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Wednesday, October 9, 2013

What is Restore of Insurance Sum Assured?

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Restore is again the reinstatement of the sum assured in a policy but with different conditions. The Restore feature is with Apollo Munich Optima Restore plan. Policy wordings of Apollo Munich Optima restore explains restore as :

If the Basic Sum Insured and multiplier benefit (if any) is exhausted due to claims made and paid during the Policy Year or made during the Policy Year and accepted as payable, then it is agreed that a Restore Sum Insured (equal to 100% of the Basic Sum Insured) will be automatically available for the particular policy year, provided that:

a) The Restore Sum Insured will be enforceable only after the Basic Sum Insured inclusive of the Multiplier Bonus ,have been completely exhausted in that year; and

b) The Restore Sum Insured can be used for only future claims made by the Insured Person and not against any claim for an illness/disease (including its complications) for which a claim has been paid in the current policy year;

c) The Restore Sum Insured will only be applied once for the Insured Person during a Policy Year;

d) If the Restore Sum Insured is not utilised in a Policy Year, it shall not be carried forward to any subsequent Policy Year.

The above exhibit clearly shows that Restore benefit will get activated only when the basic sum assured plus accumulated bonus will become ZERO. As in the above example in the case of second claim the sum assured was still there in the policy in all scenarios, so the restore benefit does not get activated.

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