Manulife First
The details of the products and conditions of the insurance contract
Subject of insurance
is a life insurance product which subject of insurance is life and physical (Total and Permanent Disability).
1. Eligible
• Policy Owner: 18 - 60 Years
2. Premium Payment
• Premium Payment
All Premiums applicable under this Policy shall be paid during the Premium Term as stated on the Insurance Certificate or subsequent Endorsement (if any).
Premium mode is available in annual and semi-annual modes. Monthly and quarterly modes shall be available upon special request from the Policyowner. The Company reserves the rights to accept or decline the request.
All Premium shall be paid to the Company on or before the Premium Due Date by the method specified by the Company.
• Grace Period
A Grace Period of thirty-one (31) days from the Premium Due Date will be allowed for each Premium payment, the Policy will remain in force during this period. If by at the end of the Grace Period and the Premium is still unpaid, the Policy will lapse.
•Policy Reinstatement
After the Policy is lapsed due the default in Premium payment after the Grace Period, all benefit(s) payable under this Policy shall be lapsed , except Surrender Benefit (if any). The Policyowner can request to reinstate the Policy within two (2) years from the date the Policy is lapsed. At the Company’s own discretion, this Policy can be reinstated if:
a) a written request or any form as prescribed by the Company is made by the Policyowner; and
b) subject to the underwriting rules, the Life Insured is within the eligible age limits at the time of reinstatement; and
c) evidence(s) of insurability satisfactory to the Company; and
d) payment of all overdue premiums with fee(s) (if any).
After the Company receives the required document(s) and the listed requirements above are fulfilled, the Company shall process to evaluate the Policy Reinstatement Request. The Company reserves the rights to ask for additional document(s) as necessary for the underwriting process. In the event the Company approves this request, the Policy shall be reinstated. However, if the Company reject this request, the Policy shall not be reinstated and remain lapse, then the Company shall refund back to the Policyowner of:
a) any overdue Premium paid and fee(s) (if any) paid to the Company for the reinstatement purpose, plus
b) Surrender Benefit (if any) ; minus
c) Medical examination expense for reinstatement paid by the company (if any
3. Insurance Benefits
• Non-accidental Death or Total and Permanent Disability Benefit
Subject to this Policy, the Company shall pay the Non-accidental Death or Total and Permanent Disability Benefit as specified in the Insurance Certificate or subsequent Endorsement (if any) in the event of the Life Insured’s death or Total and Permanent Disability not caused by Accident during Policy is in force and before Policy Expiry Date.
In the event of the Life Insured’s death or Total and Permanent Disability not caused by Accident occur during the Grace Period, the Company will pay the Beneficiary(ies) the face amount as specified in the Insurance Certificate or subsequent Endorsement (if any), and less any outstanding premium to be paid.
The Non-accidental Death Benefit shall be paid to the Beneficiary(ies) while the Non-accidental Total and Permanent Disability Benefit shall be paid to the Life Insured, upon the receipt of acceptable proof and approval by the Company of the Life Insured’s death or of the Total and Permanent Disability of the Life Insured that meets the definitions, exclusions, and terms and conditions stated under this Policy. The Policy will be terminated after the Non-accidental Death or Total and Permanent Disability Benefit is paid.
· Accidental Death or Total and Permanent Disability Benefit
Subject to this Policy, the Company shall pay the Accidental Death or Total and Permanent Disability Benefit as specified in the Insurance Certificate or subsequent Endorsement (if any) in the event of the Life Insured’s death or Total and Permanent Disability cause by Accident during the Policy is in force and before Policy Expiry Date.
In the event of the Life Insured’s death or Total and Permanent Disability caused by Accident occur during the Grace Period, the Company will pay the Beneficiary(ies) the face amount as specified in the Insurance Certificate or subsequent Endorsement (if any), and less any outstanding premium to be paid.
The Accidental Death Benefit shall be paid to the Beneficiary(ies) while the Accidental Total and Permanent Disability Benefit shall be paid to the Life Insured, upon receipt of acceptable proof and approval by the Company of the Life Insured’s death or of the Total and Permanent Disability of the Life Insured cause by accident that meets the definitions, exclusions, and terms and conditions stated under this Policy. The Policy will be terminated after Accidental Death or Total and Permanent Disability Benefit is paid.
· Maturity Benefit
Subject to this Policy, the Company shall pay the Maturity Benefit at the Policy Maturity Date as stated on the Insurance Certificate or subsequent Endorsement (if any), less any outstanding Premium (if any) if no claim has been made while the Policy is in force.
4. Exclusion
The Company shall not reimburse any covered benefit(s) resulted from either directly or indirectly, wholly or partly from any of below item(s). If the claim denial leads to the termination of this Policy, the liability of the Company shall be limited only to the return of total Premium paid from Policy Issue Date or Policy Reinstatement Date, whichever is later, less the medical examination expense (if any) and/or expenses reasonably occurred for the underwriting process (if any).
Exclusions for Non-accidental Death Benefit
a) Suicide or attempted suicide, whether the Life insured (Minor)/ Life Insured (Policyowner) is sane or insane, within two (2) years from the Policy Issue Date (this exclusion is not applicable after two (2) years period per stated above); or
b) A committed criminal offense, or an attempted commitment of a criminal offense by the Life Insured (Minor)/Life Insured (Policyowner) , or Beneficiaries (please refer to Section 8. Beneficiary); or
c) Acquired Immune Deficiency Syndrome (AIDS) or any complications associated with infection by the Human Immunodeficiency Virus (HIV).
Exclusions for Non-accidental Total and Permanent Disability Benefit
a) Attempted suicide or any self-inflicted injury, whether the Life Insured (Policyowner) is sane or insane; or
b) A committed criminal offense, or an attempted commitment of a criminal offense by the Life Insured (Policyowner), or Beneficiaries (please refer to Section 8. Beneficiary); or
c) Any unprescribed drug, alcoholic substance, poison, gas or fumes, voluntarily taken, administered, absorbed or inhaled; or
d) War or any act of war, whether declared or not, riot, insurrection, civil commotion, strikes terrorist activities, whether or not the Life Insured (Policyowner) was participating therein; or
e) Acquired Immune Deficiency Syndrome (AIDS) or any complications associated with infection by the Human Immunodeficiency Virus (HIV).
Exclusions for Accidental Death or Total and Permanent Disability Benefit
a) Suicide or attempted suicide, whether the Life Insured (Policyowner) is sane or insane; or
b) Willful exposure to danger or attempted self-destruction or self-inflicted injuries, whether the Life Insured (Policyowner) is sane or insane; or
c) Assault or murder; or
d) A committed criminal offense, or an attempted commitment of a criminal offense by the Life Insured (Policyowner), or Beneficiaries (please refer to Section 8. Beneficiary); or
e) Any unprescribed drug, alcoholic substance, poison, gas or fumes, voluntarily taken, administered, absorbed or inhaled; or
f) War or any act of war, whether declared or not, riot, insurrection, civil commotion, strikes terrorist activities, whether or not the Life Insured (Policyowner) was participating therein; or
g) Any loss sustained by the Life Insured (Policyowner) while resisting arrest by a law enforcement officer or violation of alcohol intake and/or speed limits as prescribed by the applicable traffic law at the time of accident; or
h) Bodily or mental infirmity or illness or disease of any kind or any infection, other than infections occurring simultaneously with and in consequence of an accidental wound; or
i) Travelling or flight in any vehicle or device for aerial navigation, except as a passenger on an aircraft operated by a regular airline; or
j) Engaging in or taking part in driving or riding in any kind of race, underwater activities, or other hazardous pursuit such as mountaineering or potholing or parachuting or bungee jumping.
5. Free Look Period
Refer to the duration of twenty-one (21) calendar days from the Policy Issue Date. During this Free Look Period, the Policyowner can surrender the Policy upon a written request to the company with the Original Insurance Contract attached (For E-Contract, Policyowner is required to attach Insurance Certificate only). After the Company received all the required documents, the Company will terminate the Policy then refund back to the Policyowner as the following:
a) total Premium paid; less,
b) any expenses occured for the underwriting process (if any); less,
c) any amount owed to the company (if any).
6. Grace Period
A Grace Period of thirty-one (31) days from the Premium Due Date will be allowed for each Premium payment, the Policy will remain in force during this period. If by at the end of the Grace Period and the Premium is still unpaid, the Policy will lapse .
7. Dispute Mediation
•Complaint Procedures
Any complaint received will be resolved or provided clarification to the complainant within five (5) working days to determine the root cause and the appropriate course of action in accordance with regulatory requirements and the Company’s standard operating procedures.
•Dispute Resolutions
For any dispute arising in relation to the conduct of insurance business, the disputing parties may bring the case to the Insurance Regulator of Cambodia for mediation before filing a lawsuit to arbitration or a competent court, except a criminal case
8. Incontestability
The Company can cancel or void the Policy if the Company discovers any inaccurate statement or suppression of a material fact by the Policyowner or any of the Life Insureds on a material matter within two (2) years from the Policy Effective Date, or Policy Issue Date (whichever is later) that impacts the underwriting decision on this Policy. Such non-disclosure or misrepresentation could be found in the application for this Policy, any medical evidence forms, or any written statements and answers provided as evidence of insurability. However, this clause shall not apply to a misstatement of age or gender.
9. Termination
This Policy will be automatically terminated on the earliest of the following:
a) Death or Total and Permanent Disability of the Life Insured due to Accident or Non-Accident; or
b) Policyowner’s request to surrender the Policy; or
c) The Policy has lapsed for twenty-four (24) months consecutively or has matured.
10. How to claim
Are you looking for how to process a claim? Click here:
https://www.manulife.com.kh/en/services/claims.html, or You can also call our hotline 1800 211 211 for free of charge.