2. • ABOUT THE COMPANY:
• joint venture of Future Group and the
Generali Group.
• Present in India in both the Life and Non-Life
businesses as Future Generali India Life
Insurance Co. Ltd. and Future Generali India
Insurance Co. Ltd.
3. • Generali Group is one of the leading insurance
groups in Europe, with a 2009 total premium
income of more than € 70 billion
• It is present in 68 countries
• It has 70 million clients worldwide
• It has 85,322 employees (15,956 in Italy)
• It has over € 400 billion of assets under
management
4. VISION STATEMENT
• Vision Statement :
• "Pledged to provide financial security to all people &
enterprises through total insurance solutions"
• Values :
• Respect : for all our stakeholders, for all rules and
regulations
• Indianess : Understand India in all its diversity and
different facets and will understand local market to
respond to specific markets, design our products and
craft our processes.
• "Can Do" : An attitude which demonstrates our
passion, entrepreneurship, and positive thinking.
5. Objective
To provide superior customer service
through our knowledge-based business
partners and employees supported by
innovative products and services.
6. Some products
•
•
•
•
•
•
Future Health Suraksha – Individual
Future Health Suraksha - Family Floater
Future Health Suraksha - Family Floater
Future Criticare
Future Health Surplus
Future Hospicash
7. Health Suraksha Individual Plan
Features
•Designed to meet the needs for today's health problems, it
allows you to live worry free. And enjoy the reliability of
'Health Suraksha' as you live your life to the fullest.
Coverage
The plan covers following benefits:
1. With Health Suraksha, the member has access to cashless
facility at empanelled hospitals across India.
2. Pre and post hospitalisation expenses incurred from 60
days prior up to 90 days after hospitalisation. Ambulance
charges upto Rs. 1500.
3. Pre-existing disease covered after the 4th year
4. FREE MEDICAL CHECK-UP after 4th year
8. Coverage
5. Patient Care Expenses
6. Accompanying Person Expenses
7. Additional Accidental Hospitalisation Limit
8. Grace period of 30 days from date of expiry for renewal.
9. Rs. 50000/- Sum Insured would be available for dependent children only.
10. Porting of similar health policy to Future Health Suraksha as per portability
guidelines
Benefits
•
•
•
•
•
•
Family Floater
Cashless Settlement
Quick settlement of claims
Innovative covers offered
Cumulative bonus
Renewal Discounts
9. Exclusions
• Any condition, ailment or injury or related condition(s) for which
you have been diagnosed, received medical treatment, had signs
and or symptoms, prior to inception of your first policy.
• Any disease contracted during the first 30 days of commencement
of the policy.
• Diseases like cataract, hernia and tumor shall be covered after a
waiting period of 2 years.
• Diseases and surgeries like gallstones, renal stones shall be covered
after a waiting period of 1 year.
• Non-allopathic treatment.
• All expenses related to AIDS and related diseases.
• Joint replacement surgery shall be covered after a waiting period of
3 years except done due to an accident.
• Use of intoxicating drugs or alcohol.
Eligibility
• 5 years to 70 years
• Children entry only after 90 days and would be eligible if the
parents are concurrently insured with Future Generali.
10. Health Suraksha Family Plan
• Benefits
•
•
•
•
•
•
•
In-house Cashless settlement
Innovative covers offered
Quick settlement of claims
No claim cumulative bonus
Subject to no claim, cumulative bonus of 10% on the basic sum insured will be
provided up to a maximum of 50% of the sum insured.
Portability can be offered as per the Portability guidelines.
There will be no loading on premium for adverse claims experience.
Exclusions
Same as individual plan
Eligibility
Max Policy Term
1 Year
Min Age at entry
90 Days
Max Age at entry
70 Years
Renewal Lifelong
Lifelong
11. Future Criticare
.
• Future Criti-Care shall cover the following 12 major medical
illnesses
1. Cancer (cancer of specified severity)
2. Kidney failure requiring regular dialysis
3. Primary pulmonary arterial hypertension
4. Liver failure
5. Multiple sclerosis
6. Major organ/bone marrow transplant
7. Open chest CABG (coronary artery bypass graft)
8. Aorta graft surgery
9. Stroke
10. First heart attack (myocardial infarction)
11. Coma
12. Total blindness
15. Future Health Surplus
This policy covers medical expenses incurred during hospitalization due to accident or
illness.
Policy Coverage
I. Hospitalization cover: Expenses incurred for in-patient hospitalization
are covered. These include Room, Board & Nursing Expenses as provided by
the hospital/nursing home.
II. Expenses for Surgeon, Anaesthetist, Medical Practitioner, Consultants,
Specialists Fees, Anesthesia, Blood, Oxygen, Operation Theatre Charges,
Surgical Appliances, Medicines & Drugs, Diagnostic Materials and X-ray, Cost
of Pacemaker, prosthesis / internal implants and any medical expenses
incurred which is integral part of the operation.
III. Pre–hospitalization expenses incurred within 60 days prior to
Hospitalization on illness / injury sustained.
IV. Post–hospitalization expenses incurred within 90 days after the date of
discharge from the hospital.
16. Salient features of Future Health Surplus
• Family floater is available with coverage for Spouse, and children.
• No Medical examination up to the age of 55 years.
• Pre-policy check 50% cost of the diagnostic tests charges would be
reimbursed by company, for accepted cases wherein policy has been issued.
• There will be no loading on premium for adverse claims experience.
• Insured can opt for Sum Assured from INR 3,00,000 to INR 10,00,000
• Premium paid is exempt under the section 80 D of Income Tax
17. Eligibility
Age of entry: 3 Months – 65 years. Renewable
lifelong.
Children from 3 Months - 5 years can be covered
if both the parents are insured.
Children from 18 years to 25 years can be
covered as self proposer or as dependents.
19. Family Floater Discounts
Premium for the primary insured remains as per table above. For
remaining members discounts applicable on their respective
premium as table below:
Exclusions:
Same as individual policy plan
20. Future Hospicash
• Provides cash benefit in case an insured gets hospitalized.
• Guards against financial burden during hospitalisation.
• Provides fixed benefit for each day of hospitalization irrespective of the actual
medical cost.
• Provides additional protection at all times.
Salient features:
1. Claim for each day of hospitalization as per your plan.
2. ICU benefit available for maximum period of 10 days for each hospitalization and
maximum 20 days during the policy period.
3. The per day benefit will be 2 times when hospitalised in an ICU in the home city
4. The per day benefit will be 3 times when hospitalised in an ICU outside the home city
21. Future Hospicash
5. Additional convalescence benefit of ` 5000 for hospitalization of more than 10 days;
payable only once per hospitalization event.
6. The product is offered from 6 months to 65 years and renewable lifelong.
7. The policy can be on individual Sum Insured basis or on family floater basis,
covering Self, Spouse, and two dependent children (upto 25 yrs).
8. For Individual as well as Family floater plan only one hospitalization benefit plan
across all members needs to be selected.
9. No medical tests required for clean proposal.
10. Premium paid is exempt under the section 80 D of Income Tax.
Max Policy Term
1 year
Min Age at entry
6 months
Max Age at entry
65 years
Renewal
Lifelong
22. Plan Benefits
• Plans A, B, C, D can be offered for different options 30 days / 60 days / 90
days / 180 days
Benefits
Plans
A
B
C
D
500
1000
2000
3000
due to sickness
1000
2000
4000
6000
ICU benefit in home
1500
3000
6000
9000
Daily Hospitalization
benefit
city of
residence. (max. 10
days)
5000
*Maximum benefit available for an individual, is Rs 6000/- per day.
Eligibility
Plan
Plan A and Plan B
Plan C
Plan D
Multiple policies where
per day
Income criteria
Not applicable
Monthly income above Rs 50000/Monthly income above Rs 75000/Eligibility-125 percent of the
insured‟s
23. General Exclusions
1. Pre-existing diseases will be covered after a waiting period of 48 months.
2. Waiting period of 24 months for certain diseases like benign prostatic hypertrophy,
hernia of all types, hydrocele etc.
3. Hospitalization for cosmetic treatments, plastic surgery, refractive error
corrective
procedures, experimental, investigational or unproven procedures or treatments.
4. Hospitalization for General debility, „Run-down‟ condition or rest cure, sexually
transmitted disease, intentional self-injury.
5. Hospitalization for Pregnancy and fertility related treatments.
6. Non-Allopathic Treatment / Hospitalization.
7. Hospitalization for any mental illness or psychiatric illness.
8. Any hospitalization outside India.
24. Group Health Policy
•
Offered to employers to cover their employees under a Group Health Insurance
Policy .
•
Medical insurance covers almost everything- from the time you step into the
hospital to the time you are discharged.
•
Cashless facility eliminating the entire trouble of documentation and direct
settlement of your bills directly with the hospital.
•
In case of additional premium paid Maternity Benefit can be availed.
•
Less than 24 hours hospitalisation for specified procedures like Dialysis,
Chemotherapy, Radio therapy, Eye Surgery, Dental Surgery, Lithotripsy (Kidney
stone removal), are covered.
25.
26.
27. Review from Future Generali Agent
• Ashish Patel…
“We have competitive advantage over PSU insurance company
that they give capping in certain condition like in cataract
surgery while we provide whole sum insured to the patient.”
• Like for eg. If cataract surgery is carried out, PSU insurance
company has capping-means limit for sum insured like for eg.
10%.. it means there is only 10% sum insured coverage.
• While future generali has no capping limit means whole sum
insured is cover.
28. Review from Future Generali Customer
• Vijay Ahmedabad…
“I am really happy with future generali.Saral anand plan is
better than jeevan Anand plan of LIC.I am very happy even I
will recommend to all friends….”
• Anisha Gudimetla,Banglore…
“Worst insurance claim experience ever!!”
33. Comparision of Future Generali with Apollo Munich
Company Name
Policy
Yearly
Yearly
Premium For Premium
1Lac
For 2Lac
Yearly
Premium
For 3Lac
Yearly
Premium
For 4Lac
Yearly
Premium
For 5Lac
Yearly
Premium
For 7.5Lac
Yearly
Renew Till
Premium
Age
For 10Lac
Future Generali – Health
Suraksha Basic (Individual)
Mediclaim
1468
2161
3146
3658
5107
NA
NA
70
Future Generali – Health
Suraksha Silver (Individual)
Mediclaim
1652
2431
3540
4115
5746
NA
NA
70
Future Generali – Health
Suraksha Golden (Individual)
Mediclaim
1835
2701
3932
4572
6384
NA
NA
70
Future Generali – Health
Suraksha Basic (Individual)
Senior Citizens
4154
6967
9419
10967
12210
NA
NA
70
Future Generali – Health
Suraksha Silver (Individual)
Senior Citizens
4675
7837
10597
12338
13736
NA
NA
70
Future Generali – Health
Senior Citizens
Suraksha Golden (Individual)
5193
8708
11775
13709
15262
NA
NA
70
Apollo Munich – Easy Health
Individual Standard
(Individual)
Mediclaim
1208
2537
3626
4633
5625
NA
NA
Lifetime
Mediclaim
NA
NA
4302
5294
6453
NA
NA
Lifetime
Mediclaim
NA
NA
NA
6618
8066
NA
NA
Lifetime
Apollo Munich – Easy Health
Individual – Exclusive
(Individual)
Apollo Munich – Easy Health
Individual – Premium
(Individual)
34. Company Name
Policy
Yearly
Yearly
Premium For Premium
1Lac
For 2Lac
Yearly
Premium
For 3Lac
Yearly
Premium
For 4Lac
Yearly
Premium
For 5Lac
Yearly
Premium
For 7.5Lac
Yearly
Renew Till
Premium
Age
For 10Lac
Future Generali – Health
Suraksha Family Basic
(Floater)
Family
Scheme
NA
3241
4718
5468
7661
NA
NA
70
Future Generali – Health
Suraksha Family Silver
(Floater)
Family
Scheme
NA
3647
5308
6172
8618
NA
NA
70
Future Generali – Health
Suraksha Family Golden
(Floater)
Family
Scheme
NA
4052
5898
6858
9576
NA
NA
70
Apollo Munich – Easy Health
Insurance – Standard (Floater)
Family
Scheme
NA
4093
4924
6067
7690
NA
NA
Lifetime
Apollo Munich – Easy Health
Insurance – Exclusive (Floater)
Family
Scheme
NA
NA
5873
7280
8844
11409
NA
Lifetime
Apollo Munich Easy Health
Insurance – Premium (Floater)
Family
Scheme
NA
NA
NA
9541
11054
14261
16675
Lifetime
35. Public Disclosure
FY 2013-14 Half Yearly
Form No.
FY 2013-14 Half Yearly
NL-1
Revenue Account
NL-2
Profit & Loss Account
NL-3
Balance Sheet
NL-4
Premium and Commission
NL-6
Operating Expenses
NL-7
Benefits Paid
NL-8 & 9
Share Capital, Pattern of Shareholding
NL-10 & 11
Reserves and Surplus, Borrowings
NL-12
Investment-Shareholders
NL-13
Investment-Policyholders
Investment-Asset Held to Cover Linked
Liabilities
Loans
NL-14
NL-15
36. Form No.
FY 2013-14 Half Yearly
NL-16
Fixed Assets
NL-17
Cash and Bank Balance
NL-18
NL-22
Advances & Other Assets
Current Liabilities, Provisions, Misc.
Expenditure
Analytical Ratios
NL-24
Valuation of Net Liabilitie
NL-25-1
Geographical Distribution of Channel
NL-25-2
Geographical Distribution of ChanneNL-2
NL-26
Investment Assets
NL-27
Ulip Linked Business
NL-28
ULIP NAV
NL-29
Debt Securities
NL-30
Related Party Transactions
NL-31
Board of Directors and Key Persons
NL-32
Solvency Margin
NL-19,20 & 21
37. Form No.
FY 2013-14 Half Yearly
NL-33
NPAs
NL-34
Yield on Investment
NL-35
Downgrading of Investment
NL-36
Business Numbers
NL-37
BSNS Acqusition (Group)
NL-38
BSNS Acqusition (Individual)
NL-39
Ageing of Claims
NL-40
Claims Data
NL-41
Grievance (Life)
NL-42
Valuation Basis (Life)
NL-33
NPAs
NL-34
Yield on Investment
NL-35
Downgrading of Investment
NL-36
Business Numbers
NL-37
BSNS Acqusition (Group
38. PERIODIC DISCLOSURES
• NL-27: Offices information for Non-Life
Sl. No. Office Information
Number
1
No. of offices at the beginning of the Qtr
92
2
No. of branches approved during the Qtr
0
3
Out of approvals of
previous year
2
Out of approvals of this
year
0
4
No. of branches opened
during the Qtr
5
No. of branches closed during the Qtr
0
6
No of branches at the end of the Qtr
94
7
No. of branches approved but not opened
23
8
No. of rural branches
0
9
No. of urban branches
94
39. Grievance Redressal
• "Customer Devo Bhava"
• committed to provide “Exceptional CustomerExperience”
• They encourage customers to read the policy &
schedule carefully.
• They also welcome the feedback from customers.
Help-lines: 1800-220-233, 1860-500-3333, 022-67837800
Email : fgcare@futuregenerali.in
Website : www.futuregenerali.in
GRO at each Branch : branches and request to meet the Grievance Redressal
Officer (GRO).
40. After logging a Grievance
• acknowledge receipt of your concern within
3 - business days.
• Within 2 - weeks of receiving the grievance,
they will revert to customer the final
resolution.
• They regard the complaint as closed if they do
not receive a reply within 8 weeks from the
date of receipt of response.
