All claims under this policy shall be payable in Indian currency. All medical treatments for the purpose of this insurance will have to taken in India only. Payment of claim shall be made through TPA to the Hospital/Nursing Home or the Insured Person as the case may be

CUMULATIVE BONUS

Sum Insured under the policy shall be progressively increased by 5% in respect of each claim free year of insurance, subject to maximum accumulation of 10 claim free years of insurance.

In case of a claim under the policy in respect of Insured person who has earned the cumulative bonus, the increased percentage will be reduced by 10% of Sum Insured at the next renewal. However basic Sum Insured will be maintained and will not be reduced.

N.B: Cumulative bonus will be lost if policy is not renewed on the date of expiry

Waiver: In exceptional circumstances the seven days extension in period of renewal is permissible to be entitled for cumulative bonus although the policy is renewed only subject to Medical Examination and exclusion of diseases.

COST OF HEALTH CHECK UP

In addition to Cumulative Bonus, the insured shall be entitled for reimbursement of the cost medical check-up once at the end of block of every four underwriting years provided there are no claims reported during the block. The cost so reimbursable shall not exceed the amount equal to 1% of the amount of average sum insured during the block of four claim free underwriting years.

ENHANCEMENT OF SUM INSURED

The insured may seek enhancement of Sum Insured in writing at or before payment of premium for renewal, which may be granted at the discretion of the Company. However, notwithstanding enhancement, for claims arising in respect of ailment, disease or injury contracted or suffered during a preceding policy period, liability of the company shall be only to the extent of the Sum Insured under the policy in force at the time when it was contracted or suffered during the currency of such renewed policy or any subsequent renewal thereof.

Any such request for enhancement must be accompanied by a declaration that the insured or any other insured person in respect of whom such enhancement is sought is not aware of any symptoms or other indications that may give rise to a claim under the policy. The Company require such insured persons’ to undergo a Medical examination to enable the company to take a decision on accepting the request for enhancement in the Sum Insured.

IMPORTANT

For Cumulative Bonus and Health Check up Provisions as aforesaid-

Both Health Check up and Cumulative Bonus provisions are applicable only in respect of continuous insurance without break excepting however, where in exceptional circumstances the break in period for a maximum of seven days is approved as a special case subject to medical examination and exclusion of disease contracted during the break period.

Health check up benefit will be accrued after completion of four years continuous claim free insurance.

IRDA REGULATIONS

This policy is subject to Regulations of IRDA (Protection of Policyholders’Interest) Regulations 2002 as amended from time to time.

GRIEVANCE REDRESSAL

In the event of the policyholder having any grievance relating to the insurance, the insured person may submit in writing to the Policy Issuing Office or Grievance cells at Regional Office of the Company for redressal. If the grievance remains unaddressed, the insured person may contact the Officer, Uni-Customer Care Department, Head Office.

OMBUDSMAN

The Insured person can also approach the office of Insurance Ombudsman of the respective area/region for redressal of grievance.

IMPORTANT NOTICE

The Company may revise any of the terms, conditions and exceptions of this insurance including the premium payable on renewal in accordance with the guidelines/rules framed by the Insurance Regulatory and Development Authority (IRDA). We shall notify you of such changes at least three months before the revision are to take effect.

The Company may also withdraw the insurance as offered hereunder after following the due process as laid down by the IRDA and we shall offer to cover you under such revised/new covers for which we shall have obtained from the Authority at such terms, conditions, exceptions and premium that the IRDA may have approved.