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Anonyomus Question by Anonyomus on Jan 12, 2024Hindi
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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.
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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Ramalingam

Ramalingam Kalirajan  |9736 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jul 12, 2024

Asked by Anonymous - Jul 02, 2024Hindi
Money
Hello sir.I am 38 years, married and 1 child.Please help me with a good and wide coverage family health insurance policy.Also, shall I take a family or individual health insurance policy?? Kindly guide me on the same.I don't have any term insurance also.
Ans: Health and term insurance are crucial for financial security. Let's explore your options.

Understanding Health Insurance
Health insurance is vital for protecting your family's finances. It covers medical expenses and ensures you don't dip into savings. For a family of three, wide coverage is essential.

Family vs. Individual Health Insurance
Family Floater Policy
A family floater policy covers all members under one sum insured. This means if one member uses the coverage, the remaining sum is available for others. It’s cost-effective and easy to manage.

Individual Health Policy
An individual policy covers each family member separately. This ensures each person has a dedicated sum insured. While it can be more expensive, it guarantees full coverage for everyone.

Choosing the Right Health Insurance
Coverage Amount
For a family of three, consider a sum insured of at least Rs 10 lakhs. This covers hospitalisation, surgeries, and other medical expenses.

Comprehensive Coverage
Look for policies that cover pre and post-hospitalisation, ambulance charges, daycare treatments, and critical illnesses. Comprehensive policies provide peace of mind.

Network Hospitals
Check if the insurer has a wide network of hospitals, especially near your residence. Cashless treatment facilities make hospitalisation less stressful.

No Claim Bonus
Choose a policy that offers a No Claim Bonus. This increases your sum insured without additional premiums if you don't make any claims.

Additional Benefits to Consider
Maternity Coverage
If you plan to expand your family, consider a policy with maternity coverage. It should cover prenatal and postnatal expenses, delivery charges, and newborn care.

Preventive Health Check-ups
Some policies offer free annual health check-ups. This helps in early detection and prevention of diseases.

Critical Illness Rider
Critical illnesses can drain finances quickly. A rider covers diseases like cancer, heart attack, and stroke. It provides a lump sum amount on diagnosis, helping with treatment costs.

Term Insurance: Protecting Your Family’s Future
Importance of Term Insurance
Term insurance provides financial security to your family in your absence. It pays a lump sum to your beneficiaries if something happens to you. It's essential for safeguarding your family's future.

Choosing the Right Term Insurance
Sum Assured
Choose a sum assured that covers your family's expenses, outstanding loans, and future goals. Typically, 10-15 times your annual income is recommended.

Policy Tenure
Select a tenure that covers you until your major financial obligations are met. Ideally, this should be until your child's education or marriage is complete.

Riders for Enhanced Protection
Consider adding riders like accidental death, disability, and critical illness. These enhance the coverage and provide additional security.

Benefits of Mutual Funds
Mutual funds are excellent for wealth creation. They offer diversification, professional management, and potential for high returns.

Types of Mutual Funds
Equity Funds
Invest primarily in stocks. They offer high returns but come with higher risk. Suitable for long-term goals.

Debt Funds
Invest in fixed income securities like bonds. They are less risky and provide stable returns. Ideal for short to medium-term goals.

Hybrid Funds
Invest in both equity and debt. They balance risk and return, making them suitable for moderate risk-takers.

Power of Compounding
Investing in mutual funds harnesses the power of compounding. Reinvesting returns over time leads to exponential growth. Starting early maximises this benefit.

Disadvantages of Index Funds
Passive Management
Index funds are passively managed. They replicate a market index and do not attempt to outperform it. This limits potential returns.

No Active Strategy
Index funds lack active management strategies. They cannot adjust to market changes, potentially missing opportunities to maximise returns.

Benefits of Actively Managed Funds
Professional Management
Actively managed funds have experienced managers who make investment decisions. They aim to outperform the market by selecting high-potential stocks.

Flexibility
Managers can adjust portfolios based on market conditions. This flexibility can enhance returns and reduce risk.

Disadvantages of Direct Funds
Lack of Guidance
Direct funds require investors to manage their investments. Without professional guidance, making informed decisions can be challenging.

Limited Support
Direct investors may not have access to the same level of support as those using a Certified Financial Planner. This can impact portfolio performance.

Benefits of Investing Through a CFP
Expert Advice
CFPs provide expert advice tailored to your financial goals. They help you choose the right funds and create a diversified portfolio.

Regular Monitoring
CFPs monitor your investments regularly. They make adjustments based on market conditions and your changing needs.

Comprehensive Financial Planning
CFPs offer comprehensive financial planning. They consider your entire financial situation and create a plan to achieve your goals.

Final Insights
Choosing the right health and term insurance is crucial for your family's financial security. A family floater health policy is cost-effective and provides wide coverage. Ensure it has a sufficient sum insured and comprehensive coverage.

Term insurance safeguards your family's future. Choose a sum assured that covers your expenses and future goals. Adding riders enhances protection.

Investing in mutual funds is an excellent way to grow your wealth. Consider equity, debt, and hybrid funds based on your risk tolerance and goals. Actively managed funds offer professional management and flexibility.

Investing through a Certified Financial Planner provides expert advice and regular monitoring. They help you create a diversified portfolio and achieve your financial goals.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

..Read more

Ramalingam

Ramalingam Kalirajan  |9736 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

Ramalingam

Ramalingam Kalirajan  |9736 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Aug 28, 2024

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I am 30 years single. I have no financial commitment of any loan, I have 1.5 Cr in term insurance 5 lacs in traditional insurance. 15 Lacs in medical insurance., I am a minimalist. Can you please thro light on coverage and suggest me should I policies to increase, my sum assured and increase my premium commitment? Will this coverage suffice or should I need to alter
Ans: Given your current financial situation and insurance coverage, here's a breakdown of your existing coverage and suggestions on whether you need to increase your sum assured or alter your policies:

Current Coverage:
Term Insurance: ?1.5 crore
Traditional Insurance: ?5 lakh
Medical Insurance: ?15 lakh
Analysis:
Term Insurance
Current Coverage: ?1.5 crore
Purpose: Term insurance primarily serves to provide financial security to your dependents in case of your untimely demise.
Current Situation: As you are single with no dependents or financial commitments, ?1.5 crore seems adequate for now. However, this amount should be reviewed periodically as your life circumstances change (e.g., marriage, children, significant asset purchases).
Traditional Insurance
Current Coverage: ?5 lakh
Purpose: Traditional insurance policies (endowment, whole life, etc.) combine insurance with a savings component. However, the insurance coverage is typically lower, and the returns are modest compared to other investment avenues.
Current Situation: ?5 lakh is quite low in terms of coverage, but since it’s a traditional policy, the primary goal might be savings rather than pure risk coverage. Given that you are a minimalist and have a substantial term insurance cover, this might suffice, though you could reconsider future contributions depending on the policy's returns and your financial goals.
Medical Insurance
Current Coverage: ?15 lakh
Purpose: Medical insurance covers hospital bills and other medical expenses.
Current Situation: ?15 lakh is generally sufficient for most medical emergencies in urban India. However, given the rising cost of healthcare, you might want to consider adding a super top-up policy to increase your coverage at a lower cost.
Recommendations:
Term Insurance
Maintain or Slightly Increase: Your current coverage of ?1.5 crore seems adequate, but if you foresee significant financial responsibilities in the future (like marriage or starting a family), you may consider increasing it slightly, say by another ?50 lakh to ?1 crore, to keep pace with inflation and future liabilities.
Traditional Insurance
Reevaluate: Traditional insurance policies are not typically the best for maximizing returns. If your primary goal is to save and grow your wealth, you might want to focus more on pure investment products (like mutual funds, PPF, etc.) rather than increasing contributions to traditional policies. Consider surrendering or converting this policy depending on its terms and the financial implications.
Medical Insurance
Consider a Top-Up Plan: While ?15 lakh should suffice for now, healthcare costs are rising rapidly. You might want to consider a top-up or super top-up plan that can provide additional coverage (e.g., ?10-15 lakh) for a relatively low premium, ensuring you are well-protected against major medical expenses.
Overall Premium Commitment:
Given that you are a minimalist and have no financial dependencies, you should focus on maintaining a balanced approach:

Avoid Over-Insuring: Since you currently have no dependents, over-insuring might lead to unnecessary premium outflow, which could otherwise be invested for growth.
Focus on Investments: With your minimalistic lifestyle, channeling more funds into savings and investments might provide better returns over the long term, enabling you to meet future goals like retirement or potential family responsibilities.

Your current insurance coverage seems adequate for your current situation. Consider a slight increase in term insurance, add a top-up to your health insurance, and reevaluate your traditional insurance policy. Focus on growing your wealth through investments rather than significantly increasing your insurance premiums at this stage. Regularly review your coverage as your life circumstances change.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

..Read more

Latest Questions
Ramalingam

Ramalingam Kalirajan  |9736 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Jul 15, 2025

Money
Hi Sir, I am 32 years old, married and have a 4 month old daughter. I am working in a defense based private company. I earn 53K in hand. My monthly expenses come to around 20K. I have just started investing in mutual funds and doing a SIP of Rs.8000 per month. I have invested around 1.5 lakhs across multiple funds by now. I also have around 1.2lakhs in my EPFO account. I have saved 20K per month for my daughter for the past year which totals around 2 lakhs right now which I want to invest in her name for the long term. Besides these, I do not own any assets or have any liabilities as of now. Please suggest where to invest the amount I have saved for my daughter for best returns. And also please suggest how to plan for my retirement considering similar monthly expenditure with addition of daughters education and marriage.
Ans: You are in a very important phase of life. At 32, with a young child and a steady income, you have made a solid beginning. Your habit of saving and investing early will give you a big edge. Your family is depending on you, and your discipline will secure their future.

Let’s look at everything in a structured and simple way.

? Understanding Your Current Financial Situation

– Your income is Rs.53000 in hand.
– You spend Rs.20000 monthly.
– You save and invest the rest, which is very good.
– You already do SIP of Rs.8000 per month.
– You have Rs.1.5 lakhs in mutual funds.
– You have Rs.1.2 lakhs in EPFO.
– You have Rs.2 lakhs saved for your daughter.
– You have no loans.
– You have no assets like house or gold.

This is a healthy start. You are already spending only 40% of your income. That gives room to build wealth. Now, let us look at what to do next.

? Investing Your Daughter’s Rs.2 Lakhs: Long-Term View

This is for your daughter’s future. Likely uses could be higher education or marriage. Both are long-term goals.

– She is only 4 months now.
– You have 15 to 20 years time.
– This gives scope for growth-based investing.

Here’s what you can do:

– Invest this Rs.2 lakhs in 2 or 3 equity mutual funds.
– Choose actively managed funds for better long-term returns.
– Avoid index funds. They only copy the market and don’t beat inflation.
– Actively managed funds have expert fund managers.
– They adjust based on market opportunities.
– Over 15 years, they usually outperform index funds.

Also,

– Use Regular Plans through a CFP-backed Mutual Fund Distributor.
– Avoid Direct Plans unless you can manage and review investments on your own.
– Direct plans don’t provide support, review, or portfolio balancing.
– Regular Plans through a Certified Financial Planner help you stay disciplined.
– A qualified planner monitors the market and guides rebalancing.
– You avoid costly emotional mistakes.

Strategy for daughter’s funds:

– Divide Rs.2 lakhs across 2 or 3 good equity mutual funds.
– Stay invested for 15 years minimum.
– Do not withdraw in between.
– Review yearly with help of Certified Financial Planner.
– This can grow into a good education or marriage corpus.

Also, since you are already saving Rs.20000 every month for her, keep it up.
Even Rs.5000 or Rs.10000 monthly in SIP for her will make a big difference over time.

? Planning Your Retirement: Long-Term but Needs Focus

Retirement planning should start now. You have time, but the earlier, the better.

– You are 32 now.
– You can aim to retire at 60.
– That gives you 28 years to save.
– But inflation reduces the value of money.
– So Rs.20000 expenses today will grow a lot by retirement.

You need to plan for:

– Your own expenses after retirement
– Your wife’s needs
– Medical costs in old age
– Travel and emergencies
– No income after retirement

What you should do:

– Increase your SIP gradually as income rises.
– Right now, you invest Rs.8000 in mutual funds.
– Increase it by Rs.1000 every year.
– Also start a new SIP only for retirement.
– Separate from daughter’s goal.

Why equity mutual funds help:

– Equity mutual funds beat inflation over long term.
– They build wealth over 20+ years.
– Don’t choose debt mutual funds for retirement goals.
– Debt funds give stable returns but low growth.
– They are good for short-term goals.

Continue EPFO contribution:

– EPFO is a good long-term tool.
– It gives safe and tax-free corpus at retirement.
– Don’t withdraw EPF for other uses.
– Let it grow till retirement.

? Tracking Your Monthly Budget and Investing Discipline

Your expenses are only Rs.20000.
You save nearly Rs.30000 each month.
This gives you enough to grow wealth for all goals.

– Continue SIP of Rs.8000 or increase it.
– Start SIP of Rs.5000 for daughter.
– Start SIP of Rs.5000 for retirement.
– Keep Rs.5000 to Rs.7000 for emergency savings.
– Maintain Rs.1 lakh as emergency fund.
– Park it in liquid fund or FD for easy access.

This way:

– You cover child’s needs.
– You build retirement wealth.
– You stay ready for emergencies.

? Life Insurance and Health Insurance: Non-Investment but Vital

These are not investments. But they are must-haves.
They protect your family and finances from sudden shocks.

– Buy a term insurance of Rs.50 lakhs to Rs.1 crore.
– Choose only pure term insurance.
– Do not take ULIPs or endowment policies.
– They give low returns and high costs.
– If you already have such products, you may consider surrendering.
– Reinvest that amount in mutual funds.

– Also buy family floater health insurance.
– You, your wife and daughter should be covered.
– Minimum Rs.5 lakhs coverage.
– Health costs rise every year.

? Education and Marriage Planning for Daughter

These are big goals. But they are long-term, so time is your friend.

Education Planning:

– Higher education needs large funds.
– Start a separate SIP of Rs.5000 per month.
– Use equity mutual funds.
– Review every year and increase SIP.
– Don’t touch this investment for any other need.

Marriage Planning:

– This is 20+ years away.
– You can use lumpsum investments here.
– The Rs.2 lakhs you saved can be for this.
– Also, build this goal slowly after education fund is stable.

Do not mix marriage and education planning.
Treat them as two different goals.

? Building Assets for Financial Stability

You currently do not have any physical assets. That’s not a problem.

Focus on building financial assets.

– Mutual funds are liquid and can grow well.
– EPFO adds stability and long-term safety.
– Emergency fund ensures peace of mind.
– Term insurance covers family needs.
– Health insurance protects savings.

Stick to these. Do not get distracted by gold or real estate.

Real estate has low liquidity and high maintenance.
Also, resale or rental is not easy and returns are uncertain.

? Why You Should Avoid Index Funds

Index funds may look cheap. But they have limitations.

– They only copy the market index like Nifty.
– They don’t outperform the market.
– In falling markets, they fall fully.
– No active fund manager to manage risk.
– Inflation can beat index fund returns.

On the other hand:

– Actively managed funds have experienced managers.
– They reduce exposure to weak sectors.
– They increase exposure to strong sectors.
– Over long term, they create better value.

Always go with active mutual funds through a CFP-led advisor.
They help you rebalance and stay on track.

? Why Direct Mutual Funds Are Not Ideal

Direct funds have low expense ratio. But they lack guidance.

– No help with fund selection.
– No review or rebalancing support.
– No risk profiling.
– No hand-holding during market falls.

Investors often panic or stay emotional.
This hurts long-term returns.

On the other hand:

– Regular plans give guidance.
– Through Certified Financial Planner, you get yearly reviews.
– You get portfolio alignment based on goals.
– Mistakes are avoided.

The slightly higher cost is worth the value it brings.
Long-term discipline beats small cost difference.

? What To Review Every Year

Every year, review these points:

– SIP amount and growth
– Fund performance
– Daughter’s goal progress
– Retirement corpus projection
– Changes in income or expenses
– New responsibilities or medical needs
– Emergency fund adequacy

Your planner can guide this review well.
This ensures all your goals stay on track.

? Finally

You are doing very well for your stage in life.

– You have no loans.
– You are disciplined in savings.
– You are planning for your daughter.
– You are thinking of retirement.

This mindset will help you build wealth peacefully.

Follow these steps:

– Stay invested for long term.
– Don’t chase returns.
– Review yearly.
– Invest goal-wise.
– Increase SIPs as income grows.
– Avoid distractions like gold and real estate.
– Avoid mixing insurance and investment.
– Take professional help where needed.

With this, you can confidently build your financial 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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