maa takaful riders
DESCRIPTION
The list of all riders in MAA Takaful policyTRANSCRIPT
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Takafulink Series 2
13
5. RIDERS DESCRIPTION
Riders Rider Code Benefit Description
1. Critical Illness 46 Super Rider
MT46S
1. This rider provides additional lump sum coverage in the event that the Person Covered dies or sustains Total & Permanent Disability or diagnosed to be suffering from dread disease except Carcinoma in situ without affecting your basic certificates death and total & permanent disability benefit. It covers 46 types of diseases/treatments. A portion or 100% of the sum covered of MT46S will be payable on first diagnosed of dread disease.
2. The following diseases/treatments are payable according to the stipulated % as per below;
Balloon Angioplasty 10% payable Coronary Artery Laser/other Invasive Coronary Procedure 10% payable The MT46S Sum Covered will be reduced accordingly & payable in the event of future Dread Disease.
3. Refer to Appendix 6 for descriptions of the 46 Dread Diseases covered under this plan
2. Critical Illness 46 Plus Rider
MT46P
1. This rider is accelerated on the BASIC certificate. It covers 46 types of diseases/treatments. 100% of the sum covered of MT46P will be payable on first diagnosis of a dread disease including all cancer disease except Carcinoma in situ.
2. The following diseases/treatments are payable according to the stipulated % as per below;
Balloon Angioplasty 10% payable Coronary Artery Laser/other Invasive Coronary Procedure 10% payable
The Basic & MT46P Sum Covered will be reduced accordingly & payable in the event of future Dread Disease.
3. Refer to Appendix 6 for descriptions of the 46 Dread Diseases covered under this plan
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Takafulink Series 2
14
5. RIDERS DESCRIPTION
Riders Rider Code Benefit Description
3. Khusus Protection - Compulsory Rider For Takafulink Hajj
MTKP
Funeral Expense (Khairat Kematian) of RM2,000. This benefits is payable within 24 hours of presentation of claim supported by certified copy of Police Report and Death Certificate. Upon full approval of death claim, an additional benefit of RM 5,000 is payable on death, where the beneficiary has an option to use the benefit for the purpose of: a. Repatriation Benefit Transportation of the body or mortal remains of the person covered back to
Malaysia. b. Ziarah Cost incurred in funeral/flight/hotel etc. for person covereds family to arrange for funeral
expense outside Malaysia. c. Other purposes.
4. Ziarah Protection
MTZP a. 100% of your choice of Rider Sum Covered is payable in the event of Accidental Death or Total and Permanent Disability. (Max RM 100,000)
b. 200% of the Rider Sum covered is payable if Accidental Death or Total and Permanent Disability occurs in Saudi Arabia (Max RM200,000)
c. In order to enjoy this benefit, you need to attach together with the MTKP rider in the same basic plan.
5. Payor Benefit - Compulsory Rider For Takafulink Education
xxMTPB
xx=8 to 25 years term
A Payor Benefit Rider allow waiver of contribution in the event the contributor dies, becomes totally and permanently disabled or is diagnosed from any 46 dread diseases. Therefore, you can rest assured that if anything happens to the contributor, the person covered would continue to receive all benefits of the certificate and the intended amount will still be available for the named beneficiary(s). MTPB maximum term calculation:
Entry Age Example
If Person Covered aged 0-15 (Juvenile) Entry Age : 15 Years Old Payor Age : 52 Years Old
i) 25 (person covered age) OR ii) 65 (payor age) Whichever is lower;
i) 25 (15) = 10 OR ii) 65 (52) = 13 Thus, maximum term of MTPB = 10
If Person Covered aged 16 and above (Adult)
Entry Age : 20 Years Old Payor Age : 50 Years Old
i) 65 (person covered age) OR ii) 65 (payor age) Whichever is lower;
i) 65 (20) = 45 OR ii) 65 (50) =15 Thus, maximum term of MTPB = 15
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Takafulink Series 2
15
Riders Rider Code Benefits Descriptions Coverage Waiting Period
6. Wanita Illness
- Compulsory Rider For Takafulink Wanita
*Each admitted claim under this rider is payable once only except for benefit on reimbursement basis
MTWI 1. Female Yearly Medical Check-Up.
Annual Female Medical Check-up including:
i. Blood Test
ii. Pap Smear
iii. Mammogram
iv. Abdomen/Pelvis Ultrasound
Reimbursement or Maximum of
RM 100
120 days
2. Female Cancers(Breast, Cervix Uteri, Fallopian Tube, Ovary, Uterus, Vagina/Vulva)
An uncontrollable growth and spread of malignant cells, which has result in the invasion and destruction of normal tissue.
100% RSC,
Max. RM500,000
120 days
3. Female Carcinoma-in situ (Breast and Cervix Uteri)
Early stage cancer that is confined to its original location. Premalignant neoplasm that has not invaded the basement membrane but shows characteristics of cancer.
30% RSC,
Max. RM50,000
120 days
4. Systemic Lupus Erythematosus (SLE) With Lupus Nephritis
A disease in which the body produces antibodies that destroys its collagen system. Coverage is restricted to those forms that involve the kidneys.
100% RSC,
Max. RM500,000
30 days
5. High Grade Squamous Intraepithelial Lesion (HSIL) With Severe Dysplasia
Premalignant of the cervix. Coverage of CIN 111
30% RSC,
Max. RM50,000
120 days
6. Fibroid
(Reimbursement Basis)
A benign abnormal growth of the muscle wall of the uterus.
30% RSC,
Max. RM50,000
120 days
7. Ovarian Cyst
(Reimbursement Basis)
Sacs filled with fluid or semi-solid material that forms in the ovaries or on their surface.
30% RSC,
Max. RM50,000
120 days
5. RIDERS DESCRIPTION
5. RIDERS DESCRIPTION
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Takafulink Series 2
16
Riders Rider Code Benefits Descriptions Coverage Waiting Period
Wanita Illness
- Compulsory Rider For Takafulink Wanita
*Each admitted claim under this rider is payable once only except for benefit on reimbursement basis
MTWI 8. Facial Reconstructive Surgery (above the neck) Due To Accident
(Reimbursement Basis)
Treatment of facial disfigurement being a direct result of an accident requiring inpatient treatment and subsequently the performance of such surgery. The surgery must get opinion of the companys medical adviser if such treatment is necessary.
30% RSC,
Max. RM50,000
30 days
9. Breast Reconstructive Surgery Due To Accident and Cancer (Reimbursement Basis)
Plastic or reconstruction of the breast performance by registered surgeon after an accident or mastectomy following diagnosis of invasive breast cancer.
Cosmetic breast surgery is EXCLUDED.
30% RSC,
Max RM50,000
30 days
10. Skin Grafting Due To Burns and Skin Cancer
(Reimbursement Basis)
SKIN CANCER: A malignant tumour characterized by the uncontrolled growth and spread if malignant cells and the invasion if tissue. This excludes non-invasion cancers in situ and tumours in the presence of any human Immunodeficiency Virus.
Metastatic skin cancer is EXCLUDED
SKIN GRAFTING DUE TO BURN: Accidental burning (3 rd degree) affecting at least 10% of the body surface area.
Correction of facial disfigurement is EXCLUDED.
30% RSC,
Max RM50,000
30 days
(burns)
120 days (cancer)
11. Fractures Due To Osteoporosis
Disorder in which the bones become increasingly porous, brittle and subject to fracture
30% RSC,
Max RM20,000
30 days
12. Rheumatoid Arthritis with Complication
Chronic auto immune disease characterized by inflammation and progressive deformity of the joints.
30% RSC,
Max RM20,000
30 days
5. RIDERS DESCRIPTION
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Takafulink Series 2
17
Riders Rider Code Benefits Descriptions Coverage Waiting Period
7. Wanita Maternity Protection (MTMP)
*In order to enjoy this benefit, you need to attach together with the MTWI rider in the same basic plan
*Each admitted claim under this rider is payable once only.
MTMP 1. Newborn Allowance Maximum 3 childbirths and is only for children that survive at least 30 days
1% of RSC
Max. RM500
Effective the 2nd
Certificate Year
onwards
2. Hospitalisation Benefit Due To Complication Arising From Pregnancy
A daily cash allowance for each full day of Hospital Confinement should the person covered be diagnosed of the following illnesses :-
(a) Disseminated Intravascular Coagulation
(b) Ectopic Pregnancy
(c) Hydatidiform Mole (Molar Pregnancy)
(d) Still Birth
(e) Neonatal Death ; or
(f) Eclampsia (Refer the following page 17 for illnesses description)
RM200 Per Day
(Max. 7 Days)
120 days
3. Death Due To Childbirth
The death of the person covered as a direct result of complications of giving birth.
The following are EXCLUDED :
(a) Any death due to child birth took place within 120 days of the issue Date or reinstatement date of the rider whichever is later;
(b) Death due to suicide;
(c) Death occurring during the first one hundred and sixty-eight (168) days of pregnancy;
(d) Death occurring more than thirty (30) days after the delivery.
200% RSC,
Max. RM600,000
120 days
5. RIDERS DESCRIPTION
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Takafulink Series 2
18
5. RIDERS DESCRIPTION
Riders Rider Code Benefits Descriptions Coverage Waiting Period
Wanita Maternity
Protection (MTMP)
*Each admitted claim under this rider is payable once only.
MTMP 4. Infant Congenital Illnesses
i. Downs Syndrome
ii. Spina Bifida
iii. Tetralogy Of Fallot
Known as chromosome abnormality in the baby. There is an extra chromosome, 47 instead of the normal 46.
(Any child(ren) born within 30 days of the Issue
Date/reinstatement date, whichever is later is not covered under this benefit. Only for children survive at least 30 days)
Commonly known as an exposure in the spinal cord of the baby. (Any child(ren) born within 120 days of the issued date or reinstatement date, whichever is later is not covered under this benefits. Only for children survive at least 30 days)
An anatomic abnormality with a combination of:-
(a) Severe or total right ventricular outflow tract obstruction;
(b) A ventricular septal defect;
(c) Dextroposition of the aorta with septal override:
(d) Right ventricular hypertrophy
(Any child(ren) born within 120 days of the issued date or reinstatement date, whichever is later is not covered under this benefits. Only for children survive at least 30 days)
30% RSC,
(Max. 50,000)
30% RSC,
(Max. 50,000)
30% RSC,
(Max. 50,000)
30 days
120 days
120 days
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Takafulink Series 2
19
5. RIDERS DESCRIPTION
Riders Rider Code Benefits Descriptions Coverage Waiting Period
Wanita Maternity Protection (MTMP)
*In order to enjoy this benefit, you need to attach together with the MTWI rider in the same basic plan
*Each admitted claim under this rider is payable once only.
MTMP Infant Congenital illnesses
iv. Transposition of Great Vessels
The condition in which the aorta rises from the right ventricle and the pulmonary artery rises from the left ventricle. This benefit is only for children that survive at least 30 days (Any child(ren) born within 120 days of the issued date or reinstatement date, whichever is later is not covered under this benefits.)
30 % RSC (Max.
RM50,000)
120 days
v. Atrial Septal Defect
An abnormal opening in the atria septum that allows free communication of blood between the right and left atria. This benefits is only for children that survive at least 30 days (Any child(ren) born within 120 days of the issued date or reinstatement date, whichever is later is not covered under this benefits.)
30 % RSC (Max.
RM50,000)
120 days
vi. Ventricular Septal Defect
An abnormal opening in the ventricular septum permitting the free circulation of blood from the left side of the heart to the right side. This benefits is only for children that survive at least 30 days (Any child(ren) born within 120 days of the issued date or reinstatement date, whichever is later is not covered under this benefits.
30 % RSC (Max.
RM50,000)
120 days
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Takafulink Series 2
20
5. RIDERS DESCRIPTION
Riders Rider Code Benefits Descriptions Coverage Waiting Period
8. Golden Wanita Protection (MTGW)
*In order to enjoy this benefit, you need to attach together with the MTWI rider in the same basic plan
MTGW Loss of Independence Existence :
Activities of Daily Living
a. Transfer
b. Mobility
c. Continence
d. Dressing
e. Bathing/ Washing
f. Eating
A permanent inability (lasting for a minimum of six (6) months) to perform at least three (3) of the Activities of Daily Living.
Getting in and out of a chair without requiring any physical assistance.
The ability to move from room to room without requiring any physical assistance.
The ability to control bowel and bladder functions
Putting on and taking off all necessary items of
clothing without requiring assistance of another person
The ability to wash in the bath or shower
All tasks of getting food into the body once it has been prepared
100% of RSC Nil
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Takafulink Series 2
21
5. RIDERS DESCRIPTION
Riders Rider Code Benefit Description
9. Waiver on Contribution Dread Disease
MTWD46 a. This rider provides for the waiver of contribution of the basic certificate when the person covered is diagnosed to be suffering from any of the 46 dread diseases covered by the MT46P / MT46S.
b. The rider may be added to Takafulink plan regardless whether MT46P / MT46S is attached or not and NOT exceeding RM500,000 sum covered. The balance of basic sum covered, if any, can be continued by paying the contribution.
c. For the following diseases/treatments, the basic contribution will be waived according to the stipulated % per below;
Balloon Angioplasty 10% payable Coronary Artery Laser/other Invasive Coronary Procedure 10% payable HIV by Blood Transfusion 50% payable Occupationally Acquired HIV Infection 50% payable Full Blown AIDS 50% payable
* Subject to a maximum of RM25,000 claims payable
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Takafulink Series 2
22
5. RIDERS DESCRIPTION
Riders Rider Code Benefit Description
10. Hospital Benefit
MTHBR2
1. The rider provides the customer a daily income benefit when they are admitted to the hospital. The rider provides coverage up to age 70 years old. The benefit will be paid for the period during which the Person Covered is hospitalized and for not more than 120 days per contract year. Plan Benefits
Upon acceptance Proof of Hospitalisation, the Takaful Operator will pay:
Hospitalisation in Government Hospitals and government licensed private hospitals in Singapore, Malaysia and Brunei.
Purchased Daily Benefit for period of Hospitalisation.
Hospitalisation in Hospitals other than those stated above.
50% of the Purchased Daily Benefit for period of Hospitalisation.
11. Hospital & Surgical Benefit
MTHSR
1. The rider provides coverage based on period of confinement to a licensed hospital due to illness or injury occurring more than 30 days after the issue date or date of reinstatement. The maximum amount payable for in-patient will not exceed 120 days per annum, subject to an overall Lifetime Limit of 500 times the Daily Benefit.
Plan Benefits
Upon acceptance Proof of Hospitalisation, the Takaful Operator will pay:
a. Surgeon Fee Reimbursement of the reasonable and customary charges for a Medically Necessary surgical procedure by a Surgeon/Specialist.
b. Anaesthetist Fee Reimbursement of the charges by the Anaesthetist for the Medically Necessary administration of anaesthesia.
c. Operating Theatre Fee Reimbursement of the charges for the operating theatre cost for surgical operations performed.
Note: If more than one (1) surgery is performed for any one (1) Disability, the total payments for all the surgeries performed shall not exceed 500 times of the Daily Benefit.
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Takafulink Series 2
23
5. RIDERS DESCRIPTION
Riders Rider Code Benefit Description
12. Improved Accident Indemnity 2
MTIAI2 This rider provides a comprehensive coverage for death or injuries resulting within 365 days from an accident. Plan Benefits 1. Death & Dismemberment When as a result of an accident the person covered suffers from any losses within 90 days, benefits shall be paid accordingly. Refer to Appendix 8 for a Table of Dismemberment covered under this plan 2. Temporary Disability Indemnity (provided no loss under 1) a. Total Temporary Disability 1% x Sum Covered x Day of MC / 7 Days b. Partial Disability 0.5% x Sum Covered x Day of MC / 7 Days Disability of less than one week is NOT indemnification. (Maximum 52 weeks) 3. Permanent Disability Indemnity (TPD Indemnity) Total, Permanent and Continuous Disability 10% per annum on certificate anniversaries following date of accident 4. Medical Expenses Payable only if such medical or surgical treatment is furnished by a qualified Medical Practitioner within 104 weeks after the date of accident. Medical Expenses Limit RM50/RM1000 x sum covered per accident up to a maximum of RM10,000 per accident Proof of claims must be submitted together with original medical bills.
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Takafulink Series 2
24
5. RIDER DESCRIPTION
Riders Rider Code Benefit Description
Improved Accident Indemnity 2
MTIAI2 This rider provides a comprehensive coverage for death or injuries resulting within 365 days from an accident. Plan Benefits 5.Double Indemnity Benefits 1 & 3 will be doubled if loss is sustained when;
a. The person covered is a passenger within any mechanically propelled non-aerial public conveyance over an established land route.
b. The person covered is in an elevator car. (Elevators in mines and construction site excluded) c. Result of the burning of theatre, hotel or other public building in which the person covered
shall be at the commencement of the fire. Note:
1. For any one accident, only 1 claim from benefits 1, 3 or 5 is payable PLUS benefits 2 & 4. However the claims payable under benefits 2 & 4 must not exceed the Basic Sum Covered.
2. The claims under Benefit 1 are not payable if the Disability under Benefit 2 is less than 7 DAYS.
13. Juvenile Critical Illness Protection
MTJCI Accelerated from the BASIC certificate. It covers 8 types of juvenile diseases/ treatments. 100% of the sum person covered of MTJCI will be payable on first diagnosis of dread disease (EXCEPT FOR A JUVENILE LIEN). 1. An optional rider. 2. Juvenile Critical Illness Coverage: (refer to the Appendix 8 for a full description)
a. Severe Asthma b. Leukaemia c. Bone Marrow Transplant d. Insulin-dependent Diabetes e. Rheumatic Fever with Valvular Impairment f. Kawasaki Disease with Heart Complication g. Intellectual Impairment due to accident or sickness h. Glomerulonephritis with Nephrotic Syndrome
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Takafulink Series 2
25
5. RIDERS DESCRIPTION
Riders Rider Code Benefit Description
14. SmartMedic 100
SMR10x This rider provides a comprehensive medical coverage with a guaranteed hospital admission and takes care of your medical bills upon discharge at our panel hospitals. Plan Benefits
Plan 1 (RM)
Plan 2 (RM)
Plan 3 (RM)
Plan 4 (RM)
ANNUAL LIMIT 50,000 100,000 150,000 200,000
LIFETIME LIMIT 150,000 300,000 450,000 600,000
Hospital Benefits
Hospital Room & Board (max 200 days
per annum) 150 200 300 450
Intensive Care unit (max 60 days per annum)
As Charged
Hospital Supplies & Services
Surgical Fees
Anaesthetists Fees
Operating Theatre
Pre-Hospital Diagnostic Test
(within 60 days prior to admission)
Pre- Hospital Specialist Consultation
(within 60 days prior to admission)
In-Hospital physician Visit
(max. 200 days per annum)
Post Hospitalisation Treatment
(within 31 days from discharge)
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Takafulink Series 2
26
5. RIDERS DESCRIPTION
Riders Rider Code Benefit Description
SmartMedic 100
SMR10x x:1,2,3 or 4
This rider provides a comprehensive medical coverage with a guaranteed hospital admission and takes care of your medical bills upon discharge at our panel hospitals. Plan Benefits
Out Patient Benefits
Emergency Accidental Outpatient Treatment
(within 24 hours and follow up treatment to a max. of 31 days) As Charged
Out-Patient Physiotherapy Treatment
(within 90 days from discharge/ surgery)
Ambulance Fees 300 400 500 750
Out- Patient Kidney Dialysis Treatment
(per annum) 12,000 18,000 25,000 35,000
Out-patient Cancer Treatment (per annum)
12,000 18,000 25,000 35,000
Other Benefits
Daily Cash Allowance at Government Hospital
(max. 200 days per annum)
50 60 75 85
Home Nursing Care (max. per disability) 500 750 1,000 1,500
Person Covered Childs Daily Guardian Benefit
(max. per disability)
200 250 300 400
Medical report Fees 80 80 100 100
Government Service Tax As Charged
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Takafulink Series 2
27
5. RIDERS DESCRIPTION
Riders Rider Code Benefit Description
15. Waiver of Takaful Saver Contribution on Dread Disease 46
MTWS46 This rider provides for the waiver of saver contribution when the Person Covered is diagnosed to be suffering from any one of the 46 dread diseases. a. This rider provides for the waiver of Takaful Saver contribution of the certificate when the person
covered is diagnosed to be suffering from any of the 46 dread diseases. b. In order to enjoy this benefit, you need to attach together with the MTWD46 rider in the same
basic plan. c. For the following diseases/treatments, the basic contribution will be waived according to the
stipulated % per below;
Balloon Angioplasty 10% payable Coronary Artery Laser/other Invasive Coronary Procedure 10% payable
HIV by Blood Transfusion 50% payable Occupationally Acquired HIV Infection 50% payable Full Blown AIDS 50% payable
* Subject to a maximum of RM25,000 claims payable.
16. Payor Benefit for Takaful Saver
xxMS46 xx = 0825
This rider waives all future saver contributions in the event the Participant dies or becomes totally & permanently disabled (TPD) or is diagnosed with any one of the 46 dread diseases covered under this rider prior to the expiration of coverage of xx years or age 65 for TPD. For the following diseases/treatments, the basic contribution will be waived according to the stipulated % per below;
Balloon Angioplasty 10% payable Coronary Artery Laser/other Invasive Coronary Procedure 10% payable HIV by Blood Transfusion 50% payable Occupationally Acquired HIV Infection 50% payable Full Blown AIDS 50% payable
* Subject to a maximum of RM25,000 claims payable
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Takafulink Series 2
28
5. RIDERS DESCRIPTION
Riders Rider Code Benefit Description
17. Spouse Payor Benefit
xxMJPB xx = 0825
This rider waives all future contributions in the event of the Participants Spouse dies or becomes totally & permanently disabled (TPD) or is diagnosed with any one of the 46 dread diseases covered under this rider prior to the expiration of coverage of xx years or age 65 for TPD. For the following diseases/treatments, the basic contribution will be waived according to the stipulated % per below;
Balloon Angioplasty 10% payable Coronary Artery Laser/other Invasive Coronary Procedure 10% payable HIV by Blood Transfusion 50% payable
Occupationally Acquired HIV Infection 50% payable Full Blown AIDS 50% payable
* Subject to a maximum of RM50,000 claims payable
18. Spouse Payor on Takaful Saver Benefit
xxMJ46 xx = 0825
Waives all future saver contributions in the event of the Participants Spouse dies or becomes totally & permanently disabled (TPD) or is diagnosed with any one of the 46 dread diseases covered under this rider prior to the expiration of coverage of xx years or age 65 for TPD.
a. For the following diseases/treatments, the basic contribution will be waived according to the stipulated % per below;
Balloon Angioplasty 10% payable Coronary Artery Laser/other Invasive Coronary Procedure 10% payable HIV by Blood Transfusion 50% payable Occupationally Acquired HIV Infection 50% payable Full Blown AIDS 50% payable
* Subject to a maximum of RM50,000 claims payable
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Takafulink Series 2
29
5. RIDERS DESCRIPTION
Riders Rider Code Benefit Description
19. Family Benefit
MTFB This rider will pay a fixed amount of coverage in the event of the death (all causes) of Family Members of the Person Covered. The amount will be RM2, 000 each and with a total maximum amount of RM10,000 and limited to only one Spouse and any four children. There will be NO underwriting requirement.
20. Increasing Basic Sum Covered
MTIB Starting from the second certificate year and until maturity, the Basic Sum Covered (BSC) will increase at a rate of 1% per annum of the initial BSC. This rider is optional to the customer at the point of inception. Example: Participant: Male, Age 30 Contribution: RM100 per month BSC: RM100,000 With MTIB: 1st year BSC: RM100,000 2nd year BSC: RM101,000 3rd year BSC: RM102,000 Maturity at age 80: [1% x 50 years x RM100,000] + RM100,000 Total BSC at the age of 80 = RM150,000
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Takafulink Series 2
30
Riders Rider Code Benefit Description
21. Decreasing Basic Sum Covered
MTDB Starting from the second certificate year, the Sum Covered will decrease at a rate of 1% per annum of the initial Basic Sum Covered. The decreasing pattern will cease once the Sum Covered reaches 50% of the initial Basic Sum Covered. Thereafter, the Basic Sum Covered remains at the 50% level till maturity. This rider is optional to the customer at the point of inception. Example: Participant: Male, Age 30 Contribution: RM100 per month BSC: RM100,000 With MTDB: 1st year BSC: RM100,000 2nd year BSC: RM99,000 3rd year BSC: RM98,000 Maturity at age 80: RM100,000 - [1% x 50 years x RM100,000] Total BSC at the age of 80 = RM50,000