Health Insurance Program Policy. Silkbank Credit Card Terms & Conditions



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Health Insurance Program Policy Silkbank Credit Card Terms & Conditions For further queries related to your Silkbank VISA Credit Card, please call our 24 hour Silkbank Phone Banking Service on 111-100-777 E-mail: creditcards@silkbank.com.pk

HEALTH INSURANCE PROGRAM POLICY TERMS & CONDITIONS Issued by IGI Life Insurance Limited (Formerly American Life Insurance Company Pakistan Limited) DEFINITIONS "Policy" means the Application, Schedule of Benefits, terms & conditions as provided herein and any Certificate issued to Insured Persons together with any Rider(s), schedule(s), specification(s) and endorsement(s) attached thereto from time to time. "Injury" means accidental bodily injury occurring while individual insurance is in force as to the Insured Person whose injury is the basis of claim, and resulting, directly and independently of all other causes within 180 (one hundred and eighty) days from the date of its occurrence, in loss covered by the Policy. "Company" means IGI Life Insurance Limited formerly 'American Life Insurance Company Pakistan Limited', registered and supervised by the Securities & Exchange Commission of Pakistan and offering this insurance product and its stated benefits pursuant to the Terms and Conditions herein. "Principal Insured Person" means a customer of Silkbank between the ages of 18 and 60 years, who accepts the offer of the Company for insurance under this Policy and agrees to make the required premium contributions for himself, his spouse and up to four (4) Children, and whose names are reported to the Company. Individually they are referred to as 'Insured Person' and collectively as 'Insured Persons'. "Spouse" means a wife or husband of the Principal Insured Person between the ages of 18 and 60 years. "Child or Children" means up to four (4) children of the Principal Insured Person between the ages of 6 months to 18 years, single, student and economically dependent on parents. The maximum age limit of children is extendable to 22 years if child continues to be single, full time student and economically dependent on parents. "Effective Date" means the date when a customer of Silkbank is enrolled under this Policy and whose name is reported to the Company. 01

"Elimination Period" means the number of the consecutive days as stated in the Schedule of Benefits, commencing with the first day an Insured Person is necessarily confined within a Hospital as an In-patient due to sickness only, for which no benefits are payable." "Physician" means a person legally licensed to practice medicine and/ or surgery other than Insured Person or a member of the Insured Person's immediate family. "Hospital" means an establishment which meets all of the following requirements: (1) holds a license as a hospital, if licensing is required in the country or governmental jurisdiction; (2) operated primarily for the reception, care and treatment of sick, ailing or injured persons as in-patients; (3) provides 24-hour a day nursing service by registered or graduate nurses; (4) has a staff of one or more physicians available at all times; (5) provides organized facilities for diagnosis and major surgical procedures; (6) is not primarily a clinic, nursing, rest or convalescent home or similar establishment and is not, other than incidentally, a place for alcoholics or drug addicts; (7) maintains X-ray equipment and operating room facilities. "In-patient" as used herein means an Insured Person who is confined in a Hospital as a registered bed patient for at least 1 (one) day. "Application" wherever used in this policy means the application either written or verbal used by the Insured Person for enrolment under the Policy. "Sickness" as used herein means sickness or disease contracted and commencing after the Effective Date of Individual Insurance of the Insured Person, whose sickness is the basis of claim. "Waiting Period" means the number of consecutive days as stated in the Insurance Certificate commencing from the Effective Date wherein the Insured Person is not covered for the specified benefit. "Bank" means Silkbank Limited, a banking company incorporated under the laws of Pakistan and having its principal place of business in Pakistan at Silkbank I.I. Chundrigar Road, Karachi. "Certificate" means the individual certificate issued to each Principal Insured Person setting forth a statement as to the insurance protection to which the Insured Persons are entitled and which includes the certificate number, the name of the Insured Persons, the benefits, limits as well as effective date and premium. "Pre-existing Condition" wherever used in this Policy means any sickness or disease which originated prior to the Effective Date of Insurance of the Insured Person (and for Critical Illness Insurance, prior to Critical Illness Coverage Commencement Date as defined herein), and for which the Insured Person received medical treatment or symptoms were present which would have caused a prudent person to seek medical care/ treatment (this includes but is not limited to use of medicines for the condition) prior to the Effective Date of Insurance (and for Critical Illness Insurance, prior to the Critical Illness Coverage Commencement Date). "Sickness" as used herein means sickness or disease contracted and commencing after the Effective Date of Insurance of the Insured Person, whose sickness is the basis of claim. "Terrorist Act" means any actual or threatened use of force or violence directed at or causing damage, injury, harm or disruption, or commission of an act dangerous to human life or property, against any individual, property or government, with the stated or unstated objective of pursuing economic, ethnic, nationalistic, political, racial or religious interests, whether such interests are declared or not. Robberies or other criminal acts, primarily committed for personal gain and acts arising primarily from prior personal relationships between perpetrator/s and victim/s shall not be considered Terrorist Acts. 'Terrorist Act' shall also include any act which is verified or recognized as an act of terrorism by the government of the country where the act occurs. SPECIAL DEFINITIONS UNDER ACCIDENT AND SICKNESS IN-HOSPITAL INCOME BENEFIT: "Elimination Period" means the number of the consecutive days as stated in the Schedule of Coverage, commencing with the first day the Insured Person is hospitalized, for which no benefits are payable. "In-patient" as used herein means an Insured Person who is confined in a Hospital as a registered bed patient for at least 1 (one) day. "Waiting Period" means fifteen days (15) consecutive days as stated in the Schedule of Coverage, commencing from the Effective Date of Insurance. 02 03

SPECIAL DEFINITIONS UNDER CRITICAL ILLNESS BENEFIT: "Covered Critical Illness" wherever used in this Policy means the illnesses as listed and defined in the Schedule of Covered Critical Illnesses upon diagnosis or performance of any of the covered surgeries stated therein. "Critical Illness Coverage Commencement Date" wherever used in this Policy means sixty (60) days after: (a) the Effective Date of Insurance; (b) the date stated in the relevant endorsement when subsequent changes are made to the coverage; or (c) the date of reinstatement in case of any reinstatement, whichever is later. "Diagnosis" or "Diagnosed" wherever used in this Policy means the definitive diagnosis made by a Physician as herein defined, based upon such specific evidence, as referred to herein in the definition of the particular Critical Illness concerned, or, in the absence of such specific evidence, based upon radiological, clinical, histological or laboratory evidence acceptable to the Company. Such Diagnosis must be supported by the Company's medical director who may base his opinion on the medical evidence submitted by the Insured Person and/ or any additional evidence that he may require. In the event of any dispute or disagreement regarding the appropriateness or correctness of the diagnosis, the Company shall have the right to call for an examination, of either the Insured Person or the evidence used in arriving at such diagnosis, by an independent acknowledged expert in the field of medicine concerned selected by the Company and the opinion of such expert as to such diagnosis shall be binding on both the Insured Person and the Company. "Schedule of Covered Critical Illness" wherever used in this Policy means the schedule listing and defining the Covered Critical Illnesses. "Surviving Period" wherever used in this Policy means twenty-eight (28) days commencing after the date an Insured Person is diagnosed with Covered Critical Illness during which he must survive to be eligible for the lump-sum payment under the Critical Illness Benefit as provided herein. Wherever in this Policy a personal pronoun in the masculine gender is used or appears, it shall be taken to include the feminine gender also, unless the context clearly indicates the contrary. BENEFITS The coverages stated hereunder are valid only in respect of the benefits specifically indicated in the Schedule of Benefits by the insertion of the amount of indemnity, its limitation and of the appropriate premium. BENEFIT A - LOSS OF LIFE INDEMNITY DUE TO ACCIDENT If an Insured Person dies whether at the time of death the Insured Person was on business or at home including vacation or travel as a result of covered injury while insured under this Policy, the Company will, upon receipt of due proof in writing of the death of the Insured Person, pay the amount for which the Insured Person is insured as set forth in the Schedule of Benefits subject to the exclusions and limitations set forth hereunder. BENEFIT B - ACCIDENT & SICKNESS IN- HOSPITAL INCOME (Daily Benefit) If, as a result of a covered Injury or the commencement of Sickness, an Insured Person shall be necessarily confined within a Hospital as an In-patient under the continuous attendance of a Physician, after elapse of the waiting period of fifteen (15) days commencing from Effective Date, applicable for confinement due to sickness only, the Company will pay the Daily Benefit stated in the Schedule of Benefits for each day that the Insured Person shall be confined therein, up to maximum of thirty (30) days per confinement, commencing immediately following the Elimination Period stated in the Schedule of Benefits. This benefit does not cover Hospital confinement resulting from or related to: (1) Pregnancy, miscarriage, childbirth, or any disease related to the female organs of reproduction; (2) General check-ups; (3) Cosmetic or plastic surgery, except as a result of Injury; (4) Any mental or nervous disorder or rest cures; (5) Stay in sanatoriums for whatever reason and whatever treatment 04 05

BENEFIT C - CRITICAL ILLNESS BENEFIT Subject to the conditions and provisions contained herein, when the Insured Person is diagnosed to be suffering from a Critical Illness as defined in the Schedule of Covered Critical Illness, the Company shall make the lump-sum payment as stated in the Schedule of Benefits for which the Insured Person is insured under this Policy, provided that all the following conditions are satisfied: a) The Insured Person experiences a Dread Disease specifically listed and defined in the Schedule of Covered Critical Illness; b) The Dread Disease experienced by the Insured Person is the first incidence of that Critical Illness; c) The signs or symptoms of the Dread Disease experienced by the Insured Person commenced on or after the Critical Illness Coverage Commencement Date; d) None of the Exceptions as stated herein applies; e) The Insured Person has survived the Surviving Period as defined hereinabove; f) The Critical Illness is not a result of wilful misuse of drugs or alcohol. SCHEDULE OF COVERED CRITICAL ILLNESS DEFINITIONS OF CRITICAL ILLNESSES AND DIAGNOSTIC REQUIREMENTS MAJOR CANCERS A malignant tumor characterized 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: Tumors showing the malignant changes of Carcinoma-in-Situ and tumors 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; Hyperkeratosis, 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 metastasis; 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 Leukemia less than RAI Stage 3; and All tumors in the presence of HIV infection. FIRST HEART ATTACK Death of a portion of the heart muscle as a result of inadequate cardiac blood supply to the relevant area. This diagnosis must be supported by three (3) or more of the following five (5) criteria which are consistent with a new heart attack: a) History of typical chest pain; b) Diagnostic elevation of cardiac enzymes CK-MB; and c) New Electrocardiogram (ECG) changes proving infarction; d) Diagnostic elevation of Troponin (T or I); e) Left ventricular ejection fraction less than 50% measured three (3) months or more after the event. STROKE A Cerebrovascular incident including infarction of brain tissue, cerebral and Subarachnoid Hemorrhage, Cerebral Embolism and Cerebral Thrombosis. This diagnosis must be supported by all of the following conditions: Evidence of permanent neurological damage confirmed by a neurologist at least six (6) weeks after the event; and Findings on Magnetic Resonance Imaging, Computerized Tomography, or other reliable imaging techniques consistent with the diagnosis of a new stroke. The following are excluded: Transient Ischemic Attacks; Brain damage due to an Injury, infection, vasculitis, and inflammatory disease; Vascular disease affecting the eye or optic nerve; and Ischemic disorders of the vestibular system. KIDNEY FAILURE Chronic irreversible failure of both kidneys, requiring either permanent renal dialysis or renal transplantation. 06 07

MAJOR ORGAN /BONE MARROW TRANSPLANTATION The receipt of a transplant of: Human bone marrow using Haematopoietic stem cells preceded by total bone marrow ablation; or One of the following human organs: heart, lung, liver, kidney, pancreas, that resulted from irreversible end stage failure of the relevant organ. The transplantation of any other organs, parts of organs, tissues or cells is excluded. MULTIPLE SCLEROSIS The definite occurrence of Multiple Sclerosis. The diagnosis must be supported by all of the following: "Investigations which unequivocally confirm the diagnosis to be Multiple Sclerosis; "Multiple neurological deficits which occurred over a continuous period of at least six (6) months; and "Well documented history of exacerbations and remissions of said symptoms or neurological deficits. Other causes of neurological damage such as SLE and HIV are excluded. Paralysis The complete and permanent loss of use of both arms or both legs, or one (1) arm and one (1) leg, through paralysis, caused by sickness or injury except when such Injury is self-inflicted. This condition must be confirmed by a consultant neurologist. BENEFIT D - ACCIDENTAL MEDICAL EXPENSE REIMBURSEMENT When, by reason of injury, and commencing within thirty (30) days after the date of the injury, an Insured Person shall require treatment by a Physician, use of Hospital facilities, or the employment of a licensed or graduate nurse while at the Hospital, the Company will pay the reasonable and customary medical expenses incurred within fifty two (52) weeks from the date of the accident for such Physician treatment, Hospital charges and nurses fees, which are in excess of the deductible (if any) stated in the Schedule of Coverage, but not to exceed the amount prescribed for the Insured Person in accordance with the Schedule of Coverage, as the result of any one accident. FLYING COVERAGE Coverage with respect to flying is limited to injury sustained during such trips while the Insured Person is riding as a passenger (but not as a pilot, operator or member of the crew) in or on, boarding or alighting from: (a) A certified passenger aircraft provided by a commercial airline on any regular, scheduled or non-scheduled, special or chartered flight, and operated by a properly certified pilot flying between duly established and maintained airports; or (b) Any transport type aircraft operated by the Military Airlift Command (MAC) of the United States of America or by a similar air transport service of any duly constituted governmental authority of the recognized government of any nation anywhere in the world. OTHER INSURANCE WITH THE COMPANY If a like policy or policies previously issued by the Company to the Insured Person be in force concurrently herewith, making the aggregate indemnity in excess of the limits stated in the Schedule of Benefits and the Certificate with respect to the Classification of Insured Persons, the excess insurance shall be void and all premiums paid for such excess shall be returned to the Insured Person or to his estate. EXCEPTIONS This Policy does not cover any loss or expense caused by or resulting from: 1) Intentionally self-inflicted Injury, suicide or any attempt thereat while sane or insane; nor 2) War, invasion, act of foreign enemy, hostilities or warlike operations (whether war be declared or not), mutiny, civil war, rebellion, revolution, insurrections, conspiracy, shelling, sniping, ambushes, murder, assault, military or usurped power, martial law, or state of siege; or any 08 09

period an Insured Person is serving in the Armed Forces of any country or international authority, whether in peace or war. Riots, strikes, civil commotion and Terrorist Acts, if the Insured Person is an Active Participant in any of these activities; 3) Loss sustained or contracted in consequence of an Insured Person being intoxicated or under the influence of any narcotic or drug unless administered on the advice of a Physician; nor 4) Any loss of which a contributing cause was the Insured Person's attempted commission of, or wilful participation in an illegal act any violation or attempted violation of the law or resistance to arrest by the Insured Person; nor 5) Any loss sustained while flying in any aircraft or device for aerial navigation except as specifically provided herein; nor 6) Congenital anomalies and conditions arising out of or resulting there from; nor 7) Flying in any aircraft owned, leased or operated by or on behalf of: (a) Silkbank Limited or any subsidiary or affiliate of Silkbank Limited ; (b) an Insured Person or any member of an Insured Person's household; nor 8) Driving or riding as a passenger in or on (a) any vehicle engaged in any race, speed test or endurance test or (b) any vehicle being used for acrobatic or stunt driving; nor 9) Travel to and/or stay in, or through Afghanistan, Cuba, Democratic Republic of Congo, Iraq, Iran, Liberia & Sudan; nor 10) Any claim caused by opportunistic infection or Malignant neoplasm, or any other sickness condition, if, at the time of the claim, the Insured Person had been diagnosed as having AIDS (Acquired Immune Deficiency Syndrome), ARC (AIDS Related Complex) or having an antibody positive blood test to HIV (Human Immunodeficiency Virus); nor 11) Any claim as a result of the Insured Person participating in professional sports, whether practicing or playing, competitions, races, matches in land, air or sea, hazardous sports/activities such as winter sports, rock climbing, mountaineering, bungee jumping, river rafting, pot-holing, parachuting, paragliding or scuba diving. 12) Any Pre-Existing Condition. LIMITATIONS AND TERMINATION OF INDIVIDUAL INSURANCE The occurrence of any specified loss/ losses in respect of a Principal Insured Person for which the Principal Sum stated in Schedule of Benefits or lump-sum payment under Critical Illness Insurance as defined in the Schedule of Benefits, is payable and shall at once terminate his as well as Spouse s and Children s insurance under the Policy, but such termination shall be without prejudice to any claim originating out of the accident causing such loss. Similarly the occurrence of any specified loss/ losses in respect of Spouse for which the Principal Sum stated in the Schedule of Benefits or lump-sum payment under Critical Illness Insurance as defined in the Schedule of Benefits or the lump-sum payment under Loss of Life Additional Indemnity due to Accident, is payable shall at once terminate the Spouse insurance under the Policy. Similarly the occurrence of any specified loss/ losses in respect of any Child for which the lump-sum payment under Loss of Life Additional Indemnity due to Accident, is payable and shall at once terminate that child's insurance under the Policy. AGGREGATE LIMIT OF LIABILITY The Company shall not be liable for any amount in excess of the Aggregate Limit of Liability stated on the Schedule of Benefits. 10 11

UNIFORM PROVISIONS 1. ENTIRE CONTRACT, CHANGES: The Policy, the original application for it as submitted to the Company, together with the original medical examination, if any, any supplementary contract/riders, applied for and approved by the Company and stated to be a part hereof and attached hereto, together with any original amendment signed by Silkbank and filed with the Company, constitute the entire contract. All original statements made in applying for the contract will be deemed, in the absence of fraud, representations and not warranties. No statement will be used to invalidate the contract or to defend against a claim under it unless it is explicitly contained in the original application submitted to the Company and/or in any written and signed amendment to the application filed with the Company. The Policy may be amended at any time, without the consent of the Insured Person hereunder or any other person having a beneficial interest therein upon written request made to Silkbank and agreed to by the Company, but any amendment shall be without prejudice to any claim arising prior to the date of the change. The Policy may be amended to terminate the coverage provided under any or all Riders for the Insured Person in any area because of any nuclear, chemical, biological or world war, or acts of such war, such amendment to take effect on the date communicated to Silkbank by the Company. No one other than the authorized officers of the Company and Silkbank are authorized to alter or amend this Policy, to waive any conditions or restrictions contained herein, to extend the time of paying a premium or to bind the Company by making any promise or representation. No Change in the Policy shall be valid until approved by an officer of the Company and unless such approval be endorsed hereon or attached hereto. No agent has the authority to change this Policy or to waive any of the provisions of this Policy. 2. EFFECTIVE DATE: This Policy takes effect on the Policy Date stated on this Policy. After taking effect this Policy continues in effect until the Policy Expiry Date and may continue in effect thereafter subject to the "Grace Period" and "Renewal Conditions" set forth herein. All periods of insurance shall begin and end at 12:01 am. at the address of Silkbank. 3. GRACE PERIOD: A grace period of thirty one (31) days will be granted for the payment of each premium falling due after the first premium, during which time the Policy shall be continued in force, unless the Policy has been cancelled in accordance with "Cancellation". Silkbank shall be responsible to collect the due premium from the Insured Persons and remit the same to the Company for the period the Policy continues to be in force. If claim occurs within the Grace Period, any premium then due and unpaid will be deducted in settlement. 4. PREMIUMS: All premium payments made by the Principal Insured Persons will be collected by Silkbank on or before the date they become due and will be remitted to the Company on one single payment; unless official notice of termination has been given, a grace period will be granted for the payment of any premium falling due after the first premium, subject to the terms of the Uniform Provision entitled Grace Period. The premium for this Policy is based on the number of Insured Persons and/ or the volume of benefits in each classification as specified in the Schedule of Benefits. 5. EFFECTIVE DATE OF INDIVIDUAL INSURANCE AND CHANGES: The individual Persons eligible for inclusion as Insured Persons hereunder shall be persons designated on the Schedule of Benefits Page(s). If an Insured Person is enrolled under the Policy on or before the Policy Date, cover in respect of the Insured Person (s) shall start on the Policy Date. Commencing on the date the details are filed with the Company of any such eligible person who comes within any classification established therein, such person shall then become an Insured 12 13

Person with respect to such insurance as is offered by the Policy as applicable to such person's class. 6. CURRENCY: All premiums paid by the Insured Person and claim payments made by the Company pursuant to this Policy will be in Pakistani Rupees. 7. TERMINATION DATES OF INDIVIDUAL INSURANCE: Insurance of any Insured Person shall terminate immediately on the earliest of: (1) The date the master Policy is terminated; (2) The date the Insured Person is no longer eligible within the classification of Insured Person; (3) Enrolment date anniversary immediately following the 60th birthday of the Principal Insured Person and Spouse and any of the Children attains 18 years of age or 22 years if single, a student and economically dependent upon parents; (4) The premium due date if the required premium is not paid within the grace period; (5) Death of the Insured Person. Any such termination shall be without prejudice to any valid claim originating prior to the date of termination. 8. RENEWAL CONDITIONS: The Policy will be automatically renewed annually unless otherwise notified by the Company to Silkbank in writing and for onward notification to the Principal Insured via Silkbank. 9. REINSTATEMENT OF THE POLICY: When this Policy terminates by reason of the non-payment of premium within the grace period, any subsequent acceptance of a premium and reinstatement of the Policy by the Company shall solely be at the Company's option and shall only cover loss resulting from injury sustained after the date of such reinstatement. 10. CANCELLATION: The Company may cancel this Policy at any time by written notice delivered to Silkbank, or mailed to the address as shown by the records of the Company, stating when,not less than one (1) month thereafter, such cancellation shall be effective. In the event of cancellation the Company will return promptly the pro rata unearned portion of any premium actually paid by the Insured Person. Such cancellation shall be without prejudice to any valid claim originating prior thereto. In the event the Policy is cancelled by Silkbank, the enrolment of new Insured Persons or renewal of coverage to existing Insured Persons will be stopped simultaneously with such cancellation. However, coverage to individual Insured Persons, who were covered under the Policy as at the time of cancellation, will continue till their individual Effective Date anniversaries. 11. NOTICE OF CLAIM: Written notice of claim must be given to the Company within thirty (30) days after the occurrence of commencement of any loss covered by the Policy or as soon thereafter as is reasonably possible. In the event of Loss of Life immediate notice thereof must be given to the Company. Written notice of claim given by or on behalf of the Insured Person to the Home Office of the Company, or to any authorized official of the Company with information sufficient to identify the Insured Person shall be deemed as sufficient notice to the Company. 12. CLAIM FORMS: The Company, upon receipt of a notice of claim, will furnish to the claimant within three (3) business days of receipt of notice of claim, such forms are usually required by the Company for filing proofs of loss. 13. CLAIM DOCUMENTS: Following documents and/ or any other document as may be required by the Company pertaining to the loss sustained by the Insured Person: 13.1 FOR ALL LOSSES: (i) CLAIMANT STATEMENT: The Insured Person or incase of Loss of Life Indemnity and Loss of 14 15

(ii) (iii) (iv) (v) Life Additional Indemnity due to Accident, the beneficiary(ies) should complete a claimant statement. In case there are minor beneficiary(ies), the guardian must sign one claimant statement on their behalf. PHYSICIAN STATEMENT: This form should be completed by the physicians who treated the Insured Person during his/her last illness. More than one form might be filled for one claim (if the Insured Person remained under treatment of two treating physicians). ORIGINAL PROOF OF AGE: National Identity Card (NIC)/ Birth Certificate/ Passport/ Academic certificates etc. ORIGINAL GUARDIANSHIP CERTIFICATE: This document is required wherever there are minors among the beneficiaries. INDIVIDUAL CERTIFICATE OF COVER which was issued to the Insured Person as evidence of his coverage. 13.2 ADDITIONAL DOCUMENTS FOR LOSS OF LIFE INDEMNITY & LOSS OF LIFE ADDITIONAL INDEMNITY DUE TO ACCIDENT: (i) (ii) (iii) (iv) ORIGINAL DEATH CERTIFICATE: An original death certificate only acceptable, which should be issued by Municipality / Union Council/Cantonment Board, etc. HOSPITAL DEATH CERTIFICATE: A copy of hospital death certificate where death occurred or by the physician who declared death is required. FINAL POLICE REPORT POSTMORTEM REPORT in-case of unclear circumstances of death and where it is consented by the Insured Person's legal heirs and not forbidden by law 13.3 ADDITIONAL DOCUMENTS FOR ACCIDENT & SICKNESS IN-HOSPITAL INCOME AND ACCIDENT MEDICAL REIMBURSEMENT: (i) (ii) ORIGINAL HOSPITAL RECORD INCLUSIVE OF BILLS INCASE OF INJURIES, FINAL POLICE REPORT 13.4 ADDITIONAL DOCUMENTS FOR CRITICAL ILLNESS INSURANCE: Where the claim is based upon Fulminant Viral Hepatitis or Cancer as defined in the Schedule of Covered Dread Disease, the Company shall be entitled to require the Insured Person to undergo test including a test for the detection of any HIV as a condition precedent to any acceptance by the Company of due proof of such Dread Disease. Other required documents are mentioned in Schedule of Covered Dread Disease herein below. 14. TIME FOR FILING CLAIM FORMS: Completed claim forms and written proof of loss must be furnished to the Home Office of the Company within ninety (90) days after the date of such loss or within thirty (30) days after the Diagnosis of Covered Dread Disease or performance of surgery. Failure to furnish such proof within ninety (90) days shall not invalidate nor reduce any claim if it was not possible to give proof within such time. However, in no event will any claim be honoured if proof of loss is not received within eighteen months from the date of loss. 15. TIME OF PAYMENT OF CLAIM: Benefits payable under this Policy for any loss, other than loss for which this Policy provides any periodic payments, will be paid immediately upon receipt of due written proof of such loss, satisfactory to the Company. 16. TO WHOM BENEFITS ARE PAID: Any payment for Loss of Life Indemnity or Loss of Life Additional Indemnity due to Accident becoming due hereunder shall be payable to the beneficiary on record, who shall be the legal beneficiary designated in writing and on file with the Company. If no beneficiary nomination is on file, such indemnity or benefit shall be payable to the legal heirs of the Insured Person upon provision of succession 16 17

certificate. Any other accrued indemnities, may, at the option of the Company, be paid to the Insured Person. Any payment made by the Company in good faith pursuant to this provision shall fully discharge the Company to the extent of the payment. 17. MEDICAL EXAMINATION: The Company, at its own expense, shall have the right and opportunity to examine an Insured Person as and when may be reasonably required during the pendency of a claim hereunder, and also have the right and opportunity to make an autopsy/ Post-mortem in case of death where it is consented to by the Insured Person's legal heirs and not forbidden by law. 18. LEGAL ACTIONS: No action at law or in equity shall be brought to recover on this Policy after the expiration of three (3) years after the occurrence of the assured event. 19. DESIGNATION OR CHANGE OF BENEFICIARY; ASSIGNMENT: The right of designation or change of beneficiary is reserved to the Insured Person. No designation or change of beneficiary under the Policy shall be binding upon the custodian of beneficiary records. No assignment of interest shall be binding upon the Company until the original of a copy thereof is received by the Company. The Company assumes no responsibility for the validity of such designation or change of beneficiary or assignment. 20. CONSENT OF BENEFICIARY: Consent of Beneficiary, if any, shall not be requisite to change of beneficiary or to any other changes in this Policy. 21. MISSTATEMENT OF AGE: If the age of any Insured Person has been misstated, all amounts payable under this Policy shall be such as the premium paid would have purchased at the correct age. If according to the correct age of the Insured Person, the coverage provided by the Policy would not have become effective, or would have ceased prior to the acceptance of such premium or premiums, then the liability of the Company during the period the Insured Person is not eligible for coverage, shall be limited to the refund, upon written request, of premiums paid for the period not covered by the Policy. 22. FILING OF PREMIUM RATES AND CLASSIFICATION OF RISKS: If the law of the country in which Silkbank is located at the time this Policy is issued requires that prior to the Policy issue a statement of the premium rates and classification of risks pertaining to the Policy shall be filed with a government official having supervision of insurance in such country, then the premium rates and classification of risks mentioned in this Policy shall mean only such as have been last filed by the Company in accordance with such law, but if such filing is not required by such law, then they shall mean the Company's premium rates and classification of risks last made effective by the Company in such country prior to the occurrence of the loss for which the Company is liable. 23. COMPLIANCE WITH POLICY PROVISIONS: Failure to comply with any of the provisions contained in this Policy shall invalidate all claims hereunder. 24. DATA FURNISHED BY SILKBANK: Silkbank shall maintain, and shall furnish to the Company upon request an MIS detailing the names of all persons initially insured, of all new persons who become insured, and of all persons whose insurance is cancelled, together with the data necessary for the calculation of premium. 25. EXAMINATION AND AUDIT: The Company and Silkbank shall be permitted to examine each other's records relating to this Policy at any time during the Policy term and within three years after the expiration of this Policy or until final adjustment of all claims hereunder, whichever is later. 26. CHANGE IN PREMIUM RATES AT POLICY ANNIVERSARY DATE: Each year, on the anniversary of the Date of Issue of the Policy, the Company may change the premium rates for this Policy, by advance written notice delivered to 18 19

Silkbank, or mailed to their last address as shown on the records of the Company, no later than 31 days prior to such anniversary of the Date of Issue of the Policy. It is Silkbank's responsibility to advise all Insured Persons of the change in the premium rates not later than 15 days prior to such anniversary of the Date of Issue of the Policy. Silkbank shall ensure that where any Insured Person is desirous of renewing the coverage under the Policy in the event of premium change, such Insured Person shall furnish to Silkbank a signed renewal and direct debit authority form incorporating the revised amount, subject to approval of the Company. In such event any previously submitted direct debit authority for the coverage of the Policy by the Insured Person and held by Silkbank in terms hereof shall be null and void. 27. CONFORMITY WITH STATUTES: Any provision of this Policy which, on the Policy effective date, is in conflict with statutes of the jurisdiction in which this Policy is delivered is hereby amended to conform to the minimum requirements of such statutes. 28. INCONTESTABILITY: This Policy shall not be called in question by the Company after expiry of two years from the date of commencement of the Policy on the ground, that a statement made in the proposal for insurance or in any report of a medical officer or referee, or a friend of the Insured Person, or in any other document leading to the issue of the Policy, was inaccurate or false, unless the insurer shows that such statement was on a material matter or suppressed facts which it was material to disclose and that it was fraudulently made by the Insured Person and that the Insured Person knew at the time of making it that the statement was false or that it suppressed facts which it was material to disclose. 29. STATUTORY FUND: This Policy is referable to the Group Life and Group Accident & Health Statutory Funds. 30. NON-PARTICIPATION: This Policy has no surrender value or paid up value, and does not participate in the profits or surplus of the Company. 31. FREE LOOK PERIOD: The Insured is entitled to a full refund of premium if this Policy is cancelled within Fourteen (14) days from the Policy Effective Date upon the Insured's written request to the Company. However if the Policy is cancelled after expiry of Free Look Period as defined herein, premium will not be refunded. 32. NOT IN LIEU OF WORKMEN'S COMPENSATION: This Policy is not in lieu of and does not affect any requirement for coverage by Workmen's Compensation Insurance. 33. PAYMENT OF LIQUIDATED DAMAGES: Subject to the satisfactions of all terms and conditions of this Policy, the Company shall make the payment within a period of ninety days from the date on which the payment becomes due or from the date on which the claimant completes all the requirements mentioned herein, whichever is later. Failure of the Company to comply with such obligation shall give the claimant the right to the payment of liquidated damages in such amount as determined in the sub-section (2) of Insurance Ordinance 2000, unless the Company proves that such failure was due to circumstances beyond its control. 34. PARTICIPATION REQUIREMENTS: The Company shall have the right to review the level of participation under the scheme at the first Policy anniversary. The Company at its sole discretion may determine to terminate the scheme, should it deem that the participation level would be inadequate to continue the scheme. 20 21

SCHEDULE OF COVERED DREAD DISEASE Attached to Policy No. 51048 and forming an integral part thereof DEFINITIONS OF DREAD DISEASES AND DIAGNOSTIC REQUIREMENTS MALIGNANT CANCERS A malignant tumor characterized 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: Tumors showing the malignant changes of Carcinoma-in-Situ and Tumors 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 metastasis; 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 Leukemia less than RAI Stage 3; and All tumors in the presence of HIV infection. STROKE A Cerebrovascular incident including infarction of brain tissue, cerebral and Subarachnoid Hemorrhage, Cerebral Embolism and Cerebral Thrombosis. This diagnosis must be supported by all of the following conditions: Evidence of permanent neurological damage confirmed by a neurologist at least 6 weeks after the event; and Findings on Magnetic Resonance Imaging, Computerized Tomography, or other reliable imaging techniques consistent with the diagnosis of a new stroke. The following are excluded: Transient Ischemic Attacks; Brain damage due to an Injury, infection, vasculitis, and inflammatory disease; Vascular disease affecting the eye or optic nerve; and Ischemic disorders of the vestibular system. HEART ATTACK Death of a portion of the heart muscle as a result of inadequate cardiac blood supply to the relevant area. This diagnosis must be supported by three or more of the following five criteria which are consistent with a new heart attack: a) History of typical chest pain; b) Diagnostic elevation of cardiac enzymes CK MB; and c) New electrocardiogram (ECG) changes proving infarction; d) Diagnostic elevation of Troponin (T or I); e) Left ventricular ejection fraction less than 50% measured three (3) months or more after the event. CORONARY ARTERY BYPASS SURGERY Undergoing of surgery in order to correct narrowing or blockage of two or more coronary arteries with bypass grafts following symptoms of Angina Pectoris. KIDNEY FAILURE Chronic irreversible failure of both kidneys, requiring either permanent renal dialysis or renal transplantation. MAJOR ORGAN/BONE MARROW TRANSPLANTATION The receipt of a transplant of: Human bone marrow using Haematopoietic stem cells preceded by total bone marrow ablation; or 22 23

One of the following human organs: heart, lung, liver, kidney, pancreas, that resulted from irreversible end stage failure of the relevant organ. The transplantation of any other organs, parts of organs, tissues or cells is excluded. DISCLAIMER It is clarified and recorded that the Bank shall not under any circumstances be liable either directly or indirectly for any obligation of the Insurance Company as the insurer in respect of the Policy and the Bank shall not be construed or deemed in any manner to be agent or broker of the Insurance Company in respect of the Policy, Policy or any insurance policy or the business. Further it is also clarified that the Bank shall not be either directly or indirectly liable for any obligation of the Insured Customer towards the Insurance Company in respect of the business or the Policy or any other policy offered to the Insured Customer, and the policies in respect of the Cover for Life insurance shall constitute independent contracts between the Insurance Company and Insured Customer. 24