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The details of the products and conditions of the insurance contract

Manulife Education Protector 

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 - 50 Years

• Life Insured: 1 – 14 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 lapsed due to the default in Premium payment after the Grace Period, all benefit(s) payable under this Policy shall be lapsed, except Policy cash value (if any). The Policyowner can request to reinstate the Policy within two (2) years from the date the Policy lapsed. At the Company’s 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 submitted is 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 evaluate the Policy Reinstatement Request. The Company reserves the right 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 rejects this request, the Policy shall not be reinstated and remain lapsed, then the Company shall refund to the Policyowner:

 

a)   any overdue Premium paid and fee(s) (if any) paid to the Company for the reinstatement purpose, plus 

b)   Cash Value and Accumulated Dividend of Insurance Policy (if any); less

c)   any loan owed to the Company together with accrued interest (if any); less

d)   Medical examination expense for reinstatement paid by the Company (if any).

 

Upon Reinstatement, the company will not provide coverage for any loss resulting from a pre-existing condition such as impairments, injury(ies), diseases, illness or complication thereof that occurs during the Policy lapse period.

 

If the policy remains lapsed for 2 consecutive years, the Policy will be terminated and will no longer be allowed to reinstate. The Company shall pay the Policyowner the;

a)   Cash Value as stated in the Insurance Certificate (if any), plus

b)   Accumulated Divided (if any), less

c)   any loan owed to the Company together with accrued interest (if any).

 

3.    Insurance Benefits

• Non-Accidental Death Benefit

Subject to this Policy, the Company shall pay the “Non-accidental Death Benefit” in the event of the Life Insured’s death not caused by Accident during Policy is in force and before Policy Expiry Date.

The Non-accidental Death Benefit proceeds shall be:

a.     The amount specified on the Insurance Certificate* or as subsequently endorsed on the Policy, reduced by Guaranteed Education Benefit already paid plus

b.     Any accumulated dividends with interest on deposit with the Company, less

c.     Outstanding loan indebtedness (if any) with accrued interest, less

d.     Outstanding Premium to be paid with accrued interest if Life Insured Death or Total and Permanent Disability occur during the Grace Period. 

The Non-accidental Death Benefit shall be paid to the Beneficiary(ies). The Policy will be terminated after the Non-accidental Death is paid.

*If the Life Insured’s age last birthday at death not caused by accident is less than 4 years, the Benefit payable in would be:

Age at death 

(Last Birthday)

Benefit Amount

1 Year

40% of Face Amount

2 Years

60% of Face Amount

3 Years

80% of Face Amount

 

. Accidental Death Benefit

Subject to this Policy, the Company shall pay the “Accidental Death Benefit” in the event of the Life Insured’s death caused by Accident during Policy is in force and before Policy Expiry Date.

The Accidental Death Benefit proceeds shall be:

a.     The amount specified on the Insurance Certificate* or as subsequently endorsed on the Policy, reduced by Guaranteed Education Benefit already paid plus

b.     Any accumulated dividends with interest on deposit with the Company, less

c.     Outstanding loan indebtedness (if any) with accrued interest, less

d.     Outstanding Premium to be paid with accrued interest if Life Insured Death or Total and Permanent Disability occur during the Grace Period. 

The Accidental Death Benefit shall be paid to the Beneficiary(ies). The Policy will be terminated after Accidental Death Benefit is paid. 

*If the Life Insured’s age last birthday at death caused by accident is less than 4 years, the Benefit payable would be:

Age at death 

(Last Birthday)

Benefit Amount 

1 Year

80% of Face Amount

2 Years

120% of Face Amount

3 Years

160% of Face Amount

 

 

·       Guaranteed Education Benefit

The Company will pay the Policyowner the Guaranteed Education Benefit, according to the Guaranteed Education Benefit schedule specified in the Insurance Certificate, while this Policy is in force and during the Life Insured’s lifetime.

In the event of increase or decrease in the Face Amount of the Policy after the Policy Issue Date, the Guaranteed Education Benefit shall be calculated in accordance with the new Face Amount. 

Any loan indebtedness or outstanding premiums with accrued interest on the Policy at the time of the payment shall be deducted from the amount payable.  

Upon the last Guaranteed Education Benefit payment at the maturity of the Policy, the proceeds will include the accumulated dividends left on deposit.

Guaranteed Education Benefit Option: The Guaranteed Education Benefit when payable will be applied under one of the following options as elected by the Policyowner:

a.     Payment of the Guaranteed Education Benefit, according to the Guaranteed Education Benefit schedule specified in the Insurance Certificate.

b.     Left with the Company to accumulate with interest to the credit of the Policy, subject to withdrawal.  The interest rate will be determined by the Company from time to time.

            

If no option is elected, Option a. will apply.  An option elected will apply until another option is elected.

The accumulated Guaranteed Education Benefit under Option b. will be payable as part of the Policy proceeds on the Life Insured’s death or upon maturity of the Policy.

 

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 is sane or insane, within two (2) years from the Policy Issue Date or the effective date of its last reinstatement, whichever is later (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 Policyowner, Life Insured, 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 Accidental Death Benefit

a)         Suicide or attempted suicide, whether the Life Insured is sane or insane; or

 

b)         Willful exposure to danger or attempted self-destruction or self-inflicted injuries, whether the Life Insured 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 Policyowner, Life Insured, 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 was participating therein; or

 

g)         Any loss sustained by the Life Insured 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.    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

 

7.    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.

 

8.    Termination

This Policy will be automatically terminated on the earliest of the following:

a)     Death 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 expired.

 

9.    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.