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What is the Critical Illness Survival Period?

Category : Critical Illness Insurance

Singapore’s top killer may be cancer, but the second leading cause of mortality is heart disease. According to an Asiaone article, Heart disease accounted for 20.1 per cent of deaths in Singapore in 2008, while cancer accounted for 29.3 per cent.

Many people are aware of the risk of such critical illnesses and have purchased critical illness insurance. However, many might be shock to know if death happens immediate after a heart attack, their family may not receive any payout from the insurer. Why?

People always jokingly say “you can die in Singapore but never fall sick”, so some people purchase only critical illness coverage without death benefit. However, such standalone critical illness insurance policy normally has a clause called the “survival period”.

The survival period is the length of time you, the insured, must survive after you have been diagnosed with a covered critical illness. Once you have passed the survival period, the insurance benefit will be paid. The length of survival period varies among different insurers, it can be 14 days or 30 days, etc.

If you, the insured person, dies within the survival period, your family will not receive a critical illness insurance payout. This is because critical illness insurance benefits are meant to be used by the insured as a living benefit to recover from illness, not a Death benefit.

If, however, you purchase critical illness as a rider of a life insurance, the clause does not apply to you because you will be paid death benefit anyway.

It is time to review your insurance policy and see if such clause is in your insurance contract. If in doubt, contact your financial adviser.

Zurich Early Stage Critical Illness Plan (Z Care)

Category : Critical Illness Insurance

Zurich Life Insurance Singapore has recently launched a new product Z Care which is regular premium critical illness plan which covers the Life Assured against any of the 30 Critical Illnesses. The plan has a unique Early Stage Critical Illness Option feature to claim up to 50 % against the policy for early stages of Critical Illnesses as defined. Once a Early Stage Critical Illness claim has been made against the policy, all future premiums are waived.

Early stage critical illness coverage was sold like hot cakes in recent years. New products are mushroomed and insurers just keep adding new “different stages of illnesses” in the products. For example, NTUC VivoCare covers Early, Intermediate and Advanced stages of Dread Diseases up to 74 Conditions. I doubt if clients or even advisers can understand these terms clearly. Moreover, medical conditions are grouped and staged and subject to different waiting periods and claim percentages, which adds to more confusions to the products.

Some of the early stage critical illness products in the markets are:

I personally like the simple design of Zurich Z Care and high 50% payout for early stage critical illnesses. The product also offers some additional benefits

Rehabilitation Benefit

This is a monthly payout of $1000 for up to 6 months post treatment or surgery for claims on the 100% CI payout

Diagnosis payout

An additional fixed benefit of $5,000 is payable upon the diagnosis of any of the 30 Critical Illness listed (excluding Angioplasty & Other Invasive Treatment for Coronary Artery).

Death benefit

On Death, 10% of the Sum Assured or $20,000, whichever is lower, is payable in one lump sum.

You can contact me if you would like to know more about early stage critical illness cover.

HSBC launches new product – Early Critical Care

Category : Critical Illness Insurance, Financial Product Update

Early critical illness insurance competition has just geared up. After AIA Complete Critical Cover, NTUC VivoCare and AXA’s Early-Payout LivingEnhancer, HSBC is the latest entrant for early critical illness coverage.

Key features of Early Critical Care are

  • Coverage of 28 Early, 27 Intermediate and 30 Critical Stage Medical Conditions – making early treatments possible
  • Additional coverage on 4 Special Critical Illnesses – not commonly offered in the market such as dengue haemorrhagic fever
  • Total of 90 covered illness (including Angioplasty and Other Invasive Treatment for Coronary Artery) – the most* in the market (* Comparing with 4 key insurers that offered products with similar features as at Nov 2011)
  • Peace of mind with lump sum payouts equivalent to 100% at all stages (subject to the respective limits) – the highest* in the market
  • 14 days survival period – one of the lowest requirement in the market
  • Future premiums will be waived till end of term upon an Early or Intermediate stage claim – easing of financial burden
  • Choice of term available – to Age 65 or to Age 85

Just a side track, after the announcement of HSBC selling general insurance business to AXA and QBE, many people think that their life insurance policies are affected. Do note the sale is for general insurance only.

NTUC VivoCare and Promotions

Category : Critical Illness Insurance, Life Insurance

NTUC has recently launched a new product called VivoCare. This is a all-in-one participating regular premium whole life plan that covers death, total & permanent disability (TPD), terminal illness and dread diseases.

Although the plan is a whole life insurance, the emphasis of the product is to cover dread diseases (critical illness).

Cover Early, Intermediate and Advanced stages of Dread Diseases up to 74 Conditions

Most of the critical illness plan covers only 30 out of 37 critical illnesses, which is standardized since 2003. Subsequently there are some insurance policies extend to cover early or intermediate stages but NTUC VivoCare is providing one of the most comprehensive range of medical conditions.

NTUC VivoCare Covered Medical Conditions (Click to enlarge)

Early Stage Dread Disease is covered up to 50% of the prevailing sum assured subject to a maximum of $75,000

Most early payout critical illness plan covers only up to 25% of the sum assured and are subject to waiting period conditions for multiple claims. The wordings for VivoCare seem to be more reasonable:

More than one claim can be made during the policy term, subject to the following:

i.  Each Early Stage Dread Disease can only be claimed once; and
ii. The Intermediate Stage Dread Disease on the same condition has not already been claimed for.

300% Minimum Benefit of the prevailing sum assured Death and Terminal illness

While critical illness coverage is important, some times Death could occur unexpectedly or immediately after critical illness is diagnosed. If you have a plan which only pays out upon critical illness, you may not be able to claim a single cent as some critical illness plan comes with survival period clause.

With this benefit, you could have more comfort that the family would be taken care of no matter how the unfortunate events occur.

Pay premium for a limited period, whole life coverage

The premium payment term is flexible. you can choose to pay 20 or 25 years, or up to age 64 or age 84 last birthday. Death and Critical illness is covered for life. This solves two problems

  • If you purchase the plan early, say age 30 to 40, you don’t have to worry if you still can afford the premium after you retired.
  • You have a peace of mind that you will have continous coverage whenever you wish. Otherwise, in the case of term insurance, you may have to consult a fortune teller how many years (terms) do you need to buy the insurance, and worry what to do if the critical illness happens after the policy expires.

However, you should still take note that the premium is not guaranteed.

Above all, I think this is a plan worth considering but please do seek professional advice from your advisers. There is no best plan for everybody, the key word is suitability, i.e. whether the plan suits your financial situation and objectives.

You can find out more information about the product here.

Promotions

NTUC is having promotion for this new product with sign up gift up to $200 complimentary CapitaVouchers.

Getting to the heart of critical illness plans

1

Category : Critical Illness Insurance

Below are part of the articles from The Sunday Times, read the full stories here.

Nearly everyone is cutting back on his spending.

Luxury items are out for many people, but others are also holding off on the purchase of insurance products such as investment-linked insurance plans (ILPs).

But no matter how grim the economy, experts warn that it is most unwise to defer basic protection needs against death and illness.

As an added incentive to buy such policies, insurers recently launched innovative critical illness products which attempt to offer enhanced coverage.

Critical illness plans

In a nutshell, a critical illness policy pays out the sum that is insured upon the diagnosis of any of 30 specified critical illnesses such as cancer and heart attack.

This cover benefit is typically bundled as an optional rider with a basic whole life, term or an ILP.  …

For the bundled plans, an ‘accelerated’ critical illness rider with a life policy will pay out the insured sum upon diagnosis of any of the 30 critical illnesses and the policy terminates with no death benefit remaining.

Plans with an ‘unaccelerated’ rider will pay out a critical illness claim upon diagnosis but the death benefit remains and is payable upon the insured’s death. That is, as long as premiums continue to be paid.

Some consumers feel that one downside of a critical illness benefit is that it usually allows claims only when the insured person is in the more advanced stages of a critical illness. It is no wonder that a common complaint is that it pays the claims only ‘when the person is about to die’.

For instance, the definition for cancer is ‘a malignant tumour characterised by the uncontrolled growth and spread of malignant cells and the invasion of tissue’.

This excludes non-invasive ‘cancer in-situ’, which refers to cancerous cells that have not yet invaded the surrounding or underlying tissue.

With medical advances and the growing emphasis on early illness screenings, you are likely to detect critical illnesses earlier than before. Financial support from an early critical illness claim payout will help patients seek treatment early.

‘An earlier benefit payout based on less stringent criteria gives better peace of mind,’ said Mr Tan Siak Lim, Alpha Financial Advisers’ business unit director.

This article was first published in The Straits Times.

Technical aspect of Critical Illness Coverage – Cancer

Category : Critical Illness Insurance

In Singapore, cancer, heart disease and stroke remain the top killers and account for over 50% of death. Here are the facts:

  • Cancer accounted for almost one in three of the 16,392 deaths last year
  • The most common cancer for males is Lung cancer and for females is breast cancer.
  • Cancer incidences are rising rapidly, it is anticipated that by 2020 the total number of new cancer cases in Asia will ballon from 4.5 million in 2002 to 7.1 million
Based on Life Matters Survey Index 2008

Based on Life Matters Survey Index 2008

There are normally 30 critical illness covered under your insurance policy. I am going to give some insights about the technical aspect of the coverage. Today I am going to talk about Major Cancer

Definition:

A malignant tumour characterised by the uncontrolled growth and spread of malignant cells with invasion and destruction of normal tissue.  This diagnosis must be supported by histological evidence of malignancy and confirmed by an oncologist or pathologist.

The following are excluded:
  • Tumours showing the malignant changes of carcinoma-in-situ and tumours which are histologically described as pre-malignant or non-invasive, including, but not limited to: Carcinoma-in-Situ of the Breasts, Cervical Dysplasia CIN-1, CIN-2 and CIN-3;
  • Hyperkeratoses, basal cell and squamous skin cancers, and melanomas of less than 1.5mm Breslow thickness, or less than Clark Level 3, unless there is evidence of metastases;
  • Prostate cancers histologically described as TNM Classification T1a or T1b or Prostate cancers of another equivalent or lesser classification, T1N0M0 Papillary micro-carcinoma of the Thyroid less than 1 cm in diameter,  Papillary micro-carcinoma of the Bladder, and Chronic Lymphocytic Leukaemia less than RAI Stage 3; and
  • All tumours in the presence of HIV infection.

Cancer Staging:

Staging systems vary according to the type of tumour. One widely used system is the TNM classifications which can be applied to most cancers.

T  =  Tumour
N  =  Node
M  =  Metastases
T describe the size of the tumour (where in To there is no evidence of tumour and T1 – T3 indicates a progression increase in size;
N describe the increasing involvement of nodes CN1 – CN3;
M describe the absence (Mo) or presence (M1) of metastases

Carcinoma in Situ

Most carcinomas begin as localised growths confined to the epithelium (surface lining) in which they arise. As long as these early cancers do not penetrate the basement membrane on which the epithelium rests. Such tumours are termed Carcinoma in Situ. If discovered at this early stage, the prognosis is excellent as they are very accurate.

Note Carcinoma in Situ is NOT Covered under standarded critical illness plan as it is considered as a pre-stage cancer. Fortunately, you can still get yourself protected by certain female plans.

Although since 2003, all insurers adopted the same definition, they only cover 30 out of 37 common critical illness.

You may contact me for independent advise for critical illness coverage.