Premiums as low as Rs12/day for coverage of Rs.4 Lakhs*
10,000+ hospitals for cashless treatment
Claim up to Rs. 55,000 deduction under section 80D**
Universal Sompo Saral Suraksha Bima is a micro insurance policy that provides coverage for the low-income segment of the country. This is a fixed-benefit cover that pays the chosen sum insured amount following an eventuality. This policy provides coverage against various critical illnesses, accidental death, and permanent total disability. The premium for this micro insurance policy is priced low to ensure that people from the low-income segment can easily access this coverage.
Eligibility for Universal Sompo Saral Suraksha Bima
People who meet the following eligibility criteria can be enrolled in this policy:
The entry age of the proposer must be between 18 years and 65 years.
Children can be covered from the age of 10 years.
Unmarried dependents are covered till the age of 25 provided at least one of the parent is also covered alongside.
This policy can be renewed throughout one’s life when entered within the above mentioned entry age.
Features of Universal Sompo Saral Suraksha Bima
Universal Sompo Saral Suraksha Bima comes with the following features:
The three options for critical illness sum insured are Rs.10,000, Rs.20,000, and Rs.25,000.
For personal accident coverage, the three sum insured options are Rs.20,000, Rs.40,000, and Rs.50,000.
The sum insured amount chosen at the time of enrollment can be increased at the time of renewal provided there were no prior claims on the policy.
There is a general waiting period of 90 days before any claim can be made under this policy cover.
For critical illness, there is a survival period requirement of 30 days. In other words, there will be no compensation for death within the first 30 days of diagnosis of a named critical illness.
Pre-existing conditions are covered under this policy after 48 months of continuous coverage.
This policy is valid for a period of one year and it must be renewed annually. A grace period of 30 days is allowed from the date of expiry to renew this policy cover.
In the first 15 days of policy commencement, you can review the terms and return it if you are not satisfied.
Since this is a fixed-benefit policy, you have the option of nominating a beneficiary. In the absence of a nominee, the benefits will be provided to the legal heir.
Universal Sompo allows portability to and from other insurers in the market. The company must be notified at least 45 days before the renewal date in order to proceed with the portability option.
Income tax relief is provided towards the premium amount paid for this policy cover as per Section 80 of the Income Tax Act.
Benefits of Universal Sompo Saral Suraksha Bima
The benefits provided under Universal Sompo Saral Suraksha Bima policy can be given as follows:
Benefits
Extent of Coverage
Critical illness
Cancer of certain severity
Stroke resulting in permanent symptoms
Kidney failure
Coronary artery bypass grafting
Bone marrow/major organ transplant
Lump sum payment of full sum insured amount following first diagnosis
Accidental death of the insured
Lump sum payment of the full sum insured amount
Disability due to:
Loss of both eyes
Loss of two limbs
Loss of one eye and one limb
Lump sum payment of the full sum insured amount
Partial disability due to loss of one eye or one limb
50% of the sum insured amount
Permanent disability as certified by a qualified medical practitioner
Lump sum payment of the full sum insured amount
Exclusions of Universal Sompo Saral Suraksha Bima
The following list of exclusions apply to Universal Sompo Saral Suraksha Bima policy:
Intentional self-injuries, suicide or attempted suicide
Injuries or illnesses caused under the influence of alcohol
Any consequences arising out of alcoholism or addiction to tobacco
Treatment for sexually transmitted diseases including HIV and AIDS
Death or injury resulting from participation in extreme sports
Death or injury caused while breaching the law with criminal intent
Injuries that can be attributed to war or warlike activities
Injuries or illnesses resulting from exposure to ionizing radiation or nuclear waste
Congenital diseases, birth defects, or anomalies
Claim Procedure
Upon any event (accident or critical illness) that may give rise to a claim, the company must be notified immediately within a maximum of one month. Death claims must also be filed by the nominee within one calendar month. The insured can call the company’s call center about the claim or visit the branch office of Universal Sompo and provide it in writing. Any authorised person in the company can direct you on how to make the claim. The following documents may be requested by the company while filing a claim:
Duly filled claim form
FIR copy (accidents)
Doctor certificate, discharge summary, medical bills (critical illness)
Death certificate/post mortem report (for death claims)
Physician certificate for disability (disability claims)
Diagnostic reports
Any other documents that may be requested by the insurer
Once these documents are submitted to the company, the company will start with the verification process. The company will announce the acceptance or rejection of a claim within a maximum of 30 days. If the claim is accepted, the reimbursement amount will be provided to the insured person within a maximum of 7 days.
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They reject all claims without proper reason. I personally experienced it. My claim of hospital bill was rejected giving any wrong reason. I urge all people, never take any policy of apollo munich. claim ID: 948912 case ID:5208987. Anyone can check my claim. Fraud apollo munich company, Playing with people money.
I have taken the health insurance policy with the STAR HEALTH & ALLIED INSURANCE where i been using the policy since from last few years. The premium i have paid is 11K for this policy, the medical coverage is for 2L 50K for this policy where the coverage is for self.
I have been using the health insurance policy with the ROYAL SUNDARAM GENERAL INSURANCE since from last 4-5 years where i had claim once with this policy. The medical coverage is for 4L for complete family. The premium is nominal with this insurance policy.
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7
DR AMIT KUMAR TIWARI
, bilaspur
Reviewed on Jan 29, 2019
The reason for taking the HDFC ERGO GENERAL INSURANCE health insurance is because i wanted to enhance the medical coverage of this policy. It is a top up plan where i the coverage is for 6L for family. It also includes the pre existing disease coverage.
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2
DR AMIT KUMAR TIWARI
, bilaspur
Reviewed on Jan 29, 2019
The reason for taking the health insurance policy with the NATIONAL INSURANCE is because the service is very good. The premium is nominal also the medical coverage what they have offered is 1L for self coverage. It has the disease coverage also the accidental coverage.
The reason for taking the health insurance policy with the HDFC ERGO GENERAL INSURANCE is because i am an existing customer of life insurance with this HDFC. I had no claim experience with this policy but the medical coverage is for 5L for self.
I am using with the health insurance policy with the BAJAJ ALLIANZ GENERAL INSURANCE from last two years which is a corporate policy where i had no claim experience but the premium i am paying for yearly where half of the amount has been paid by the company. The medical coverage they are providing is for 2L for family.
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1
KARTHIK RAMESH
, kumarakom
Reviewed on Jan 27, 2019
The premium is nominal when compared to the other health insurances with the APOLLO MUNICH so i have taken this health insurance policy. The claim settlement is very good and the customer service is very helpful. I had no claim experience but the medical coverage is for 10L with this policy.
I have been using the health insurance policy with the ICICI LOMBARD GENERAL INSURANCE since from last 10 years where i have paid the premium for 7 years. The customer support is very helpful for getting the claim where i got 60K of claim with this policy. Medical coverage is for 5L for family.
The benefits are good with the UNIVERSAL SOMPO GENERAL INSURANCE health insurance so i have taken this insurance. I had no claim experience with this insurance policy but the premium is nominal and the medical coverage is for 10L and the policy coverage is family.
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1
TAUSEEF ALI SAYYED
, mumbai
Reviewed on Jan 23, 2019
It is the better plan when compared to the others so i have taken the health insurance policy with the HDFC ERGO GENERAL INSURANCE. Premium is nominal and also the medical coverage is satisfactory which gives the medical coverage is for family.
I have taken the HDFC ERGO GENERAL INSURANCE health insurance policy with the where i have paid the premium 4187 and the medical coverage is satisfactory with this policy. I had no claim experience with this policy. I have not got the soft copy as well as the hard copy.
The service is better than others so i have taken this HDFC ERGO GENERAL INSURANCE health insurance policy. I had no claim experience but the medical coverage is for 3L for self. I have not received the soft copy and the hard copy. There is no proper customer followup. The premium i have paid is 8,035.
There is no particular reason for taking the health insurance policy with the CIGNA TTK HEALTH INSURANCE but i had no claim experience with this policy also the medical coverage is satisfactory but i have no idea. Policy coverage is for self.
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2
PAVAN MANIKANTA
, nellore
Reviewed on Jan 23, 2019
I have taken the health insurance policy with the BAJAJ ALLIANZ GENERAL INSURANCE wheeler i have been using it since from last few months where i have paid the premium which is nominal also the medical coverage is for 5L which covers self and my mother.
The reason for taking the STAR HEALTH & ALLIED INSURANCE health insurance policy is because friends suggested. The medical coverage is for 5K where it gives the coverage for 2 persons. It also includes the critical illness, disease coverage.
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5
MAHIPATHI JAYALAKSHMI
, guntur
Reviewed on Jan 22, 2019
I have been using the health insurance policy with the APOLLO MUNICH where i am using it from last few months. I have experienced with no claim experience but the medical coverage they have offered is satisfactory. It gives the coverage for family.
There is no particular reason for taking the health insurance policy with the BHARTI AXA GENERAL INSURANCE where i had no claim experience. The premium i have paid is 3.5k also the medical coverage is for 2L for self. The policy coverage is satisfactory.
I have taken the health insurance policy with the NATIONAL INSURANCE where i ma holding it since from many years but i have no claim experience. The premium is satisfactory and the medical coverage is for 5L for complete family. It includes the illness, disease coverage.
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2
MUKESH SHUKLA A
, faridabad
Reviewed on Jan 22, 2019
I am holding the corporate health insurance policy with the NATIONAL INSURANCE where i am using it since fro last 12 years and i had claim for 3-4 times it includes the cashless also the reimbursement. The medical coverage is for 10L for family.