Alfalah Insurance

BIMA PERSONAL ACCIDENT INSURANCE POLICY (Prepaid):

Call 9878 and an agent will help you subscribe to the service OR SMS "BIMA" to 9878 and an agent will *call you to guide and help subscribe to the service *MILVIK agent will call you within 24 working hours. There are no charges for sending an SMS to 9878

Plan	**Monthly Price	Maximum Cover/Benefit provided
Silver	PKR 49.16	PKR 200,000
Gold	PKR 98.33	PKR 400,000
Platinum	PKR 245.82	PKR 1,000,000
Diamond	PKR 491.64	PKR 2,000,000

Plan	**Daily Price
Silver	PKR 1.46
Gold	PKR 2.92
Platinum	PKR 7.29
Diamond	PKR 14.57

Postpaid: For post-paid accounts, successful withdrawal represents billing and payment of the entire monthly premium due. If payment is made, corresponding cover is issued for PKR 49.16, PKR 98.33, PKR 245.82, or PKR 491.64 Premium plans as stated above. Please note that as soon as the customer is confirmed the monthly amount will be charged upfront on pro rata basis for the first month and there won't be daily deductions. From 2nd month onwards - monthly rental will be charged on advance basis every month. Customer will also be charged in the suspended state.

Postpaid subscriber is eligible for the maximum corresponding cover level/ benefit the day after the confirmation of his service subscription.

SMS 'CLAIM' to 9878 or call 9878 within 270 days of the accident and a MILVIK representative will contact you with full information on how to process your claim.

The Insurance is underwritten by Alfalah Insurance and delivered by MILVIK.
BIMA is the global leader in mobile micro insurance and it protects the future of 30 million families worldwide. It has operations in across Asia, Africa, Latin America, and the Caribbean. MILVIK is proudly underwritten by Alfalah Insurance. Alfalah Insurance offers first class security and service to the insuring public at an international standard. Jazz Telecom, is facilitating this offering but shall not be responsible for any grievance of the Jazz Customer relating to the Insurance Services and Alfalah Insurance's or MILVIK's performance of its obligations.

Whereas the Insured Person by a proposal which shall be the basis of the contract and be held as incorporated herein has applied to the Company for the insurance hereinafter contained and has paid or agreed to pay the first premium as consideration for such insurance.

Now this policy witnesses that subject to the terms conditions and exceptions contained herein or endorsed hereon, if at any time during the period of insurance, if the Insured Person shall sustain any Bodily Injury caused by Accident as defined herein, the Company will pay to the Insured Person or in the event of his death, to his Beneficiary, if surviving, otherwise to the estate of the Insured Person the Benefit stated in the Policy Schedule attached hereto

DEFINITIONS

ACCIDENT means a sudden, unexpected, unusual, specific event, which occurs at an identifiable time and place.
ACCIDENT PROTECTION PLAN means one of the personal accident insurance covers under this Insurance Policy.
ALFALAH refers to the COMPANY, the INSURER, or Alfalah Insurance Company Limited.
APPLICANT means the individual who applies for an Accident Protection Plan under this Policy.
BENEFICIARY is defined as Beneficiary in the application or the person substituted as such.
INSURANCE BENEFIT(S) are amounts payable in the event of an indemnifiable claim and as detailed in the Schedule of Insurance Benefits attached hereinafter.
MILVIK or BIMA Mobile refers to MILVIK Mobile PAKISTAN.
BODILY INJURY means Bodily Injury which

is sustained by the Insured Person during the period of insurance and;
is caused by external, violent and visible means and;
is solely and independently of any other cause, except illness directly resulting from, or medical or surgical treatment rendered necessary by such Bodily Injury, occasions the death or Disablement of the Insured Person within twelve calendar months from the date of the Accident by which such Bodily Injury is caused.

The COMPANY is stated as Alfalah Insurance Company Limited.
ELIGIBLE APPLICANT means an Applicant who meets the eligibility criteria set forth in this Policy.
END USER PRICE means the amount to be charged to the Subscriber for getting the Insurance Policy and it shall include the Premium, Jazz's Consideration and any applicable taxes on the telco services involved in the provision of Insurance Services.
HOSPITAL is defined as "Any institution in Pakistan that has been registered as a hospital with the local authorities and is under the supervision of a registered and qualified medical doctor."
INSURANCE COVER means the amount which shall be paid by Alfalah to the Beneficiary or the Insured as per the terms and conditions of the Insurance Policy.
INSURANCE POLICY means this insurance policy setting out the terms and conditions on which insurance coverage is granted to a Subscriber.
INSURANCE SERVICES shall mean the insurance services to be provided to Jazz Customers.
The INSURED or INSURED PERSON means any Jazz Telecom subscriber who opt to purchase policy
The INSURER is stated as Alfalah Insurance Company Limited.
MSISDN shall mean Mobile Subscriber Integrated Services Digital Network Number.
PERMANENT DISABLEMENT means TOTAL OR PARTIAL PERMANENT DISABLEMENT as defined hereunder

TOTAL AND PERMANENT DISBLEMENT means the Insured Member has established to the satisfaction of Insurer that the Insured Member has been incapacitated by Injury to such an extent as to render the Insured Member unable ever to engage in or work for reward in any occupation or work (on a temporary basis, part-time basis or full-time basis) which the Insured Member is capable of performing by reason of his or her education, training or experience.
PERMANENT PARTIAL DISABLEMENT means all those bodily injuries which result in reducing the insured person's ability to work as defined in the Table of Insurance Benefits.

PREMIUM means the premium payable by an Insured Member to Insurer in relation to the Insurance Policy.
SUBSCRIBER means those Jazz Customers who subscribe for the Insurance Services to get this Insurance Policy.
JAZZ refers to Pakistan Mobile Communications Limited, a company duly incorporated and registered under the Companies Ordinance 1984 of Pakistan, and having its registered office at 1-A, IBC Building, F-8 Markaz, Islamabad, Pakistan.
JAZZ CUSTOMERS shall mean the customers of Jazz using Jazz's System.
JAZZ SYSTEMS mean Jazz's GSM mobile cellular system.
JAZZ PAYMENT TERMS mean Jazz's payment terms published at jazz.com.pk , as revised from time to time.

EXCLUSIONS

Payment of claims is subject to exclusions, as outlined below. The Personal Accident Insurance Cover shall not cover any Death or Permanent Disability which is caused by, or resulting, directly or indirectly, wholly or partly, from any of the following factors:

Suicide or any attempt thereat (sane or insane).
Kidnapping for ransom.
To any death or injury sustained whilst the Insured is under the influence (temporarily or otherwise) of intoxicants, alcohol or drugs.
War, strikes, riots, civil commotion and any natural or man-made perils (including chemical, nuclear, biological, and radiological) that results in the declaration of a state of emergency on a local or national level

GENERAL PROVISIONS

1. Eligibility & Enrolment

Applicants are eligible to apply for an Accident Protection Plan under the Policy if Applicants meet ALL the criteria set out below:

1. Eligible Applicants shall include individual pre-paid and post-paid Jazz Customers. It is understood and agreed between the Parties that only one (1) person shall be insured per pre-paid or post-paid telecommunication connection.
2. All Eligible Applicants shall be natural persons. Corporations, partnerships and businesses shall not be eligible for coverage under the Personal Accident Policy.
3. All Eligible Applicants shall be a minimum of eighteen (18) years of age and a maximum of sixty four (64) years of age at the time of registration.
4. If the Applicant wishes to apply for and subscribe to an Accident Protection Plan under this Insurance Policy, the Applicant will be required during the registration process to:

I. acknowledge that the Applicant has read and understood the terms of the Policy and the Jazz Payment Terms;
II. confirm that the Applicant meets the eligibility criteria set out in General Provision 1 of the policy;
III. confirm the Accident Protection Plan that the Applicant wishes to apply for;
IV. authorize Jazz to make 30 daily deductions each month from the prepaid account and bill the amount for postpaid

a) the Insurance Benefits payable are subject to the Applicant's confirmations being true and correct; and
b) if the Applicant's confirmation is untrue or incorrect, no Insurance Benefits will be payable and the End User Price the Subscriber paid will not be refunded.

2. Mistake in Age

The Company shall only pay Insurance Benefits based on the disclosed age of the Insured. With the onus on the customer for incorrect disclosure the Company shall not be liable to pay any benefit under this Policy in that particular case.

3. Intentional False Statements Of The Insured

In the event of any concealment or misrepresentation the Personal Accident Policy shall become null and void with respect to the relevant Insured.

4. Notice Of Claims

the Company shall be notified of the occurrence of Death of the Insured or the Permanent Disablement of the Insured as soon as possible, but not later than 270 (two hundred & seventy) days from the date of Death or occurrence of Permanent Disablement after which it shall be treated as time barred and the Company shall not be bound to pay the Claim.

For each Claim reported, the Company shall obtain:

From the Claimant:

In case of Death:

A notice of death, which could be a legal death certificate, a certificate of attending physician, containing his registration number and mentioning actual cause of death, and proof of the personal identity of the Insured, which could be the official personal identity data.

In case of Permanent Disablement:

Medical report containing the degree of Disablement certified by the surgeon.

In case of Permanent Disablement, unnatural or unusual death, Insurer may require any other document it reasonably deems necessary before approving a claim under the Policy.

1) The Company" shall process and pay genuine and approved claims on receipt of required documents from the Claimant within three (3) working days.

2) If there is a dispute, suspected fraudulent activity on the claim or a unique situation which requires further clarification, the payment period can be extended but shall not exceed ten (10) working days, or as long as the dispute takes to resolve in the legal system.

5. Termination Of Individual Insurance

The insurance of an Insured shall automatically terminate at the earliest time below:

1) Upon payment on Death or
2) Upon settlement of the Insured of the amount of insurance, including in the event of early termination of such relationship; or
3) Upon cancellation or withdrawal of subscription by Jazz of the contract/relationship with the Insured, whatever the reason may be, or
4) In case of non-payment of the individual End User Price for the Insurance Policy.

6. Participation Requirement/Process

Interested customers shall participate through an electronic enrolment process, assisted by a call center or field agent, or by submitting information electronically via their handset, in two phases:

1st Phase:
Name of the Customer:
Age or CNIC Number:
Name of the Beneficiary:
Relationship to Customer:
Insurance Benefits selected by Customer:

2nd phase:
Once the customer has answered the questions in the 1st Phase, the customer shall receive an SMS on for or on behalf of the Company and shall be asked to dial a short code, or send an SMS to a particular number to confirm registration. Alternatively, the Customer may offer his verbal consent over an official recorded channel managed by MILVIK to a MILVIK agent. This confirmation serves as digital signature for the Personal Accident Insurance Cover. After receiving positive response, the customer shall be enrolled under the Personal Accident Policy.

7. Arbitration

All differences arising out of this policy shall be referred to the decision of an arbitrator to be appointed in writing by the parties in difference or if they cannot agree upon a single arbitrator to the decision of two arbitrators one to be appointed in writing by each of the parties within one calendar month after having been required in writing so to do by either of parties or incase the arbitrators do not agree of an umpire appointed in writing by the arbitrators before entering upon the reference. The umpire shall sit with the arbitrators and preside at their meetings and the making of an award shall be a condition precedent to any right of action against the Company. If the Company shall disclaim liability to the Insured Person for any claim hereunder and such claim shall not within twelve calendar months from the date of such disclaimer have been referred to arbitrator under the provisions herein contained then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder. Notwithstanding stated above, dispute resolution forums given under the Insurance Ordinance, 2000, such as the Insurance Ombudsman, Small Disputes Resolution Committee and the Insurance Tribunals, shall prevail in the order of precedence, and over the seat of Arbitration.

8. Compliance with Policy Provisions

Failure to comply with any of the provisions contained in the policy shall invalidate all claims hereunder.

9. Insurance Benefits

The Company hereby agrees to pay the following benefit subject to the terms and conditions provided under the Personal Accident Policy as defined hereunder.

If an Insured dies or is permanently disabled due to an Accident as defined herein, on a twenty four (24)-hour worldwide basis, the Company will, upon receipt of due proof in writing of the Death or Permanent Disablement of the insured, pay the Insured or Beneficiary as the case may be the sum assured, according to their Insurance Cover level as described in this Insurance Benefits Section of the Policy Wording, as full and final settlement of Death or Permanent Disablement Claim in respect of the deceased/disabled Insured.

Benefit:

The amount of benefit received by the Insured or the Beneficiary in the event of the accidental Death or Total and Permanent Disablement of the Insured will be according to the amount of premium paid and subject to the terms and conditions of the product.

Terms and conditions of this cover are as follows:

1. Only One (1) policy per applicant
2. A Claim must be intimated to the Company within two hundred & seventy days (270) days from the date of occurrence of the Death or Permanent Disablement
3. Payment of claims is subject to exclusions, as outlined in the Exclusions section of this contract
4. In the event of partial pay-out following Permanent Disablement due to Accident, the Company shall permit renewal of the insurance offer on a case-by case basis, and inform the registered subscriber accordingly. The following actions shall be taken depending on the decision of renewal or non-renewal:

On non-renewal: The insurance policy shall be terminated, and all airtime deduction or billing shall be discontinued; any amount deducted or billed after the occurrence of the accident is nonrefundable.
On renewal: the insurance policy shall continue on auto-renewal, and all airtime deduction or billing will continue to apply in subsequent calendar month

5. The Personal Accident Insurance Cover is extended to one (1) person per Jazz subscriber who is a successful Applicant for the Personal Accident Insurance Cover. Each Applicant is allowed to select the level of maximum insurance benefit at the point of Enrolment.

Death / Total Permanent Disablement	% of maximum insurance benefit paid
Accidental Death	100%
Amputation or Loss of use of two limbs	100%
Amputation or Loss of use of both hands, or of all fingers and both thumbs	100%
Total paralysis or Injuries resulting in being Permanently bedridden or Disablement	100%
Total insanity	100%
Total and irrevocable loss of all sight in both eyes	100%

PERMANENT PARTIAL DISABLEMENT	% of maximum insurance benefit paid
Amputation or Loss of use of a limb	50%
Amputation or Loss of use of four fingers and thumb on one hand	50%
Total and irrevocable loss of all sight in one eye	50%
Total Loss of hearing or speech	50%
Burns - 3rd degree covering more than 9% of body	50%

- In addition to the Personal Accident Insurance Cover, the Insured is entitled to cover for each night spent in hospital (hospitalization) due to an Accident. For each night spent in hospital, the Insured is eligible for the greater of (i) PKR 500, or (ii) 0.25% of the monthly sum insured, according to the Insurance Cover level as described in the Insurance Benefits Section of the Policy Wording above. For example, if the customer is deducted PKR 60+taxes and receives PKR 400,000 of monthly Personal Accident Insurance Cover, and the Insured is hospitalized due to an accident for 2 nights but not permanently disabled, the Insured will receive PKR 2000 of cover. This additional cover is paid out for a maximum of 30 nights in a given year. The Insured cannot claim both Personal Accident Insurance Cover and this additional cover for the same incident.

- Postpaid subscriber is entitled for 500/ per night for Silver plan, 1000/ per night for Gold, 2500/ per night for Platinum & 5000/per night for Diamond plan.

- This additional cover is subject to the same terms and conditions as the Personal Accident cover meaning for example that: no cover will be provided if the Insured is not receiving any cover in the present month or if the Insured is ineligible because the Insured fails to meet the criteria or is in hospital due to an exclusion or in hospital for any other reason other than an Accident.

- In addition to the Personal Accident Insurance Cover, the Beneficiary is entitled to a one-off funeral expense in case of death of the Insured for any reason.

- The beneficiary is entitled for funeral expense of 30,000 for Silver, 60,000 for Gold, 150,000 for Platinum and 300,000 for Diamond

- In light of recent orders of the Supreme Court of Pakistan, Sales Tax and Advance Income Tax are not being collected from Postpaid Consumers in Pakistan w.e.f. 16th Oct 2018. The tax amount mentioned in the bill (if any) is related to the amounts incurred up to 15th Oct 2018.

ACKNOWLEDGEMENT OF THE CUSTOMER
(POLICY TERMS AND CONDITIONS SHALL REMAIN SUBJECT TO THE FOLLOWING)

MILVIK is the Insurance broker who has been authorized by Alfalah Insurance Company Limited to bind cover on behalf of Insurer within the terms and conditions of this Insurance Policy. To cease daily deductions, the Subscriber must deregister the Subscriber's Accident Protection Plan by contacting MILVIK. Otherwise, Jazz will continue making daily deductions for so long as the Subscriber's prepaid account has a positive credit balance.

In the event that the Subscriber, as an Insured Member, subscribe to more than one (1) Accident Protection Plan under the Insurance Policy (including through different Jazz mobile accounts):

1. The Subscriber's maximum benefit shall be the maximum benefit offered by only one of the Accident Protection Plans that the Subscriber has subscribed to;

2. Our maximum liability to the Subscriber or the Subscriber's beneficiary shall be the higher of the two Accident Protection Plans that the Subscriber subscribed to;

After becoming the Subscriber in the Insurance Service, Jazz Subscriber permits Jazz to share his details and information available with Jazz and as sought by Alfalah Insurance and MILVIK or any other entity authorized by Alfalah Insurance in this regard, for inter alia processing of the Policy, storing and processing data across countries, and more effectively providing the Insurance Service and payment of Insurance Cover; Jazz Customer/Subscriber agrees and acknowledges that he or his legal heirs shall not hold Jazz responsible for any consequences of sharing such information;

Fraud or abuse relating to Re-Load/Re-Charge may result in forfeiture/cancellation of the Policy, suspension of Jazz Services of the Customer/Subscriber and termination of his Connection; and

While availing the Insurance Service the Subscriber shall not respond to any calls/SMSs directing to make/send calls/SMSs to any other number/short code or which are regarding award of any prize (whether money or in kind) in lieu of balance transfer or any call. Ignorance of this clause by Jazz Customer/Subscriber shall not accrue any liabilities/responsibilities on Alfalah Insurance or Jazz including but not limited to liability/responsibility towards any loss occurred to the Jazz Customer/Subscriber

Jazz, Alfalah, or MILVIK may amend these Terms and Conditions at any time. The Subscriber shall be informed through an SMS or any other manner in accordance with the relevant laws that these Terms and Conditions are amended. Such SMS or information through any other manner (as mentioned above) shall contain a link to such amended Terms and Conditions, and if the Subscriber shall continue to pay for the Insurance Cover it shall be the acceptance of the Subscriber to the amended Terms and Conditions.

Jazz, MILVIK, and Alfalah may jointly amend the Service Charges from time to time at their discretion in accordance with the applicable laws and regulations of Pakistan Telecommunication Authority ("PTA"). The acceptance of these Terms and Conditions of the Subscriber shall also be the acceptance with the End User Price to be charged to provide the Insurance Policy;

Alfalah, Jazz, and MILVIK have the complete authority to stop offering the Accident Protection Plan or Policy at any time at their discretion.

The Subscriber acknowledges that these Terms and Conditions are in addition to the terms and conditions accepted by the Subscriber at the time of availing Jazz's cellular services (which includes the terms and conditions of CSAF and the terms and conditions received in the SIM Jacket). However, in case of conflict between these Terms and Conditions and terms and conditions of CSAF, these Terms and Conditions shall prevail to the extent of subject matter of these Terms and Conditions.

The domestic laws of the Islamic Republic of Pakistan shall govern the Insurance Policy and the Courts of the Islamic Republic of Pakistan shall have jurisdiction in any dispute arising hereunder.

If any provision of the Insurance policy is found by any court or administrative body of competent jurisdiction to be invalid or unenforceable, such invalidity or unenforceability will not affect the other provisions of the Insurance policy which will remain in full force and effect.

This policy has been especially created to provide protection for those Jazz Customers who successfully apply for that protection and who pay the appropriate Premium. Accordingly, notices to the Subscriber may be provided by:

SMS to the Subscriber's mobile service (from which daily deductions are made); If a notice is made by SMS, the notice is deemed to be received on the day the SMS is sent. If a notice is placed on a website, the notice is deemed to be received on the day the notice is placed

notification placed on Jazz.com.pk or on the Insurer's website at https://alfalahinsurance.com/ ; or on www.milvikpakistan.com

by publication in a major newspaper in the Islamic Republic of Pakistan.

Q: When will a Postpaid customer get covered for the Accidental Insurance?

Postpaid customer will get the cover from the day after the confirmation of his service subscription.

Q: What will happen if a Postpaid customer number remains Inactive during the billing cycle?

If the customer does not become Active in the billing cycle, MILVIK will not provide insurance coverage to the customer.

Q: Will the charges for Postpaid customer will be deducted upfront after the confirmation or will it be deducted on daily basis?

As soon as the Postpaid customer is confirmed the monthly amount will be charged upfront on pro rata basis for the first month and there won't be daily deductions. From 2nd month onwards - monthly rental will be charged on advance basis every month. Customer will also be charged in the suspended state.

Q: How will a customer unsubscribe from this service?

For un- subscription from this service, you have to write "NO", "Cancel" or "Unsub" in message and send it to 9878 OR you can call on 9878 anytime.

BIMA POLICIES

BIMA PERSONAL ACCIDENT INSURANCE POLICY (Prepaid):

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Terms and Conditions

BIMA PERSONAL ACCIDENT INSURANCE POLICY

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