This document summarizes the key features of PPS Insurance, a mutual insurance company owned by its members. It offers exclusive insurance products to graduate professionals in South Africa. Key benefits include:
1) Members share in company profits through a PPS Profit-Share Account.
2) Coverage for sickness, disability, life, and health needs through various income replacement and lump sum benefits.
3) Benefits are paid regardless of claims history and health status does not impact profit sharing.
PPS provides exclusive insurance products and benefits to its graduate professional members, including life insurance, disability insurance, and health insurance. Key benefits of PPS membership include profit sharing through PPS Profit-Share Accounts, globally comprehensive coverage, and coverage for hazardous activities. PPS insurance policies offer benefits such as sickness and disability payouts, annual increases to coverage amounts, and tax-free payouts on death or retirement.
The document outlines the various compensation, benefits, and career development programs offered by Hewitt Associates to its employees. It details elements of the total compensation package including base salary, bonuses, insurance policies, retirement funds, and various allowances. It also describes policies around leaves, relocation assistance, and separation from employment. Career progression at Hewitt is depicted through different experience levels and bands, with opportunities for both generalist and specialist paths.
Offering Wellness Programs After Final Regulationsbenefitexpress
This webinar reviews the requirement that an employer must meet under the new final HIPAA regulations. It will also cover other compliance issues dealing with taxation, ERISA and ADA.
How Medicare Affects Employer Health Coveragebenefitexpress
This presentation reviews the topic of Medicare and how it can affect Employers Health Coverage offerings, including: employer secondary rules, COBRA, notice requirements, and reporting requirements.
The document summarizes the Employees' State Insurance (ESI) scheme in India. The key points are:
1) The ESI scheme provides social insurance benefits like sickness, maternity, disability and death benefits to employees earning 21,000 rupees or less per month.
2) Employers contribute 3.25% of salaries while employees contribute 0.75% towards medical care, cash benefits and other services provided through ESI hospitals, dispensaries and panel clinics across India.
3) Benefits include comprehensive medical care, cash benefits for sickness, maternity and disablement, dependents' benefits and funeral expenses. Insured persons and their families are entitled to these benefits by presenting their
Associate benefits at Agnesian HealthCare include medical, dental, vision, and life insurance beginning after one month of employment. Short and long-term disability insurance begin after one year of employment. Additional benefits include a 401k retirement plan with employer matching, tuition assistance after 90 days, paid time off accruals based on years of service, and discounts at Agnesian facilities. Wellness initiatives promote preventative health screenings and activities to support associates' health and well-being.
Health insurance in the US has evolved from primarily covering catastrophic illness to also covering preventative care and services. There are various types of health insurance plans including HMOs, PPOs, and consumer-driven plans. Government plans like Medicare and Medicaid provide coverage for specific groups. Providers must verify a patient's insurance coverage and submit claims according to the insurer's requirements to receive reimbursement.
Watch our free one-hour webinar reviewing the rules for the new Individual Coverage HRA and the new Excepted Benefit HRA (ICHRA and EBHRA).
In June 2019, Treasury, DOL and HHS released final regulations that are effective for plan years beginning on or after January 1, 2020. These regulations created two new HRAs, Individual Coverage HRAs (ICHRA) and Excepted Benefit HRAs (EBHRA).
These new HRAs will be subject to ERISA and COBRA, but will not be subject to the nondiscrimination rules under Code Section 105(h). Any employer can offer these new HRAs to their employees. They can be offered to common law employees, but cannot be offered to self-employed individuals, partners and more than 2% S-Corporation shareholders.
Facilitated by ERISA attorney Larry Grudzien, and moderated by Chief Marketing Officer Julia Goebel, this webinar will cover the following:
-Why are these new HRAs so important?
-Which employees can be included or excluded
-What documentation is needed to be completed by employers to adopt them
-What reporting and disclosure requirements must be met
-What types of expenses can be reimbursed
-The pros and cons of establishing and participating in these new HRAs for employers
PPS provides exclusive insurance products and benefits to its graduate professional members, including life insurance, disability insurance, and health insurance. Key benefits of PPS membership include profit sharing through PPS Profit-Share Accounts, globally comprehensive coverage, and coverage for hazardous activities. PPS insurance policies offer benefits such as sickness and disability payouts, annual increases to coverage amounts, and tax-free payouts on death or retirement.
The document outlines the various compensation, benefits, and career development programs offered by Hewitt Associates to its employees. It details elements of the total compensation package including base salary, bonuses, insurance policies, retirement funds, and various allowances. It also describes policies around leaves, relocation assistance, and separation from employment. Career progression at Hewitt is depicted through different experience levels and bands, with opportunities for both generalist and specialist paths.
Offering Wellness Programs After Final Regulationsbenefitexpress
This webinar reviews the requirement that an employer must meet under the new final HIPAA regulations. It will also cover other compliance issues dealing with taxation, ERISA and ADA.
How Medicare Affects Employer Health Coveragebenefitexpress
This presentation reviews the topic of Medicare and how it can affect Employers Health Coverage offerings, including: employer secondary rules, COBRA, notice requirements, and reporting requirements.
The document summarizes the Employees' State Insurance (ESI) scheme in India. The key points are:
1) The ESI scheme provides social insurance benefits like sickness, maternity, disability and death benefits to employees earning 21,000 rupees or less per month.
2) Employers contribute 3.25% of salaries while employees contribute 0.75% towards medical care, cash benefits and other services provided through ESI hospitals, dispensaries and panel clinics across India.
3) Benefits include comprehensive medical care, cash benefits for sickness, maternity and disablement, dependents' benefits and funeral expenses. Insured persons and their families are entitled to these benefits by presenting their
Associate benefits at Agnesian HealthCare include medical, dental, vision, and life insurance beginning after one month of employment. Short and long-term disability insurance begin after one year of employment. Additional benefits include a 401k retirement plan with employer matching, tuition assistance after 90 days, paid time off accruals based on years of service, and discounts at Agnesian facilities. Wellness initiatives promote preventative health screenings and activities to support associates' health and well-being.
Health insurance in the US has evolved from primarily covering catastrophic illness to also covering preventative care and services. There are various types of health insurance plans including HMOs, PPOs, and consumer-driven plans. Government plans like Medicare and Medicaid provide coverage for specific groups. Providers must verify a patient's insurance coverage and submit claims according to the insurer's requirements to receive reimbursement.
Watch our free one-hour webinar reviewing the rules for the new Individual Coverage HRA and the new Excepted Benefit HRA (ICHRA and EBHRA).
In June 2019, Treasury, DOL and HHS released final regulations that are effective for plan years beginning on or after January 1, 2020. These regulations created two new HRAs, Individual Coverage HRAs (ICHRA) and Excepted Benefit HRAs (EBHRA).
These new HRAs will be subject to ERISA and COBRA, but will not be subject to the nondiscrimination rules under Code Section 105(h). Any employer can offer these new HRAs to their employees. They can be offered to common law employees, but cannot be offered to self-employed individuals, partners and more than 2% S-Corporation shareholders.
Facilitated by ERISA attorney Larry Grudzien, and moderated by Chief Marketing Officer Julia Goebel, this webinar will cover the following:
-Why are these new HRAs so important?
-Which employees can be included or excluded
-What documentation is needed to be completed by employers to adopt them
-What reporting and disclosure requirements must be met
-What types of expenses can be reimbursed
-The pros and cons of establishing and participating in these new HRAs for employers
This document provides training materials on insurance fundamentals and health plans. It defines key insurance terminology like HMOs, PPOs, and POS plans. It explains how to find health plan contract summaries online and what information they contain. Common insurance terms are defined, including different types of insurance payors, plans, and individual vs. group coverage. The document compares different types of managed care plans and their key features. It also summarizes Medicare including the different parts and supplemental plans. Medicaid eligibility and managed care options are overviewed. Important healthcare acronyms are listed. Case scenarios are provided to demonstrate how to handle different patient insurance situations.
This document provides an overview of health insurance. It defines health insurance as insurance that covers medical and surgical expenses. It explains why health insurance is needed to protect against high, unexpected medical costs and make quality treatment affordable. It then describes different types of health insurance plans including HMOs, PPOs, and high-deductible plans. The document provides steps for obtaining health insurance, filing claims, and surrendering a policy. It also outlines advantages and disadvantages of health insurance as well as tips to avoid health insurance scams.
Virginia Tech - New Employee Orientation - Health insurance Presentationvt-hr-service-center
The document provides information about health insurance coverage options for employees of the Department of Human Resources. It outlines the timeline for enrolling in a plan, qualifying life events for mid-year enrollment changes, details of the COVA Care, COVA HealthAware, and High Deductible Health Plans including deductibles, copays, prescription coverage, and buy-up options. It also reviews eligible dependents, preventative care benefits and the employee assistance program for behavioral health.
Insuring yourself against the risk of incurring medical expenses is important. However, before choosing the health insurance policy, it is important to know more about the different health insurance plans. This SlideShare provides more information about medical insurance and its benefits. http://bit.ly/1pHFP90
This document provides an overview of benefits and onboarding information for new hires at CSC India Campus. It includes details about provident fund contributions and nomination, medical insurance coverage for employees and dependents, and requirements for opening a salary bank account such as valid ID proofs. New employees will meet representatives on their start date to complete the enrollment process for these benefits.
This document provides an overview of health care reform requirements for health plans. Key points include:
- The Affordable Care Act makes significant changes to health coverage over several years for health plans, issuers and employers.
- Reforms currently in effect include dependent coverage to age 26, preventive care coverage, and appeals process changes.
- Major provisions beginning in 2014 are the individual mandate, health insurance exchanges, employer penalties, and limits on out-of-pocket costs.
- Future deadlines include the "Cadillac tax" excise tax starting in 2018 and automatic enrollment rules for large employers.
The document provides an overview of a presentation analyzing the student group health insurance scheme (SGHIS) agreement between International University of Business Agriculture and Technology (IUBAT) and Progressive Life Insurance Company Limited. The presentation aims to provide a clear understanding of the SGHIS and includes an introduction, objectives, methodology, description of SGHIS benefits and premiums, claims procedure, analysis of the agreement elements, findings, and recommendations. Key findings include limitations in coverage for dental, pregnancy/childbirth, and psychiatric treatment, as well as a lack of information sessions about SGHIS on campus. Recommendations focus on expanding coverage, benefits, and education about the program.
The document provides an overview of Business Health Select private healthcare plans for small and medium businesses, including:
- Core plan benefits including inpatient, outpatient, and other medical coverage, as well as options to enhance outpatient and other benefits.
- Ability to choose from a range of additional options like different levels of outpatient coverage, therapies, mental health benefits, extra care services, and dental/optical cashback.
- Exclusions primarily relating to pre-existing conditions, chronic conditions, facilities not in their directory of hospitals, and options not selected.
- Ways to potentially lower costs such as optional excess amounts, a six week option, and annual payment discounts.
Health insurance in India is growing but still has low coverage rates. Only 18% of urban and 14% of rural populations are covered. There are various public and private health insurance options that offer individual, family, and group coverage. Coverage typically includes inpatient hospitalization but recently some policies have begun covering outpatient care as well. Premiums and policies have grown significantly in recent decades but penetration remains low due to lack of competition. Several government programs also provide health insurance coverage.
The document describes the key features of a group mediclaim insurance policy for corporate clients. It covers medical expenses for employees, spouses, dependent children and parents as inpatients in hospitals in India. The policy provides coverage for room and board charges, surgery costs, diagnostic tests, medicines and other medical appliances. It also includes maternity coverage, pre-existing disease coverage after waiting periods, and day care treatments. Claims exceeding the sum insured can be paid through a corporate buffer.
This document provides information on corporate social responsibility and various social security schemes in India, including the Employee State Insurance Act, 1948, The Workmen's Compensation Act, and the Employee's Provident Fund Act, 1952. It describes the medical benefits, sickness benefits, maternity benefits, disablement benefits, and dependent benefits provided under the Employee State Insurance Act. It also outlines the compensation provided for work-related injuries under The Workmen's Compensation Act and contributions to the provident fund, pension fund, and insurance schemes under the Employee's Provident Fund Act.
There are many legal liabilities a benefit plan administrator can face if he or she does not properly handle their plan. Here are the most important things to remember as you are acting as teh
Health insurance policies provide coverage for medical expenses incurred during hospitalization. They typically cover costs associated with room and board, nursing care, surgeon fees, and other medical costs, up to the specified sum insured. Insurance companies have networks of hospitals where policyholders can receive cashless treatment and the insurance company will directly pay the hospital bills. Common types of health insurance in India include employer-provided plans, government schemes like ESI and CGHS, community-based and rural health insurance, and individual and family floater policies.
Group Insurance Schemes/ Insurance Proposal for Female Garment Worker - Karna...Jaswanth Singh G
The document discusses a proposed group insurance scheme for women garment workers in Karnataka that would be administered by the Karnataka Labour Welfare Board. The scheme would provide health insurance covering hospitalization expenses, maternity benefits, pre-existing conditions, and more. It would also provide group personal accident insurance covering accidental death, permanent disability, ambulance charges, education benefits, and other scenarios. The scheme aims to improve health and welfare protections for vulnerable women workers in the state.
The document provides details about the group medical insurance program for employees of Hinduja Health Care Ltd. including benefit details, policy parameters, applicable members, policy period, standardized hospitalization coverage, maternity benefits, pre-and-post hospitalization expenses, pre-existing diseases coverage, customized benefits, general exclusions, enrollment process, and cashless hospitalization process. The insurance scheme is intended to provide insurance coverage for medical expenses related to hospitalization of Hinduja Health Care employees and dependents.
The Arogya Sanjeevani Policy by Bajaj Allianz Health Insurance will help you get that financial support and protect you from the financial burden at the time of hospitalization. With Arogya Sanjeevani health insurance, you can stop worrying about emptying your savings and deal with any medical emergency head-on.
FAQs on CGHS are intended to provide general information and guidance needed for the CGHS beneficiaries to avail CGHS facilities The contents must be read in conjunction with OMs/Office orders as issued from time to time.
Group health insurance policy from ICICI LOMBARDRavi Kumar
Presentation about GROUP HEALTH INSURANCE Policy offered by ICICI Lombard. This policy is offered to even small organizations with employee strength of as low as 10 people. Policy can be availed to the employees plus their family (which includes their spouse and kids).
The National Pension System (NPS) is India's defined contribution pension scheme that aims to promote old age income security. NPS has two tiers - Tier I is mandatory for government employees and offers no premature withdrawals, while Tier II is voluntary and allows withdrawals. The Pension Fund Regulatory and Development Authority regulates NPS and oversees contributions to individual pension accounts. Eligibility is open to all Indian citizens aged 18 to 55, and contributions are matched by the government for public servants. Subscribers can withdraw funds in phases post-retirement based on rules around purchasing annuities. The Employees' State Insurance Corporation similarly manages a social security scheme offering medical and cash benefits for low-income private employees.
The document summarizes Dr. Paul Palmer's 12-week "Sustainable Self Program" which aims to help clients transition to a healthier plant-based lifestyle. The program involves 3 phases - an interactive phase to assess health and tailor a personalized plan, a response phase to monitor progress, and an alkaline phase to maintain lifestyle changes. Clients receive weekly consultations, testing, education resources and a tailored diet plan that emphasizes whole plant foods while limiting or excluding animal products and oils to promote long-term health and wellness.
- Philanthropy provides long-term strategic investment in social change and supporting organizations that make fundamental changes for the common good, unlike charity which provides only short-term relief.
- Philanthropy is important for taking risks and supporting new ideas, initiatives, and discoveries that governments and businesses won't, in order to push boundaries and create social justice.
- As philanthrocapitalism grows, it's important to ensure philanthropy continues focusing on strengthening civil society rather than mirroring market values.
This document provides training materials on insurance fundamentals and health plans. It defines key insurance terminology like HMOs, PPOs, and POS plans. It explains how to find health plan contract summaries online and what information they contain. Common insurance terms are defined, including different types of insurance payors, plans, and individual vs. group coverage. The document compares different types of managed care plans and their key features. It also summarizes Medicare including the different parts and supplemental plans. Medicaid eligibility and managed care options are overviewed. Important healthcare acronyms are listed. Case scenarios are provided to demonstrate how to handle different patient insurance situations.
This document provides an overview of health insurance. It defines health insurance as insurance that covers medical and surgical expenses. It explains why health insurance is needed to protect against high, unexpected medical costs and make quality treatment affordable. It then describes different types of health insurance plans including HMOs, PPOs, and high-deductible plans. The document provides steps for obtaining health insurance, filing claims, and surrendering a policy. It also outlines advantages and disadvantages of health insurance as well as tips to avoid health insurance scams.
Virginia Tech - New Employee Orientation - Health insurance Presentationvt-hr-service-center
The document provides information about health insurance coverage options for employees of the Department of Human Resources. It outlines the timeline for enrolling in a plan, qualifying life events for mid-year enrollment changes, details of the COVA Care, COVA HealthAware, and High Deductible Health Plans including deductibles, copays, prescription coverage, and buy-up options. It also reviews eligible dependents, preventative care benefits and the employee assistance program for behavioral health.
Insuring yourself against the risk of incurring medical expenses is important. However, before choosing the health insurance policy, it is important to know more about the different health insurance plans. This SlideShare provides more information about medical insurance and its benefits. http://bit.ly/1pHFP90
This document provides an overview of benefits and onboarding information for new hires at CSC India Campus. It includes details about provident fund contributions and nomination, medical insurance coverage for employees and dependents, and requirements for opening a salary bank account such as valid ID proofs. New employees will meet representatives on their start date to complete the enrollment process for these benefits.
This document provides an overview of health care reform requirements for health plans. Key points include:
- The Affordable Care Act makes significant changes to health coverage over several years for health plans, issuers and employers.
- Reforms currently in effect include dependent coverage to age 26, preventive care coverage, and appeals process changes.
- Major provisions beginning in 2014 are the individual mandate, health insurance exchanges, employer penalties, and limits on out-of-pocket costs.
- Future deadlines include the "Cadillac tax" excise tax starting in 2018 and automatic enrollment rules for large employers.
The document provides an overview of a presentation analyzing the student group health insurance scheme (SGHIS) agreement between International University of Business Agriculture and Technology (IUBAT) and Progressive Life Insurance Company Limited. The presentation aims to provide a clear understanding of the SGHIS and includes an introduction, objectives, methodology, description of SGHIS benefits and premiums, claims procedure, analysis of the agreement elements, findings, and recommendations. Key findings include limitations in coverage for dental, pregnancy/childbirth, and psychiatric treatment, as well as a lack of information sessions about SGHIS on campus. Recommendations focus on expanding coverage, benefits, and education about the program.
The document provides an overview of Business Health Select private healthcare plans for small and medium businesses, including:
- Core plan benefits including inpatient, outpatient, and other medical coverage, as well as options to enhance outpatient and other benefits.
- Ability to choose from a range of additional options like different levels of outpatient coverage, therapies, mental health benefits, extra care services, and dental/optical cashback.
- Exclusions primarily relating to pre-existing conditions, chronic conditions, facilities not in their directory of hospitals, and options not selected.
- Ways to potentially lower costs such as optional excess amounts, a six week option, and annual payment discounts.
Health insurance in India is growing but still has low coverage rates. Only 18% of urban and 14% of rural populations are covered. There are various public and private health insurance options that offer individual, family, and group coverage. Coverage typically includes inpatient hospitalization but recently some policies have begun covering outpatient care as well. Premiums and policies have grown significantly in recent decades but penetration remains low due to lack of competition. Several government programs also provide health insurance coverage.
The document describes the key features of a group mediclaim insurance policy for corporate clients. It covers medical expenses for employees, spouses, dependent children and parents as inpatients in hospitals in India. The policy provides coverage for room and board charges, surgery costs, diagnostic tests, medicines and other medical appliances. It also includes maternity coverage, pre-existing disease coverage after waiting periods, and day care treatments. Claims exceeding the sum insured can be paid through a corporate buffer.
This document provides information on corporate social responsibility and various social security schemes in India, including the Employee State Insurance Act, 1948, The Workmen's Compensation Act, and the Employee's Provident Fund Act, 1952. It describes the medical benefits, sickness benefits, maternity benefits, disablement benefits, and dependent benefits provided under the Employee State Insurance Act. It also outlines the compensation provided for work-related injuries under The Workmen's Compensation Act and contributions to the provident fund, pension fund, and insurance schemes under the Employee's Provident Fund Act.
There are many legal liabilities a benefit plan administrator can face if he or she does not properly handle their plan. Here are the most important things to remember as you are acting as teh
Health insurance policies provide coverage for medical expenses incurred during hospitalization. They typically cover costs associated with room and board, nursing care, surgeon fees, and other medical costs, up to the specified sum insured. Insurance companies have networks of hospitals where policyholders can receive cashless treatment and the insurance company will directly pay the hospital bills. Common types of health insurance in India include employer-provided plans, government schemes like ESI and CGHS, community-based and rural health insurance, and individual and family floater policies.
Group Insurance Schemes/ Insurance Proposal for Female Garment Worker - Karna...Jaswanth Singh G
The document discusses a proposed group insurance scheme for women garment workers in Karnataka that would be administered by the Karnataka Labour Welfare Board. The scheme would provide health insurance covering hospitalization expenses, maternity benefits, pre-existing conditions, and more. It would also provide group personal accident insurance covering accidental death, permanent disability, ambulance charges, education benefits, and other scenarios. The scheme aims to improve health and welfare protections for vulnerable women workers in the state.
The document provides details about the group medical insurance program for employees of Hinduja Health Care Ltd. including benefit details, policy parameters, applicable members, policy period, standardized hospitalization coverage, maternity benefits, pre-and-post hospitalization expenses, pre-existing diseases coverage, customized benefits, general exclusions, enrollment process, and cashless hospitalization process. The insurance scheme is intended to provide insurance coverage for medical expenses related to hospitalization of Hinduja Health Care employees and dependents.
The Arogya Sanjeevani Policy by Bajaj Allianz Health Insurance will help you get that financial support and protect you from the financial burden at the time of hospitalization. With Arogya Sanjeevani health insurance, you can stop worrying about emptying your savings and deal with any medical emergency head-on.
FAQs on CGHS are intended to provide general information and guidance needed for the CGHS beneficiaries to avail CGHS facilities The contents must be read in conjunction with OMs/Office orders as issued from time to time.
Group health insurance policy from ICICI LOMBARDRavi Kumar
Presentation about GROUP HEALTH INSURANCE Policy offered by ICICI Lombard. This policy is offered to even small organizations with employee strength of as low as 10 people. Policy can be availed to the employees plus their family (which includes their spouse and kids).
The National Pension System (NPS) is India's defined contribution pension scheme that aims to promote old age income security. NPS has two tiers - Tier I is mandatory for government employees and offers no premature withdrawals, while Tier II is voluntary and allows withdrawals. The Pension Fund Regulatory and Development Authority regulates NPS and oversees contributions to individual pension accounts. Eligibility is open to all Indian citizens aged 18 to 55, and contributions are matched by the government for public servants. Subscribers can withdraw funds in phases post-retirement based on rules around purchasing annuities. The Employees' State Insurance Corporation similarly manages a social security scheme offering medical and cash benefits for low-income private employees.
The document summarizes Dr. Paul Palmer's 12-week "Sustainable Self Program" which aims to help clients transition to a healthier plant-based lifestyle. The program involves 3 phases - an interactive phase to assess health and tailor a personalized plan, a response phase to monitor progress, and an alkaline phase to maintain lifestyle changes. Clients receive weekly consultations, testing, education resources and a tailored diet plan that emphasizes whole plant foods while limiting or excluding animal products and oils to promote long-term health and wellness.
- Philanthropy provides long-term strategic investment in social change and supporting organizations that make fundamental changes for the common good, unlike charity which provides only short-term relief.
- Philanthropy is important for taking risks and supporting new ideas, initiatives, and discoveries that governments and businesses won't, in order to push boundaries and create social justice.
- As philanthrocapitalism grows, it's important to ensure philanthropy continues focusing on strengthening civil society rather than mirroring market values.
The document is Analytics' monthly investment report for January 2012. It includes performance tables and charts for various Analytics funds of funds over various time periods. It also includes analysis of the managed equity fund's sector exposure and share holdings. The market commentary discusses the Greek debt crisis, austerity measures in Europe, and their implications for South Africa and its upcoming budget. It notes the difficult balance between social welfare and economic growth that South Africa must achieve.
This document contains a client satisfaction tool that is a table used to score advisers on a scale of 1 to 5 based on their delivery of various capabilities to clients. The table contains three categories: capabilities clients value and receive, capabilities clients don't value but receive, and capabilities clients value but don't receive. Advisers are scored on their ability to consistently deliver capabilities in each category.
This document provides an overview and summary of the Investec Global Franchise Fund. It discusses the fund's objective of investing in quality, global companies with strong business models and management. It notes some of the fund's key attributes like its current fund size, launch date, geographic and sector allocations, and track record of outperforming benchmarks with lower volatility.
Haiku Deck is a presentation platform that allows users to create Haiku-style slideshows. The document encourages the reader to get started creating their own Haiku Deck presentation on SlideShare by providing a link to do so. It aims to inspire the reader to try out Haiku Deck's unique presentation style.
PPS was started in 1941 by South African dentists who felt conventional insurance did not meet professionals' needs. It now provides sickness, disability, and financial benefits to over 70% of South Africa's graduates and 143,000 members worldwide. PPS has opened an office in Namibia to serve local professionals. As a member-owned organization, members benefit from lower premiums and profit sharing. Membership is open to graduate professionals under 51 with an approved four-year degree practicing an eligible profession. Membership provides security for health issues, disability, family, retirement, and more, designed specifically for professionals' needs.
Health insurance allows individuals to pay monthly premiums which are then used to pay for medical expenses. It is administered by organizations like government agencies, private businesses, or non-profits. In the Philippines, required health insurance includes SSS for private employees, PhilHealth for private/government employees, and GSIS for government employees. These provide benefits like sickness, maternity, retirement, and death benefits in the form of daily cash allowances. PhilHealth specifically provides inpatient and outpatient care benefits. Health Maintenance Organizations (HMOs) also provide comprehensive health coverage for a monthly premium.
Future Generali Health Elite - A Plan That Covers You GloballyColinGenerali
FG Health Elite is a health insurance plan that provides global medical coverage for specific illnesses up to ₹6 crores sum insured. It offers comprehensive coverage including OPD treatment, home visits, air ambulance, and mental health coverage. Insured individuals can earn wellness rewards points by engaging in healthy activities which can be used to claim benefits or receive discounts on premiums. The plan provides lifelong renewability subject to payment of premiums.
The employees state insurance act,1948
Social insurance of india
The Adakar plan- Workmen’s State Insurance Bill, 1946
A social welfare legislation with the objective of providing benefits to employees- sickness, maternity and employment injury.
Act tries to attain socio-economic justice enshrined in DPSP under part IV of the constitution
The document summarizes the key aspects of the Employee's State Insurance Act 1948 in India. It provides coverage for employees in factories and establishments with 10 or more workers. Employees earning less than Rs. 7500 per month are covered. Employers and employees both contribute 6.5% of wages towards insurance. Benefits include sickness, maternity, disability and dependents benefits. Employers are absolved of liability in case of employee illness or disability in return for contributions.
The document summarizes the key aspects of the Employee's State Insurance Act 1948 in India. It provides social security benefits like sickness, maternity, disability benefits to workers in the organized sector through contributions from employers and employees. The ESI scheme covers factories with 10 or more power-using workers or 20 or more non-power using workers. Employees earning up to Rs. 7500 per month are eligible. It benefits both employees through cash and medical benefits and employers by absolving them of liability for workers' healthcare and compensation.
The document discusses the various benefits available under the ESI Act 1948 in India. It outlines 6 main benefits: 1) Medical benefits that provide full medical coverage for employees and dependents. 2) Sickness benefits that provide 50% of wages for up to 91 days of certified sick leave. 3) Maternity benefits that provide full wages or double sickness benefits for 12-16 weeks of maternity leave. 4) Disablement benefits that provide 70% wages for temporary disability and lifelong benefits for permanent disability. 5) Dependants benefits that provide lifelong or extended benefits for families of deceased employees. 6) Other benefits like funeral expenses, vocational training, physical aids and preventive healthcare.
The document discusses amendments made to the Employees' State Insurance (ESI) scheme in India. Key points include:
- Increasing the wage limit for ESI coverage from Rs. 10,000 to Rs. 15,000
- Designating social security officers as inspectors
- Expanding the definition of "family"
- Allowing ESIC to open medical and paramedical colleges
- Extending medical facilities to other beneficiaries
- Allowing third party participation from private parties
The document discusses amendments made to the Employees' State Insurance (ESI) scheme in India. Key points include:
- Increasing the wage limit for ESI coverage from Rs. 10,000 to Rs. 15,000.
- Expanding the definition of "family" and designating social security officers as inspectors.
- Opening medical and paramedical colleges by the ESI corporation and providing medical facilities to other beneficiaries.
- Allowing third party participation by private parties.
Kaiser International Healthgroup, Inc. is a registered health care provider in the Philippines that offers various HMO plans to both corporate and individual customers. It is led by an experienced board of directors in the medical field. The company's flagship product is the Premium Healthcare Builder Plan, a long-term savings plan that provides health care coverage for up to 20 years in the future. Key benefits include annual health checks, dental coverage, hospitalization coverage, and a lump sum payout or lifetime health benefits depending on the plan chosen.
This presentation highlights the changes required of small businesses to maintain compliance with Health Care Reform regulations. Cathy Harbison, director of operations for employee benefits at Neace Lukens, served as the expert speaker to explain upcoming changes for 2011 – 2014, and the implications for businesses with less than 50 employees.
The document discusses employee benefits presented by a group including Naveed Mehdi Sheikh, Gul-e-Arzoo, Muzamil Ali, Bilawal Illyas, and Hamza Saqib. It defines employee benefits as additional non-financial rewards offered to attract and retain employees, such as health insurance, retirement plans, and paid time off. It then categorizes benefits as legally required (e.g. social security, unemployment), voluntary (e.g. health insurance, life insurance), and retirement benefits (e.g. 401k, pensions). Finally, it discusses integrating benefits through flexible spending accounts and modular/core-plus plans.
This document discusses life assurance underwriting. It explains that individuals seeking life assurance must fill out a proposal form with general and specific questions. Underwriting can be medical, non-medical, or financial based on the risk. Medical underwriting involves medical exams and reports. Non-medical underwriting assesses risk based on the proposal form for smaller policies. Group life assurance provides death benefits for employees and has features like master policies and membership certificates. Underwriting is more lenient for groups due to risk spreading.
Emeritus Faculty Presents Pre-Retirement Series "Common Retirement Qustions f...tatetomika
This document provides information for UAMS employees preparing for retirement, including the retirement clearance process, benefits after leaving employment, health insurance options, accessing retirement savings accounts, Social Security and Medicare details, and considerations for long-term care. Employees are advised to notify their supervisor and HR at least one month before their planned retirement date. An exit interview is recommended to discuss benefit changes and retirement savings distribution. Retiree health insurance eligibility and costs vary depending on years of service and coverage. Resources for contacting benefits vendors and scheduling consultations are also listed.
The document provides information for UAMS employees preparing for retirement, including notifying HR of retirement plans, benefits after leaving employment such as health insurance and access to retirement savings, applying for Medicare and Social Security, and considerations for long-term care insurance and savings. Employees are instructed to schedule meetings with benefits consultants to discuss retirement options from various retirement plans and health insurance offerings.
This document provides information about a health insurance plan being offered to IEEE members by Medimanage and Bajaj Allianz General Insurance.
The key details include Medimanage's role in administering the plan, available coverage options and premium amounts, enrollment process, benefits included, exclusions and limits.
Some highlights are a choice of sum insured from Rs. 2-10 lakhs, coverage for pre-existing conditions, maternity benefits, cashless claims processing, and portability for existing members to enroll within 60 days to avoid waiting periods.
ESIC( Employee State Insurance Act & Scheme,1948)Rahul Mahida
The Employees State Insurance Act of 1948 provides health insurance and other benefits to employees in India. It was originally discussed in 1927 and came into force in 1948. The Act applies to factories and shops with 20 or more employees and provides sickness, maternity, disability, and death benefits funded by mandatory contributions of 4.75% from employers and 1.75% from employees up to a monthly wage of Rs. 15,000. Benefits include medical care, cash payments for sickness or maternity leave, disability compensation, and funeral expenses. The ESIC scheme is implemented across many states and union territories and provides benefits to over 85 lakh insured persons through over 1,400 medical facilities.
Smita Rastogi's presentation discusses voluntary employee benefits. It defines voluntary benefits as additional insurance products employees can purchase through their employer at lower group rates than individual plans. The presentation outlines key voluntary benefits like critical illness insurance, accident insurance, dental/vision plans, life insurance and disability insurance. It also discusses the benefits to both employers and employees of offering voluntary plans, such as attracting talent and satisfying different employee needs affordably.
The Optima Restore health insurance plan from HDFC Ergo offers comprehensive coverage for individuals and families. Key benefits include coverage for hospitalization, daycare procedures, domiciliary treatment, organ donor expenses, and restoration of the full sum insured amount if it is exhausted during the policy year. Customers can choose a basic sum insured ranging from Rs. 5 lakh to Rs. 50 lakh. Additional benefits include a multiplier bonus for claim-free years, cashless coverage at over 10,000 hospitals nationwide, and health checkups on renewal.
1. K E Y F E AT U R E S O F P P S I N S U R A N C E
2. 1
MUTUALITY AND PPS
PPS operates on the principle of mutuality - this means that there are no external shareholders,
PPS exists solely for the benefit of its select graduate professional members, “belonging” to its
members. Every Rand of value that PPS creates goes to benefit our members with PPS Provider
policies and qualifying products through the PPS Profit-Share Account. Members also enjoy
voting rights in PPS.
PPS MEMBERSHIP
• Exclusive access to PPS Insurance, PPS Short-term Insurance, PPS Investments and Profmed
• Exclusive products for graduate professionals who hold at least a 4-year academic
qualification (or equivalent thereof) at a University or University of Technology, that is in a
profession eligible for PPS membership and practicing in their field of study
• The largest multidisciplinary group of graduate professionals in the world - over
200 000 members
• Members share the profits via their PPS Profit-Share Accounts
• Unique global cover, be it travel or emigration, no restrictions or loadings applied and no
need to inform PPS of travel activities
• Exclusive cover when partaking in any hazardous activity or sport (such as scuba diving,
motorised racing or sailing), no restrictions or loadings applied and no need to inform
PPS of activities
EXAMPLE
Cover was provided for PPS members taking part in the 2014 Cape to Rio event, a yacht race
where competitors sail across the Atlantic ocean
PPS PROFIT-SHARE ACCOUNT
The PPS Profit-Share Account is a unique benefit only offered by PPS. Members share the profits
of PPS if they are PPS Provider policyholders with qualifying products. Profit allocations are
made to members’ PPS Profit-Share Accounts in the form of operational profits and investment
returns. The PPS Group product range contributes to the PPS Profit-Share Account, be it direct
profit allocations due to a specific product or indirect allocations via the qualifying PPS Provider
range of products. These allocations are declared annually at the end of the financial year.
Closer to retirement, members can choose how their PPS Profit-Share Account is invested
through the PPS Profit-Share Account Portfolio Choice. After retirement, members can
exercise the Vested PPS Profit-Share Account and have full control over how these funds are
invested at PPS Investments. This allows them to utilise their accumulated profits as part of their
retirement strategy.
FEATURES
• Tax-free amount when received by members and payable on retirement or earlier death
• Payable regardless of any claims made (including claims on Profmed) or health status
• Claims and health status have no impact on profit-sharing or the accumulated PPS Profit-
Share Account
• No additional premium is levied, the PPS Profit-Share Account is a member’s share in the
profits of PPS
• The more qualifying products held, the greater the allocations to the PPS Profit-Share Account
• Protected against creditors whilst unvested
3. 2
YEAR INFLATION (CPI)** PPS ANNUAL INCREASE
1 JANUARY 2010 7.1% 9.7%
1 JANUARY 2011 4.3% 7.9%
1 JANUARY 2012 5.0% 7.9%
1 JANUARY 2013 5.6% 8.6%
1 JANUARY 2014 5.7% 8.6%
1 JANUARY 2015 6.1% 8.6%
PPSWIFT
When applying for benefits, PPS offers the following to enhance the member’s experience and
to fast-track the application:
• A member may elect to have a travelling nurse collect the medical requirements (for
example tests or medical questionnaires) from a location convenient to the member,
instead of having to go to a doctor or laboratory him- / herself
• In certain instances the required medical tests may be acquired using rapid tests instead of
the traditional laboratory tests, a faster method to obtain the results
IMMEDIATE COVER
Immediate cover is applicable to members under the age of 62 who are applying for life cover
at PPS from the date the application is uploaded onto the PPS system until the earliest of:
• The date PPS underwriting accepts the benefits* or
• 30 days after the application has been signed
PPS will pay the life cover benefit if the life insured dies due to an accident. The amount is equal
to the life cover applied for up to a maximum of the PPS Accidental Death benefit.
FREE COVER
Free cover is applicable to members under the age of 62 at date of application, from the
latest of:
• The date PPS underwriting accepts the benefits* or
• 30 days before the selected issue date (after PPS underwriting accepts the benefits*)
Members will enjoy full benefits as applied for from the above date until the issue date of the
policy without the need to pay premiums for this period, subject to terms and conditions.
DECLARED ANNUAL INCREASES
• Effective annually on the 1st of January and increases all benefits free from underwriting
• Ensures that benefits stay in line with earnings inflation and applied automatically unless
declined in writing by the member
• Historically an average of 2% to 3% above CPI
* Acceptance is when the benefits:
• Are accepted at ordinary rates, or
• Are accepted with loadings and/or exclusions and the Counter Offer terms are accepted by the member
** Average annual CPI headline inflation for the previous year
4. 3
SICKNESS & PERMANENT INCAPACITY BENEFIT
The PPS Sickness and Permanent Incapacity Benefit is a monthly benefit that pays out should
a member (as life insured) not be able to perform their usual professional duties due to a
sickness or condition. The benefit payment is designed to replace or supplement the graduate
professional’s income.
The PPS Sickness and Permanent Incapacity Benefit consists of the Sickness Benefit (with
included Actual Business Expense Benefits and optional Hospital Benefit and Family Hospital
Benefit) and the Permanent Incapacity benefit (with optional Permanent Incapacity Booster).
The amount of cover a member could take out is based on his Gross Professional Income. The
member has a choice of 2 premium patterns (level or age-rated), differentiated by gender
and smoking status.
GROSS PROFESSIONAL INCOME
• Unique definitions used by PPS offering total cover for earnings when used appropriately
• Corporate (salaried) professionals can cover full Cost to Company including fringe benefits
and average annual bonuses over the past 3 years
• Self-employed professionals can cover all earnings including overhead expenses
• Expenses that will stop if the business is closed / sold covered as actual business expenses
• All remaining earnings (including expenses that will not stop) covered as personal income
SICKNESS BENEFIT
• Designed to support the professional during the initial sickness period so that any realignment
of their usual professional duties within their profession or reasonable adaptations to their
work methods / duties can be made whilst receiving either total or partial sickness benefits
• Tax-free benefit payable upon sickness for up to 728 days (2 years) for every unrelated
sickness or condition, be it continuous or intermittent
• Sickness benefit - covers personal income at up to 66% paid tax-free
• Actual business expense benefit - covers expenses related to a business up to 100%
paid tax-free
• No proof of loss of income required at claim stage
• No aggregation or payment offset against any other income earned or benefits received
• Hospitalisation not a requirement to claim for sickness
• A choice of 2 waiting periods, available to both self-employed and salaried professionals:
»» 7-day: Payable from day 1 after a total sickness period of 7 consecutive days
»» 30-day: Payable from day 31 after a total / partial sickness period of 30 consecutive days
• A choice of 4 benefit retirement ages, namely 60, 65, 70 and whole of working life
• Direct profit allocation to the PPS Profit-Share Account, even when receiving a benefit
payment from PPS
• PPS has a simple claims process – easy-to-complete member claim form and declaration by
a medical doctor*
• Occupational therapy and rehabilitation assistance offered where possible
HOSPITAL BENEFIT
• An optional rider benefit that provides cover to members when hospitalised and pays an
additional amount equal to the sickness benefit
• Payable retrospectively from day 1, after being hospitalised for 4 consecutive days
• Payable for up to 6 months (182 days) in a 12 month (364 day) cycle
* Additional information may be requested
5. 4
FAMILY HOSPITAL BENEFIT
• An optional rider benefit that pays an amount equal to the Sickness benefit if a member’s
spouse or children is hospitalised, providing the ability to take time off work
• Payable retrospectively from day 1, after being hospitalised for 4 consecutive days
• Payable for up to 6 months (182 days) in a calendar year if the spouse or child is on Profmed,
or 3 months (91 days) in a calendar year in other circumstances (for example if on another
medical aid)
• Covers children between the ages of 4 months and 21 years, and spouses until they are 70*
• No need to specify the spouse or children and they are not medically underwritten upfront**
• The following additional benefits are automatically included:
»» Child Terminal Illness
◊ A lump-sum payment of up to 12 month’s benefit if a child is diagnosed with a terminal illness and
likely to pass away within 12 months, removing the necessity to submit monthly claims
»» Child Death
◊ A lump sum payment of up to 1 month’s benefit if a child passes away and no Child Terminal Illness
Benefit was paid
EXAMPLE - SICKNESS, HOSPITAL & FAMILY HOSPITAL BENEFITS
A member has a R 1 000 daily Sickness Benefit, Hospital Benefit and Family Hospital Benefit. The
member and his family had an unfortunate motor vehicle accident, he was hospitalised for 15
days, his spouse for 10 days and his child for 5 days. Thereafter the member spent another 10
days away from work to fully recover.
THE MEMBER RECEIVED THE FOLLOWING BENEFITS FROM PPS:
PREGNANCY COMPLICATIONS
• Sickness cover for 17 listed pregnancy complications
»» Pays out for a pre-defined number of days when claims criteria is met
• Sickness cover when hospitalised for 4 days or more
»» Cover for all unlisted pregnancy complications resulting in hospitalisation
»» Not necessary to have the PPS Hospital Benefit
• Available to all female PPS Sickness and Permanent Incapacity benefit policyholders
(automatically included)
• No waiting period applicable to the benefit
• No extra premium payable for the benefit
• Same claims process as sickness benefit, only necessary to add a report from the treating
obstetrician and proof of hospital admission (if applicable)
* Spouse shall mean a person to whom the policyholder is married, according to the South African legal system, including
civil and customary marriages and civil unions. Children shall mean biological, legally adopted and stepchildren.
** Proof of relationship required at claims stage. Pre-existing conditions excluded. 182-day (6-month) waiting period
from start date of benefit.
Sickness Benefit R 1 000 x 25 days = R 25 000 Days member was unable to work
Hospital Benefit R 1 000 x 15 days = R 15 000 Days member was hospitalised
Family Hospital Benefit R 1 000 x 10 days = R 10 000 Longest period a family member
was hospitalised
TOTAL R 50 000 Total amount received by member
6. 5
PERMANENT INCAPACITY BENEFIT
• Assesses any residual effects of the sickness or condition on a member’s ability to perform
their usual professional duties and makes an appropriate award to compensate for the loss
of ability to generate professional earnings
• More comprehensive than an “own occupation” disability benefit as it covers a member’s
usual professional duties. Each case is considered on its own merits. For example, an
orthopedic surgeon performing mostly long and complicated surgeries is assessed exactly
as such and not only as a “generic” orthopedic surgeon or general surgeon
• Benefit payable at incapacity (after the sickness period) until the chosen expiry age based
on the incapacity determination awarded as either 20%, 60% or 100% through the Permanent
Incapacity Assessment Process
• BenefitretirementagethesameastheSicknessBenefit.Ifamemberselectsthewholeofworking
life Sickness benefit, there is a choice of 3 benefit retirement ages, namely 60, 65 or 70
• Claim amount limited to 100% of after tax Personal Income paid tax-free
• No proof of loss of income required at claim stage
• No aggregation or payment offset against any other income earned or benefits received
• Direct profit allocations to the PPS Profit-Share Account, even when receiving a benefit
payment from PPS
PERMANENT INCAPACITY BOOSTER
• An optional rider benefit that increases the payment to a non-reviewable 100% once a
Permanent Incapacity award is given*
• Award never reviewed and payable until the member reaches the chosen Permanent
Incapacity benefit retirement age
• Benefit is paid out even if the member continues working and will not be aggregated or
offset against any other income earned or benefits received
• Sickness and Permanent Incapacity benefit premiums are waived
• Sickness and Permanent Incapacity benefit direct profit allocations to the PPS Profit-Share
Account continues
PPS PROFESSIONAL LIFE PROVIDER
• A stand-alone lump-sum benefit that pays out to the nominated beneficiaries or estate
should the member pass away. The payout may be used to provide for remaining family
and dependents, settle debts or ensure estate liquidity
• Differentiated premium rates (taking into account gender and smoking status) with a level or
age-rated premium pattern available
• Direct profit allocation to the PPS Profit-Share Account
• No limit on the number of life policies a member can have at PPS
• No maximum limits on the amount of life cover**
• The ability to cede the life cover, partially or fully as security
*Certain conditions are specifically excluded from the Permanent Incapacity Booster benefit. This includes chronic
fatigue syndrome, mental illness and fibromyalgia. These benefits will be assessed under the Permanent Incapacity
Benefit and members may still be able to receive up to a 100% of their claim amount depending on the determination
made through the Permanent Incapacity Assessment Process.
** Subject to underwriting and reassurance acceptance where applicable
7. 6
* Subject to underwriting and reassurance acceptance where applicable
** This benefit is subject to the maximum Severe Illness cover and it will be aggregated with all Professional Health
Provider and Professional Health Preserver products, should a member have any of these products in force.
• The following additional benefits are automatically included:
»» Immediate needs benefit
◊ A lump-sum benefit of up to R 50 000 is payable to the nominated beneficiaries within 2 working
days of the submission of a valid death certificate
»» Terminal Illness benefit
◊ Accelerates 50% of the life cover sum assured if the policy holder is diagnosed with a terminal illness
and is likely to die within the next 12 months
• The following optional rider benefits are available:
»» Accelerated Professional Disability Benefit
◊ A lump-sum benefit that accelerates the life cover should the member become occupationally
disabled
◊ Occupation Specific Rider Benefit
* A rider benefit covering the member’s own specific nominated occupation
»» Accelerated Professional Health Provider Benefit
◊ A lump-sum benefit that accelerates the life cover should the member suffer from a listed
trauma, physical impairment or critical illness condition and pays out a percentage based
on the severity level
◊ CatchAll Benefit
* A rider benefit that adds a benefit category covering any severe condition not covered under
the listed categories
◊ Core 100% Benefit
* A rider benefit that pays out 100% of the benefit, irrespective of severity level, for heart attack,
cardiac surgery and procedures, stroke or cancer
»» Accidental Death Benefit
◊ An additional lump-sum benefit that pays out an amount additional to the life cover if the member
dies due to an accident
PPS PROFESSIONAL DISABILITY PROVIDER
• A stand-alone lump-sum benefit that pays out should the member become occupationally
disabled. The payout may be used to fund workplace adaptations, property adaptations
or assistive devices, or settle debt to ensure the member can remain independent and may
continue enjoying his / her possessions
• Certain conditions are covered under this benefit regardless of the effect it has on the ability
of a member to practice their occupation, for example paraplegia
• Differentiated premium rates (taking into account gender and smoking status) with a level or
age-rated premium pattern available
• Direct profit allocation to the PPS Profit-Share Account
• No maximum limits on the amount of disability cover*
• No aggregation or benefit offset against income or any other benefits received, be it lump-
sum or income benefits
• No specific waiting periods, once severity and permanence is established, a claim will be
assessed
• Converts to the whole of life Severe Illness benefit free of underwriting at retirement after the
age of 59**
»» A lump-sum benefit that pays out 100% should the member suffer from a listed severity level A or B
trauma, physical impairment or critical illness condition
• The following rider benefit is available:
»» Occupation Specific Rider Benefit
◊ A rider benefit covering the member’s own specific nominated occupation
8. 7
PPS PROFESSIONAL HEALTH PROVIDER
• A stand-alone lump-sum benefit that pays out 25%, 50%, 75% or 100% (based on severity
level) should the member suffer from a listed trauma, physical impairment or critical illness
condition. The benefits payment may be used to fund lifestyle changes and property
adaptations due to the condition suffered to ensure the member can remain independent
and may continue enjoying his possessions.
• Preservation and continuation of cover: a member can claim multiple times under the same
or different categories (a claim from one category does not deplete other categories). A
maximum of 100% of the sum assured is payable per category
• Unique benefit categories, including gunshot wounds and reconstructive facial surgery
• Direct profit allocation to the PPS Profit-Share Account
• Differentiated premium rates (taking into account gender and smoking status) with an age-
rated premium pattern available
• 14-day general survival period. Member may be on life support during the survival period
• The following rider benefits are available:
»» CatchAll Benefit
◊ A rider benefit that adds a benefit category covering any severe condition not covered under the
listed categories
»» Core 100% Benefit
◊ A rider benefit that pays out 100% of the benefit, irrespective of severity level, for heart attack,
cardiac surgery and procedures, stroke or cancer
»» Maternity Cover
◊ A rider benefit that adds 11 benefit categories related to pregnancy
PPS ACCIDENTAL DEATH PRODUCT
• A stand-alone lump-sum benefit that pays out to the nominated beneficiaries or estate
should the member pass away due to an accident, for example a motor vehicle accident,
being a victim of crime or accidental drowning
• Only financial underwriting applicable, no medical underwriting and no loadings and
exclusions applied
• Direct profit allocation to the PPS Profit-Share Account
PPS KICKSTART BENEFITS
• KickStart insurance cover and the PPS Profit-Share Account
• Cover for students (in their fourth year of study towards a profession eligible for PPS
membership) and young professionals under the age of 34
• Shortened application form and process
• Free from underwriting*
• Contains the following as a packaged benefit:
»» Sickness Benefits of R2000 per month
»» Accidental Death Benefits of R200 000
• Direct profit allocations to the PPS Profit-Share Account
* Pre-existing conditions excluded
9. 8
STUDENT BENEFITS
• Cover to students under the age of 34 years in their fourth year of study towards a profession
eligible for PPS membership
• Available products:
»» Student Sickness Benefits
◊ Monthly sickness benefit from R 2 000 to R5 000 per month (tax-free)
◊ Optional Hospital Benefit available
»» Life cover of up to R 500 000 (PPS Professional Life Provider), with optional:
◊ Accelerated disability benefits (Accelerated Professional Disability Benefit)
◊ Accelerated critical illness, trauma and physical impairment benefits available
(Accelerated Professional Health Provider Benefit)
* CatchAll benefit optional
* Core 100% benefit optional
• Profit allocations to the PPS Profit-Share Account
• PPS student members who have qualified and would like to upgrade benefits may use the
Student Upgrade Form (with requirements similar to the PPS My Future Plan offerings) to
upgrade benefits. After upgrading with the Student Upgrade Form, these members may use
the PPS My Future Plan solution or options to increase benefits in future.
MY FUTURE PLAN SOLUTION
• Available to members / prospective members (full membership) until they turn 35
• Shortened application form and process
• Ordinary membership with the following products:
»» Sickness and Permanent Incapacity Benefits
◊ Sickness benefit, Actual Business Expenses benefit and Permanent Incapacity benefit cover up to
R 100 000 per month (tax-free) each
◊ Optional Permanent Incapacity Booster, Hospital Benefit and Family Hospital Benefit available
»» Life cover up to R 5 000 000 (PPS Professional Life Provider)
»» Disability Cover up to R 5 000 000 (PPS Professional Disability Provider)
◊ Stand-alone or accelerated
◊ Includes the Occupation Specific Rider Benefit
»» Critical illness, trauma and physical impairment benefits up to R 2 000 000 (PPS Professional
Health Provider)
◊ Stand-alone or accelerated
◊ Optional Core 100%, CatchAll and Maternity benefits available
»» Accidental Death Benefit up to R 2 982 374
◊ Stand-alone or add-on benefit
10. 9
MY FUTURE SICKNESS & PERMANENT
INCAPACITY OPTION
• Available to all PPS Sickness and Permanent Incapacity benefit policyholders until they turn 35*
• Similar to future cover but at no additional premium
• Shortened process to increase benefits annually in line with actual earning increases
(Gross Professional Income) due to salary increases, promotions and/or bonuses
• No limit on each increase and can be exercised up to 5 times or until the Sickness
benefit, Actual Business Expenses benefit and Permanent Incapacity benefit reaches
R 100 000 per month (tax-free) each
»» 1st option must be exercised within 18 months of the last application form and subsequent
options must be exercised within 12 months of the previous option form
• Limited underwriting
MY FUTURE LIFE COVER OPTION
• Available to all PPS Provider Policyholders (with or without life cover at PPS) until they turn 44*
• Shortened process to take out or increase life cover (PPS Professional Life Provider) on
important life events such as getting married, having (or adopting) a baby or incurring debt
»» Can be exercised once per year
»» Must be exercised at least once every 3 years
• No limit on each increase and can be exercised until the total life cover at PPS reaches
R 5 000 000
• Limited underwriting
PPS BUSINESS PROVIDER
• Provides cover for Buy-and-Sell agreements, Key Persons, Contingent Liabilities and Credit
Loan Accounts
• Policyholder(s) do not have to be eligible for PPS membership and includes trusts or companies
• Life insured must be a PPS member or PPS Student member
• Structure:
»» Multiple policyholders
»» One life insured
»» One payer
• Products and optional rider benefits available:
»» PPS Business Life Provider
◊ Accelerated Business Disability Benefit
* Occupation Specific Rider Benefit
◊ Accelerated Business Health Provider Benefit
* CatchAll Benefit
◊ Add-on Accidental Death Benefit
* Initial cover issued at ordinary rates with no exclusions
11. 10
• Differentiated premium rates (taking into account gender and smoking status) with a level or
age-rated premium pattern available
• No maximum limit on the number of policies on the life of a PPS member
• No maximum limits on the amount of life cover*
• The ability to cede the life cover benefit either partially as security or outright to change ownership
• No aggregation or benefit offset against any other benefits received, be it lump sum or
income benefits
• Declared annual increases apply
KEY PPS UNIQUE FEATURES
• PPS operates on the principle of mutuality - PPS exists solely for the benefit of it’s select
members, sharing 100% of the group’s profits with members
• Exclusive products for graduate professionals
• Members with qualifying products share in the profits via the PPS Profit-Share Account
»» A benefit payable at retirement (or earlier death), tax-free when received by a member,
unaffected by claims or health status and no additional premium is levied for the benefit
• Unique global cover, be it travel or emigration, no restrictions or loadings applied and no
need to inform PPS of travel activities
• Exclusive cover when partaking in any hazardous activity or sport (such as scuba diving,
motorised racing or sailing), no restrictions or loadings applied and no need to inform PPS of
activities
• The PPS Sickness and Permanent Incapacity Benefit 7-day waiting period pays all claims
retrospectively from day 1, there are no conditions excluded from retrospective payments.
The 7-day waiting period is also offered to corporate employees. Finally, once a claim cycle
for a specific condition has been started, there are no additional waiting periods, further
claims for the same condition at a later stage may be submitted without the need to again
fulfil the 7-day waiting period
• No aggregation or payment offset against any other income earned or benefits received
• Unique Gross Professional Income definition offering total cover for earnings when covered
appropriately
• Permanent Incapacity benefits (without the Permanent Incapacity Booster) covering a
member’s usual professional duties are more appropriate than an “own occupation” benefit
• Permanent Incapacity benefit assessments follow the Permanent Incapacity Assessment
Process, PPS’s published process where each member is treated individually
• Unique Permanent Incapacity Booster on Permanent Incapacity benefits - a rider benefit
that will “top-up” a Permanent Incapacity award to a non-reviewable 100%
* Subject to underwriting and reassurance acceptance where applicable