Star Shri Family Care (UIN 129/128CP002V01) A simple foresight can help you and your family a lot. Star Health and allied Insurance Co. Ltd, and Shriram Life Insurance Co.Ltd, present Star Shri Family Care, a policy that offers both life and health cover. With the increasing number of life threatening diseases and the mounting medical expenses, you need complete protection that Star Shri Family Care offers. Star Shri family Care Insurance is a policy which is offered jointly by Star health and Allied Insurance Co.Ltd and Shriram Life Insurance Co.Ltd. The special feature of this policy is it offers Life and Health cover under a single product. It provides for regular hospitalization benefits like any other medical insurance policy on floater basis under Section 1 and provides for payment of lump-sum in the event of death under Section 2. The coverage under life section is available only for one earning member who is also the proposer and not for the entire family. Coverage under Section 1 is provided by Star Health and allied Insurance Company Limited. Coverage under Section 2 is provided by Shriram Life Insurance Co. Ltd. POLICY BENEFITS Section 1 Hospitalization Cover: In-patient hospitalization expenses for a minimum of 24 hours, including Room, Boarding Expenses as provided by the hospital/nursing Home at 2% of the sum insured subject to a maximum of Rs 1500/- per day in Class A cities, Rs750/- per day in Class B cities and Rs 500/- per day in Class C cities. Surgeon s fees, Consultant s fees, Anesthetist s and specialist s fees. Cost of medicines and drugs. Emergency ambulance charges for transporting the insured patient to the hospital up to a sum of Rs.750/- per hospitalization and overall limit of Rs.1500/- per policy period. Section 2 Pure Term Life Insurance Cover: Lump-sum in the event of death. It pays the nominee the stated sum assured in case of death of the policyholder during the policy term of the contract.
Waiting Period: A waiting period of 90 days from the date of acceptance of the policy. Only accidental death benefits are covered during this period. In this period, no death benefit is payable in case of death due to other causes. After the expiry of this period, death due to any causes (subject to mandatory exclusions) are payable. Policy term: 60 yrs less age at entry (fixed). Note: This policy does not acquire any surrender value. The policy holder is not entitled to any loan under this policy. PRE-EXISTING DISEASES/CONDITIONS Pre-existing diseases are covered after 48 months of continuous insurance with the company under health section. PRE & POST HOSPITALIZATION (APPLICABLE FOR SECTION 1) Pre-hospitalization medical expenses up to 30 days prior to the date of admission. Post-hospitalization: a lump sum calculated at 7% of the hospitalization expenses (exclusive room charges) subject to a maximum of Rs.5000/- is payable. NO CLAIM DISCOUNT (APPLICABLE FOR SECTION 1) Discount of 10% for every claim free year under section 1. This discount is not cumulative. ELIGIBILITY Proposals from persons between 18 and up to 50 ( Under section 1 dependent children from 5 months can be covered only if any one of their parent is covered). Renewals however are accepted up to 60. The head/earning members aged between 18 last birthday and 50 last birthday are eligible for life cover and all other family members as per age criteria mentioned in the broachers are eligible for health cover. Beyond 60, health insurance can be renewed under any of the similar health insurance schemes offered by the company. Life cover would, however, not be available beyond 60. POLICY PREMIUM Section 1 - Health Insurance Section SUM INSURED: Rs 1,00,000 Family Size/Age 5 months-45 46-55 56-60 2A 1765 NA NA 1A + 1C 1515 NA NA 1A + 2C 1640 NA NA 1A + 3C 1785 NA NA 2A + 1C 1890 NA NA 2A + 2C 2025 NA NA 2A + 3C 2165 NA NA SUM INSURED: Rs 2,00,000 Family Size/Age 5months-35 36-45 46-55 56-60 2A 2890 3140 5535 6400 1A + 1C 2715 3005 5265 6120 1A + 2C 2835 3075 5410 6225
1A + 3C 3085 3415 5715 6645 2A + 1C 3295 3555 5925 6965 2A + 2C 3455 3675 6450 7360 2A + 3C 3625 4060 6795 7820 SUM INSURED: Rs 3,00,000 Family Size/Age 5months-35 36-45 46-55 56-60 2A 3985 4360 7605 10030 1A + 1C 3710 3940 6930 9185 1A + 2C 3825 4110 7160 9725 1A + 3C 4125 4440 7630 10095 2A + 1C 4190 4830 7865 10625 2A + 2C 4310 5110 8400 11090 2A + 3C 4615 5320 8710 11755 SUM INSURED: Rs 4,00,000 Family Size/Age 5months-35 36-45 46-55 56-60 2A 5195 5565 10510 13515 1A + 1C 4750 5070 9660 12730 1A + 2C 4910 5250 10150 13210 1A + 3C 5365 5725 10980 13755 2A + 1C 5295 5775 11270 14290 2A + 2C 5645 6240 11870 14890 2A + 3C 6025 6540 12585 15815 SUM INSURED: Rs 5,00,000 Family Size/Age 5months-35 36-45 46-55 56-60 2A 5920 6525 12010 15855 1A + 1C 5370 5955 11550 15225 1A + 2C 5630 6285 11865 15645 1A + 3C 6035 6770 12390 16275 2A + 1C 6345 7045 12815 16750 2A + 2C 6875 7675 13210 17450 2A + 3C 7260 8195 13860 18105 NOTE: Premium Figures are excluding service tax. A Adult, C- Children, NA - Not Applicable Section 2 - Pure Life Term Insurance Cover With Standard age proof SUM ASSURED(Rs) AGE 18-35 36-45 45-50
100000 900 1100 1400 200000 1300 1900 2400 300000 1800 2700 3500 500000 2800 4300 5600 Without Standard Age proof SUM ASSURED(Rs) AGE 18-35 36-45 46-50 100000 10000 1400 1700 200000 1600 2400 3100 300000 2300 3500 4400 500000 3500 5600 7200 NOTE: Premium figures are excluding service tax. Sum insured under Section 2 should not exceed the sum insured under Section 1. Premium Rate Guarantee Premium is reviewable on the 5 th policy anniversary and every anniversary thereafter. However, premium rates can be changed only after approval of IRDA. Standard Age Proof School Certificate College Certificate Employer Certificate Passport (issued after 01/04/1986) Driving License (issued after 18/04/1993) PAN Card Birth Certificate/ Municipal birth certificate/certificate extract from municipal or other records made at the time of birth. Baptism Certificate Non-Standard Age Proof Ration Card Voter ID Card ESIC Card Domicile Certificate in which the date of birth is mentioned Certificate extract from the birth register maintained by the village panchayat stating the date of birth. This extract to be on letter head of the village panchayat with signature of the sarpanch along with the seal. Marriage certificate of Christians issued by a Roman Catholic Church. Life Insurance policy from any insurer. Grace Period A grace period of 15 days from the date of first unpaid premium is available for payment of renewal premium. After expiry of grace period, the policy can t be revived. If death occurs within this period but before the payment of the premium then due, the policy shall be valid and the claim if admitted will be paid after deducting the said premium as also the unpaid premiums falling due before the next policy anniversary Free Look Period If the policy holder is not satisfied with the Term and Conditions of the policy, the policy can be returned to the Company within 15 days from the date of receipt of the policy. However, the
company reserves the right to deduct medical examination fees, stamp duty charges for issue of the policy and proportionate risk premium for the period concerned. TAX BENEFITS Payment of premium by any mode other than cash for insurance under Section 1 is eligible for relief under Section 80D of the Income Tax Act. Payment of premium for insurance under Section 2 is eligible for relief under Section 80C of the Income Tax Act. CLAIMS PROCEDURE Section 1 Call the 24 hour helpline 1800 425 2255 and 1800 425 6116 for assistance. Inform the ID number for easy reference. In case of planned hospitalization, inform 24 hours prior to admission in the hospital. In case of emergency hospitalization, information to be given within 24 hours after hospitalization. Cashless facility can be availed at all our network hospitals. In non-network hospitals payment must be made upfront and then reimbursement will be effected on submission of documents. The claims under this section will be serviced and settled by Star Health and Allied Insurance Co.Ltd. Section 2 Inform about the occurrence within 24 hours to Shriram Life at Toll Free No 1800 425 6116 or Star Health at Toll Free No 1800 425 2255. Submit claim form along with required document. The claims under this section will be serviced and settled by Shriram Life Insurance Company Limited. EXCLUSIONS Section 1 Expenses for the treatment of any illness/diseases/condition which is pre-existing. Treatment of illness/diseases/sickness contracted by the insured person during the first 30 days from the commencement date of this policy. First two year s exclusions: Cataract, Hysterectomy for Menorrhagia or Fibromyoma, Replacement surgery for knee and/or joint (other than caused by an accident). Prolapsed of intervertebral disc (other than caused by accident), various veins and varicose ulcers. First year exclusions: Benign Prostate Hypertrophy, Hernia, Hydrocele, Fistula in anus, Piles, Sinusitis and related disorders, Congenital internal diseases/defects, removal of gallstones and renal stone. Naturopathy treatment. Expenses which are purely diagnostic in nature with no positive existence of any disease. Expenses incurred for non-allopathic treatment. Expenses which are mainly cosmetic in nature. Section 2 The life assured will not be entitled to any benefits for death directly or indirectly due to or caused, occasioned, accelerated or aggravated by any of the following: If the life assured commits suicide, whether sane or insane, within one year from the date of acceptance of risk, the policy shall be void and no claim will be payable. War, terrorism, invasion, act of foreign enemy, hostilities, civil war, martial law, rebellion revolution, insurrection, military or usurper declared or not. Taking part in any act of a criminal nature, an assault, an illegal activity or any breach of law.
Treatment for injury or illness caused by avocations/activities such as hunting, mountaineering, steeple-chasing, professional sports, racing of any kind, scuba diving, aerial sports, activities such as hand-gliding, ballooning, deliberate exposure to exceptional danger. Radioactivity contamination due to nuclear accidents. Participation in aviation other than as a fare-paying passenger in an aircraft that is authorized by the relevant regulations to carry such passengers between established aerodromes. THE COMPANY About Star Star Health & Allied Insurance Co.Ltd., is a joint venture between Oman Insurance Company, UAE and leading NRIs and Indian business houses. It has a capital base of INR 303 crores that far exceeds the requirement to form a full-fledged general insurance company. As an exclusive Health Insurance Company is committed to setting international benchmarks in service and personal caring. About Shriram Shriram Life Insurance Company is the joint venture between the Shriram Group and the Sanlam Group. The Shriram Group is one of the largest and well-respected financial services conglomerates in India. The Group s main line of activities in financial services includes chit fund, truck financing, consumer durable financing, stock broking and life insurance. Sanlam Life Insurance Limited, a part of Sanlam Group, is one of the largest providers of life Insurance in South Africa with 3.2 million individual policies under administration. Prohibition of Rebates Section 41 of Insurance Act No person shall allow or offer to allow either directly or indirectly as inducement to take out renew or continue an insurance in respect of any kind of risk relating to lives or property in India any rebates of the whole or part of the commission payable on the premium show on the policy nor shall any person taking out renewing or continuing a policy accept any rebate except such rebates as may be allowed in accordance with the published prospectus or tables of the Insurer. Any person making default in complying with the provision of this section shall be punishable with fine, which may extend to five hundred rupees. Section 45 of the Insurance Act 1938 No policy of life insurance effected before the commencement of this Act shall, after the expiry of two from the date of commencement of this Act, and no policy of this Act shall, after the expiry of two from the date on which it was effected, be called in question by an insurer on the ground that a statement made officer, or referee, or friend of the insured, or in any other document leading to the issue of policy, was in accurate or false, unless the insurer shows that such statement was on a material matter or suppressed fact which it was materials to disclose and that it was suppressed facts which it was materials to disclose. STAR SHRIRAM ADVANTAGES No third Party Administrator; direct in-house claims settlement. Faster & hassle-free-claims settlement. Cashless hospitalization. Network of more than 4600 hospitals across India. Free expert medical consultation over phone.
24*7 toll-free helpline. The global expertise of one of the biggest Life Insurance IMPORTANT NOTE This product is jointly offered by Star Health & Allied Insurance Co.Ltd., and Shriram Life Insurance Co.Ltd. Coverage under Section 1 is offered by Star Health & Allied Insurance Co.Ltd. Coverage under Section 2 is offered by Shriram Life Insurance Co. Ltd. Each section of the policy is serviced by two different insurers namely Star Health & Allied Insurance Co Ltd, and Shriram Life Insurance Co. Ltd. The customer, if he so desires, at the time of renewal can continue with either section, discontinuing the other section. TO BUY THIS INSURANCE Contact our Marketing Executives at