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The document outlines the terms and conditions of the ICICI Pru iProtect Smart life insurance policy, including benefits, premium details, and eligibility criteria. It specifies the definitions of Terminal Illness and Permanent Disability, the process for claims, and the various payout options available. Additionally, it highlights tax benefits, exclusions, and the free-look cancellation period for policyholders.

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Tajuddin Shaikh
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0% found this document useful (0 votes)
22 views

conditions-apply

The document outlines the terms and conditions of the ICICI Pru iProtect Smart life insurance policy, including benefits, premium details, and eligibility criteria. It specifies the definitions of Terminal Illness and Permanent Disability, the process for claims, and the various payout options available. Additionally, it highlights tax benefits, exclusions, and the free-look cancellation period for policyholders.

Uploaded by

Tajuddin Shaikh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Disclaimers of Life Cover

0 Life Cover is the benefit payable on death of the Life Assured during the policy term.

00 A Life Assured shall be regarded as Terminally Ill only if that Life Assured is diagnosed as suffering
from a condition which, in the opinion of two independent medical practitioners’ specializing in
treatment of such illness, is highly likely to lead to death within 6 months. The terminal illness must
be diagnosed and confirmed by medical practitioners’ registered with the Indian Medical Association
and approved by the Company. The Company reserves the right for independent assessment.

1 Policy issuance is subject to realization of payment and documents

2 Life Cover is the benefit payable on death of the life assured. Premium amount for your life cover
has been personalized basis your age & gender for ICICI Pru iProtect Smart – Life option with regular
pay and lumpsum payout option and is inclusive of all taxes (assuming you are a non-smoker). If

you are 18-40 years old, premium has been personalized for a cover till age 60. For customers in

age range 41-50 years, policy term is considered 20 years and for customers’ age 51-60 years,

policy cover is till age 75. For GB/VB segment customers, the premium is for sum assured Rs 50.05
Lakh (rounded off as Rs 50 lakh); Rs 1 Crore for PB segment and 1.5 Crore for WM&GPC segment. You
can choose policy term up to age 99 years. The policy term has to be chosen at policy

inception. Accidental Death Benefit term will be equal to the policy term or (80-Age at entry),
whichever is lower.

2’ The premium amount has been personalized for you for a life cover of ₹50 Lakh (for VB and PB
segment) ₹1 crore for (WM segment), lumpsum payout option, inclusive of all taxes (assuming you
are a non-smoker) under ICICI Pru iProtect Smart –Life Option with 65- age policy term. You can
choose policy term up to age 99 years. The policy term has to be chosen at policy inception.

5 Day 1 is counted from the day of receiving the last document. Mandatory documents need to be
submitted at Branch Office before 3pm on a working day- Original policy certificate, copy of death
certificate by local authority, Nominee’s current address proof, photo identity proof, Cancelled
cheque. Copy of bank passbook, Copy of medico legal cause of death, Medical records (Admission
notes, Discharge / Death summary, Test reports, etc.). For accidental death – Copy of FIR,
Panchanama, Inquest report, Driving license. Interest will be paid for every day of delay beyond one

working day. Interest shall be at the bank rate that is prevalent at the beginning of the financial year
in which death claim has been received. In case of breach in regulatory turnaround time, interest
will be paid as per IRDAI regulations.

7’’’ Savings in yearly mode of premium payment are in the form of Modal Loadings. For monthly
and half yearly mode of premium payment, modal loadings are 2.5% and 1.25% respectively

7 The average TAT for settling a claim is 2.34 days. This is calculated from the last document
received to payment disbursal date for non-investigated claims.
7' ICICI Pru iProtect Smart offers flexible pay out options- Income, Lump sum, Regular Income + Lump
sum & Increasing Income benefit. It is one of the many variants that the product offers and you can
opt for it based on your individual needs.

6” Savings in yearly mode of premium payment are in the form of Modal Loadings. For monthly and
half yearly mode of premium payment, modal loadings are 2.5% and 1.25% respectively

8 56.8 mn lives covered across our individuals and group customers as per ICICI Prudential Annual
Report 2020-21. Please refer to Public Disclosure section on ICICI Prudential website for more details.

9Terminal Illness: A Life Assured shall be regarded as Terminally Ill only if that Life Assured is
diagnosed as suffering from a condition which, in the opinion of two independent medical
practitioners’ specializing in treatment of such illness, is highly likely to lead to death within 6 months.
The terminal illness must be diagnosed and confirmed by medical practitioners’ registered with the
Indian Medical Association and approved by the Company. The Company reserves the right for
independent assessment.

10 Permanent Disability: On diagnosis of Permanent Disability (PD) due to an accident, the future
premiums under your policy for all benefits are waived. To know more about definitions, terms &
conditions applicable for permanent disability due to accident, kindly refer sales brochure of ICICI Pru
iProtect Smart.

11 Savings in yearly mode of premium payment are in the form of Modal Loadings. For monthly and
half yearly mode of premium payment, modal loadings are 2.5% and 1.25% respectively.

> The ACI Benefit for Angioplasty is subject to a maximum of Rs 5,00,000. On payment of Angioplasty,
if the ACI Benefit is more than Rs 5,00,000 the policy will continue for other CIs with

ACI Benefit reduced by Angioplasty payout. The future premiums payable for the residual ACI Benefit
will reduce proportionately.

A01 Save on premium by buying before your birthday - The savings amount displayed on your
personalized premium is equal to the difference in your premium at your current age vs the increased
premium after your upcoming birthday. This calculation does not account for time & other factors
that may happen during this period.

c The average time taken for buying ICICI Pru iProtect Smart through ICICI Bank’s platform is under 3
minutes. It does not account for other factors such as technical issues that may happen during this
period.

eThe daily premium amount of Rs 14 is for a 25 year old healthy female for a life cover of Rs 1 Crore &
policy term of 15 years under ICICI Pru iProtect Smart - Life Option with Lumpsum payout. The annual
premium is Rs 5288 (exclusive of all taxes). It is one of the many variants that the product offers and
you can opt for it based on your individual needs.

k According to the Global Disease burden study conducted by the India State-level Disease Burden
Initiative, between the years 1990 and 2016, Indians recorded a 50% increase in ischemic heart
disease and stroke, 2.5 times increase in diabetes, almost 100% increase in the number of chronic
obstructive lung disease cases and 100% increase in the contribution of cancers to total health loss.

o Accidental Death benefit (ADB) is up to Rs. 2 Crores(Subjected to Underwriting guidelines). ADB

is available in Life Plus and All in One options. In case of death due to an accident Accidental Death
Benefit will be paid out in addition to Death Benefit. Accidental Death Benefit will be equal to the
policy term or (80-Age at entry), whichever is lower. To know more in detail about ADB Benefit,
terms & conditions governing it, kindly refer to sales brochure.

p The premium of Rs. 499 is for a 27 year old healthy male for a life cover of Rs. 50.5 lakh (rounded
off to Rs. 50 lakh) and policy term of 19 years under ICICI Pru iProtect Smart – Life option with
lumpsum payout (inclusive of all taxes) & regular payment option. It is one of the many variants that
the product offers and you can opt for it based on your individual needs

^^ Refer the product brochure for the definitions, exclusions and other terms and conditions
applicable for Permanent Disability due to accident and Terminal Illness.

# Non-medical limits of ₹2 Crore is applicable on total sum assured with age group of 18-35 years for
earning graduate male and graduate salaried female lives with no health adversity and annual
income more than ₹10 Lakh. Non-medical limits of ₹1.5 Crore is applicable on total sum assured with
age group of 36-40 years for earning graduate male and graduate salaried female lives with no health
adversity and annual income more than ₹10 Lakh. Non-medical limits of ₹75 Lakh is applicable on
total sum assured with age group of 41-45 years for earning graduate male and graduate salaried
female lives with no health adversity and annual income more than ₹10 Lakh. Non-medical limits of ₹
50 Lakh is applicable on total sum assured with age group of 46-55 years for earning graduate male
and graduate salaried female lives with no health adversity and annual income more than ₹10 Lakh.

#’ Life stage benefit gives you an option to increase the cover after Marriage (50% increase), 1st (25%
increase) & 2nd (25% increase) childbirth, without any medicals. Additional premium will be
calculated based on the increased life cover and remaining policy term as per your age at the time of
each such increase.

Event Additional Death Benefit (percentage

of original Death Benefit)

Maximum additional

Death Benefit allowed

Marriage 50% Rs.50,00,000

Birth / Legal adoption of 1st child 25% Rs.25,00,000

Birth/Legal adoption of 2nd child 25% Rs.25,00,000


** Policy issuance is Subject to realization of payment and documents. Your required details with ICICI
Bank will be used after your consent. Policy can be purchased in 3 steps after quote generation: 1.
Filling basic details 2. Answering health related questions 3. Premium payment

~~ Tax benefits under the policy are subject to conditions under Section 80C, 80D, 10(10D),115BAC
and other provisions of the Income Tax Act, 1961. Goods and Services Tax and Cesses, if any, will be
charged extra as per prevailing rates. Tax laws are subject to amendments made thereto from

time to time. Please consult your tax advisor for more details.

^* Our Life insurance policies cover COVID-19 claims under life insurance claims, subject to applicable
terms and conditions of policy contract and extant regulatory framework. COVID-19 is not included in
Critical Illness benefit covered under ICICI PRU iProtect Smart.

^*Tax Benefits of Rs 46,800 under Section 80C & Rs 7,800 under Section 80D is calculated at the
highest tax slab of 31.2% (including cess excluding surcharge) on life insurance premium under Section
80C of Rs, 1,50,000 and health premium under Section 80D of Rs 25,000. Tax benefits are subject to
conditions under Sections 80C, 80D, 10(10D), 115BAC and other provisions of the Income Tax Act,
1961. Goods and Services tax and Cesses, if any will be charged extra as per prevailing rates. Tax laws
are subject to amendments made thereto from time to time. Please consult your tax advisor for more
details.

#‘ With Increasing Income Benefit, the nominee receives pay out increasing by 10% simple interest
every year for 10 years. There will be a total increase of 45% on initial life cover chosen. It is one
of the many variants that the product offers and you can opt for it based on your individual needs.
~~~Accelerated Critical Illness Benefit (ACI Benefit) is up to Rs.1 Crore (Subjected to underwriting
guidelines). Accelerated Critical Illness Benefit (ACI Benefit) is optional and available under Life &
Health and All in One options. This benefit is payable, on first occurrence of any of the 34 illnesses
covered. Medical documents confirming diagnosis of critical illness needs to be submitted. The benefit
is payable only on the fulfillment of the definition of the diagnosed critical illness. The ACI Benefit, is
accelerated and not an additional benefit which means the policy will continue with the Death Benefit
reduced by the extent of the ACI Benefit paid. The future premiums payable under the policy will
reduce proportionately. If ACI Benefit paid is equal to the Death Benefit, the policy will terminate on
payment of the ACI Benefit. To know more in detail about ACI Benefit, terms & conditions governing
it, kindly refer to sales brochure. ACI Benefit term would be equal to policy term or 30 years or (75-
Age at entry), whichever is lower.

-The premium is for a 30 year old healthy male for a life cover of Rs 1 Crore & policy term of 15 years
under ICICI Pru iProtect Smart - Life Option with Lumpsum payout. The annual premium is Rs 6127
(exclusive of all taxes).It is one of the many variants that the product offers and you can opt for it
based on your individual needs.

‘’’The 70% additional tax benefit is for limited pay option under ICICI Pru iProtect Smart for Rs 1
crore life cover for a 30 year old healthy male non-smoker for a policy term of 22 years and limited
pay term of 10 years with lumpsum payout option. The annual premium will be Rs 13,937 for limited
pay option & Rs 8,148 for regular pay. The premium amounts are inclusive of taxes. The additional
tax benefit computed is purely in terms of premium paid over the policy term (Difference between
Limited and Regular pay) of the policy and does not account for time & other factors that may happen
during this period. It is one of the many features that the product offers and you can opt for it based
on your individual needs. Tax benefits under the policy are subject to conditions under Section 80C,
80D, 10 (10D) and other provisions of the Income Tax Act, 1961. GST & cesses, if any, will be charged
extra as per prevailing rates. Tax laws are subject to amendments made thereto from time to time.

""Term insurance rates may increase subject to regulatory approvals

ICICI Pru iProtect Smart. UIN: 105N151V07. ADVT No. E/II/2745/2018-19

2016, ICICI Prudential Life Insurance Company Limited. Registered Office Address: ICICI PruLife
Towers, 1089 Appasaheb Marathe Marg, Prabhadevi, Mumbai 400025.For more details on the risk
factors, term and conditions please read the product brochure carefully before concluding the sale.

ICICI Bank Limited ("ICICI Bank") with Registered Office located at ICICI Bank Tower, Near Chakli Circle,
Old Padra Road, Vadodara, 390 007, Gujarat, is a corporate agent. To know more call us on 1800 1080
(Composite, IRDAI Regn No.: CA0112 valid till 31/03/2025) of ICICI Prudential Life Insurance Company
Limited ("ICICI Prulife). Insurance is underwritten by ICICI Prulife. ICICI Bank’s customer participation
in the policy is entirely voluntary and is not linked to availment of any other facility from ICICI Bank

BEWARE OF SPURIOUS/FRAUD PHONE CALLS !

IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment

of premiums. Public receiving such phone calls are requested to lodge a police complaint.

Free-look Cancellation Period - If you are not satisfied with the terms and conditions of this Policy,
please return the Policy Document to Us for cancellation with reasons within 15 days from the date
you received it, if your Policy is not purchased through Distance Marketing or 30 days from the date
you received it, if your Policy is an electronic policy or is purchased through Distance Marketing.

On cancellation of the Policy during the free-look period, we will return the premium paid subject to
the following deductions: Proportionate risk premium for the period of cover, Stamp duty under the
Policy, Expenses borne by the Company on medical examination, if any. The Policy shall terminate on
payment of this amount and all rights, benefits and interests under this Policy will stand extinguished.

Key exclusions:

Suicide: If the Life Assured, whether sane or insane, commits suicide within 12 months from the date
of commencement of risk of this Policy, the Company will refund higher of 80% of the total premiums
paid including extra premiums, if any till the date of death or unexpired risk premium value as
available on date of death, provided the policy is in force. In the case of a revived Policy, if the Life
Assured, whether sane or insane, commits suicide within 12 months of the date of revival of the
Policy, higher of 80% of the total premiums paid including extra premiums, if any till date of death or
unexpired risk premium value as available on date of death will be payable by the Company. The
Policy will terminate on making such a payment and all rights, benefits and interests under the Policy
will stand extinguished.

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