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आकस्मिक अस्वस्थता सुरक्षा

सानिमा बैंकले मेट लाइफ इन्स्योरेन्स कम्पनीको समन्वयमा सबै बचत खातामा रु ३००,००० को जीवन बीमा सुरक्षा र रु २५,००० को टर्म लाइफ इन्स्योरेन्सको सुविधा ल्याएको छ ।
सानिमा बैंकको बचत खातावालाहरूले ६ गम्भीर रोगको बीमा सुविधाहरू प्राप्त गर्न सक्दछन् जसले मुख्य क्यान्सर, स्ट्रोक, पहिलो हृदयघात, गम्भीर कोरोनरी आर्टरी रोग, हार्ट भल्भ सर्जरी र प्राइमेरी पल्मोनरी हाइपरटेन्सन कभर गर्दछ। सबै पूराना वा नयाँ बचत खातावालाहरू यस योजनाको लागि योग्य हुनेछन्।

  • Insurance coverage of Rs. 300,000.00
  • Term Life Insurance of NPR 25,000.00
  • Coverage of 6 critical illnesses
  • Applicable for all Saving account holders

• Age: Above 16 to below 60 years
• Monthly Minimum Balance: 
          • Special Salary Account: NPR 25,000.00
          • All other Savings Account: NPR 100,000.00
• All the existing account holders has to enroll, to get this benefit

  • This Insurance plan covers all new & existing saving accountholders who are natural person with good health and age 16 years completed and not reached 60 years, who maintain minimum required balance in whole month and who signs “Health Declaration.The critical illness coverage for eligible saving accountholders commences only after the Waiting Period of 30 days from the date of enrollment into individual coverage.  

    All eligible new & existing saving deposit account holders - after the Policy is in effect – will be enrolled into this insurance plan commencing the coverage from the first day of the following month (Bikram Sambat) of account opening or subject to meeting above criteria or requirements. 

    Please contact or visit our branch offices for detail of this scheme.

  • Critical Illness coverage shall not be effective or does not cover the insured for the first 30 days from the date of enrollment into individual coverage.

  • i. This covered Critical Illnesses under this plan are Major Cancers, Stroke, First Heart Attack, Serious Coronary Artery Disease, Heart Valve Surgery,Primary Pulmonary Hypertension. (Coverage amount equal to Rs. 300,000) The covered Critical Illnesses under this plan are listed and defined in the Policy under “Definition of Critical Illness."

    ii. Term Life (Coverage amount equal to Rs. 25,000) Pre-existing medical conditions related to critical illnesses are excluded in addition to other exclusions stated in the policy. For detail of the insurance coverage and exclusions, please refer to “Summary of Insurance Coverage"

  • Our Insurance Partner of this Plan is American Life Insurance Company, MetLife Nepal.

  • Yes. The coverage under this plan provides 24 hours a day and 365 days a year worldwide protection.


  • No. Bills are not required. Only diagnosis documents and physician statement are required for claim. It’s simple. 

  • No. Eligible Accountholder should not pay any cost.  The Bank itself will pay the premium for insurance coverage on behalf of eligible accountholders. 

  • Yes. You are eligible for the Insurance coverage. 

  • No. Family members are not eligible. The family members who are eligible as mentioned above (1) can participate under this plan opening separate new saving account on their names.  

  •  
    No. Such accountholders are not eligible to signthe Health Declaration Form and not eligible for enrollment under this plan. In such pre-existing conditions, no insurance benefit or claim shall be payable.

  • No. The coverage discontinues on both cases.

     

  • Critical Illness claim is payable only one time in insured’s life.


  • Critical Illness coverage on Insured shall be terminated after the payment of Critical Illness benefit to the insured and such insured shall not be eligible for Critical Illness coverage thereafter. However, Term Life coverage on such insured can be continued as long as the Group Master Policy is in force and his or her enrollment is active. 

  • In case of death of insured accountholder, the insured amount under Term Life shall be paid in lump-sum to insured’s legal heir.

  • The valid claims per the Critical Illness definition mentioned in Policy “Definition of Critical Illnessshall be paid if the claimant provides all documents with proof of diagnosis to the Insurance Company within one (1) year from the date of diagnosis of Critical Illness or loss of life. 

  • Critical Illness claim is paid if the Insured accountholder is diagnosed to be suffering from a critical illness listed and defined in Policy “Definition of Critical Illness while insured is still living at the time of diagnosis subject to applicable waiting period and Pre-existing conditions. In case of death of such insured after the diagnosis, the insured amount under Term Life shall also be paid in lump-sum to insured’s beneficiary or legal heir.

     

     

  • Claim process and required claims are mentioned in “Claim Requirements”  , Claim Form Death , Claim Form CI Disability, Physician Statement CI Disability  . Please contact our branch office for assistance.

  • The claim process and list of required documents for claim is mentioned in “Claim Requirement. Please contact our branch office for assistance.

  • Claim payment in normal course, except exceptions will be 10 - 15 working days for valid claims from the date of complete claim documents receipt from the claimant.

     

  • Tax does not apply to the Death claim amount, however as per the Nepal Income Tax Act, the TDS tax 5% is applicable on Critical illness claim amount currently and such tax rate is subject to change as per amendments on such act by Nepal Government. 

     

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