Common use of Grace Period & Renewal Clause in Contracts

Grace Period & Renewal. (a) A health insurance Policy shall ordinarily be renewable except on grounds of fraud, moral hazard or misrepresentation or non- cooperation by the insured, provided the Policy is not withdrawn. (b) The Policy will automatically terminate at the end of the Policy Period and must be renewed within the Grace Period of at least 30 days or as informed by Insurer from time to time. The provisions of Section 64VB of the Insurance Act 1938 shall be applicable. All policies Renewed within the Grace Period shall be eligible for continuity of cover. (c) If We have discontinued or withdrawn this product/plan You will have the option to renewal under the nearest substitute Policy being issued by Us, provided however benefits payable shall be subject to the terms contained in such other policy which has been approved by IRDAI (d) You shall make a full disclosure to Us in writing of any material change in the health condition of any Insured Person at the time of seeking Renewal of this Policy, irrespective of any claim arising or made. The terms and condition of the existing policy will not be altered. (e) We may, revise the Renewal premium payable under the Policy or the terms of cover, provided that all such changes are approved by IRDAI and in accordance with the IRDAI rules and regulations as applicable from time to time. Renewal premium will not alter based on individual claims experience. We will intimate You of any such changes at least 90 days prior to date of such revision or modification. (f) Alterations such as increase/ decrease in Base Annual Sum Insured or change in plan/product or addition/deletion of Insured Persons will be allowed at the time of Renewal of the Policy. You can submit a request for the changes by filling the proposal form before the expiry of the Policy. Underwriting in relation to acceptance of request for changes will be based mainly as per underwriting policy of the company. The terms and conditions of the existing policy will not be altered. Increase/ Enhancement of Base Annual Sum Insured shall be allowed up to maximum Base Annual Sum Insured available under the Plan. (g) On Renewal of the Policy if an increased Base Annual Sum Insured is requested then the elapsed period for existing diseases/ illness / injury shall be limited to the Base Annual Sum Insured of the immediately completed Policy Period. Further, the waiting periods will apply afresh in relation to the amount by which the Base Annual Sum Insured has been enhanced.

Appears in 4 contracts

Samples: Health Insurance Policy, Health Insurance Policy, Health Insurance Policy

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Grace Period & Renewal. (a) A health insurance Policy shall ordinarily be renewable except on grounds of fraud, moral hazard or misrepresentation or non- cooperation by the insured, provided the Policy is not withdrawn. (bi) The Policy will automatically terminate at the end of the Policy Period and must be renewed within the Grace Period for continuity of at least cover. (ii) The Policy may be renewed by mutual consent and in such event the Renewal premium should be paid to Us on or before the date of expiry of the Policy and in no case later than the Grace Period of 30 days or as informed by Insurer from time the expiry of the Policy. We will not be liable to timepay for any claim arising out of an Injury/Hospitalisation that occurred during the Grace Period. The provisions of Section 64VB of the Insurance Act 1938 shall be applicable. All policies Renewed within the Grace Period shall be eligible for continuity of cover. (ciii) The Policy is ordinarily renewable on mutual consent, subject to application of Renewal and realization of Renewal premium. (iv) Renewals will not be denied except on grounds of misrepresentation, moral hazard, fraud, non-disclosure of material facts or non-co- operation by You. (v) If We have discontinued or withdrawn this product/plan You will have the option to renewal under the nearest substitute Policy being issued by Us, provided however benefits payable shall be subject to the terms contained in such other policy which has been approved by IRDAI (dvi) You shall make a full disclosure to Us in writing of any material change in the health condition or occupation of any Insured Person at the time of seeking Renewal of this Policy, irrespective of any claim arising or made. The terms and condition of the existing policy will not be altered. (evii) We may, revise the Renewal premium payable under the Policy or the terms of cover, provided that all such changes are approved by IRDAI and in accordance with the IRDAI rules and regulations as applicable from time to time. Renewal premium will not alter based on individual claims experience. We will intimate You of any such changes at least 90 days 3 months prior to date of such revision or modification. (fviii) Alterations such as increase/ decrease in Base Annual Sum Insured or change in plan/product or addition/deletion of Insured Persons will be allowed at the time of Renewal of the Policy. You can submit a request for the changes by filling the proposal form before the expiry of the Policy. Underwriting in relation to acceptance Such request of request for changes will change would be based mainly appropriately dealt as per the underwriting policy of the companyCompany. The terms and conditions of the existing policy will not be altered. Increase/ Enhancement of Base Annual Sum Insured shall be allowed up to maximum Base Annual Sum Insured available under the Plan. (g) On Renewal of the Policy if an increased Base Annual Sum Insured is requested then the elapsed period for existing diseases/ illness / injury shall be limited to the Base Annual Sum Insured of the immediately completed Policy Period. Further, the waiting periods will apply afresh in relation to the amount by which the Base Annual Sum Insured has been enhanced.

Appears in 3 contracts

Samples: Insurance Policy, Insurance Policy, Insurance Policy

Grace Period & Renewal. (a) A health insurance Policy shall ordinarily be renewable except on grounds of fraud, moral hazard or misrepresentation or non- cooperation by the insured, provided the Policy is not withdrawn. (b) The Policy will automatically terminate at the end of the Policy Period and must be renewed within the Grace Period of at least 30 days or as informed by Insurer from time to time. The provisions of Section 64VB of the Insurance Act 1938 shall be applicable. All policies Renewed within the Grace Period shall be eligible for continuity of cover. (c) If We have discontinued or withdrawn this product/plan You will have the option to renewal under the nearest substitute Policy being issued by Us, provided however benefits payable shall be subject to the terms contained in such other policy which has been approved by IRDAI (d) You shall make a full disclosure to Us in writing of any material change in the health condition of any Insured Person at the time of seeking Renewal of this Policy, irrespective of any claim arising or made. The terms and condition of the existing policy will not be altered. (e) We may, revise the Renewal premium payable under the Policy or the terms of cover, provided that all such changes are approved by IRDAI and in accordance with the IRDAI rules and regulations as applicable from time to time. Renewal premium will not alter based on individual claims experience. We will intimate You of any such changes at least 90 days prior to date of such revision or modification. (f) Alterations such as increase/ decrease in Base Annual Sum Insured or change in plan/product or addition/deletion of Insured Persons will be allowed at the time of Renewal of the Policy. You can submit a request for the changes by filling the proposal form before the expiry of the Policy. Underwriting in relation to acceptance of request for changes will be based mainly as per underwriting policy of the company. The terms and conditions of the existing policy will not be altered. Increase/ Enhancement of Base Annual Sum Insured shall be allowed up to maximum Base Annual Sum Insured available under the Plan. (g) On Renewal of the Policy if an increased Base Annual Sum Insured is requested then the elapsed period for existing diseases/ illness / injury shall be limited to the Base Annual Sum Insured of the immediately completed Policy Period. Further, the waiting periods will apply afresh in relation to the amount by which the Base Annual Sum Insured has been enhanced.

Appears in 2 contracts

Samples: Health Insurance Policy, Health Insurance Policy

Grace Period & Renewal. (a) A health insurance Policy shall ordinarily be renewable except on grounds of fraud, moral hazard or misrepresentation or non- cooperation by the insured, provided the Policy is not withdrawn. (b) The Policy will automatically terminate at the end of the Policy Period and must be renewed within the Grace Period for continuity of at least cover. (b) The Policy may be renewed by mutual consent and in such event the Renewal premium should be paid to Us on or before the date of expiry of the Policy and in no case later than the Grace Period of 30 days or as informed by Insurer from time the expiry of the Policy. We will not be liable to timepay for any claim arising out of an Illness/Injury/Hospitalisation that occurred during the Grace Period. The provisions of Section 64VB of the Insurance Act 1938 shall be applicable. All policies Renewed within the Grace Period shall be eligible for continuity of cover. (c) The Policy is ordinarily renewable on mutual consent for life, subject to application of Renewal and realization of Renewal premium. (d) Renewals will not be denied except on grounds of misrepresentation, moral hazard, fraud, non-disclosure of material facts or non-co-operation by You. (e) If We have discontinued or withdrawn this product/plan You will have the option to renewal under the nearest substitute Policy being issued by Us, provided however benefits payable shall be subject to the terms contained in such other policy which has been approved by IRDAI (df) You shall make a full disclosure to Us in writing of any material change in the health condition of any Insured Person at the time of seeking Renewal of this Policy, irrespective of any claim arising or made. The terms and condition of the existing policy will not be altered.. Kotak Health Care UIN: IRDAI / HLT / KMGI / P - H / V.I / 28 / 2015 - 16 (eg) We may, revise the Renewal premium payable under the Policy or the terms of cover, provided that all such changes are approved by IRDAI and in accordance with the IRDAI rules and regulations as applicable from time to time. Renewal premium will not alter based on individual claims experience. We will intimate You of any such changes at least 90 days 3 months prior to date of such revision or modification. (fh) Alterations such as increase/ decrease in Base Annual Sum Insured or change in plan/product or addition/deletion of Insured Persons will be allowed at the time of Renewal of the Policy. You can submit a request for the changes by filling the proposal form before the expiry of the Policy. Underwriting in relation to acceptance of request for changes will be based mainly as per underwriting policy of the company. The terms and conditions of the existing policy will not be altered. Increase/ Enhancement of Base Annual Sum Insured shall be allowed up to maximum Base Annual Sum Insured available under the Plan. (gi) On Renewal of the Policy if an increased Any enhanced Base Annual Sum Insured is requested then applied on Renewal will not be available for an Illness or Injury already contracted under the elapsed period for existing diseases/ illness / injury shall be limited to the Base Annual Sum Insured of the immediately completed preceding Policy Period. Further, the waiting periods will apply afresh in relation to the amount by which the Base Annual Sum Insured has been enhancedPeriods.

Appears in 2 contracts

Samples: Insurance Policy, Insurance Policy

Grace Period & Renewal. (a) A health insurance Policy shall ordinarily be renewable except on grounds of fraud, moral hazard or misrepresentation or non- cooperation by the insured, provided the Policy is not withdrawn. (b) The Policy will automatically terminate at may be renewed by mutual consent and in such event the end Renewal premium should be paid to Us on or before the date of expiry of the Policy Period and must be renewed within in no case later than the Grace Period of at least 30 days Half-yearly and Quarterly mode of payment and grace period of 15 days for monthly mode of payment. If the premium is paid in instalments during the Policy Period, coverage will be available during such Grace Period. We shall not be bound to give notice that such Renewal premium is due. A Policy shall be ordinarily renewable unless any established fraud, misrepresentation or as informed non dsclosure of material facts by Insurer from time the Insured Person or on his behalf is found either in obtaining insurance or subsequently in relation thereto. Where such behaviour has been noticed by an individual insured we will terminate the cover for the specific insured and his/her dependants including further renewals and continue the cover for the remaining group members while bringing such instances to time. The provisions of Section 64VB the knowledge of the Insurance Act 1938 shall Policyholder. Where it is found that the Policyholder is involved in such above situations, the complete Policy will be applicableterminated. All Instalment (less than annual) premium policies Renewed may be revived by mutual consent and in such event the Revival premium should be paid to Us within 15 days of the installment due date. Wherever premiums are not received within the Grace Period revival period the policy will be terminated and all claims that fall beyond such instalment due date shall not be eligible for continuity covered as part of cover. (c) If the policy. However, We will be liable to pay in respect of all claims where the treatment/admission/accident has commenced/occurred before date of termination of such policies. Alterations like increase/decrease in Sum Insured or Change in Plan or Optional Covers can be requested at the time of renewal of the Group Plan. We reserve our right to carry out underwriting assessment of the group and provide the renewal quote in respect of the revised plan opted. Where We have discontinued or withdrawn this product/plan or where You will not be eligible to renew as You have moved out of the Group, You will have the option to renewal under the nearest substitute Group/ Retail Policy being issued by Us, provided however benefits payable shall be subject to the terms contained in such other policy which has been approved by IRDAI (d) You shall make a full disclosure to Us IRDA. We may in writing of any material change in the health condition of any Insured Person at the time of seeking Renewal of this Policy, irrespective of any claim arising or made. The terms and condition of the existing policy will not be altered. (e) We mayOur sole discretion, revise the Renewal premium premiums payable under the Policy or the terms of cover, provided that all such changes are approved by IRDAI IRDA and in accordance with the IRDAI IRDA rules and regulations as applicable from time to time. Renewal premium will not alter based on individual claims experience. We will intimate You of any such changes at least 90 days 3 months prior to date of such revision revision, withdrawal or modification. (f) Alterations such as increase/ decrease in Base Annual Sum Insured or change in plan/product or addition/deletion of Insured Persons will be allowed at the time of Renewal of the Policy. You can submit a request for the changes by filling the proposal form before the expiry of the Policy. Underwriting in relation to acceptance of request for changes will be based mainly as per underwriting policy of the company. The terms and conditions of the existing policy will not be altered. Increase/ Enhancement of Base Annual Sum Insured shall be allowed up to maximum Base Annual Sum Insured available under the Plan. (g) On Renewal of the Policy if an increased Base Annual Sum Insured is requested then the elapsed period for existing diseases/ illness / injury shall be limited to the Base Annual Sum Insured of the immediately completed Policy Period. Further, the waiting periods will apply afresh in relation to the amount by which the Base Annual Sum Insured has been enhanced.

Appears in 1 contract

Samples: Policy Contract

Grace Period & Renewal. (a) A health insurance Policy shall ordinarily be renewable except on grounds of fraud, moral hazard or misrepresentation or non- non cooperation by the insured, provided the Policy is not withdrawn. (b) The Policy will automatically terminate at the end of the Policy Period and must be renewed within the Grace Period of at least 30 days or as informed by Insurer from time to time. The provisions of Section 64VB of the Insurance Act 1938 shall be applicable. All policies Renewed within the Grace Period shall be eligible for continuity of cover. (c) If We have discontinued or withdrawn this product/plan You will have the option to renewal under the nearest substitute Policy being issued by Us, provided however benefits payable shall be subject to the terms contained in such other policy which has been approved by IRDAI (d) You shall make a full disclosure to Us in writing of any material change in the health condition of any Insured Person at the time of seeking Renewal of this Policy, irrespective of any claim arising or made. The terms and condition of the existing policy will not be altered. (e) We may, revise the Renewal premium payable under the Policy or the terms of cover, provided that all such changes are approved by IRDAI and in accordance with the IRDAI rules and regulations as applicable from time to time. Renewal premium will not alter based on individual claims experience. We will intimate You of any such changes at least 90 days prior to date of such revision or modification. (f) Alterations such as increase/ decrease in Base Annual Sum Insured or change in plan/product or addition/deletion of Insured Persons will be allowed at the time of Renewal of the Policy. You can submit a request for the changes by filling the proposal form before the expiry of the Policy. Underwriting in relation to acceptance of request for changes will be based mainly as per underwriting policy of the company. The terms and conditions of the existing policy will not be altered. Increase/ Enhancement of Base Annual Sum Insured shall be allowed up to maximum Base Annual Sum Su Insured available under the Plan. (g) On Renewal of the Policy if an increased Base Annual Sum Insured is requested then the elapsed period for existing diseases/ illness / injury shall be limited to the Base Annual Sum Insured of the immediately completed Policy Period. Further, the waiting periods will apply afresh in relation to the amount by which the Base Annual Sum Insured has been enhanced.

Appears in 1 contract

Samples: Insurance Policy

Grace Period & Renewal. (a) A health insurance Policy shall ordinarily be renewable except on grounds of fraud, moral hazard or misrepresentation or non- cooperation by the insured, provided the Policy is not withdrawn. (b) The Policy will automatically terminate at may be renewed by mutual consent and in such event the end Renewal premium should be paid to Us on or before the date of expiry of the Policy Period and must be renewed within in no case later than the Grace Period of at least 30 days from the expiry of the Policy or as informed by Insurer from time the date of next instalment due date. We will not be liable to timepay for any claim arising out of an Injury/ Accident/ Condition that occurred during the Grace Period. The provisions of Section 64VB of the Insurance Act Act, 1938 shall be applicable. All policies Renewed within the Grace Period shall be eligible for continuity of cover. (c) If . We shall not be bound to give notice that such Renewal premium is due. A Policy shall be ordinarily renewable unless any fraud, moral hazard, misrepresentation or non-cooperation by the Insured Person or on his behalf is found either in obtaining insurance or subsequently in relation thereto. Where such behaviour has been noticed by an individual insured we will terminate the cover for the specific insured and his/her dependants including further renewals and continue the cover for the remaining group members while bringing such instances to the knowledge of the Policyholder. Where it is found that the Policyholder is involved in such above situations, the complete Policy will be terminated. For instalment premium policies, the revival period shall be 15 days. Wherever premiums are not received within the revival period the policy will be terminated and all claims that fall beyond such instalment due date shall not be covered as part of the policy. However, We will be liable to pay in respect of all claims where the treatment/admission/accident has commenced/occurred before date of termination of such policies. Alterations like increase/ decrease in Sum Insured or Change in Plan or Optional Covers can be requested at the time of renewal of the Group Plan. We reserve our right to carry out underwriting assessment of the group and provide the renewal quote in respect of the revised plan opted. Where We have discontinued or withdrawn this product/plan or where You will not be eligible to renew as You have moved out of the Group, You will have the option to renewal under the nearest substitute Group/Retail Policy being issued by Us, provided however benefits payable shall be subject to the terms contained in such other policy which has been approved by IRDAI (d) You shall make a full disclosure to Us IRDA. We may in writing of any material change in the health condition of any Insured Person at the time of seeking Renewal of this Policy, irrespective of any claim arising or made. The terms and condition of the existing policy will not be altered. (e) We mayOur sole discretion, revise the Renewal premium premiums payable under the Policy or the terms of cover, provided that all such changes are approved by IRDAI IRDA and in accordance with the IRDAI IRDA rules and regulations as applicable from time to time. Renewal premium will not alter based on individual claims experience. We will intimate You of any such changes at least 90 days 3 months prior to date of such revision revision, withdrawal or modification. (f) Alterations such as increase/ decrease in Base Annual Sum Insured or change in plan/product or addition/deletion of Insured Persons will be allowed at the time of Renewal of the Policy. You can submit a request for the changes by filling the proposal form before the expiry of the Policy. Underwriting in relation to acceptance of request for changes will be based mainly as per underwriting policy of the company. The terms and conditions of the existing policy will not be altered. Increase/ Enhancement of Base Annual Sum Insured shall be allowed up to maximum Base Annual Sum Insured available under the Plan. (g) On Renewal of the Policy if an increased Base Annual Sum Insured is requested then the elapsed period for existing diseases/ illness / injury shall be limited to the Base Annual Sum Insured of the immediately completed Policy Period. Further, the waiting periods will apply afresh in relation to the amount by which the Base Annual Sum Insured has been enhanced.

Appears in 1 contract

Samples: Group Personal Accident Insurance Policy

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Grace Period & Renewal. (a) A health insurance Policy shall ordinarily be renewable except on grounds of fraud, moral hazard or misrepresentation or non- cooperation by the insured, provided the Policy is not withdrawn. (bi) The Policy will automatically terminate at the end of the Policy Period and must be renewed within the Grace Period for continuity of at least cover. (ii) The Policy may be renewed by mutual consent and in such event the Renewal premium should be paid to Us on or before the date of expiry of the Policy and in no case later than the Grace Period of 30 days or as informed by Insurer from time the expiry of the Policy. We will not be liable to timepay for any claim arising out of an Injury/Hospitalisation that occurred during the Grace Period. The provisions of Section 64VB of the Insurance Act 1938 shall be applicable. All policies Renewed within the Grace Period shall be eligible for continuity of cover. (ciii) The Policy is ordinarily renewable on mutual consent, subject to application of Renewal and realization of Renewal premium. (iv) Renewals will not be denied except on grounds of misrepresentation, moral hazard, fraud, non- disclosure of material facts or non-co-operation by You. Page17 (v) If We have discontinued or withdrawn this product/plan You will have the option to renewal under the nearest substitute Policy being issued by Us, provided however benefits payable shall be subject to the terms contained in such other policy which has been approved by IRDAI. (dvi) You shall make a full disclosure to Us in writing of any material change in the health condition or occupation of any Insured Person at the time of seeking Renewal of this Policy, irrespective of any claim arising or made. The terms and condition of the existing policy will not be altered. (evii) We may, revise the Renewal premium payable under the Policy or the terms of cover, provided that all such changes are approved by IRDAI and in accordance with the IRDAI rules and regulations as applicable from time to time. Renewal premium will not alter based on individual claims experience. We will intimate You of any such changes at least 90 days 3 months prior to date of such revision or modification. (fviii) Alterations such as increase/ decrease in Base Annual Sum Insured or change in plan/product or addition/deletion of Insured Persons will be allowed at the time of Renewal of the Policy. You can submit a request for the changes by filling the proposal form before the expiry of the Policy. Underwriting in relation to acceptance Such request of request for changes will change would be based mainly appropriately dealt as per the underwriting policy of the companyCompany. The terms and conditions of the existing policy will not be altered. Increase/ Enhancement of Base Annual Sum Insured shall be allowed up to maximum Base Annual Sum Insured available under the Plan. (g) On Renewal of the Policy if an increased Base Annual Sum Insured is requested then the elapsed period for existing diseases/ illness / injury shall be limited to the Base Annual Sum Insured of the immediately completed Policy Period. Further, the waiting periods will apply afresh in relation to the amount by which the Base Annual Sum Insured has been enhanced.

Appears in 1 contract

Samples: Insurance Policy

Grace Period & Renewal. (a) A health insurance Policy shall ordinarily be renewable except on grounds of fraud, moral hazard or misrepresentation or non- cooperation by the insured, provided the Policy is not withdrawn. (b) The Policy will automatically terminate at may be renewed by mutual consent and in such event the end Renewal premium should be paid to Us on or before the date of expiry of the Policy Period and must be renewed within in no case later than the Grace Period of at least 30 days from the expiry of the Policy or as informed by Insurer from time the date of next instalment due date. We will not be liable to timepay for any claim arising out of an Injury/ Accident/ Condition that occurred during the Grace Period. The provisions of Section 64VB of the Insurance Act Act, 1938 shall be applicable. All policies Renewed within the Grace Period shall be eligible for continuity of cover. . We shall not be bound to give notice that such Renewal premium is due. A Policy shall be ordinarily renewable unless any fraud, moral hazard, misrepresentation or non-cooperation by the Insured Person or on his behalf is found either in obtaining insurance or subsequently in relation thereto. Where such behaviour has been noticed by an individual insured we will terminate the cover for the specific insured and his/her dependants including further renewals and continue the cover for the remaining group members while bringing such instances to the knowledge of the Policyholder. Where it is found that the Policyholder is involved in such above situations, the complete Policy will be terminated. Instalment (cless than annual) If premium policies may be revived by mutual consent and in such event the Revival premium should be paid to Us within 15 days of the installment due date. Wherever premiums are not received within the revival period the policy will be terminated and all claims that fall beyond such instalment due date shall not be covered as part of the policy. However, We will be liable to pay in respect of all claims where the treatment/admission/accident has commenced/ occurred before date of termination of such policies. Alterations like increase/ decrease in Sum Insured or Change in Plan or Optional Covers can be requested at the time of renewal of the Group Plan. We reserve our right to carry out underwriting assessment of the group and provide the renewal quote in respect of the revised plan opted. Where We have discontinued or withdrawn this product/plan or where You will not be eligible to renew as You have moved out of the Group, You will have the option to renewal under the nearest substitute Group/ Retail Policy being issued by Us, provided however benefits payable shall be subject to the terms contained in such other policy which has been approved by IRDAI (d) You shall make a full disclosure to Us . We may in writing of any material change in the health condition of any Insured Person at the time of seeking Renewal of this Policy, irrespective of any claim arising or made. The terms and condition of the existing policy will not be altered. (e) We mayOur sole discretion, revise the Renewal premium premiums payable under the Policy or the terms of cover, provided that all such changes are approved by IRDAI and in accordance with the IRDAI rules and regulations as applicable from time to time. Renewal premium will not alter based on individual claims experience. We will intimate You of any such changes at least 90 days 3 months prior to date of such revision revision, withdrawal or modification. (f) Alterations such as increase/ decrease in Base Annual Sum Insured or change in plan/product or addition/deletion of Insured Persons will be allowed at the time of Renewal of the Policy. You can submit a request for the changes by filling the proposal form before the expiry of the Policy. Underwriting in relation to acceptance of request for changes will be based mainly as per underwriting policy of the company. The terms and conditions of the existing policy will not be altered. Increase/ Enhancement of Base Annual Sum Insured shall be allowed up to maximum Base Annual Sum Insured available under the Plan. (g) On Renewal of the Policy if an increased Base Annual Sum Insured is requested then the elapsed period for existing diseases/ illness / injury shall be limited to the Base Annual Sum Insured of the immediately completed Policy Period. Further, the waiting periods will apply afresh in relation to the amount by which the Base Annual Sum Insured has been enhanced.

Appears in 1 contract

Samples: Policy Contract

Grace Period & Renewal. (a) A health insurance Policy shall ordinarily be renewable except on grounds of fraud, moral hazard or misrepresentation or non- cooperation by the insured, provided the Policy is not withdrawn. (b) The Policy will automatically terminate at may be renewed by mutual consent and in such event the end Renewal premium should be paid to Us on or before the date of expiry of the Policy Period and must be renewed within in no case later than the Grace Period of at least 30 days from the expiry of the Policy or as informed by Insurer from time the date of next instalment due date. We will not be liable to timepay for any claim arising out of an Injury/ Accident/ Condition that occurred during the Grace Period. The provisions of Section 64VB of the Insurance Act Act, 1938 shall be applicable. All policies Renewed within the Grace Period shall be eligible for continuity of cover. . We shall not be bound to give notice that such Renewal premium is due. A Policy shall be ordinarily renewable unless any fraud, moral hazard, misrepresentation or non-cooperation by the Insured Person or on his behalf is found either in obtaining insurance or subsequently in relation thereto. Where such behaviour has been noticed by an individual insured we will terminate the cover for the specific insured and his/her dependants including further renewals and continue the cover for the remaining group members while bringing such instances to the knowledge of the Policyholder. Where it is found that the Policyholder is involved in such above situations, the complete Policy will be terminated. Installment (cless than annual) If premium policies may be revived by mutual consent and in such event the Revival premium should be paid to Us within 15 days of the installment due date. Wherever premiums are not received within the revival period the policy will be terminated and all claims that fall beyond such instalment due date shall not be covered as part of the policy. However, We will be liable to pay in respect of all claims where the treatment/admission/accident has commenced/occurred before date of termination of such policies. Alterations like increase/ decrease in Sum Insured or Change in Plan or Optional Covers can be requested at the time of renewal of the Group Plan. We reserve our right to carry out underwriting assessment of the group and provide the renewal quote in respect of the revised plan opted. Where We have discontinued or withdrawn this product/plan or where You will not be eligible to renew as You have moved out of the Group, You will have the option to renewal under the nearest substitute Group/Retail Policy being issued by Us, provided however benefits payable shall be subject to the terms contained in such other policy which has been approved by IRDAI (d) You shall make a full disclosure to Us . We may in writing of any material change in the health condition of any Insured Person at the time of seeking Renewal of this Policy, irrespective of any claim arising or made. The terms and condition of the existing policy will not be altered. (e) We mayOur sole discretion, revise the Renewal premium premiums payable under the Policy or the terms of cover, provided that all such changes are approved by IRDAI and in accordance with the IRDAI rules and regulations as applicable from time to time. Renewal premium will not alter based on individual claims experience. We will intimate You of any such changes at least 90 days 3 months prior to date of such revision revision, withdrawal or modification. (f) Alterations such as increase/ decrease in Base Annual Sum Insured or change in plan/product or addition/deletion of Insured Persons will be allowed at the time of Renewal of the Policy. You can submit a request for the changes by filling the proposal form before the expiry of the Policy. Underwriting in relation to acceptance of request for changes will be based mainly as per underwriting policy of the company. The terms and conditions of the existing policy will not be altered. Increase/ Enhancement of Base Annual Sum Insured shall be allowed up to maximum Base Annual Sum Insured available under the Plan. (g) On Renewal of the Policy if an increased Base Annual Sum Insured is requested then the elapsed period for existing diseases/ illness / injury shall be limited to the Base Annual Sum Insured of the immediately completed Policy Period. Further, the waiting periods will apply afresh in relation to the amount by which the Base Annual Sum Insured has been enhanced.

Appears in 1 contract

Samples: Lifestyle Protection Group Policy

Grace Period & Renewal. (a) A health insurance Policy shall ordinarily be renewable except on grounds of fraud, moral hazard or misrepresentation or non- cooperation by the insured, provided the Policy is not withdrawn. (b) The Policy will automatically terminate at the end of the Policy Period and must be renewed within the Grace Period for continuity of at least cover. (b) The Policy may be renewed by mutual consent and in such event the Renewal premium should be paid to Us on or before the date of expiry of the Policy and in no case later than the Grace Period of 30 days or as informed by Insurer from time the expiry of the Policy. We will not be liable to timepay for any claim arising out of an Illness/Injury/Hospitalisation that occurred during the Grace Period. The provisions of Section 64VB of the Insurance Act 1938 shall be applicable. All policies Renewed within the Grace Period shall be eligible for continuity of cover. (c) The Policy is ordinarily renewable on mutual consent for life, subject to application of Renewal and realization of Renewal premium. (d) Renewals will not be denied except on grounds of misrepresentation, moral hazard, fraud, non-disclosure of material facts or non-co-operation by You. (e) If We have discontinued or withdrawn this product/plan You will have the option to renewal under the nearest substitute Policy being issued by Us, provided however benefits payable shall be subject to the terms contained in such other policy which has been approved by IRDAI (df) You shall make a full disclosure to Us in writing of any material change in the health condition of any Insured Person at the time of seeking Renewal of this Policy, irrespective of any claim arising or made. The terms and condition of the existing policy will not be altered. (eg) We may, revise the Renewal premium payable under the Policy or the terms of cover, provided that all such changes are approved by IRDAI and in accordance with the IRDAI rules and regulations as applicable from time to time. Renewal premium will not alter based on individual claims experience. We will intimate You of any such changes at least 90 days 3 months prior to date of such revision or modification. (fh) Alterations such as increase/ decrease in Base Annual Sum Insured or change in plan/product or addition/deletion of Insured Persons will be allowed at the time of Renewal of the Policy. You can submit a request for the changes by filling the proposal form before the expiry of the Policy. Underwriting in relation to acceptance of request for changes will be based mainly as per underwriting policy of the company. The terms and conditions of the existing policy will not be altered. Increase/ Enhancement of Base Annual Sum Insured shall be allowed up to maximum Base Annual Sum Insured available under the Plan. (gi) On Renewal of the Policy if an increased Any enhanced Base Annual Sum Insured is requested then applied on Renewal will not be available for an Illness or Injury already contracted under the elapsed period for existing diseases/ illness / injury shall be limited to the Base Annual Sum Insured of the immediately completed preceding Policy Period. Further, the waiting periods will apply afresh in relation to the amount by which the Base Annual Sum Insured has been enhancedPeriods.

Appears in 1 contract

Samples: Insurance Policy

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