Page 144 - Ebook health insurance IC27

The Insurance Times

is shared by all the members of a family, instead of having separate coverage
limits for each member. However, the floater policy covers only the immediate
family members, and have to renewed every year like other health insurance
policies.

Hence the relationships need to be captured in the proposal form, along with the
health details. Even for individual insurance, family health data helps the insurer to
understand any hereditary disease in the family.

Insurers also insist for medical examination of the insured, beyond a certain age,
say 45 or 50. In case of any health condition mentioned in the proposal form , the
insurers may ask for more detailed reports.

Instead of asking a simple question about overall health, so many questions are
being asked to
(i) Record the facts in details, to form the basis of the contract.
(ii) To enable the customer to think through various diseases so that he provides

the necessary information.
(iii) Order for any further medical examination to estimate the severity of the

disease.

Q5. What is the purpose of self declaration of health status by the proposer ?
List out some of the major diseases for which information may be asked ?

Ans. Self declaration of Health Status by the applicant is very important. No one knows
the health condition of a person other than he, himself. The declaration includes
specific questions about the various systems of the human body, medical history,
any symptoms / treatment undergoing in present and not so distant past. A person

148 Guide for Health Insurance