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7da85dce322e6e97e15a64a851c68cea3462aaa2661e7d32c02ae87eb70c6296 Page 1 of 17
LIDDY JANE B. GARRO
HealthCare
Cash Plan
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Hello!
Welcome to the
Paramount Direct
family.
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HealthCare Cash Plan
Contract and Insuring Clause Consideration At the end of each ten or twenty-year period,
and provided that you have not attained age
In this Policy you, the Insured, and any other This policy is issued to you in consideration of 56 (for the next 5 Year Payment 10 Year
Covered Family Members, will be referred the application and the payment of the Initial Coverage) or age 51 (for the next 10 Year
to as you or your and Paramount Life & Premium stated in the Schedule. Payment 20 Year Coverage), you may renew
General Insurance Corporation will be referred your Policy for a further ten or twenty-year
to as we, our, us or PLGIC. We agree, Effectivity of Coverage period. To renew you must submit proof of
subject to the provisions of this Policy, to pay insurability acceptable to PLGIC and pay the
Coverage under this Policy shall take effect
the appropriate benefits provided under this premium due based on attained age according
on the date this Policy is issued, or the Initial
Policy, upon receipt by PLGIC of due proof that to the rates prevailing at the time of renewal.
Premium is paid, whichever occurs later.
your Hospital Confinement occurred while this
Right to Examine Policy
Policy is inforce. Guaranteed Continuity
This Policy, including the application for it and If for any reason you are not satisfied with this
We guarantee the continuity of this Policy
any endorsements attached to it, constitutes Policy, you may return it to us within ten (10)
until the Expiry Date stated in the Schedule
the entire contract of insurance. days after receipt, by mailing it to Paramount
provided that the effective premium is
Life & General Insurance Corporation, Sage
consecutively paid when due or within the
Only the Chairman of the Board, President, House, 110 V.A. Rufino Street Legaspi Village,
31-day Grace Period. We also agree that the
Executive Vice President and any other Makati City. Immediately upon such delivery
premium will not be adjusted unless the
officer duly authorized by Paramount Life to us, the Policy shall be void from its Date of
adjustment is based on the experience of all
Board of Directors may make or modify this Issue and any premium paid will be refunded
similar policies issued by Paramount Life and is
contract, extend the time for payment of any to you.
made on all such policies.
premium, waive any of Paramount Lifes rights
or requirements or bind us by making any We shall not have the right to change the
promise not contained in this Policy. premiums on your Policy solely because of any
change in your health or your individual claims
history.
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HealthCare Cash Plan
DEFINITIONS
Sickness Dread Disease Clinical diagnosis does not meet this standard.
Whenever the requisite positive diagnosis
Sickness means illness or disease which Dread Disease means only cancer, of cancer can only be made by postmortem,
begins after the Effective Date of this Policy poliomyelitis, muscular dystrophy, multiple Paramount Life shall assume retroactive
and while this Policy is inforce and results in sclerosis, cirrhosis of the liver or emphysema. liability. Such retroactive liability shall be limited
Hospital Confinement. If sickness is the result to the period of time beginning with the date
Cancer means a disease manifested by the
of a pre-existing condition, the Pre-Existing of terminal admission to the hospital, but in
presence of a malignant tumor characterized
Conditions Limitation as provided in the Policy no event to exceed eight (8) weeks prior to the
by the uncontrolled growth and spread of
Conditions will apply. demise of the Insured.
malignant cells, the invasion of tissue or
Injury leukemia. Such cancer must be positively so Doctor
diagnosed by a doctor or pathologist either
Injury means an injury caused solely and during the Insureds lifetime or as disclosed by Doctor means a legally qualified physician
directly by violent, accidental, external and a postmortem examination. The pathologist other than you or a member of your
visible means and resulting solely, directly and establishing the diagnosis shall base his immediate family.
independently of any other cause which occurs judgment solely on the accepted criteria of
after the Effective Date of this Policy and while malignancy after a study of the histocytologic
this Policy is inforce and results in Hospital architecture or pattern of the suspected tumor,
Confinement. tissue or specimen.
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HealthCare Cash Plan
BENEFIT PROVISIONS
Hospital Any child born to you and your spouse Hospital Confinement Due to
during the effectivity of this Policy shall be
Hospital means a legally constituted
Dread Disease
automatically included in the coverage of this
institution registered as a hospital or clinic Policy effective either on the 90th day after If a Sickness results to your Hospital Confinemen
with the Department of Health, is open at all birth or upon discharge of said child from the or the Hospital Confinement of a Covered Famil
times, provides 24-hour nursing service by hospital, whichever shall last occur. Member, and if such Confinement is due to
trained nurses, and providing facilities for Dread Disease, we will pay periodically the Daily
diagnosis and major surgery, but shall not Hospital Confinement Dread Disease Cash Benefit specified in t
include any hospital, clinic or facility contracted Schedule during the continuance of such Hospital
Hospital Confinement means confinemen
for or operated by the Philippine Government Confinement commencing from the first d
in a hospital for at least 18 hours as a resident
primarily for the treatment of members or of such Hospital Confinement for a maximu
patient for the treatment of Sickness or Injury
ex-members of the armed forces, and shall period of 1,000 days.
and which is recommended by a Doctor.
not include any institution used other than
incidentally, as a place of rehabilitation, rest,
Issue Date Hospital Confinement Due to an
for the aged, for drug addicts, or for alcoholics, Injury or Illness
a mental institution, nursing or convalescent Issue Date means the date on which this (other than Dread Disease)
home or geriatric ward. Policy is issued by us.
If Sickness or Injury other than Dread Disease
Covered Family Member Policy Date results to your Hospital Confinement or the
Hospital Confinement of a Covered Family
Covered Family Member means your spouse Policy Date means the date on which the Member, we will pay periodically the Daily
and any unmarried legitimate or legally Initial Premium is due. Hospital Cash Benefits specified in th
adopted child over 90 days of age and under
Schedule during the continuance of such
the age of 21 years who resides with you and
Hospital Confinement commencing from the
who is specified in the Application Form.
first day of such Hospital Confinement for
maximum period of 1,000 days.
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HealthCare Cash Plan
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POLICY CONDITIONS
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HealthCare Cash Plan
as harelip, clubfoot, hernia, heart defect, payment shall stop but your insurance coverage Lapse and Reinstatement
abnormal bone or muscular growth; drug shall continue for another five or ten-yea
addiction; continued excessive or compulsive period up to the Expiry Date as indicated in If any premium after the first is not paid within
use of alcoholic drinks; declared or undeclared the Schedule. Premiums may be paid monthly, the time allowed for payment, this Policy will
war or civil strife; ionizing radiation or quarterly, semi-annually or annually, at any lapse. It may be reinstated at any time within
contamination by radioactivity from any offices of Paramount Lif three (3) years on production of evidence of
nuclear fuel or any nuclear waste; routine insurability satisfactory to us, and payment
physical check-up and rest cures; cosmetic Grace Period of past due premiums with interest at the
surgery. Neither does this policy cover any prevailing rate. The reinstated policy shall
hospital confinement or charges incurred A Grace Period of Thirty-One (31) Days will be cover only loss resulting from Injury sustained
for the treatment of Acquired Immune allowed for the payment of each premium after after the date of reinstatement and loss
Deficiency Syndrome (AIDS) nor charges for the first, during which time this Policy will remai resulting from Sickness which began more
the examination, immunization and detection inforce. If a Hospital Confinement occurs durin than ten (10) days after such date. In all other
of human immune deficiency virus and other the period of grace, any premium then due and respects, you and we shall have the same
related viruses. unpaid shall be deducted from the amount rights as existed under the policy immediately
payable in settlement under the Policy. before the expiry of the Grace Period, subject
Payment of Premiums to any restrictions which are attached in
connection with the reinstatement.
Premiums are due and payable on the Policy
Date and on each subsequent premium
due dates for a period of five or ten years a
specified in the Schedule; thereafter, premiu
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HealthCare Cash Plan
How to Make Claim We may, at our own expense, examine a Misstatement of Age
claimant whenever reasonably necessary
Notice of claim must be given to us within during the pendency of claim hereunder. If your date of birth or the date of birth of a
fifteen (15) days of hospitalization. The Covered Family Member has been misstated,
failure to give notice within this time shall not Upon receipt of a notice of claim, we will all Benefits payable under this Policy shall b
invalidate a claim if it was shown not to have supply you with such forms as are usually adjusted to the amount that the premium would
been reasonably possible to give such notice. furnished by us for confirmation of Hospital have purchased at the correct age. If according
In this case, notice must be given as soon as Confinement. to your correct age you are not eligible for
was reasonably possible. coverage under this Policy, our liability shall be
Payment of Benefits limited to the return of premiums paid.
To make a claim, you need only return,
All accrued Benefits which this Policy
properly completed, the claims form which will
provides will be paid upon discharge from
Residence
be provided by us upon request.
the Hospital. However, in the event of a You are eligible for coverage under this
This formality and obligation has one basic Hospital Confinement for a period exceeding Policy only if, at the Date of Issue, you and all
purpose in mind - to enable us to make fourteen (14) days, we will, at your request, Covered Family Members are permanently
claim payments as quickly as possible. If this make periodical payments. All Benefits will residing in the Philippines.
information is not provided, claims payment be payable to you or to your estate in case of
might either be delayed or refused. death.
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HealthCare Cash Plan
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Any person who advises you to discontinue this Waiver of Article 1250 of
or any other Policy in order to take another in
its place is seeking to profit at your expense.
the Civil Code
Insist upon putting his proposal in writing and In determining the extent of liability under
then submit it to Paramount Life & General the provisions of this Policy, the provision of
Insurance Corporation, Sage House, 110 V.A. Article 1250 of Civil Code quoted below shall
Rufino Street, Legaspi Village, Makati City, for not apply.
analysis and explanation.
In case an extraordinary inflation or deflati
Whenever this Policy is required for submission of the currency stipulated should supervene,
to the Home Office for whatever reasons the value of the currency at the time of the
please do not give it to any unauthorized establishment of the obligation shall be the
person but send it directly to Paramount Life or basis of payment...
through any of its District or Agency Office
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HealthCare Cash Plan
% of Maximum % of Maximum
Surgical Operation Surgical Benefit Surgical Operation Surgical Benefit
Abdominal and Pelvic Cavity Tonsillectomy 12
Adenoidectomy 15
Cutting into abdominal or pelvic cavity for diagnosis or
treatment of organs therein (except curettage, repair 100 Sinus operation by cutting (puncture of antrum excepted) 15
of perineal lacerations, or amputation of cervix) Puncture of antrum, one or more 5
Curettage 10 Submucous resection or turbinectomy 12
Repair of perineal lacerations not immediately postpartum 25 Eye
Amputation of cervix 25 Any cutting operation into the eyeball
25
Amputation of (through the cornea or sclera)
Thigh 100 Removal of Eyeball 25
Leg, entire foot, arm, forearm, or entire hand 25 Eye: Any other cutting operation on eye or eyelid 5
Thumb, fingers, or toes, each (one entire phalanx) 5 Genito-Urinary Tract
Breast Removal of tumors or stones in kidney, ureter or bladder
By cutting operation 50
Amputation (complete, including extirpation
100 By transurethral method 12
of axillary glands)
Removal of cysts or benign tumors 10 Removal of Kidney 100
Abscess (furuncies excepted) 12 Stricture of urethra open operation 25
Intraurethral cutting operation 12
Chest
Removal of prostate by open operation 50
Cutting into thoracic cavity for diagnosis or
25 Removal of part of prostate by transurethral method 7
treatment (tapping excepted)
Cystoscopy (one or more) 8
Bronchoscopy, one or more 25
Varicocele, cutting operation 8
Induction of artificial pneumothorax 12
Hydrocele, excision and treatment of sac (tapping excepted) 12
Paracentesis (tapping) 7
Complete Thorecoplasty 100
Obstetrical None
Eye, Nose or Throat Goitre
Thyroidectomy 100
Mastoidectomy
Ligation of thyroid arteries only 25
One Side 35
Both Sides 50
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HealthCare Cash Plan
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HealthCare Cash Plan
CONVALESCENCE BENEFIT
Policy Plan Plan Plan Plan Plan Plan Plan Plan Plan Plan Plan Plan Plan Plan Plan Plan Plan Plan Plan Plan
Year 250 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 3250 3500 3750 4000 4250 4500 4750 5000
Year 1 P5,000 P10,000 P15,000 P20,000 P25,000 P30,000 P35,000 P40,000 P45,000 P50,000 P55,000 P60,000 P65,000 P70,000 P75,000 P80,000 P85,000 P90,000 P95,000 P100,000
Year 2 5,500 11,000 16,500 22,000 27,500 33,000 38,500 44,000 49,500 55,000 60,500 66,000 71,500 77,000 82,500 88,000 93,500 99,000 104,500 110,000
Year 3 6,000 12,000 18,000 24,000 30,000 36,000 42,000 48,000 54,000 60,000 66,000 72,000 78,000 84,000 90,000 96,000 102,000 108,000 114,000 120,000
Year 4 6,500 13,000 19,500 26,000 32,500 39,000 45,500 52,000 58,500 65,000 71,500 78,000 84,500 91,000 97,500 104,000 110,500 117,000 123,500 130,000
Year 5 7,000 14,000 21,000 28,000 35,000 42,000 49,000 56,000 63,000 70,000 77,000 84,000 91,000 98,000 105,000 112,000 119,000 126,000 133,000 140,000
Year 6-10
7,500 15,000 22,500 30,000 37,500 45,000 52,500 60,000 67,500 75,000 82,500 90,000 97,500 105,000 112,500 120,000 127,500 135,000 142,500 150,000
or 6-20
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And please keep
me in a safe place.
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A division of:
11th Floor, Sage House, 110 V.A. Rufino St.
Legaspi Village, 1229 Makati City
www.paramountdirect.com
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