Non Term Underwriting Guidelines For HDFC Bank Version IV - NOV-23

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Underwriting Guidelines for HDFC Channel Version IV (Non-Term)

Nov ,2023

These underwriting guidelines will be applicable for all Non term products including SSR,
SSR Plus and SSR 11X with Death Benefit of 11 times and 15 times.
If the applied product SAR to premium ratio (DB Multiples) is beyond 40x times than mandatory Medicals
required
Please note for general rules on products and guidelines that are same across all channels, you may refer to
the Latest Underwriting Guidelines & Process note.

Grid I & Grid III are applicable. Please refer to table below.

Grid -I -Enhanced NML- Effective from June 23

NML allowed
based on
Enhanced NML Grid I Existing NML Grid II
Medical Sum at
Risk
Revised for PBG, Imperia, Includes all other HDFC
Age Band (in PBG & Preferred & All Segment-DB
PBG, Preferred & bank customers not
yrs.) Imperia Classic Above 40 x
Imperia Classic -June-23 covered under group II

Non-
Graduate Graduate Graduate Any
Graduates
0-17 10 Cr 10 Cr 6 Crore 4 Crore 3 Crore 2 Crore
18-40 20 Cr 15 Cr 6 Crore 4 Crore 3 Crore 2 Crore
41 – 45 12 Cr 10 Cr 4 Crore 3 Crore 2 Crore 1 Crore
46 – 50 12 Cr 10 Cr 3 Crore 2.5 Crore 2 Crore 1 Crore Grid Medical
51 – 55 7 Cr 5 Cr 2 Crore 1.5 Crore 1 Crore 50 Lacs
56 – 60 7 Cr 5 Cr 1 Crore 75 lacs 50 Lacs 25 Lacs
61 – 65 4 Cr 2 Cr 50 Lac 25 lacs 25 Lacs 10 Lacs
Above 65 Refer general non-medical scheme.

➢ ^Criteria for Grid I and II for NML eligibility: -


• For primary account holder of HDFC bank customer
• Minimum Education should be graduate and above
• Premium to SA multiple -up to 20X only
• Minimum declared income should be 15 lakhs,
• Applicable for salaried & self-employed profiles only
• Applicable for NRI and resident Indian Both
• Sub-standard /declined countries will be excluded
• Life to be insured should be eligible for as per income multiple factor
• AML guidelines applicable as per norm
• This will not be applicable if any previous policy with TALIC is rated up, postponed, or declined
• Split Policy cover not allowed under enhance NML.
• Medicals will be called as per grid if any health adversities are noted.
• Non-Medical Limits will not be applicable if any previous policy with TALIC is rated up, postponed, or declined
or Adverse Health history including BMI known through any sources or declared by customer on proposal.

Page 1 Confidential for Internal Circulation only


Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

➢ NML for Fortune Guarantee Plus Single Pay - Joint Life/GRIP Option 3 Single Pay - Joint Life

Age Band (Age Last


NML Limits for Medical Sum at Risk in INR
Birthday)
FG Plus 13 - 60 yrs 10 Crore
GRIP Option 3 45-65 10 Crore

Risk Aggregation to be considered as 10X Single Premium for MSAR purpose.

* = Sum of Death Benefit payable# under all current, issued (including issued and lapsed), pending, simultaneous
application(s)@ taken in last 24 months, on same life to be insured. The period of 24 months is calculated from the
earliest application which is under process of evaluation. All issued policies where the policy commencement date
of the earlier issued application falling within the 24-month criteria will be considered for risk aggregation and
calculation of Medical Sum At Risk (MSAR).
# Death Benefit payable = Higher of the following (as applicable to the product)
1) 10 or 11 times of Annualized Premium (excluding Taxes) as per product design.
2) 105% of All premiums paid excluding the underwriting extra premium and modal loading
3) Actual Death Benefit as defined in Terms of
@ Term Assurance and Health / Critical Illness applications excluded.
^ = Juvenile / Minor Lives / Student Life guidelines will not be applicable as appropriate.
Underwriter reserve the right to call for medical evidence for any Medical Sum At Risk based on his / her
underwriting assessment based on information disclosed by the applicant and information available to him / her
from other sources.
The above mentioned non-medical limit apply to Life Assured who is primary bank account holder. In case of
family member of primary account holder (children less than age 30 & spouse only) of primary account holder
then appropriate Non – Medical limit (based on age & primary account holder’s customer categorization) will
apply subject to maximum limit of INR 5 crore only. Any application of family member with Sum at Risk above INR
5 crore will be assessed by Munich Re with mandatory medicals and income proof.

Residency: Applicable for applications from Munich Re approved Standard countries only.

➢ Financial Underwriting and Financial eligibility calculation: -

Financial Underwriting is done for following reason:

1) Need for insurance cover is present. This is established if there is financial loss to the family / nominee in case of
untimely death of the proposed life insured. This is termed as “Need for Insurance”.
2) Cover proposed is commensurate with the financial loss. This is essential to avoid over insurance as over insurance
could lead to anti selection. This is termed as “Financial Eligibility”.
3) Affordability of the insurance cover. This is required to ensure that the policy owner is able to keep the policy in
force to get the benefit for which the insurance is taken. This is termed as “Premium Payment Capacity”.

Page 2 Confidential for Internal Circulation only


Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

Need for Insurance: - Need for Insurance is established where the proposed insured is a earning through source
such as employment or self-employment or carrying out business. Certain individuals are engaged in regular
work however are not paid for their regular duties (such as housewife / home maker) are eligible for insurance
cover. However, those who are not earning are generally do not qualify for taking insurance, except insurance
on their lives is purely considered as future financial planning through investment in long term insurance plan.

Standard Financial Eligibility: - Those who satisfy the first criteria of “Need for Insurance” will be insured subject
to a maximum limit. No one can insure him / herself for unlimited amount and hence financial eligibility is
required to be established for each insurable life. This eligibility is derived through a simple income multiplier
factor. Maximum insurance cover (across all insurance providers) is determines as per the following table.
Please note income of the life to be insured is considered to arrive at financial eligibility and not of the proposer.

Following table is used to calculate the Life Insurance eligibility and different tables / rules are used to calculate
the eligibility for additional benefits such as Accidental Death Benefit rider, Critical Illness rider etc. The rider
eligibility criteria are defined separately.

Age Band (Age Last Birthday) Income Multiplier to arrive at “Standard Financial
20 – 40 Eligibility”
25
41 – 45 20
46 – 50 15
51 – 60 10
> 60 5

Income is considered in Indian Rupees and consequently the financial eligibility is defined in Indian Rupees.
Income in other currencies will be converted in Indian Rupees as per prevalent conversion factor and adjustments
can be made if the economic situation warrants such correction.
Financial eligibility arrived using the above factor represent the maximum amount of life insurance cover a person
can obtain from all insurance providers across the world. All valid policies$ taken throughout the lifetime of the
insured where death benefit is payable in case of claim are considered while arriving at the eligibility. This is
referred as Total Sum At Risk (TSAR).$ Includes Term assurance and all life insurance policies taken from other
insurance providers as well.
Income of the proposed insured disclosed in the application form, must be commensurate with the occupation
and other characteristics of the person such as age, place of work etc. Actual income must be substantiated
through reasonable evidence for large amount of insurance cover.

Premium Payment Capacity: - In general, we can allow 20% to 60% of total income paid towards insurance
premium. Underwriters will assess the premium payment capacity to ensure the policy remain in force for a long
time so that the desired profits are realized. Higher % of total income paid towards insurance premium will be
evaluated by underwriters for reasons of persistency and from money laundering perspective.

Following table will define the Financial Evidence Requirement Table


Financial Underwriting Requirement: - Following grid is applicable for individuals engaged in full time
employment or established business to earn the income in order to support a certain standard of living and their
income can be reasonably verified through personal meeting and verification.

Page 3 Confidential for Internal Circulation only


Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

➢ Option 1: Premium upto 11 times of the applied sum assured

Total Annual Premium paid to Documentation / Requirement Documentation / Requirement as


TATA AIA under current as per Client Segmentation per Client Segmentation (HDFC
application(s) (HDFC bank) bank)
PBG, & Imperia Preferred, Classic & other segment
Comprehensive CCR* + CDF Comprehensive CCR* + CDF Signed by
Up to 2.5 Lakh
Signed by Specified Person Specified Person
Comprehensive CCR*+ CDF Comprehensive CCR*+ CDF Signed by
Above 2.5 Lakh to 10 Lac Signed by Specified Person and Specified Person and Verified by
Verified by Supervisor Supervisor
Comprehensive CCR*+ CDF Comprehensive CCR*+ CDF Signed by
Signed by Specified Person and Specified Person and Verified by
Above 10 Lac to 15 Lac Verified by Supervisor + Verified Supervisor + Verified by Branch
by Branch Banking Head + Banking Head + Approved by Product
Approved by Product Head Head
Comprehensive CCR*+ CDF Comprehensive CCR*+ CDF Signed by
Signed by Specified Person and Specified Person and Verified by
Above 15 Lac to 50 Lac Verified by Supervisor + Verified Supervisor + Verified by Branch
by Branch Banking Head + Banking Head + Approved by Product
Approved by Product Head Head + Standard Income Proof^
Comprehensive CCR*+ CDF
Comprehensive CCR*+ CDF Signed by
Signed by Specified Person and
Specified Person and Verified by
Verified by Supervisor + Verified
Above 50 Lac Supervisor + Verified by Branch
by Branch Banking Head +
Banking Head + Approved by Product
Approved by Product Head +
Head + Standard Income Proof^
Standard Income Proof^

➢ Option 2: Premium above 11 times of the applied sum assured

Documentation / Requirement as
Total Annual Premium Documentation / Requirement as per
per Client Segmentation (HDFC
paid to TATA AIA Client Segmentation (HDFC bank)
bank)
under current Preferred, Classic & Classic &
application(s) PBG, & Imperia
another segment
Comprehensive CCR* + CDF Signed by Comprehensive CCR* + CDF Signed
Up to 2.5 Lakh
Specified Person by Specified Person
Comprehensive CCR*+ CDF Signed
Comprehensive CCR*+ CDF Signed by by Specified Person and Verified by
Above 2.5 Lakh to 10 Specified Person and Verified by Supervisor + Verified by Branch
Lac Supervisor Banking Head + Approved by
Product Head

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Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

Comprehensive CCR*+ CDF Signed by Comprehensive CCR*+ CDF Signed


Specified Person and Verified by by Specified Person and Verified by
Supervisor + Verified by Branch Banking Supervisor + Verified by Branch
Above 10 Lac to 15 Lac
Head + Approved by Product Head Banking Head + Approved by
Product Head

Comprehensive CCR*+ CDF Signed by Comprehensive CCR*+ CDF Signed


Specified Person and Verified by by Specified Person and Verified by
Supervisor + Verified by Branch Banking Supervisor + Verified by Branch
Head + Approved by Product Head
Above 15 Lac to 25 Lac Banking Head + Approved by
Product Head + Standard Income
Proof^

Comprehensive CCR*+ CDF Signed by Comprehensive CCR*+ CDF Signed


Specified Person and Verified by by Specified Person and Verified by
Supervisor + Verified by Branch Banking Supervisor + Verified by Branch
Above 25 Lac Head + Approved by Product Head + Banking Head + Approved by
Standard Income Proof^ Product Head + Standard Income
Proof^

Please Note:
1) Income from CDF form & Income estimator from credit bureau organization need to be obtained and income
multiple specified in the document need to be followed to arrive at financial viability of the individual.
2) Bank account holder who is paying the premium and the life insured should be one and the same person

➢ Smart VIP and Fortune Guarantee Single Pay [FG 1.25x & SVIP 1.25x]

Total Sum at Risk# in INR Requirements


<= 3Cr No income proof required
>3Cr to <= 5Cr Financial surrogates
>5Cr Standard Financials
For Single Premium: Annual premium can be deducted from the SAR calculation

Financial Limits for Fortune Guarantee Plus Single Pay - Joint Life: -
1. Up to TSAR* of 3 Crores – Based on Declared Income on application form of the 1st Life
2. TSAR* above 3 Crores up to 5 Crores – Eligibility basis Net Worth/ NRV
3. TSAR* above 5 Crores upto 30 Crores – Standard Financials of 1st Life [Cover eligibility on Income of 1st Life]
4. TSAR* above 30 Crores upto 40 Crores – Standard Financials of 1st Life [100% Cover eligibility on Income of 1st
Life], NRV/ Bank statement for 2nd Life of 2 crore or income proof required
5. TSAR* above 40 Crores – Standard Financials for both life, 1st Life [100% Cover eligibility on Income of 1st Life], 2nd
[2.5% Cover eligibility on Income of 2nd Life]

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Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

* = Comprehensive client confidential report wherever applicable. Underwriters will call for Income Proof /
Standard Income Proof from proposed insured based on the underwriting assessment.
^List of Standard Income Proof is given below. Any other evidence submitted will be considered as surrogate
income proof and will be evaluated based on the merit of the evidence and the underlying risk cover.
Underwriter’s discretion is final while assessment of the surrogate income proof.

➢ Financial Grid for Rider ADB and ATPD –

Financial underwriting – Up to sum assured of INR 30,000,000 financial underwriting to be done


as per base plan. For sum assured INR 30,000,001 to 50,000,000 standard income proof is mandatory.

For sum assured INR 30,000,001 to 50,000,000 the following income multiples shall be applied
for calculating the financial eligibility
Age Income multiple
18 - 60 15
60-65 5

➢ List of Standard Income Proof: -


1. Recent Appointment Letter (Not more than 3 months old)
2. Latest salary revision letter (Not more than 3 months old)
3. Last 3 months salary slips
4. Only for the select 2000+ companies if single month latest month salary slip received with proof of
employment. Refer separate list of companies list.
5. Last 6 months Bank statements reflecting salary credit at regular periodic interval
6. Latest Form 16 / Form 16 A
7. Income Tax Returns (ITR) along with CA certified (as applicable)
8. CA certified / Audited Profit and Loss (P&L) account & audited Balance Sheet

Please note, Income proof / Proof of Source of Fund is required under AML guidelines as per defined
matrix. Evidence received under AML guidelines will be used for financial assessment as well.

➢ Financial Waiver basis Credit bureau: -

Life to be insured shall be required to meet all of the following eligibility criteria to be eligible for financial waiver
with Credit report form Experian / CIBIL / CRIF.
1. Declared income minimum income 300,000 and above
2. Minimum Estimated income as per credit bureau report is equal to for Salaried and Self-employed is INR 3 Lac.
Estimated avg income from credit bureaus shall be taken for financial evaluation.
3. Minimum Education Criteria: Graduate and above only
4. Credit score: CRIF: 650 & above; EXPERIAN: 750 & above; CIBIL * Not applicable
5. Maximum Financial TSAR including the current and simultaneous plan offered will be INR 2 Crore per life basis
CIBIL income & CRIF/Experian income

Page 6 Confidential for Internal Circulation only


Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

➢ Calculation of HLV basis Credit bureau: -

Bureau Educatio Max FSAR^ Credit Income Revised HLV


n allowed score
CRIF / Graduat 2 Cr 650/750/ Avg bureau Average Bureau Income * Age
Experian / e NA income s/t min banded income multiplier Max
CIBIL * 3 Lacs capping to 2 cr
*For CIBIL – Credit score criteria is not applicable
^Financial TSAR includes total sum assured across all policies of life assured with the Tata AIA and with other Life
Insurance Companies

➢ Underwriting guidelines for Juvenile / Minor and Major Student Live (maximum age 25):
Juvenile / Student lives are dependent on their parents for financial security and hence do not qualify to get
insurance cover on their lives. The primary reason for buying insurance cover is to build a corpus for higher
education or for certain events in life such as marriage through systematic investment. In addition, certain amount
of financial loss can be attributed to parents (in case of unfortunate death of child) if they have invested a
significant amount of money on their child’s education which they could have otherwise used for retirement
saving. However, it is essential that the parents are adequately insured so as to secure the feature of the child.
Similarly, all the siblings should be covered for equal amount to avoid any anti selection against the insurer (e.g.
a child which is ill or known to have a major life-threatening disease is only insured or insured for significantly
large amount).

1) NML to be applied as offered to main account holder, Main account holder defined as Grandparents, Father &
mother only
2) Maximum Student Age is capped at 25 and Maximum cover for Student is capped at INR 5 Crore (This includes
insurance cover taken from all insurance companies).
3) Any non-term cover above 5 crore to be referred facultative to Reinsurer.

Total Sum at Risk in INR# Documentation / Minimum Requirement


Up to 50 Lac NIL
1. Equal insurance cover on parents (Combined insurance cover on father
and mother should be equal to the TSAR on the proposed life)
2. Equal insurance cover on all siblings
Above 50 Lac up to 2 Crore
3. Current Academic Year Student Proof (Above 5 Years) / Up to date
immunization record (Up to age 5)

1. Twice the insurance cover on parents (Combined insurance cover on


father and mother should be twice the TSAR on the proposed life). Proof
Above 2 Crore up to 5 of insurance will be required (Policy Schedule of Parents Insurance cover)
Crore 2. Equal insurance cover on all siblings
3. Current Academic Year Student Proof (Above 5 Years) / Up to date
immunization record (Up to age 5)

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Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

4. The cover applied should be within 50% eligibility calculated as per


parents insurance eligibility using income proof

#
Total Sum at Risk = Total sum assured across all policies of life assured with the Tata AIA only

* = Customer Profiler wherever applicable. Underwriters will call for Income Proof / Standard Income Proof^ from
proposed insured based on the underwriting assessment.
^List of Standard Income Proof is given above. Any other evidence submitted will be considered as surrogate
income proof and will be evaluated based on the merit of the evidence and the underlying risk cover.
Underwriter’s discretion is final while assessment of the surrogate income proof.

➢ Underwriting guidelines for Housewives / Female Live not having any income: -

1) NML to be applied as offered to main account holder, Main account holder need to be insured herself or spouse
of insured.
2) No cover to be offered above 50 Lacs for category 3 and non-graduate housewives.
3) Any cover above 5 crore to be referred facultative to Reinsurers.

Documentation / Minimum Requirement - (Category 3 Lives, Graduates


Total Sum at Risk in INR#
only)
Up to 50 Lac Nil
Above 50 Lac up to 2 Crore The cover applied should be equal to Husbands insurance cover
1) The cover applied should be within 50% of Husbands insurance cover &
2) Savings plan with 15 times premium to sum assured ratio.
Above 2 Crore up to 5 Crore
3) The cover applied should be within 50% eligibility calculated as per Husbands
insurance eligibility using income proof

Total Sum at Risk in INR# Documentation / Minimum Requirement - (Category 3 Lives, Non-Graduates
only)
Up to 25 Lac Nil
Above 25 Lac up to 50 Lac The cover applied should be equal to Husbands insurance cover
Any deviation to the above guidelines will be referred to Munich Re for facultative assessment.

Please Note: Underwriter discretion will apply for any deviation, exception, or waiver of requirements. Any
Deviation to UW guidelines will be approved not below AVP – UW

FG Pension Option 3 for High-risk category: - For high-risk category for FG Pension Option 3, Declaration of
Good Health (DOGH) will be called. Based on the responses of DOGH, we will call for VMER for policies where
health adversity is disclosed based on the UW assessment.

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Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

Definition of High-risk category: -


• FG Pension Option 3
• Single Life
• Age+ Deferment Period > 70 years

FG Pension option 3 guidelines for High Risk with grid medicals

FG Pension High risk policy with (current + previous) premium >=25L will follow below grid.

Medical Grid for FG Pension Option 3


Medical Sum at risk in INR
Age 54 and above

Upto 3.0 Cr VMER + Declaration of Good Health (DOGH)

3.01 Cr to 15 Cr ME, BPB, HBA1c, TMT + Declaration of Good Health (DOGH)

ME, BPB , HBA1c, TMT , 2 D Echo, USG (Pelvis & Abd), Chest X ray,
Above 150,000,000
Anti HCV, Urine microalbumin + Declaration of Good Health (DOGH)

Medical Underwriting will be done basis TELEMER and DOGH disclosures.

a. If health adversity disclosed is within Part 1A, we will accept directly either at borderline
standard rates [< =25 EMR ] or rate up >25 EMR or PO/DC subject to UW assessment.
Change here is only EMR Rate up to be done if > +25 (earlier it was > +100)
b. No medicals to be called.. accept/reject/rate up to be done directly basis TMER/VMER

For any discrepancy/ disclosure regarding medical information. Do not call for any medicals,

following action to be done.

• Basis disclosure if rating is <= EMR + 25, case to be issued as borderline standard.
• Basis disclosure if rating is > EMR + 25 up to EMR < 200, case to be issued with counteroffer.
• Basis disclosure if rating is > EMR 200, case to be declined without further
investigation.

Page 9 Confidential for Internal Circulation only


Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

➢ Fortune Guarantee Retirement Ready Plan

FGRR Option 3 Additional Guideline


Proposer Health question details to be filled by Proposer
Max SA Option 3 has an Inbuilt waiver of premium option. Here the
maximum sum assured will be capped at 2.5Cr.
Waiver of Premium Sum assured = ANP *PPT/2
E.g. ANP=10L, PPT=50
WOP SA = 10L *50/2= 2.5Cr
Waiver of premium sum assured from all policies will be added &
capped at 2.5Cr SA
Underwriting Approach This option is an accept/reject. Option may get rejected basis
health adversity in current/previous policy for proposer or basis
adverse occupation/habits.
WOP on death Risk aggregation to be done for proposer Max Limit
Risk Aggregation 2.5 Cr
Business Insurance Not allowed

➢ Rider package guidelines

Criteria Package Guidelines


Rider Package Flag Yes
Single Premium Not allowed
Existing base and Rider non term Applicable
guidelines
Max Age for CI and HCB Rider 50
ADB and ATPD Age Limit Validation As per product boundary conditions.
No Minimum income criteria [Existing PPC logic will
Income (CI/HCB) continue, Annual income at least 30% of the annual
premium paid
Education (CI/HCB) Allowed for all [Illiterate Profiles will not be allowed]
Location No restrictions
Housewife / Student Allowed with husband/parent insurance as per existing rule
Allowed – ADB, ATPD
NRI/OCI/PIO from std countries
Not Allowed – CI & HCB
BMI (CI/HCB) 17.0 to 34.49 considered for NML limit
Medical grid & Income Multiplier Same as per existing
Adverse health Flag Medicals will get triggered
If base is medical Rider will also follow medial Grid

Page 10 Confidential for Internal Circulation only


Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

➢ In below scenarios Rider Package will be under Retained Business:

Criteria Limits
Income Declared / verified income below 2 Lacs for CI and HCB Rider
Education SSC with Income below 10 Lacs and Below HSC profiles
BMI BMI from 17 to 17.99 and 30.50 to 34.49

➢ Underwriting Guidelines for Term with accelerated terminal illness rider under saving: -

1. Term Rider is note allowed to non-earning lives [Retired, Students, Minor lives], exception being housewife with
mandatory medicals and financial UW [ Surrogate / Husband Insurance]
2. Term Rider is allowed to NRI / PIO / OCI those who are residing in Standard Countries.
3. Risk Aggregation: Term rider TSAR will include all existing, simultaneous & current Term rider SA under saving
plans [not under term] This will be used to cap Max SA limit.
4. MAX SA limit 10,000,000 under Savings & Investment plans
5. Medical/Occupation/Residential Loading: Allowed

➢ COVID Approach: for individual recovered from Covid infection.


Without h/o hospitalization: only quarantine/self-isolation

<=7 days Postpone

>7 days Case will follow regular NML/ Tele /Grid medicals

With h/o hospitalization

<= 3 months Postpone

Require complete grid medicals and Complete follow up


>3 months
reports will be required

Page 11 Confidential for Internal Circulation only


Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

➢ Medical Grid for Non-TERM Life Plans :-

Medical Grid for Non-TERM Life Plans


Medical Sum Age Band (Age Last Birthday) in years
at risk in INR Up to 13 14 - 17 18 - 35 36 - 45 46 50 51 - 55 56-60 Above - 60
Up to ME, ME, BPB, HBA1c,
ME*
1,000,000 BPB, ECG-R
ME*
1,000,001 - HBA1c
ME*
1,500,000
ME, BPB,
1,500,001 - ME, BPB, HBA1c,
ME* HBA1c,
2,000,000 ME, BPB, ECG-R
ECG-R
2,000,001 - JMR ME* ME, BPB, HBA1c, ECG-R
3,000,000 HBA1c, ECG-R
3,000,001 -
ME, BPB,
3,500,000 ME, BPB,
ME, BPB, CBC, CBC, ME, BPB, CBC,
ME, BPB, CBC, HBA1c,
3,500,001 - HBA1c, ECG-R HBA1c, HBA1c, ECG-Exe
HBA1c, ECG-R
5,000,000 ECG-Exe
ECG-R
ME, ME, BPB, ME, BPB,
5,000,001 - ME, BPB, ME, BPB, CBC,
JMR BPB, HBA1c, CBC,
10,000,000 HBA1c, ECG-R HBA1c, ECG-R
HBA1c ECG-R HBA1c, ECG-R
ME, ME, BPB, - ME, BPB,
10,000,001- ME, BPB, ME, BPB, CBC,
JMR BPB, HBA1c, CBC, HBA1c,
20,000,000 HBA1c, ECG-R HBA1c, ECG-R
HBA1c ECG-R ECG-Exe ME, BPB,
ME, ME, BPB, CBC, ME, BPB, CBC,
ME, BPB, CBC, ME, BPB,
20,000,001- BPB, ME, BPB, CBC, HBA1c, HBA1c, ECG-Exe
JMR HBA1c, ECG- CBC, HBA1c,
30,000,000 HBA1c HBA1c, ECG-R HBA1c, ECG-Exe
Exe ECG-Exe
ECG-R
ME, BPB,
ME, ME, BPB, CBC, ME, BPB,
30,000,001 - ME, BPB, CBC,
JMR BPB, HBA1c, ECG- CBC, HBA1c,
50,000,000 HBA1c, ECG-R HBA1c,
HBA1c Exe ECG-Exe
ECG-Exe
ME, BPB - ME, BPB -
ME, BPB - F, ME, BPB - F, ME, BPB - F,
50,000,001 – ME, F, CBC, F, CBC, ME, BPB - F, CBC,
JMR CBC, HBA1c, CBC, HBA1c, CBC, HBA1c,
250,000,000 BPB - F HBA1c, HBA1c, HBA1c, ECG-Exe
ECG-R ECG-Exe ECG-Exe
ECG-Exe ECG-Exe
ME, BPB - ME, BPB -
F, CBC, F, CBC,
ME, BPB - F, ME, BPB - F, ME, BPB - F,
HBA1c, HBA1c,
CBC, HBA1c, CBC, HBA1c, CBC, HBA1c,
ECG-Exe, 2 ECG-Exe, 2 ME, BPB - F, CBC,
ECG-Exe, 2 D ECG-Exe, 2 D ECG-Exe, 2 D
D echo, D echo, HBA1c, ECG-Exe, 2
echo, USG echo, USG echo, USG
Above ME, USG (KUB USG (KUB D echo, USG (KUB &
JMR (KUB & Abd), (KUB & Abd), (KUB & Abd),
250,000,000 BPB - F & Abd), & Abd), Abd), Chest X ray,
Chest X ray, Chest X ray, Chest X ray,
Chest X Chest X ray, Anti HCV, Urine
Anti HCV, Anti HCV, Anti
ray, Anti Anti HCV, microalbumin
Urine Urine HCV, Urine
HCV, Urine Urine
microalbumin microalbumin microalbumin
microalbu microalbu
min min
Prostate-specific antigen (PSA) required for Male life above 55 years for above SAR 25 Cr

Page 12 Confidential for Internal Circulation only


Underwriting Guidelines for HDFC Channel Version IV (Non-Term)
Nov ,2023

➢ Enhanced Per life capacity Limit for Saving and investment plan, effective from 1st Nov 2023

New Grid effective 1st


SA and EMR* Limits Current Grid
Nov’23

Age Band UW Decision Max TSAR (in ₹CR.) Max TSAR (in ₹CR.)

Standard/ Borderline
40 CR 100 CR
Standard
Up to 45 40 CR (Max EMR +100) 100 CR (Max EMR +75)
yrs
Sub-standard* 25 CR (Max EMR +150) 60 CR (Max EMR +100)

25 CR (Max EMR +150)

Standard/ Borderline
40 CR 100 CR
Standard

46-55 yrs
75 CR (Max EMR+75)
Sub-standard* 30 CR (Max EMR +100)
30 CR (Max EMR +100)

Standard/ Borderline
40 CR 100 CR
Standard

56-60 yrs
75 CR (Max EMR+75)
Sub-standard* 30 CR (Max EMR +100)
30 (Max EMR +100)

>60 yrs All cases 10 CR (Max EMR+75) 25 CR (Max EMR +75)

*Max EMR allowed as specified above/ 3 per mile.

**Pre-approvals would be mandatory.


Note -Criteria for enhanced per life capacity is applicable.

Page 13 Confidential for Internal Circulation only

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