Ultima V3 P.A.

An accident insurance plan that highlights extra benefits such as double Indemnity Cover, Personal Liability Cover, Optional cover for Temporary Total Disablement Benefit and much more.

Introduction

Ultima V3 P.A. is an accident insurance plan comes with extra benefits, so you can have total peace of mind. There are many plans you can choose from, depending on your needs.

 

  • Provides extra 50% Renewal Bonus - regardless of any claim made except claims for Permanent Disablement, Personal Liability, and Kidnapping
  • Double Indemnity Cover
  • Personal Liability Cover
  • Optional cover for Temporary Total Disablement Benefit
  • Free Terrorism cover of RM20,000
  • Optional additional cover for Terrorism up to RM200,000
  • Panel Hospital admission service to panel hospital guarantee up to RM3,000 for accident
  • Bereavement allowance for death due to Dengue Fever, Malaria, or Japanese Encephalitis (JE)
  • Coverage for Coma due to accident
  • Kidnap cover 
  • Reimbursement for Traditional Treatment of RM50 per visit subject to maximum RM500 per accident
  • Reimbursement for hospital room & board, clinical and medical as a result of Dengue Fever, Malaria, or Japanese Encephalitis (JE)
  • Reimbursement for Medical Equipment necessary to assist in mobility
  • Reimbursement for Medical Report or Postmortem Report
  • Service Tax on Medical Expenses incurred is payable
  • Higher limit for Funeral Allowance
  • Higher limit for Ambulance Fees
  • Cover for SCUBA diving (up to a depth of 50 metres)
  • Water sports and winter sports (amateur only)
  • Bungee jumping
  • All natural disasters
  • Disappearance
  • Drowning, suffocation by smoke or poisonous fumes
  • Exposure to the elements as a result of an accident
  • Food poisoning
  • Hijacking not arising from war like action
  • Hunting
  • Insect bites, snake bites and animal bites which cause immediate injury
  • Intoxication (except drunken driver as governed by the law)
  • Most games and sports (as amateur only)
  • Motorcycling
  • Mountaineering (not involving the use of ropes)
  • Murder and assault
  • Riot strike and civil commotion

 

TABLE OF BENEFITS

BENEFITS
SUM INSURED (RM) / PLAN
Plan 1 Plan 2 Plan 3 Plan 4 Plan 5 Plan 6 Plan 7 Plan 8
1 Death / Permanent Disablement 50,000 100,000 150,000 200,000 300,000 500,000 750,000 1,000,000
2 Medical Expenses
(inclusive below)
- Traditional Treatment is covered of RM50 per visit up to max. RM500 per accident
3,000 4,000 5,000 6,000 7,000 8,000 9,000 10,000
3 Weekly Hospital Income
(max. 52 weeks)
               
  - Class 1 & 2 occupations 150 250 300 350 500 700 850 1000
  - Class 3 occupations 100 150 200 250 300 N/A N/A N/A
4 Temporary Total Disablement / Weekly
(optional - max. 52 weeks)

               
  - Class 1 & 2 occupations 50 100 150 150 200 375 500 750
  - Class 3 occupations 50 50 50 100 150 N/A N/A N/A
5 Funeral Allowance due to Accident   5,000 5,000   5,000 5,000   5,000 5,000 5,000 5,000
6 Bereavement Allowance
(Death due to Dengue, Malaria, or JE)
 5,000 10,000 15,000 20,000 30,000 50,000 75,000 100,000
7 Ambulance Fees   1,000   1,000   1,000   1,000   1,000    1,000    1,000    1,000
8 Daily Hospital Visitation Allowance
(max. up to 50 days)
  20  20 20 20  20  20  20  20
9 Dental Correction and/or Corrective Cosmetic Correction 5,000  5,000  5,000  5,000  5,000  5,000  5,000  5,000
10 Coma due to accident   50,000 100,000 150,000 200,000 300,000 500,000 750,000 1,000,000
11 Weekly Home Nursing care
(max. 4 weeks per accident)
500 500 500 500 500 500 500 500
12 Prosthesses / Wheelchair   2,000  2,000  2,000  2,000  2,000  2,000  2,000  2,000
13 Repatriation Expenses   5,000  5,000  5,000  5,000  5,000  5,000  5,000  5,000
14 Kidnap Benefit                
  - Necessary expenses incurred 5,000 5,000 5,000 5,000 5,000 5,000 5,000 5,000
  - Reward for information to Recovery of the Insured Person 25,000 25,000 25,000 25,000 25,000 25,000 25,000 25,000
  - Insured Person not recovered after one year from the day of kidnap 50,000 100,000 150,000 200,000 300,000 500,000 750,000 1,000,000
15 Permanent Impotency or infertility due to accident   5,000 10,000 15,000 20,000 30,000 50,000 75,000 100,000
16 Major Burns
- Acidental 3rd degree burns covering at least 20% of body area
  2,500 5,000 7,500 10,000 15,000 25,000 37,500 50,000
17 Snatch Theft Compensation  500  500  500  500  500  500  500  500
18 Blood Contamination / Transfusion
(positively diagnosed with HIV within 2 years from date of blood transfusion in a hospital within Malaysia)


5,000


10,000


15,000


20,000


30,000


50,000


75,000


100,000
19 Renewal Bonus
(10% increase of the Original Sum Insured for Death or Permanent Disablement for each year subject to max. 50%)


25,000


50,000


75,000


100,000


150,000


250,000


375,000


500,000
20 Double Indemnity
(in the case of death, permanent total paralysis or permanent total loss/loss of 2 limbs whilst traveling as a fare-paying passenger on public transport and traveling overseas) 


100,000


200,000


300,000


400,000


600,000


1,000,000


1,500,000


2,000,000
21 Personal Liability  50,000  100,000 150,000 200,000 300,000 500,000 500,000 500,000
22 Panel Hospital Admission Service    3,000  3,000  3,000  3,000  3,000  3,000  3,000  3,000
23 Terrorism Cover 
(excluding nuclear, chemical & biological) 
  20,000  20,000  20,000  20,000  20,000  20,000  20,000 20,000 
OPTIONAL TERRORISM COVER    30,000 80,000 100,000 100,000 100,000  200,000 200,000 200,000

 

ANNUAL PREMIUM (EXCLUDING STAMP DUTY)
OCCUPATION CLASS 1 & 2
Plan With Weekly Benefits
(RM)
Plan Without Weekly Benefits
(RM)
Additional Premium
for Optional Cover
(RM) 
A1  136 1 100 20
A2 216 2 168 35
A3 276  3 216 50
A4 376  4 286 50
A5 510  5 400 50
A6 816  6 630 60
A7 1,150  7 886 60
A8 1,490  8 1,190 60
OCCUPATION CLASS 3
 B1 200 1 166 20
 B2 316 2 270 35
B3 416 3 376 50
B4 536 4 486 50
B5 786 5 736 50
CLASSIFICATION OF OCCUPATIONS
CLASS 1 Profession or occupations involving non-manual, administrative, or clerical work - solely in offices or similar non-hazardous places.
CLASS 2 Profession or occupations involving work of a supervisory nature or traveling outside office for business purposes but not engaging in manual work.
CLASS 3 Profession or occupations involving occasional or regular manual work not particularly hazardous in nature but involving the use of tools or machinery (not using woodworking machinery).

Death

Pays lump sum in the event of accidental death.

 

Permanent Disablement

Pays lump sum as specified in Permanent Disablement Scale in the event of permanent disablement as a result of an accident.

 

Permanent Disablement (PD) Scale

 

Description of Disablement   Percentage of the Sum Insured of PD Benefit
Loss of two limbs

  100%
Loss of both hands or of all fingers and both thumbs   100% 
Total loss of sight of both eyes   100%
Total paralysis   100%
Injuries resulting in being permanently bedridden   100%
Any other injury causing permanent total disablement from gainful employment of any and every kind   100%
Loss of arm at shoulder   100%
Loss of arm between shoulder and elbow   100%
Loss of arm at elbow   100%
Loss of arm between elbow and wrist   100%
Loss of hand at wrist   100%
Loss of leg At hip  100%
  Between knee and hip 100%
  Below knee 100%
Eye: Loss of Whole eye  100%
  All sight in one eye  100%
  All sight in one eye except perception of light 50% 
  Lens of one eye 50% 
Loss of four fingers and thumb of one hand   50% 
Loss of four fingers   40%
Loss of thumb Both phalanges 25%
  One phalanx  10%
Loss of index finger Three phalanges 10% 
  Two phalanges 8%
  One phalanx 4%
Loss of middle finger Three phalanges 6%
  Two phalanges 4%
  One phalanx 2%
Loss of ring finger Three phalanges 6%
  Two phalanges 4% 
  One phalanx 2% 
Loss of little finger Three phalanges 6%
  Two phalanges 4% 
   One phalanx 2% 
Loss of metacarpals First or second
(additional)
3%
  Third, fourth or fifth
(additional)
2% 
Loss of toes All 15% 
  Great, both phalanges 5%
  Great, one phalanx 2%
  Other toe (each)  1% 
Loss of hearing Both ears 75%
  One ear 15%
Loss of speech   50%
Loss of whole ear Both 6%
  One 3%

 

Where the injury is not specified the Company reserves the right to adopt a percentage of disablement which in its opinion is not inconsistent with the provisions of the scale. 

 

Medical Expenses

Reimbursement for the Actual, Necessary, and Reasonable medical or clinical treatment or medical equipment necessary to assist in the mobility of the Life Insured, traditional medical treatment incurred for injuries resulting from an accident, or illness due to Dengue, Malaria, or Japanese Encephalitis (JE). The fee for a medical report and/or postmortem report is also payable provided it is specifically required by the Company.

 

Hospital Income

A weekly benefit is payable for the period of hospitalisation not exceeding 52 weeks and as a result of an accident requiring hospitalisation in a registered or government hospital, provided that such hospitalisation occurs within twenty-four (24) hours from the date of the accident. This benefit is not applicable for Food Poisoning, Dengue Fever, Malaria, or Japanese Encephalitis (JE).

 

Temporary Total Disablement Benefit (Optional Cover) 

Pays up to 52 weeks if Life Insured is completely unable to attend to his/her work due to injury caused by an accident as certified by a qualified and registered medical practitioner. This benefit is not applicable for Food Poisoning, Dengue Fever, Malaria, or Japanese Encephalitis (JE).

 

Funeral Allowance

Pays lump sum to the Insured's or Life Insured's next-of-kin or legal personal representative in the event of death benefit is payable. This benefit is not applicable for Food Poisoning, Dengue Fever, Malaria, or Japanese Encephalitis (JE).

 

Bereavement Allowance

In the event of the Life Insured's death due to Dengue Fever, Malaria, or Japanese Encephalitis (JE), the Company will pay the Insured or Life Insured's next-of-kin or legal personal representative 10% of the Original Principle Sum Insured specified in the Schedule as a Bereavement Allowance upon submission of the required documents.

 

Ambulance Fees

Pays ambulance fees incurred consequent upon an accident up to RM1,000 per accident. This benefit is not applicable for Food Poisoning, Dengue Fever, Malaria, or Japanese Encephalitis (JE).

 

Hospital Visitation Allowance

Pays RM20 per day for the period of hospitalisation not exceeding 50 days. This benefit is not applicable for Food Poisoning, Dengue Fever, Malaria, or Japanese Encephalitis (JE).

 

Dental Correction and/or Corrective Cosmetic Surgery

Pays up to RM5,000 for any additional expenses incurred for corrective dental and/or corrective surgical operations to the neck, head, or chest (navel up) as a result of an accident.

 

Coma

Upon certification by a physician that the Life Insured has been in a coma state for at least one (1) year due to an accident, the Company will pay 100% of the Original Principle Sum Insured. However, the Company has a right to recover the payment made if the Life Insured regains consciousness provided that the deduction is made of 10% of the aforementioned payment for each year the Life Insured was in a coma state.

 

Home Nursing Care Charges

Pays up to RM500 per week subject to a maximum 4 weeks for any nursing care services rendered by a qualified and registered nurse that are medically necessary for the Life Insured who is totally disabled as a result of an accident and who would otherwise be confined as a bed patient in a hospital. This benefit is not applicable for Food Poisoning, Dengue Fever, Malaria, or Japanese Encephalitis (JE).

 

Prostheses/Wheelchair

In the event the Life Insured suffers Permanent Disablement due to an accident, the Company will reimburse the Life Insured up to RM2,000.

 

Repatriation Expenses

Reimburse the Insured's or Life Insured's next-of-kin or legal personal representative up to a maximum of RM5,000 for the expenses incurred for the transportation of the mortal remains from the place where such accidental death occurs to the first point of entry into the country of residence.

 

Kidnap Benefit

Pay a lump sum of RM5,000 for necessary expenses incurred by the Life Insured's family to recover the Life Insured and also reward of RM25,000 for information leading to the recovery of the Life Insured provided that the Life Insured is alive at the time of recovery. The Original Principle Sum Insured will be paid in full if the kidnapped Life Insured is confirmed to have not been recovered after a period of one (1) year from the day of the kidnap.

 

Permanent Impotency and Infertility

Pay the Life Insured 10% of the Original Principle Sum Insured if the Life Insured suffers impotency or infertility due to an accident.

 

Major Burns

Pay the Life Insured 5% of the Original Principle Sum Insured for third degree burns covering at least twenty (20) percent of the Life Insured's body surface area as measured by the Rule of 9 of the "Lund and Browder Body Surface Chart" as a result of an accident.

 

Snatch Theft Compensation

Pay the Life Insured RM500 for loss or damage to jewelry or personal effects caused by snatch theft or wayside robbery.

 

Blood Contamination/Transfusion

Pay the Life Insured 10% of the Original Principle Sum Insured if the Life Insured contracts Human Immunodeficiency Virus (HIV) as a result of Blood Transfusion or Blood Contamination whilst the Life Insured is undergoing medical treatment for a covered injury or illness in a Government or Licensed Private Hospital within Malaysia, provided that the Life Insured is positively diagnosed with HIV within two (2) years from the date of transfusion in a hospital within Malaysia and the policy is still in force.

 

Renewal Bonus 

10% yearly increase on the original sum insured for death and permanent disablement benefits as renewal bonus up to a maximum of 50% provided that such renewal date is continuous and without breaks from the previous policy date. Once a claim is made for Permanent Disablement, Kidnap, or Personal Liability, any accumulated renewal bonuses will be forfeited and computations for future renewal bonuses will begin anew from the next renewal date.

 

Double Indemnity

Pays double the original sum insured for death or permanent disablement, total paralysis, or permanent total loss/loss of use of 2 limbs if accident occurs whilst the Life Insured is traveling as a fare-paying passenger on any mode of public transport or whilst traveling overseas. Overseas shall mean outside of Malaysia, Singapore, Negara Brunei Darussalam, and Thailand.

 

Personal Liability

Subject to the limit of liability, the Company will indemnify the Life Insured in respect of all sums he/she shall become legally liable to pay to third parties in respect of accidental bodily injury or accidental damage to property. The territorial limit of this benefit is within Malaysia only.

CLASS 1

Profession or occupations involving non-manual, administrative, or clerical work, solely in offices or similar non-hazardous places.

 

CLASS 2

Profession or occupations involving work of a supervisory nature or traveling outside office for business purposes but not engaging in manual work.

 

CLASS 3

Profession or occupations involving occasional or regular manual work not particularly hazardous in nature but involving the use of tools or machinery (not using woodworking machinery).

Armed security guard, police, army/military and law enforcement officer, aircraft tester, air or ship crew, animal trainer, fireman, seaman or sea fisherman, diver, explosives handler, jockey, oil rig worker, person engaged in demolition of buildings, person working in acid/chemical factory (hazardous) works, professional entertainer, professional sportsman or sportswoman, quarry worker, racing driver, railway manual worker, sawyer and timber logging worker, steeplejack, stevedore, underground tunneling and mining, window cleaner (more than 3-storey building), and woodworking machinist. 

 

Age Limit of Entry:

From 16 to 65 and renewable up to 80 years.

The policy does not cover war risks, existing physical or mental defects, suicide, self-injury, pregnancy or childbirth, hernia, participation in a criminal act, professional sports, racing of any kind (other than on foot), caving, parachuting, hang-gliding, hunting, mountaineering requiring ropes or guides, traveling as an aircraft crew, aerial activities, martial arts, radiation or contamination by radioactivity, and nuclear weapons material.

 

This brochure is not a contract of insurance. The descriptions of the available covers are only brief summaries for quick and easy reference. The precise terms and conditions that apply are stated in the policy.

Download the following forms and documents to find out more about this policy:

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