Non Term Underwriting Guidelines For HDFC Bank Version IV - NOV-23
Non Term Underwriting Guidelines For HDFC Bank Version IV - NOV-23
Non Term Underwriting Guidelines For HDFC Bank Version IV - NOV-23
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.
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.
➢ NML for Fortune Guarantee Plus Single Pay - Joint Life/GRIP Option 3 Single Pay - Joint Life
* = 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.
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”.
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.
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
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]
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]
* = 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.
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
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.
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
➢ 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 = 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.
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.
FG Pension High risk policy with (current + previous) premium >=25L will follow below grid.
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)
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,
• 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.
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
>7 days Case will follow regular NML/ Tele /Grid medicals
➢ Enhanced Per life capacity Limit for Saving and investment plan, effective from 1st Nov 2023
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)
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)