Another beneficial service from BIMA is here! Secure your family’s future by subscribing to the BIMA Sehat product today! BIMA Sehat provides a monthly hospitalization insurance policy with health services, which is paid for by the Subscriber through daily deductions from his/her airtime balance.
Features and benefits:
How to subscribe:
Call 042-111-119-878 or SMS “BIMA Sehat” to 9878. You will receive a call from a MILVIK representative or an IVR-based response (automated call) within 24–48 working hours from 042-33339878. There are no charges for sending an SMS to 9878
Plan | **Daily Price | **Monthly Price | Maximum sum assured per night (max 30 nights per year) |
Silver |
Rs. 3 | Rs. 90 | Rs.1,250 |
Gold | Rs. 5 | Rs. 150 | Rs.3,000 |
Platinum | Rs. 9.5 | Rs. 285 | Rs.7,000 |
Diamond | Rs. 17 | Rs. 510 | Rs.15,000 |
Prepaid: The monthly price is charged in **installments over 30
days
**Prepaid subscribers are eligible for Cover even if they are unable to pay the
entire monthly price. For details, please refer to the Terms &
Conditions
**The monthly price is divided into 30 equal installments and is charged once per day
until the entire month’s price is received. If your prepaid balance is low and you may
not be charged for that day. A proportionately reduced amount of insurance benefit will
be provided even after one day deduction.
How do I Claim:
SMS ‘CLAIM’ to 9878 or call 042-111-119-878 no later than 270 days from the first night of hospitalization. A MILVIK representative will contact you with full information on how to process your claim.
The Insurance is underwritten by IGI General Insurance and delivered by MILVIK
BIMA
Since 2010, has been revolutionizing lives in emerging markets with its innovative
mobile-led insurance and health products. BIMA has established itself as a global leader
in the industry, serving over 7 million active customers across 6 countries in Asia and
Africa.
BIMA Mobile Pakistan, established in 2015, partnered with Mobile Network Operators (MNOs) and insurance companies to provide digital healthcare and insurance services that are affordable and accessible to all Pakistanis.
MILVIK is proudly underwritten by IGI General Insurance. IGI General Insurance offers first class security and service to the insuring public at an international standard. Jazz Telecom, is facilitating this offering but shall not be responsible for any grievance of the Jazz Customer relating to the Insurance Services and IGI General Insurance’s or MILVIK’s performance of its obligations.
BIMA SEHAT POLICY
Whereas the Insured Person by a proposal which shall be the basis of the contract and be held as incorporated herein has applied to the Company for the insurance hereinafter contained and has paid or agreed to pay the first premium as consideration for such insurance.
Now this policy witnesses that subject to the terms conditions and exceptions contained herein or endorsed hereon, if at any time during the period of insurance, if the Insured Person shall be hospitalized due to any reason (with the exception of the exclusions) the Company will pay to the Insured Person or his beneficiary.
DEFINITIONS
BIMA SEHAT means monthly hospitalization insurance policy with Tele-Health Services.
IGI refers to the COMPANY, the INSURER, or IGI General Insurance Company Limited.
APPLICANT means the individual who applies for BIMA Sehat Plan under this Policy.
BENEFICIARY is defined as Beneficiary in the application or the person substituted as such.
INSURANCE BENEFIT(S) are amounts payable in the event of an indemnifiable claim and as detailed in the Schedule of Insurance Benefits attached hereinafter.
MILVIK refers to MILVIK Mobile Pakistan.
The COMPANY is stated as IGI General Insurance Company Limited.
ELIGIBLE APPLICANT means an Applicant who meets the eligibility criteria set forth in this Policy.
END USER PRICE means the amount to be charged to the Subscriber for getting the Insurance Policy and it shall include the Premium, Jazz’s Consideration and any applicable taxes on the telco services involved in the provision of Insurance Services.
HOSPITAL is defined as “Any institution in Pakistan that has been registered as a hospital with the local authorities and is under the supervision of a registered and qualified medical practitioner.”
HOSPITALISATION: staying minimum of one night in a facility recognized as hospital.
INSURANCE COVER means the amount which shall be paid by IGI to the Beneficiary or the Insured as per the terms and conditions of the Insurance Policy.
INSURANCE POLICY means this insurance policy setting out the terms and conditions on which insurance coverage is granted to a Subscriber.
INSURANCE SERVICES shall mean the insurance services to be provided to Jazz Customers.
The INSURED or INSURED PERSON means any Jazz Telecom subscriber who opt to purchase policy.
The INSURER is stated as IGI General Insurance Company Limited.
MSISDN shall mean Mobile Subscriber Integrated Services Digital Network Number.
PREMIUM means the premium payable by an Insured Member to Insurer in relation to the Insurance Policy.
SUBSCRIBER means those Jazz Customers who subscribe for the Insurance Services to get this Insurance Policy.
JAZZ refers to Pakistan Mobile Communications Limited, a company duly incorporated and registered under the Companies Ordinance 1984 of Pakistan, and having its registered office at 1-A, IBC Building, F-8 Markaz, Islamabad, Pakistan.
JAZZ CUSTOMERS shall mean the customers of Jazz using Jazz’s System.
JAZZ SYSTEMS mean Jazz’s GSM mobile cellular system.
JAZZ PAYMENT TERMS mean Jazz’s payment terms published at jazz.com.pk, as revised from time to time.
EXCLUSIONS
The BIMA SEHAT plan shall not cover any hospitalization claim which is caused by, or resulting, directly or indirectly, wholly or partly, from any of the following factors:
GENERAL PROVISIONS
1. Eligibility & Enrolment
Applicants are eligible to apply for BIMA Sehat insurance plan under the Policy if Applicants meet ALL the criteria set out below:
(1) Eligible Applicants shall include individual pre-paid and post-paid Jazz Customers. It is understood and agreed between the Parties that only one (1) person shall be insured per pre-paid or post-paid telecommunication connection.
(2) All Eligible Applicants shall be natural persons. Corporations, partnerships and businesses shall not be eligible for coverage under the BIMA Sehat Policy.
(3) All Eligible Applicants shall be a minimum of eighteen (18) years of age and a maximum of sixty four (64) years of age at the time of registration.
(4) If the Applicant wishes to apply for and subscribe to the BIMA Sehat Plan under this Insurance Policy, the Applicant will be required during the registration process to:
i. acknowledge that the Applicant has read and understood the terms of the Policy and the Jazz Payment Terms;
ii. confirm that the Applicant meets the eligibility criteria set out in General Provision 1 of the policy;
iii. confirm the BIMA Sehat Plan that the Applicant wishes to apply for;
iv. authorize Jazz to make 30 daily deductions each month from the prepaid account and
a. the Insurance Benefits payable are subject to the Applicant’s confirmations being true and correct; and
b. if the Applicant’s confirmation is untrue or incorrect, no Insurance Benefits will be payable and the End User Price the Subscriber paid will not be refunded.
2. Mistake In Age
3. Intentional False Statements Of The Insured
4. Notice Of Claims
the Company shall be notified of the hospitalization of the Insured as soon as possible, but not later than 270 (two hundred & seventy) days from the from the first night of hospitalization after which it shall be treated as time barred and the Company shall not be bound to pay the Claim.
(2) For each Claim reported, the Company shall obtain:
From the Claimant:
CNIC; final hospital invoice or discharge report which states date of admission and discharge.
Insurer may require any other document it reasonably deems necessary before approving a claim under the Policy.
(3) The Company” shall process and pay genuine and approved claims on receipt of required documents from the Claimant within three (3) working days.
(4) If there is a dispute, suspected fraudulent activity on the claim or a unique situation which requires further clarification, the payment period can be extended but shall not exceed ten (10) working days, or as long as the dispute takes to resolve in the legal system.
5. Termination Of Individual Insurance
The insurance of an Insured shall automatically terminate at the earliest time below:
6. Participation Requirement/Process
Interested customers shall participate through an electronic enrolment process, assisted by a call center agent, or by submitting information electronically via their handset, in two phases:
1st Phase:
2nd phase:
Once the customer has answered the questions in the 1st Phase, the customer shall receive an SMS on for or on behalf of the Company and shall be asked to dial a short code, or send an SMS to a particular number to confirm registration. Alternatively, the Customer may offer his verbal consent over an official recorded channel managed by MILVIK to a MILVIK agent. This confirmation serves as digital signature for the BIMA SEHAT Insurance Cover. After receiving positive response, the customer shall be enrolled under the BIMA SEHAT Policy.
7. Arbitration
All differences arising out of this policy shall be referred to the decision of an arbitrator to be appointed in writing by the parties in difference or if they cannot agree upon a single arbitrator to the decision of two arbitrators one to be appointed in writing by each of the parties within one calendar month after having been required in writing so to do by either of parties or incase the arbitrators do not agree of an umpire appointed in writing by the arbitrators before entering upon the reference. The umpire shall sit with the arbitrators and preside at their meetings and the making of an award shall be a condition precedent to any right of action against the Company. If the Company shall disclaim liability to the Insured Person for any claim hereunder and such claim shall not within twelve calendar months from the date of such disclaimer have been referred to arbitrator under the provisions herein contained then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder. Notwithstanding stated above, dispute resolution forums given under the Insurance Ordinance, 2000, such as the Insurance Ombudsman, Small Disputes Resolution Committee and the Insurance Tribunals, shall prevail in the order of precedence, and over the seat of Arbitration.
8. Compliance with Policy Provisions
Failure to comply with any of the provisions contained in the policy shall invalidate all claims hereunder.
9. Insurance Benefits
The Company hereby agrees to pay the following benefit subject to the terms and conditions provided under the BIMA SEHAT Policy as defined hereunder.
If an Insured is hospitalized due to any reason(with the exception of exclusions), on a twenty four (24)-hour worldwide basis, the Company will, upon receipt of due proof in writing of the hospitalization of the insured, pay the Insured or Beneficiary as the case may be the sum assured, according to their Insurance Cover level as described in this Insurance Benefits Section of the Policy Wording.
Benefit:
The amount of benefit received by the Insured or the Beneficiary in the event of the hospitalization from the from the first night of hospitalization of the Insured will be according to the amount of premium paid and subject to the terms and conditions of the product.
Terms and conditions of this cover are as follows:
The following actions shall be taken depending on the decision of renewal or non-renewal:
The BIMA Sehat service is extended to one (1) person per Jazz subscriber who is a successful Applicant for the BIMA Sehat Insurance Cover. Each Applicant is allowed to select the level of maximum insurance benefit at the point of Enrolment.
The Subscriber has the option to choose between four (4) cover levels, at four (4) corresponding End User Price points, as given below. Unlimited M health is included for all four (4) cover levels.
Monthly Price | Daily | Method of Payment | Maximum sum assured per night (max 30 nights per year) | M-Health | Specialist Consultations (Gynae, Paeds, Nutritionist & Mental Health) |
Rs.90 |
Rs.3 | Prepaid balance | PKR 1,250 | Unlimited | Yes |
Rs.150 | Rs.5 | Prepaid balance | PKR 3,000 | Unlimited | Yes |
Rs.285 | Rs.9.5 | Prepaid balance | PKR 7,000 | Unlimited | Yes |
Rs.510 | Rs.17 | Prepaid balance | PKR 15,000 | Unlimited | Yes |
PKR 1,250 Per night
Amount of End User Price paid in calendar month (PKR) |
Per night cover in the following calendar month |
90 |
1,250 |
87 |
1,208 |
84 |
1,167 |
81 |
1,125 |
78 |
1,083 |
75 |
1,042 |
72 |
1,000 |
69 |
958 |
66 |
917 |
63 |
875 |
60 |
833 |
57 |
792 |
54 |
750 |
51 |
708 |
48 |
667 |
45 |
625 |
42 |
583 |
39 |
542 |
36 |
500 |
33 |
500 |
30 |
500 |
27 |
500 |
24 |
500 |
21 |
500 |
18 |
500 |
15 |
500 |
12 |
500 |
9 |
500 |
6 |
500 |
3 |
500 |
0 |
Nil |
PKR 3,000 per night
Amount of End User Price paid in calendar month (PKR) |
Per night cover in the following calendar month |
150 |
3,000 |
145 |
2,900 |
140 |
2,800 |
135 |
2,700 |
130 |
2,600 |
125 |
2,500 |
120 |
2,400 |
115 |
2,300 |
110 |
2,200 |
105 |
2,100 |
100 |
2,000 |
95 |
1,900 |
90 |
1,800 |
85 |
1,700 |
80 |
1,600 |
75 |
1,500 |
70 |
1,400 |
65 |
1,300 |
60 |
1,200 |
55 |
1,100 |
50 |
1,000 |
45 |
900 |
40 |
800 |
35 |
700 |
30 |
600 |
25 |
500 |
20 |
500 |
15 |
500 |
10 |
500 |
5 |
500 |
0 |
Nil |
PKR 7,000 per night
Amount of End User Price paid in calendar month (PKR) |
Per night cover in the following calendar month |
285 |
7,000 |
276 |
6,767 |
266 |
6,533 |
257 |
6,300 |
247 |
6,067 |
238 |
5,833 |
228 |
5,600 |
219 |
5,367 |
209 |
5,133 |
200 |
4,900 |
190 |
4,667 |
181 |
4,433 |
171 |
4,200 |
162 |
3,967 |
152 |
3,733 |
143 |
3,500 |
133 |
3,267 |
124 |
3,033 |
114 |
2,800 |
105 |
2,567 |
95 |
2,333 |
86 |
2,100 |
76 |
1,867 |
67 |
1,633 |
57 |
1,400 |
48 |
1,167 |
38 |
933 |
29 |
700 |
19 |
500 |
10 |
500 |
0 |
Nil |
PPKR 15,000 per night
Amount of End User Price paid in calendar month (PKR) |
Per night cover in the following calendar month |
510 |
15,000 |
493 |
14,500 |
476 |
14,000 |
459 |
13,500 |
442 |
13,000 |
425 |
12,500 |
408 |
12,000 |
391 |
11,500 |
374 |
11,000 |
357 |
10,500 |
340 |
10,000 |
323 |
9,500 |
306 |
9,000 |
289 |
8,500 |
272 |
8,000 |
255 |
7,500 |
238 |
7,000 |
221 |
6,500 |
204 |
6,000 |
187 |
5,500 |
170 |
5,000 |
153 |
4,500 |
136 |
4,000 |
119 |
3,500 |
102 |
3,000 |
85 |
2,500 |
68 |
2,000 |
51 |
1,500 |
34 |
1,000 |
17 |
500 |
0 |
Nil |
Monthly Price | Daily Charges(PKR) | Method of Payment | Level of maximum insurance cover provided | Funeral Expense (PKR) | Hosipatlization due to Accident (PKR) |
Rs.75.27 | Rs.2.51 | Prepaid balance | PKR 225,000 | 40,000 | 600 |
Rs.120.05 | Rs.4.00 | Prepaid balance | PKR 450,000 | 80,000 | 1,200 |
Rs.261.26 | Rs.8.71 | Prepaid balance | PKR 1,250,000 | 180,000 | 3,000 |
Rs.475.01 | Rs.15.83 | Prepaid balance | PKR 2,500,000 | 360,000 | 6,000 |
PKR 225,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
75.31 |
225,000 |
72.80 |
217500 |
70.29 |
210,000 |
67.78 |
202,500 |
65.27 |
195,000 |
62.76 |
187,500 |
60.25 |
180,000 |
57.74 |
172,500 |
55.23 |
165,000 |
52.72 |
157,500 |
50.21 |
150,000 |
47.70 |
142,500 |
45.19 |
135,000 |
42.68 |
127,500 |
40.17 |
120,000 |
37.66 |
112,500 |
35.14 |
105,000 |
32.63 |
97,500 |
30.12 |
90,000 |
27.61 |
82,500 |
25.10 |
75,000 |
22.59 |
67,500 |
20.08 |
60,000 |
17.57 |
52,500 |
15.06 |
45,000 |
12.55 |
37,500 |
10.04 |
30,000 |
7.53 |
22,500 |
5.02 |
15,000 |
2.51 |
7,500 |
0 |
Nil |
PKR 450,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
120.05 |
450,000 |
116.05 |
435,000 |
112.05 |
420,000 |
108.05 |
405,000 |
104.05 |
390,000 |
100.04 |
375,000 |
96.04 |
360,000 |
92.04 |
345,000 |
88.04 |
330,000 |
84.04 |
315,000 |
80.03 |
300,000 |
76.03 |
285,000 |
72.03 |
270,000 |
68.03 |
255,000 |
64.03 |
240,000 |
60.03 |
225,000 |
56.02 |
210,000 |
52.02 |
195,000 |
48.02 |
180,000 |
44.02 |
165,000 |
40.02 |
150,000 |
36.02 |
135,000 |
32.01 |
120,000 |
28.01 |
105,000 |
24.01 |
90,000 |
20.01 |
75,000 |
16.01 |
60,000 |
12.01 |
45,000 |
8.00 |
30,000 |
4.00 |
15,000 |
0 |
Nil |
PKR 1,250,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
261.26 |
1,250,000 |
252.55 |
1,208,333 |
243.84 |
1,166,667 |
235,13 |
1,125,000 |
226.43 |
1,083,333 |
217.72 |
1,041,677 |
209.01 |
1,000,000 |
200.30 |
958,333 |
191.59 |
916,667 |
182.88 |
875,000 |
174.17 |
833,333 |
165.46 |
791,667 |
156.76 |
750,000 |
148.05 |
708,333 |
139.34 |
666.667 |
130.63 |
625,000 |
121.92 |
583,333 |
113.21 |
541,667 |
104.50 |
500,000 |
95.80 |
458,333 |
87.09 |
416,667 |
78.38 |
375,000 |
69.67 |
333,333 |
60.96 |
291,667 |
52.25 |
250,000 |
43.54 |
208,333 |
34.83 |
166,667 |
26.13 |
125,000 |
17.42 |
83,333 |
8.71 |
41,667 |
0 |
Nil |
PKR 2,500,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
475.01 |
2,500,000 |
459.18 |
2,416,667 |
443.34 |
1,166,667 |
427.51 |
2,250,000 |
411.68 |
2,166,667 |
395.82 |
2.083,333 |
380.01 |
2,000,000 |
364.17 |
1,916,667 |
348.34 |
1,833,333 |
332.51 |
1,750,000 |
316.67 |
1,666,667 |
300.84 |
1,583,333 |
285.01 |
1,500,000 |
269.17 |
1,416,667 |
253.34 |
1,333,333 |
237.51 |
1,250,000 |
221.67 |
1,166,667 |
205.84 |
1,083,333 |
190.00 |
1,000,000 |
174.17 |
916,667 |
158.34 |
833,333 |
142.50 |
750,000 |
126.67 |
666,667 |
110.84 |
583,33 |
95.00 |
500,000 |
79.17 |
416,667 |
63.33 |
333,333 |
47.50 |
250,000 |
31.67 |
166,667 |
15.83 |
83,333 |
0 |
Nil |
Hospital Insurance
Cover: lump sum pay out based on number of overnight stays in hospital, maximum thirty (30) nights per year.
In addition to the Hospitalization cover BIMA Sehat service includes:
Health programs:
Access to one health program, chosen by the Subscriber from a menu of health programs provided by MILVIK. Health programs include periodic delivery of program-specific content through different communication channels. The health program is only available for the Subscriber.
Tele-Consultation:
Unlimited access to tele-consultations with MILVIK doctors to address acute minor ailments and to receive medical advice on general health topics, however, these may not be used for urgent conditions. The teleconsultations are available for the Subscriber and Subscriber’s immediate family members, limited to the Subscriber’s parents, spouse, children and siblings.
Specialist Consultation:
Access to specialists (gynecologist, pediatrician, nutritionist and psychologist/psychiatrist) for your health needs in both consultative and health advice related matters. The specialist services are available for the Subscriber and Subscriber’s immediate family members, limited to the Subscriber’s parents, spouse, children and siblings.
DISCLAIMER/ TERMS OF USE of BIMA SEHAT Consultations
TERMS OF USE
THIS DOCUMENT IS AN AGREEMENT BETWEEN YOU AND MILVIK, WHICH CONTAINS THE TERMS AND CONDITIONS YOU AGREE TO WHEN YOU USE THE BIMA SEHAT PRODUCT. IF YOU DO NOT AGREE TO THESE TERMS AND CONDITIONS, YOU ARE NOT AUTHORIZED TO ACCESS OR USE OUR SERVICES. WE MAY UPDATE THESE TERMS OF USE FROM TIME TO TIME. WE ENCOURAGE YOU TO REVIEW THESE TERMS PERIODICALLY. YOUR CONTINUED USE OF OUR SERVICES (AS DEFINED BELOW) INDICATES YOUR ACCEPTANCE OF THE CHANGED TERMS OF USE.
Any reference to “MILVIK”, “our”, “us”, or “we” are references to MILVIK Mobile Pakistan (Pvt.) Limited, a private company registered in Pakistan (company number 90585), the registered office being 3rd Floor, New Liberty Tower, Model Town Link Road, Model Town, Lahore, Pakistan.
Services Provided:
MILVIK provides real-time medical consultations with licensed physicians (“BIMA Doctors”) through telephone, video, SMS, apps or other means for the purpose of providing advice and/or recommendations on medical and health issues (“Services”). MILVIK may also offer other health-related services provided in partnership with local providers, which may include hospitals, diagnostic laboratories or pharmacies (together with the BIMA Doctors, the “Providers”).
MILVIK facilitates access to Providers who have agreed to provide medical and health advice and services to customers. It does not interfere with the practice of medicine or other licensed profession by BIMA Doctors and MILVIK does not impose any guidelines or protocols that restrict the actions of BIMA Doctors.
Use of MILVIK health Services is NOT FOR EMERGENCIES:
Our Services are NOT for use in potential or actual medical emergencies or if you have a condition that you know will require a physical examination. If this is the case, you should visit your nearest emergency room. You must not delay your visit to the emergency room in anticipation of obtaining medical advice from a BIMA Doctor through MILVIK.
Relationship with your Primary Care Physician:
Your interaction with the BIMA Doctors through our Services is not intended to replace your relationship with your existing primary care physician or other healthcare professional or be your permanent medical access point. You should seek emergency help or follow-up care when recommended by a BIMA Doctor or when otherwise needed and continue to consult with your primary care physician and other health care professionals as necessary. Consult your primary care physician or health care professional as relevant if you have any questions about any symptoms or medical condition, and before starting or stopping any treatment by your physician or health care professional.
Medication Policy:
MILVIK will provide you with access to BIMA Doctors that are appropriately qualified and experienced to practice medicine. Subject to all applicable laws, such BIMA Doctor may recommend a medication as deemed appropriate. BIMA Doctors cannot guarantee the availability, effectiveness, authenticity, reliability, safety, legality or quality of the recommended medicine. MILVIK does not guarantee that a BIMA Doctor will recommend or issue medication, and does not endorse, recommend or make any representation or warranty about the medicines recommended or prescribed by the BIMA Doctor.
You agree that any medication recommended to you from a BIMA Doctor shall be solely for your personal use. You agree to fully and carefully read all product information and labels before use and to contact a physician or pharmacist if you have any questions regarding the medicine. You agree that you are using our Services only for yourself, or on behalf of a child under 18 in your capacity as his/her parent or legal guardian, provided that you supervise the child’s use of the Services at all times. MILVIK may suspend services or terminate customer accounts if we reasonably suspect that such accounts are being used in breach of the restrictions in this section.
Privacy:
When you sign up for the Services, you agree that the Providers will communicate with you, by sending information, messages and notices to you. These messages may be conveyed or sent via email, SMS, notifications, etc, using the contact information associated with your account, which includes the information you provide when you register or update information in your account settings. You also agree that MILVIK may retain your medical records and that such records will be held in compliance with all applicable laws. MILVIK may record calls and other communications with you for quality assurance purposes.
Intellectual Property Rights:
You may communicate materials containing our copyrights, trademarks, trade secrets, patents, or other intellectual property rights (“IPR”) to your physician or health care professional only. You are not permitted to copy, distribute or make any business use of our IPR.
Informed Consent:
Tele-health is the delivery of health care services using interactive audio and/or video technology, where the patient and the BIMA Doctor are not in the same physical location. During your tele-health consultation with a BIMA Doctor details of your medical or health history and personal health information may be discussed through the use of interactive audio, video, and/or other telecommunications technology, and the BIMA Doctor may perform a physical exam through these technologies. Depending on your medical or health history and/or specific complaint, you may be asked to provide information through other electronic means and verify your identity with a national identity card or other legal document.
Limitations of Tele-Health:
There are potentials risks associated with the use of tele-health, including, but not limited to:
Complaints and Disputes:
You can always give us feedback on our Services by calling 042-111-119-878 or emailing us at [email protected].
If you have a complaint about our Services, we would like to resolve it as soon as possible. Please tell us about your complaint as soon as you can so that we can do this. We may ask you for certain details about you and your complaint in order to address it. Please provide these as soon as you can so that we can resolve your complaint quickly. We will tell you the outcome of our investigation into your complaint and give you the chance to discuss it with us. If we find that we have broken any of these terms and you suffer loss or damage, we are responsible for compensating you for that loss or damage if it was a foreseeable result of our breaking of these terms. We are not responsible for compensating you for indirect, incidental, special or consequential damages.
These terms are governed by Pakistani laws and the Pakistani courts shall have exclusive jurisdiction to hear any claim arising out of or in connection with these terms or the use of our products and services.
Acceptance of these terms of use:
By using the Services, you acknowledge that you understand and agree with the following:
Acknowledgement of the Customer
(Policy Terms and Conditions shall remain subject to the following)
No, you have to enroll yourself into this service, as BIMA Sehat service charges will be separately deducted from your JAZZ balance.
CNIC, Final hospital invoice or Discharge report which states date of admission and discharge will be required for CLAIM.
The money is paid by check or mobile money within 3 – 10 working days after the submission of all documents.
Due to intentional self-inflicted injury, suicide attempt, or arising out of non-adherence to medical advice. Due to an elective treatment, such as cosmetic surgery. Pregnancy and any complication arising from pregnancy will not be covered during the first 12 months of the policy becoming effective.
Another beneficial service from BIMA is here! Secure your family’s future by subscribing to the BIMA Sehat product today! BIMA Sehat provides a monthly hospitalization insurance policy with health services, which is paid for by the Subscriber through his monthly postpaid bill.
Features and benefits:
24/7 unlimited teleconsultations with qualified doctors via a dedicated helpline 042 111 11 9878.
Appointment-based access to specialist doctors, including Expert Nutritionists, Gynecologists, Pediatricians, and Mental Health Expert
Hospitalization Cover – up to 30 nights covered in a year.
Swift & Hassle-free insurance claim settlement through Online payment channels within 72 working hours.
Doorstep delivery of discounted medicines (Up to 10% discount)
Doorstep home sampling with Discounted Lab tests (Up to 40%)
Personalized diet & workout plans.
Regular health tips to improve your daily life.
Regular health tips to improve your daily life.
How to subscribe:
Call 042-111-119-878 or SMS “BIMA Sehat” to 9878 and an agent will call* you to guide and help subscribe to the service *MILVIK agent will call you within 24 working hours There are no charges for sending an SMS to 9878.
Plan | *Monthly Price (Excluding Tax) | Maximum sum assured per night (max 30 nights per year) |
Silver | Rs. 75.68 | Rs.1,250 |
Gold | Rs. 125.90 | Rs.3,000 |
Platinum | Rs. 238.69 | Rs.7,000 |
Diamond | Rs. 427.15 | Rs.15,000 |
*Telco tax 19.5% and Advance tax 15% will apply on monthly postpaid bill.
For post-paid accounts, a successful withdrawal signifies the billing and payment of the entire monthly premium due. Upon payment, the corresponding coverage will be issued as per the plan opted by the customer, as stated above. Please note that customers will be charged on a prorated basis from the time of subscription until the bill date. For the following months, the monthly rental will be prorated according to the total number of days in each month (i.e. Monthly charges/Total days in month) and the customer will be charged on a daily basis. Coverage will be provided accordingly.
How do I Claim:
SMS ‘CLAIM’ to 9878 or call 042-111-119-878 no later than 270 days from the first night of hospitalization and a MILVIK representative will contact you with full information on how to process your claim.
The Insurance is underwritten by IGI General Insurance and delivered by BIMA.
BIMA Pakistan is the global leader in mobile micro insurance and it protects the future of 30 million families worldwide. It has operations across Asia and Africa.
Bima is proudly underwritten by IGI General Insurance. IGI General Insurance offers first class security and service to the insuring public at an international standard.
Jazz Telecom, is facilitating this offering but shall not be responsible for any grievance of the Jazz Customer relating to the Insurance Services and IGI General Insurance’s or BIMA’s performance of its obligations.
BIMA SEHAT POLICY
Whereas the Insured Person by a proposal which shall be the basis of the contract and be held as incorporated herein has applied to the Company for the insurance hereinafter contained and has paid or agreed to pay the first premium as consideration for such insurance.
Now this policy witnesses that subject to the terms conditions and exceptions contained herein or endorsed hereon, if at any time during the period of insurance, if the Insured Person shall be hospitalized due to any reason (with the exception of the exclusions) the Company will pay to the Insured Person or his beneficiary
DEFINITIONS
EXCLUSIONS
The BIMA SEHAT plan shall not cover any hospitalization claim which is caused by, or resulting, directly or indirectly, wholly or partly, from any of the following factors:
GENERAL PROVISIONS
1. Eligibility & Enrolment
Applicants are eligible to apply for BIMA Sehat insurance plan under the Policy if Applicants meet ALL the criteria set out below:
(1) Eligible Applicants shall include individual pre-paid and post-paid Jazz Customers. It is understood and agreed between the Parties that only one (1) person shall be insured per pre-paid or post-paid telecommunication connection.
(2) All Eligible Applicants shall be natural persons. Corporations, partnerships and businesses shall not be eligible for coverage under the BIMA Sehat Policy.
(3) All Eligible Applicants shall be a minimum of eighteen (18) years of age and a maximum of sixty-five (65) years of age at the time of registration.
(4) If the Applicant wishes to apply for and subscribe to the BIMA Sehat Plan under this Insurance Policy, the Applicant will be required during the registration process to:
1. acknowledge that the Applicant has read and understood the terms of the Policy and the Jazz Payment Terms;
2. confirm that the Applicant meets the eligibility criteria set out in General Provision 1 of the policy;
3. confirm the BIMA Sehat Plan that the Applicant wishes to apply for;
4. authorize Jazz to charge every month from the postpaid account for the subscribed service and
5. the Insurance Benefits payable are subject to the Applicant’s confirmations being true and correct; and
6. if the Applicant’s confirmation is untrue or incorrect, no Insurance Benefits will be payable and the End User Price the Subscriber paid will not be refunded.
2. Mistake In Age
The Company shall only pay Insurance Benefits based on the disclosed age of the Insured. With the onus on the customer for incorrect disclosure the Company shall not be liable to pay any benefit under this Policy in that particular case.
3. Intentional False Statements Of The Insured
In the event of any concealment or misrepresentation the BIMA Sehat Policy shall become null and void with respect to the relevant Insured.
4. Notice Of Claims
the Company shall be notified of the hospitalization of the Insured as soon as possible, but not later than 270 (two hundred & seventy) days from the from the first night of hospitalization after which it shall be treated as time barred and the Company shall not be bound to pay the Claim.
(2) For each Claim reported, the Company shall obtain:
From the Claimant:
CNIC; final hospital invoice or discharge report which states date of admission and discharge.
Insurer may require any other document it reasonably deems necessary before approving a claim under the Policy.
(3) The Company” shall process and pay genuine and approved claims on receipt of required documents from the Claimant within three (3) working days.
(4) If there is a dispute, suspected fraudulent activity on the claim or a unique situation which requires further clarification, the payment period can be extended but shall not exceed ten (10) working days, or as long as the dispute takes to resolve in the legal system.
5. Termination Of Individual Insurance
The insurance of an Insured shall automatically terminate at the earliest time below:
6. Participation Requirement/Process
Interested customers shall participate through an electronic enrolment process, assisted by a call center agent, or by submitting information electronically via their handset, in two phases:
1st Phase:
Name of the Customer:
Age or CNIC Number:
Name of the Beneficiary:
Relationship to Customer:
Insurance Benefits selected by Customer:
2nd phase:
Once the customer has answered the questions in the 1st Phase, the customer shall receive an SMS on for or on behalf of the Company and shall be asked to dial a short code, or send an SMS to a particular number to confirm registration. Alternatively, the Customer may offer his verbal consent over an official recorded channel managed by MILVIK to a MILVIK agent. This confirmation serves as digital signature for the BIMA SEHAT Insurance Cover. After receiving positive response, the customer shall be enrolled under the BIMA SEHAT Policy.
7. Arbitration
All differences arising out of this policy shall be referred to the decision of an arbitrator to be appointed in writing by the parties in difference or if they cannot agree upon a single arbitrator to the decision of two arbitrators one to be appointed in writing by each of the parties within one calendar month after having been required in writing so to do by either of parties or incase the arbitrators do not agree of an umpire appointed in writing by the arbitrators before entering upon the reference. The umpire shall sit with the arbitrators and preside at their meetings and the making of an award shall be a condition precedent to any right of action against the Company. If the Company shall disclaim liability to the Insured Person for any claim hereunder and such claim shall not within twelve calendar months from the date of such disclaimer have been referred to arbitrator under the provisions herein contained then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder. Notwithstanding stated above, dispute resolution forums given under the Insurance Ordinance, 2000, such as the Insurance Ombudsman, Small Disputes Resolution Committee and the Insurance Tribunals, shall prevail in the order of precedence, and over the seat of Arbitration.
8. Compliance with Policy Provisions
Failure to comply with any of the provisions contained in the policy shall invalidate all claims hereunder.
9. Insurance Benefits
The Company hereby agrees to pay the following benefit subject to the terms and conditions provided under the BIMA SEHAT Policy as defined hereunder.
If an Insured is hospitalized due to any reason(with the exception of exclusions), on a twenty four (24)-hour worldwide basis, the Company will, upon receipt of due proof in writing of the hospitalization of the insured, pay the Insured or Beneficiary as the case may be the sum assured, according to their Insurance Cover level as described in this Insurance Benefits Section of the Policy Wording
Benefit:
The amount of benefit received by the Insured or the Beneficiary in the event of the hospitalization from the first night of hospitalization of the Insured will be according to the amount of premium paid and subject to the terms and conditions of the product.
Terms and conditions of this cover are as follows:
The following actions shall be taken depending on the decision of renewal or non-renewal:
On non-renewal: The insurance policy shall be terminated, and all airtime deduction or billing shall be discontinued; any amount deducted or billed after the cancellation of the service is nonrefundable.
On renewal: the insurance policy shall continue on auto-renewal, and all airtime deduction or billing will continue to apply in subsequent calendar month
The BIMA Sehat service is extended to one (1) person per Jazz subscriber who is a successful Applicant for the BIMA Sehat Insurance Cover. Each Applicant is allowed to select the level of maximum insurance benefit at the point of Enrolment.
The Subscriber has the option to choose between four (4) cover levels, at four (4) corresponding End User Price points, as given below. Unlimited M health is included for all four (4) cover levels.
*Monthly Price (Excluding Tax) |
Method of Payment |
Maximum sum assured per night (max 30 nights per year) |
M-Health |
Specialist Consultations (Gynae, Paeds, Nutritionist & Mental Health) |
Rs. 75.68 |
Postpaid Bill |
Rs.1,250 |
Unlimited |
Unlimited |
Rs. 125.90 |
Postpaid Bill |
Rs.3,000 |
Unlimited |
Unlimited |
Rs. 238.69 |
Postpaid Bill |
Rs.7,000 |
Unlimited |
Unlimited |
Rs. 427.15 |
Postpaid Bill |
Rs.15,000 |
Unlimited |
Unlimited |
Hospital Insurance
Cover: lump sum pay out based on number of overnight stays in hospital, maximum thirty (30) nights per year. In addition to the Hospitalization cover BIMA Sehat service includes:
Health programs:
Access to one health program, chosen by the Subscriber from a menu of health programs provided by MILVIK. Health programs include periodic delivery of program-specific content through different communication channels. The health program is only available for the Subscriber.
Tele-Consultation:
Unlimited access to tele-consultations with MILVIK doctors to address acute minor ailments and to receive medical advice on general health topics, however, these may not be used for urgent conditions. The teleconsultations are available for the Subscriber and Subscriber’s immediate family members, limited to the Subscriber’s parents, spouse, children and siblings.
Specialist Consultation:
Access to specialists (gynecologist, pediatrician, nutritionist and psychologist/psychiatrist) for your health needs in both consultative and health advice related matters. The specialist services are available for the Subscriber and Subscriber’s immediate family members, limited to the Subscriber’s parents, spouse, children and siblings.
THIS DOCUMENT IS AN AGREEMENT BETWEEN YOU AND MILVIK, WHICH CONTAINS THE TERMS AND CONDITIONS YOU AGREE TO WHEN YOU USE THE BIMA SEHAT PRODUCT. IF YOU DO NOT AGREE TO THESE TERMS AND CONDITIONS, YOU ARE NOT AUTHORIZED TO ACCESS OR USE OUR SERVICES. WE MAY UPDATE THESE TERMS OF USE FROM TIME TO TIME. WE ENCOURAGE YOU TO REVIEW THESE TERMS PERIODICALLY. YOUR CONTINUED USE OF OUR SERVICES (AS DEFINED BELOW) INDICATES YOUR ACCEPTANCE OF THE CHANGED TERMS OF USE.
Any reference to “MILVIK”, “our”, “us”, or “we” are references to MILVIK Mobile Pakistan (Pvt.) Limited, a private company registered in Pakistan (company number 90585), the registered office being 3rd Floor, New Liberty Tower, Model Town Link Road, Model Town, Lahore, Pakistan.
1. Services Provided:
MILVIK provides real-time medical consultations with licensed physicians (“BIMA Doctors”) through telephone, video, SMS, apps or other means for the purpose of providing advice and/or recommendations on medical and health issues (“Services”). MILVIK may also offer other health-related services provided in partnership with local providers, which may include hospitals, diagnostic laboratories or pharmacies (together with the BIMA Doctors, the “Providers”).
MILVIK facilitates access to Providers who have agreed to provide medical and health advice and services to customers. It does not interfere with the practice of medicine or other licensed profession by BIMA Doctors and MILVIK does not impose any guidelines or protocols that restrict the actions of BIMA Doctors.
2. Use of MILVIK health Services is NOT FOR EMERGENCIES:
Our Services are NOT for use in potential or actual medical emergencies or if you have a condition that you know will require a physical examination. If this is the case, you should visit your nearest emergency room. You must not delay your visit to the emergency room in anticipation of obtaining medical advice from a BIMA Doctor through MILVIK.
3. Relationship with your Primary Care Physician:
Your interaction with the BIMA Doctors through our Services is not intended to replace your relationship with your existing primary care physician or other healthcare professional or be your permanent medical access point. You should seek emergency help or follow-up care when recommended by a BIMA Doctor or when otherwise needed and continue to consult with your primary care physician and other health care professionals as necessary. Consult your primary care physician or health care professional as relevant if you have any questions about any symptoms or medical condition, and before starting or stopping any treatment by your physician or health care professional.
4. Medication Policy:
MILVIK will provide you with access to BIMA Doctors that are appropriately qualified and experienced to practice medicine. Subject to all applicable laws, such BIMA Doctor may recommend a medication as deemed appropriate. BIMA Doctors cannot guarantee the availability, effectiveness, authenticity, reliability, safety, legality or quality of the recommended medicine. MILVIK does not guarantee that a BIMA Doctor will recommend or issue medication, and does not endorse, recommend or make any representation or warranty about the medicines recommended or prescribed by the BIMA Doctor.
You agree that any medication recommended to you from a BIMA Doctor shall be solely for your personal use. You agree to fully and carefully read all product information and labels before use and to contact a physician or pharmacist if you have any questions regarding the medicine. You agree that you are using our Services only for yourself, or on behalf of a child under 18 in your capacity as his/her parent or legal guardian, provided that you supervise the child’s use of the Services at all times. MILVIK may suspend services or terminate customer accounts if we reasonably suspect that such accounts are being used in breach of the restrictions in this section.
5. Privacy:
When you sign up for the Services, you agree that the Providers will communicate with you, by sending information, messages and notices to you. These messages may be conveyed or sent via email, SMS, notifications, etc, using the contact information associated with your account, which includes the information you provide when you register or update information in your account settings. You also agree that MILVIK may retain your medical records and that such records will be held in compliance with all applicable laws. MILVIK may record calls and other communications with you for quality assurance purposes.
6. Intellectual Property Rights:
You may communicate materials containing our copyrights, trademarks, trade secrets, patents, or other intellectual property rights (“IPR”) to your physician or health care professional only. You are not permitted to copy, distribute or make any business use of our IPR.
7. Informed Consent:
Tele-health is the delivery of health care services using interactive audio and/or video technology, where the patient and the BIMA Doctor are not in the same physical location. During your tele-health consultation with a BIMA Doctor details of your medical or health history and personal health information may be discussed through the use of interactive audio, video, and/or other telecommunications technology, and the BIMA Doctor may perform a physical exam through these technologies. Depending on your medical or health history and/or specific complaint, you may be asked to provide information through other electronic means and verify your identity with a national identity card or other legal document.
8. Limitations of Tele-Health:
There are potentials risks associated with the use of tele-health, including, but not limited to
9. Complaints and Disputes:
You can always provide feedback on our services by calling 042-111119878 or emailing us at [email protected] If you have a complaint about our services, we aim to resolve it as quickly as possible. To assist us in addressing your complaint, we may ask for certain details from you—please provide these promptly to help us resolve the issue efficiently. We will inform you of the outcome of our investigation and offer you the opportunity to discuss it with us.
If we find that we have breached these terms and you suffer loss or damage as a foreseeable result, we are responsible for compensating you. However, we are not liable for any indirect, incidental, special, or consequential damages.
These terms are governed by the laws of Pakistan, and the Pakistani courts shall have exclusive jurisdiction over any claims arising from or in connection with these terms or the use of our products and services
10. Acceptance of these terms of use:
By using the Services, you acknowledge that you understand and agree with the following:
Policy Terms and Conditions shall remain subject to the following
BIMA in collaboration with Jazz, brings an innovative Personal Accidental Insurance service through a mobile-based platform. Our offerings include flexible pricing plans and compelling product features designed specifically for Jazz customers.
Features/Benefits
How to subscribe:
Call 042-111-119-878 or SMS “BIMA Sehat” to 9878. You will receive a call from a MILVIK representative within 24–48 working hours from 042-33339878. There are no charges for sending an SMS to 9878.
Monthly Price | Daily Charges(PKR) | Method of Payment | Level of maximum insurance cover provided | Funeral Expense (PKR) | Hospitalization due to Accident (PKR) |
Rs.90 |
Rs.3 | Prepaid balance | PKR 280,000 | 50,000 | 750 |
Rs.150 | Rs.5 | Prepaid balance | PKR 560,000 | 100,000 | 1,500 |
Rs.315 | Rs.10.5 | Prepaid balance | PKR 1,560,000 | 225,000 | 3,500 |
Rs.570 | Rs.19 | Prepaid balance | PKR 3,125,000 | 450,000 | 7,500 |
Prepaid: The monthly price is charged in **installments over 30 days
**Prepaid subscribers are eligible for Cover even if they are unable to pay the entire monthly price. For details please refer to the Terms &
Conditions
**The monthly price is divided into 30 equal installments and is charged once per day until the entire month’s price is received. If your prepaid balance is low and you may not be charged for that day. A proportionately reduced amount of insurance benefit will be provided even after one day deduction.
How do I Claim:
SMS ‘CLAIM’ to 9878 or call 042-111-119-878 no later than 270 days from the first night of hospitalization. A MILVIK representative will contact you with full information on how to process your claim.
The Insurance is underwritten by IGI General Insurance and delivered by MILVIK
BIMA Since 2010, has been revolutionizing lives in emerging markets with its innovative mobile-led insurance and health products. Serving over 7 million active customers across 6 countries in Asia and Africa, BIMA has established itself as a global leader in the industry.
BIMA Mobile Pakistan, established in 2015, partnered with Mobile Network Operators (MNOs) and insurance companies to provide digital healthcare and insurance services that are affordable and accessible to all the Pakistanis
MILVIK is proudly underwritten by IGI General Insurance IGI General Insurance offers first class security and service to the insuring public at an international standard.
Jazz Telecom, is facilitating this offering but shall not be responsible for any grievance of the Jazz Customer relating to the Insurance Services and IGI General Insurance’s or MILVIK’s performance of its obligations.
BIMA PERSONAL ACCIDENT INSURANCE POLICY
Whereas the Insured Person by a proposal which shall be the basis of the contract and be held as incorporated herein has applied to the Company for the insurance hereinafter contained and has paid or agreed to pay the first premium as consideration for such insurance.
Now this policy witnesses that subject to the terms conditions and exceptions contained herein or endorsed hereon, if at any time during the period of insurance, if the Insured Person shall sustain any Bodily Injury caused by Accident as defined herein, the Company will pay to the Insured Person or in the event of his death, to his Beneficiary, if surviving, otherwise to the estate of the Insured Person the Benefit stated in the Policy Schedule attached hereto.
DEFINITIONS
EXCLUSIONS
Payment of claims is subject to exclusions, as outlined below. The Personal Accident Insurance Cover shall not cover any Death or Permanent Disability which is caused by, or resulting, directly or indirectly, wholly or partly, from any of the following factors:
GENERAL PROVISIONS
1. Eligibility & Enrolment
Applicants are eligible to apply for an Accident Protection Plan under the Policy if Applicants meet ALL the criteria set out below:
(1) Eligible Applicants shall include individual pre-paid and post-paid Jazz Customers. It is understood and agreed between the Parties that only one (1) person shall be insured per pre-paid or post-paid telecommunication connection.
(2) All Eligible Applicants shall be natural persons. Corporations, partnerships and businesses shall not be eligible for coverage under the Personal Accident Policy.
(3) All Eligible Applicants shall be a minimum of eighteen (18) years of age and a maximum of sixty four (64) years of age at the time of registration.
(4) If the Applicant wishes to apply for and subscribe to an Accident Protection Plan under this Insurance Policy, the Applicant will be required during the registration process to:
i. acknowledge that the Applicant has read and understood the terms of the Policy and the Jazz Payment Terms;
ii. confirm that the Applicant meets the eligibility criteria set out in General Provision 1 of the policy;
iii. confirm the Accident Protection Plan that the Applicant wishes to apply for;
iv. Authorize Jazz to make 30 daily deductions each month from the prepaid account and bill the amount for postpaid
a. the Insurance Benefits payable are subject to the Applicant’s confirmations being true and correct; and
b. if the Applicant’s confirmation is untrue or incorrect, no Insurance Benefits will be payable and the End User Price the Subscriber paid will not be refunded.
2. Mistake In Age
3. Intentional False Statements Of The Insured
4. Notice Of Claims
(3) The Company” shall process and pay genuine and approved claims on receipt of required documents from the Claimant within three (3) working days.
(4) If there is a dispute, suspected fraudulent activity on the claim or a unique situation which requires further clarification, the payment period can be extended but shall not exceed ten (10) working days, or as long as the dispute takes to resolve in the legal system.
5. Termination Of Individual Insurance
The insurance of an Insured shall automatically terminate at the earliest time below:
6. Participation Requirement/Process
Interested customers shall participate through an electronic enrolment process, assisted by a call center or field agent, or by submitting information electronically via their handset, in two phases:
1st Phase:
Name of the Customer:
Age or CNIC Number:
Name of the Beneficiary:
Relationship to Customer:
Insurance Benefits selected by Customer:
2nd phase:
Once the customer has answered the questions in the 1st Phase, the customer shall receive an SMS on for or on behalf of the Company and shall be asked to dial a short code, or send an SMS to a particular number to confirm registration. Alternatively, the Customer may offer his verbal consent over an official recorded channel managed by BIMA to a BIMA agent. This confirmation serves as digital signature for the Personal Accident Insurance Cover. After receiving positive response, the customer shall be enrolled under the Personal Accident Policy.
7. Arbitration
All differences arising out of this policy shall be referred to the decision of an arbitrator to be appointed in writing by the parties in difference or if they cannot agree upon a single arbitrator to the decision of two arbitrators one to be appointed in writing by each of the parties within one calendar month after having been required in writing so to do by either of parties or incase the arbitrators do not agree of an umpire appointed in writing by the arbitrators before entering upon the reference. The umpire shall sit with the arbitrators and preside at their meetings and the making of an award shall be a condition precedent to any right of action against the Company. If the Company shall disclaim liability to the Insured Person for any claim hereunder and such claim shall not within twelve calendar months from the date of such disclaimer have been referred to arbitrator under the provisions herein contained then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder. Notwithstanding stated above, dispute resolution forums given under the Insurance Ordinance, 2000, such as the Insurance Ombudsman, Small Disputes Resolution Committee and the Insurance Tribunals, shall prevail in the order of precedence, and over the seat of Arbitration.
8. Compliance with Policy Provisions
Failure to comply with any of the provisions contained in the policy shall invalidate all claims hereunder.
8. Insurance Benefits
The Company hereby agrees to pay the following benefit subject to the terms and conditions provided under the Personal Accident Policy as defined hereunder. If an Insured dies or is permanently disabled due to an Accident as defined herein, on a twenty four (24)-hour worldwide basis, the Company will, upon receipt of due proof in writing of the Death or Permanent Disablement of the insured, pay the Insured or Beneficiary as the case may be the sum assured, according to their Insurance Cover level as described in this Insurance Benefits Section of the Policy Wording, as full and final settlement of Death or Permanent Disablement Claim in respect of the deceased/disabled Insured.
Benefit:
The amount of benefit received by the Insured or the Beneficiary in the event of the accidental Death or Total and Permanent Disablement of the Insured will be according to the amount of premium paid and subject to the terms and conditions of the product.
Terms and conditions of this cover are as follows:
In the event of partial pay-out following Permanent Disablement due to Accident, the Company shall permit renewal of the insurance offer on a case-by case basis, and inform the registered subscriber accordingly. The following actions shall be taken depending on the decision of renewal or non-renewal:
The Personal Accident Insurance Cover is extended to one (1) person per Jazz subscriber who is a successful Applicant for the Personal Accident Insurance Cover. Each Applicant is allowed to select the level of maximum insurance benefit at the point of Enrolment.
Charges and BIMA Cover:
Monthly Price | Daily Charges(PKR) | Method of Payment | Level of maximum insurance cover provided | Funeral Expense (PKR) | Hospitalization due to Accident (PKR) |
Rs.90 |
Rs.3 |
Prepaid balance |
PKR 280,000 |
50,000 |
750 |
Rs.150 |
Rs.5 |
Prepaid balance |
PKR 560,000 |
100,000 |
1,500 |
Rs.315 |
Rs.10.5 |
Prepaid balance |
PKR 1,560,000 |
225,000 |
3,500 |
Rs.570 |
Rs.19 |
Prepaid balance |
PKR 3,125,000 |
450,000 |
7,500 |
Table of Insurance Benefit:
Death / Total bermanent Disablement | % of maximum insurance benefit paid |
Accidental death |
100% |
Amputation or Loss of use of two limbs |
100% |
Amputation or Loss of use of both hands, or of all fingers and both thumbs |
100% |
Total paralysis or Injuries resulting in being Permanently bedridden or Disablement |
100% |
Total insanity |
100% |
Total and irrevocable loss of all sight in both eyes |
100% |
PERMANENT PARTIAL DISABLEMENT | % of maximum insurance benefit paid |
Amputation or Loss of use of a limb |
50% |
Amputation or Loss of use of four fingers and thumb on one hand |
50% |
Total and irrevocable loss of all sight in one eye |
50% |
Total Loss of hearing or speech |
50% |
Burns – 3rd degree covering more than 9% of body |
50% |
PKR 280,000 Policy
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
90 |
280,000 |
87 |
270,667 |
84 |
261,333 |
81 |
252,000 |
78 |
242,667 |
75 |
233,333 |
72 |
224,000 |
69 |
214,667 |
66 |
205,333 |
63 |
196,000 |
60 |
186,667 |
57 |
177,333 |
54 |
168,000 |
51 |
158,667 |
48 |
149,333 |
45 |
140,000 |
42 |
130,667 |
39 |
121,333 |
36 |
112,000 |
33 |
102,667 |
30 |
93,333 |
27 |
84,000 |
24 |
74,667 |
21 |
65,333 |
18 |
56,000 |
15 |
46,667 |
12 |
37,333 |
9 |
28,000 |
6 |
18,667 |
3 |
9,333 |
0 |
Nil |
PKR 560,000 Policy
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
150 |
560,000 |
145 |
541,333 |
140 |
522,667 |
135 |
504,000 |
130 |
485,333 |
125 |
466,667 |
120 |
448,000 |
115 |
429,333 |
110 |
410,667 |
105 |
392,000 |
100 |
373,333 |
95 |
354,667 |
90 |
336,000 |
85 |
317,333 |
80 |
298,667 |
75 |
280,000 |
70 |
261,333 |
65 |
242,667 |
60 |
224,000 |
55 |
205,333 |
50 |
186,667 |
45 |
168,000 |
40 |
149,333 |
35 |
130,667 |
30 |
112,000 |
25 |
93,333 |
20 |
74,667 |
15 |
56,000 |
10 |
37,333 |
5 |
18,667 |
0 |
Nil |
PKR 1,560,000 Policy
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
315 |
1,560,000 |
304 |
1,508,000 |
294 |
1,456,000 |
283 |
1,404,000 |
273 |
1,352,000 |
262 |
1,300,000 |
252 |
1,248,000 |
241 |
1,196,000 |
231 |
1,144,000 |
220 |
1,092,000 |
210 |
1,040,000 |
199 |
988,000 |
189 |
936,000 |
178 |
884,000 |
168 |
832,000 |
157 |
780,000 |
147 |
728,000 |
136 |
676,000 |
126 |
624,000 |
115 |
572,000 |
105 |
520,000 |
94 |
468,000 |
84 |
416,000 |
73 |
364,000 |
63 |
312,000 |
52 |
260,000 |
42 |
208,000 |
31 |
156,000 |
21 |
104,000 |
10 |
52,000 |
0 |
Nil |
PKR 3,125,000 Policy
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
570 |
3,125,000 |
551 |
3,020,833 |
532 |
2,916,667 |
513 |
2,812,500 |
494 |
2,708,333 |
475 |
2,604,167 |
456 |
2,500,000 |
437 |
2,395,833 |
418 |
2,291,667 |
399 |
2,187,500 |
380 |
2,083,333 |
361 |
1,979,167 |
342 |
1,875,000 |
323 |
1,770,833 |
304 |
1,666,667 |
285 |
1,562,500 |
266 |
1,458,333 |
247 |
1,354,167 |
228 |
1,250,000 |
209 |
1,145,833 |
190 |
1,041,667 |
171 |
937,500 |
152 |
833,333 |
133 |
729,167 |
114 |
625,000 |
95 |
520,833 |
76 |
416,667 |
57 |
312,500 |
38 |
208,333 |
19 |
104,167 |
0 |
Nil |
Monthly Price |
Daily Charges(PKR) |
Method of Payment |
Level of maximum insurance cover provided |
Funeral Expense (PKR) |
Hosipatlization due to Accident (PKR) |
Rs.75.27 |
Rs.2.51 |
Prepaid balance |
PKR 225,000 |
40,000 |
600 |
Rs.120.05 |
Rs.4.00 |
Prepaid balance |
PKR 450,000 |
80,000 |
1,200 |
Rs.261.26 |
Rs.8.71 |
Prepaid balance |
PKR 1,250,000 |
180,000 |
3,000 |
Rs.475.01 |
Rs.15.83 |
Prepaid balance |
PKR 2,500,000 |
360,000 |
6,000 |
PKR 225,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
75.31 |
225,000 |
72.80 |
217500 |
70.29 |
210,000 |
67.78 |
202,500 |
65.27 |
195,000 |
62.76 |
187,500 |
60.25 |
180,000 |
57.74 |
172,500 |
55.23 |
165,000 |
52.72 |
157,500 |
50.21 |
150,000 |
47.70 |
142,500 |
45.19 |
135,000 |
42.68 |
127,500 |
40.17 |
120,000 |
37.66 |
112,500 |
35.14 |
105,000 |
32.63 |
97,500 |
30.12 |
90,000 |
27.61 |
82,500 |
25.10 |
75,000 |
22.59 |
67,500 |
20.08 |
60,000 |
17.57 |
52,500 |
15.06 |
45,000 |
12.55 |
37,500 |
10.04 |
30,000 |
7.53 |
22,500 |
5.02 |
15,000 |
2.51 |
7,500 |
0 |
Nil |
PKR 450,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
120.05 |
450,000 |
116.05 |
435,000 |
112.05 |
420,000 |
108.05 |
405,000 |
104.05 |
390,000 |
100.04 |
375,000 |
96.04 |
360,000 |
92.04 |
345,000 |
88.04 |
330,000 |
84.04 |
315,000 |
80.03 |
300,000 |
76.03 |
285,000 |
72.03 |
270,000 |
68.03 |
255,000 |
64.03 |
240,000 |
60.03 |
225,000 |
56.02 |
210,000 |
52.02 |
195,000 |
48.02 |
180,000 |
44.02 |
165,000 |
40.02 |
150,000 |
36.02 |
135,000 |
32.01 |
120,000 |
28.01 |
105,000 |
24.01 |
90,000 |
20.01 |
75,000 |
16.01 |
60,000 |
12.01 |
45,000 |
8.00 |
30,000 |
4.00 |
15,000 |
0 |
Nil |
PKR 1,250,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
216.26 |
1,250,000 |
252.55 |
1,208,333 |
243.84 |
1,166,667 |
235,13 |
1,125,000 |
226.43 |
1,083,333 |
217.72 |
1,041,677 |
209.01 |
1,000,000 |
200.30 |
958,333 |
191.59 |
916,667 |
182.88 |
875,000 |
174.17 |
833,333 |
165.46 |
791,667 |
156.76 |
750,000 |
148.05 |
708,333 |
139.34 |
666.667 |
130.63 |
625,000 |
121.92 |
583,333 |
113.21 |
541,667 |
104.50 |
500,000 |
95.80 |
458,333 |
87.09 |
416,667 |
78.38 |
375,000 |
69.67 |
333,333 |
60.96 |
291,776 |
52.25 |
250,000 |
43.54 |
208,333 |
34.83 |
166,667 |
26.13 |
125,000 |
17.42 |
83,333 |
8.71 |
41,667 |
0 |
Nil |
PKR 2,500,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
475.01 |
2,500,000 |
459.18 |
2,416,667 |
443.34 |
1,166,667 |
427.51 |
2,250,000 |
411.68 |
2,166,667 |
395.82 |
2.083,333 |
380.01 |
2,000,000 |
364.17 |
1,916,667 |
348.34 |
1,833,333 |
332.51 |
1,750,000 |
316.67 |
1,666,667 |
300.84 |
1,583,333 |
285.01 |
1,500,000 |
269.17 |
1,416,667 |
253.34 |
1,333,333 |
237.51 |
1,250,000 |
221.67 |
1,166,667 |
205.84 |
1,083,333 |
190.00 |
1,000,000 |
174.17 |
916,667 |
158.34 |
833,333 |
142.50 |
750,000 |
126.67 |
666,667 |
110.84 |
583,33 |
95.00 |
500,000 |
79.17 |
416,667 |
63.33 |
333,333 |
47.50 |
250,000 |
31.67 |
166,667 |
15.83 |
83,333 |
0 |
Nil |
Acknowledgement of the Customer
(Policy Terms and Conditions shall remain subject to the following)
Postpaid customer will get the cover from 2nd day of the registration.
If the customer does not become Active in the billing cycle, BIMA will not provide insurance coverage to the customer.
Customer will be charged on prorate from the day service is subscribed till his bill date and customer will be charged in advance for every month.
For un- subscription from this service, customer will write “NO”, “Cancel” or “Unsub” in message and send it to 9878 OR customer can call on 042-111-119-878 anytime.
Customer will get cover according to prorated charges and cover will be provided accordingly.
Yes, he will be covered as we have not associated the collection of bills with the cover of customer.
Yes, customer will be charged and get cover.
Yes, if BIMA agent speaks to the original customer and the customer is willing to opt in.
For postpaid customers as we charge them in bill, so customer will be eligible to get cover even if he is out of country.
An unexpected misfortune may hit anyone at any time, secure your family’s future by getting BIMA Personal Accidental plan today. It is an Accidental Insurance Product aimed at providing you or your family with financial security. It’s Hassle Free & It’s Paper Free.
Features and benefits:
How to subscribe:
Call 042-111-119-878 or SMS “BIMA” to 9878. You will receive a call from a MILVIK representative within 24–48 working hours from 04233339878. There are no charges for sending an SMS to 9878.
*Monthly Price (Excluding Tax) | Method of Payment | Level of maximum insurance cover provided | Funeral Expense (PKR) | Hospitalization due to Accident (PKR) |
Rs. 75.71 | Postpaid Bill | PKR 280,000 | 50,000 | 750 |
Rs. 125.90 | Postpaid Bill | PKR 560,000 | 100,000 | 1,500 |
Rs. 263.43 | Postpaid Bill | PKR 1,560,000 | 225,000 | 3,500 |
Rs. 477.36 | Postpaid Bill | PKR 3,125,000 | 450,000 | 7,500 |
*Telco tax 19.5% and Advance tax 15% will apply on monthly postpaid bill.
For post-paid accounts, a successful withdrawal signifies the billing and payment of the entire monthly premium due. Upon payment, the corresponding coverage will be issued as per the plan opted by the customer, as stated above. Please note that customers will be charged on a prorated basis from the time of subscription until the bill date. For the following months, the monthly rental will be prorated according to the total number of days in each month (i.e. Monthly charges/Total days in month) and the customer will be charged on a daily basis. Coverage will be provided accordingly.
How do I Claim?
SMS ‘CLAIM’ to 9878 or call 042-111-119-878 no later than 270 days from the first night of hospitalization. A MILVIK representative will contact you with full information on how to process your claim.
The Insurance is underwritten by IGI General Insurance and delivered by MILVIK.
BIMASince 2010, has been revolutionizing lives in emerging markets with its innovative mobile-led insurance and health products. BIMA has established itself as a global leader in the industry, serving over 7 million active customers across 6 countries in Asia and Africa.
BIMA Mobile Pakistan, established in 2015, partnered with Mobile Network Operators (MNOs) and insurance companies to provide digital healthcare and insurance services that are affordable and accessible to all Pakistanis.
MILVIK is proudly underwritten by IGI General Insurance. IGI General Insurance offers first class security and service to the insuring public at an international standard.
Jazz Telecom, is facilitating this offering but shall not be responsible for any grievance of the Jazz Customer relating to the Insurance Services and IGI General Insurance’s or MILVIK’s performance of its obligations.
BIMA PERSONAL ACCIDENT INSURANCE POLICY
Whereas the Insured Person by a proposal which shall be the basis of the contract and be held as incorporated herein has applied to the Company for the insurance hereinafter contained and has paid or agreed to pay the first premium as consideration for such insurance.
Now this policy witnesses that subject to the terms conditions and exceptions contained herein or endorsed hereon, if at any time during the period of insurance, if the Insured Person shall sustain any Bodily Injury caused by Accident as defined herein, the Company will pay to the Insured Person or in the event of his death, to his Beneficiary, if surviving, otherwise to the estate of the Insured Person the Benefit stated in the Policy Schedule attached hereto.
DEFINITIONS
EXCLUSIONS
Payment of claims is subject to exclusions, as outlined below. The Personal Accident Insurance Cover shall not cover any Death or Permanent Disability which is caused by, or resulting, directly or indirectly, wholly or partly, from any of the following factors:
GENERAL PROVISIONS
1. Eligibility & Enrolment
Applicants are eligible to apply for an Accident Protection Plan under the Policy if Applicants meet ALL the criteria set out below:
(1) Eligible Applicants shall include individual pre-paid and post-paid Jazz Customers. It is understood and agreed between the Parties that only one (1) person shall be insured per pre-paid or post-paid telecommunication connection.
(2) All Eligible Applicants shall be natural persons. Corporations, partnerships and businesses shall not be eligible for coverage under the Personal Accident Policy.
(3) All Eligible Applicants shall be a minimum of eighteen (18) years of age and a maximum of sixty four (64) years of age at the time of registration.
(4) If the Applicant wishes to apply for and subscribe to an Accident Protection Plan under this Insurance Policy, the Applicant will be required during the registration process to:
i. acknowledge that the Applicant has read and understood the terms of the Policy and the Jazz Payment Terms;
ii. confirm that the Applicant meets the eligibility criteria set out in General Provision 1 of the policy;
iii. confirm the Accident Protection Plan that the Applicant wishes to apply for;
iv. Authorize Jazz to make 30 daily deductions each month from the prepaid account and bill the amount for postpaid
a. the Insurance Benefits payable are subject to the Applicant’s confirmations being true and correct; and
b. if the Applicant’s confirmation is untrue or incorrect, no Insurance Benefits will be payable and the End User Price the Subscriber paid will not be refunded.
2. Mistake In Age
The Company shall only pay Insurance Benefits based on the disclosed age of the Insured. With the onus on the customer for incorrect disclosure the Company shall not be liable to pay any benefit under this Policy in that particular case.
3. Intentional False Statements Of The Insured
In the event of any concealment or misrepresentation the Personal Accident Policy shall become null and void with respect to the relevant Insured.
4. Notice Of Claims
The Company shall be notified of the occurrence of Death of the Insured or the Permanent Disablement of the Insured as soon as possible, but not later than 270 (two hundred & seventy) days from the date of Death or occurrence of Permanent Disablement after which it shall be treated as time barred and the Company shall not be bound to pay the Claim.
(2) For each Claim reported, the Company shall obtain:
From the Claimant:
In case of Death:
A notice of death, which could be a legal death certificate, a certificate of attending physician, containing his registration number and mentioning actual cause of death, and proof of the personal identity of the Insured, which could be the official personal identity data.
In case of Permanent Disablement:
Medical report containing the degree of Disablement certified by the surgeon. In case of Permanent Disablement, unnatural or unusual death, Insurer may require any other document it reasonably deems necessary before approving a claim under the Policy.
(3) The Company” shall process and pay genuine and approved claims on receipt of required documents from the Claimant within three (3) working days.
(4) If there is a dispute, suspected fraudulent activity on the claim or a unique situation which requires further clarification, the payment period can be extended but shall not exceed ten (10) working days, or as long as the dispute takes to resolve in the legal system.
5. Termination Of Individual Insurance
The insurance of an Insured shall automatically terminate at the earliest time below:
6. Participation Requirement/Process
Interested customers shall participate through an electronic enrolment process, assisted by a call center or field agent, or by submitting information electronically via their handset, in two phases:
1st Phase:
Name of the Customer:
Age or CNIC Number:
Name of the Beneficiary:
Relationship to Customer:
Insurance Benefits selected by Customer:
2nd phase:
Once the customer has answered the questions in the 1st Phase, the customer shall receive an SMS on for or on behalf of the Company and shall be asked to dial a short code, or send an SMS to a particular number to confirm registration. Alternatively, the Customer may offer his verbal consent over an official recorded channel managed by BIMA to a BIMA agent. This confirmation serves as digital signature for the Personal Accident Insurance Cover. After receiving positive response, the customer shall be enrolled under the Personal Accident Policy.
7. Arbitration
All differences arising out of this policy shall be referred to the decision of an arbitrator to be appointed in writing by the parties in difference or if they cannot agree upon a single arbitrator to the decision of two arbitrators one to be appointed in writing by each of the parties within one calendar month after having been required in writing so to do by either of parties or incase the arbitrators do not agree of an umpire appointed in writing by the arbitrators before entering upon the reference. The umpire shall sit with the arbitrators and preside at their meetings and the making of an award shall be a condition precedent to any right of action against the Company. If the Company shall disclaim liability to the Insured Person for any claim hereunder and such claim shall not within twelve calendar months from the date of such disclaimer have been referred to arbitrator under the provisions herein contained then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder. Notwithstanding stated above, dispute resolution forums given under the Insurance Ordinance, 2000, such as the Insurance Ombudsman, Small Disputes Resolution Committee and the Insurance Tribunals, shall prevail in the order of precedence, and over the seat of Arbitration.
8. Compliance with Policy Provisions
Failure to comply with any of the provisions contained in the policy shall invalidate all claims hereunder.
9. Insurance Benefits
The Company hereby agrees to pay the following benefit subject to the terms and conditions provided under the Personal Accident Policy as defined hereunder. If an Insured dies or is permanently disabled due to an Accident as defined herein, on a twenty four (24)-hour worldwide basis, the Company will, upon receipt of due proof in writing of the Death or Permanent Disablement of the insured, pay the Insured or Beneficiary as the case may be the sum assured, according to their Insurance Cover level as described in this Insurance Benefits Section of the Policy Wording, as full and final settlement of Death or Permanent Disablement Claim in respect of the deceased/disabled Insured.
Benefit:
The amount of benefit received by the Insured or the Beneficiary in the event of the accidental Death or Total and Permanent Disablement of the Insured will be according to the amount of premium paid and subject to the terms and conditions of the product.
Terms and conditions of this cover are as follows:
In the event of partial pay-out following Permanent Disablement due to Accident, the Company shall.
permit renewal of the insurance offer on a case-by case basis, and inform the registered subscriber.
accordingly. The following actions shall be taken depending on the decision of renewal or non-renewal:
The Personal Accident Insurance Cover is extended to one (1) person per Jazz subscriber who is a successful Applicant for the Personal Accident Insurance Cover. Each Applicant is allowed to select the level of maximum insurance benefit at the point of Enrolment.
The Personal Accident Insurance Cover is extended to one (1) person per Jazz subscriber who is a successful Applicant for the Personal Accident Insurance Cover. Each Applicant is allowed to select the level of maximum insurance benefit at the point of Enrolment.
Charges and BIMA Cover Postpaid:
*Monthly Price (Excluding Tax) |
Method of Payment |
Level of maximum insurance cover provided |
Funeral Expense (PKR) |
Hospitalization due to Accident (PKR) |
Rs. 75.71 |
Postpaid Bill |
PKR 280,000 |
50,000 |
750 |
Rs. 125.90 |
Postpaid Bill |
PKR 560,000 |
100,000 |
1,500 |
Rs. 263.43 |
Postpaid Bill |
PKR 1,560,000 |
225,000 |
3,500 |
Rs. 477.36 |
Postpaid Bill |
PKR 3,125,000 |
450,000 |
7,500 |
*Telco tax 19.5% and Advance tax 15% will apply on monthly postpaid bill.
Table of Insurance Benefit:
Death / Total Permanent Disablement |
% of maximum insurance benefit paid |
Accidental death |
100% |
Amputation or Loss of use of two limbs |
100% |
Amputation or Loss of use of both hands, or of all fingers and both thumbs |
100% |
Total paralysis or Injuries resulting in being Permanently bedridden or Disablement |
100% |
Total insanity |
100% |
Total and irrevocable loss of all sight in both eyes |
100% |
PARMANENT PARTIAL DISABLEMENT | % of maximum insurance benefit paid |
Amputation or Loss of use of a limb |
50% |
Amputation or Loss of use of four fingers and thumb on one hand |
50% |
Total and irrevocable loss of all sight in one eye |
50% |
Total Loss of hearing or speech |
50% |
Burns – 3rd degree covering more than 9% of body |
50% |
Monthly Price |
Daily |
Method of Payment |
Maximum sum assured per night (max 30 nights per year) |
M-Health |
Specialist Consultations (Gynae, Paeds, Nutritionist & Mental Health) |
Rs.75.27 |
Rs.2.51 |
Prepaid balance |
PKR 1,000 |
Unlimited |
NA |
Rs.120.10 |
Rs.4.00 |
Prepaid balance |
PKR 2,250 |
Unlimited |
NA |
Rs.235.90 |
Rs.7.86 |
Prepaid balance |
PKR 5,500 |
Unlimited |
Yes |
Rs.428.95 |
Rs.14.30 |
Prepaid balance |
PKR 12,000 |
Unlimited |
Yes |
PKR 1,000 Per night
Amount of End User Price paid in calendar month (PKR) |
Per night cover in the following calendar month |
75.27 |
1,000 |
72.76 |
967 |
70.25 |
933 |
67.74 |
900 |
65.23 |
867 |
62.72 |
833 |
60.22 |
800 |
57.71 |
767 |
55.20 |
733 |
52.69 |
700 |
50.18 |
667 |
47.66 |
633 |
45.16 |
600 |
42.65 |
567 |
40.41 |
533 |
37.64 |
500 |
35.13 |
500 |
32.62 |
500 |
30.11 |
500 |
27.60 |
500 |
25.09 |
500 |
22.58 |
500 |
20.07 |
500 |
17.56 |
500 |
15.05 |
500 |
12.55 |
500 |
10.04 |
500 |
7.53 |
500 |
5.02 |
500 |
2.51 |
500 |
0 |
Nil |
PKR 2,250 per night
Amount of End User Price paid in calendar month (PKR) |
Per night cover in the following calendar month |
120.10 |
2,250 |
116.10 |
2,175 |
112.09 |
2,100 |
108.09 |
2,025 |
104.09 |
1,950 |
100.08 |
1,875 |
96.08 |
1,800 |
92.08 |
1,725 |
88.07 |
1,650 |
84.07 |
1,575 |
80.07 |
1,500 |
76.06 |
1,425 |
72.06 |
1,350 |
68.06 |
1,275 |
64.05 |
1,200 |
60.05 |
1,125 |
56.05 |
1,050 |
52.04 |
975 |
48.04 |
900 |
44.04 |
825 |
40.03 |
750 |
36.03 |
675 |
32.03 |
600 |
28.02 |
525 |
24.02 |
500 |
20.02 |
500 |
16.01 |
500 |
12.01 |
500 |
8.01 |
500 |
4.00 |
500 |
0 |
Nil |
PKR 5,500 per night
Amount of End User Price paid in calendar month (PKR) |
Per night cover in the following calendar month |
235.90 |
5,500 |
228.04 |
5,316 |
220.17 |
5,134 |
212.31 |
4,950 |
204.45 |
4,766 |
196.58 |
4,584 |
188.72 |
4,400 |
180.86 |
4,216 |
172.99 |
4,034 |
165.13 |
3,850 |
157.27 |
3,666 |
149.40 |
3,484 |
141.45 |
3,300 |
133.68 |
3,116 |
125.81 |
2,934 |
117.95 |
2,750 |
110.09 |
2,566 |
102.22 |
2,384 |
94.36 |
2,201 |
86.50 |
2,018 |
78.63 |
1,835 |
70.77 |
1,652 |
62.91 |
1,469 |
55.04 |
1,286 |
47.18 |
1,103 |
39.32 |
920 |
31.45 |
737 |
23.59 |
554 |
15.73 |
500 |
7.86 |
500 |
0 |
Nil |
PKR 12,000
Amount of End User Price paid in calendar month (PKR) |
Per night cover in the following calendar month |
428.95 |
12,000 |
414.65 |
11,600 |
400.35 |
11,200 |
386.06 |
10,800 |
371.76 |
10,400 |
357.46 |
10,000 |
343.16 |
9,600 |
328.86 |
9,200 |
314.56 |
8,800 |
300.27 |
8,400 |
285.97 |
8,000 |
271.67 |
7,600 |
257.37 |
7,200 |
243.07 |
6,800 |
228.77 |
6,400 |
214.48 |
6,000 |
200.18 |
5,600 |
185.88 |
5,200 |
171.58 |
4,800 |
157.28 |
4,400 |
142.98 |
4,000 |
128.69 |
3,600 |
114.39 |
3,200 |
100.09 |
2,800 |
85.79 |
2,400 |
71.49 |
2,000 |
57.19 |
1,600 |
42.90 |
1,200 |
28.60 |
800 |
14.30 |
500 |
0 |
Nil |
Monthly Price |
Daily Charges(PKR) |
Method of Payment |
Level of maximum insurance cover provided |
Funeral Expense (PKR) |
Hosipatlization due to Accident (PKR) |
Rs.75.27 |
Rs.2.51 |
Prepaid balance |
PKR 225,000 |
40,000 |
600 |
Rs.120.05 |
Rs.4.00 |
Prepaid balance |
PKR 450,000 |
80,000 |
1,200 |
Rs.261.26 |
Rs.8.71 |
Prepaid balance |
PKR 1,250,000 |
180,000 |
3,000 |
Rs.475.01 |
Rs.15.83 |
Prepaid balance |
PKR 2,500,000 |
360,000 |
6,000 |
PKR 225,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
75.31 |
225,000 |
72.80 |
217500 |
70.29 |
210,000 |
67.78 |
202,500 |
65.27 |
195,000 |
62.76 |
187,500 |
60.25 |
180,000 |
57.74 |
172,500 |
55.23 |
165,000 |
52.72 |
157,500 |
50.21 |
150,000 |
47.70 |
142,500 |
45.19 |
135,000 |
42.68 |
127,500 |
40.17 |
120,000 |
37.66 |
112,500 |
35.14 |
105,000 |
32.63 |
97,500 |
30.12 |
90,000 |
27.61 |
82,500 |
25.10 |
75,000 |
22.59 |
67,500 |
20.08 |
60,000 |
17.57 |
52,500 |
15.06 |
45,000 |
12.55 |
37,500 |
10.04 |
30,000 |
7.53 |
22,500 |
5.02 |
15,000 |
2.51 |
7,500 |
0 |
Nil |
PKR 450,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
120.05 |
450,000 |
116.05 |
435,000 |
112.05 |
420,000 |
108.05 |
405,000 |
104.05 |
390,000 |
100.04 |
375,000 |
96.04 |
360,000 |
92.04 |
345,000 |
88.04 |
330,000 |
84.04 |
315,000 |
80.03 |
300,000 |
76.03 |
285,000 |
72.03 |
270,000 |
68.03 |
255,000 |
64.03 |
240,000 |
60.03 |
225,000 |
56.02 |
210,000 |
52.02 |
195,000 |
48.02 |
180,000 |
44.02 |
165,000 |
40.02 |
150,000 |
36.02 |
135,000 |
32.01 |
120,000 |
28.01 |
105,000 |
24.01 |
90,000 |
20.01 |
75,000 |
16.01 |
60,000 |
12.01 |
45,000 |
8.00 |
30,000 |
4.00 |
15,000 |
7.86 |
500 |
0 |
Nil |
PKR 1,250,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
216.26 |
1,250,000 |
252.55 |
1,208,333 |
243.84 |
1,166,667 |
235,13 |
1,125,000 |
226.43 |
1,083,333 |
217.72 |
1,041,677 |
209.01 |
1,000,000 |
200.30 |
958,333 |
191.59 |
916,667 |
182.88 |
875,000 |
174.17 |
833,333 |
165.46 |
791,667 |
156.76 |
750,000 |
148.05 |
708,333 |
139.34 |
666.667 |
130.63 |
625,000 |
121.92 |
583,333 |
113.21 |
541,667 |
104.50 |
500,000 |
95.80 |
458,333 |
87.09 |
416,667 |
78.38 |
375,000 |
69.67 |
333,333 |
60.96 |
291,776 |
52.25 |
250,000 |
43.54 |
208,333 |
34.83 |
166,667 |
26.13 |
125,000 |
17.42 |
83,333 |
8.71 |
41,667 |
0 |
Nil |
PKR 2,500,000 Policy:
Amount of End User Price paid in calendar month (PKR) |
Insurance Cover in the following calendar month |
475.01 |
2,500,000 |
459.18 |
2,416,667 |
443.34 |
1,166,667 |
427.51 |
2,250,000 |
411.68 |
2,166,667 |
395.82 |
2.083,333 |
380.01 |
2,000,000 |
364.17 |
1,916,667 |
348.34 |
1,833,333 |
332.51 |
1,750,000 |
316.67 |
1,666,667 |
300.84 |
1,583,333 |
285.01 |
1,500,000 |
269.17 |
1,416,667 |
253.34 |
1,333,333 |
237.51 |
1,250,000 |
221.67 |
1,166,667 |
205.84 |
1,083,333 |
190.00 |
1,000,000 |
174.17 |
916,667 |
158.34 |
833,333 |
142.50 |
750,000 |
126.67 |
666,667 |
110.84 |
583,33 |
95.00 |
500,000 |
79.17 |
416,667 |
63.33 |
333,333 |
47.50 |
250,000 |
31.67 |
166,667 |
15.83 |
83,333 |
0 |
Nil |
Complaints and Disputes:
You can always provide feedback on our services by calling 042-111119878 or emailing us at You can always provide feedback on our services by calling 042-111119878 or emailing us at [email protected]. If you have a complaint about our services, we aim to resolve it as quickly as possible. To assist us in addressing your complaint, we may ask for certain details from you—please provide these promptly to help us resolve the issue efficiently. We will inform you of the outcome of our investigation and offer you the opportunity to discuss it with us.
Acknowledgement of the Customer
Policy Terms and Conditions shall remain subject to the following
Postpaid customer will get the cover from 2nd day of the registration. BIMA will pay the premium for the cover from the date of confirmation till the customer’s bill date out of goodwill.
If the customer does not become Active in the billing cycle, BIMA will not provide insurance coverage to the customer.
As soon as the customer is confirmed, the monthly amount will be deducted upfront and there won’t be daily deductions.
For un- subscription from this service, you have to write “NO”, “Cancel” or “Unsub” in message and send it to 9878 OR you can call on 042-111-119-878 anytime.
Jazz and EFU Life have partnered together to launch Hifazat Program. Through this program, Jazz subscribers can opt for Tahaffuz Plans which includes low-cost nano insurance products with unique benefits including income continuation, education continuation, accidental cover and coverage for major medical illnesses. In addition, the customer’s entire family can utilize virtual health care benefits. Virtual health care service is provided by EFU Life’s dedicated mHealth Platform called EFU mHealth where users have access to doctors, fitness videos and lifestyle content.
Hafiz Plan is a monthly protection bundle that is paid for by the Subscriber through daily deductions from his/her airtime balance.
How to subscribe:
Call 042-111-333-033 or SMS to 4141 and EFU Life’s representative will call you within 24 working hours to guide and help subscribe to the Tahaffuz Plan.
Plan |
**Daily |
Monthly |
Monthly Education Continuation Benefit for 12 months (PKR) |
Monthly Income Continuation Benefit for 12 months (PKR) |
ACCIDENTAL DEATH Sum Assured (PKR) |
EFU mHealth Subscription |
Silver |
3.15 |
94.5 |
2,000 |
10,000 |
250,000 |
Unlimited per month for family |
Gold |
4.4 |
132 |
3,000 |
15,000 |
350,000 |
Unlimited per month for family |
Platinum |
5.98 |
179.4 |
5,000 |
20,000 |
500,000 |
Unlimited per month for family |
Prepaid: The monthly price is charged in installments over 30 days
**Prepaid subscribers are eligible for Cover even if they are unable to pay the entire monthly price. For details please refer to the Terms & Conditions
**The monthly price is divided into 30 equal installments and is charged once per day until the entire month’s price is received. If your prepaid balance is low and you may not be charged for that day. Proportionately reduced amount of insurance benefit will be provided even after one day deduction
Postpaid Service will be launched for postpaid soon.
How do I Claim:
SMS ‘CLAIM’ to 4141 or call 042-111-333-033 and EFU Life’s representative will contact you with full information on how to process your claim.
Hafiz Plan is underwritten and distributed by EFU Life
EFU Life is a leading life insurance company and is part of largest insurance group in Pakistan which provides insurance coverage to millions of Pakistanis.
Jazz Telecom is facilitating this offering but shall not be responsible for any grievance of the Jazz Customer relating to Hafiz Plan and EFU Life Insurance’s performance of its obligation.
1. DEFINITIONS
In these provisions:
HAAFIZ PLUS PLAN means a term assurance product which provides a guaranteed level of life insurance protection against death, accidental permanent total disability alongwith Telehealth Services.
ACCIDENT means accidental bodily injury which is caused solely by violent, external and accidental means resulting directly and independently of all other causes.
AUTHORIZED REPRESENTATIVE means an official of the Company who has been authorized by the Company to transact business on behalf of the Company under this Policy.
COMPANY means EFU Life Assurance Limited.
ELIGIBLE PERSON means customers of the Group Policy Holder, male or female Pakistani nationals, who is eligible for insurance cover under this policy in accordance with Clause 2 of these provisions and conditions.
COMMENCEMENT DATE means the date on which the cover becomes effective which will be from 00:01 hours on the 1st day of next month following the date on which the premium is paid after acceptance of the application by the Member
GROUP POLICY HOLDER means Pakistan Mobile Communications Limited or Jazz.
ENROLLMENT DATE means the date on which the Member was initially enrolled under this Policy.
ENROLLMENT MONTHIVERSARY DATE means a period of one month of the date on which an Insured Person was initially enrolled under this Policy.
MOBILE NETWORK OPERATOR means Pakistan Mobile Communications Limited, a company duly incorporated and registered under the Companies Ordinance 1984 of Pakistan and having its registered office at 1-A Kohistan Road, DHQ-1 F-8 Markaz, Islamabad, Pakistan.
MEMBER means an Eligible Person who is to be included in this policy after giving his valid documented or recorded consent to purchase this insurance and pay required premium amount.
NOMINEE means a person or persons appointed by the Member (under the provisions of the Insurance Ordinance 2000) to receive the benefits payable under the policy.
POLICY TERM means the period of one month beginning from the first day of a calendar month and ending on the last day of same calendar month.
RENEWAL means any subsequent monthiversary of the Commencement Date.
RENEWAL ENROLLMENT means Re-enrolment of the Member into this Policy upon payment of premium on Renewal Date.
SICKNESS means sickness or disease contracted for the first time after the Commencement Date or Renewal Date.
Words importing the singular number include the plural number and vice versa and words of masculine gender shall include the feminine unless the context otherwise requires.
2. ELIGIBILITY
The eligible persons for this Policy are the present and future customers of the Group Policy Holder who are within the Eligibility Age range i.e. 18 to 66 years and have given their valid consent to opt for insurance cover under this policy. Any Member shall not be eligible for multiple enrollments at a single point in time
3. EFFECTIVE DATE OF INDIVIDUAL ASSURANCE
Member will become eligible from 1st day of next calendar month following the date on which the premium is paid after acceptance of the application by the Member
4. EVIDENCE OF AGE
Evidence of age of a Member satisfactory to the Company will be required before any benefit in respect of him/her is paid under this Policy and if after commencement of the insurance cover hereunder the date of birth of any Member is found to have been incorrectly notified to the Company, the Company shall notify the Group Policyholder of the adjustment to be made under this Policy in respect of such incorrect notification. No benefit whatsoever shall be payable under the Policy if the correct age of the Member is found to be more than maximum eligibility age of 66 years.
5. AMOUNT & CALCULATION OF PREMIUM
Premiums under this Policy are payable by the Group Policy Holder at such office/ offices of the Company as the Company may designate in writing to the Group Policy Holder from time to time. The Company may authorize the Corporate Insurance Agent to collect premium from the Group Policy Holder on its behalf. Such authorization will be in writing and provided to the Group Policy Holder.
Premiums are due by the 1st of each calendar month for all such eligible Members, who are to be covered as per the terms and conditions of the Policy. At the time of initial enrollment of the Member and at each subsequent Renewal Enrollment, the Group Policy Holder will calculate the monthly premium as per the following table:
Plan Category |
Monthly Premium (PKR) |
Daily Premium (PKR) |
Silver |
94.5 |
3.15 |
Gold |
132 |
4.4 |
Platinum |
179.4 |
5.98 |
The coverage will start from the 1st day of the next month. Where full premium for an insured Member is not paid any benefit amount will be adjusted on Pro rata basis as per the variant wise table below.
Silver
Amount of End User Price paid in calendar |
Education Continuation Benefit |
Income Continuation Benefit |
Accidental Death Benefit |
EFU mHealth Subscription |
Nil |
Nil |
Nil |
Nil |
Nil |
3.15 |
66.67 |
333.33 |
8,333.33 |
Unlimited per month for family |
6.3 |
133.33 |
666.67 |
16,666.67 |
Unlimited per month for family |
9.45 |
200 |
1,000.00 |
25,000.00 |
Unlimited per month for family |
12.6 |
266.67 |
1,333.33 |
33,333.33 |
Unlimited per month for family |
15.75 |
333.33 |
1,666.67 |
41,666.67 |
Unlimited per month for family |
18.9 |
400 |
2,000.00 |
50,000.00 |
Unlimited per month for family |
22.05 |
466.67 |
2,333.33 |
58,333.33 |
Unlimited per month for family |
25.2 |
533.33 |
2,666.67 |
66,666.67 |
Unlimited per month for family |
28.35 |
600 |
3,000.00 |
75,000.00 |
Unlimited per month for family |
31.5 |
666.67 |
3,333.33 |
83,333.33 |
Unlimited per month for family |
34.65 |
733.33 |
3,666.67 |
91,666.67 |
Unlimited per month for family |
37.8 |
800 |
4,000.00 |
100,000.00 |
Unlimited per month for family |
40.95 |
866.67 |
4,333.33 |
108,333.33 |
Unlimited per month for family |
44.1 |
933.33 |
4,666.67 |
116,666.67 |
Unlimited per month for family |
47.25 |
1,000.00 |
5,000.00 |
125,000.00 |
Unlimited per month for family |
50.4 |
1,066.67 |
5,333.33 |
133,333.33 |
Unlimited per month for family |
53.55 |
1,133.33 |
5,666.67 |
141,666.67 |
Unlimited per month for family |
56.7 |
1,200.00 |
6,000.00 |
150,000.00 |
Unlimited per month for family |
59.85 |
1,266.67 |
6,333.33 |
158,333.33 |
Unlimited per month for family |
63 |
1,333.33 |
6,666.67 |
166,666.67 |
Unlimited per month for family |
66.15 |
1,400.00 |
7,000.00 |
175,000.00 |
Unlimited per month for family |
69.3 |
1,466.67 |
7,333.33 |
183,333.33 |
Unlimited per month for family |
72.45 |
1,533.33 |
7,666.67 |
191,666.67 |
Unlimited per month for family |
75.6 |
1,600.00 |
8,000.00 |
200,000.00 |
Unlimited per month for family |
78.75 |
1,666.67 |
8,333.33 |
208,333.33 |
Unlimited per month for family |
81.9 |
1,733.33 |
8,666.67 |
216,666.67 |
Unlimited per month for family |
85.05 |
1,800.00 |
9,000.00 |
225,000.00 |
Unlimited per month for family |
88.2 |
1,866.67 |
9,333.33 |
233,333.33 |
Unlimited per month for family |
91.35 |
1,933.33 |
9,666.67 |
241,666.67 |
Unlimited per month for family |
94.5 |
2,000.00 |
10,000.00 |
250,000.00 |
Unlimited per month for family |
Gold Plan
Amount of End User Price paid in calendar month (PKR) |
Education Continuation Benefit(12 Months) |
Income Continuation Benefit (12 Months) |
Accidental Death Benefit (Lump sum) |
EFU mHealth Subscription |
Nil |
Nil |
Nil |
Nil |
Nil |
4.4 |
100 |
500 |
11,666.67 |
Unlimited per month for family |
8.8 |
200 |
1,000.00 |
23,333.33 |
Unlimited per month for family |
13.2 |
300 |
1,500.00 |
35,000.00 |
Unlimited per month for family |
17.6 |
400 |
2,000.00 |
46,666.67 |
Unlimited per month for family |
22 |
500 |
2,500.00 |
58,333.33 |
Unlimited per month for family |
26.4 |
600 |
3,000.00 |
70,000.00 |
Unlimited per month for family |
30.8 |
700 |
3,500.00 |
81,666.67 |
Unlimited per month for family |
35.2 |
800 |
4,000.00 |
93,333.33 |
Unlimited per month for family |
39.6 |
900 |
4,500.00 |
105,000.00 |
Unlimited per month for family |
44 |
1,000.00 |
5,000.00 |
116,666.67 |
Unlimited per month for family |
48.4 |
1,100.00 |
5,500.00 |
128,333.33 |
Unlimited per month for family |
52.8 |
1,200.00 |
6,000.00 |
140,000.00 |
Unlimited per month for family |
57.2 |
1,300.00 |
6,500.00 |
151,666.67 |
Unlimited per month for family |
61.6 |
1,400.00 |
7,000.00 |
163,333.33 |
Unlimited per month for family |
66 |
1,500.00 |
7,500.00 |
175,000.00 |
Unlimited per month for family |
70.4 |
1,600.00 |
8,000.00 |
186,666.67 |
Unlimited per month for family |
74.8 |
1,700.00 |
8,500.00 |
198,333.33 |
Unlimited per month for family |
79.2 |
1,800.00 |
9,000.00 |
210,000.00 |
Unlimited per month for family |
83.6 |
1,900.00 |
9,500.00 |
221,666.67 |
Unlimited per month for family |
88 |
2,000.00 |
10,000.00 |
233,333.33 |
Unlimited per month for family |
92.4 |
2,100.00 |
10,500.00 |
245,000.00 |
Unlimited per month for family |
96.8 |
2,200.00 |
11,000.00 |
256,666.67 |
Unlimited per month for family |
101.2 |
2,300.00 |
11,500.00 |
268,333.33 |
Unlimited per month for family |
105.6 |
2,400.00 |
12,000.00 |
280,000.00 |
Unlimited per month for family |
110 |
2,500.00 |
12,500.00 |
291,666.67 |
Unlimited per month for family |
114.4 |
2,600.00 |
13,000.00 |
303,333.33 |
Unlimited per month for family |
118.8 |
2,700.00 |
13,500.00 |
315,000.00 |
Unlimited per month for family |
123.2 |
2,800.00 |
14,000.00 |
326,666.67 |
Unlimited per month for family |
127.6 |
2,900.00 |
14,500.00 |
338,333.33 |
Unlimited per month for family |
132 |
3,000.00 |
15,000.00 |
350,000.00 |
Unlimited per month for family |
Platinum Plan
Amount of End User Price paid in calendar month (PKR) |
Education Continuation Benefit (12 Months) |
Income Continuation Benefit (12 Months) |
Accidental Death Benefit (Lump sum) |
EFU mHealth Subscription |
Nil |
Nil |
Nil |
Nil |
Nil |
5.98 |
166.67 |
666.67 |
16,666.67 |
Unlimited per month for family |
11.96 |
333.33 |
1,333.33 |
33,333.33 |
Unlimited per month for family |
17.94 |
500 |
2,000.00 |
50,000.00 |
Unlimited per month for family |
23.92 |
666.67 |
2,666.67 |
66,666.67 |
Unlimited per month for family |
29.9 |
833.33 |
3,333.33 |
83,333.33 |
Unlimited per month for family |
35.88 |
1,000.00 |
4,000.00 |
100,000.00 |
Unlimited per month for family |
41.86 |
1,166.67 |
4,666.67 |
116,666.67 |
Unlimited per month for family |
47.84 |
1,333.33 |
5,333.33 |
133,333.33 |
Unlimited per month for family |
53.82 |
1,500.00 |
6,000.00 |
150,000.00 |
Unlimited per month for family |
59.8 |
1,666.67 |
6,666.67 |
166,666.67 |
Unlimited per month for family |
65.78 |
1,833.33 |
7,333.33 |
183,333.33 |
Unlimited per month for family |
71.76 |
2,000.00 |
8,000.00 |
200,000.00 |
Unlimited per month for family |
77.74 |
2,166.67 |
8,666.67 |
216,666.67 |
Unlimited per month for family |
83.72 |
2,333.33 |
9,333.33 |
233,333.33 |
Unlimited per month for family |
89.7 |
2,500.00 |
10,000.00 |
250,000.00 |
Unlimited per month for family |
95.68 |
2,666.67 |
10,666.67 |
266,666.67 |
Unlimited per month for family |
101.66 |
2,833.33 |
11,333.33 |
283,333.33 |
Unlimited per month for family |
107.64 |
3,000.00 |
12,000.00 |
300,000.00 |
Unlimited per month for family |
113.62 |
3,166.67 |
12,666.67 |
316,666.67 |
Unlimited per month for family |
119.6 |
3,333.33 |
13,333.33 |
333,333.33 |
Unlimited per month for family |
125.58 |
3,500.00 |
14,000.00 |
350,000.00 |
Unlimited per month for family |
131.56 |
3,666.67 |
14,666.67 |
366,666.67 |
Unlimited per month for family |
137.54 |
3,833.33 |
15,333.33 |
383,333.33 |
Unlimited per month for family |
143.52 |
4,000.00 |
16,000.00 |
400,000.00 |
Unlimited per month for family |
149.5 |
4,166.67 |
16,666.67 |
416,666.67 |
Unlimited per month for family |
155.48 |
4,333.33 |
17,333.33 |
433,333.33 |
Unlimited per month for family |
161.46 |
4,500.00 |
18,000.00 |
450,000.00 |
Unlimited per month for family |
167.44 |
4,666.67 |
18,666.67 |
466,666.67 |
Unlimited per month for family |
173.42 |
4,833.33 |
19,333.33 |
483,333.33 |
Unlimited per month for family |
179.4 |
5,000.00 |
20,000.00 |
500,000.00 |
Unlimited per month for family |
6. BENEFITS
Upon receipt of due proof in writing that the Member has, whilst the Policy is in full force and effect, suffered any of the event(s) set out below, the Company, subject to the exclusions set out below and the terms and conditions contained herein, shall pay the following Benefits.
DEATH BENEFIT:On death of the Member, whilst the Policy is in full force and effect, the amount of benefit payable shall be determined according to the Plan Category chosen by the Member from the table given hereunder:
Plan Category |
Monthly Education Continuation Benefit for 12 months (PKR) |
Monthly Income Continuation Benefit for 12 months (PKR) |
Silver |
2,000 |
10,000 |
Gold |
3,000 |
15,000 |
Platinum |
5,000 |
20,000 |
ADDITIONAL ACCIDENTAL DEATH BENEFIT:If the Member dies as a result of injuries caused solely by violent, external and accidental means and there is evidence of a visible contusion or wound on exterior of the body except in the case of drowning or of an internal injury revealed by an autopsy, and that such death occurred within 90 days of the accident solely as a result of the same injury and not as an indirect result of any fit, physical defect, illness or disorder, the Company, upon receipt of and due investigation of the claim, will pay an amount shown in the Table of Death Risk below, in addition to any benefits under the Policy.
TABLE OF ACCIDENTAL DEATH RISK
Plan Category |
Sum Assured (PKR) |
Silver |
250,000 |
Gold |
350,000 |
Platinum |
500,000 |
ACCIDENTAL PERMANENT TOTAL DISABILITY BENEFIT:If the Member whilst the Policy is in full force has sustained injuries caused solely by violent external and accidental means and within 90 days of the accident suffers the losses set out in the Table of Benefits of Accidental Disability solely as a result of the same injuries, the Company, upon receipt of and due investigation of the claim, will pay an amount depending on the type of loss as provided in the Table of benefits of Accidental Disability below.
Permanent Total Disability due to Accident |
||
S. No. |
Description of Injuries |
Percentage of Sum Covered |
1. |
Loss of both hands or amputation at higher sites |
100% |
2. |
Loss of hand and a foot |
100% |
3. |
Double amputation through leg or thigh; or amputation through leg or thigh on one side and loss of other foot |
100% |
4. |
Loss of sight to such an extent as to render the claimant unable to perform any work for which eye-sight is essentia |
100% |
5. |
Absolute deafness |
100% |
7. CESSATION OF MEMBERSHIP
Insurance Cover shall cease on any of the following:
8. EXCLUSIONS
No benefit will be paid if the death or disability of the Member results directly, wholly or partly, as a result of or related to:
ASSIGNMENT
The insurance cover provided for under this Policy and the benefits payable hereunder are not assignable.
10. CLAIMS
In case of any claim under the benefit(s) covered against in this policy, the same shall be notified to the Company. The Member or the Nominee at its own expense, shall furnish all information necessary to determine whether the Benefit Claimed is payable or not to the Member or the Nominee
Written notice of claim must be presented to and received at the Main Office of the Company within three hundred and sixty five (365) days after the date of event giving rise to the claim. Otherwise the claim shall be invalid.
Company, upon receipt of such notice, will furnish forms for filing proof of Claim. The forms along with astandard claim requirements quoted by the Company must be completed and returned to within fifteen (15) days from claim notification date for which the claim is made. Such forms may include, but not limited to, the following documents
The insurance cover effected hereunder shall carry no paid-up or surrender value.
Claim will be processed by the Company following the submission of the claim documents to the Company or an entity authorized by the Company.
11. RENEWAL PRIVILEGE
This Policy is issued for the period shown in the Policy Schedule and may be renewed by the Member on subsequent Renewal Date subject to the conditions hereof. Renewal will be affected by the payment of the required premium when due.
12. CHANGE OF OWNERSHIP
If the business of the Group Policy Holder is transferred to or succeeded by any person or corporation then, subject to the consent of the Company, the payment of premium under this Policy may at the option of such person or corporation be continued in which case such person or corporation shall as from the date of such transfer or succession take the place of and be treated for all purposes of this Policy as being the Group Policy Holder hereof.
13. TERMINATION OF THIS POLICY
The Company reserves the right to terminate the Policy by giving 90 days’ notice. It is clarified that any termination shall not affect the obligations of Group Policy Holder and Company assumed at any time prior to the effective date of termination. Further, the Company reserves the right to give the Group Policy Holder three months’ written notice to add, alter or repeal the terms and conditions of the Policy hereof.
Notwithstanding anything to the contrary in this Policy, the termination of this Policy shall have the following effect:
14. LAW
The policy is governed by and interpreted according to the laws of Islamic Republic of Pakistan.
15. STATUTORY FUND
Under the provisions of the Insurance Ordinance 2000 this policy and any additional benefits shall be referable to the Conventional Business Statutory Fund of the Company. The Company may by endorsement to the Policy change the Statutory Fund(s) to which the policy and any additional benefits are referable.
DISCLAIMER/ TERMS OF USE of EFU mHealth Services:
TERMS OF USE
Services Provided:
Use of Telemedicine Services is NOT FOR EMERGENCIES:
EFU mHealth services are primary care services and will only be used for non-emergency conditions.
Privacy:
EFU mHealth is HIPAA compliant and maintains privacy as per the standards of Health Insurance Portability and Accountability Act.
Limitations
These services are limited to the consultation where physical examination through touching can be bypassed (in case of non-emergency conditions)
Complaints and Disputes:
Complaints and disputes can be highlighted via UAN number (042 111 333 033) or contacting via email address [email protected] turnaround time would be 48 working hours.
Requirements:
Apart from registration and mobile application, the user would require.
Acknowledgement of the Customer
(Policy Terms and Conditions shall remain subject to the following)
For Tahaffuz Plan subscribers of Jazz who are Pakistani nationals and aged a minimum of eighteen (18) years and under sixty-five years (65) can avail of Tahaffuz plan upon payment of the applicable subscription fee. The registration under Tahaffuz plan will expire when a subscriber reaches the age of sixty-six (66) years.
No, you can only avail for one variant at a time i.e., either silver or gold or platinum
Benefits |
Silver |
Gold |
Platinum |
Education Continuation Benefit (12 Months) |
2,000 |
3,000 |
5,000 |
Income Continuation Benefit (12 Months) |
10,000 |
15,000 |
20,000 |
Accidental Death Benefit (Lump sum) |
250,000 |
350,000 |
500,000 |
**EFU mHealth Subscription |
Unlimited per month for family |
Yes you can enroll for one variant on each of both the plans.
For Education Continuation Plan, Income Continuation Plan & Personal Accident Plan, no benefit will be payable in case of:
Other conditions:
How to claim?
In case the beneficiary wants to intimate a claim, you or any of your family members can notify us through one of these methods:
For Education and Income Continuation:
In case of Disability claim:
In case of Death claim:
For Personal Accident:
Jazz and EFU Life have partnered together to launch Hifazat Program. Through this program, Jazz subscribers can opt for Muqammal Tahaffuz Plan which includes low-cost nano insurance products with unique benefits including income continuation, education continuation, accidental cover and coverage for major medical illnesses. In addition, the customer’s entire family can utilize virtual health care benefits. Virtual health care service is provided by EFU Life’s dedicated mHealth Platform called EFU mHealth where users have access to doctors, fitness videos and lifestyle content.
Hafiz Plus Plan which is a monthly protection bundle that is paid for by the Subscriber through daily deductions from his/her airtime balance.
How to subscribe:
Call 042-111-333-033 or SMS to 4141 and EFU Life’s representative will call you within 24 working hours to guide and help subscribe to the Muqammal Tahaffuz Plan.
Plan |
**Daily |
Monthly |
Monthly Education Continuation Benefit for 12 months (PKR) |
Monthly Income Continuation Benefit for 12 months (PKR) |
ACCIDENTAL DEATH Sum Assured (PKR) |
MAJOR MEDICAL ILLNESS |
EFU mHealth Subscription |
Silver |
4.4 |
132 |
2,000 |
10,000 |
250,000 |
25,000 |
Unlimited per month for family |
Gold |
6.2 |
186 |
3,000 |
15,000 |
350,000 |
35,000 |
Unlimited per month for family |
Platinum |
8.8 |
264 |
5,000 |
20,000 |
500,000 |
50,000 |
Unlimited per month for family |
Prepaid: The monthly price is charged in installments over 30 days
**Prepaid subscribers are eligible for Cover even if they are unable to pay the entire monthly price. For details please refer to the Terms & Conditions
**The monthly price is divided into 30 equal installments and is charged once per day until the entire month’s price is received. If your prepaid balance is low and you may not be charged for that day. Proportionately reduced amount of insurance benefit will be provided even after one day deduction.
Postpaid: Service will be launched for postpaid soon.
How do I Claim:
SMS ‘CLAIM’ to 4141 or call 042-111-333-033 and EFU Life’s representative will contact you with full information on how to process your claim.
Hafiz Plus Plan is underwritten and distributed by EFU Life.
EFU Life is a leading life insurance company and is part of largest insurance group in Pakistan which provides insurance coverage to millions of Pakistanis.
Jazz Telecom is facilitating this offering but shall not be responsible for any grievance of the Jazz Customer relating to Hafiz Plan and EFU Life Insurance’s performance of its obligation.
DEFINITIONS
In these provisions:
MUQAMMAL TAHAFFUZ PLANmeans a term assurance product which provides a guaranteed level of life insurance protection against death, accidental permanent total disability or major medical illness treatment.
ACCIDENT means accidental bodily injury which is caused solely by violent, external and accidental means resulting directly and independently of all other causes
AUTHORIZED REPRESENTATIVE means an official of the Company who has been authorized by the Company to transact business on behalf of the Company under this Policy.
COMPANY means EFU Life Assurance Limited.
ELIGIBLE PERSON means customers of the Group Policy Holder, male or female Pakistani nationals, who is eligible for insurance cover under this policy in accordance with Clause 2 of these provisions and conditions.
COMMENCEMENT DATE means the date on which the cover becomes effective which will be from 00:01 hours on the 1st day of next month following the date on which the premium is paid after acceptance of the application by the Member.
GROUP POLICY HOLDER means Pakistan Mobile Communications Limited or Jazz.
ENROLLMENT DATE means the date on which the Member was initially enrolled under this Policy.
ENROLLMENT MONTHIVERSARY DATE means a period of one month of the date on which an Insured Person was initially enrolled under this Policy.
MAJOR MEDICAL ILLNESS CONDITIONS was initially enrolled under this Policy.
MOBILE NETWORK OPERATOR means Pakistan Mobile Communications Limited, a company duly incorporated and registered under the Companies Ordinance 1984 of Pakistan and having its registered office at 1-A Kohistan Road, DHQ-1 F-8 Markaz, Islamabad, Pakistan.
MEMBER means an Eligible Person who is to be included in this policy after giving his valid documented or recorded consent to purchase this insurance and pay required premium amount.
NOMINEE means a person or persons appointed by the Member (under the provisions of the Insurance Ordinance 2000) to receive the benefits payable under the policy.
POLICY TERM means the period of one month beginning from the first day of a calendar month and ending on the last day of same calendar month.
RENEWAL DATE means any subsequent monthiversary of the Commencement Date
RENEWAL ENROLLMENT means Re-enrolment of the Member into this Policy upon payment of premium on Renewal Date.
SICKNESS means sickness or disease contracted for the first time after the Commencement Date or Renewal Date.
Words importing the singular number include the plural number and vice versa and words of masculine gender shall include the feminine unless the context otherwise requires.
2. ELIGIBILITY
The eligible persons for this Policy are the present and future customers of the Group Policy Holder who are within the Eligibility Age range i.e. 18 to 51 years and have given their valid consent to opt for insurance cover under this policy. Any Member shall not be eligible for multiple enrollments at a single point in time.
3. EFFECTIVE DATE OF INDIVIDUAL ASSURANCE
Member will become eligible from 1st day of next calendar month following the date on which the premium is paid after acceptance of the application by the Member.
4. EVIDENCE OF AGE
Evidence of age of a Member satisfactory to the Company will be required before any benefit in respect of him/her is paid under this Policy and if after commencement of the insurance cover hereunder the date of birth of any Member is found to have been incorrectly notified to the Company, the Company shall notify the Group Policyholder of the adjustment to be made under this Policy in respect of such incorrect notification. No benefit whatsoever shall be payable under the Policy if the correct age of the Member is found to be more than maximum eligibility age of 51 years
5. AMOUNT & CALCULATION OF PREMIUM
Premiums under this Policy are payable by the Gr