Group MediClaim Top Up Policy for Management …

1 Group MediClaim Top Up Policy for Management Employees Stay Ahead, Be Assured aditya birla Group - india Group refers to the aditya birla Group in this document. This Policy is meant exclusively for the perusal of, and strictly for circulation within, the aditya birla Group . Please note that sharing of information contained in this Policy , other than with employees of the aditya birla Group without written consent from Group Human Resources, would be construed as a breach of the Group s Code of Conduct. Policy Title Group MediClaim Top Up - GMC Top Up and GMC Top Up Plus Policy Employee Value Proposition A World of Opportunities Enrich your Life Applicability This Policy is applicable to all Business Units in india .

2 The Policy shall be applicable to all india based aditya birla Group Management Cadre employees at Job Band 11 and above. Originator & contact information GCOE- Rewards & Benefits Effective date 1st April 2018 2018 - 2019 Group MediClaim Top Up / Top Up Plus Policy for Management employees P a g e | 3 2018 Group Human Resources, aditya birla Group Strictly for Internal Circulation Table of Contents S. No. Particulars Page No. 1 Purpose 4 2 Definition 4 3 Eligibility & Applicability 4 4 GMC Top Up and GMC Top Up Plus Policy Benefits 4 5 GMC Top Up and GMC Top Up Plus Policy Sum Insured (SI) Choices and additional GMC Top Up Plus Coverage 5 6 Waiver on co pay on premium for GMC 7 7 GMC Top Up and Top Up Plus Premium 7 8 Policy Terms 9 9 Deductible or Threshold limits 9 10 Enrolment Process, Certificate of Insurance (Col) and E cards 9 11 Renewals 9 12 Claim Process 11 13 Treatment of employee Life Cycle events 11 14 Operating set up for GMC Top Up & Top Up Plus Policy 12 Annexures 14 - 18 15 I: Enrolment Guidelines for Employees 14 16 II: Enrolment and Cash Deposit Guidelines for HR 15 17 III.

3 Definitions of additional inclusions in GMC Top Up Plus Policy 17 2018 - 2019 Group MediClaim Top Up / Top Up Plus Policy for Management employees P a g e | 4 2018 Group Human Resources, aditya birla Group Strictly for Internal Circulation 1. Purpose The Group recognizes that different employees may have different medical insurance needs and that the Group provided medical insurance plan may not suit all requirements. The Group MediClaim Top Up (GMC Top Up) Policy is a part of the Enrich Your Life pillar of our Employee Value Proposition (EVP) A World of Opportunities . The Group , through this Policy , provides flexibility to the employees to invest, in additional medical insurance, to support their family and themselves at Group negotiated rates.

4 The Group MediClaim Top Up Plus is an enhanced offering with Sum Insured limits and treatments. 2. Definition The Group MediClaim Top Up Policy , hereafter referred to as the GMC Top Up Policy , and the Group MediClaim Top Up Plus Policy GMC Top Up Plus Policy , are plans that enable an employee to opt for an additional Sum Insured (SI) over and above the existing Group MediClaim Policy , hereafter referred to as the GMC Policy . If the total claims of an employee, in a Policy year, exceed the sum insured via the GMC Policy (threshold), the GMC Top Up and GMC Top Up Plus Policies takes care of the additional hospitalization expenses up to the limit chosen by the employee. An employee can opt for either GMC Top Up or GMC Top Up Plus.

5 3. Eligibility & Applicability All aditya birla Group employees in Job Bands 11 & above working in india and who are enrolled under the GMC Policy are eligible to enroll for the GMC Top Up or the GMC Top Up Plus Policy . This Policy is applicable to all Business Units in india , which provide Group MediClaim , from 1st April. Going forward, all acquired units shall also adopt for the GMC Top Up Policy , at the time of adopting the GMC Policy . The GMC Top Up/ Top Up Plus Policy is a floater Policy with a single sum insured and a single premium for the whole family with terms matching the terms of the Group MediClaim Policy . INSURER : aditya birla Health Insurance Company Limited(ABHI) Policy PERIOD : 1st April 2018 till 31st March 2019 Policy TYPE : GMC Top Up / Top Up Plus Policy BROKER : aditya birla Insurance Brokers Ltd (ABIBL) TPA : Same as per the GMC Policy 4.

6 GMC Top Up and Top Up Plus Policy Benefits a. Customized Group Product for aditya birla Group Employees GMC Top Up and GMC Top Up Plus are tailor made products specially designed for the Group employees. 2018 - 2019 Group MediClaim Top Up / Top Up Plus Policy for Management employees P a g e | 5 2018 Group Human Resources, aditya birla Group Strictly for Internal Circulation b. Self and Family care at an affordable price The GMC Top Up and GMC Top Up Plus policies offers flexibility of additional medical insurance coverage at Group negotiated price. The Group employee base makes the product cost efficient. c. Key Policy terms are same as for the GMC Policy The family floater cover is for a maximum of 6 members including self and family same as chosen by the employee as part of the GMC Policy (including Parents/ Parents in Law, Siblings) No pre Policy medical tests are required for enrolling and pre - existing diseases stand covered from date of enrollment.

7 5. GMC Top Up and GMC Top Up Plus Policy Sum Insured (SI) Choices and Additional GMC Top Up Plus Coverage GMC Top Up / Top Up Plus Policy has the following additional SI options- For GMC Top Up Policy an employee has to opt for a minimum Top Up SI of INR 2 lacs with additional SI at intervals of 1 lac up to a maximum additional SI of up to INR 6 lacs. Exhibit : GMC Top Up Sum Insured Choices 2018 - 2019 Group MediClaim Top Up / Top Up Plus Policy for Management employees P a g e | 6 2018 Group Human Resources, aditya birla Group Strictly for Internal Circulation For GMC Top Up Plus Policy , the SI minimum is INR 7 lacs, followed by options of INR 10 lacs, 15 lacs, 20 lacs and 25 Lacs. Exhibit : GMC Top Up Plus Sum Insured Choices The GMC Top Up Plus Policy offers additional coverages.

8 Additional Coverage under GMC Top Up Plus Policy : Robotic Surgery Avastin and Remicade Injections Oral and Adjuvant Chemotherapy/Chemotherapy at Home Dental (only Root Canal Treatment) for INR 25,000 sub limit of INR 10,000 per person. Additional maternity cover of INR 50,000 (over and above GMC Policy limit) Refer Annexure III for definitions of the additional coverage 2018 - 2019 Group MediClaim Top Up / Top Up Plus Policy for Management employees P a g e | 7 2018 Group Human Resources, aditya birla Group Strictly for Internal Circulation 6. Waiver on co pay on premium for GMC On enrollment for GMC Top Up or GMC Top Up Plus, the 10% co-payment on the premium applicable, shall be waived off.

9 The other co-payment of premium ( for parents etc.) if applicable, will continue. The co -payment on claims under the GMC Policy shall also continue. Sum Insured (INR) Premium Co Pay Waiver (INR) 2,00,000 1,749 3,00,000 2,370 5,00,000 3,503 7. GMC Top Up and Top Up Plus Premium i. The annual premium for GMC Top Up Policy in the Year 2018-19 is INR 3,728 + GST for minimum SI of INR 2 lacs and INR 416 + GST for each additional lakh of SI up to a maximum SI of INR 6 lacs. Exhibit : Premium Calculations- GMC Top Up 2018 - 2019 Group MediClaim Top Up / Top Up Plus Policy for Management employees P a g e | 8 2018 Group Human Resources, aditya birla Group Strictly for Internal Circulation ii.

10 The annual premium for GMC Top Up Plus Policy in the Year 2018-19 is INR 8,345 + GST for minimum SI of INR 7 lacs and INR 416 + GST for each additional lakh of SI up to a maximum SI of INR 25 Lacs. The GMC Top Up Plus Policy is offered for Sum Insured of INR 7 lacs, 10 Lacs, 15 Lacs, 20 Lacs and 25 Lacs. Exhibit : Premium Calculations- GMC Top Up Plus Note: a) GST is applicable and charged extra on the premium, currently @ 18% b) Kindly note the above is Sum Insured and Premium for the year 2018-19 c) Premium for subsequent renewal cycles shall be communicated in advance to the renewal date The premiums for GMC Top Up/ GMC Top Up Plus Policy are negotiated by the Corporate Management Services Division committee.