Wednesday, September 12, 2012

Mutual Gold Insurance Coverage


MUTUAL GOLD FREE PERSONAL ACCIDENT
Mutual Gold Free Personal Accident Insurance is offered to Mutual Gold Members and Elite Members who maintain a minimum of 100,000 Qualifying Points (QP) with Public Mutual. The 100,000 QP can be accumulated from various accounts held as long as the unit holder is the first holder of the various accounts. The maximum coverage is RM500,000 and RM 750,000 for Mutual Gold and Elite Members respectively. The amount of insurance is equal to the number of QP in the ratio of RM1 insurance coverage for each QP.

Eligibility
Unitholders aged between 18-64 are eligible for the free insurance coverage. The cover will cease once the insured reaches age 65. 

Effective Date Of Coverage
The coverage will take effect according to the bank-in date of the initial or additional investment. 

Termination Of Coverage
Coverage will terminate when:-
  1. Insured cease to be a Mutual Gold Members
  2. Total QP in the accounts (of the first registered holder) drop below 100,000 QP
  3. A total claim of 100% has been paid out
  4. Insured attains age 65
  5. Unitholder enters full-time military, naval, airforce service of any country
Coverage For Group Personal Accident Permanent Disability (GPAPD)
This is a personal accident policy that provides the insured person with a 24 hours protection against accidental injuries that shall solely and independently of any cause result in the insured's death or permanent disablement anywhere in the world. 

Risk Excluded For GPAPD
The coverage does not cover death loss or disablement directly or indirectly caused by:- 

(A) The insured engaging or taking part in:
(i) Armed forces, naval or airforce service or operations
(ii) Professional sports, winter sports other than skating
(iii) Rock climbing or mountaineering necessitating the use of ropes or guides, potholing,hang gliding, bungee jumping, parachuting or any kind of race other than on foot
(iv) Flying or other aerial activity except as a passenger in a fully licensed aircraft operated by a licensed commercial air carrier or recognised air charter company (the word 'passenger' does not include any member of the aircrew or technician working in or upon an aircraft).
(v) Criminal acts or any illegal activities

(B) The insured being affected by a drug unless the drug is taken under the direction of a legally qualified medical practitioner provided such direction is not for the treatment of drug addiction.

(C) Provoked murder or assault, intentional self-injury, suicide or attempted suicide or any attempt thereat while sane or insane.

(D) Pregnancy, childbirth or any pre-existing physical or mental defect or infirmity.

(E) Deliberate exposure to exceptional danger (except in an attempt to save human life)

(F) HIV (Human Immunodeficiency Syndrome) and/or HIV related illness including AIDS (Acquired Immune Deficiency Syndrome) or AIDS Related Complex (ARC) however caused, and/or any mutant derivatives, variations or treatment thereof however caused.

(G) War, invasion, terrorism, act of foreign enemies, hostilities (whether war be declared or not),civil war, rebellion, revolution, direct participation in riot or civil commotion, insurrection or military or usurped power.

(H) Ionizing radiation or contamination by radioactivity from any nuclear fuel or from any nuclear waste from the combustion of nuclear fuel. For the purpose of this exclusion, combustion shall include any self-sustaining of nuclear fission.

Extended Coverage
Motor cycling, strike, riot and civil commotion, hunting, hijacking, amateur sporting activities, intoxication, insect bites and animal attacks, unprovoked murder and assault, drowning, suffocation through smoke, fumes and poisonous gas, food poisoning, natural perils, i.e. earthquake, volcanic eruption, tidal waves and lightning, exposure and disappearance.

GPAPD TABLE OF BENEFITS
ACCIDENTAL DEATH & PERMANENT DISABLEMENT


EVENT
COMPENSATION (Percentage of Capital Sum Insured)
Accidental Death
100%
Loss of two limbs
100%
Loss of both hands, or of all fingers and both thumbs
100%
Total paralysis
100%
Total insanity
100%
Injuries resulting in being permanently bedridden
100%
Any other injury causing permanent total disablement
100%
Loss of arm at shoulder
100%
Loss of arm between shoulder and elbow
100%
Loss of arm at elbow
100%
Loss of arm between elbow and wrist
100%
Loss of hand at wrist
100%
Loss of leg at hip
100%
Loss of leg between knee and hip
100%
Loss of leg below knee
100%
Eye - loss of whole eye
100%
Eye - loss of sight of
100%
Eye - sight of except perception of light
50%
Eye - lens of
50%
Loss of four fingers and thumb of one hand
50%
Loss of four fingers
40%
Loss of thumb-both phalanxes
25%
Loss of thumb-one phalanx
10%
Loss of index finger-three phalanxes
10%
Loss of index finger-two phalanxes
8%
Loss of index finger-one phalanx
4%
Loss of middle finger-three phalanxes
6%
Loss of middle finger-two phalanxes
4%
Loss of middle finger-one phalanx
2%
Loss of ring finger-three phalanxes
5%
Loss of ring finger-two phalanxes
4%
Loss of ring finger-one phalanx
2%
Loss of little finger-three phalanxes
4%
Loss of little finger-two phalanxes
3%
Loss of little finger -one phalanx
2%
Loss of metacarpals-first or second(additional)
3%
Loss of metacarpals -third, fourth, fifth (additional)
2%
Loss of toes-all
15%
Loss of toes-great, both phalanxes
5%
Loss of toes-great, one phalanx
2%
Loss of toes-other than great, if more than one toe lost, each
1%
Loss of hearing-both ears
75%
Loss of hearing-one ear
15%
Loss of speech
50% 

Permanent total loss of use of member shall be treated as loss of member. Loss of speech shall mean total permanent inability to communicate verbally.

The aggregate of all percentages payable in respect of any one accident shall not exceed 100%. In the event of a total of 100% having been paid, all insurance hereunder shall immediately cease to be in force. All other losses smaller than 100%, if having been paid shall reduce the coverage by that amount from the date of accident until the expiration of the policy.

Exclusion - Unacceptable Occupation
Police, Naval, Military or Air Force Personnel, Aircraft Pilots and Crews (except during off duty), Dynamite and Explosive Handlers, Horse Trainers, Grooms or Jockeys, Ship Crew and Stevedores, Timbers Logging Workers and Timber Lorry Drivers/Attendants, Tunneling or Underground Workers, Circus Performers/Stunt Men, Professional Divers, Oil Rig workers, Asbestos Workers, Fishermen, Weapons Production Workers, Offshore Workers and Armed Security Guards.

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