Title: ADDITIONAL LIFE PRODUCTS
1ADDITIONAL LIFE PRODUCTS
Effective November Marketing Month
2A bundled Traditional Life and Cremation plans
For METRO MANILA
Individual Planholders
3A Traditional Life plan with Hospitalization
Reimbursement Benefit
For METRO MANILA PROVINCIAL AREAS
Individual Planholders
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12Subject to one-year contestability period
13Subject to one-year contestability period
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16sold or donated to a living person
- During paying period only
- Only applicable remaining benefits shall be
transferred
- New PH is subject to 1-year contestability period
172. Assignment
sold or donated to a deceased person
- Balance must be fully settled
18Unpaid still
What if plan lapses?
Grace Period
Due date
Lapsed!
2 months
Dec 2, 2007
Oct 1, 2006
until Dec 1, 2007
3. Reinstatement
a. Update - pay arrears, penalty charges, etc.
b. Reapply - sign up a new application
- 60 credit of past payments
- subject to new price
19- Termination the PH cannot continue paying
- for the plan and opts to surrender it.
ACV
Annual Cash Value (ACV) - attained value of paid
installments
201. Plan Application use UPA to evidence
application
Note On Plan Data, check Others and write
SERENITY GOLD on the space provided
- Plan Contract - 1 Plan Contract to evidence
acceptance - and approval by Prudentialife
3. Certificate of Full Payment (CFP) - 1
Certificate of Full Payment to certify full
payment or ownership of a fully paid
plan
21bundled
quality metal
marble
6
2
1
9
3
22donated
30
FPG
2350
100
FAF
63.36
5
quarterly
24transferred
Assignment
fully paid
updating
reapplication
25paid
Plan Contract
full payment/ownership
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30A Traditional Life plan with Hospitalization
Reimbursement Benefit
For METRO MANILA PROVINCIAL AREAS
Individual Planholders
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32 TYPES OF PRODUCTS
- PrimeLife Classic
- Casket is made of delicately crafted wood with
full length glass for full viewing. Expertly
carved supports and corners with impressive
handles. With appropriate interior lining - PrimeLife Premier
- Casket is made of quality metal. Single lid with
half glass for - half viewing. Full-length handles. Artistic
supports and - corner. Interior of quality fabrics
- All other features and benefits remain the same.
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34- Be on call 24 hrs. a day
- through our Prudentialife Hotline
- 893-0367 (for Metro Manila only)
35- See to it that the body is
- - cleaned and bathed
- - embalmed
- - applied with professional cosmetics
- Provide the chosen casket
- Provide for autopsy when needed authorized by
the family - Provide viewing arrangements
36- Assist the family in arranging for the purchase
of the lot, niche, or crypt - Assist in the publication of obituary notices
- Necessary permits
- Registration of Death Certificate
- Certified true copies of death certificate
tdd/ASANI/2000
37- Facilities and equipment for viewing
- Registry book and pen
- Selection of pallbearers
- Proper lighting effects
- Details of interment date and time
- Procession route
- Assist the family in seeing to it that the
interment site is arranged and prepared. - Funeral records
38- Funeral cortege
- Appropriate funeral coach
- Other requests relative to the funeral cortege
- Proper epitaph and appropriate marker
- Arrangements with a priest or minister
- Complete statement of charges
-
39- Reasonable assistance to effect services outside
15 km distance - If death occurs outside the Philippines,
reasonable assistance shall be given - Second mortuary
- Whether it falls in the regular duty or not, use
all reasonable efforts to provide any extra
service
40A Planholder should be living anywhere within a
15 kilometer radius from any PLPI office or
Certified Servicing Mortuary.
15 kilometers
If not, the Planholder should agree to the
terms that we cannot assure Prompt Memorial
Service.
41PLANHOLDER (18 60 YRS. OLD) The person who owns
the plan. Whose name and signature appears on the
plan application
BENEFICIARY The person/s designated by
the Planholder to receive the benefits of the
Plan should the Planholder pass away
42CO-PLANHOLDER (18 55 YRS. OLD)
- The designated insurable
- spouse
- child
- parent
- brother
- sister
asa/tdd/2000
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44The Product
- The Hospitalization Reimbursement coverage is
during the paying period of maximum five (5)
years and before PH reaches age 65.
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49There are only three (3) items that are subject
to the per surgical schedule or percentage
limit.
- Surgeons Fee
- Anesthesiologists Fee
- Operating Room Fee
50Example 1 Amputation of 1 Breast radical
Item Eligible Expense Percentage
Limit (listed in the table)
(back of COI) Surgeons Fee P50,000.00
75
so P50,000 x .75 Equals P37,500.00
This tells us that the maximum reimbursement for
Surgeons Fee in a breast amputation procedure is
P37,500.00 only.
51Example 2 Gastrectomy
Item Eligible Expense Percentage
Limit (listed in the table)
(back of COI) Anesthesiologists Fee
P17,500.00 100
so P17,500 x .100 Equals P17,500.00
This tells us that the maximum reimbursement for
Anesthesiologists Fee in Gastrectomy is
P17,500.00.
52- has been diagnosed/treated prior Contract Date
- has been evident to PH prior Contract Date
- can be determined to have started prior Contract
- Date based on its pathogenesis or natural
history
53Coverage Exclusions
- congenital conditions and neo-natal defects
- unnecessary care or treatment or that which
- is payable by another coverage/plan
- self-inflicted injuries
- 3.a. due to insanity
- 3.b. resulting from alcoholism
- 3.c. from sports or hobby
- 3.d. in an attempt to save human life
-
54Coverage Exclusions
4. cosmetic plastic surgery, routine physical
exam, dental care treatment, and eye
examinations
5. injuries or disability arising out of war
6. pregnancy-related contraceptive devices
treatment of infertility or impotence
7. HIV, AIDS, related complex, or any mutation
8. elective confinements
55To file for a claim
- PH submits original or certified copy of receipts
- and other documents listed at the back of
COI - to PLPI Plan Benefits Department
- Reimbursement claims should be filed within
- ninety (90) days from confinement
- Check shall be released through PLPI Plan
- Benefits Department or nearest branch office
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60 Prices are inclusive of EVAT
61sold or donated to a living person
- During paying period only
- Only applicable remaining benefits shall be
transferred
- New PH is subject to 1-year contestability period
622. Assignment
sold or donated to a deceased person
- Balance must be fully settled
- Hospitalization Reimbursement Benefit shall be
terminated
63Unpaid still
What if plan lapses?
Grace Period
Due date
Lapsed!
2 months
Dec 2, 2007
Oct 1, 2006
Until Dec 1, 2007
3. Reinstatement
Update - pay arrears, penalty charges, etc.
Note PH is subject to 1-year contestability
period and 1-year pre-existing condition clause.
64- Termination the PH cannot continue paying
- for the plan and opts to surrender it.
ACV
Annual Cash Value (ACV) - attained value of paid
installments
651. Plan Application use UPA to evidence
application
Note On Plan Data, check Others and write
PRIMELIFE on the space provided
2. Co-PH Declaration Form to process
coverage for Dual Protection Benefit for
the co-Planholder
3. Plan Contract to evidence acceptance and
approval by Prudentialife
664. Certificate of Insurance (COI) to evidence
hospitalization reimbursement coverage
5. Certificate of Full Payment (CFP) - 1
Certificate of Full Payment to certify full
payment or ownership of a fully paid
plan
67hospitalization reimbursement benefit.
quality metal
6
2
1
9
- The maximum hospitalization reimbursement benefit
is - P________ per illness/disability, per year.
148,400.00
68percentage limit/per surgical schedule
pre-existing condition clause
Exclusions
6970
AD D
FAF
70co-PH
- The Money-Back Benefit is a benefit that pays PH/
- Beneficiary 100 of the Contract Price, _____
years after - the plan should have been fully paid.
15
transferred
71pre-deceased
fully paid
updating
accrued value
72Plan Contract
Certificate of Insurance
P95.05
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