Underwriting Practices
1. Underwriting relaxations to women falling under Female Category III on the occasion
of International Women’s Day
World-over 8th March is being celebrated as the International Women’s Day. Considering the importance of this day, it has been decided to allow Table Nos. 140 (Bima Plus) and 143 (Bima Nivesh Triple Cover) to women falling under Female Category III within their overall limits.
The maximum cover including cover under Table No. 140 & 143 that can be allowed to different sub-categories of Category III women is as under:
Single women – Rs. 5 lakhs
Married women – Rs. 10 lakhs
Self-employed women – Rs. 1 lakh
Widows – Upto Rs. 1 lakh at DO level (up to Rs. 2 lakhs at ZO level)
2. Bima Nivesh Triple Cover – Table No. 143
Vide Circular Ref. Actl./1939/4 dated 4th March 2004 certain relaxations have been allowed under Table No. 143.
It is clarified that the relaxations allowed vide the above circular will be applicable if:
i. all previous proposals have been accepted at standard rates
ii. no adverse health factor is revealed in the current proposal form / DGH / FMR
If the above two conditions are not satisfied or if the proposal is under mail order business from NRIs, the relaxations will not be applicable and the following underwriting rules will be made applicable:
i. Only standard age proof will be accepted.
ii. Medical examination is a must.
iii. Sum under consideration (SUC) will be the basic sum assured under the plan
iv. Previous insurance under any of the plans is not be considered while calculating sum under consideration for medical and financial underwriting
v. Special reports, if applicable, are to be called for
vi. Plan is allowed to standard lives and sub-standard lives upto EMR Class III. Sub-standard lives with EMR Class IV to VI will be allowed with reinsurance.
vii. Occupational extra if chargeable will be two times the occupational extra rates.
viii. Plan will be allowed only to physically handicapped persons falling under Group A Deformity with loss of one limb at standard rates.
ix. Plan will be allowed to women falling under Female Category III within their overall maximum limits.
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