POLI Rule No 13- Medical Scheme

(a) In every case where a proposal for Postal Life Insurance or Rural Postal Life Insurance is submitted, the proposer must undergo a medical examination by the prescribed medical authority (except where the proposal is up to sum assured of Rs. 5,00,000/- (Rs Five lakh) in PLI or Rs. 1,00,000 /- (Rs. One lakh)*in RPLI together with any other Non-Medical Policy/Policies which the proposer may hold or proposes to hold under the Non-Medical Scheme and age of proposer is not exceeding 40 years (in PLI) and 35 Years (in RPLI) on next birthday), and must be declared fit for such insurance by the said authority. Further, a PLI policy upto Rs. 2,00,000/- (Rs. Two lakh) of sum assured will be a non -medical policy irrespective of age limit. (b) The medical examination shall be carried out as per Rule 24, by the prescribed medical authority depending upon the amount of insurance involved, and the fees on account of medical examination shall be borne by the Department in accordance with Rule 26. However, if second medical opinion is required to be obtained the fee thereof shall be paid by the proposer in case he is responsible for the delay in acceptance of proposal otherwise the fee shall be borne by the Department.

POLI Rule No 14. Non-Medical Scheme (PLI) –

Any person, whose age on next birthday does not exceed 40 years, and who is eligible for a Postal Life Insurance under Post Office Life Insurance Rules, 2011 and anyone who had applied for a Life Assurance Policy either under NonMedical or Medical Scheme and had not been turned down by any insurance company operating in India, may apply for a Non-Medical Policy in PLI in multiples of `10,000/- (`Ten thousand), for such sum assured which shall not exceed `5,00,000/- (` Five Lakh) together with any other Non-Medical policy/policies which the proposer may hold or proposes to hold under the said Non-Medical Scheme. Further the total sum assured shall not exceed `50,00,000/- (` fifty Lakhs) together with any Non-Medical or/and Medical policy/policies which the proposer may hold or proposes to hold. The medical history of the proponent should not reveal any adverse features, and the proponent is medically fit at the time of proposal and had not suffered with any chronic disease and hospitalized during the two years prior to the date of proposal. Only Endowment Assurance Policies will be issued under this scheme.

*Note: ‘Maximum aggregated sum assured limit of non-medical RPLI policy/ies with non -standard age proof will remain 25,000/- (` twenty-five thousand only).

POLI Rule 15. Non-Medical Scheme (RPLI)

Any person, whose age on next birthday does not exceed 35 years, and who is eligible for a Rural Postal Life Insurance, with the exclusion of handicapped persons and anyone who had applied for a Life Assurance Policy either under NonMedical or Medical Scheme and had not been turned down by any insurance company operating in India, may apply for a Non-Medical Policy in RPLI in multiples of `5,000/- (` Five thousand), for such sum assured which shall not exceed `1,00,000/- (` One lakh only) together with any other Non-Medical policy/policies which the proposer may hold or proposes to hold under the said Non-Medical Scheme. Further the total sum assured shall not exceed `10,00,000/- (` ten Lakhs) together with any Non-Medical or/and Medical policy/policies which the proposer may hold or proposes to hold. The medical history of the proponent should not reveal any adverse features, and is medically fit at the time of proposal and had not suffered with any chronic disease and hospitalized during the two years prior to the date of proposal. Only Endowment Assurance Policies will be issued under this scheme.

 

POLI Rule no 16

In the event of a Non-Medical Policy issued under these Rules in PLI or RPLI, becoming a claim before maturity and notwithstanding the total sum assured as per the said policy, the payment against such claim shall be restricted to the following amounts: - (i) Thirty five percent of sum assured along with the accrued bonus in case the death of the insured person occurs before the completion of one year from the date of acceptance of the proposal. (ii) Sixty percent of the sum assured along with the accrued bonus in case the death of the insured person occurs before the completion of two years, but not before the completion of one year, from the date of acceptance of the proposal. (iii)Ninety percent of the sum assured along with the accrued bonus in case the death of the insured person occurs before the completion of three years, but not before the completion of two years, from the date of acceptance of the proposal. (iv) Full sum assured along with the accrued bonus in case the death of the insured person occurs after completion of three years from the date of acceptance of the proposal.

Manner of Effecting an Insurance

(NOTE: - The procedure to be followed in connection with proposals submitted by Defence service personnel is given in the appendix to these rules.)