A Project on Medical Insurance at

Bajaj Allianz
Submitted To: Prof.
Pratibha Nair

Submitted By:
13006 Simran Bath
13007 Hemalee Bheda
13018 Maya Gadhvi
13032 Sanjay Lalwani
13038 Pawan Manghwani
13043 Bhavesh Motiyani
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Introduction
Since independence, the health care system in India has
been expanded and modernised considerably, with
dramatic improvements in life expectancy and the
availability of modern health care facilities and better
training of medical personnel.

At the same time, however, much remains to be done.
With the increasing cost of health services and medical
bills which a common man cannot afford, this class of
insurance has a growing market. It is estimated that a
family spends an average of 10% of its monthly income on
health care.

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Phases

1912: Health insurance introduced when the first insurance
act was passed.

1947: In 1947, the Bhore Committee Report make
recommendations for the improvement of health care
services in India.

1948: The central government introduced the employees
State Insurance Scheme (ESIS) for blue-collar workers
employed in the private sector.



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1986: Mediclaim was introduced, started by government
insurance companies in 1986

1999: Marked the beginning of a new era for health
insurance in the Indian context. With IRDA, the insurance
sector was opened to private and foreign participation.

2003: Introduction of UHIS early attempts by
government to introduce health insurance for informal
sector. UHIS was a hospitalization indemnity product
voluntarily purchased from any state-owned insurer at a
heavily subsidized price (e.g., Rs. 165, less than US$4 a
year).

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Types Of Health Insurance Policy
Floater Health Insurance Policy
Critical Illness Insurance Policy
Group Health Insurance Policy
Overseas Medical Policy
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Bajaj Allianz Life Insurance


Bajaj Allianz Life Insurance
Company Limited is one of
the private insurance
companies in India.

Bajaj Allianz Life
Insurance is a union
between Allianz SE, one of
the largest Insurance
Company and Bajaj Finserv.
(recently demerged from
Bajaj Auto.).
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Bajaj Auto Limited is 74% shared holder in the company
with the remaining 26% being held by Allianz SE.

On 2001, the Bajaj Allianz Life Insurance was given the
IRDA (Insurance Regulatory and Development Authority)
certification of Registration for conducting the Life
Insurance business (which also included the Health
Insurance business) in the country. Bajaj Allianz India is
headquartered in Pune. The company has its offices in 200
towns all over India.

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Allianz SE is a leading insurance conglomerate globally and
one of the largest asset managers in the world, managing
assets worth over a Trillion (Over INR. 55, 00,000
Crores). Allianz SE has over 115 years of financial
experience and is present in over 70 countries around the
world.

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Family Floater Health Guard


Medical Expenses During
Hospitalisation

Pre and Post hospitalisation
expenses

Emergency Ambulance
Charges

Medical Check-up


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What is the entry age?

What will be the renewal age?

Who can be covered under the policy?

What are the sum insured options available?


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Value Added Service
OPD discounts at select outlets.

Discounts on Pathologies at
select outlets.

Discount on Radiology at select
outlets.

Discounts on Wellness Test at
select Outlets.

Discounts on Pharmacy
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Exclusion

There shall be a waiting period of 4 years for pre-existing
diseases.

All diseases/injuries existing at the time of proposing this
insurance.

Any disease contracted during the first 30 days of
commencement of the policy.

Certain diseases such as hernia, piles, cataract (liability
restricted upto 10% of SI, max. upto Rs. 35,000), sinusitis
shall be covered after a waiting period of 2 years.


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Health Care Supreme

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Why health care supreme?

Key features.



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Medical Expenses During
Hospitalisation
Pre and Post
hospitalisation expenses
Emergency Ambulance
Charge
Medical Check-up
Ambulance Expenses
Day Care Procedures
Value Added Service


Ancillary Expense Benefit

Personal Accident Cover

Critical Illness Cover


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Health Guard Individual Policy
The policy covers hospitalization expenses for you.

You will have access to cashless facility at over 3700+ empanelled
hospitals across India.

Pre and post hospitalization expenses covers relevant medical expenses
incurred
60 days prior to and 90 days after hospitalization.

Covers ambulance charges in an emergency subject to a limit of Rs. 1000

130 day care procedures are covered subject to terms and conditions.


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Benefits:-

Family discount of 10%
is applicable.

Cumulative bonus
benefit.



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CONDITIONS OF
MEDICAL CHECK UPS


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Surgical Protection Plan
Medical Expenses During Hospitalisation
Pre and Post hospitalisation expenses
Emergency Ambulance Charge
Medical Check-up:
Ambulance Expenses
Day Care Procedures



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Value Added Service

Ancillary Expense
Benefit

Personal Accident Cover

Critical Illness Cover
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Exclusion

Hospitalisation cover and
hospital cash daily
allowance cover

Personal Accident Cover

Critical Illness Cover


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Health Administration Of The Team




The team consists of doctors
and para medics who are
responsible for health
underwriting and claims
settlement.

Provides single window
assistance to all the health
insurance policy holders for
all health care related
services
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Faster Claim Settlement due to single point of contact.

Effective and quick in resolving customer queries/better
and systematic redressal mechanisms.

Control over Claims Settlement and Customer service
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Legal Liabilities For Injury
Every state has workmen compensation
laws that governs employer
responsibility for workplace injuries to
employees, as per the law there are two
most important features of workmen
compensation laws which are as follows

Employers are required to pay specified
benefits for economic loss to injured
employees without regard to employer
fault or negligence.
Employees are not allowed to sue
employers for injuries under tort law.


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WORKER COMPENSATION
BENEFIT
MEDICAL BENEFITS DISABILITY BENEFITS SURVIVORS BENEFITS
This benefit is further categorised into different types of benefits
Total disability benefit

Permanent partial disability benefit
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