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Employee benefit Life Insurance Plan

Employee Benefit Life Insurance Plan is for the employee working in different fields. This employee benefit life insurance plan help to share the risk coverage of the employee working in Various sectors such as construction, Health care, Marketing, office. Following are the different coverage available in this scheme.
Employee benefit Life Insurance Plan


1.Group Life: Employee benefit Life Insurance Plan

a. Life(Death due to- Accident & Sickness)

In the event of the insured employee's death  of group life Employee benefit Life Insurance Plan due to any cause - accident or sickness occurring anywhere in the world, except for death resulting from active participation in war or war like operations, and suicide in the first year of group life Employee benefit Life Insurance Plan coverage, the benefit amount shall be paid in a lump - sum to his/her beneficiary.

b. Permanent Total Disability Rider ( Due to Accident & Sickness)

If any insured employee becomes totally and permanently disabled from bodily injury due to accident or sickness and is wholly prevented from performing any occupation for remuneration or profit while less than 60 years of age, the benefit under this is payable in sixty monthly installments following a one year
disability waiting period. Extension of death benefit with no additional cost: If an insured employee of this group life Employee benefit Life Insurance Plan becomes totally disabled due to an accident or sickness after he has been insured for twelve consecutive months and prior to his sixtieth birthday and dies within the next twelve months, the insured amount shall be paid in a lump- sum to his/her beneficiary of group life Employee benefit Life Insurance Plan.

c. Permanent Partial Disability Rider(Due to Accident & Sickness)

This benefit which falls under group life Employee benefit Life Insurance Plan becomes payable if an insured employee becomes partially disabled on a permanent basis, as a result of a bodily injury due to an accident or sickness while less than 60 years of age and at least six months after he becomes insured under this subplan of group life Employee benefit Life Insurance Plan. The lump sum payment of Loss  group life Employee benefit Life Insurance Plan shall be made to the insured for that disability in accordance with the schedule of Payments below;
  • Loss of hand below wrist                                                                                               50%
  • Loss of four fingers and thumb                                                                                      40%
  • Loss of four fingers                                                                                                        35%
  • Loss of whole thumb                                                                                                      25%
  • Loss of whole index finger                                                                                             10%
  • Loss of whole middle finger                                                                                            6%
  • Loss of whole ring finger                                                                                                 5%
  • Loss of whole Little Finger                                                                                              4%
  • Loss of leg at hip                                                                                                             50%
  • Loss of leg between knee and hip                                                                                   50%
  • Loss of leg below knee                                                                                                    35%
  • Loss of all toes                                                                                                                 15%
  • Loss of one eye                                                                                                                50%
  • Deafness in both ears                                                                                                       50%
  • Deafness in one ear                                                                                                          15%
  • Loss of great toe                                                                                                                 5%
  • Loss of other than great, if more than one toe, each                                                           1%

2.Group Personal Accident and Health : Employee benefit Life Insurance Plan   

a. Accidental Death :

If an accidental injury results in the death of an group personal accident and health Employee benefit Life Insurance Plan insured employee, the insured amount shall be paid to his/her beneficiary.

b. Dismemberment, loss of sight, Hearing, and speed indemnity:

If an accidental injury results in any of the following losses to an group personal accident and health employee benefit life insurance plan insured employee, the payment shall be made in one lump sum to the insured employee in accordance with the applicable percentage indicated here below to be applied to the insured amount.
  • Loss of both hands or both feet                                                                                            100%
  • Loss of sight in both eyes                                                                                                     100%
  • Loss of one hand and one foot                                                                                              100%
  • Loss of one hand or foot and sight in one eye                                                                      100%
  • Loss of speech                                                                                                                       100%
  • Loss of hearing in Both ears                                                                                                  100%
  • Loss of either hand or Foot                                                                                                     50%
  • Loss of sight in one eye                                                                                                           50%
  • Loss of thumb and index finger                                                                                               25%

c. Total and Permanent Disability       

If, as the result of an accidental injury an  group personal accident and health employee benefit life insurance plan insured employee becomes Totally disabled, which disability has continued for a period of twelve(12) consecutive months and is unable to engage in any gainful occupation or employment for the remainder of the insured employee's life, the benefit amount shall be paid in a lump sum to group personal accident and health Employee benefit Life Insurance Plan Insured Employee.

d. Accidental Medical expenses Reimbursement(AMR)

If, as a result of an accidental injury, an  group personal accident and health employee benefit life insurance plan insured employee shall require treatment by a physician, use of hospital facilities, or the employment of a licensed or graduate nurse while at the hospital, the reasonable, customary and necessary medical expenses incurred within fifty two (52) weeks from the date of the accident for such physician treatment, hospital charges and nurses fees, which are in excess of the deductible( if any ) and up to insured amount limit stated in the group personal accident and health Employee benefit Life Insurance Plan policy.

e. In - Hospital weekly Income - Accident Only (IH-A)

If, as a result of an accidental injury, an  group personal accident and health employee benefit life insurance plan insured Employee  is Totally Disabled and remains so continuously for a period in excess of the Elimination Period i.e. 1 week (7 days), the weekly Accidental Disability indemnity applicable to such insured employee shall be paid periodically beginning with the first day following such elimination period, for the continuous duration of Total Disability, but not to exceed the maximum period of fifty two (52) weeks.

f. In- Hospital weekly Income- Accident only (IH- A)

If, as a result of an accidental injury,  group personal accident and health Employee benefit Life Insurance Plan insured employee shall be necessarily confined within a Hospital as an In- Patient at least for 24 hours under the continuous attendance of a physician, the Weekly Benefit stated in Employee benefit Life Insurance Plan / policy shall be paid for each week that the insured shall be confined therein, up to fifty- two (52) weeks, commencing immediately following the Elimination Period (if any) stated in group personal accident and health Employee benefit Life Insurance Plan.

g. In- Hospital weekly Income - Accident & Sickness (IH - A&S)

when, as the result of accidental injury or commencement of sickness,  group personal accident and health employee benefit life insurance plan insured employee shall be necessarily confined within a hospital as an In- patient for at least 24 hours under the continuous attendance of a physician, the weekly Benefit stated in the policy shall be paid, for each week that the Insured Person shall be confined therein, up to fifty- two (52) weeks, commencing immediately following the Elimination (if any ) stated in  group personal accident and health employee benefit life insurance plan  policy.

3. GROUP CRITICAL ILLNESS EMPLOYEE BENEFIT LIFE INSURANCE PLAN

Critical illness provides a lump sum payment to a group critical illness employee benefit life insurance plan  insured employee when the insured employee is diagnosed to be suffering from a critical illness as listed and defined in the policy. Employees and their dependents can be covered under one of the following 3 plans.

Plan1 group critical illness employee benefit life insurance plan

  • Major Cancer only: or

Plan 2 group critical illness employee benefit life insurance plan

  • Major Cancers, 
  • Stroke, 
  • First Heart Attack,
  • Serious Coronary Artery Disease. 
  • Heart valve surgery, 
  • Primary Pulmonary Hypertension
  • End Stage Lung disease
  • End Stage Liver failure
  • Fulminant hepatitis
  • Kidney failure
  • Coma
  • Aplastic Anaemia
  • Major Organ Transplantation
  • Bone Marrow Transplantation

How to Do Insurance?

To know more about this policy or to know about the premium rate feel free to message or call me at +9779851186065 (NTC)  or =9779810360134 (Ncell) or message me in my Facebook Profile or message in my Facebook page I am certified and trusted Metlife's Insurance agent and I am always available for your service.
You can also check famous insurance policies from metlife like Life shield Health Insurance in Nepal

 Tags; employee benefit life insurance plan, employment insurance, employee insurance scheme, employee insurance cost, medical health insurance for employee,

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