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Sanjib

Sanjib Jha  | Answer  |Ask -

Insurance Expert - Answered on Jul 05, 2022

Sanjib Jha is the CEO of Coverfox Insurance. His expertise includes health and auto insurance. He has over 22 years of experience in the financial sector. He has completed his post-graduation from the Institute of Company Secretaries of India.... more
FAQ Question by FAQ on Jul 05, 2022Hindi
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4. What are the most common exclusions in a health plan?

Ans:

Certain conditions are not covered by health insurance policies. These conditions will land in an ‘Exclusion' in your health insurance policy.

The exclusion list includes unless specifically mentioned in your policy document:

1. Pre-existing health conditions which are not declared from the time of policy inception

2. Lifestyle-related conditions

3. Maternity related complications, including treatments and childbirth, etc,

4. Cosmetic Treatments unless necessary for survival

5. Suicide Attempt Injuries

6. Congenital Diseases

7. War Injuries

8. Dental and eye expenses, unless specifically covered under OPD

9. Diagnostic tests without any proper line of treatment which needs hospitalisation

10. Therapies such as naturopathy, magnetic or acupressure, etc.

11. Waiting Period Illnesses

The insurance provider will not accept any claims in these instances. However, you can purchase add-on coverage to include any exclusion to your base coverage.

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Users are advised to pursue the information provided by the rediffGURU only as a source of information to be as a point of reference and to rely on their own judgement when making a decision.
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Moneywize

Moneywize   |174 Answers  |Ask -

Financial Planner - Answered on Jan 12, 2024

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Thank you for the reply. What is the ideal coverage amount for life and health insurance policies? And what are the exclusions in insurance policies that I should be aware of?
Ans: Determining the ideal coverage amount for health insurance depends on various factors, including your financial situation, lifestyle, and specific needs. Here are some general guidelines:

• Medical Costs: Consider the potential medical expenses you might incur, including hospitalisation, surgeries, and treatments. The coverage amount should be sufficient to cover these costs.

• Family Size: If you are purchasing a family health insurance plan, ensure that the coverage amount is adequate for all family members.

• Preventive Care: Look for policies that cover preventive care, vaccinations, and health check-ups.

• Network Hospitals: Consider the availability and quality of network hospitals covered by the insurance policy.

• Deductibles and Co-payments: Be aware of any deductibles and co-payments that may apply and assess how they impact your out-of-pocket expenses.

• Renewal Age: Opt for policies with a higher renewal age to ensure coverage into your senior years.

Exclusions:
Insurance policies typically have exclusions, which are specific situations or conditions not covered by the policy. While the exclusions can vary between insurers and policies, here are some common exclusions you must know:

• Pre-existing Conditions: Many health insurance policies have a waiting period for pre-existing conditions. Treatment for these conditions may not be covered during the waiting period.

• Specific Treatments: Some policies may exclude coverage for certain treatments or procedures, such as cosmetic surgery or alternative therapies.

• Hazardous Activities: Life insurance policies may exclude coverage for deaths resulting from hazardous activities, like extreme sports or certain occupations.

• Suicide Clause: Life insurance policies often have a suicide clause, typically excluding coverage for suicides within the first two years of the policy.

• Misrepresentation: If you provide inaccurate information during the application process, it could lead to policy cancellation or denial of claims.

• War or Acts of Terrorism: Some policies may exclude coverage for deaths or injuries resulting from war or acts of terrorism.

It's crucial to carefully read the policy documents, including the terms and conditions, to understand the specific exclusions that apply to your insurance coverage. If you have any doubts or concerns, consider consulting with an insurance professional or agent for clarification.

..Read more

Ramalingam

Ramalingam Kalirajan  |7036 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jul 24, 2024

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What should be an ideal medical insurance sum assured for a family of 4 Husband : 44yrs, wife : 40 yrs, Two kids: 12 & 4 yrs to have a safe amount post retirement
Ans: 1. Assessing Medical Insurance Needs:

Family Health Risks:

Consider the health risks and history of each family member. Health insurance should cover possible medical expenses, including hospitalization, treatments, and emergencies.
Future Medical Costs:

Medical costs tend to rise over time due to inflation. Estimate future medical expenses by considering the current average costs and projected inflation rates.
2. Determining Sum Assured:

Current Coverage:

For a family with members aged 44, 40, 12, and 4 years, a basic coverage amount might not suffice. Higher coverage is advisable to avoid underinsurance.
Sum Assured Recommendation:

Minimum Coverage:

A sum assured of Rs. 10 lakhs to Rs. 15 lakhs per family member is typically recommended. This amount should cover a wide range of medical expenses and treatments.
Optimal Coverage:

For better security, consider a sum assured of Rs. 20 lakhs to Rs. 30 lakhs for the entire family. This amount can offer more comprehensive coverage and protect against high medical costs in the future.
3. Additional Considerations:

Inflation Protection:

Opt for policies with inflation protection features that increase the sum assured over time to keep up with rising medical costs.
Comprehensive Coverage:

Ensure the policy covers a wide range of medical conditions, including critical illnesses, pre-existing conditions, and maternity benefits if applicable.
Cashless Facility:

Choose a plan with a broad network of hospitals that offer cashless treatment, reducing out-of-pocket expenses during medical emergencies.
Policy Features:

Look for features like no claim bonus, annual health check-ups, and coverage for preventive care.
4. Reviewing and Updating Coverage:

Regular Review:

Review the insurance policy annually or after major life events (e.g., children growing up or significant health changes) to ensure it meets the evolving needs of your family.
Consult a Professional:

Consult a Certified Financial Planner to evaluate your specific needs and recommend the most suitable sum assured based on your family's health profile and financial situation.
Final Insights

An ideal medical insurance sum assured for a family of four, consisting of a 44-year-old husband, a 40-year-old wife, and two children (12 and 4 years), should ideally range from Rs. 20 lakhs to Rs. 30 lakhs. This amount provides adequate coverage for potential future medical expenses and ensures financial safety post-retirement. Always consider future medical inflation, policy features, and consult with a Certified Financial Planner for tailored advice.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

..Read more

Latest Questions
Ramalingam

Ramalingam Kalirajan  |7036 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Nov 18, 2024

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Sir Is it advisable to invest in Silver mutual fund as iam already investing by SIP in Sundaram multi asset allocation fund regular at the rate of 2000 p.m.
Ans: Silver mutual funds primarily invest in silver or silver-related assets. These funds aim to track the performance of silver in the market. They are volatile due to price fluctuations in the precious metals market. While they can diversify your portfolio, they come with risks.

Assessing Your Current Investment
You are already investing in Sundaram Multi Asset Allocation Fund through SIP. This fund diversifies across equity, debt, and other asset classes, potentially including gold and silver.

Benefit: It provides exposure to multiple asset classes, balancing risk and reward.
Drawback: Adding a silver mutual fund may duplicate your exposure to silver indirectly through this fund.
Points to Consider Before Investing in Silver Mutual Funds
1. Understand the Risk

Silver prices are influenced by industrial demand and global trends. This makes it highly volatile.
Returns may not be steady compared to equity or debt funds.
2. Evaluate Your Financial Goals

If your goal is wealth creation over a long period, equity-focused funds may be better.
If you are looking for hedging against inflation, gold may offer more stability than silver.
3. Diversification Balance

Diversification is essential but over-diversification can dilute returns.
Adding silver should be based on your overall asset allocation. If you already have exposure through Sundaram Multi Asset Allocation Fund, silver-specific investment may not add much value.
4. Liquidity

Silver mutual funds have liquidity constraints as they depend on underlying silver markets.

Alternatives to Silver Mutual Funds
1. Continue with Multi-Asset Funds

Multi-asset funds already balance equity, debt, and commodities. Stick to your existing SIP.
2. Consider Actively Managed Equity Funds

Equity funds may offer better long-term returns and wealth creation opportunities.
3. Increase Exposure to Debt or Gold

If you want to hedge risks, increase your allocation to gold or balanced funds.
When Should You Consider Silver Mutual Funds?
You have a high-risk appetite and understand silver market dynamics.
Your portfolio lacks sufficient diversification in precious metals.
You can hold the investment for the long term (5-10 years) to mitigate volatility.
Final Insights
Investing in silver mutual funds is not necessary if your Sundaram Multi Asset Allocation Fund already includes silver exposure. Instead, consider focusing on equity or balanced funds for consistent long-term returns. Ensure your investment strategy aligns with your financial goals, risk tolerance, and time horizon. Regular review and disciplined investing will help you achieve your objectives.

Best Regards,
K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

Ramalingam

Ramalingam Kalirajan  |7036 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Nov 18, 2024

Asked by Anonymous - Nov 17, 2024Hindi
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Sir I want retire by corpus 3cr by 50, currently I am 39 age. Doing sip 50k and existing corpus of 50L in Mutual funds and fd of 25L,EPF 15L,
Ans: Retiring with a corpus of Rs. 3 crores by the age of 50 requires a clear strategy. Let us evaluate your current financial position and provide actionable steps to achieve your retirement goal.

Current Financial Overview
Age: 39 years (11 years to retirement)

Existing Mutual Fund Corpus: Rs. 50 Lacs

Fixed Deposit Corpus: Rs. 25 Lacs

EPF Corpus: Rs. 15 Lacs

Monthly SIP Contribution: Rs. 50,000

Retirement Goal: Rs. 3 Crores at age 50

Assessing Your Current Progress
Your combined existing corpus is Rs. 90 Lacs (mutual funds, FD, EPF).

Your SIP contributions over 11 years will add significant value.

Growth in your investments is critical to reaching the Rs. 3 crore goal.

Recommendations for Achieving Your Goal
1. Review and Optimise Existing Investments
Focus on actively managed mutual funds for potential higher returns.

Avoid index funds as they cannot outperform the market. Active funds offer better growth with expert management.

Diversify your portfolio across equity and hybrid mutual funds for stability and growth.

2. Reevaluate Fixed Deposits (FDs)
Fixed deposits offer low returns, which may not keep pace with inflation.

Shift a part of the FD corpus to well-performing debt mutual funds.

Debt funds provide tax efficiency and moderate returns, better than FDs.

3. Leverage EPF Growth
EPF offers guaranteed returns with tax benefits.

Keep contributing regularly and avoid early withdrawals.

Let EPF serve as a low-risk component of your retirement corpus.

4. Enhance SIP Contributions Gradually
Increase your SIP amount annually as your income grows.

Even a 10-15% yearly increase can significantly impact your retirement corpus.

Automate your SIPs to maintain consistency and discipline.

5. Address Mutual Fund Taxation Rules
Long-term capital gains (LTCG) from equity mutual funds are taxed at 12.5% above Rs. 1.25 lakh.

Short-term gains are taxed at 20%. Factor this into your maturity projections.

Efficiently plan withdrawals post-retirement to minimise tax liability.

6. Avoid Direct Plans
Direct funds lack personalised guidance and market insights.

Invest through a Certified Financial Planner for expert recommendations.

Regular plans help you make informed decisions and adjust strategies.

7. Monitor and Rebalance Portfolio
Review your investments at least annually.

Rebalance based on market performance and your risk appetite.

Align your portfolio to your retirement timeline.

Risk Management
1. Health Insurance
Ensure adequate health insurance coverage to protect your savings from medical emergencies.

Opt for top-up plans for additional coverage, if needed.

2. Life Insurance
If you have any investment-linked policies (ULIP or endowment), consider surrendering them.

Reinvest proceeds into mutual funds for better returns.

Continue term insurance for family protection.

Final Insights
With your current savings, SIPs, and disciplined investing, you are well-positioned to reach Rs. 3 crores. Focus on optimising your portfolio, increasing SIPs, and managing risks effectively. Track your progress regularly and adjust your strategy as needed. Consistency and informed decisions will help you achieve your early retirement goal.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

Ramalingam

Ramalingam Kalirajan  |7036 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Nov 18, 2024

Asked by Anonymous - Nov 17, 2024Hindi
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I have a debt of 1 lakh i kept the gold as mortgage for my friends operation and i am still a student. Its been two weeks since its at the gold shop. What should i do, no one is there to help me even my parents dont know about it
Ans: First, stay calm and think logically. Your current focus should be on resolving the loan and retrieving your gold.

You have taken a responsible step by helping your friend in a medical emergency. This is commendable.

However, keeping your gold mortgaged for long can lead to additional interest charges. This will increase your financial burden.

Since you are still a student, it may be challenging to generate funds immediately. Hence, a structured plan is needed.

Exploring Immediate Solutions
1. Talk to Your Friend’s Family

Approach your friend’s family for assistance. Explain the situation politely and seek their help.

They might not know the extent of your contribution and may help you financially.

2. Seek Support from Trusted Adults

Though difficult, consider talking to a trustworthy adult. It could be a family member, teacher, or mentor.

They might guide you or offer financial support without judgment.

3. Part-Time Work or Freelancing

Look for part-time jobs or freelancing opportunities to generate income.

Focus on skills like tutoring, content writing, or online tasks to earn quickly.

4. Consider Student Loans

Many banks offer small loans for students with minimal documentation.

Approach a bank or financial institution for a short-term loan to clear your debt.

5. Negotiate with the Gold Shop

Visit the gold shop and request an extension or reduction in interest charges.

Be honest about your financial situation. Some shopkeepers might offer relief.

Avoid Risky Alternatives
Avoid borrowing from unverified sources. High-interest informal loans will worsen your financial situation.

Don’t resort to drastic measures. Selling the gold permanently is not recommended unless unavoidable.

Building Financial Discipline
Once the current issue is resolved, focus on building a small emergency fund. Even Rs. 500 saved monthly can be helpful.

Avoid taking financial responsibility beyond your capacity in the future.

Final Insights
Helping a friend during their difficult time shows your compassionate nature. However, now it is essential to prioritise your financial stability. Act swiftly to retrieve your gold, as delays can lead to compounded interest. Seek support from trusted people or institutions to overcome this challenge. Your current situation, though challenging, is a learning opportunity for better financial planning in the future.

Best Regards,
K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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