to lien3. \n(r) There is a minimum (e.g."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 1e380163-446a-4d79-9917-92766d8a4a00
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"1e380163-446a-4d79-9917-92766d8a4a00\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"79970bd9-ae67-4bbb-81af-6f53a9da700f\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"467f8359514bc65104ae5524b4c4d9271e35d0814f64f9aea841705efe5ac9e4\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"7b6c7332-5bb8-43fc-ae60-8327378b868c\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"3899f0bb0ffbdedecf43ff2d3071d51bfc93d2b0443b3c46bb3b341b6214ed39\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 516346, \"end_char_idx\": 520353, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "age of 60 years ) and minimum  (e.g. age of one  \nyear) entry age restriction . For young lives, it may be subject to lien3. \n(r) There is a minimum (e.g. S$10,000) and maximum (e.g. S$2,000,000 ) sum \nassured restriction .  \n(s) The cover may expire at a maximum age (e.g. 75 years ) or a whole life cover \nmay be provided.  \n \nC. Types Of CI Insurance Covers   \n \n4.3 There are two  main types of CI Insurance covers offered in the insurance market. \nThey either provide an:  \n\u25aa Acceleration Benefit; or  \n\u25aa Additional Benefit.  \n \n4.4 Some insurers have also introduced Severity -Based and Multiple Pay CI \nInsurance plans. Let us look at how each of them works.  \n \nC1. Acceleration Benefit Critical Illness ( CI) Insurance Cover  \n \n4.5 This type of CI Insurance cover can be issued as a packaged policy or rider. As \nthe name implies, this type of cover provides for the pre -payment of a portion \n(e.g. 50%) or the full sum assured (i.e. 100%) of the basic policy to which it is \npackaged or attached. For ex ample, if a n individual buys a S$200,000 Whole Life \ntype of CI Insurance policy with 50% acceleration, in the event that he is \ndiagnosed to be suffering from one of the critical illnesses covered under his \npolicy, the insurer will pay him S$100,000 (i.e. 5 0% x S$200,000) plus bonuses \n(if any). The balance of the sum assured plus bonuses (if any) will be paid , when \nhe dies or suffers a Total and Permanent Disability (TPD). In the latter case, the \npayment may be paid in yearly instalments  or in one lump sum . On the other \n \n3 A lien is a feature which restricts the sum assured payable on the happening of the insured event. Most  \ninsurers impose the lien on policies taken on children\u2019s lives for a specified number of years, e.g. three \nyears. In such a case, if the insured child dies within the 1st year after the inception of the policy, the insurer \nwill pay only 25% of the sum  assured. This percentage increases on the 2nd and 3rd year to 50% and 75%, \nrespectively. From the 4th year onwards, the full sum assured will be paid, whenever the insured event \nhappens.    \n\n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               113  \nhand, if he dies or suffers a TPD without contracting any critical illness, the full \nS$200,000 plus bonuses (if any) will be paid to him. Figure 6.1  illustrates how \nthis policy  works . \n \nFigure 6.1: Illustration Of The Working Of A S$200,000 Whole Life Type Of \nCritical Illness (CI) Insurance Policy With 50% Acceleration  \n \n \n \n \n \n \n               \n                                                                                   Critical Illness  \n \n                     Death /TPD*  \n \n \n \n \n \n \n \n \n \n \n \n \n4.6 As you can see from Figure 6.1 , the insured can make a critical illness claim only \nonce4. If he contract s another critical illness, the policy will not pay him the \nremaining sum assured. The amount of benefit that he will get from this policy \nis always equal to the sum assured plus bonuses (if any). As the sum assured \nreduce s, the future premiums  may be reduc ed in the same proportion.  \n \n4.7 If the person has chosen a 100% (instead of 50%) Acceleration Benefit in the \nabove example, the full basic sum assured plus bonuses (if any) will be paid , \nregardless of whether he contracts a critical illness, dies or suffers a  TPD. \n \n4.8 Some insurers allow the policy owner  the flexibility of specifying the percentage \nof acceleration that he wants. Others give a number of options for the policy \nowner  to choose  from , e.g. 50%, 75% or 100%. For policy owners  who opt for \nless than 100% acceleration, you should advise them to attach a CI Waiver of \nPremium rider to it , so that the future premiums on the balance sum assured \nwill be waived . This is to ensure that the policy owner  need not worry about not \nbeing able to service the premium for the remaining sum assured  during the \npolicy term."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 7b6c7332-5bb8-43fc-ae60-8327378b868c
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"7b6c7332-5bb8-43fc-ae60-8327378b868c\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"1e380163-446a-4d79-9917-92766d8a4a00\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"7346bfe48f380792ebc9f7779fb62c6951593740d96a5662ce8ea1320f4bc0ed\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"4458bf52-a476-4d50-add6-a9637cd7866a\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"4e3b27f6a61acb2a208ae919f25af92c20a8ae0d7cc1f80ef715baa7411f0416\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 520197, \"end_char_idx\": 524214, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "This is to ensure that the policy owner  need not worry about not \nbeing able to service the premium for the remaining sum assured  during the \npolicy term.  \n \n4 Although rare, there are now certain CI Insurance policies in t he insurance market allowing for more than \none critical illness claim.  \n \n \nPayment of  \nS$200,000  \n \n \nPayment of \nS$100,000  \nPayment  of \nS$100,000  \n    Death/TPD * \nS$200,000 Whole \nLife type of \nCritical Illness \nInsurance policy \nwith 50% \nAcceleration \nbenefit  \n*Note:  TPD is payable in instalments  or a \nlump  sum. \n\nHealth Insurance   \n114 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] 4.9 The cover for this type of CI Insurance policy may be up to  the age of 100 years , \nor for life , depending on the type of Life Insurance policy to which it is attached \nor packaged. This means to say that, if it is packaged  or attached to an ILP or \nEndowment Insurance policy, then it will follow the same terms of these basic \npolicies. On the other hand, if it is a Whole Life Insurance policy to which it is \nattached or packaged, then the cover is usually up to the age of 100 years , so \nlong as the policy owner  keeps the policy in force.  \n \n4.10 Another factor that affects the tenor of the CI Insurance cover is whether the  \nattached  policy  will acquire a cash value. When  attached to a Term Insurance \npolicy which does not acquire a cash value, the cover will terminate if the  Term \nInsurance ends.  On the other hand, if the CI Insurance cover is attached to a n \nEndowment Insurance or a Whole Lif e Insurance policy , it will acquire a cash \nvalue . Once such  a policy has acquired a cash value, the insurer can make use \nof the automatic premium loan feature to keep the policy in force should the \npolicy owner default in his premium payment  after the grace period is over . \nAlternatively, the policy  owner can exercise  the paid -up option , in which case , \nthe life insured  will still enjoy the CI Insurance cover , but only for a reduced \namount.  \n \n4.11 In a nutshell, an Acceleration Benefit CI Insurance policy  or rider provides a life \ninsured with the following coverage , depending on whichever event happens \nfirst:  \n \nC2. Additional Benefit Critical Illness (CI) Insurance Cover  \n \n4.12 This type of cover is available on a stand -alone basis or as a rider.  \n\u25aa On a stand -alone basis, the sum assured will be paid upon the diagnosis of a \ncovered critical illness , and the policy will be terminated.  \n\u25aa As a rider, it pays an amount in addition to the sum assured of the basic policy \nto which it is attached. For example, if a person purchases a S$100,000 Whole \nLife Insurance policy with a S$200,000 Additional Benefit CI Insurance rider, \nthe insurer will pay him S$200,000 if he contracts one of the critical illnesses \ncovered by his policy. The Whole Life Insurance sum assured of S$100,000 \nwill be paid  only upon his death or  TPD. Figure 6.2  illustrates the working of \nthis type of CI Insurance rider.  \nAcceleration Benefit Critical Illness  \n(CI) Coverage  \nLump sum payment of \nbasic sum assured plus \nbonuses (if any) upon \ndiagnosis of any \ninsured illnesse s &/or \nwaiver of future \npremium  \nLump sum \npayment of \nbasic sum \nassured plus \nbonuses (if any) \nupon death  \n \nPayment of the basic \nsum assured plus \nbonuses (if any) in \ninstalments upon TPD  \n \nOR \n OR \n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               115  \nFigure 6.2: Illustration Of The Working Of A S$100,000 Whole Life Policy With \nA S$200,000 Additional Benefit Critical Illness ( CI) Insurance Rider  \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n \n4.13 Note from Figure 6.2 , the payment of the CI Insurance benefit does not affect that \nof the basic sum assured. This means that, if he contracts a critical illness followed \nby death, the total amount that the insurer will pay under this policy will be \nS$300,000."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 4458bf52-a476-4d50-add6-a9637cd7866a
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"4458bf52-a476-4d50-add6-a9637cd7866a\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"7b6c7332-5bb8-43fc-ae60-8327378b868c\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"3899f0bb0ffbdedecf43ff2d3071d51bfc93d2b0443b3c46bb3b341b6214ed39\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"0c628ac2-7b0d-47a1-9b65-dce2f2d55909\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"a3c3049cd61a584f8a331e96f80f9f97d5d17abb16dfc068e5bb3e3d9ff94801\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 524062, \"end_char_idx\": 528168, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "This means that, if he contracts a critical illness followed \nby death, the total amount that the insurer will pay under this policy will be \nS$300,000. However, if he d oes not contract any critical illness, then the amount \nthat the insurer needs to pay is only S$100,000  upon death  or TPD.   \n \n4.14 Note that the term of this type of CI Insurance rider can be shorter , but not longer \nthan that of the basic policy. Usually, this rider expires when the life insured \nreaches a specified age (usually the age of 65 years ). The sum assured, on the \nother hand, can be higher than the sum assured of the basic policy, e.g. up to f ive \ntimes that of the basic sum assured.  \n \n4.15 Another point that you need to take note of is that , whenever you are proposing \nthis type of CI Insurance cover to your client, you should also advise him to attach \na CI Waiver of Premium rider , so that he need not worry about the premium \npayment for the basic polic y to which the CI Insurance rider is attached.  \n \n4.16 Table 6.1  gives a summary of the differences between the Acceleration and \nAdditional Benefit types of CI Insurance covers.   \n*Note:  TPD is payable in instalments or a lump \nsum.  \n \n \n \n    Death/TPD * \n    Death/TPD * \n   Critical Illness  \nWhole Life \nInsurance policy = \nS$100,000  \nCI Insurance rider \n= S$200,000  \n \nPayment o f \nS$100,000  Payment of  \nS$100,000   \nPayment of  \nS$200,000  \n\nHealth Insurance   \n116 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] Table 6.1: Summary Of Comparison Of Acceleration & Additional Benefit Types Of \nCritical Illness ( CI) Insurance Covers  \n \nAcceleration Benefit  Additional Benefit  \n(Packaged Policy Or Rider)  Stand -alone Policy  Rider  \nIt must be packaged or \nattached to a basic policy, \ni.e. ILP, Term, Endowment or \nWhole Life  Insurance  policy.  It need not be attached to \nany basic policy.  It must be attached to a \nbasic policy.  \nOn diagnosis of a critical \nillness, a percentage of the \nbasic sum assured as \nspecified in the policy will be \npaid.  On diagnosis of a critical \nillness, the full sum assured \nof the policy will be paid.  On diagnosis of a critical \nillness, the full sum \nassured of the rider will \nbe paid.  \nPayment of a CI Insurance \nclaim wil l cause the policy to \nbe terminated if it is a 100% \nAcceleration type of policy or \nrider.  \n Payment of a CI Insurance \nclaim will cause the policy \nto be terminated.  Payment of a CI \nInsurance claim will not \naffect the basic policy  \nwhich will continue to \nbe in  force .  \nTotal amount paid under the \npolicy is equal to the basic \nsum assured plus bonuses (if \nany).  \n Total amount paid under \nthe policy is equal to the \nbasic sum assured.  Total amount paid under \nthe policy is equal to the \nsum assured of the CI \nInsurance rider , plus the \nsum assured of the basic \npolicy , plus any bonuses \npayable under the basic \npolicy, in the event of a \nperson who contracts a \ncritical illness dies , or \nbecomes totally disabled \nsubsequently.  \nCI Insurance rider sum \nassured must not exceed \nthat of the basic policy.  \n Not applicable.  Sum assured can be up \nto a certain number of \ntimes of the basic sum \nassured , subject to the \ninsurer\u2019s  specified \nguidelines.  \nCI Insura nce rider term \nusually follows that of the \nbasic p olicy .  \n Not applicable.  The term must not \nexceed that of the basic \npolicy and usually \nexpires , when the life \ninsured reaches a \nspecified age.  \n \n \n \n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               117  \n5. VARIATION S OF CRITICAL  ILLNESS INSURANCE  \n \n5.1 It is important to note that  under  a regular Critical Illness plan , even if one is  \ndiagnosed with an illness covered by the policy , it does not mean that the policy  \nautomatically pays the claim . An insured would have to diagnosed with an \nillness that has reached a certain stage before the policy pays the claim.  \n \n5.2 For critical illness coverage, there are different products offered in the market ."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 0c628ac2-7b0d-47a1-9b65-dce2f2d55909
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"0c628ac2-7b0d-47a1-9b65-dce2f2d55909\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"4458bf52-a476-4d50-add6-a9637cd7866a\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"4e3b27f6a61acb2a208ae919f25af92c20a8ae0d7cc1f80ef715baa7411f0416\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"dad6b3ca-282a-423d-921e-b21bfcda4e82\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"6cbbf423eadabd40741a1f81fe06e928e53861078bdfc9916182a25186316a30\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 527958, \"end_char_idx\": 532469, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "An insured would have to diagnosed with an \nillness that has reached a certain stage before the policy pays the claim.  \n \n5.2 For critical illness coverage, there are different products offered in the market . \nThe coverage offered by such critical illness insurance products vary with the \ncoverage, number of critical illnesses, types of critical illnesses and/or stages of \ncritical illnesses covered . The stages can be classified as early, intermediate or \nsevere . \n \n5.3 Traditiona l CI policies would cover only severe ( end) stage  critical illnesses . In \nother words , the insured ha d to wait until the condition was severe enough to \nclaim for pay-outs. For instance, the insured  would receive the pay-out if he got \ndiagnosed for stage 4 colon  cancer, but not for stage 0 or 1. Newer types of CI \ncovers such as Severity -Based Critical Illness plans , offer a pay-out when the \ninsured  gets diagnosed during the early or intermediate stages of a  critical  \nillness. Medical and technological advancements have now made it possible to \ndetect critical illnesses  during the early stages.  Receiving the pay-out in the early \nstage of a CI is advantageous to the insured as the monies received can be used \ntowards  earlier medical intervention and better treatment outcomes . The \ninsured also stands to have a  financial pea ce of mind while undergoing \ntreatments.5 \n \n5.4 Financial adviser s advising on Critical Illness  (CI) coverage  should highlight  \n/bring t o attention of their clients the following:  \n\u25aa Type of Plan Purchased  \n\u25aa Scope of Cover and Exclusions  \n\u25aa Coverage of the CI -whether early, intermediate, end stage  \n\u25aa Claim conditions, including if the client is holding on to several CI policies \ncovering the same CI condition and whether all the policies pay out if the \nclaims conditions are met.  \n\u25aa Premium payments of the plan if it is a standalone or attached as a rider  \n\u25aa Waiver of Premium Rider  \n \nA. Severity -Based Critical Illness (CI) Insurance Plan (Early Pay CI)  \n \n5.5 Insurers  have introduce d CI Insurance that pays in an earlier stage of the illness.  \nCommonly known as Early Pay CI, t his type of severity -based CI Insurance plan \npays claims during early stages and less severe critical illnesses.  Benefit s are \nclaimable at various stages of the illness, from early to intermediate to severe . \n \n \n \n5 https://www.axa.com.sg/blog/insurance -guide/ultimate -guide -to-critical -illness -insurance -in-singapore  \n\nHealth Insurance   \n118 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] 5.6 Depending on the stages and severity of the critical illness, the plan gives a \npercentage of the sum assured as a lump sum pay ment  to the policy owner . The \nprogressive lump sum payment s, subject to a monetary cap of each severity \nlevel, amounts  to the total sum assured  which can be multiples of the original \ncoverage.  \n \n5.7 Waiting Period and Survival Period are  both  applicable  to Severity -based CI \nplans . \n \n5.8 Severity -based  CI plans  may appeal to those who are concerned about financial \nsupport for early treatment of the critical illness. It can be purchased as a term plan \nor attached as a rider to an existing Life Insurance policy , to enhance and \ncomplement the life insured \u2019s CI Insur ance coverage. The plan cover s any \nindividual  person from the age of one up to 75  years . The premium is higher than \nthat of the normal CI Insurance plan.  \n \nA1. The Advantages of Severity -Based Cover6 \n \n5.9 We can regard severity -based covers as a hybrid of the traditional critical illness \ncover.  \n \n5.10 Unlike the traditional covers where the insured gets all or nothing (when insured \nis diagnosed with the covered CI, he gets 100% of the sum assured), severity -based \ncritical illness insurance will pay a certain per centage based on how severe the \nillness is. The insured receives lower pay -outs when he is diagnosed with a less \nsevere CI.  \n \n5.11 The advantages of severity based critical illness insurance are:  \n \na) Greater number of  illnesses covered   \nThe insured is covered for a greater number of covered illnesses . Less severe \nforms of cancer  are covered. This would not be possible in a standard critical \nillness policy. For example , partial blindness  can be claimed under  a severity -\nbased cover . However , for traditional critical illness cover s, only totally \nblind ness can be claimed . It addresses the pitfall of a traditional CI policy  i.e."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: dad6b3ca-282a-423d-921e-b21bfcda4e82
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"dad6b3ca-282a-423d-921e-b21bfcda4e82\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"0c628ac2-7b0d-47a1-9b65-dce2f2d55909\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"a3c3049cd61a584f8a331e96f80f9f97d5d17abb16dfc068e5bb3e3d9ff94801\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"2bbd1d39-3b70-43bc-8fe5-ded68cec3162\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"33ddec690caae5cb11110f8e91c9943a0fc258b873ddf2eeaf705b11dc05a751\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 532318, \"end_char_idx\": 535753, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "However , for traditional critical illness cover s, only totally \nblind ness can be claimed . It addresses the pitfall of a traditional CI policy  i.e. \nthe insured may be severely ill but  he cannot get the pay -out as the illness is \nnot a covered illness.  \n \nb) Pay-outs received at an early stage of the illness   \nThis enables the insured to have the funds to prevent the illness from \ndeteriorating. The insured stands to receive a sum earlier that can be used for \ntreatment.  For example , if a polyp  is detected in one\u2019s  colon  and is identified \nas an early -stage  cancer, one can  claim and have his colon  operated on.  \n \n  \n \n6 https://www.criticalillness.org.uk/critical -illness -vs-severity -based -cover.htm l \n\n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               119  \nc) The ability to claim more than once  \nThe insured can only claim once  under a traditional CI policy . The cover \nterminates once that claim is made. The severity -based  policy  allows the \ninsured to claim for more than one illness  even for unrelated conditions.  \n \nd) Continuity of coverage after a claim  \nThe CI cover will still continue a fter the insured has claim ed for a less severe \ncritical illness . \n \nA2. Premium and Other Considerations  \n \n5.12 An early pay CI plan is not cheap. For example, a 30 -year old  male who is a non -\nsmoker and who wants to be insured for $100,000 till the age of 65 can expect to \npay about $100 per month. Do note that premiums charged vary with each insurer.  \n \n5.13 Also, it is important to note while the severity -based policy allows the in sured to \nclaim for more than one illness, any claims made will be deducted against the sum \nassured. Therefore, the insured cannot claim an infinite amount of times against \nhis policy. This is especially so if the insured is unfortunate enough to be \ndiagnos ed with multiple illnesses.  \n \nB. Multiple Pay  Critical Illness (CI) Insurance Plan \n \n5.14 A multi -pay critical illness plan pays the insured multiple times over each \ndiagnosis of critical illness and recurrent or reoccurring critical illnesses. An \ninsured may get  a critical illness once. Some insureds may get critical illness \nagain, and again. A normal critical illness plan would most likely terminate after \npaying the insured. It may not be viable for the insured to buy another critical \nplan as the costs would be very high. It would be also challenging as the insurer \nmay be reluctant to offer cover as it considers the probability of a recurrence of \nthe illness.  \n \n5.15 This type of CI Insurance plan allows for more than one critical illness c laim on \nthe policy. A second  claim  and subsequent  ones  are allowed if the medical \ncondition deteriorate s or if a different medical condition occurs.  \n \n5.16 Such m ultiple claim s are not restricted to only severe stage CI. When such CI \nplan includes benefits for severity -based CI, insurer s may allow for multi -claims \non early stages  of the CI  subject to benefit limit s.  \n \n5.17 Waiting Period and Survival Period are applicable  for such plans .  \n \n5.18 Some insurers offer another boost of t he coverage for Relapse/ Recurring \ncondition of Major Cancer after a 2 -year gap from the first Major Cancer claim.   \n \n5.19 Future  premium s may be waived upon diagnosis of first claim on advanced stage  \nCI."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 2bbd1d39-3b70-43bc-8fe5-ded68cec3162
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"2bbd1d39-3b70-43bc-8fe5-ded68cec3162\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"dad6b3ca-282a-423d-921e-b21bfcda4e82\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"6cbbf423eadabd40741a1f81fe06e928e53861078bdfc9916182a25186316a30\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"7f26f47d-8bdc-453f-97c2-cdd51a7813a0\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"a3f8f57467d9d8bb6f43412bac584f9ffd632f1726e9c40495527f2069a65c0d\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 535761, \"end_char_idx\": 540262, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Health Insurance   \n120 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] 5.20 It is critical therefore for financial advisors selling CI cover to advise their clients \nnot only on the definitions of CI but also which stage of the CI is covered. Their \nclients need to know what is payable and what is not.  \n \nC.  Critical Illness Plan s Covering Mental Illnesses   \n \n5.21 The prevalen ce of mental illnesses  has created yet another opportunity for product \ninnovation in provid ing coverage  for mental conditions, which has been  \ntraditionally excluded  by insurers. Insurance p lans that covers  mental illness \ntypically pay a lump sum (which is usually a reduced coverage of the original CI) \nupon diagnosis of one of the covered mental illnesses . The illnesses covered are \ntypically the following five conditions:   \n(a) Major Depressive Disorders (MDD)  \n(b) Schizophrenia  \n(c) Bipolar Disorder  \n(d) Obsessive Compulsive Disorder (OCD)  \n(e) Tourette Syndrome  \n \n5.22 Pay-out for Mental Illness cover s is limited  to a maximum benefit per life.  Waiting \nPeriod and Survival Period are applicable  for such covers .  \n \nD. Insurance Covering Diabetes  \n \n5.23 Being diagnosed with diabetes  and having  to adjust  to the new lifestyle can be a \ndaunting experience. Insurers have designed coverage to help diabetic patients \nwith the financial burden of treatment.  \n \n5.24 Insurance covering d iabet es provides a lump sum on diagnosis  of the chronic \nillness, diabetes complication s or a dia betes -related critical illness.  Coverage may \nextend to limb amputation (s) resulting from diabetes -related complication s.  \n \n5.25 Waiting  Period and Survival Period are applicable  for such covers .  \n \nE. Combination of CI Cover  \n \n5.26 It is now quite common to find insurers offering a combination of advance stage, \nseverity -stage, multi -pay CI covers  with diabetes and mental illness cover ed in one \nCI Plan.  Note that there may be caps  imposed on  the coverage for each of the \nrespective categories.    \n \nF.  Insurance Covering Pregnancy Complications   \n \n5.27 This is a term insurance , usually valid for three to six years,  covering both the \nmother and the baby  for pregnancy related complications and congenital illness . \n  \n5.28 The plan provides a fixed lump sum benefit  in the event of pregnancy \ncomplications that may affect the mother or the diagnosis of congenital illness of \n\n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               121  \nthe child.  Each insurer has its own list of conditions covered under pregnancy \ncomplications and congenital illness es.  \n \n5.29 A hospital cash  benefit  may be  paid when the mother or child is hospitalised due \nto the covered complications.  Benefits  may also be extended to cover \ndevelopmental delay  of the child or even  death  of the mother or the child.   \n \n5.30 The plan may cover up to four (4)  babies in a single pregnancy . In return for a \nhigher premium, s ome insurers may even  cover  if the pregnancy is through \nassisted reproduction such as In Vitro Fertilisation (IVF) .  \n \n5.31 There is a minimum and maximum age applicable  for such cover s. Typically, an \napplicant has to be between the ages of 18 to 45 years and within 13 to 36 weeks \nof pregnancy at the time of application.  Coverage can be standalone or a rider to \na life, an endowment or IPL policy.  \n \n5.32 Note that this plan does not typically cover the usual cost s of giving birth where  \nthe mother and/or the child do not suffer any  complication s arising from the \npregnancy or the birth . \n \n \n6. UNDERWRITING  \n \nA. Underwriting Requirements  \n \n6.1 The underwriting requirements are basically the same as those for Life Insurance \npolicies, namely the  completion of a  proposal form (usually  the same as that for \nLife Insurance ) and the  insured undergoing  various medical tests . The only \ndifference is that the non -medical limit  for CI covers  is lower. In other words, the \nlife insured could be required to undergo medical tests for a sum assured whereas \nhe would not be required to do so if he were to apply for a Life Insurance policy  \nwith the same sum assured .  \n \nB. Underwriting Considerations  \n \n6.2 The underwriting considerations  are similar to  those for Life Insurance policies and \nthese will be discussed in greater detail in  later chapter of this Study Guide ."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 7f26f47d-8bdc-453f-97c2-cdd51a7813a0
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"7f26f47d-8bdc-453f-97c2-cdd51a7813a0\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"2bbd1d39-3b70-43bc-8fe5-ded68cec3162\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"33ddec690caae5cb11110f8e91c9943a0fc258b873ddf2eeaf705b11dc05a751\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"1689239f-c509-4b2f-aa3b-24fefd2b4789\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"a06670f384e5a9997c7a3113ebd20a02e72cbfd77febfe7026cd88393db36176\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 540054, \"end_char_idx\": 544440, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "B. Underwriting Considerations  \n \n6.2 The underwriting considerations  are similar to  those for Life Insurance policies and \nthese will be discussed in greater detail in  later chapter of this Study Guide .  \n \n6.3 Usually, only standard  and sub -standard risks with up to a medium rating can be \nconsidered for CI Insurance. Risks with high extra mortality and those to be \ndeclined for Life Insurance are not regarded as acceptable for CI Insurance.  \n \n6.4 Generally, the terms of acceptance are the same as those discussed in  later of this \nStudy Guide , except that the insurer may specifically exclude the covered critical \nillnesses which the life insured is likely to contract in the future in view of his \noccupation , lifestyle, as well as medical and family history.  \n \n \n \n\nHealth Insurance   \n122 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] \n7. FACTORS TO CONSIDER IN DETERMINING ADEQUACY OF CRITICAL ILLNESS \nCOVERAGE 7  \n \n7.1 Critical Illness (CI) insurance provides a pay out when the insured is diagnosed \nwith a critical illness. Policyholders should check the policy documents to see the \nexact list of illnesses covered. It is important to bear in mind that not all CI policies \ncover the same range of illnesses.  \n \n7.2 There are different ways in which the CI insurance policy pays out and they are \nlargely based on the policy coverage.  \n \n7.3 Most CI policies provide a lump sum payment when the insured is diagnosed with \na critical illness. They usually pay only if the illness is at a severe stage (e.g. stage \nIV cancer). However, other CI polic ies do pay out at earlier stages of the disease. \nIn addition, policies that provide multiple pay outs are more common nowadays. \nThese multiple  pay out policies pay at different stages of the disease.  \n \n7.4 Therefore, having a CI policy should not be the main ob jective but selecting the \none that provides the right degree of financial support is the key. In determining \nthe adequacy of CI coverage, there are five factors to consider:  \n \n\u25aa Life Insurance Association\u2019s (LIA) recommended amount  \n\u25aa Minimum five years of inco me, after taking into account  debt  \n\u25aa Recovery expenses  \n\u25aa Providing for dependents  \n \nA.  Life Insurance Association\u2019s (LIA) Recommended Amount  \n \n7.5 Each CI plan should be customised to fit the insured\u2019s specific financial situation. \nIt is best to avoid buying a generic plan that that does not fit one\u2019s own unique \ncircumstances.  \n \n7.6 LIA recommends that the average Singaporean has CI coverage of around \n$316,000.  \n \n7.7 However, LIA\u2019s recommended sum should be viewed as a rough guideline rather \nthan a goal. Each of us face different circumstances. For example, if the insured \nhas dependents with special needs, or the insured has to provide for parents. In \nsuch circumstances, the amount of CI coverage would be higher.  \n \n7.8 On the other hand, the insured\u2019s children could be  independent. In this case, the \nCI coverage could be smaller as there is no need to provide for them.  \n \n7.9 The insured is advised to seek the help of a qualified Financial Consultant  in \nselecting a CI plan that best fits his financial situation.  \n  \n \n7 ttps://www.axa.com.sg/blog/insurance -guide/critical -illness -coverage -for-singaporeans  \n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               123  \nB.  Minimum Five Years Of Income, After Taking Into Account Debt  \n \n7.10 A rule of thumb is to have coverage of at least five years of the insured\u2019s income. \nHowever, the age of the insured\u2019s dependents has to be considered. If the \ninsured\u2019s children at a tender age, he would need more coverage.  \n \n7.11 The CI policy should provide enough funds equivalent to at least five years of the \ninsured\u2019s income. This amount should be after considering all debts and other \nliabilities. The nett amount should be sufficient to support the insured\u2019s way of \nliving for five years. Other practitioners may even recommend a minimum of \nseven years, depending on the insured\u2019s circumstances.  \n \n7.12 One thing worth noting is that one cannot just rely on life insurance as it is a death \nbenefit cover. A livi ng benefit cover as found in CI insurance is needed as the \ninsured is still around during the extent of the critical illness."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 1689239f-c509-4b2f-aa3b-24fefd2b4789
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"1689239f-c509-4b2f-aa3b-24fefd2b4789\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"7f26f47d-8bdc-453f-97c2-cdd51a7813a0\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"a3f8f57467d9d8bb6f43412bac584f9ffd632f1726e9c40495527f2069a65c0d\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"f9537643-6553-4016-91e0-fb5d48cced21\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"3612da0f2bf89670cb9d0a017538eb038205e88584fe27a235d7bf31274c3ab6\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 544307, \"end_char_idx\": 548282, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "A livi ng benefit cover as found in CI insurance is needed as the \ninsured is still around during the extent of the critical illness. Life insurance \n(without any additional riders) would pay out upon the insured\u2019s death. Another \nchallenge is that it is often diffi cult to achieve a very accurate  estimation of \nremaining lifespan. The insured could have months, or years, left.  \n \n7.13 It is important not to just stick to the LIA recommended sum of $316,000 as a \nguideline. The minimum income approach serves to preserve the in sured\u2019s family \nlifestyle. The LIA sum of $316,000, works out to be roughly $5,260 per month. This \nmay not be adequate for some families. It also does not consider that the insured \nmay want quality time with them.  \n \nC.  Recovery Expenses  \n \n7.14 Following the contraction of a critical illness, the insured would need to incur costs \nsuch as engaging a nurse, hiring domestic help etc. These added costs must be \ntaken into consideration.  \n \n7.15 Having a critical illness does not mean having no chances of recovery. With ac cess \nto the best medical care in such circumstances, the insured could recover in the \nearly stages. Having an early -stage CI plan would be most useful in this regard. \nWith certain early -stage CI plans, the insured can get pay outs for different stages \nof critical illness. Moreover, obtaining coverage for recurring critical illness is also \npossible. These types of plans can pay out up to 600 per cent of the Sum Assured.  \n \n7.16 CI insurance complements the insured\u2019s existing hospital and surgical insurance \ncoverage. For example, the pay outs can be used to cover treatments that are \nusually excluded under hospital and surgical insurance.  \n \nD.  Providing For Dependents  \n \n7.17 As discussed, life insurance policies provide death benefits only. Living benefits \nare equa lly vital. When the insured is critically ill, he cannot work. He still needs to \npay the bills. This is where CI insurance plays a vital role.  \n \n \n\nHealth Insurance   \n124 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] 7.18 In view of the above, it is important to consider  the needs of the insured\u2019s \ndependents. If his child is just 1 0 years old, for example, coverage should span \neight years instead of five (this will last till the child is 18 where he or she could be \nexpected to be more independent then).  \n \n7.19 On the other hand, the insured\u2019s dependents could be already financially \nindepe ndent. The insured may then be able to get by with less coverage. It is best \nfor the insured to seek the advice of his Financial Consultant on such matters.  \n \n7.20 CI insurance is not just about providing the funds and pay -outs. It is about the \ninsured being abl e to spend time with his loved ones, at a crucial \u2013 and perhaps \nthe final \u2013 stage in his life.  \n \n \n8.  EXCLUSIONS  \n \n8.1 The common exclusions seen in a CI Insurance policy are:  \n(a) pre-existing illnesses;  \n(b) self-inflicted injury or illness, while sane or insane;  \n(c) wilful misuse of drugs and/or alcohol;  \n(d) congenital anomalies or inherited disorders;  \n(e) Acquired Immune Deficiency Syndrome (AIDS) or infection by any human \nimmunodeficiency virus (HIV);  \n(f) bodily injury sus tained as a result of travel in or on any type of aircraft , \nexcept as a fare -paying passenger or as a crew member of an international \nairline operating on a regularly scheduled passenger flight of a licensed \ncommercial aircraft;  and \n(g) war or warlike operatio n, nuclear , strike, riot  and civil commotion  risks . \n \n8.2 If the life insured suffers from one of the critical illnesses covered under the CI \nInsurance policy as a result of  any of the above causes, the insurer is not \nrequired to pay the claim. Note that the exclusions vary from insurer to insurer . \nHence, you should find out the precise exclusions imposed by your insurer and \nhighlight them to your clients accordingly.  \n \n \n9."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: f9537643-6553-4016-91e0-fb5d48cced21
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"f9537643-6553-4016-91e0-fb5d48cced21\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"1689239f-c509-4b2f-aa3b-24fefd2b4789\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"a06670f384e5a9997c7a3113ebd20a02e72cbfd77febfe7026cd88393db36176\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"a22ad51c-15ed-47c6-8aa5-160dbbbf7a79\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"cf350e2ace11c8e2c4ba264f70f89b358445f4b235c2e8a6ad2aaeff1bb8d9f6\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 548094, \"end_char_idx\": 551782, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "Note that the exclusions vary from insurer to insurer . \nHence, you should find out the precise exclusions imposed by your insurer and \nhighlight them to your clients accordingly.  \n \n \n9.  TERMINATION OF COVER  \n \n9.1 The CI Insurance cover will terminate on the happening of any one of the \nfollowing events:  \n(a) a valid critical illness claim has been made  (usually the case , unless the \npolicy contract states otherwise) ; \n(b) the maximum coverage allowed under the policy is paid out;  \n(c) the basic Life Insurance policy to which it is attached or packaged matures \nor expires;  \n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               125  \n(d) the policy lapses owing to non -payment of premium s after the grace period ; \n(e) the policy is surrendered for its cash value or converted into an Extended \nTerm Insurance policy;  \n(f) the life insured dies; or  \n(g) the life insured reaches the expiry age of the CI Insurance rider.  \n \n10. CLAIMS  \n \n10.1 In the event of a claim, the claimant  must submit the following supporting \ndocuments:  \n(a) claimant \u2019s statement to be completed by the policy owner  and the life \ninsured  if they are not the same person;  \n(b) Attending Physician\u2019s Report;  and \n(c) proof of the critical illness, such as  biopsy report, histology report , \nimaging/scan report, laboratory report,  and others as mentioned  earlier , or \nas requested by the insurer, furnished at the expense of the claimant.  \n \n10.2 These are the basic requirements. However, t he insurer reserves the right to call \nfor any other  relevant supporting  information and documents as it deems fit.  \n \n10.3 Usually, the insurer will require:  \n(a) written notice of the claim to be submitted within a specified pe riod (usually \n60 days) of the diagnosis of the critical illness or the performance of a \nsurgery as covered under the policy;  \n(b) submission of the claim  form within a specified period (e.g. 15 days) from \nthe date that the insurer sent it out; and  \n(c) all proof s of the critical illness must be submitted within a specified period \n(usually 60 days) from the date of diagnosis of the critical illness or surgery.  \n \n10.4 As it can be seen, the sooner the policy owner or life insured  informs and \nsubmits all proof s of evidence to the insurer, the better it is for him.  \n \n \n11. GROUP CRITICAL ILLNESS (CI) INSURANCE POLICY  \n \n11.1 Group CI Insurance cover can be issued as a packaged policy or as a rider. The \ncoverage of a Group CI Insurance cover is similar to that of the Individual CI \nInsurance cover , and it can be in the form of either the Acceleration or the \nAdditional Benefit CI type of cover. However, there will always be an expiry age \n(e.g. 7 5 years ) specified in  the CI Insurance cover , regardless of whether it is an \nAcceleration or Additional Benefit type of CI Insurance cover.  \n \n \n \n \n\n\nHealth Insurance   \n126 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] 11.2 In the earlier part of this chapter, we discussed the  Version 2019 definitions in \nrespect of medical conditions at the \u201csevere\u201d stage. For Group Policies:  \n(a) The application of Version 2019 definitions will be based on the CI Policy \nEffective Date. (This is unlike Individual Policies, where we earlier learnt that \nthe application of Version 2019 definitions will be based on the Proposal \nSigned Date)   \n(b) Any group policy that was newly effected  or renewed on or after 26 August \n2020 had to  carry the Version 2019 definitions.   \n(c) Insurers could  adopt Version 2019 definitions before 26 August 2020.  \n\n6."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: a22ad51c-15ed-47c6-8aa5-160dbbbf7a79
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"a22ad51c-15ed-47c6-8aa5-160dbbbf7a79\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"f9537643-6553-4016-91e0-fb5d48cced21\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"3612da0f2bf89670cb9d0a017538eb038205e88584fe27a235d7bf31274c3ab6\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"d8b5c300-bcdb-43e8-aaf5-c64f76012665\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"2f6b0364dbc7d9f0acc748a4be87e8bb6c199f87ad3b67c6d23cdddd98e22612\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 551703, \"end_char_idx\": 554217, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "(c) Insurers could  adopt Version 2019 definitions before 26 August 2020.  \n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               127  \nAPPENDIX 6A  \n \nLIA CRITICAL ILLNESS (CI) FRAMEWORK 2019  \nSTANDARD DEFINITIONS FOR SEVERE STAGE OF 37 CRITICAL ILLNESSES:  \nVERSION 2019  \n \nIndustry list of all 37 critical illnesses:  \n \n1 Major Cancer  \n2 Heart Attack of Specified Severity  \n3 Stroke with Permanent Neurological Deficit  \n4 Coronary Artery By -pass Surgery  \n5 End Stage Kidney Failure  \n6 Irreversible Aplastic Anaemia  \n7 End Stage Lung Disease  \n8 End Stage Liver Failure  \n9 Coma  \n10 Deafness (Irreversible Loss of Hearing)  \n11 Open Chest Heart Valve Surgery  \n12 Irreversible Loss of Speech  \n13 Major Burns  \n14 Major Organ / Bone Marrow Transplantation  \n15 Multiple Sclerosis  \n16 Muscular Dystrophy  \n17 Idiopathic Parkinson\u2019s Disease  \n18 Open Chest Surgery to Aorta  \n19 Alzheimer\u2019s Disease / Severe Dementia  \n20 Fulminant Hepatitis  \n21 Motor Neurone Disease  \n22 Primary Pulmonary Hypertension  \n23 HIV Due to Blood Transfusion and Occupationally Acquired HIV  \n24 Benign Brain Tumour  \n25 Severe Encephalitis  \n26 Severe Bacterial Meningitis  \n27 Angioplasty & Other Invasive Treatment for Coronar y Artery  \n28 Blindness (Irreversible Loss of Sight)  \n29 Major Head Trauma  \n30 Paralysis (Irreversible Loss of Use of Limbs)  \n31 Terminal Illness  \n32 Progressive Scleroderma  \n33 Persistent Vegetative State (Apallic Syndrome)  \n34 Systemic Lupus Erythematosus  with Lupus Nephritis  \n35 Other Serious Coronary Artery Disease  \n36 Poliomyelitis  \n37 Loss of Independent Existence  \n \nSource : LIA Website: LIA Critical Illness (CI) Framework 2019  \nStandard Definitions For Severe Stage Of 37 Critical Illnesses: Version 2019  \n \n\nHealth Insurance   \n128 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] 1 Major Cancer  \n \nA malignant tumour positively diagnosed with histological confirmation and \ncharacterised by the uncontrolled growth of malignant cells with invasion and \ndestruction of normal tissue.  \n \nThe term Major Cancer includes, but is not limited to, leukemia, lymphoma and  \nsarcoma.  \n \nMajor Cancer diagnosed on the basis of finding tumour cells and/or tumour -\nassociated molecules in blood, saliva, faeces, urine or any other bodily fluid in the \nabsence of further definitive and clinically verifiable evidence does not meet the above \ndefinition."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: d8b5c300-bcdb-43e8-aaf5-c64f76012665
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"d8b5c300-bcdb-43e8-aaf5-c64f76012665\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"a22ad51c-15ed-47c6-8aa5-160dbbbf7a79\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"cf350e2ace11c8e2c4ba264f70f89b358445f4b235c2e8a6ad2aaeff1bb8d9f6\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"2bf0c4b3-6408-4906-a8ea-3e2a109f09b7\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"676573d477acaa857046805ae8031a3d5a0c7c03790d0da6039f88216daa2869\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 554222, \"end_char_idx\": 558343, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "For the above definition, the following are excluded:  \n\u2022 All tumours which are histologically classified as any of the following:  \nPre-malignant;  \nNon-invasive;  \nCarcinoma -in-situ (Tis) or Ta; Having borderline malignancy;  \nHaving any degree of malignant potential; Having suspicious malignancy;  \nNeoplasm of uncertain or unknown behaviour; or  \nAll grades of dysplasia, squamous intraepithelial lesions (HSIL and LSIL) and i ntra \nepithelial neoplasia;  \n\u2022 Any non -melanoma skin carcinoma, skin confined primary cutaneous lymphoma \nand dermatofibrosarcoma protuberans unless there is evidence of metastases to \nlymph nodes or beyond;  \n\u2022 Malignant melanoma that has not caused invasion be yond the epidermis;  \n\u2022 All Prostate cancers histologically described as T1N0M0 (TNM Classification) or \nbelow; or Prostate cancers of another equivalent or lesser classification;  \n\u2022 All Thyroid cancers histologically classified as T1N0M0 (TNM Classification) or \nbelow;  \n\u2022 All Neuroendocrine tumours histologically classified as T1N0M0 (TNM \nClassification) or below;  \n\u2022 All tumours of the Urinary Bladder histologically classified as T1N0M0 (TNM \nClassification) or below;  \n\u2022 All Gastro -Intestinal Stromal tumours histologically classified as Stage I or IA \naccording to the latest edition of the AJCC Cancer Staging Manual, or b elow;  \n\u2022 Chronic Lymphocytic Leukaemia less than RAI Stage 3;  \n\u2022 All bone marrow malignancies which do not require recurrent blood transfusions, \nchemotherapy, targeted cancer therapies, bone marrow transplant, \nhaematopoietic stem cell transplant or other maj or interventionist treatment; and  \n\u2022 All tumours in the presence of HIV infection.  \n \n2 Heart Attack of Specified Severity  \n \nDeath of heart muscle due to ischaemia, that is evident by at least three of the \nfollowing criteria proving the occurrence of a new hea rt attack:  \n \n\u2022 History of typical chest pain;  \n\u2022 New characteristic electrocardiographic changes; with the development of any of \nthe following: ST elevation or depression, T wave inversion, pathological Q waves \nor left bundle branch block;  \n\u2022 Elevation of the  cardiac biomarkers, inclusive of CKMB above the generally \naccepted normal laboratory levels or Cardiac Troponin T or I at 0.5ng/ml and \nabove;  \n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               129  \n\u2022 Imaging evidence of new loss of viable myocardium or new regional wall motion \nabnormality. The imaging must be done by Cardiologist specified by the \nCompany.  \n \nFor the above definition, the following are excluded:  \n\u2022 Angina;  \n\u2022 Heart attack of indeterminate age; and  \n\u2022 A rise in cardiac biomarkers or Troponin T or I following an intra -arterial cardiac \nprocedure includi ng, but not limited to, coronary angiography and coronary \nangioplasty.  \n \nExplanatory note: 0.5ng/ml = 0.5ug/L = 500pg/ml  \n \n3 Stroke with Permanent Neurological Deficit  \n \nA cerebrovascular incident including infarction of brain tissue, cerebral and \nsubarachnoid haemorrhage, intracerebral embolism and cerebral thrombosis \nresulting in permanent neurological deficit. This diagnosis must be supported by all \nof the following con ditions:  \n \n\u2022 Evidence of permanent clinical neurological deficit confirmed by a neurologist at \nleast 6 weeks after the event; and  \n\u2022 Findings  on  Magnetic  Resonance  Imaging,  Computerised  Tomography,  or  \nother  reliable imaging techniques consistent wit h the diagnosis of a new stroke.  \n \nThe following are excluded:  \n\u2022 Transient Ischaemic Attacks;  \n\u2022 Brain damage due to an accident or injury, infection, vasculitis, and inflammatory \ndisease;  \n\u2022 Vascular disease affecting the eye or optic nerve;  \n\u2022 Ischaemic diso rders of the vestibular system; and  \n\u2022 Secondary haemorrhage within a pre -existing cerebral lesion.  \n \n4 Coronary Artery By -pass Surgery  \n \nThe actual undergoing of open -chest surgery or Minimally Invasive Direct Coronary \nArtery Bypass surgery to correct the na rrowing or blockage of one or more coronary \narteries with bypass grafts."}


created_at: 2024-03-15 18:52:31
topic: persistent://default/default/71e17ef0-3bc9-4074-a848-f5d2cfa67ab5
id: 2bf0c4b3-6408-4906-a8ea-3e2a109f09b7
encoding: FLOAT32
metadata:
{"_node_content": "{\"id_\": \"2bf0c4b3-6408-4906-a8ea-3e2a109f09b7\", \"embedding\": null, \"metadata\": {}, \"excluded_embed_metadata_keys\": [], \"excluded_llm_metadata_keys\": [], \"relationships\": {\"1\": {\"node_id\": \"fa2d9045-7b86-42b8-be24-f1750f5bd4a1\", \"node_type\": \"4\", \"metadata\": {}, \"hash\": \"59c4fda642f7a90fe0cffa1f7ef298e0f041e802b8044620af0ef6b6309b0c9d\", \"class_name\": \"RelatedNodeInfo\"}, \"2\": {\"node_id\": \"d8b5c300-bcdb-43e8-aaf5-c64f76012665\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"2f6b0364dbc7d9f0acc748a4be87e8bb6c199f87ad3b67c6d23cdddd98e22612\", \"class_name\": \"RelatedNodeInfo\"}, \"3\": {\"node_id\": \"5292cf10-a897-4c6e-918c-b57b1df20f00\", \"node_type\": \"1\", \"metadata\": {}, \"hash\": \"532787077a11ad6b61d6e9804a873d6478cc531b50825d4f50ed94c213b7152e\", \"class_name\": \"RelatedNodeInfo\"}}, \"text\": \"\", \"start_char_idx\": 558344, \"end_char_idx\": 562628, \"text_template\": \"{metadata_str}\\n\\n{content}\", \"metadata_template\": \"{key}: {value}\", \"metadata_seperator\": \"\\n\", \"class_name\": \"TextNode\"}", "_node_type": "TextNode", "document_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "ref_doc_id": "fa2d9045-7b86-42b8-be24-f1750f5bd4a1", "chroma:document": "This diagnosis must be supported by angiographic \nevidence of significant coronary artery obstruction and the procedure must be \nconsidered medically necessary by a consultant cardiolog ist. \n \nAngioplasty and all other intra -arterial, catheter -based techniques, \u2018keyhole\u2019 or laser \nprocedures are  excluded.  \n \n5 End Stage Kidney Failure  \n \nChronic  irreversible  failure  of  both  kidneys  requiring  either  permanent  renal  \ndialysis  or  kidney transplantation.  \n \n6 Irreversible Aplastic Anaemia  \n \nChronic persistent and irreversible bone marrow failure, confirmed by biopsy, which \nresults in anaemia, neutropenia and thrombocytopenia requiring treatment with at \nleast one of the following:  \n \n\nHealth Insurance   \n130 Copyright reserved by the Singapore College of Insurance Limited [Version  1.4] \u2022 Blood product transfusion;  \n\u2022 Bone marrow stimulating agents;  \n\u2022 Immunosuppressive agents; or  \n\u2022 Bone marrow or haematopoietic stem cell transplantation.  \n \nThe diagnosis must be confirmed by a haematologist.  \n \n7 End Stage Lung Disease  \n \nEnd stage lung disease, cau sing chronic respiratory failure. This diagnosis must be \nsupported by evidence of all of the following:  \n \n\u2022 FEV1 test results which are consistently less than 1 litre;  \n\u2022 Permanent supplementary oxygen therapy for hypoxemia;  \n\u2022 Arterial blood gas analyses with partial oxygen pressures of 55mmHg or less \n(PaO2 \u2264 55mmHg);  \nand \n\u2022 Dyspnea at rest.  \n \nThe diagnosis must be confirmed by a respiratory physician.  \n \n8 End Stage Liver Failure  \n \nEnd stage liver failure as evidenced by all of the following:  \n \n\u2022 Perma nent jaundice;  \n\u2022 Ascites; and  \n\u2022 Hepatic encephalopathy.  \n \nLiver disease secondary to alcohol or drug abuse is excluded.  \n \n9 Coma  \n \nA coma that persists for at least 96 hours. This diagnosis must be supported by \nevidence of all of the following:  \n \n\u2022 No response to external stimuli for at least 96 hours;  \n\u2022 Life support measures are necessary to sustain life; and  \n\u2022 Brain damage resulting in permanent neurological deficit which must be assessed \nat least 30 days after the onset of the coma.  \n \nFor the above definition, medically induced coma and coma resulting directly from \nalcohol or drug abuse are excluded.  \n \n10 Deafness (Irreversible Loss of Hearing)  \n \nTotal and irreversible loss of hearing in both ears as a result of illness or accident. This \ndiagnosis must be supported by audiometric and sound -threshold tests provided and \ncertified by an Ear, Nose, Throat (ENT) specialis t. \n \nTotal means \u201cthe loss of at least 80 decibels in all frequencies of hearing\u201d.  \n  \nIrreversible means \u201ccannot be reasonably restored to at least 40 decibels by medical \ntreatment, hearing aid and/or surgical procedures consistent with the current standard \n\n6. Critical Illness Insurance  \nCopyright reserved by the Singapore College of Insurance Limited [Version  1.4]                               131  \nof the medical services available in Singapore after a period of 6 months from the date \nof intervention.\u201d  \n \n11 Open Chest Heart Valve Surgery  \n \nThe actual undergoing of open -heart surgery to replace or repair heart valve \nabnormalities. The diagnosis of heart valve abnormality must be supported by cardiac \ncatheterization or echocardiogram and the procedure must be considered medically \nnecessary by a consultant cardiologist.  \n \n12 Irreversible Loss of Speech  \n \nTotal and irreversible loss of the ability to spe ak as a result of injury or disease to the \nvocal cords. The inability to speak must be established for a continuous period of 12 \nmonths. This diagnosis must be supported by medical evidence furnished by an Ear, \nNose, Throat (ENT) specialist.  \n \nAll psychiatr ic related causes are excluded.  \n \n13   Major Burns  \n \nThird degree (full thickness of the skin) burns covering at least 20% of the surface of \nthe Life Assured\u2019s  body.  \n \n14 Major Organ / Bone Marrow Transplantation  \n \nThe receipt of a transplant of:  \n \n\u2022 Human bone marrow using haematopoietic stem cells preceded by total bone \nmarrow ablation; or  \n\u2022 One of the following human organs: heart, lung, liver, kidney, pancreas,  that \nresulted from irreversible end stage failure of the relevant organ.  \n \nOther stem cell tra nsplants are excluded."}


