What are the three most common claims for a critical illness policy?

What life insurance does not cover

According to the Financial Entities Bureau, insurers offering the Major Medical Expenses Insurance product obtained an average rating of 6.78, in the period from January to September 2014.

Likewise, the insurer that obtained the most claims during the aforementioned period was GNP Seguros with 159, with a claims ratio per 10 thousand claims of 18.263; it is followed by MetLife with 135 claims and with a ratio per 10 thousand claims of 21.698; and then AXA Seguros with 133 claims and with a ratio of 10.883.

Compensation for common illness

Law Regulating Insurance Contracts, amending the Worker’s Protection Law, the Insurance Market Law and the Fidelity Insurance Law, repealing Law No. 11 of 02/10/1922, Law No. 59 of 05/02/1925, Law No. 48 of 27/07/1926 and Art. 24(e) of Law No. 8653.

Law Regulating Insurance Contracts, amending the Worker’s Protection Law, the Law Regulating the Insurance Market and the Fidelity Insurance Law, repealing Law No. 11 of October 2, 1922, Law No. 59 of February 5, 1925, Law No. 48 of July 27, 1926 and Section 24(e) of Law No. 8653.

Indemnity for general illness

The different types of insurance contracts, in the absence of any applicable law, shall be governed by this Law, the provisions of which are mandatory, unless otherwise stipulated therein. Notwithstanding, the contractual clauses which are more beneficial to the insured shall be deemed valid.

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The insurance contract and its modifications or additions must be formalized in writing. The insurer is obliged to deliver to the policyholder the policy or, at least, the provisional coverage document. In those types of insurance in which special provisions do not require the issuance of the policy, the insurer shall be obliged to deliver the document established therein.

The policyholder may take out the insurance on his own account or on behalf of others. In case of doubt it will be presumed that the policyholder has contracted on his own account. The third party insured may be a determined or determinable person by the procedure agreed upon by the parties.

If the policyholder and the insured are different persons, the obligations and duties deriving from the contract correspond to the policyholder, except those which by their nature must be fulfilled by the insured. However, the insurer may not refuse the performance by the insured of the obligations and duties corresponding to the policyholder.

What are the critical illnesses

With this insurance you consolidate the necessary capital so as not to lose your quality of life in case of suffering a serious illness such as cancer, Alzheimer’s, Parkinson’s, among others that are part of the coverage, so you feel protected and calm.

We support you if you receive an organ transplant with the reestablishment of vascular, arterial and venous connections. The transplanted organs we cover are liver, heart, bone marrow, pancreas, lung and small intestine.

This neurological disease is progressive and affects the motor nerve cells present in the cerebral cortex or spinal cord, producing increasing muscle atrophy, weakness and respiratory insufficiency.

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The insurance is available to all individuals who wish to have financial support in the event of being diagnosed with a high-cost disease covered and mentioned above, and who meet the underwriting policies and medical evaluation criteria established by SURA.  The requirements to purchase the insurance are: