ProCare

What are the key benefits of ProCare?

ProCare offers the following benefits:

Critical Illness Benefit - ProCare provides a lump sum settlement of up to $3 million upon the first diagnosis of any of the following 9 major illnesses: 1. Heart attack 2. Cancer 3. Stroke 4. Major burns 5. Paralysis 6. Loss of Speech 7. Deafness 8. Blindness 9. Coma

Ambulance Benefit - A one-time benefit of a maximum of $7,000 will be paid if an ambulance is used to transport the Life Insured at the time of the first diagnosis of Heart Attack, Cancer, Stroke, Major Burns or Paralysis, Loss of Speech, Deafness, Blindness or Coma.

Death Benefit - A death benefit of 100% of the all Basic premiums (excluding policy fee) will be paid to the beneficiary if the Life Insured dies as a result of an accident or illness not covered under the policy.

No Claim Benefit - A no claim benefit of 100% of all Basic Premiums paid, will be paid to the Life Insured upon the expiry of the policy provided the contractual premiums are paid up to the expiry date.
No benefit will be paid if the first diagnosis of a critical illness is within 180 days from policy commencement date or date of reinstatement.

Who is eligible for the Critical Illness Plan?

The owner must be at least 18 on the last birthday before the Policy Issue Date. The Insured can be between 18 and 60 at issue. The owner and insured can be two different people.

Can a person be insured under more than one policy?

Yes – a person can be insured under more than one ProCare policy subject to the maximum coverage of $2,000,000.

Does this product have a requirement for a defined relationship between the owner and insured?

Yes – the relationship between the Owner and Insured must satisfy insurable interest. The relationships allowed are 1. Owner insures self 2. Owner insures wife or husband 3. Employer/ employee allowed – Key Man insurance Note: If a customer wants to purchase a policy for a parent/ aunt/ uncle/ child over 18 years the customer will be required to set up the parent/ aunt/ uncle/ child over 18 years as both the Owner and Insured and the customer as the payor.

How does the amount of coverage selected for ProCare affect the coverage maximum for OMNI products and Protection Plans?

For the purpose of maximum insurance coverage, the OMNI products and Protection Plans are considered as two separate types of products. The maximum insurance coverage under OMNI products is $500,000. A customer may also have the maximum coverage under the ProCare of $3,000,000 and ProVision of $1,000,000.

Are there any medical questions / medical exam for the insured?

No medical or response to health questions required. Only a declaration of health is made on the Application form relating to AIDS / HIV and previous critical illnesses.

Is there a cash value?

No – this policy does not accumulate a cash value.

What is the minimum premium?

Premium is based on the coverage selected, age of the Insured on the policy date and gender and is subject to a minimum Contractual Premium of $6,000 per annum.

What is the maximum Sum Insured for ProCare?

$3,000,000.

Are the premiums and benefits indexed for inflation?

No, premiums and sum insured remain the same for the life of the policy.

Are premium rates guaranteed?

Premiums are level for the duration of the plan. However, NCBIC can increase the premium rates for all policyholders during the life of the policy. No individual policyholder will be singled out for a premium increase.

At policy issue, is backdating allowed so the customer can take advantage of a lower premium rate?

No backdating is permitted.

Can a policy be reinstated?

Yes, NCBIC’s may agree at its discretion to reinstate a policy on payment of all outstanding premiums and interest as required by NCBIC and subject to a new declaration of health. Application for reinstatement must be within 180 days of premium due date. Reinstatement will result in a further elimination period of 180 days from the date Declaration of Good Health and a further 2-year contestability period for the new Declaration of Health.

Are there any restrictions on the policy?

NCBIC will not pay benefits for critical illnesses arising from conditions for which medical treatment or advice was given prior to the Policy Issue Date or during the first 180 days of the Policy (the “Elimination Period”). These are called “pre-existing conditions” and are excluded from coverage.
The Company will not cover critical illnesses that are diagnosed after the Elimination period, but which displayed symptoms before the Elimination period for which no medical consultation was sought.
Illnesses or conditions arising from self-inflicted harm, whether sane or insane, or caused by action while committing or attempting to commit a felony will be excluded.

Who has to make the diagnosis of a critical illness?

Your own doctor or hospital doctor can make the diagnosis, but NCBIC reserves the right to ask for additional information, and this may include a second opinion.

What if I live outside of Jamaica?

NCBIC reserves the right to require additional information. This may be a second opinion by our own doctor. If you live outside of Jamaica, your own doctor can make the initial diagnosis and we will confirm if we need additional information.

What happens if I die from a condition other than those defined in the policy?

The Company will pay to the beneficiary 100% of the basic premiums paid up to the date of death (i.e. premiums excluding policy fee).

What if I have a heart attack and die straight away?

NCBIC will pay the full Sum Insured as a Critical Illness Benefit Claim to the Beneficiary Designated by the Owner.

How quickly will NCBIC pay the Sum Insured?

NCBIC will pay the benefit as soon as we are able to obtain all the medical information and other claims information that we might need.

What is the No Claim Benefit and when is it paid?

At the end of the policy term (the Expiry Date) NCBIC will pay a No Claims Benefit of 100% of the Basic premiums (i.e. premiums excluding policy fee).

Who gets paid what?

Critical Illness Benefit – paid to the Life Insured (or the Beneficiary if the Life Insured dies from of one of the five listed Critical Illnesses).
Ambulance Benefit – paid to the Life Insured (or the Beneficiary if the Life Insured dies from of one of the five listed Critical Illnesses).
Death Benefit – paid to the nominated Beneficiary (if cause of death is other than from one of the five listed critical illnesses.
No Claims Benefit – paid to the policy Owner.

Who can be named as Death Benefit Beneficiaries?

* The Owner may nominate one or more person(s) as Beneficiary for the Death Benefit. (Recommend a maximum of 4 beneficiaries) * Beneficiaries may be changed, subject to conditions * A minor can be named, but requires a Trustee * It is recommended that beneficiaries be designated as revocable.