Title: Group Life
1- Group Life Medical
- Proposed
- by AXA
2Group Life Medical Insurance Seamless Benefit
Group Life is one of core product in employee
benefit. However, this product does not cover
hospitalization and surgical operation caused by
disease and accident. So we strongly recommend a
combined insurance product with Group Life and
Medical Insurance which enable your company
employee benefit to be seamless benefit, which
could appeal your employee more than a single
Group Life product. Now XYZ Japan has a coverage
for death and hospitalization only caused by
accident.
What if I am hospitalized by disease?
Only accidental death coverage is not enough.
Combined insurance is SECURE!
Medical
Group Life
Medical
Group Life
3Group Term LifeFeatures
- Group Term Life is designed to cover Death or
Total Permanent Dismemberment(TPD) of the
insured due to unexpected accident, disease or
other causes, on/off duty. - Evidence of insurability is limited to a medical
questionnaire completed by the employer and no
physical examination is required. - Premium treated as corporate expenses
- Yearly renewable term life
- Adjustments in amounts of coverage can be made on
monthly premium due dates. - Local Dividend Payment Multinational Dividend
payment - If the experience of the insured group shows
positive, a dividend will be paid. A reduction
of local premium costs can be achieved. -
4- ltNote gt Total Permanent Dismemberment
- Loss of sight of both eyes
- Total and permanent loss of speech and
mastication function - Damages to the function of the central nervous
system leading to the loss of the ability to
carry out the daily routine activities essential
to life without other's help - Damages to the function of the thoracic or
abdominal organs leading to the loss of the
ability to carry out the daily routine activities
essential to life without other's help - Loss of both hands by amputation or the permanent
loss of the ability above the wrist - Loss of both feet by amputation or the permanent
loss of the ability above the ankle - Loss of one hand by amputation above the wrist
and loss of one foot by amputation or the total
and permanent loss of the ability above the ankle - The total and permanent loss of the ability of
one hand and the loss of one foot by a amputation
above the ankle
5Group Term Life Benefit Schedule Annual
Premium(JPY)
- Benefit Schedule Flat amount at 20
million JPY -
- Financial Exhibit(UnitJPY) as of Oct.1st,2008
- insured 56
- Total Sum Insured 1,120 million
- Premium Rate 0.283/ 1,000
- Monthly Premium 316,960
- Annual Premium 3,803,520
- Local Dividend(Est.) 816,609
-assuming zero death claim - Multinational Dividend(Est.)
719,788
6Medical Insurance BackgroundWe do have National
Health Program, butNow, in Japan, everyone is
covered by National Health Insurance as part of
Social Security. However, it covers only minimum
or basic floor of protection.
Out of pocket money
If you are hospitalized, you should pay the
following by yourself. Total of these
expenditures will be 20,100JPY per day of
hospitalization. (See Chart 2 in next
page) Therefore the supplement provided by the
private insurance is quite important.
7Medical Insurance Background
Average out-of-pocket expense in hospitalization
per day is 20,100 JPY. Includes meal and
pay-beds expense. Excludes refund by benefit for
high-cost medical care. (Source Survey on life
security by Japan Institute of Life Insurance in
2004)
8Medical Insurance Background Survey on
employee benefits conducted by Japan Institute of
Life Insurance in 2002
Priority issues in Employee Benefit Plan
Priority issues in EBP responded by the employers
Priority issues in EBP responded by the employees
- Enhancement of medical/health program can be
WIN-WIN solution for both the employer and the
employees.
9Medical Insurance Background Survey on
employee benefits conducted by Japan Institute of
Life Insurance in 2002
Cost for Employee Benefit
Legal welfare expense
Welfare expense
In welfare expense, the cost for medical and
health is increasing by more than 30 while the
expense for education (language learning etc.) is
decreasing. A supplemental company sponsoring
medical health maintenance program is in a
strong demand for the employees.
AXA-20-0708-0955A7N
10Medical Insurance Effects
As will be appreciated from the foregoing, there
is a need for reinforcement of employees benefit
program to further their commitment and support
their strong efforts such as overtime
work. Besides, the introduction of benefit
program on healthcare is a very effective way to
motivate talented employees and have them build
loyalty to their company. Furthermore,
instituting a differential benefit program from
other company would be a quite significant way to
attract superior human resources in recruiting.
AXA-20-0708-0955A7N
11Medical Insurance Coverage
Coverage
- 5,000 yen per day hospitalization caused by
disease and accident, on/off duty, from overnight
stay of hospitalization up to 60 days with a cap
cumulative of 1095 days - 50,000 yen , 100,000 yen or 200,000 yen lump sum
benefit covered for surgical operation expense,
depending upon the types of the operation (88
types) - 25,000 yen and up to 1,525,000 yen lump sum
benefit for Highly Advanced Medical Treatment,
depending upon the level of the treatment (113
types) - Conversion Privilege
- An employees insurance because of termination of
employment can continue the coverage in premium
deduction from their bank account for life
without furnishing evidence of insurability.
12Medical Insurance Financial Exhibits
- Quotation
- - Effective Date Oct. 1st,2008 Number Insured
56 employees - Medical Insurance
- 5,000 yen / hospitalization covered for 60 days
- 50,000 yen, 100,000 yen or 200,000 yen / surgical
operation - 25,000 yen up to 1,525,000 yen / Highly Advanced
Medical Treatment - Total Monthly Premium
- 144,015 Yen (Average_at_ 2,572 Yen)
- The monthly premium aggregates a premium
of each employee which depends on age and gender.
A premium for each employee is guaranteed - for life, so there will be no change in total
monthly premium without a personnel change.
- Premium treated as corporate expenses, premium
unchanged for life
13Introduction Example
- Premiums are all paid by employers.
14AXA Assistance Service
24-hour expert counselors
Telephone Counseling
We offer an assistance service for counseling on
health, symptoms, physical disorder, child
rearing, caring, as well as information about
emergency medical institution, specialist
referral, female doctor, etc.
24 hours a day 7 days a week
FREE OF CHARGE TOLL FREE