110 CI Care - 80

BENEFITS FOR YOU AND YOUR FAMILY

If the Insured suffers from any one of the following Critical Illness Event under the Critical Illness Table
You will receive
1) Early Stage Critical Illness Event - 30% of the rider sum insured
2) Intermediate Stage Critical Illness Event - 60% of the rider sum insured minus previous claim from the same Critical Illness Category
3) Advanced Stage Critical Illness Event - 100% of the rider sum insured minus previous claim from Early and Intermediate Stage.

Special benefit
1) Additional 10% of the rider sum insured for Angioplasty and Other Invasive Treatments for Coronary Artery Disease.
2) Additional 10% of the rider sum insured for Diabetic Complications upon diagnosis of any one of the following:
i) Surgery for Type 2 Diabetic Retinopathy
ii) Limb Amputation due to Type 2 Diabetic Complications
iii) Severe Diabetic Nephropathy resulting in Kidney Failure
3) Additional 100% of the benefit payout for Early, Intermediate and Advanced Stages Cancer illnesses

Example: An Insured has been diagnosed of Carcinoma in-situ (an Early Stage Critical Illness Event under
Critical Illness Category of Cancer)
110 CI Care sum insured is MYR100,000
Early Stage payout is MYR30,000 (30% of MYR100,000)
Total Payout is actually MYR60,000 (MYR30,000 + MYR30,000 of additional 100% payout for cancer)
Remaining 110 CI Care sum insured is MYR70,000 (MYR100,000 - MYR30,000)

4) Psychological Counselling Service - Upon diagnosis of any Critical Illness Event under Critical Illness Category of Cancer, the Insured can be
reimbursed on the charges incurred for psychological counselling service. The reimbursement is subject to MYR200 per visit with a maximum of
10 visits per lifetime.
5) Second Medical Opinion - Value-added benefit that provides you with medical centre information and referral.

CRITICAL ILLNESS TABLE

No. Critical Illness Category
1 Alzheimer's Disease
2 Aplastic Anemia
3 Bacterial Meningitis
4 Brain Surgery
5 Brain Tumor
6 Burns
7 Cancer
Early Stage (30%)
i) Early Alzheimer's Disease
i) Reversible Aplastic Anemia
i) Surgery for Subdural Haematoma
i) Surgical Removal of Pituitary Tumor
via Trans Sphenoidal Hypophysectomy
i) Moderately Severe Burns
i) Carcinoma in situ
ii) Early Prostate Cancer
iii) Early Thyroid Cancer
iv) Early Bladder Cancer
v) Early Chronic Lymphocytic Leukemia
vi) Surgical Excision of a Spinal
Meningioma
Critical Illness Event
Intermediate Stage (60%) Advanced Stage (100%)
i) Moderately Severe Alzheimer's i) Alzheimer's Disease / Severe Dementia
Disease
i) Chronic Aplastic Anemia
i) Bacterial Meningitis
i) Brain Surgery
i) Benign Brain Tumor
i) Third Degree Burns
i) Mastectomy for carcinoma in situ i) Cancer
Breast
ii) Prostatectomy for Stage 1 Prostate
iii) Cystectomy for carcinoma in situ
Urinary Bladder or Papillary carcinoma
of the Bladder
iv) Carcinoma in situ and other Early
Cancers of Specified Organs Treated
with Radical Surgery

THE TERMS AND FIGURES SET OUT IN THIS DOCUMENT ARE BY WAY OF ILLUSTRATION ONLY.
NOTHING HEREIN IS INTENDED TO BE BINDING ON EITHER AXA AFFIN OR YOU. NEITHER YOU NOR
AXA AFFIN IS OBLIGED TO ENTER INTO ANY CONTRACT ON THE EXACT TERMS SET OUT HEREIN.

AXA AFFIN Life Insurance Berhad (723739W) 8th Floor, Chulan Tower, No.3 Jalan Conlay, 50450 Kuala Lumpur.
Telephone : +603 2117 6688. Fax : +603 2117 3698
Proposed Insured : Mr Rudy Lim (Non-smoker) Date : 15/10/2018
Prepared by : RAJENDRAN A/L RAJU Ver 7.13.0 Page 4 of 22
 110 CI Care - 80

BENEFITS FOR YOU AND YOUR FAMILY

CRITICAL ILLNESS TABLE
No. Critical Illness Category Critical Illness Event
Early Stage (30%) Intermediate Stage (60%) Advanced Stage (100%)
8 Cardiomyopathy i) Hypertrophic Cardiomyopathy i) Constrictive Pericarditis with Surgery i) Cardiomyopathy
ii) Pericardectomy
9 Coma i) Coma for 48 hours i) Severe Epilepsy i) Coma
ii) Coma for 72 hours
10 Coronary Artery Disease i) Early Coronary Artery Disease i) Minimally Invasive Direct Coronary i) Coronary Artery By-Pass Surgery
Artery Bypass Grafting (MIDCAB)
ii) Other Coronary Artery Disease ii) Serious Coronary Artery Disease
11 Encephalitis i) Encephalitis
12 Full-Blown AIDS i) Full-Blown AIDS
13 Fulminant Viral Hepatitis i) Fulminant Viral Hepatitis
14 Head Trauma i) Mild Head Trauma i) Major Head Trauma
15 Heart Attack i) Insertion of Pacemaker i) Insertion of Cardiac Defibrillator i) Heart Attack
ii) Key hole Coronary Bypass Surgery /
EECP(Enhanced External Counter
Pulsation) procedure
16 Heart Valve Surgery i) Percutaneous Valve Surgery / i) Percutaneous Valve Replacement or i) Heart Valve Surgery
Valvuloplasty Device Repair
17 HIV i) HIV Infection Due to Blood
Transfusion
ii) Occupationally Acquired Human
Immunedeficiency Virus (HIV) Infection
18 Kidney Failure i) Surgical Removal of One Kidney i) Chronic Kidney Disease i) Kidney Failure
19 Liver Disease i) Partial Hepatectomy i) Liver Cirrhosis i) End-Stage Liver Failure
ii) Portal Vein Thrombosis
iii) Occupationally Acquired Hepatitis B
or C
20 Loss of Hearing i) Bilateral Severe Hearing Loss i) Cochlea Implant Surgery i) Deafness
ii) Surgical Drainage for Cavernous
Sinus Thrombosis
21 Loss of Independent i) Surgical Reattachment Amputated i) Loss of Single Hand or Foot by i) Loss of Independent Existence
Existence Limb Amputation
ii) Early Loss of Independent Existence ii) Moderately Severe Rheumatoid
Arthritis
22 Loss of Sight i) Corneal Transplant i) Bilateral Severe Low Vision i) Blindness
ii) Loss of Sight in One Eye ii) Retinitis Pigmentosa
23 Loss Of Speech i) Loss Of Speech
24 Loss of Use of Limbs i) Loss of Use of One Limb and Loss of i) Paralysis of Limbs
Sight in One Eye

THE TERMS AND FIGURES SET OUT IN THIS DOCUMENT ARE BY WAY OF ILLUSTRATION ONLY.
NOTHING HEREIN IS INTENDED TO BE BINDING ON EITHER AXA AFFIN OR YOU. NEITHER YOU NOR
AXA AFFIN IS OBLIGED TO ENTER INTO ANY CONTRACT ON THE EXACT TERMS SET OUT HEREIN.

AXA AFFIN Life Insurance Berhad (723739W) 8th Floor, Chulan Tower, No.3 Jalan Conlay, 50450 Kuala Lumpur.
Telephone : +603 2117 6688. Fax : +603 2117 3698
Proposed Insured : Mr Rudy Lim (Non-smoker) Date : 15/10/2018
Prepared by : RAJENDRAN A/L RAJU Ver 7.13.0 Page 5 of 22
 110 CI Care - 80

BENEFITS FOR YOU AND YOUR FAMILY

CRITICAL ILLNESS TABLE
No. Critical Illness Category Critical Illness Event
Early Stage (30%) Intermediate Stage (60%) Advanced Stage (100%)
25 Lung Disease i) Removal of One Lobe of the Lungs i) Surgical Removal of One Lung i) End-Stage Lung Disease
ii) Status Asthmaticus / Severe Asthma
iii) Less Severe Lung Disease
26 Medullary Cystic Disease i) Chronic Glomerulonephritis i) Medullary Cystic Disease
27 Motor Neuron Disease i) Early Motor Neuron Disease i) Motor Neuron Disease
28 Multiple Sclerosis i) Early Multiple Sclerosis i) Mild Multiple Sclerosis i) Multiple Sclerosis
29 Muscular Dystrophy i) Spinal Cord Disease or Injury i) Moderately Severe Muscular i) Muscular Dystrophy
Resulting in Bowel and Bladder Dystrophy
Dysfunction
30 Organ/Bone Marrow i) Small Bowel Transplant i) Major Organ / Bone Marrow i) Major Organ / Bone Marrow
Transplantation Transplant (on the waiting list) Transplant
31 Parkinson's Disease i) Early Parkinson's Disease i) Moderately Severe Parkinson's Disease i) Parkinson's Disease
32 Pulmonary Arterial i) Primary Pulmonary Arterial
Hypertension Hypertension
33 Stroke i) Brain Aneurysm Surgery i) Carotid Artery Surgery i) Stroke
ii) Cerebral Shunt Insertion
34 Surgery to Aorta i) Minimally Invasion Surgery to Aorta i) Surgery to Aorta
ii) Large Asymptomatic Aortic
Aneurysm
35 Systemic Lupus i) Systemic Lupus Erythematosus With
Erythematosus With Severe Severe Kidney Complications
Kidney Complications
36 Terminal Illness i) Terminal Illness

Note: Please refer to the supplement contract for the full definition and details for each Critical Illness Event under this plan.