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Tuesday, 26 April 2016

HOW TO CALCULATE LIC GROUP MEDICLAIM PREMIUM FOR 2016-17?


A)          FROM THE PREMIUM TABLE
1   FOR THOSE WHO HAVE NOT OPTED FOR OPTIONAL SUM INSURED
     STEPS
          TABLE A
          FOR EMPLOYEES/PENSIONERS OR SPOUSE OF DECEASED EMPLOYEE/PENSIONER      
1.       FOR CALCULATION OF MEDICLAIM PREMIUM AGE LAST BIRTHDAY OR COMPLETED YEAR SHOULD BE TAKEN
2.       CALCULATE YOUR AGE AS ABOVE AND REFER THE AGE GROUP APPLICABLE TO YOU
3.       NOTE DOWN THE PREMIUM SHOWN IN THE AGE GROUP FOR THE COMPULSORY SUM INSURED ELIGIBLE [ 3, 4 OR 6 LACS]
4.       DIVIDE THE PREMIUM IN 3 ABOVE BY 4 (FOUR ie 25%)
5.       THE RESULT IS THE PREMIUM PAYABLE

           TABLE B
           FOR SPOUSE OF THE EMPLOYEE/PENSIONER AND OR FOR DEPENDENT CHILDREN OF EMPLOYEE/PENSIONER
6.        CALCULATE AGE AS STATED IN 1 ABOVE
7.        NOTE DOWN FROM TABLE B THE PREMIUM SHOWN IN THE AGE GROUP FOR THE COMPULSORY SUM INSURED ELIGIBLE [ 3, 4 OR 6 LACS]
8.        DIVIDE THE PREMIUM IN 2 ABOVE BY 4 (FOUR ie 25%)
9.        THE RESULT IS THE PREMIUM PAYABLE FOR YOUR SPOUSE

         TOTAL PREMIUM PAYABLE= ADD 5 (UNDER TABLE A) AND 9 (UNDER TABLE B)
        
         IN SIMPLE TERMS THE FORMULA IS AS UNDER

         

         =[{PREMIUM FOR COMPULSORY  SUM INSURED UNDER TABLE A}+ {PREMIUM   FOR COMPULSORY SUM INSURED UNDER TABLE B}] DIVIDED BY 4 (four ie 25%)  


    2.           
             FOR THOSE WHO HAVE OPTED FOR OPTIONAL SUM INSURED
             TABLE A
             SELF
             [{ PREMIUM FOR OPTIONAL SUM INSURED –PREMIUM FOR COMPULSORY SUM INSURED}
               +(PREMIUM FOR COMPULSORY SUM INSURED) DIVIDED BY 4)]
         
             TABLE B
             SPOUSE
             [{ PREMIUM FOR OPTIONAL SUM INSURED –PREMIUM FOR COMPULSORY SUM INSURED}
               +(PREMIUM FOR COMPULSORY SUM INSURED) DIVIDED BY 4)]
            
             TOAL PREMIUM PAYABLE= ADD THE PREMIUM AS PER TABLE A AND TABLE B AS CALCULATED
                                       ABOVE 
B) FROM THE READY RECKONER FOR CATEGORY I , II OR III
1.       PREMIUM SHOWN IN RED FROM TABLE A FOR THE OPTED SUM INSURED FOR SELF,
2.       PREMIUM SHOWN IN RED FROM TABLE B FOR THE OPTED SUM INSURED FOR SPOUSE
3.       ADD THE ABOVE 1 & 2
                                      
        

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