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Employee Benefits (GMC, GPA & GTL) – Key Features

Employee Benefits (GMC, GPA & GTL) Key Features November, 2014 . GMC Policy - ( Employee + SPOUSE + DEPENDENT. CHILDREN): Benefits SYNOPSIS. Coverage Type Family Floater Sum Insured Dependent Coverage Self + Spouse + Dependent Children Only Employee - INR 200,000 / Employee + 1 Dependant - INR 300,000. Sum Insured Employee + 2 Dependants - INR 400,000 / Employee + 3 & more Dependants - INR 500,000. Pre Existing diseases Covered 30 Days & 1st year waiting period Waived ( All covered from Day 1). Maternity Benefits ( Only for Covered from day 1 [Normal INR 50,000 & INR 75,000 for C-Section ] for first 2 instances of the Employee & Spouse) maternity are covered.

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Transcription of Employee Benefits (GMC, GPA & GTL) – Key Features

1 Employee Benefits (GMC, GPA & GTL) Key Features November, 2014 . GMC Policy - ( Employee + SPOUSE + DEPENDENT. CHILDREN): Benefits SYNOPSIS. Coverage Type Family Floater Sum Insured Dependent Coverage Self + Spouse + Dependent Children Only Employee - INR 200,000 / Employee + 1 Dependant - INR 300,000. Sum Insured Employee + 2 Dependants - INR 400,000 / Employee + 3 & more Dependants - INR 500,000. Pre Existing diseases Covered 30 Days & 1st year waiting period Waived ( All covered from Day 1). Maternity Benefits ( Only for Covered from day 1 [Normal INR 50,000 & INR 75,000 for C-Section ] for first 2 instances of the Employee & Spouse) maternity are covered.

2 Pre-Post Natal Expenses (only for Pre natal starts from date of conceiving and post natal ends 15 days after delivery. Covered within Hospitalization cases) the Maternity Limit Baby cover day 1 Covered over and above maternity benefit within family floater Congenital Internal diseases to be covered and Congenital External Ailments which are not cosmetic Congenital Illness in nature, but life threatening and need to be operated due to medical reasons to be covered. Covered only for Emergency & Accidental cases Benefit is on basis of Actual or maximum up to Emergency Ambulance INR 2,000 per incident Only if hospitalization Claim is admissible as per policy Pre-Post Hospitalization Exp.

3 Covered [Pre 30 & Post 60 days] Excluding Maternity Cases Covered under the day care procedures For Selected Cases ( Dialysis, chemotherapy, Kidney stone, Less than 24 hrs of Hospitalization Cataract, D&C etc. ). Ailment wise Capping Cataract is restricted to INR 35,000 per eye including Lens cost 10% co-pay on each and every Claim, Co pay will be applicable on Admissible claim amount and Co-Pay not on Sum Insured , Not applicable on Cataract Group Insurance Policy - 2014_15 | Ericsson Internal | EGI-14:019493 Uen, Rev A | 2014 -10-20 | Page 2.

4 Single AC Deluxe Room Room Rent differential for higher room category to be borne by Employee , ICU- As Room Rent per Actual Terrorism risk Covered Sleep Apnea Treatment is Covered Medical Evacuation Covered, Including Air Ambulance only for Employees For the eye sight: +/- to +/- 7 Covered up to limit of INR 25,000 per person. For eye sight above +/- 7 on Surgical Vision correction actual Only for Employees Only for the employees: Benefit is INR 3,000 per day for Hospitalization in excess of 10 days ( Applicable for Hospital Cash Benefit Hospitalization from 11th Day to 40th day).

5 In Multiple of INR 100,000 Maximum up to INR 500,000, - Existing Employees need to enroll within specified Voluntary Top-up renewal window period & 30 days window period to be given to new joiners for enrollment Provided for Retail Policy without any medical check-ups, Waiting period for 1st, 2nd year and PED to get Portability reduced by the no of years the Employee has been under the group plan. Continuity to be given from DOJ in Ericsson Oral Chemotherapy Oral chemotherapy is covered within full sum insured if done in hospitalization or at home Bariatric surgery covered only in case of life threating condition.

6 ( weight loss through surgeries eg. Adjustable Gastric band, Sleeve Gastrectomy, Gastric Bypass, Biliopancreatic Diversion with Duodenal Switch (BPD/DS). Obesity treatment NOTE - bariatric surgery does not include liposuction as latter is a purely cosmetic surgery done to change body shape. Reparation of remains Only for death due to illness only of INR 10000 within full sum insured Group Insurance Policy - 2014_15 | Ericsson Internal | EGI-14:019493 Uen, Rev A | 2014 -10-20 | Page 3. GMC POLICY ( Employee + SPOUSE +. DEPENDENT CHILDREN): SPECIAL TERMS.)

7 Family Floater = any member in the family can make claim up to the total family floater cover limit within the policy year - this being the overall limit for the family for the year. Family means Employee + Spouse +. Dependent Children VOLUNTARY TO-UP & PORTABILITY: Employees are allowed to top-up the employer provided policy in multiples of INR 100,000: maximum top-up amount is restricted to INR 500,000 (Illustration). Top-up Sum Insured will be used only after full utilization of the base Sum Insured Assistance through Corporate Buffer will be provided subject to guidelines, however, such assistance will be provided only on total utilization of the sum insured (Employer provided cover + Individual Voluntary Top-Up).

8 All existing Employee will be able to top-up within the specified renewal window period. For all new joiners, the same window period of 30 days from the date of joining will be applicable. Employees will be allowed portability from the Group Policy to Individual Policy with NIC on resignation /. retirement from Ericsson Group Continuity benefit under the Group Policy to be given to Employee considering first policy date as DOJ in Ericsson Group / in case of Parents policy this will be enrolment date of parent(s) in the policy beginning 9th November 2010 (provided coverage is continuous without breaks).

9 Group Insurance Policy - 2014_15 | Ericsson Internal | EGI-14:019493 Uen, Rev A | 2014 -10-20 | Page 4. No individual underwriting (which includes medical checkup) needs to be done at the time of portability Terms & Condition for Individual policy will be as per the Retail plan of Insurer at the time of porting ( Room rent restriction, ailment capping, co-pay, Maximum sum Insured etc.). Continuity Benefits during the Portability are: Pre-Existing Illness covered if the person has four (4) claim-free year under Ericsson Policy For portability the no of years will be reduced from Individual policy by the no of years Employee been with Ericsson 1st year exclusion : there are certain illnesses which are not covered in the first policy year like ( ENT.)

10 Disorder, Cataract, Hernia, Hydrocele, Piles etc.) If Employee were covered under the Ericsson Policy for 1 year before porting the policy, these restriction will not apply to them. Group Insurance Policy - 2014_15 | Ericsson Internal | EGI-14:019493 Uen, Rev A | 2014 -10-20 | Page 5. RATES FOR TOP-UP PLAN & ILLUSTRATION OF. VARIOUS Benefits . With Tax Rates 2014 -15 Quantum of Top-Up Sum Insured - Over and Above Base Sum (INR) Insured Employer Provided Sum Insured 100,000 200,000 300,000 400,000 500,000. 200,000 947 1,776 2,604 3,432 4,260.