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Should I Add a Critical Illness Rider to My Insurance?

Moneywize

Moneywize   |164 Answers  |Ask -

Financial Planner - Answered on Oct 05, 2024

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Asked by Anonymous - Oct 02, 2024Hindi
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I’m Kavya from Varanasi. I am 33 with one daughter, aged 5. My husband and I both have health and life insurance policies. We’re considering adding a critical illness rider to our insurance. Is this a good idea for additional protection?

Ans: Hello Kavya,
Adding a critical illness (CI) rider to your existing health and life insurance policies can be a valuable way to enhance your financial protection. Here are some key points to consider:

What is a Critical Illness Rider?

A critical illness rider is an add-on to your existing insurance policy that provides a lump-sum payment if you are diagnosed with one of the specified critical illnesses covered by the policy. Common illnesses covered include cancer, heart attack, stroke, kidney failure, and major organ transplants, among others.

Benefits of Adding a CI Rider:

1. Financial Support During Recovery:
• Medical Expenses: Helps cover treatments that might not be fully covered by your regular health insurance.
• Living Expenses: Provides funds to manage daily expenses if you're unable to work during recovery.

2. Flexibility:

• The lump sum can be used as you see fit, whether for medical bills, mortgage payments, or other financial obligations.

3. Peace of Mind:

• Offers additional security knowing that you have extra coverage in case of a serious illness.

Considerations Before Adding a CI Rider:

1. Coverage and Definitions:

• Illness List: Ensure the rider covers a broad range of illnesses relevant to your age and family medical history.
• Definitions and Criteria: Understand the specific definitions and diagnostic criteria for each covered illness.

2. Cost:

• Premium Increases: Adding a CI rider will increase your premium. Evaluate whether the additional cost fits within your budget.
• Affordability: Consider how the increased premiums affect your overall financial plan.

3. Exclusions and Limitations:

• Pre-existing Conditions: Check if any existing health conditions might exclude you from coverage.
• Survival Period: Some policies require you to survive a certain period after diagnosis to receive the benefit.

4. Policy Terms:

• Claim Process: Understand the process for filing a claim and the documentation required.
• Renewability: Ensure the rider remains in force for as long as you need it, without excessive increases in premiums.

5. Existing Coverage:

• Overlap: Review your current health and life insurance policies to identify any overlapping benefits.
• Gap Analysis: Determine if there are gaps in coverage that the CI rider would effectively fill.

Personal Considerations:

• Health Status: Both you and your husband’s current health status and family medical history can influence the necessity of a CI rider.
• Financial Obligations: Consider your financial responsibilities, such as your daughter's education, mortgage, or other long-term commitments.
• Risk Tolerance: Assess your comfort level with the potential financial risks associated with critical illnesses.

Next Steps:

1. Evaluate Your Needs:

• Assess your current financial situation, obligations, and the level of protection you desire.

2. Compare Policies:

• Look at different insurers and the specific terms of their CI riders to find the best fit for your needs.

3. Consult a Professional:

• Speak with a certified financial advisor or insurance agent who can provide personalized advice based on your circumstances.

Adding a critical illness rider can offer valuable protection and peace of mind, but it's essential to carefully evaluate how it fits into your overall financial plan. By considering the factors above and consulting with a professional, you can make an informed decision that best suits your family's needs.
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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Sanjib

Sanjib Jha  | Answer  |Ask -

Insurance Expert - Answered on Jun 21, 2022

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My family (aged 54 years) is covered under ECHS (Ex-servicemen Contributory Health Service) for the last thirty years. I have family floater health hospitalisation policy in two different insurance companies. Three years back, she had some issues related to her blood disorders. During the blood transfusions, we have made claims in the insurance cover. It took few months to diagnose the issue. Finally it was diagnosed as 'a type of blood disorder'. I have availed the hospitalisation and treatment facilities from ECHS. Now she has recovered (and under medication) for the last two years. She is leading normal life. My query is: Can I declare and have Critical illness included coverage in the health insurance? (Earlier I was denied as permanent exclusion -IRDA). Can I continue the existing health coverage from the insurance from other than Critical illness? (I can get ECHS facility, but there are limitations). Since she is alright, will the insurance companies accept? We are ready for relevant medical tests as required. We seek your advice.
Ans: Hi Thangavelu, good to know that your wife is doing well. To answer your first query, yes you can declare your critical illness and avail the rider for it. Another option is to purchase a new plan for critical illness from an insurer of your choice. The insurer will ask a set of questions and based on that the coverage will be provided. However, most of the insurers will keep the PED in the Permanent exclusion list. As far as your query on continuation of policy is considered, you can continue with the existing health policies you have.

Any medical condition which arises after the waiting period of the policy will be covered in the health policies. Which is why check for the waiting periods associated with different ailments in your policy document.

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Sanjib

Sanjib Jha  | Answer  |Ask -

Insurance Expert - Answered on Oct 12, 2022

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 I am an employee of central govt. PSU. My family consists of myself, spouse, two minor children and mother. I am covered by a corporate group medical insurance policy for Rs 2 lakh with an additional emergency coverage of Rs 4 lakh by the employer. I also have a personal Family Floater policy for Rs 3 lakh and a Sr. Ctzn. Policy for Rs 1 lakh. I have not used the personal policies till date for any hospitalisation claim. I am aware that a claim exceeding the corporate policy limit can be claimed in the personal policy. Recently I was made to know that any planned hospitalisation exceeding the corporate claim limit, cannot be done using the second policy. I also know that there is a product called as top up policy which can be used in such cases. I have 8 years of remaining service where there is a medical insurance cover during the period. After retirement, the employer provides a basic policy of 1.5 lakh for the family. The same feels to be insufficient in today’s times. What would be your advice with regards to the existing medical insurance policies and their amounts? Should I need to undertake any tweaking of the policy amounts or switch to a top up policy?
Ans: Hi Pradeep, yours is a legit concern. It would be best if you take advice from a professional person or company – having the necessary qualifications -- after discussing your issue with them.

Insurance is each to its own. Depending on your concerns and requirements a professional service provider will be able to give you the best advice, whether to tweak policy amount or switch to top up.

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Ramalingam

Ramalingam Kalirajan  |6505 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jul 06, 2024

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My age is 49 , my wife's age is 44 and daughters age is 16 years I have taken a 15 L health insurance family floater policy from New India assurance 4 years back where the bonus accumulated is 7.5 L hence total coverage is now 22.5 L. I am paying premium of 37 K now for this. I was keen on public sector insurer as I came across lot of complaints with private sector insurers. We don't have any health issue except my wife have have family history of heart problem and cancer . How much more insurance coverage we need to take considering the premium is going to rise over time? Does it make sense to take critical illness or cancer policy separately.Please suggest.
Ans: Taking the right health insurance coverage is crucial, especially given the rising medical costs. With your current family floater policy of Rs. 22.5 lakhs and considering your wife's family history, it’s essential to evaluate your needs. Here’s a comprehensive guide to help you decide on additional coverage and whether a critical illness or cancer policy is necessary.

Current Health Insurance Coverage
Your existing policy has served you well, accumulating a bonus of Rs. 7.5 lakhs, increasing your coverage to Rs. 22.5 lakhs. This is a good base, especially since you’ve prioritized a public sector insurer due to concerns over private insurers.

Public sector insurers have a reputation for reliability and fewer complaints. Your choice is wise, given your specific concerns.

Assessing Your Coverage Needs
Health insurance needs can vary based on several factors, including age, family medical history, and lifestyle. Considering these factors, let's analyze your situation:

Age: At 49 and 44, you and your wife are approaching an age where medical issues become more common. Your daughter, at 16, still has a relatively low risk.

Medical History: Your wife’s family history of heart problems and cancer is a significant factor. This history increases the likelihood of needing substantial medical care in the future.

Rising Medical Costs: Medical inflation in India is high. Treatments for severe illnesses can easily exceed Rs. 20 lakhs, especially in metropolitan areas.

Given these points, it might be wise to consider additional coverage. A coverage of Rs. 30-50 lakhs could be more appropriate.

Evaluating the Need for Additional Coverage
To determine if you need more coverage, consider these aspects:

Hospitalization Costs: Major treatments and surgeries can be very expensive. Even with Rs. 22.5 lakhs coverage, a few hospitalizations could exhaust your policy limits quickly.

Treatment Advances: Medical technology is advancing, leading to higher costs for newer treatments and procedures.

Geographical Location: If you live in a metro city, medical costs are generally higher compared to smaller towns.

A top-up or super top-up policy could be a cost-effective way to increase your coverage without significantly increasing premiums. These policies kick in after a certain threshold is met, offering higher coverage at a lower cost.

Critical Illness and Cancer Policies
Given your wife's family history, a critical illness policy or a specific cancer policy could be beneficial. These policies provide a lump-sum payment on diagnosis of specific illnesses, which can be used for treatment, recovery, or even daily expenses.

Critical Illness Policy: Covers a range of severe illnesses like heart attack, stroke, kidney failure, and more. It provides financial support at a crucial time, helping to cover costs that may not be included in a regular health policy.

Cancer Policy: Specifically designed for cancer treatment. Cancer treatment can be prolonged and expensive. This policy ensures that financial constraints do not hinder the treatment process.

Benefits of Critical Illness Policies
Lump-Sum Payment: On diagnosis, you receive a lump-sum amount which can be used for any purpose, giving you flexibility.

Wide Coverage: Covers several major illnesses which can be financially draining if not insured.

Peace of Mind: Knowing you have coverage for major illnesses can reduce stress and allow you to focus on recovery.

Benefits of Cancer Policies
Specialized Coverage: Tailored specifically for cancer, ensuring comprehensive coverage for all stages of the disease.

Enhanced Support: Provides financial support for expensive treatments, ensuring quality care without worrying about costs.

Flexibility: The payout can be used for treatment or other related expenses, providing financial flexibility during tough times.

Premium Considerations
Health insurance premiums do rise with age and medical inflation. To manage premium costs while ensuring adequate coverage, consider the following strategies:

Top-Up Plans: As mentioned, these can provide high coverage at lower premiums compared to base policies.

Family Floater Plans: These can sometimes be more economical than individual plans, especially when covering multiple family members.

Regular Review: Periodically review and adjust your coverage to match your current needs and financial situation.

Practical Steps to Enhance Coverage
Assess Your Needs Regularly: Health needs change over time. Regularly assess your insurance coverage to ensure it aligns with your current and future needs.

Consider Top-Up Policies: If you find your current coverage inadequate, a top-up policy can provide additional coverage at a reasonable cost.

Evaluate Critical Illness and Cancer Policies: Given your wife's family history, these policies can provide financial security in case of serious illnesses.

Consult a Certified Financial Planner: They can provide personalized advice, ensuring your insurance strategy fits within your broader financial plan.


You’ve taken commendable steps to ensure your family's health and financial security. Your proactive approach to health insurance is admirable. It’s evident that you care deeply about your family's well-being, and you're making informed decisions to protect them.

Final Insights
Ensuring adequate health insurance coverage is crucial, especially with rising medical costs and potential health risks. Your current coverage of Rs. 22.5 lakhs is a good start, but considering additional coverage could provide more security.

A top-up policy could enhance your coverage cost-effectively. Given your wife's family history, a critical illness or cancer policy could offer additional peace of mind and financial support.

Health insurance is not just about covering hospital bills; it's about securing your financial future against unforeseen medical expenses. By carefully evaluating your needs and considering additional coverage options, you can ensure comprehensive protection for your family.

Best Regards,

K. Ramalingam, MBA, CFP

Chief Financial Planner

www.holisticinvestment.in

..Read more

Latest Questions
Ramalingam

Ramalingam Kalirajan  |6505 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Oct 05, 2024

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Hello, This is Capt. Samir. I have invested in mutual funds and doing an SIP of 70k per month. Would like to know if the mutual funds that I have invested in are good to hold and the corpus that can be generated in the next 10 years. I am looking forward for a 2 cr corpus by 2034 from MF. Kindly advise if SIP needs to be increased to generate the said corpus. Mutual Funds DSP-Global innovation FOF-Reg fund -G -3000 Sip WHITEOAK flexi cap reg fund- 3000 SIP CANARA REBECCO Mid cap fund - 3000 SIP HDFC Business fund- 200000 LUMPSUM HDFC top 30 fund - 3000 SIP Aditya Birla frontline equity fund - 2 folios - 3000 SIP in one only DSP small cap fund- 5000 HDFC small cap fund- 5000 Merai asset large cap fund-5000 ICICI prudential Blue chip fund-5000 Canara Rebecco manufacturing fund Growth - 5000 Kotak focused equity fund -5000 JM midcap fund Growth - 5000 SBI ENERGY OPPORTUNITIES FUND - 400,000 LUMPSUM Kotak Multicap fund: 5000 ICICI PRU energy and fund: 5000 HDFC Nifty 200 momentum30 index fund- 10000 HSBC EXPORT OPPORTUNITIES FUND - 3L lumpsum Thanks Samir
Ans: It’s great to see that you are already investing consistently and have a target in mind. Your aim of generating Rs 2 crore by 2034 from mutual fund investments is achievable with a systematic approach. Let's break down your current investment strategy and assess whether any adjustments are needed to meet your goal.

Review of Your Existing SIPs and Lump Sum Investments
You are currently investing Rs 70,000 per month through SIPs and have made some lump-sum investments as well. Let's evaluate the funds you have chosen based on their category, diversification, and potential for long-term growth.

Global Innovation Fund: This fund gives you exposure to international markets, which helps diversify your portfolio. Keep an eye on global market trends, but this fund can add value if the global tech and innovation sectors grow.

Flexi Cap and Mid Cap Funds: Flexi Cap and Mid Cap funds offer a balance of growth potential and risk. They tend to outperform in the long run, but they also come with volatility. These funds are good to hold for a long-term horizon.

Lump Sum Investments in Sector-Specific Funds (Energy and Manufacturing): Sector-specific funds can be high-risk but may offer high returns if the sector performs well. The energy sector has potential but may be volatile due to factors like government policies, oil prices, and global energy trends. Manufacturing is more stable but less likely to deliver aggressive returns. Keep these funds for diversification, but be cautious.

Small Cap Funds: You have exposure to two small cap funds. While small cap funds can offer high returns, they come with high volatility. Keep in mind that small cap funds should ideally not exceed 20% of your portfolio due to their risk profile.

Large Cap and Blue Chip Funds: Large Cap funds are a safer bet in the long term and provide stability. They might not offer the highest returns but will protect your capital. Continue your SIPs in these funds.

Focused Equity Funds: These funds invest in a limited number of stocks, which can give concentrated returns but also carry higher risk. As you are looking for a long-term goal, these funds can add value, but balance them with more diversified funds.

Index Funds: While index funds are low-cost, they track the index and may not offer outperformance. Actively managed funds can give you better returns over the long term. If you are invested in index funds, consider reviewing their performance and reallocating to actively managed funds with a Certified Financial Planner.

Is Your Portfolio Diversified Enough?
Your portfolio has a good mix of different fund categories—small cap, mid cap, flexi cap, and large cap. You also have exposure to international markets and sectoral funds. However, be cautious about over-investing in small caps and sectoral funds due to their high volatility. Consider reducing the allocation to sectoral funds if their performance dips.

Will You Achieve Rs 2 Crore by 2034?
You aim to accumulate Rs 2 crore by 2034. Based on your current SIP amount, it is important to assess if this is enough. Considering an average return of 12% per annum from your mutual funds, Rs 70,000 per month SIPs may get you close to your target. However, it is wise to periodically review your portfolio and step up your SIP amount by 10-15% every year to stay on track.

Recommendation:

Increase your SIP amount: If possible, increase your SIPs by 10% every year to boost your corpus and mitigate the impact of inflation.
Step-Up SIPs: Some mutual funds offer a "Step-Up SIP" option where you can increase your monthly SIP amount automatically by a fixed percentage every year. This will help you stay on track for your Rs 2 crore goal.
Lump Sum vs SIPs
Lump sum investments can boost your corpus, but they depend on market timing. Since you already have a few lump-sum investments, it’s good to continue with SIPs to average out market volatility. If you come into additional funds, like a bonus or windfall, consider allocating some towards lump sum investments in diversified funds.

Expense Ratios and Fund Performance
It’s important to regularly monitor the expense ratios of the funds you are invested in. High expense ratios can eat into your returns over the long term. Actively managed funds with high expense ratios should justify the cost with higher returns. If you find that the returns are not justifying the high costs, consult a Certified Financial Planner to switch to better-performing funds with reasonable expenses.

Managing Risk and Rebalancing
Your current portfolio leans towards high-risk, high-return funds like small caps and sectoral funds. As you approach your target year, start reducing exposure to high-risk funds and shift more towards stable funds like large caps and flexi caps. This will help preserve your capital and reduce volatility.

Every year or two, review your portfolio and rebalance it. For example, if small caps have outperformed, they may now constitute a larger portion of your portfolio than you originally planned. Rebalance by selling some small cap units and buying more large cap or flexi cap units.

Emergency Fund and Insurance
Apart from investing in mutual funds, ensure that you have an emergency fund that covers 6-12 months of your expenses. This will protect you from dipping into your investments in case of unforeseen financial needs.

You already have a term insurance plan, which is great. Ensure that the sum assured is adequate to cover your family's financial needs in case of an emergency.

Tax Planning
Remember to account for taxation when planning your investment strategy. Long-term capital gains (LTCG) on equity mutual funds are taxed at 10% for gains above Rs 1 lakh. Plan your withdrawals strategically to minimize tax liabilities.

You can also invest in ELSS (Equity Linked Savings Scheme) funds to save on taxes under Section 80C. ELSS funds have a 3-year lock-in period and provide both tax benefits and market-linked returns.

Final Insights
Your current portfolio is well-diversified but high on risk.
Keep track of expense ratios and switch funds if necessary.
Step up your SIPs annually by 10-15% to meet your Rs 2 crore target.
Rebalance your portfolio every year to manage risk.
Maintain an emergency fund and ensure adequate insurance coverage.
Consider tax-saving strategies like ELSS to optimize your investments.
With a disciplined approach and periodic reviews, your goal of Rs 2 crore by 2034 is achievable.

Best Regards,
K. Ramalingam, MBA, CFP,
Chief Financial Planner,
www.holisticinvestment.in
https://www.youtube.com/@HolisticInvestment

...Read more

Ramalingam

Ramalingam Kalirajan  |6505 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Oct 05, 2024

Money
Hi Sir, I am 40 year old and back in 2019 I opted for SBI privilege where I invested 6 lacs a year for 6 years that is 30 lacs in total. And now its valued 65 lacs as of today. I am curious to know how can I try and get a monthly income around 1 lac using this money? are there any paths for swap OR change to make my desire come true? Please could you suggest? Thank you!
Ans: You’ve done well to accumulate Rs 65 lakhs in your investment. The SBI privilege policy has given you a fair growth on your initial capital of Rs 30 lakhs. But now, you’re looking for a more reliable income stream. Generating Rs 1 lakh per month as income from this corpus is indeed achievable, but the current product may not be the best fit for this goal.

Limitations of Your Current Investment
The SBI privilege scheme, while it may have given decent returns, isn't designed to offer monthly income.

Traditional insurance products like this one usually focus on providing life cover and maturity benefits, not cash flow.

The growth here is likely due to compounded returns, but switching to a different approach might align better with your income goals.

Reinvesting for Monthly Income
To generate regular income, it might be better to withdraw your Rs 65 lakhs from the current policy and reinvest it in mutual funds. Mutual funds can offer systematic withdrawal plans (SWP), which allow you to withdraw a fixed amount every month.

SWP is a structured withdrawal option. You can choose the amount and frequency of withdrawals.

You could aim to withdraw Rs 1 lakh monthly. Your principal remains invested while you receive regular payments.

This method provides flexibility, allowing you to adjust withdrawals based on market performance or personal needs.

Benefits of Actively Managed Mutual Funds
While you're considering reinvestment, it's important to choose the right type of mutual funds.

Actively managed funds are preferable because fund managers adjust portfolios according to market conditions, offering potential for higher returns.

Actively managed funds may outperform in volatile markets, which is a significant advantage for those looking to generate regular income.

Why Avoid Direct Mutual Funds?
Although direct funds seem attractive due to lower expense ratios, they come with their own set of challenges:

Managing direct funds yourself requires time, effort, and understanding of market trends.

Without professional guidance, it's easy to miss critical decisions on fund switching or rebalancing.

Instead, investing through a Certified Financial Planner (CFP) ensures that your portfolio is regularly monitored and adjusted to meet your financial goals.

The Advantages of Working with a CFP
By working with a CFP, you'll get access to expert advice on fund selection, timing of withdrawals, and tax planning.

A CFP will help you navigate the complexities of SWP, ensuring the longevity of your investment.

You will also receive recommendations on how to adjust your withdrawals or reinvestment strategy based on changing market conditions.

Mutual Fund Capital Gains Taxation
Understanding how withdrawals from mutual funds are taxed is critical:

Equity Mutual Funds: Long-term capital gains (LTCG) over Rs 1.25 lakhs are taxed at 12.5%. Short-term gains are taxed at 20%.

Debt Mutual Funds: Both LTCG and STCG are taxed according to your income tax slab.

With SWP, the tax liability will depend on how long your funds have been invested, but a CFP can guide you on how to minimize taxes.

Diversifying Your Investments
To ensure stable monthly income, it's wise to diversify within mutual funds. Different categories of funds offer different risk-reward combinations:

Balanced or Hybrid Funds: These invest in both equity and debt, reducing risk while providing stable returns.

Equity Funds: These offer potential for high returns but come with higher risk. Ideal for long-term growth, but not recommended for short-term income generation.

Debt Funds: These offer stability, but returns are generally lower. Suitable for short-term income needs.

How to Structure Your SWP
You could consider withdrawing Rs 1 lakh per month, but this withdrawal amount must be structured carefully to ensure that the corpus lasts over time:

If your fund grows by 10-12% annually, a 6-8% annual withdrawal rate (Rs 1 lakh per month) could work, ensuring your corpus lasts longer.

You may need to periodically review and adjust the withdrawal rate based on market conditions.

Planning for Future Needs
It's important to consider future expenses as well. The Rs 65 lakhs, while sufficient for now, might need to grow to accommodate inflation or unexpected costs.

Reinvesting in mutual funds ensures that the remaining corpus continues to grow, providing a buffer for future financial needs.

Periodic reviews of your investment and withdrawal strategy with your CFP will keep your plan on track.

Best Practices for Long-Term Income
Keep your withdrawal rate sustainable. Drawing too much too soon might deplete your corpus quickly.

Reinvest in growth-oriented funds for better long-term returns while withdrawing only what’s needed.

Keep some funds in low-risk debt funds for emergencies or market downturns.

Final Insights
Switching your Rs 65 lakhs into a mutual fund portfolio with SWP could provide the Rs 1 lakh monthly income you desire. It's a flexible and tax-efficient option, and with the right actively managed funds, you can balance growth and stability. Work closely with your CFP to review and adjust your strategy over time, ensuring that your investments meet your evolving financial needs.

Best Regards,

K. Ramalingam, MBA, CFP

Chief Financial Planner

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

...Read more

Dr Dipankar

Dr Dipankar Dutta  |653 Answers  |Ask -

Tech Careers and Skill Development Expert - Answered on Oct 04, 2024

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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