Claims FAQs

  1. Can the insured claim the benefit due to injury?
    No. The insured gets the benefits due to death or TPD (Total Permanent Disability).

  2. Can the insured get the benefit for TPD due to accident?
    Yes. The insured gets the TPD (Total Permanent Disability) benefit due to accident and disease.

  3. When can the insured get the surrender value from the policy?
    The surrender value will be paid after policy is in-forced.

  4. How much interest rate will be paid for the policy loan?
    8% of the interest rate per year will be paid for the policy loan.

  5. Can I repay the loan capital monthly?
    No, loan capital must be paid as lump sum.
  1. What is premium waiver benefit?
    When the policy holder is died and become total and permanent disability, all the future premiums will be waived.

  2. When does the policy can be paid-up?
    When the policy holder paid the premium for three consecutive years, he/she can paid-up the policy.

  3.  How the cash paid-out benefit giving?
    Cash paid-out benefit is giving 4 consecutive years starting from the date when the insured person (the child) is 17 years old. The benefit amount will be 25% of the Sum Insured.

  4. When can loan benefit be offered from the student life insurance?
    Loan benefit can be offered when the policy holder paid the premium for three consecutive years (the policy is in-forced).

  5. Can I pay the loan capital monthly?
    No, loan capital must be paid as lump sum.
  1. When can the insured get the surrender value from the policy?
    The surrender value will be paid after policy is in-forced. The policy is in-forced when the policy holder paid the premium for 3 consecutive years.

  2. What is double-benefit plan in education life insurance?
    Double benefit plan offers death and total permanent disability benefit added on basic benefit.

  3. How much interest rate will be paid for the policy loan?
    Loan interest rate 15% per year will be paid for the policy loan.

  4. How can the insured pay the premium?
    The premium can be paid monthly, quarterly, bi-yearly, and yearly.

  5. Can I pay the loan capital monthly?
    No. Loan capital must be paid as lump sum.
  1. What is the maximum day for Hospitalization?
    60 days.

  2. Can the insured purchase the optional coverage separately?
    No. The optional coverage only can be purchased based on the basic coverage.

  3. Can the insured get the OPD benefits due to maternity?
    No.

  4. Can the insured get medical check-up fees from health insurance?
    No.

  5. Does the medical bill need to claim OPD benefit?
    Yes. The medical bill is needed for OPD benefit.
  1. How many units can be purchased in critical illness?
    For critical illness, a minimum of 1 unit up to 25 units can be purchased.

  2. How much the death benefit will be paid due to death?
    MMK 1,000,000 per unit up to MMK 25,000,000 for 25 units.

  3. Does the insured get the death benefit again after receiving the critical illness benefit?
    No. The insured cannot get the death benefit if the critical illness benefit is already received.

  4. Is there any exclusion for critical illness benefit?
    If the insured has a pre-existing disease or symptoms relating to pre-existing disease, the critical illness benefit will not be paid.

  5. How can the insured get the benefit for critical illness?
    The benefit for critical illness will be paid as a lump sum.
  1. How do the insured pay the premium?
    The premium payment mode is one-time payment only.

  2. Does the proposer require the medical checkup?
    No. The proposer can be insured with duly filled proposal form.

  3. How will the injury benefit be calculated?
    The benefit calculation is based on doctor’s recommendation and/or medical certificate under the insured’s name.

  4. Can the insured get medical check-up fees from farmer insurance?
    No.

  5. Can the insured claim for injury benefit more than one time for one policy?
    Yes. The insured can claim for 3 times (not more than the sum insured amount) for injury benefit for one policy.
  1. What benefits can the insured get from Sportsman Life Insurance?
    Sportsman Life Insurance covers for injury, death, and total permanent disability due to accident during the training and competition.

  2. How will the injury benefit be calculated?
    The benefit calculation is based on doctor’s recommendation and/or medical certificate under the insured’s name.

  3. Can the insured claim for more than one time for one policy?
    No. The policy can be claimed for only one time during the policy term.

  4. How does the insured pay the premium?
    The premium payment mode is one-time payment only.

  5. Does the proposer require the medical checkup?
    No. The proposer can be insured with duly filled proposal form.
  1. What is the maximum day for Hospitalization?
    60 days.

  2. Can the insured purchase the optional coverage separately?
    No. The optional coverage only can be purchased based on the basic coverage.

  3. Can the insured get the OPD benefits due to maternity?
    No.

  4. Can the insured get medical check-up fees from health insurance?
    No.

  5. Does the medical bill need to claim OPD benefit?
    Yes. The medical bill is needed for OPD benefit.
  1. How many units can be purchased in critical illness?
    For critical illness, a minimum of 1 unit up to 25 units can be purchased.

  2. How much the death benefit will be paid due to death?
    MMK 1,000,000 per unit up to MMK 25,000,000 for 25 units.

  3. Does the insured get the death benefit again after receiving the critical illness benefit?
    No. The insured cannot get the death benefit if the critical illness benefit is already received.

  4. Is there any exclusion for critical illness benefit?
    If the insured has a pre-existing disease or symptoms relating to pre-existing disease, the critical illness benefit will not be paid.

  5. How can the insured get the benefit for critical illness?
    The benefit for critical illness will be paid as a lump sum.
  1. Can the employee claim after he/she resign?
    No. The employee cannot claim after resignation.

  2. Does the proposer need a medical checkup process to purchase the health policy?
    If the employee is the age of over 45 years or the insured amount is over 1 million Kyats, a medical checkup is required.

  3. How will the injury benefit be calculated?
    The benefit calculation is based on doctor’s recommendation and/or medical certificate under the insured’s name.

  4. Is the employee’s death due to disease valid?
    Yes.

  5. Does the policy cover for the outside of the worksite injury?
    Yes.