Insure your

loan against
health and life
emergencies.
Presenting
Ultra Loan Shield
from
and HDFC ERGO Health

Covers Natural & Option to cover EMI Accidental

Accidental Death 35 35 Critical Illness* EMI Protection* Disability
Benefit Coverage**

*Optional benefits available in health part

**Accelerated Total Premium Disability Option available in life and Permanent Partial Disablement option available in health part
Offering customized loan solutions to customers is an integral part of business for financial institutions like yours. While you fulfil your commitment towards
your customers' loan requirements, your customers may not be able to fulfil the commitment of repaying the loan if and when they meet with an unfortunate
event in life.

HDFC Life Insurance Company Limited and HDFC ERGO Health Insurance Limited, together, bring to you - Ultra Loan Shield. A unique combination plan that
offers your customers protection from loan worries in an event of a health or life emergency. Thus, your customers' families never face the burden of repaying
the loan and continue to lead a life of pride.

ULTRA LOAN SHIELD INSURANCE PLAN

• Offers comprehensive Life and Health benefits
• Has no lengthy underwriting procedure
• Is simple to administer

THE KEY FEATURES OF THE PLAN

• A comprehensive benefit plan which offers financial protection in event of death, disability and critical illnesses.
• Offers flexibility to customised cover (Life & Health) options.
• Flexibility to choose plan options. Cover type (increasing or level) and coverage term.
• Just pay one time with single premium.
• Coverage available on Single and Joint life basis.
• Member can opt for coverage term lesser than loan tenures.
• Offer to cover top-up loans through separate repayment schedule.
• Option to get coverage against next few EMIs in case of eventuality/hospitalisation.

BENEFITS FOR YOUR MEMBERS

Choose your Benefits combination from the below Options

Benefit Type Life Health

Base Benefit • Death Benefit • Accidental Death Benefit*

• Permanent Total Disablement Benefit*

Optional Benefits • Additional Accidental Death Benefit • Critical Illness Benefit

• Accelerated Terminal Illness Benefit • Permanent Partial Disablement
• Accelerated Critical Illness Option 1 • EMI Cover
• Accelerated Critical Illness Option 2
• Accelerated Total Permanent Disability

BASE BENEFITS

The life and health insurance under this Combi product is arranged on a group basis and you will be the master policyholder. In order for a customer to be covered
under the policy they must join the group insurance scheme, thus becoming an Insured Member.
A. Base Benefit - Life 2. Permanent Total Disablement [PTD]*

1. Death Benefit If an Insured Member suffers an Accident during the Policy Period and within
365 days from the date of the Accident this is the sole and direct cause of his
The main benefit is of following two types: permanent total disablement in one of the ways detailed in the table below,
• Level: The sum assured stays at same level as at inception of the policy then we will pay the percentage of the Sum Insured shown in the table
during the individual’s membership term. below
• Decreasing: The sum assured decreases as per the repayment schedule
selected by you during the individual’s membership term. Static Sum Reducing Sum
Insured Insured

The repayment schedule will depend on the underlying interest rate, any Loss of 2 Limbs (both hands or both feet or one
moratorium period etc. At the outset, therefore, a repayment schedule will hand and one foot)
be agreed with the master policyholder. Such repayment schedule will Loss of a Limb and an eye 100% of
define the benefits offered under the product. We will pay the benefits 100% of
Principal
disbursed loan
exactly as per the repayment schedule selected at inception, irrespective of Complete and irrecoverable loss of sight of both amount
outstanding
the actual outstanding loan as of the date of death. eyes amount

Complete and irrecoverable loss of speech &

The plan can be taken on single life or joint life basis where we will cover the hearing of both ears
death of either of joint insured members, whichever occurs first. There has
to be insurable interest between the joint lives. In case of an admissible claim under this benefit, coverage under this policy
for the Insured Member shall automatically terminate. However in case of
Individual borrowers and investors/co-borrowers/co-investors of the borrower and co-borrower loans following shall apply
institution can be covered under this plan.
Both borrower and co-borrower are Policy shall terminate for both
On death or disability of the scheme member or upon the scheme member insured for 100% of disbursed loan Insured Members
being diagnosed with any of the specified critical illnesses or terminal amount
illness, a lump sum as sum assured will be payable as per the plan option
Borrower and co-borrower are insured Policy shall terminate only for the
chosen by the member at inception of the cover. for proportion of loan amount Insured Member against whom claim
has been made to the extent of his
In case of lender borrower schemes under Regulated Entities as defined proportion of the loan amount
below in terms & conditions, the Outstanding Loan amount, if any for which
the cover was taken shall be payable to You, the Master Policyholder with *For regulatory reference
prior authorisation from the Member at inception, out of the total Death
Benefit otherwise payable to the Nominee. Any residual benefit shall be Either of Accidental Death [AD] or Permanent Total Disablement [PTD] can be opted as
paid to the Nominee or Beneficiary, as applicable In case of lender borrower base benefit at the inception of the coverage. Upon choosing Accidental Death [AD] as base
benefit, Permanent Total Disablement [PTD] can be chosen as optional cover. But accidental
schemes under Other Entities as defined below in terms & conditions, the Death [AD] can’t be chosen as optional benefit.
Death Benefit shall be payable to the Nominee, in the event of the Member’s Permanent Total Disablement [PTD] will be shown under base policy benefit segment only if
demise The Membership will terminate on payment of the Death Benefit to Insured Member chooses Permanent Total Disablement [PTD] as base cover.
the Nominee / Beneficiary

B. Base Benefit - Health OPTIONAL BENEFITS

1. Accidental Death Benefit [AD]*
I. Optional Benefits - Life1
If an Insured Member suffers an Accident during the Policy Period and this is
the sole and direct cause of his death within 365 days from the date of the 1. Additional Accidental Death Benefit
Accident, then we will pay the Sum Insured as mentioned in the below table.
In event of the Insured Member’s death due to accident, an additional death
Benefit Static Sum Insured Reducing Sum Insured benefit equal the following shall be:
• the sum assured, if the level term assurance is selected
Accidental 100% of disbursed 100% of Principal • the decreasing sum assured as per the agreed repayment schedule, if the
Death [AD] loan amount outstanding decreasing term assurance is selected
This is in addition to the death benefit mentioned above.
In case of an admissible claim under this benefit, coverage under this policy
for the Insured Member shall automatically terminate. However in case of 2. Accelerated Terminal Illness benefit
borrower and co-borrower loans following shall apply.
In event of the Insured Member being diagnosed with a terminal illness, the
Both borrower and co-borrower Policy shall terminate for both benefit payable shall be:
are insured for 100% of disbursed Insured Members • the sum assured, if the level term assurance is selected
loan amount • the decreasing sum assured as per the agreed repayment schedule, if the
Borrower and co-borrower are Policy shall terminate only for the decreasing term assurance is selected
insured for proportion of loan amount Insured Member against whom claim The risk cover will cease.
has been made to the extent of his
proportion of the loan amount.
3. Accelerated Critical Illness Option 1 Both borrower and co-borrower are Policy shall terminate for both
insured for 100% of disbursed loan Insured Persons
In the event of Insured Member being diagnosed with any of the covered amount
critical illnesses within the CI benefit term, the benefit payable shall be:
Borrower and co-borrower are insured Policy shall terminate only for the
• the sum assured, if the level term assurance is selected for proportion of loan amount Insured Person against whom claim
• the decreasing sum assured as per the agreed repayment schedule, if the has been made to the extent of his
decreasing term assurance is selected proportion of the loan amount
The risk cover will cease. The CI benefit term shall be equal to main benefit
term or 5 years, whichever is lower.
2. Critical Illness Benefit (includes cover for Critical and Terminal
Refer ‘Definition and Exclusions – Life’ for details of critical illnesses covered.
Illnesses)
4. Accelerated Critical Illness Option 2
We will pay the Insured Member the Sum Insured as a lump sum amount for
the listed Critical Illness, medical event or surgical procedure provided
In the event of Insured Member being diagnosed with any of the covered
i. it occurs or manifests itself during the policy period as a first incidence and
critical illnesses within the CI benefit term, the benefit payable shall be:
ii. the insured survives 30 days survival period ( if applicable)
• the sum assured, if the level term assurance is selected
iii. specific etiology for the defined critical illness is not among the general
• the decreasing sum assured as per the agreed repayment schedule, if the
and specific exclusions of this policy
decreasing term assurance is selected
The risk cover will cease. The CI benefit term shall be equal to main benefit
term or 10 years, whichever is lower. Benefit Static Sum Insured Reducing Sum Insured
Refer ‘Definition and Exclusions – Life’ for details of critical illnesses covered.
Critical Illness 100% SI 100% of Principal
5. Accelerated Total Permanent Disability outstanding

In event death of the Insured Member or upon the occurrence of disability

Waiting Period
due to accident as defined, whichever is earlier, the benefit payable shall be:
90 days waiting period shall apply from the commencement of the policy
• the sum assured, if the level term assurance is selected
period to all claims under the policy, this waiting period shall not be
• the decreasing sum assured as per the agreed repayment schedule, if the
applicable to subsequent renewals.
decreasing term assurance is selected
The risk cover will cease.
Note:
1
In case of joint life the benefit payable is on occurrence of accidental death, disability or • Refer ‘Definition and Exclusions – Health’ for details of critical illnesses
illness of either of the joined insured members. Once the benefit is paid, the cover will cease covered.
for the other member as well. • If any Critical Illness is diagnosed in first 90 days of policy inception, then
we will cancel the policy and refund the premium in full.
• In case of an admissible claim under this benefit, coverage under this policy
II. Optional Benefits - Health for the Insured Member shall automatically terminate. However in case of
borrower and co-borrower loans following shall apply
1. Permanent Total Disablement
Both borrower and co-borrower are Policy shall terminate for both
If an Insured Person suffers an Accident during the Policy Period and within insured for 100% of disbursed loan Insured Members
365 days from the date of the Accident this is the sole and direct cause of his amount
permanent total disablement in one of the ways detailed in the table below, Borrower and co-borrower are insured Policy shall terminate only for the
then we will pay the percentage of the Sum Insured shown in the table for proportion of loan amount Insured Member against whom claim
below has been made.

Static Sum Reducing Sum 3. Permanent Partial Disablement [PPD]

Insured Insured

Loss of 2 Limbs (both hands or both feet or one If an Insured Member suffers an Accident during the Policy Period and within
hand and one foot) 365 days from the date of the Accident this is the sole and direct cause of his
Loss of a Limb and an eye 100% of permanent partial disablement in one of the ways detailed in the table
100% of below, then we will pay the percentage of the Sum Insured as shown in the
Principal
disbursed loan
Complete and irrecoverable loss of sight of both amount
outstanding table.
eyes amount

Complete and irrecoverable loss of speech &

hearing of both ears

In case of an admissible claim under this benefit, coverage under this policy
for the Insured Person shall automatically terminate. However in case of
borrower and co-borrower loans following shall apply
 c) Permanent Partial Disablement (PPD) or Temporary Total
Loss of: Static Sum Reducing disablement (TTD):
Insured Sum Insured
• If an Insured Member suffers an Accident during the Policy Period and
Each arm at the shoulder joint
within 365 days from the date of the Accident this is the sole and direct
Each leg above centre of the femur
cause of his permanent partial disablement in one of the ways detailed in
Each arm to a point above elbow joint the table below, then we will pay the amount as mentioned in the Benefit
Each leg up to a point below the femur 50% of 50% of table below.
Each arm below elbow joint disbursed outstanding
Each hand at the wrist Loan Principal Each arm at the shoulder joint Each hand at the wrist
Each eye amount Amount Each leg above centre of the femur Each eye
Each leg to a point below the knee Each arm to a point above elbow joint Each leg to a point below the knee
Each leg up to the centre of tibia Each leg up to a point below the femur Each leg up to the centre of tibia
Each foot at the ankle. Each arm below elbow joint Each foot at the ankle.

• If an Insured Member suffers an Accident during the Policy Period which is

4.EMI Cover
the sole and direct cause of a temporary disability which completely
prevents him from performing each and every duty pertaining to his
a) Hospitalization due to an illness:
employment or occupation, then we will pay the amount as mentioned in
table below, provided that the temporary total disablement is certified by a
If an Insured Member, during policy period, is continuously hospitalized due
Doctor.
to an illness for more than 1, 2 or 4 weeks and is unable to perform duties
pertaining to his/her employment, then we will pay the amount for 1, 3 or 6
number of EMIs as chosen by you. Please note that any combination of Benefit Static Sum Insured Reducing Sum Insured
weeks of hospitalization and numbers of EMI’s can be chosen.
Permanent Partial
Example: For 1 week of hospitalization, any of the EMI options can be Disablement (PPD) or EMI payments for a maximum period of upto
chosen. Temporary Total 3/6/9/12 months.
disablement (TTD)
Each opted option can be utilized only once per Policy Year. If Policy Period is
more than 1 year, then this benefit can be utilized once per Policy Year for
every year of Policy Period. Each opted option can be utilized only once per Policy Year. If Policy Period is
If this benefit is not utilized in a Policy Year, then it shall not be carried more than 1 year, then this benefit can be utilized once per Policy Year for
forward to any subsequent Policy Year. every year of Policy Period.
If this benefit is not utilized in a Policy Year, then it shall not be carried
Waiting period: 30 days for all illnesses in the first policy year and is not forward to any subsequent Policy Year.
applicable in subsequent renewals.
For this benefit Pre-existing diseases will be covered after a waiting period CONDITIONS FOR CHOOSING OPTIONAL BENEFITS
of 48 months.
1. One Base Benefit from each category - Life and Health must be chosen
b) Hospitalization due to an accident:
2. Accidental Death Benefit (Health) and Additional Accidental Death
If an Insured Member, during policy period, is continuously hospitalized due Benefit (Life) cannot be chosen together under the same plan.
to an accident for more than 1, 2 or 3 weeks and is unable to perform each
and every duties pertaining to his/her employment, then We will pay the 3. Only 1 of the below options can be chosen under the same plan:
amount for 3, 6 or 9 number of EMIs as chosen by you. Please note that any a. Accelerated Critical Illness Option 1 (Life)
combination of weeks of hospitalization and numbers of EMI’s can be b. Accelerated Critical Illness Option 2 (Life)
chosen. c. Critical Illness Benefit (Health)
Example: For 1 week of hospitalization, any of the EMI options can be
chosen. 4. Critical Illness Benefit (Health) and Accelerated Terminal Illness (Life)
cannot be chosen together under the same plan.
Each opted option can be utilized only once per Policy Year. If Policy Period is
more than 1 year, then this benefit can be utilized once per Policy Year for
every year of Policy Period.
If this benefit is not utilized in a Policy Year, then it shall not be carried
OTHER BENEFITS
forward to any subsequent Policy Year.
1. Moratorium Period - Life

Member may take a home, mortgage or education loan which may be

disbursed in two or more payments. In such cases, we would provide
coverage during the moratorium period which is equal to the initial sum
assured. Insured Member can choose a moratorium period of 1 to 7 years.
The term of the cover must be equal to the term of the moratorium period
plus the term of the reducing cover. After moratorium period the death
benefit follows the reducing cover as per the repayment schedule. This is
available with decreasing cover option only.
2. Surrender Benefit - Life
GROUP SIZE
The main policy cannot be surrendered. At the member level, surrender
value shall be available in circumstances where the need for the risk cover
Parameters Life Health
has ceased to exist such as full prepayment of the loan.
Surrender benefit is available and will be calculated as follows Minimum Group Size 50 members

Unexpired Coverage Term *For regulatory reference

Current Sum Assured
(in complete months)
70% x x Minimum and maximum entry age and group size mentioned above have been aligned to
Original Coverage Term satisfy eligibility criteria for both the products.
Initial Sum Assured
(in months)

The premium for each member is calculated as a single premium. The actual
3. Maturity Benefit – Life and Health premium depends on a number of parameters such as:

No maturity benefit is payable under this product. • Plan option chosen

• Amount of sum assured
• Cover term
MEMBER ELIGIBILITY • Cover type (level or decreasing)
• Age of the member
The following is not an exhaustive list and depends on the scheme being • Underwriting
underwritten successfully by HDFC Life and HDFC ERGO Health but it is • Mortality class
intended to cover the main terms and conditions: • Gender

Parameters Life Health TERMS AND CONDITIONS

Cover Term 2 to 30 years 1 to 5 years (in multiple of 1
Each of the below stated Terms & Conditions are valid either for ‘Life’
year). Renewable subject to
Loan outstanding benefits or ‘Health’ benefits or for both benefits -

Minimum Age at Entry 18 years 1. Prohibition of Rebates: In accordance with Section 41 of the
Maximum Age at Entry 65 years Insurance Act, 1938 as amended from time to time - Life & Health

Maximum Cover 75 years No maximum cover ceasing No person shall allow or offer to allow, either directly or indirectly, as an
Ceasing Age age on continuous renewals inducement to any person to take or renew or continue an insurance in
Minimum Sum Assured Rs. 1,000 Rs. 10,000 respect of any kind of risk relating to lives or property in India, any rebate of
the whole or part of the commission payable or any rebate of the premium
shown on the policy, nor shall any person taking out or renewing or
All ages are age last birthday.
continuing a policy accept any rebate, except such rebate as may be allowed
in accordance with the published prospectuses or tables of the insurer.
• Insured Members can join the scheme at anytime, subject to fulfilling the
eligibility conditions. The cover will start on acceptance of the duly
Any person making default in complying with the provisions of this section
completed member information form. Insured Members will be issued with
shall be punishable with fine which may extend to ten lakh rupees.
individual certificates of insurance.
2. In accordance with Section 45 of the Insurance Act, 1938 as a
• Premium component of both the products is separate and at the time of
mended from time to time - Life
renewal customer can discontinue either part of the policy during the policy
term.
• No policy of life insurance shall be called in question on any ground
whatsoever after the expiry of three years from the date of the policy, i.e.,
• Sum Insured can be up to the amount of loan disbursed.
from the date of issuance of the policy or the date of commencement of risk
or the date of revival of the policy or the date of the rider to the policy,
• Policy can be renewed only up to duration of loan Period for health cover
whichever is later.
and shall terminate automatically on complete repayment of loan amount.
• A policy of life insurance may be called in question at any time within three
years from the date of issuance of the policy or the date of commencement
• In case of Borrower and co-borrower, both can be insured either for 100%
of risk or the date of revival of the policy or the date of the rider to the policy,
of disbursed loan amount each or proportion of loan amount in their
whichever is later, on the ground of fraud: Provided that the insurer shall
respective names.
have to communicate in writing to the insured or the legal representatives
or nominees or asignees of the insured the grounds and materials on which
• Non-earning co-borrower shall not be covered under this policy.
such decision is based.
• Notwithstanding anything contained in sub-section (2), no insurer shall
• Plan options have to be chosen at the time of joining the scheme. These
repudiate a life insurance policy on the ground of fraud if the insured can
cannot be changed later.
prove that the mis-statement of or suppression of a material fact was true to
the best of his knowledge and belief or that there was no deliberate
• It is advised to familiarize with the policy benefits and policy service
intention to suppress the fact or that such mis-statement of or suppression
structure of the ‘Combi Product’ before deciding to purchase the policy.
of a material fact are within the knowledge of the insurer: Provided that in
case of fraud, the onus of disproving lies upon the beneficiaries, in case the insured member would be entitled to the surrender benefits as per the
policyholder is not alive. specified surrender value formula.
• A policy of life insurance may be called in question at any time within three
years from the date of issuance of the policy or the date of commencement 6. Taxes
of risk or the date of revival of the policy or the date of the rider to the policy, Indirect Taxes
whichever is later, on the ground that any statement of or suppression of a Taxes and levies as applicable shall be levied as applicable. Any taxes,
fact material to the expectancy of the life of the insured was incorrectly statutory levy becoming applicable in future may become payable by you by
made in the proposal or other document on the basis of which the policy was any method including by levy of an additional monetary amount in addition
issued or revived or rider issued: Provided that the insurer shall have to to premium and or charges.
communicate in writing to the insured or the legal representatives or
nominees or assignees of the insured the grounds and materials on which Direct Taxes
such decision to repudiate the policy of life insurance is based: Provided Tax will be deducted at the applicable rate from the payments made under
further that in case of repudiation of the policy on the ground of the policy, as per the provisions of the Income Tax Act, 1961 as amended
misstatement or suppression of a material fact, and not on the ground of GROUP
from SIZE
time to time.
fraud, the premiums collected on the policy till the date of repudiation shall
be paid to the insured or the legal representatives or nominees or assignees 7. Payments to group policyholder - Life
of the insured within a period of ninety days from the date of such We may leverage the existing infrastructure of the group master policyhold-
repudiation. er for better administration of the scheme with respect to services such as
• Nothing in this section shall prevent the insurer from calling for proof of data management, collection of premiums, issuance of Certificates of
age at any time if he is entitled to do so, and no policy shall be deemed to be Insurance and claims settlement. For the services rendered, we may make
called in question merely because the terms of the policy are adjusted on payments directly to the group master policyholder as per the limits allowed
subsequent proof that the age of the life insured was incorrectly stated in under the prevailing regulations which currently stand as follows::
the proposal. • Data Management – Rs 20 per member per annum
• Premium Collection – Rs 10 per member per annum
Regulated Entities shall mean to include the following: • Issuance of Certificates of Insurance – Rs 20 per member subject to a
a. Reserve Bank of India (“RBI”) regulated Scheduled Commercial Banks minimum of Rs 500
(including co-operative Banks), • Claims Settlement – Rs 15 per claim
b. NBFCs having Certificate of Registration from RBI or
c. National Housing Bank (“NHB”) regulated Housing Finance Companies If the business is procured through an intermediary, no such payments will
d. National Minority Development Finance Corporation (NMDFC) and its be payable to the master policyholder.
State Channelizing Agencies
e. Small Finance Banks regulated by RBI 8. Exclusion - Life
f. Mutually Aided Cooperative Societies formed and registered under the In case of death due to suicide, within 12 months from the date of inception
applicable State Act concerning such Societies of the membership, the nominee shall be entitled to at least 80% of the
g. Microfinance Companies registered under Section 8 of the Companies total premiums paid till the date of death or the surrender value available as
Act, 2013 on the date of death whichever is higher, where total premiums paid refers
h. Any other category as approved by the Authority to total of all the premiums received, excluding any extra premium, any rider
premium and taxes
Other Entities shall mean to include the entities other than Regulated
Entities 9. The Liability to settle claims – Life and Health
HDFC Life Insurance Company Limited will process all claims for Protection
3. Cancellation in the Free-Look period – Life & Health policy and HDFC ERGO Health Insurance Limited will process all claims for
In case you are not agreeable to any of the terms and conditions stated in Health policy.
the Policy, you have the option to return the Policy to us stating the reasons
thereof, within 15 days from the date of receipt of this Policy. If you have 10. The legal/ quasi legal disputes – Life and Health
purchased your Policy through Distance Marketing mode, this period will be The legal/ quasi legal disputes, if any, are dealt by the respective insurers for
30 days. Kindly note that Free Look Cancellation option is not available at the respective benefits. For protection benefits all the legal disputes will be
time of renewal and can be availed only if no claims have been made under handled by HDFC Life Insurance Company Limited and for health benefits all
the Policy. On receipt of your letter along with the original Policy, we shall the legal disputes will be handled by HDFC ERGO Health Insurance Limited.
arrange to refund the Premium paid by you, subject to deduction of the
proportionate risk Premium for the period on cover and the expenses 11. Acceptance of Risk – Life and Health
incurred by us for medical examination (if any) and stamp duty (if any). You Where the risk is not accepted by one of the Parties, the Combi-Product(s)
shall not be allowed to cancel any coverage individually during the Free-look shall not be issued and the other Insurer shall be free to issue their
Period. Any application for cancellation during the Free-look Period will respective policy individually to the Customers, if the Customer so desires,
cancel this Policy in its entirety. as if the business was done by that respective Insurer individually without
any obligation of confirmation being taken from the other Insurer.
4. Geography - Health
This Policy applies to events or occurrences taking place anywhere in the 13. Termination of tie-up between the Insurers
world Any insurer may terminate this tie up wholly or in part only with cause and
after making a joint application for the requisite approval from IRDAI. The
5. Alterations - Life insurers agree that upon receipt of such approval from IRDAI, the insurers
Members would not be allowed to alter or amend benefits once their may terminate this tie up within a period of 90 (ninety) days from the date of
Certificate of Insurance has been issued except to correct any error. If the such approval. The insurers may mutually decide to terminate the
purpose for which the risk cover is provided changes (for example if the Agreement and intimate the same to you ninety (90) day prior to the
member repays a loan for which he had then taken life cover) then the termination of the relationship. However, Your Policy will continue until the
expiry or termination of the coverage in accordance with the policy • The provisions of Section 39 are not applicable to any life insurance policy
wordings for respective coverage. to which Section 6 of Married Women's Property Act, 1874 applies or has at
any time applied except where before or after Insurance Laws
Upon termination of the arrangement, each insurer has equal rights over (Amendment), Bill 2015, a nomination is made in favour of spouse or
the Customers sourced under this arrangement and it shall be at the sole children or spouse and children whether or not on the face of the policy it is
discretion of the Customer with whom she/ he would like to continue his/ mentioned that it is made under Section 39. Where nomination is intended
her insurance. However, both the insurer shall also mutually agree for to be made to spouse or children or spouse and children under Section 6 of
Customer engagement/ servicing programme post termination of the MWP Act, it should be specifically mentioned on the policy. In such a case
arrangement. Each insurer shall remain liable for its respective portion of only, the provisions of Section 39 will not apply.
Ultra Loan Shield for all policies in force at the time of termination of the tie
up until their expiry or lapsation.

14. Grievance
DEFINITION AND EXCLUSIONS - LIFE
Customer can lodge a grievance for either or both products at branches of
both Insurers. Complaint belonging to any product shall be routed to the 1. Accelerated Critical Illness Option 1& 2
respective insurer who shall then respond / address to the Customer
directly. Complaints shall be forwarded by the receiving Insurer to the Critical Illness includes 19 critical illnesses as following:
respective Insurer within T+ 2 days, T being the complaint receivable date.
In case the Customer is not satisfied with the resolution offered, Customer 1. Cancer 11. End Stage Lung Disease
can also approach the Insurance Ombudsman in his region. Please refer 2. Coronary Artery Bypass Graft 12. Heart Valve Surgery
relevant grievance redressal mechanism section mentioned under each
Surgery (CABGS) 13. Loss of Independent
policy document.
3. Heart Attack Existence
15. According to Guidelines on Insurance repositories and electronic 4. Kidney Failure 14. Loss of Limbs
issuance of insurance policies issued by IRDAI dated 29th April, 2011, a 5. Major Organ Transplant 15. Loss of Sight
policyholder can now have his life insurance policies in dematerialized form (as recipient) 16. Major Burns
through a password protected online account called an electronic Insurance
6. Stroke 17. Major Head Trauma
Account (eIA). This eIA can hold insurance policies issued from any insurer in
7. Apallic Syndrome 18. Paralysis / Paraplegia
dematerialized form, thereby facilitating the policy holder to access his
policies on a common online platform. Facilities such as online premium 8. Benign Brain Tumour 19. Surgery of Aorta
payment, changes in address are available through the eIA. Furthermore, 9. Coma
you would not be required to provide any KYC documents for any future 10. End Stage Liver Disease
policy purchase with any insurer. For more information on eIA visit
http://www.hdfclife.com/customer-service/life-insurance-policy-demater
ialization The benefit will be payable only on survival of 30 days from first diagnosis of
the critical illness. Waiting period of 90 days from the date of
16. Nomination as per Sec 39 of insurance Act 1938 as amended from commencement of risk or reinstatement whichever is later will apply.
time to time – Life & Health
• The policyholder of a life insurance on his own life may nominate a person Specific Exclusions for this benefit are listed below:
or persons to whom money secured by the policy shall be paid in the event of We shall not be liable to pay any benefit if the critical illness is caused directly
his death or indirectly by the following:
• Where the nominee is a minor, the policyholder may appoint any person to • Any of the listed critical illness conditions where death occurs within 30
receive the money secured by the policy in the event of policyholder’s death days of the diagnosis
during the minority of the nominee. The manner of appointment to be laid • Any sickness related condition manifesting itself within 90 days of the
down by the insurer commencement of the policy/date of acceptance of risk or reinstatement,
• Nomination can be made at any time before the maturity of the policy whichever is later.
• Nomination may be incorporated in the text of the policy itself or may be • Intentionally self-inflicted injury or attempted suicide, irrespective of
endorsed on the policy communicated to the insurer and can be registered mental condition.
by the insurer in the records relating to the policy • Alcohol or solvent abuse, or the taking of drugs except under the direction
• Nomination can be cancelled or changed at any time before policy of a registered medical practitioner.
matures, by an endorsement or a further endorsement or a will as the case • War, invasion, hostilities (whether war is declared or not), civil war,
may be rebellion, revolution or taking part in a riot or civil commotion.
• A notice in writing of Change or Cancellation of nomination must be • Service in any military, police, paramilitary or similar organisation.
delivered to the insurer for the insurer to be liable to such nominee. • Taking part in any act with a criminal intent.
Otherwise, insurer will not be liable if a bonafide payment is made to the • Any Pre-existing medical condition.
person named in the text of the policy or in the registered records of the • HIV or AIDS
insurer • Unreasonable failure to seek medical advice
• Fee to be paid to the insurer for registering change or cancellation of a • Radioactive contamination due to nuclear accident
nomination can be specified by the Authority through Regulations • Diagnosis or treatment outside India
• A transfer or assignment made in accordance with Section 38 shall
automatically cancel the nomination except in case of assignment to the
insurer or other transferee or assignee for purpose of loan or against
security or its reassignment after repayment. In such case, the nomination
will not get cancelled to the extent of insurer's or transferee's or assignee's
interest in the policy. The nomination will get revived on repayment of the
loan.
Conditions under which claims will not be payable
•Only one claim will be payable and no more than one claim will be paid in respect of Critical Illness benefit.

Definitions of covered critical illnesses are listed below:

(1) Apallic Syndrome (4) Coma

Universal necrosis of the brain cortex with the brainstem remaining A state of unconsciousness with no reaction or response to external
intact. Diagnosis must be confirmed by a neurologist acceptable to the stimuli or internal needs. This diagnosis must be supported by
Company and the condition must be documented for at least one evidence of all of the following:
month. i. No response to external stimuli continuously for at least 96 hours;
ii. Life support measures are necessary to sustain life; and
(2) Benign Brain Tumour iii. Permanent neurological deficit which must be assessed at least 30
A benign tumour in the brain where all of the following conditions are days after the onset of the coma.
met: The condition has to be confirmed by a specialist medical practitioner.
• It is life threatening; Coma resulting directly from alcohol or drug abuse is excluded.
• It has caused damage to the brain;
• It has undergone surgical removal or, if inoperable, has caused a (5) Coronary Artery Bypass Graft Surgery (CABGS)
permanent neurological deficit such as (but not restricted to)
characteristic symptoms of increased intracranial pressure such as The actual undergoing of open chest surgery for the correction of one
papilloedema, mental seizures and sensory impairment; and or more coronary arteries, which is/are narrowed or blocked, by
• Its presence must be confirmed by a neurologist or neurosurgeon coronary artery bypass graft (CABG). The diagnosis must be supported
acceptable to the Company and supported by findings on Magnetic by a coronary angiography and the realization of surgery has to be
Resonance Imaging, Computerised Tomography, or other reliable confirmed by a specialist medical practitioner.
imaging technique. The following are excluded:
The following are excluded: i. Angioplasty and/or any other intra-arterial procedures
• Cysts; ii. any key-hole or laser surgery.
• Granulomas;
• Vascular malformations; (6) End Stage Liver Disease
• Haematomas;
End-stage liver disease or cirrhosis means chronic end-stage liver
• Tumours of the pituitary gland or spinal cord; and
failure that causes all of the following:
Tumours of acoustic nerve (acoustic neuroma).
• Uncontrollable ascites;
• Permanent jaundice;
(3) Cancer • Oesophageal or gastric varices; or
A malignant tumour characterised by the uncontrolled growth & • Hepatic encephalopathy.
spread of malignant cells with invasion & destruction of normal tissues. Liver disease secondary to alcohol or drug abuse is excluded.
This diagnosis must be supported by histological evidence of
malignancy & confirmed by a pathologist. The term cancer includes
(7) End Stage Lung Disease
leukemia, lymphoma and sarcoma.
The following are excluded - Final or end-stage of lung disease, causing chronic respiratory failure,
i. Tumours showing the malignant changes of carcinoma in situ & as demonstrated by all of the following:
tumours which are histologically described as premalignant or non • FEV1 test results consistently less than 1 litre;
invasive, including but not limited to: • Requiring permanent supplementary oxygen therapy for hypoxemia;
Carcinoma in situ of breasts, Cervical dysplasia CIN-1, CIN -2 & CIN-3. • Arterial blood gas analyses with partial oxygen pressures of 55mmHg
ii. Any skin cancer other than invasive malignant melanoma or less (PaO2 < 55mmHg); and
iii. All tumours of the prostate unless histologically classified as having • Dyspnea at rest.
a Gleason score greater than 6 or having progressed to at least clinical The diagnoses must be confirmed by a qualified pulmonologist
TNM classification T2N0M0 acceptable to the Company.
iv. Papillary micro - carcinoma of the thyroid less than 1 cm in diameter
v. Chronic lymphocyctic leukaemia less than RAI stage 3
vi. Microcarcinoma of the bladder
vii. All tumours in the presence of HIV infection.
(8)Heart Attack (13) Loss of Independent Existence
The first occurrence of myocardial infarction which means the death of Confirmation by a consultant physician acceptable to the Company of
a portion of the heart muscle as a result of inadequate blood supply to the loss of independent existence due to illness or trauma, which has
the relevant area. The diagnosis for this will be evidenced by all of the lasted for a minimum period of 6 months and results in a permanent
following criteria: inability to perform at least three (3) of the Activities of Daily Living
i. a history of typical clinical symptoms consistent with the diagnosis of (either with or without the use of mechanical equipment, special
Acute Myocardial Infarction (for e.g. typical chest pain) devices or other aids and adaptations in use for disabled members) as
ii. new characteristic electrocardiogram changes mentioned below. For the purpose of this benefit, the word
iii. elevation of infarction specific enzymes, Troponins or other specific “permanent”, shall mean beyond the hope of recovery with current
biochemical markers. medical knowledge and technology.
The following are excluded:
i. Non-ST-segment elevation myocardial infarction (NSTEMI) with (14) Major Burns
elevation of Troponin I or T
Third degree (full thickness of the skin) burns covering at least 20% of
ii. Other acute Coronary Syndromes
the surface of the life assured’s body. The condition should be
iii. Any type of angina pectoris..
confirmed by a consultant physician/specialist acceptable to the
Company.
(9) Heart Valve Surgery

The actual undergoing of open-heart valve surgery is to replace or

(15) Major Head Trauma
repair one or more heart valves, as a consequence of defects in,
abnormalities of, or disease-affected cardiac valve(s). The diagnosis of Accidental head injury resulting in permanent neurological deficit to be
the valve abnormality must be supported by an echocardiography and assessed no sooner than 6 weeks from the date of the accident. This
the realization of surgery has to be confirmed by a specialist medical diagnosis must be confirmed by a consultant neurologist acceptable to
practitioner. Catheter based techniques including but not limited to, the Company and be supported by unequivocal findings on Magnetic
balloon valvotomy/valvuloplasty are excluded. Resonance Imaging, Computerised Tomography, or other reliable
imaging techniques. The accident must be caused solely and directly
(10) Kidney Failure by accidental, violent, external and visible means, independently of all
other causes.
End stage renal disease presenting as chronic irreversible failure of
both kidneys to function, as a result of which either regular renal The accidental head injury must result in a permanent inability to
dialysis (hemodialysis or peritoneal dialysis) is instituted or renal perform at least three (3) of the Activities of Daily Living (either with or
transplantation is carried out. Diagnosis has to be confirmed by a without the use of mechanical equipment, special devices or other aids
specialist medical practitioner. and adaptations in use for disabled members) as mentioned below. For
the purpose of this benefit, the word “permanent” shall mean beyond
the hope of recovery with current medical knowledge and technology.
(11) Loss of Limbs
The following are excluded:
The loss by severance of two or more limbs at or above the wrist or
ankle. • Spinal cord injury; and
Loss of limbs resulting directly or indirectly from self
• Head injury due to any other cause.
inflicted injury, alcohol or drug abuse is excluded.

(12) Loss of Sight (16)Major Organ Transplant (as recipient)

Total and irreversible loss of sight in both eyes as a result of illness or The actual undergoing of a transplant of:
accident. The blindness must be confirmed by an ophthalmologist i. One of the following human organs: heart, lung, liver, kidney,
acceptable to the Company. pancreas, that resulted from irreversible end-stage failure of the
The blindness must not be able to be corrected by medical procedure. relevant organ, or
ii. Human bone marrow using haematopoietic stem cells. The
undergoing of a transplant has to be confirmed by a specialist medical
practitioner.
The following are excluded:
i. Other stem-cell transplants
ii. Where only islets of langerhans are transplanted
 (17) Paralysis / paraplegia (19) Surgery of Aorta
Total and irreversible loss of use of two or more limbs as a result of injury The actual undergoing of surgery (including key-hole type) for a disease
or disease of the brain or spinal cord. A specialist medical practitioner or injury of the aorta needing excision and surgical replacement of the
must be of the opinion that the paralysis will be permanent with no diseased part of the aorta with a graft.
hope of recovery and must be present for more than 3 months. The term “aorta” means the thoracic and abdominal aorta but not its
branches. Stent-grafting is not covered.

(18)Stroke

Any cerebrovascular incident producing permanent neurological

sequelae.This includes infarction of brain tissue, thrombosis in an
intracranial vessel, haemorrhage and embolisation from an extracranial
source. Diagnosis has to be confirmed by a specialist medical
practitioner and evidenced by typical clinical symptoms as well as typical
findings in CT Scan or MRI of the brain. Evidence of permanent
neurological deficit lasting for at least 3 months has to be produced.
The following are excluded:
i. Transient ischemic attacks (TIA)
ii. Traumatic injury of the brain
iii. Vascular disease affecting only the eye or optic nerve or vestibular
functions.

Activities of daily living are:

• Bathing (ability to wash in the bath or shower)

• Dressing (ability to put on, take off, secure and unfasten garments)
• Member’s hygiene (ability to use the lavatory and to maintain reasonable level of hygiene),
• Mobility (ability to move indoors on a level surface),
• Continence (ability to manage bowel and bladder functions),
• Eating/drinking (ability to feed oneself [but not to prepare food])

2. Accidental Death Benefit • Hazardous sports and pastimes: Taking part or practicing for any
hazardous hobby, pursuit or any race not previously declared and accepted
1. The specified benefit will be payable on an accidental death. Accidental by the Company.
Death shall be defined as a bodily injury leading to death caused solely and • Poison: Taking or absorbing, accidentally or otherwise, any poison.
directly by outward, violent and visible means and independent of all other • Toxic Gases: Inhaling any gas or fumes, accidentally or otherwise, except
causes of death. Death due to an accident must be caused within 90 days of accidentally in the course of duty.
any bodily injury. • Physical Infirmity: Body or mental infirmity or any disease.

2. Specific Exclusions for this benefit are listed below

We will not pay accidental death benefit, if accidental death is caused 3. Accelerated Total Permanent Disability
directly or indirectly by any of the following:
• Infection: Death or Disability caused or contributed to by any infection, 1. Total Permanent Disability means disablement of the life assured which
except infection caused by an external visible wound accidentally sustained meets the definitions in any of parts A & B as defined below
• Drug Abuse: Member under the influence of Alcohol or solvent abuse or
use of drugs except under the direction of a registered medical practitioner Part A: Unable to work:
• Self-inflicted Injury: Intentional self- Inflicted injury. The life assured suffers an injury/accident and:
• Criminal acts: Member involvement in Criminal and/or unlawful acts. • The injury causes the insured member to be unable to engage in any
• War and Civil Commotion: War, invasion, hostilities, (whether war is occupation or employment or business for remuneration or profit for an
declared or not), civil war, rebellion, revolution or taking part in a riot or civil uninterrupted period of at least six months; and
commotion. • The injury means that the insured member is unlikely to ever be able to
• Nuclear Contamination: The radioactive, explosive or hazardous nature of engage in any occupation or employment or business for remuneration or
nuclear fuel materials or property contaminated by nuclear fuel materials or profit
accident arising from such nature.
• Aviation: Member participation in any flying activity, other than as a
passenger in a commercially licensed aircraft.
Part B: Physical Impairments:
DEFINITION AND EXCLUSIONS - HEALTH
The life assured suffers an injury/accident and the insured member suffers
from total and irrecoverable loss of: 1. Critical Illness
• The use of two limbs; or
• The sight of both eyes; or List of Specified 35 Critical Illness
• The use of one limb and the sight of one eye; or
• Loss by severance of two or more limbs at or above wrists or ankles; or 1. Cancer of specified severity 17. End Stage Lung Disease
• The total and irrecoverable loss of sight of one eye and loss by severance of
2. First Heart Attack – of 18. End Stage Liver Failure
one limb at or above wrist or ankle.
Specified Severity 19. Major Burns
Disability should occur within 90 days of the occurrence of such accident, 3. Open Chest CABG 20. Primary Pulmonary
but before the expiry of the cover. The above disabilities for loss of use of 4. Open Heart Replacement or Hypertension
limb/s or sight (as defined in point 1 to 3 above) must have lasted, without Repair of Heart Valves 21. Benign Brain Tumor
interruption, for at least six consecutive months and must, in the opinion of 5. Coma of Specified Severity 22. Apallic Syndrome
an appropriate medical practitioner appointed by the Company, be deemed
6. Kidney Failure Requiring 23. Parkinson’s Disease
permanent. For disabilities defined in point 4 and 5 above the claim will be
paid immediately. Regular Dialysis 24. Medullary Cystic Disease
7. Stroke 25. Muscular Dystrophy
2. Specific Exclusions for this benefit are listed below: 8. Major Organ / Bone Marrow 26. Loss of Speech
Total Permanent Disability benefit will be paid only if the disability has Transplant 27. Systemic Lupus
persisted for at least 6 consecutive months and must, in the opinion of a
9. Permanent Paralysis of Limbs Erythematous
registered medical practitioner appointed by us, deemed to be permanent.
10. Motor Neuron Disease with 28. Major Head Trauma
The Total Permanent Disability benefit will not be paid due to: Permanent Symptoms 29. Poliomyelitis
• Pre-existing injuries 11. Multiple Sclerosis with 30. Encephalitis
• Disability directly or indirectly, wholly or partly due to an Acquired Persisting Symptoms 31. Progressive scleroderma
Immuno-Deficiency Syndrome (AIDS) or infection by any Human
12. Alzheimer’s Disease 32. Cardiomyopathy
Immunodeficiency Virus (HIV).
• Taking part in any hazardous sport or pastimes (including hunting, 13. Aorta Graft Surgery 33. Chronic Pancreatitis
mountaineering, racing, steeple chasing, bungee jumping, etc) 14. Loss of Hearing 34. Amyotrophic Lateral
• Self-inflicted injury or attempted suicide-whether sane or insane 15. Loss of Sight Sclerosis
• Service in any military, air force, naval, police, paramilitary or similar 16. Aplastic Anemia 35. Terminal Illness
organisation
• Nuclear reaction, radiation or nuclear or chemical contamination Please refer to Policy wordings for the definitions of the listed critical
• Life Assured flying in any kind of aircraft, other than as a bona fide illnesses and exclusions specifically applicable to the listed critical illnesses.
passenger (whether fare – paying or not) on an aircraft of a licensed airline
• Under influence or abuse of drugs, alcohol, narcotics or psychotropic 2. General Exclusions - Health
substance not prescribed by a registered medical practitioner
• War , civil commotion, invasion, terrorism , hostilities (whether war be We will not pay for any claim which is caused by, arising from or in any way
declared or not) attributable to any of the following, including their associated
• The Life Assured taking part in any strike, industrial dispute , riot etc complications, unless expressly stated to the contrary in this Policy.
• The Life assured taking part in any criminal or illegal activity or committing
any breach of law. 1. Special Exclusions to Accidental death [AD], Permanent Total
Disablement [PTD], Permanent Partial Disablement [PPD], Temporary Total
4. Accelerated Terminal illness Disablement [TTD] and Hospitalization due to Accident
1. Terminal illness is defined as a condition, which in the opinion of two • Bacterial infections (except pyogenic infection which occurs through an
practicing medical consultants specializing in the relevant field of medicine, Accidental cut or wound).
is highly likely to lead to death within six months. The member should no • Medical or surgical treatment except as necessary solely and directly as a
longer be receiving treatment other than that for symptomatic relief. result of an Accident.
• Hernia.
2. No terminal illness benefit is payable if it is caused directly or indirectly by 2. General Exclusions applicable to all Benefits
any of the following:
• Intentionally self-inflicted injury or attempted suicide, irrespective of
mental condition.
• Alcohol or solvent abuse, or the taking of drugs except under the direction
of a registered medical practitioner.
• War, invasion, hostilities (whether war is declared or not), civil war,
rebellion, revolution or taking part in a riot or civil commotion.
• Taking part in any flying activity, other than as a passenger in a
commercially licensed aircraft.
• Taking part in any act with a criminal intent.
• Infection with Human Immunodeficiency Virus (HIV) or conditions due to
any Acquired Immune Deficiency Syndrome (AIDS).
Non-Medical i) War or similar situations: Medical xi) Types of treatment, defined Illnesses/
Exclusions Exclusions conditions/ supplies:
Treatment directly or indirectly arising
from or consequent upon war or any act • Non allopathic treatment.
of war, invasion, act of foreign enemy,
war like operations (whether war be • Conditions for which treatment could
declared or not or caused during service have been done on an outpatient
in the armed forces of any country), civil basis without any Hospitalisation.
war, public defence, rebellion, • Charges related to peritoneal dialysis,
revolution, insurrection, military or including supplies
usurped acts, nuclear
weapons/materials, chemical and • Admission primarily for administration
biological weapons, radiation of any kind. of monoclonal antibodies or IV
immunoglobulin infusion.
ii) Any Insured Member committing or
attempting to commit a breach of law Experimental, investigational or
with criminal intent. unproven treatment devices and
pharmacological regimens.
iii) Intentional self injury, suicide or
attempted suicide while sane or insane. • Admission primarily for diagnostic and
evaluation purposes only
iv) Dangerous acts (including sports):
• Any diagnostic expenses related to
An Insured Member’s participation or illnesses which we do not cover under
involvement in naval, military or air force this Policy.
operation, racing, diving, aviation, scuba
diving, parachuting, hang-gliding, rock or • Convalescence, rest cure, sanatorium
mountain climbing in a professional or treatment, rehabilitation measures,
semi professional nature. respite care, long-term nursing care,
custodial care, safe confinement,
de-addiction, general debility or
Medical v) Treatment of illness or injury resulting as exhaustion (“run-down condition”).
Exclusions a consequence of the use of alcohol, • Preventive care, vaccination including
tobacco, narcotic or psychotropic inoculation and immunisations (except
substances. in case of post-bite treatment);
vi) Prosthetic and other devices which are • Admission for enteral feedings
self detachable /removable without (infusion formulas via a tube into the
surgery involving anaesthesia upper gastrointestinal tract) and other
vii) Treatment at a healthcare facility which nutritional and electrolyte
is NOT a Hospital. supplements
viii) Treatment of obesity and any weight • Provision or fitting of hearing aids,
control program. spectacles or contact lenses including
optometric therapy, any treatment and
ix) Treatment for correction of eye sight due associated expenses for alopecia,
to refractive error baldness, wigs, or toupees, medical
x) Cosmetic, aesthetic and re-shaping supplies including elastic stockings,
treatments and surgeries: diabetic test strips, and similar
products.
• Plastic surgery or cosmetic surgery
or treatments to change appearance • Parkinson and Alzheimer’s disease,
unless necessary as a part of • Sleep-apnoea.
medically necessary treatment
certified by the attending Medical • External congenital diseases, defects
Practitioner for reconstruction or anomalies, genetic disorders.
following an Accident, cancer or • Stem cell therapy or surgery, or growth
burns. hormone therapy.
• Circumcisions (unless necessitated • Venereal disease, sexually transmitted
by Illness or injury and forming part disease or illness;
of treatment); aesthetic or
change-of-life treatments of any
description such as sex
transformation operations.
Medical • “AIDS” (Acquired Immune Deficiency xii) Healthcare providers (Hospitals /Medical
Exclusions Syndrome) and/or infection with HIV Practitioners)
(Human Immunodeficiency Virus)
• Treatments rendered by a Medical
including but not limited to conditions
Practitioner who is a member of the
related to or arising out of HIV/AIDS
Insured Member’s family or stays
such as ARC (AIDS Related Complex),
with him, however proven material
Lymphomas in brain, Kaposi’s sarcoma,
costs are eligible for reimbursement
tuberculosis.
in accordance with the applicable
• Any expense attributable directly or cover.
indirectly to pregnancy (including
voluntary termination), miscarriage
(except as a result of an Accident or
Illness), maternity or child birth
(including caesarean section), except in
the case of ectopic pregnancy in relation 3. Waiting Period - Health
to a claim under 1a) for In-patient
Treatment only. We are not liable for any claim arising due to condition for which appearance
of signs/symptoms, consultation, investigation, treatment or admission
• Treatment for sterility, infertility started within 30 days from Policy Commencement Date, except for the
(primary or secondary), assisted claims arising due to an Accident.
conception or other related conditions If any time period is specifically mentioned in Benefits, then it shall
and complications arising out of the supersede the time periods mentioned above.
same.
• Birth control, and similar procedures
including complications arising out of
the same.
• The expense incurred by the Insured
Member on organ donation.
• Treatment for analysis and adjustments
of spinal subluxation, diagnosis and
treatment by manipulation of the
skeletal structure; muscle stimulation by
any means except treatment of
fractures (excluding hairline fractures)
and dislocations of the mandible and
extremities.
xii) Healthcare providers (Hospitals /Medical
Practitioners)
• Any Medical Expenses incurred using
facility of any Medical Practitioners or
institution that We have told
You/Insured Member (in writing) is not
to be used at the time of renewal or at
any specific time during the Policy
Period. This exclusion is not applicable
for life saving emergency situations and
in such cases claims will be settled on
reimbursement basis only
 Contact us today

1800-227-227 (Toll free)

(Available all days 10am to 7pm)
OR
1800-102-0333 (Toll free)

Visit www.hdfclife.com
OR
www.hdfcergohealth.com

HDFC Life Insurance Company Limited (“HDFC Life”). CIN: L65110MH2000PLC128245. IRDAI Registration No. 101.
Registered Office: 13th Floor, Lodha Excelus, Apollo Mills Compound, N. M. Joshi Marg, Mahalaxmi, Mumbai - 400 011.
Email: [email protected], Tel. No: 1860 267 9999 (Mon-Sat 10 am to 7 pm) Local charges apply. Do NOT prefix any country code. e.g. +91 or 00. Website: www.hdfclife.com
The name/letters "HDFC" in the name/logo of the company belongs to Housing Development Finance Corporation Limited ("HDFC Limited") and is used by HDFC Life under an
agreement entered into with HDFC Limited.
HDFC ERGO Health Insurance Limited (Formerly known as Apollo Munich Health Insurance Company Limited.) CIN: U66030MH2006PLC331263,
IRDAI Registration No. 131.
Central Processing Centre: 2nd & 3rd Floor, iLABS Centre, Plot No. 404-405, Udyog Vihar, Phase-III, Gurugram-122016, Haryana. Corp. Off. 1st Floor, SCF-19,
Sector-14, Gurugram-122001, Haryana. Registered Office: 101, First Floor, Inizio, Cardinal Gracious Road, Chakala, Opposite P & G Plaza, Andheri (East),
Mumbai, Maharashtra - 400069 India, Toll Free: 1800 102 0333, Tel: +91-124-4584333, Fax: +91-124-4584111, Website: www.hdfcergohealth.com,
Email: [email protected]
Ultra Loan Shield (UIN: 101Y096V02) is a Combi Product with both protection and health benefits. The risks of this product are distinct and are accepted by respective
Companies. This version of the product brochure invalidates all previous printed versions for this particular plan. This product brochure is indicative of the terms, warranties,
conditions and exclusions contained in the insurance policy. Please know the associated risk and applicable charges from your insurance agent or the intermediary or the
policy document of the insurer. ARN: PP/12/19/17243.
BEWARE OF SPURIOUS PHONE CALLS AND FICTITIOUS/FRAUDULENT OFFERS
• IRDAI is not involved in activities like selling insurance policies, announcing bonus or investment of premiums.
Public receiving such phone calls are requested to lodge a police complaint.