Non-medical Policies

Non-medical Business

The existing guidelines in respect of non-medical business have been reviewed.

The following changes may be noted

i. The upper limits have been revised upwards.
ii. Separate limits have been prescribed for standard and non-standard age proofs under Non-Medical (General) for Others.
iii. Maximum aggregate basic sum assured limits under high risk plans have been deleted
iv. There are no special limits for Table No. 91
v. Table Nos. 43, 52, 58 and 164 will not be allowed under non-medical.
vi. Critical Illness Rider will not be allowed under non-medical.
vii. Table No. 133 will be allowed under non-medical (special) and non-medical (General) to professionals.
viii. Term Rider will be allowed under non-medical (special) and non-medical (General) to professionals. However, term rider will not be allowed under non-medical (General) to Others.
ix. Professionals under non-medical (general) will be allowed all plans which are allowed to non-medical (special)
x. Plans like Table Nos. 103, 106, 107, 108, 103, 152 & 168 are allowed under Non-medical (General) to Others.
xi. Non-Medical (Express) Scheme has been merged with Non-Medical (Special) Scheme

Non-medical Limits:

i. The maximum limits are based on sum under consideration. Any insurance taken under non-medical business prior to the latest two full years is not to be considered while deciding the eligibility under non-medical business.
ii. Ages mentioned below are to be taken as age nearer birthday (NBD) on date of proposal.


Non-Medical (Special) Business

1. To persons employed with length of service not less than one year in

i. Government and Quasi Government Offices
ii. Schools, Hospitals etc run by Government / Quasi Government
iii. State Corporations, industrial undertakings and reputed commercial firms
iv. Industrial undertakings, private schools, colleges, etc.
v. Undertakings operating for a minimum period of 3 years with average turnover of Rs. 50 crores during this period

2. To Commissioned Officers in armed forces

i. Length of service not less than one year
ii. Not below medical category A-1
iii. Not been placed in a lower category during the 2 years period prior to the date of proposal.

Classes of Lives
Sum Assured (SUC)
Plans allowed
Literate major males and SSC passed major females not aged over 45 years

Commissioned Officer in armed forces not aged over 45 years


Rs. 10 lacs

All plans including Term rider but excluding Table Nos. 43, 52, 58, 164 and CI Rider

Literate males and SSC passed females aged between 46 and 50 years

Commissioned Officer in armed forces aged between 46 and 50 years


Rs. 4 lacs

All plans including Term rider but excluding Table Nos. 43, 52, 58, 164, 162, 167 and CI Rider


Notes:
· Term rider will be allowed subject to the overall limit which is presently Rs. 25 lacs.
· Only standard age proof will be accepted.








Non-Medical (General) Business

1. Self-employed professionals –
Chartered Accountants, Cost Accountants, Engineers, Architects, Management /
computer consultants, Doctors, Lawyers, Teachers, LIC Agents, etc.

Classes of Lives
Sum Assured (SUC)
Plans allowed

Professionals not aged over 45 years

Rs. 8 lacs
All plans including Term rider but excluding Table Nos. 43, 52, 58, 164, 167 and CI Rider

Professionals aged between 46 and 50

Rs. 4 lacs

All plans including Term rider but excluding Table Nos. 43, 52, 58, 164, 162, 167 and CI Rider

Notes:
· Term rider will be allowed subject to the overall limit which is presently Rs. 25 lacs

· Only standard age proof will be accepted.


2. Others

a. Major males and literate females
With Standard age proof or Non-Standard Age Proof – I (NSAP-I)
and having own income (earned or unearned)

Ages
Sum Assured (SUC)
Plans allowed
Standard Age Proof
Age Proof
NSAP – I
Not aged over 40 years


Rs. 3 lacs

Rs. 2.00 lacs

Table Nos. 5 (with PPT 5 to 10), 8, 14, 48, 75, 90, 91, 93, 103, 106, 107, 108, 136, 149, 152, 154, 155, 156, 157, 165, 168,
(Term and CI riders are not allowed)

Aged between 41
And 45 years

Rs. 2 lacs

Rs. 1 lac

Aged between 46
And 50 years

Rs. 1 lac

Rs. 50,000

Notes:
· For women falling within Female Category III, the above limits and plans will be subject to their maximum allowable overall limits and allowable plans

· Table Nos. 149 and 152 will be allowed subject to minimum SA restriction of Rs. 1 and Rs. 2 lacs respectively.

· For age proof NSAP-I
· Maximum policy term will be restricted to 25 years
· Table Nos. 103, 106, 107, 108 & 168 will be allowed subject to the overall restriction on maximum aggregate SA of Rs. 5 lacs together with SA under plans Nos. 43, 52, 58, 88, 89, 133, 150, 160 & 164.


b. Major males and literate females
with Age Proof NSAP–II and NSAP-III and having own income (earned or unearned)

Classes of Lives
Sum Assured (SUC)
Plans allowed
Age Proof NSAP – II
Age Proof NSAP – III
Not aged over 40 years


Rs. 2.00 lacs

Rs. 1 lac
Table Nos. 5 (with PPT 5 to 10), 8, 14, 48, 75, 90, 91, 93, 136, 149, 154, 155, 156, 157, 165,

(Term and CI riders are not allowed)

Aged between 41
And 45 years

Rs. 1 lac

Rs. 1 lac

Aged between 46
and 50 years


Rs. 50,000

Rs. 50,000

Notes:
· For women falling within Female Category III, the above limits and plans will be subject to their maximum allowable overall limits and allowable plans

· Maximum policy term will be restricted to 25 years

· Maximum age at entry and maturity age will be restricted to 50 & 65 years respectively.

· Table No. 149 will not be allowed to proponents aged above 45 as minimum SA under the Plan is Rs. 1 lac.


Table Nos. 140 and 166

Table No. 140 – Bima Plus - is allowed up to Rs. 2 lacs on the basis of DGH without any medical requirement.

Table No. 166 – Bima Nivesh – is allowed on the basis of DGH if term rider is not opted for.

These two plans are therefore not included under non-medical (General) and may be allowed in addition to non-medical limits.

Special Reports:

Sum under consideration will be the basis for calling for special reports. Where SUC is such that it falls within the limits of non-medical business, no special reports will be called for.


The above instructions come into force with effect from 1st March 2005.