BIMA ACCIDENTAL INSURANCE (Prepaid)

OVERVIEW

Another beneficial service from BIMA is here! Secure your family’s future by subscribing to the BIMA Sehat product today! BIMA Sehat provides a monthly hospitalization insurance policy with health services, which is paid for by the Subscriber through his monthly postpaid bill.
How to subscribe:
Call 042-111-119-878 or SMS “BIMA Sehat” to 9878 and an agent will call* you to guide and help subscribe to the service *MILVIK agent will call you within 24 working hours There are no charges for sending an SMS to 9878.

 

CHARGES

Charges and BIMA Cover:
Plan
**Daily Price
**Monthly Price
Maximum Cover/Benefit Provided
Silver
PKR 1.58
PKR 47.50
PKR 225000
Gold
PKR 3.17
PKR 94.99
PKR 450000
Platinum
PKR 7.92
PKR 237.49
PKR 1250000
Diamond
PKR 15.83
PKR 475.01
PKR 2500000

How do I Claim:

SMS ‘CLAIM’ to 9878 or call
042-111-119-878 no later than 270 days from the first night of hospitalization and a BIMA representative will contact you with full information on how to process your claim.

 

TERMS & CONDITIONS

The Insurance is underwritten by IGI General Insurance and delivered by BIMA.

BIMA is the global leader in mobile micro-insurance and it protects the future of 35 million families worldwide. It has operations in 10 markets across Asia & Africa. BIMA is proud to have paid over $ 8 million in claims.

BIMA is proudly underwritten by IGI General Insurance. IGI General Insurance offers first-class security and service to the insuring public at an international standard.

Jazz Telecom is facilitating this offering but shall not be responsible for any grievance of the Jazz Customer relating to the Insurance Services and IGI General Insurance’s or MILVIK’s performance of its obligations.

BIMA SEHAT means monthly hospitalization insurance policy with Tele-Health Services
HOSPITAL is defined as “Any institution in Pakistan that has been registered as a hospital with the local authorities and is under the supervision of a registered and qualified medical practitioner.”
HOSPITALISATION: staying minimum of one night in a facility recognized as hospital.
HP- EXCLUSIONS:
The BIMA SEHAT plan will not cover any hospitalization claim which is caused by, or resulting, directly or indirectly, wholly, or partly, from any of the following factors:  intentional self-inflicted injury, suicide attempt, or arising out of non-adherence to medical advice; elective treatment, such as cosmetic surgery; and pregnancy and any complications arising from pregnancy during the first nine (9) months from the Subscription
GENERAL PROVISIONS:
Eligibility & Enrolment
1. Applicants are eligible to apply for BIMA Sehat insurance plan under the Policy if Applicants meet ALL the criteria set out below:
2. Eligible Applicants shall include individual pre-paid and post-paid Jazz Customers. It is understood and agreed between the Parties that only one (1) person shall be insured per pre-paid telecommunication connection
3. All Eligible Applicants shall be natural persons. Corporations, partnerships and businesses shall not be eligible for coverage under the BIMA Sehat Policy
4. All Eligible Applicants shall be a minimum of eighteen (18) years of age and a maximum of sixty-four (64) years of age at the time of registration
5. If the Applicant wishes to apply for and subscribe to the BIMA Sehat Plan under this Insurance Policy, the Applicant will be required during the registration process to:
Acknowledge that the Applicant has read and understood the terms of the Policy and the Jazz Payment Terms:

1. Confirm that the Applicant meets the eligibility criteria set out in General Provision 1 of the policy;

2. Confirm the BIMA Sehat Plan that the Applicant wishes to apply for;

3. Authorize Jazz to make charges each month from the Postpaid bill and the insurance Benefits payable are subject to the Applicant’s confirmations being true and correct; and if the Applicant’s confirmation is untrue or incorrect, no Insurance Benefits will be payable and the End User Price the Subscriber paid will not be refunded

Mistake in Age:

The Company shall only pay Insurance Benefits based on the disclosed age of the Insured. With the onus on the customer for incorrect disclosure the Company shall not be liable to pay any benefit under this Policy in that particular case.

Notice of Claims:

The Company shall be notified of the hospitalization of the Insured as soon as possible, but not later than 270 (two hundred & seventy) days from the first night of hospitalization after which it shall be treated as time barred and the Company shall not be bound to pay the Claim.
For each Claim reported, the Company shall obtain:

From the Claimant:

CNIC; final hospital invoice or discharge report which states date of admission and discharge.
Insurer may require any other document it reasonably deems necessary before approving a claim under the Policy.
The Company” shall process and pay genuine and approved claims on receipt of required documents from the Claimant within three (3) working days.
If there is a dispute, suspected fraudulent activity on the claim or a unique situation which requires further clarification, the payment period can be extended but shall not exceed ten (10) working days, or as long as the dispute takes to resolve in the legal system.

Termination of Individual Insurance:

The insurance of an Insured shall automatically terminate at the earliest time below:
Upon Death of Policy Holder or Upon cancellation or withdrawal of subscription by Jazz of the contract/relationship with the Insured, whatever the reason may be, or In case of non-payment of the individual End User Price for the Insurance Policy
Participation Requirement/Process:
Interested customers shall participate through an electronic enrolment process, assisted by a call center or field agent, or by submitting information electronically via their handset, in two phases:
1st Phase:
Name of the Customer
Age or CNIC Number
Insurance Benefits Selected by Customer
2nd Phase: Once the customer has answered the questions in the 1st Phase, the customer shall receive an SMS on for or on behalf of the Company and shall be asked to dial a short code, or send an SMS to a particular number to confirm registration. Alternatively, the Customer may offer his verbal consent over an official recorded channel managed by MILVIK to a MILVIK agent. This confirmation serves as digital signature for the BIMA SEHAT Insurance Cover. After receiving positive response, the customer shall be enrolled under the BIMA SEHAT Policy.

Arbitration

All differences arising out of this policy shall be referred to the decision of an arbitrator to be appointed in writing by the parties in difference or if they cannot agree upon a single arbitrator to the decision of two arbitrators one to be appointed in writing by each of the parties within one calendar month after having been required in writing so to do by either of parties or incase the arbitrators do not agree of an umpire appointed in writing by the arbitrators before entering upon the reference. The umpire shall sit with the arbitrators and preside at their meetings and the making of an award shall be a condition precedent to any right of action against the Company. If the Company shall disclaim liability to the Insured Person for any claim hereunder and such claim shall not within twelve calendar months from the date of such disclaimer have been referred to arbitrator under the provisions herein contained then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder. Notwithstanding stated above, dispute resolution forums given under the Insurance Ordinance, 2000, such as the Insurance Ombudsman, Small Disputes Resolution Committee and the Insurance Tribunals, shall prevail in the order of precedence, and over the seat of Arbitration.

Compliance with Policy Provisions:

Failure to comply with any of the provisions contained in the policy shall invalidate all claims hereunder.

Insurance Benefits:

The Company hereby agrees to pay the following benefit subject to the terms and conditions provided under the BIMA SEHAT Policy as defined hereunder. If an Insured is hospitalized due to any reason(with the exception of exclusions), on a twenty four (24)-hour worldwide basis, the Company will, upon receipt of due proof in writing of the hospitalization of the insured, pay the Insured or Beneficiary as the case may be the sum assured, according to their Insurance Cover level as described in this Insurance Benefits Section of the Policy Wording.
Benefit:
The amount of benefit received by the Insured or the Beneficiary in the event of the hospitalization from the first night of hospitalization of the Insured will be according to the amount of premium paid and subject to the terms and conditions of the product.
Terms and conditions of this cover are as follows:
Only One (1) policy per applicant
A Claim must be intimated to the Company within two hundred & seventy (270) days from the date of first night of hospitalization
Payment of claims is subject to exclusions, as outlined in the Exclusions section of this contract
The following actions shall be taken depending on the decision of renewal or non-renewal:
On non-renewal: The insurance policy shall be terminated, and all airtime deduction or billing shall be discontinued; any amount deducted or billed after the cancellation of the service is nonrefundable
On renewal: the insurance policy shall continue on auto-renewal, and all airtime deduction or billing will continue to apply in subsequent calendar month
The BIMA Sehat service is extended to one (1) person per Jazz subscriber who is a successful Applicant for the BIMA Sehat Insurance Cover. Each Applicant is allowed to select the level of maximum insurance benefit at the point of Enrolment.
The Subscriber has the option to choose between four (4) cover levels, at four (4) corresponding End User Price points, as given below. Unlimited M health is included for all four (4) cover levels.

Hospital Insurance

Cover: lump sum pay out based on number of overnight stays in hospital, maximum thirty (30) nights per year.
In addition to the Hospitalization cover BIMA Sehat service includes:
Health programs
Access to one health program, chosen by the Subscriber from a menu of health programs provided by MILVIK. Health programs include periodic delivery of program-specific content through different communication channels. The health program is only available for the Subscriber.
Tele-Consultation:
Unlimited access to tele-consultations with MILVIK doctors to address acute minor ailments and to receive medical advice on general health topics, however, these may not be used for urgent conditions. The teleconsultations are available for the Subscriber and Subscriber’s immediate family members, limited to the Subscriber’s parents, spouse, children and siblings.
DISCLAIMER/ TERMS OF USE of BIMA SEHAT Consultations 
TERMS OF USE
THIS DOCUMENT IS AN AGREEMENT BETWEEN YOU AND MILVIK, WHICH CONTAINS THE TERMS AND CONDITIONS YOU AGREE TO WHEN YOU USE THE BIMA SEHAT PRODUCT. IF YOU DO NOT AGREE TO THESE TERMS AND CONDITIONS, YOU ARE NOT AUTHORIZED TO ACCESS OR USE OUR SERVICES. WE MAY UPDATE THESE TERMS OF USE FROM TIME TO TIME. WE ENCOURAGE YOU TO REVIEW THESE TERMS PERIODICALLY. YOUR CONTINUED USE OF OUR SERVICES (AS DEFINED BELOW) INDICATES YOUR ACCEPTANCE OF THE CHANGED TERMS OF USE.
Any reference to “MILVIK”, “our”, “us”, or “we” are references to MILVIK Mobile Pakistan (Pvt.) Limited, a private company registered in Pakistan (company number 90585), the registered office being 3rd Floor, New Liberty Tower, Model Town Link Road, Model Town, Lahore, Pakistan
1. Services Provided:
MILVIK provides real-time medical consultations with licensed physicians (“BIMA Doctors”) through telephone, video, SMS, apps or other means for the purpose of providing advice and/or recommendations on medical and health issues (“Services”). MILVIK may also offer other health-related services provided in partnership with local providers, which may include hospitals, diagnostic laboratories or pharmacies (together with the BIMA Doctors, the “Providers”).
MILVIK facilitates access to Providers who have agreed to provide medical and health advice and services to customers. It does not interfere with the practice of medicine or other licensed profession by BIMA Doctors and MILVIK does not impose any guidelines or protocols that restrict the actions of BIMA Doctors.
2. Use of MILVIK health Services is NOT FOR EMERGENCIES:
Our Services are NOT for use in potential or actual medical emergencies or if you have a condition that you know will require a physical examination. If this is the case, you should visit your nearest emergency room. You must not delay your visit to the emergency room in anticipation of obtaining medical advice from a BIMA Doctor through MILVIK.
3. Relationship with your Primary Care Physician:
Your interaction with the BIMA Doctors through our Services is not intended to replace your relationship with your existing primary care physician or other healthcare professional or be your permanent medical access point. You should seek emergency help or follow-up care when recommended by a BIMA Doctor or when otherwise needed and continue to consult with your primary care physician and other health care professionals as necessary. Consult your primary care physician or health care professional as relevant if you have any questions about any symptoms or medical condition, and before starting or stopping any treatment by your physician or health care professional.
4. Medication Policy:
MILVIK will provide you with access to BIMA Doctors that are appropriately qualified and experienced to practice medicine. Subject to all applicable laws, such BIMA Doctor may recommend a medication as deemed appropriate. BIMA Doctors cannot guarantee the availability, effectiveness, authenticity, reliability, safety, legality or quality of the recommended medicine. MILVIK does not guarantee that a BIMA Doctor will recommend or issue medication, and does not endorse, recommend or make any representation or warranty about the medicines recommended or prescribed by the BIMA Doctor.
You agree that any medication recommended to you from a BIMA Doctor shall be solely for your personal use. You agree to fully and carefully read all product information and labels before use and to contact a physician or pharmacist if you have any questions regarding the medicine. You agree that you are using our Services only for yourself, or on behalf of a child under 18 in your capacity as his/her parent or legal guardian, provided that you supervise the child’s use of the Services at all times. MILVIK may suspend services or terminate customer accounts if we reasonably suspect that such accounts are being used in breach of the restrictions in this section.
5. Privacy:
When you sign up for the Services, you agree that the Providers will communicate with you, by sending information, messages and notices to you. These messages may be conveyed or sent via email, SMS, notifications, etc, using the contact information associated with your account, which includes the information you provide when you register or update information in your account settings. You also agree that MILVIK may retain your medical records and that such records will be held in compliance with all applicable laws. MILVIK may record calls and other communications with you for quality assurance purposes.

6. Intellectual Property Rights:

You may communicate materials containing our copyrights, trademarks, trade secrets, patents, or other intellectual property rights (“IPR”) to your physician or health care professional only. You are not permitted to copy, distribute or make any business use of our IPR.
7. Informed Consent:
Tele-health is the delivery of health care services using interactive audio and/or video technology, where the patient and the BIMA Doctor are not in the same physical location. During your tele-health consultation with a BIMA Doctor details of your medical or health history and personal health information may be discussed through the use of interactive audio, video, and/or other telecommunications technology, and the BIMA Doctor may perform a physical exam through these technologies. Depending on your medical or health history and/or specific complaint, you may be asked to provide information through other electronic means and verify your identity with a national identity card or other legal document.
8. Limitations of Tele-Health:
There are potentials risks associated with the use of tele-health, including, but not limited to:
In some instances, the information transmitted may be of insufficient quality to allow for appropriate medical or health care decision making by the BIMA Doctor (i.e., poor call quality, poor resolution of images, etc.);
Delays in evaluation or treatment could occur due to failure of the electronic equipment or technical failures outside of our control. We are not responsible to you if this happens, but if it does, we will notify you as soon as we can and take the steps that we reasonably can to minimize the interruption to the Services;
In some instances, a lack of access to your complete medical records and incomplete or inaccurate disclosure by the patient may result in adverse drug reactions or allergic reactions or other judgment errors;
Although the electronic systems we use will incorporate networks and software security protocols to protect the privacy and security of health information, in some instances, security protocols may fail and cause a breach of privacy and/or personal health information.
9. Complaints and Disputes:
You can always give us feedback on our Services by calling 042-111-119-878 or emailing us at CS@MilvikPakistan.com
If you have a complaint about our Services, we would like to resolve it as soon as possible. Please tell us about your complaint as soon as you can so that we can do this. We may ask you for certain details about you and your complaint in order to address it. Please provide these as soon as you can so that we can resolve your complaint quickly. We will tell you the outcome of our investigation into your complaint and give you the chance to discuss it with us. If we find that we have broken any of these terms and you suffer loss or damage, we are responsible for compensating you for that loss or damage if it was a foreseeable result of our breaking of these terms. We are not responsible for compensating you for indirect, incidental, special or consequential damages.
These terms are governed by Pakistani laws and the Pakistani courts shall have exclusive jurisdiction to hear any claim arising out of or in connection with these terms or the use of our products and services.services.
10. Acceptance of these terms of use:

By using the Services, you acknowledge that you understand and agree with the following: 

While benefits may be expected from the use of tele-health, no results can be guaranteed or assured, my situation may not be addressed or improved, and in some cases, it can get worse;

If you think you have a medical emergency or if you have a condition that you know will require a physical examination, you are responsible for visiting your nearest emergency room;

The Services are not suitable for unsupervised use by persons under 18;

Subject to all applicable laws, our BIMA Doctor may decide that tele-health services are not appropriate for some or all of your treatment needs and, accordingly, may elect not to provide tele-health services to you through MILVIK.

CHARGES:

Monthly

Daily

Method of Payment

Level of maximum insurance benefit provided

47.5

1.58

Prepaid balance

PKR 225,000

94.99

3.17

Prepaid balance

PKR 450,000

237.45

7.92

Prepaid balance

PKR 1,250,000

475.01

15.83

Prepaid balance

PKR 2,500,000

 

PKR 225,000 Policy:

Amount of End User Price paid in calendar month (PKR)

Insurance Cover in the following calendar month

47.5

225,000

45.92

217,500

44.33

210,000

42.75

202,500

41.17

195,000

39.58

187,500

38

180,000

36.42

172,500

34.83

165,000

33.25

157,500

31.67

150,000

30.87

142,500

28.5

135,000

26.92

127,500

25.33

120,000

23.75

112,500

22.17

105,000

20.58

97,500

19

90,000

17.42

82,500

15.83

75,000

14.25

67,500

12.67

60,000

11.08

52,500

9.5

45,000

7.92

37,500

6.33

30,000

4.75

22,500

3.17

15,000

1.58

7,500

0

Nil

 

PKR 450,000 Policy:

Amount of End User Price paid in calendar month (PKR)

Insurance Cover in the following calendar month

94.99

450,000

91.82

435,000

88.66

420,000

85.49

405,000

82.32

390,000

79.16

375,000

75.99

360,000

72.83

345,000

69.66

330,000

66.49

315,000

63.33

300,000

60.16

285,000

56.99

270,000

53.83

255,000

50.66

240,000

47.5

225,000

44.33

210,000

44.16

195,000

38

180,000

34.83

165,000

31.66

150,000

28.5

135,000

25.33

120,000

22.16

105,000

19

90,000

15.83

75,000

12.67

60,000

9.5

45,000

6.33

30,000

3.17

15,000

0

Nil

 

PKR 1,250,000 Policy:

Amount of End User Price paid in calendar month (PKR)

Insurance Cover in the following calendar month

237.49

1,250,000

229.57

1,208,333

221.66

1,166,667

213.74

1,125,000

205.82

1,083,333

197.91

1,041,667

189.99

1,000,000

182.06

958,333

174.16

916,667

166.24

875,000

158.33

833,333

150.41

791,667

142.49

750,000

134.58

708,333

126.66

666,667

118.75

625,000

110.83

583,333

102.91

541,667

95

500,000

87.08

458,333

79.16

416,667

71.25

375,000

63.33

333,333

55.41

291,667

47.5

250,000

39.5

208,333

31.67

166,667

23.75

125,000

15.83

83,333

7.92

41,667

0

Nil

PKR 2,500,000 Policy:

Amount of End User Price paid in calendar month (PKR)

Insurance Cover in the following calendar month

475.01

2,500,000

459.18

2,416,667

443.34

2,333,333

427.51

2,250,000

411.68

2,166,667

395.82

2,083,333

380.01

2,000,000

364.17

1,916,667

348.34

1,833,333

332.51

1,750,000

316.67

1,666,667

300.84

1,583,333

285.01

1,500,000

269.17

1,416,667

253.34

1,333,333

237.51

1,250,000

221.67

1,166,667

205.84

1,083,333

190

1,000,000

174.17

916,667

158.34

833,333

142.5

750,000

126.67

666,667

110.84

583,333

95

500,000

79.17

416,667

63.33

333,333

47.5

250,000

31.67

166,667

15.83

83,333

0

Nil

 

In addition to the Personal Accident Insurance Cover, the insured is entitled to cover for each night spent in the hospital (hospitalization) due to an Accident. For each night spent in hospital, the insured is eligible for the greater of (i) PKR 600 or (ii) 0.25% of the monthly sum insured, according to the Insurance Cover level as described in the Insurance Benefits Section of the Policy Wording above. For example, if the customer is deduced PKR 66+taxes and receives PKR 450,000 of monthly Personal Accident Insurance Cover, and the Insured is hospitalized due to an accident for 2 nights but not permanently disabled, the Insured will receive PKR 2400 of cover. This additional cover is paid out for a maximum of 30 nights in a given year. The Insured cannot claim both Personal Accident Insurance Cover and this additional cover for the same incident. This additional cover is subject to the same terms and conditions as the Personal Accident cover meaning for example that; no cover will be provided if the Insured is not receiving any cover in the present month or if the Insured is ineligible because of the Insured fails to meet the criteria or is in hospital due to an exclusion or in hospital for any other reason other than an Accident.

ACKNOLEDGEMENT

(Policy Terms and Conditions shall remain subject to the following)

MILVIK is the Insurance broker who has been authorized by IGI General Insurance Company Limited to bind cover on behalf of Insurer within the terms and conditions of this Insurance Policy. To cease monthly deductions, the Subscriber must deregister the Subscriber’s BIMA SEHAT Plan by contacting MILVIK. Otherwise, Jazz will continue making monthly deductions.

In the event that the Subscriber, as an Insured Member, subscribe to more than one (1) BIMA SEHAT Plan under the Insurance Policy (including through different Jazz mobile accounts):

The Subscriber’s maximum benefit shall be the maximum benefit offered by only one of the BIMA SEHAT Plans that the Subscriber has subscribed to;

Our maximum liability to the Subscriber or the Subscriber’s beneficiary shall be the higher of the two BIMA SEHAT Plans that the Subscriber subscribed to;

After becoming the Subscriber in the Insurance Service, Jazz Subscriber permits Jazz to share his details and information available with Jazz and as sought by IGI General Insurance and MILVIK or any other entity authorized by IGI General Insurance in this regard, for inter alia processing of the Policy, storing and processing data across countries, and more effectively providing the Insurance Service and payment of Insurance Cover; Jazz Customer/Subscriber agrees and acknowledges that he or his legal heirs shall not hold Jazz responsible for any consequences of sharing such information;

Fraud or abuse relating to Re-Load/Re-Charge may result in forfeiture/cancellation of the Policy, suspension of Jazz Services of the Customer/Subscriber and termination of his Connection; and

While availing the Insurance Service the Subscriber shall not respond to any calls/SMSs directing to make/send calls/SMSs to any other number/short code or which are regarding award of any prize (whether money or in kind) in lieu of balance transfer or any call. Ignorance of this clause by Jazz Customer/Subscriber shall not accrue any liabilities/responsibilities on IGI General Insurance or Jazz including but not limited to liability/responsibility towards any loss occurred to the Jazz Customer/Subscriber

Jazz, IGI, or MILVIK may amend these Terms and Conditions at any time. The Subscriber shall be informed through an SMS or any other manner in accordance with the relevant laws that these Terms and Conditions are amended. Such SMS or information through any other manner (as mentioned above) shall contain a link to such amended Terms and Conditions, and if the Subscriber shall continue to pay for the Insurance Cover it shall be the acceptance of the Subscriber to the amended Terms and Conditions.

Jazz, MILVIK, and IGI may jointly amend the Service Charges from time to time at their discretion in accordance with the applicable laws and regulations of Pakistan Telecommunication Authority (“PTA”). The acceptance of these Terms and Conditions of the Subscriber shall also be the acceptance with the End User Price to be charged to provide the Insurance Policy;

IGI, Jazz, and MILVIK have the complete authority to stop offering BIMA SEHAT Plan or Policy at any time at their discretion.

 The Subscriber acknowledges that these Terms and Conditions are in addition to the terms and conditions accepted by the Subscriber at the time of availing Jazz’s cellular services (which includes the terms and conditions of CSAF and the terms and conditions received in the SIM Jacket). However, in case of conflict between these Terms and Conditions and terms and conditions of CSAF, these Terms and Conditions shall prevail to the extent of subject matter of these Terms and Conditions.

The domestic laws of the Islamic Republic of Pakistan shall govern the Insurance Policy and the Courts of the Islamic Republic of Pakistan shall have jurisdiction in any dispute arising hereunder.

If any provision of the Insurance policy is found by any court or administrative body of competent jurisdiction to be invalid or unenforceable, such invalidity or unenforceability will not affect the other provisions of the Insurance policy which will remain in full force and effect.

This policy has been especially created to provide protection for those Jazz Customers who successfully apply for that protection and who pay the appropriate Premium. Accordingly, notices to the Subscriber may be provided by:

SMS to the Subscriber’s postpaid mobile service (from which monthly deductions are made); If a notice is made by SMS, the notice is deemed to be received on the day the SMS is sent. If a notice is placed on a website, the notice is deemed to be received on the day the notice is placed

Notification placed on Jazz.com.pk or on the Insurer’s website at https://igiinsurance.com.pk/; or on www.milvikpakistan.com

By publication in a major newspaper in the Islamic Republic of Pakistan

FAQS

  1. When will a postpaid customer get covered for the Hospitalization Insurance?

Postpaid customer will get the cover from 2nd day of the registration.

  1. What will happen if a postpaid customer number remains Inactive during the billing cycle?

If the customer does not become Active in the billing cycle, BIMA will not provide insurance coverage to the customer.

  1. Will the charges for the postpaid customer be deducted upfront meaning after the confirmation or will it be deducted on daily basis?

Customer will be charged on prorate from the day service is subscribed till his bill date and customer will be charged in advance for every month.

  1. How will a customer unsubscribe from this service?

For un- subscription from this service, customer will write “NO”, “Cancel” or “Unsub” in message and send it to 9878 OR customer can call on 042-111-119-878 anytime.

  1. What will happen if a customer subscribes for the service and de-register it before the bill date. i.e., customer bill date is 21st Aug 2020, he is opting the service on 15th Aug and deregister the Service after two days on 17th Aug before the bill date?

Customer will get cover according to prorated charges and cover will be provided accordingly.

  1. If a customer hasn’t paid his bill (considering number is not in suspended state) will he be eligible for the claim next month?

Yes, he will be covered as we have not associated the collection of bills with the cover of customer.

  1. If Jazz customer number is in suspended state will he be eligible for cover next month or will his charges for BIMA be charged for next month?

Yes, customer will be charged and get cover.

  1. If Customer is out of country and on Roaming in other country and he receives call from 042-111-119-878 can BIMA agent activate his service?

Yes, if BIMA agent speaks to the original customer and the customer is willing to opt in.

  1. If customer is out of country and on Roaming will be eligible for claim if yes, then please confirm what will be the deduction criteria?

For postpaid customers as we charge them in bill, so customer will be eligible to get cover even if he is out of country.

GENERAL TERMS & CONDITIONS

These terms and conditions are in addition to the general terms and conditions duly approved by PTA and agreed to by the customer in CSAF/eCSAF at the time of activation of connection/SIM.

Jazz reserves the right/discretion to set/change the price/rate of any offer/package/bundle or withdraw/change/revoke such offer/package/bundle at any time. Where required under PTA’s regulations, prior notice shall be given to affected customers accordingly.

Offer Price/charges of each offer/package/bundle shall be subject to all applicable taxes, if any, irrespective of the fact in which area of the country the requisite offer/package/bundle is activated/service availed.

The charging system reserves certain proportion of available data volume in MBs of your package against opening/accessing of each application/website on the device, therefore, the simultaneous opening/accessing of multiple applications and/or websites may result in reserving all your available data volume in MBs of your package and may start charging on base rate of your package.

The amount of balance and recharge required for bundles may be rounded up to the nearest whole number.

In case of any queries, questions, complaints or additional requirements, please email us at : customercare@jazz.com.pk

Unwanted and unethical (unreasonable) messages can be reported by texting SENDER’s NUMBER (SPACE) message to 9000 –PTA

Using a SIM which is not in your name or allowing others to use your SIM is a crime – PTA

Dial 420 to block unsolicited calls/messages (charges applicable).

Unsolicited marketing communication can be blocked using “Do Not Call Register” service by texting “ON” or “SUB” to 3627. It is a free of cost service provided to Jazz customers.

The term “Purchase of Sim” means procuring/acquiring connection to the network of PMCL by a customer for availing telecommunication and other related services from PMCL. SIM always remains the property of PMCL and by issuing SIM to customer, only rights to use are given and no ownership is transferred to the customer in any manner, whatsoever. The customer is bound to return the SIM to PMCL in case he stops using service or agreement is terminated or he changes the network through MNP.

Bill date for all postpaid subscribers will be changed to 2nd of every month in 2021. Due to this change, customers will get a separate bill for difference in days for execution month . Min/MB charging will be prorated as per package.

Details of applicable Taxes/charges on usage and recharge in Pakistan and AJK are given below:

Advance income tax rate is @15% on each recharge.

Rate of sales tax in Federal Territory of Islamabad is 16%

Rate of sales tax in rest of Pakistan and AJK is 19.5%

GB is exempted from taxes.

A late payment fee of PKR 50 will be charged on bills remaining unpaid after the due date.

BIMA SEHAT (Prepaid)

OVERVIEW

Another beneficial service from BIMA is here! Secure your family’s future by subscribing to the BIMA Sehat product today! BIMA Sehat provides a monthly hospitalization insurance policy with health services, which is paid for by the Subscriber through his monthly postpaid bill.

 How to subscribe:

Call 042-111-119-878 or SMS “BIMA Sehat” to 9878 and an agent will call* you to guide and help subscribe to the service *MILVIK agent will call you within 24 working hours There are no charges for sending an SMS to 9878.

CHARGES

Charges and BIMA Cover:

Plan

**Daily Price

**Monthly Price

Maximum sum assured per night (max 30 nights per year)

Silver

Rs.1.43

Rs.42.89

Rs.1,000

Gold

Rs.2.86

Rs.85.79

Rs.2,250

Platinum

Rs.7.15

Rs.214.48

Rs.5,500

Diamond

Rs.14.30

Rs.428.95

Rs.12,000

 Prepaid: The monthly price is charged in **installments over 30 days

**Prepaid subscribers are eligible for Cover even if they are unable to pay the entire monthly price. For details please refer to the Terms & Conditions

**The monthly price is divided into 30 equal installments and is charged once per day until the entire month’s price is received. If your prepaid balance is low and you may not be charged for that day. Proportionately reduced amount of insurance benefit will be provided even after one day deduction.

Postpaid: Service will be launched for postpaid soon.

How do I Claim: 

SMS ‘CLAIM’ to 9878 or call 042-111-119-878 no later than 270 days from the first night of hospitalization and a MILVIK representative will contact you with full information on how to process your claim.

TERMS & CONDITIONS

The Insurance is underwritten by IGI General Insurance and delivered by MILVIK.

BIMA is the global leader in mobile micro insurance and it protects the future of 30 million families worldwide. It has operations in 15 markets across Asia, Africa, Latin America, and the Caribbean. BIMA is proud to have paid over $ 8 million in claims.

MILVIK is proudly underwritten by IGI General Insurance. IGI General Insurance offers first class security and service to the insuring public at an international standard.

Jazz Telecom, is facilitating this offering but shall not be responsible for any grievance of the Jazz Customer relating to the Insurance Services and IGI General Insurance’s or MILVIK’s performance of its obligations.

BIMA SEHAT POLICY

 Whereas the Insured Person by a proposal which shall be the basis of the contract and be held as incorporated herein has applied to the Company for the insurance hereinafter contained and has paid or agreed to pay the first premium as consideration for such insurance.

Now this policy witnesses that subject to the terms conditions and exceptions contained herein or endorsed hereon, if at any time during the period of insurance, if the Insured Person shall be hospitalized due to any reason (with the exception of the exclusions) the Company will pay to the Insured Person or his beneficiary

DEFINITIONS

BIMA SEHAT means monthly hospitalization insurance policy with Tele-Health Services

IGI refers to the COMPANY, the INSURER, or IGI General Insurance Company Limited.

APPLICANT means the individual who applies for BIMA Sehat Plan under this Policy.

BENEFICIARY is defined as Beneficiary in the application or the person substituted as such.

INSURANCE BENEFIT(S) are amounts payable in the event of an indemnifiable claim and as detailed in the Schedule of Insurance Benefits attached hereinafter.

MILVIK refers to MILVIK Mobile Pakistan.

The COMPANY is stated as IGI General Insurance Company Limited.

ELIGIBLE APPLICANT means an Applicant who meets the eligibility criteria set forth in this Policy.

END USER PRICE means the amount to be charged to the Subscriber for getting the Insurance Policy and it shall include the Premium, Jazz’s Consideration and any applicable taxes on the telco services involved in the provision of Insurance Services.

HOSPITAL is defined as “Any institution in Pakistan that has been registered as a hospital with the local authorities and is under the supervision of a registered and qualified medical practitioner.”

HOSPITALISATION: staying minimum of one night in a facility recognized as hospital.

INSURANCE COVER means the amount which shall be paid by IGI to the Beneficiary or the Insured as per the terms and conditions of the Insurance Policy.

INSURANCE POLICY means this insurance policy setting out the terms and conditions on which insurance coverage is granted to a Subscriber.

INSURANCE SERVICES shall mean the insurance services to be provided to Jazz Customers.

The INSURED or INSURED PERSON means any Jazz Telecom subscriber who opt to purchase policy

The INSURER is stated as IGI General Insurance Company Limited.

MSISDN shall mean Mobile Subscriber Integrated Services Digital Network Number.

PREMIUM means the premium payable by an Insured Member to Insurer in relation to the Insurance Policy.

SUBSCRIBER means those Jazz Customers who subscribe for the Insurance Services to get this Insurance Policy.

JAZZ refers to Pakistan Mobile Communications Limited, a company duly incorporated and registered under the Companies Ordinance 1984 of Pakistan, and having its registered office at 1-A, IBC Building, F-8 Markaz, Islamabad, Pakistan.

JAZZ CUSTOMERS shall mean the customers of Jazz using Jazz’s System.

JAZZ SYSTEMS mean Jazz’s GSM mobile cellular system.

JAZZ PAYMENT TERMS mean Jazz’s payment terms published at jazz.com.pk, as revised from time to time.

EXCLUSIONS

The BIMA SEHAT plan shall not cover any hospitalization claim which is caused by, or resulting, directly or indirectly, wholly or partly, from any of the following factors:

intentional self-inflicted injury, suicide attempt, or arising out of non-adherence to medical advice;

elective treatment, such as cosmetic surgery; and

pregnancy and any complications arising from pregnancy during the first nine (9) months from the Subscription.

GENERAL PROVIOSIONS

  1. Eligibility & Enrolment

Applicants are eligible to apply for BIMA Sehat insurance plan under the Policy if Applicants meet ALL the criteria set out below:

(1) Eligible Applicants shall include individual pre-paid and post-paid Jazz Customers. It is understood and agreed between the Parties that only one (1) person shall be insured per pre-paid or post-paid telecommunication connection.

(2) All Eligible Applicants shall be natural persons. Corporations, partnerships and businesses shall not be eligible for coverage under the BIMA Sehat Policy.

(3) All Eligible Applicants shall be a minimum of eighteen (18) years of age and a maximum of sixty four (64) years of age at the time of registration.

(4) If the Applicant wishes to apply for and subscribe to the BIMA Sehat Plan under this Insurance Policy, the Applicant will be required during the registration process to:

  1. acknowledge that the Applicant has read and understood the terms of the Policy and the Jazz Payment Terms;
  2. confirm that the Applicant meets the eligibility criteria set out in General Provision 1 of the policy;

iii. confirm the BIMA Sehat Plan that the Applicant wishes to apply for;

  1. authorize Jazz to make 30 daily deductions each month from the prepaid account and
  2. the Insurance Benefits payable are subject to the Applicant’s confirmations being true and correct; and
  3. if the Applicant’s confirmation is untrue or incorrect, no Insurance Benefits will be payable and the End User Price the Subscriber paid will not be refunded.
  1. Mistake In Age

The Company shall only pay Insurance Benefits based on the disclosed age of the Insured. With the onus on the customer for incorrect disclosure the Company shall not be liable to pay any benefit under this Policy in that particular case.

  1. Intentional False Statements Of The Insured

In the event of any concealment or misrepresentation the BIMA Sehat Policy shall become null and void with respect to the relevant Insured.

  1. Notice Of Claims

the Company shall be notified of the hospitalization of the Insured as soon as possible, but not later than 270 (two hundred & seventy) days from the from the first night of hospitalization after which it shall be treated as time‑barred and the Company shall not be bound to pay the Claim.

(2) For each Claim reported, the Company shall obtain:

From the Claimant:

CNIC; final hospital invoice or discharge report which states date of admission and discharge.

Insurer may require any other document it reasonably deems necessary before approving a claim under the Policy.

(3) The Company” shall process and pay genuine and approved claims on receipt of required documents from the Claimant within three (3) working days.

(4) If there is a dispute, suspected fraudulent activity on the claim or a unique situation which requires further clarification, the payment period can be extended but shall not exceed ten (10) working days, or as long as the dispute takes to resolve in the legal system.

  1. Termination Of Individual Insurance

The insurance of an Insured shall automatically terminate at the earliest time below:

Upon Death of Policy Holder or

Upon cancellation or withdrawal of subscription by Jazz of the contract/relationship with the Insured, whatever the reason may be, or

In case of non-payment of the individual End User Price for the Insurance Policy.

  1. Participation Requirement/Process

Interested customers shall participate through an electronic enrolment process, assisted by a call center agent, or by submitting information electronically via their handset, in two phases:

1st Phase:

Name of the Customer:

Age or CNIC Number:

Name of the Beneficiary:

Relationship to Customer:

Insurance Benefits selected by Customer:

2nd phase:

Once the customer has answered the questions in the 1st Phase, the customer shall receive an SMS on for or on behalf of the Company and shall be asked to dial a short code, or send an SMS to a particular number to confirm registration. Alternatively, the Customer may offer his verbal consent over an official recorded channel managed by MILVIK to a MILVIK agent. This confirmation serves as digital signature for the BIMA SEHAT Insurance Cover. After receiving positive response, the customer shall be enrolled under the BIMA SEHAT Policy.

  1. Arbitration

All differences arising out of this policy shall be referred to the decision of an arbitrator to be appointed in writing by the parties in difference or if they cannot agree upon a single arbitrator to the decision of two arbitrators one to be appointed in writing by each of the parties within one calendar month after having been required in writing so to do by either of parties or incase the arbitrators do not agree of an umpire appointed in writing by the arbitrators before entering upon the reference. The umpire shall sit with the arbitrators and preside at their meetings and the making of an award shall be a condition precedent to any right of action against the Company. If the Company shall disclaim liability to the Insured Person for any claim hereunder and such claim shall not within twelve calendar months from the date of such disclaimer have been referred to arbitrator under the provisions herein contained then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder. Notwithstanding stated above, dispute resolution forums given under the Insurance Ordinance, 2000, such as the Insurance Ombudsman, Small Disputes Resolution Committee and the Insurance Tribunals, shall prevail in the order of precedence, and over the seat of Arbitration

  1. Compliance with Policy Provisions

Failure to comply with any of the provisions contained in the policy shall invalidate all claims hereunder.

  1. Insurance Benefits

The Company hereby agrees to pay the following benefit subject to the terms and conditions provided under the BIMA SEHAT Policy as defined hereunder.

If an Insured is hospitalized due to any reason(with the exception of exclusions), on a twenty four (24)-hour worldwide basis, the Company will, upon receipt of due proof in writing of the hospitalization of the insured, pay the Insured or Beneficiary as the case may be the sum assured, according to their Insurance Cover level as described in this Insurance Benefits Section of the Policy Wording

Benefit:

The amount of benefit received by the Insured or the Beneficiary in the event of the hospitalization from the from the first night of hospitalization of the Insured will be according to the amount of premium paid and subject to the terms and conditions of the product.

Terms and conditions of this cover are as follows:

Only One (1) policy per applicant

A Claim must be intimated to the Company within two hundred & seventy (270) days from the date of first night of hospitalization

Payment of claims is subject to exclusions, as outlined in the Exclusions section of this contract

The following actions shall be taken depending on the decision of renewal or non-renewal:

On non-renewal: The insurance policy shall be terminated, and all airtime deduction or billing shall be discontinued; any amount deducted or billed after the cancellation of the service is nonrefundable.

On renewal: the insurance policy shall continue on auto-renewal, and all airtime deduction or billing will continue to apply in subsequent calendar month

The BIMA Sehat service is extended to one (1) person per Jazz subscriber who is a successful Applicant for the BIMA Sehat Insurance Cover. Each Applicant is allowed to select the level of maximum insurance benefit at the point of Enrolment.

The Subscriber has the option to choose between four (4) cover levels, at four (4) corresponding End User Price points, as given below. Unlimited M‑health is included for all four (4) cover levels.

Monthly Price

Daily

Method of Payment

Maximum sum assured per night (max 30 nights per year)

M-Health

Specialist Consultations (Gynae, Paeds, Nutritionist & Mental Health)

Rs.42.89

Rs.1.43

Prepaid balance

PKR 1,000

Unlimited

NA

Rs.85.79

Rs.2.86

Prepaid balance

PKR 2,250

Unlimited

NA

Rs.214.48

Rs.7.15

Prepaid balance

PKR 5,500

Unlimited

Yes

Rs.428.95

Rs.14.30

Prepaid balance

PKR 12,000

Unlimited

Yes

PKR 1,000 Per night

 

Amount of End User Price paid in calendar month (PKR)

Per night cover in the following calendar month

42.89

1,000

41.46

967

40.03

933

38.6

900

37.17

867

35.74

833

34.31

800

32.88

767

31.45

733

30.02

700

28.59

667

27.16

633

25.73

600

24.3

567

22.87

533

21.45

500

20.02

500

18.59

500

17.16

500

15.73

500

14.3

500

12.87

500

11.44

500

10.01

500

8.58

500

7.15

500

5.72

500

4.29

500

2.86

500

1.43

500

0

Nil

 

PKR 2,250 per night

 

Amount of End User Price paid in calendar month (PKR)

Per night cover in the following calendar month

85.79

2,250

82.93

2,175

80.07

2,100

77.21

2,025

74.35

1,950

71.49

1,875

68.63

1,800

65.77

1,725

62.91

1,650

60.05

1,575

57.19

1,500

54.33

1,425

51.47

1,350

48.61

1,275

45.75

1,200

42.9

1,125

40.04

1,050

37.18

975

34.32

900

31.46

825

28.6

750

25.74

675

22.88

600

20.02

525

17.16

500

14.3

500

11.44

500

8.58

500

5.72

500

2.86

500

0

Nil

 

PKR 5,500 per night

 

Amount of End User Price paid in calendar month (PKR)

Per night cover in the following calendar month

214.48

5,500

207.33

5,316

200.18

5,134

193.03

4,950

185.88

4,766

178.73

4,584

171.58

4,400

164.43

4,216

157.29

4,034

150.14

3,850

142.99

3,666

135.84

3,484

128.69

3,300

121.54

3,116

114.39

2,934

107.24

2,750

100.09

2,566

92.94

2,384

85.79

2,201

78.64

2,018

71.49

1,835

64.34

1,652

57.19

1,469

50.05

1,286

42.9

1,103

35.75

920

28.6

737

21.45

554

14.3

500

7.15

500

0

Nil

 

PKR 12,000

 

Amount of End User Price paid in calendar month (PKR)

Per night cover in the following calendar month

428.95

12,000

414.65

11,600

400.35

11,200

386.06

10,800

371.76

10,400

357.46

10,000

343.16

9,600

328.86

9,200

314.56

8,800

300.27

8,400

285.97

8,000

271.67

7,600

257.37

7,200

243.07

6,800

228.77

6,400

214.48

6,000

200.18

5,600

185.88

5,200

171.58

4,800

157.28

4,400

142.98

4,000

128.69

3,600

114.39

3,200

100.09

2,800

85.79

2,400

71.49

2,000

57.19

1,600

42.9

1,200

28.6

800

14.3

500

0

Nil

 

Hospital Insurance

Cover: lump sum pay out based on number of overnight stays in hospital, maximum thirty (30) nights per year.

In addition to the Hospitalization cover BIMA Sehat service includes:

Health programs 

Access to one health program, chosen by the Subscriber from a menu of health programs provided by MILVIK. Health programs include periodic delivery of program-specific content through different communication channels. The health program is only available for the Subscriber.

Tele-Consultation:

Unlimited access to tele-consultations with MILVIK doctors to address acute minor ailments and to receive medical advice on general health topics, however, these may not be used for urgent conditions. The teleconsultations are available for the Subscriber and Subscriber’s immediate family members, limited to the Subscriber’s parents, spouse, children and siblings.

Specialist Consultation:

Access to specialists (gynecologist, pediatrician, nutritionist and psychologist/psychiatrist) for your health needs in both consultative and health advice related matters. The specialist services are available for the Subscriber and Subscriber’s immediate family members, limited to the Subscriber’s parents, spouse, children and siblings.

DISCLAIMER/ TERMS OF USE of BIMA SEHAT Consultations

TERMS OF USE

THIS DOCUMENT IS AN AGREEMENT BETWEEN YOU AND MILVIK, WHICH CONTAINS THE TERMS AND CONDITIONS YOU AGREE TO WHEN YOU USE THE BIMA SEHAT PRODUCT. IF YOU DO NOT AGREE TO THESE TERMS AND CONDITIONS, YOU ARE NOT AUTHORIZED TO ACCESS OR USE OUR SERVICES. WE MAY UPDATE THESE TERMS OF USE FROM TIME TO TIME. WE ENCOURAGE YOU TO REVIEW THESE TERMS PERIODICALLY. YOUR CONTINUED USE OF OUR SERVICES (AS DEFINED BELOW) INDICATES YOUR ACCEPTANCE OF THE CHANGED TERMS OF USE.

Any reference to “MILVIK”, “our”, “us”, or “we” are references to MILVIK Mobile Pakistan (Pvt.) Limited, a private company registered in Pakistan (company number 90585), the registered office being 3rd Floor, New Liberty Tower, Model Town Link Road, Model Town, Lahore, Pakistan.

  1. Services Provided:

MILVIK provides real-time medical consultations with licensed physicians (“BIMA Doctors”) through telephone, video, SMS, apps or other means for the purpose of providing advice and/or recommendations on medical and health issues (“Services”). MILVIK may also offer other health-related services provided in partnership with local providers, which may include hospitals, diagnostic laboratories or pharmacies (together with the BIMA Doctors, the “Providers”).

MILVIK facilitates access to Providers who have agreed to provide medical and health advice and services to customers. It does not interfere with the practice of medicine or other licensed profession by BIMA Doctors and MILVIK does not impose any guidelines or protocols that restrict the actions of BIMA Doctors.

  1. Use of MILVIK health Services is NOT FOR EMERGENCIES:

Our Services are NOT for use in potential or actual medical emergencies or if you have a condition that you know will require a physical examination. If this is the case, you should visit your nearest emergency room. You must not delay your visit to the emergency room in anticipation of obtaining medical advice from a BIMA Doctor through MILVIK.

  1. Relationship with your Primary Care Physician:

Your interaction with the BIMA Doctors through our Services is not intended to replace your relationship with your existing primary care physician or other healthcare professional or be your permanent medical access point. You should seek emergency help or follow-up care when recommended by a BIMA Doctor or when otherwise needed and continue to consult with your primary care physician and other health care professionals as necessary. Consult your primary care physician or health care professional as relevant if you have any questions about any symptoms or medical condition, and before starting or stopping any treatment by your physician or health care professional.

  1. Medication Policy:

MILVIK will provide you with access to BIMA Doctors that are appropriately qualified and experienced to practice medicine. Subject to all applicable laws, such BIMA Doctor may recommend a medication as deemed appropriate. BIMA Doctors cannot guarantee the availability, effectiveness, authenticity, reliability, safety, legality or quality of the recommended medicine. MILVIK does not guarantee that a BIMA Doctor will recommend or issue medication, and does not endorse, recommend or make any representation or warranty about the medicines recommended or prescribed by the BIMA Doctor.

You agree that any medication recommended to you from a BIMA Doctor shall be solely for your personal use. You agree to fully and carefully read all product information and labels before use and to contact a physician or pharmacist if you have any questions regarding the medicine. You agree that you are using our Services only for yourself, or on behalf of a child under 18 in your capacity as his/her parent or legal guardian, provided that you supervise the child’s use of the Services at all times. MILVIK may suspend services or terminate customer accounts if we reasonably suspect that such accounts are being used in breach of the restrictions in this section.

  1. Privacy:

When you sign up for the Services, you agree that the Providers will communicate with you, by sending information, messages and notices to you. These messages may be conveyed or sent via email, SMS, notifications, etc, using the contact information associated with your account, which includes the information you provide when you register or update information in your account settings. You also agree that MILVIK may retain your medical records and that such records will be held in compliance with all applicable laws. MILVIK may record calls and other communications with you for quality assurance purposes.

  1. Intellectual Property Rights:

You may communicate materials containing our copyrights, trademarks, trade secrets, patents, or other intellectual property rights (“IPR”) to your physician or health care professional only. You are not permitted to copy, distribute or make any business use of our IPR.

  1. Informed Consent:

Tele-health is the delivery of health care services using interactive audio and/or video technology, where the patient and the BIMA Doctor are not in the same physical location. During your tele-health consultation with a BIMA Doctor details of your medical or health history and personal health information may be discussed through the use of interactive audio, video, and/or other telecommunications technology, and the BIMA Doctor may perform a physical exam through these technologies. Depending on your medical or health history and/or specific complaint, you may be asked to provide information through other electronic means and verify your identity with a national identity card or other legal document.

  1. Limitations of Tele-Health:

There are potentials risks associated with the use of tele-health, including, but not limited to:

  1. In some instances, the information transmitted may be of insufficient quality to allow for appropriate medical or health care decision making by the BIMA Doctor (i.e., poor call quality, poor resolution of images, etc.);
  2. Delays in evaluation or treatment could occur due to failure of the electronic equipment or technical failures outside of our control. We are not responsible to you if this happens, but if it does, we will notify you as soon as we can and take the steps that we reasonably can to minimize the interruption to the Services;
  3. In some instances, a lack of access to your complete medical records and incomplete or inaccurate disclosure by the patient may result in adverse drug reactions or allergic reactions or other judgment errors;
  4. Although the electronic systems we use will incorporate networks and software security protocols to protect the privacy and security of health information, in some instances, security protocols may fail and cause a breach of privacy and/or personal health information.
  1. Complaints and Disputes:

You can always give us feedback on our Services by calling 042-111-119-878 or emailing us at cs@milvikpakistan.com

If you have a complaint about our Services, we would like to resolve it as soon as possible. Please tell us about your complaint as soon as you can so that we can do this. We may ask you for certain details about you and your complaint in order to address it. Please provide these as soon as you can so that we can resolve your complaint quickly. We will tell you the outcome of our investigation into your complaint and give you the chance to discuss it with us. If we find that we have broken any of these terms and you suffer loss or damage, we are responsible for compensating you for that loss or damage if it was a foreseeable result of our breaking of these terms. We are not responsible for compensating you for indirect, incidental, special or consequential damages.

These terms are governed by Pakistani laws and the Pakistani courts shall have exclusive jurisdiction to hear any claim arising out of or in connection with these terms or the use of our products and services.

  1. Acceptance of these terms of use:

By using the Services, you acknowledge that you understand and agree with the following:

While benefits may be expected from the use of tele-health, no results can be guaranteed or assured, my situation may not be addressed or improved, and in some cases, it can get worse;

If you think you have a medical emergency or if you have a condition that you know will require a physical examination, you are responsible for visiting your nearest emergency room;

The Services are not suitable for unsupervised use by persons under 18;

Subject to all applicable laws, our BIMA Doctor may decide that tele-health services are not appropriate for some or all of your treatment needs and, accordingly, may elect not to provide tele-health services to you through MILVIK.

ACKNOWLEDGEMENT

Acknowledgement of the Customer

(Policy Terms and Conditions shall remain subject to the following)

MILVIK is the Insurance broker who has been authorized by IGI General Insurance Company Limited to bind cover on behalf of Insurer within the terms and conditions of this Insurance Policy. To cease daily deductions, the Subscriber must deregister the Subscriber’s BIMA SEHAT Plan by contacting MILVIK. Otherwise, Jazz will continue making daily deductions for so long as the Subscriber’s prepaid account has a positive credit balance.

In the event that the Subscriber, as an Insured Member, subscribe to more than one (1) BIMA SEHAT Plan under the Insurance Policy (including through different Jazz mobile accounts):

The Subscriber’s maximum benefit shall be the maximum benefit offered by only one of the BIMA SEHAT Plans that the Subscriber has subscribed to;

Our maximum liability to the Subscriber or the Subscriber’s beneficiary shall be the higher of the two BIMA SEHAT Plans that the Subscriber subscribed to;

After becoming the Subscriber in the Insurance Service, Jazz Subscriber permits Jazz to share his details and information available with Jazz and as sought by IGI General Insurance and MILVIK or any other entity authorized by IGI General Insurance in this regard, for inter alia processing of the Policy, storing and processing data across countries, and more effectively providing the Insurance Service and payment of Insurance Cover; Jazz Customer/Subscriber agrees and acknowledges that he or his legal heirs shall not hold Jazz responsible for any consequences of sharing such information;

Fraud or abuse relating to Re-Load/Re-Charge may result in forfeiture/cancellation of the Policy, suspension of Jazz Services of the Customer/Subscriber and termination of his Connection; and

While availing the Insurance Service the Subscriber shall not respond to any calls/SMSs directing to make/send calls/SMSs to any other number/short code or which are regarding award of any prize (whether money or in kind) in lieu of balance transfer or any call. Ignorance of this clause by Jazz Customer/Subscriber shall not accrue any liabilities/responsibilities on IGI General Insurance or Jazz including but not limited to liability/responsibility towards any loss occurred to the Jazz Customer/Subscriber

Jazz, IGI, or MILVIK may amend these Terms and Conditions at any time. The Subscriber shall be informed through an SMS or any other manner in accordance with the relevant laws that these Terms and Conditions are amended. Such SMS or information through any other manner (as mentioned above) shall contain a link to such amended Terms and Conditions, and if the Subscriber shall continue to pay for the Insurance Cover it shall be the acceptance of the Subscriber to the amended Terms and Conditions.

Jazz, MILVIK, and IGI may jointly amend the Service Charges from time to time at their discretion in accordance with the applicable laws and regulations of Pakistan Telecommunication Authority (“PTA”). The acceptance of these Terms and Conditions of the Subscriber shall also be the acceptance with the End User Price to be charged to provide the Insurance Policy;

IGI, Jazz, and MILVIK have the complete authority to stop offering BIMA SEHAT Plan or Policy at any time at their discretion.

The Subscriber acknowledges that these Terms and Conditions are in addition to the terms and conditions accepted by the Subscriber at the time of availing Jazz’s cellular services (which includes the terms and conditions of CSAF and the terms and conditions received in the SIM Jacket). However in case of conflict between these Terms and Conditions and terms and conditions of CSAF, these Terms and Conditions shall prevail to the extent of subject matter of these Terms and Conditions.

The domestic laws of the Islamic Republic of Pakistan shall govern the Insurance Policy and the Courts of the Islamic Republic of Pakistan shall have jurisdiction in any dispute arising hereunder.

If any provision of the Insurance policy is found by any court or administrative body of competent jurisdiction to be invalid or unenforceable, such invalidity or unenforceability will not affect the other provisions of the Insurance policy which will remain in full force and effect.

This policy has been especially created to provide protection for those Jazz Customers who successfully apply for that protection and who pay the appropriate Premium. Accordingly, notices to the Subscriber may be provided by:

SMS to the Subscriber’s prepaid mobile service (from which daily deductions are made); If a notice is made by SMS, the notice is deemed to be received on the day the SMS is sent. If a notice is placed on a website, the notice is deemed to be received on the day the notice is placed

Notification placed on Jazz.com.pk or on the Insurer’s website at https://igiinsurance.com.pk/ ; or on www.milvikpakistan.com

By publication in a major newspaper in the Islamic Republic of Pakistan

FAQS

I have already availed Personal Accident Insurance service, will this service be automatically enabled on my number?

No, you have to enroll yourself into this service, as BIMA Sehat service charges will be separately deducted from your JAZZ balance.

What documents are required for CLAIM?

CNIC, Final hospital invoice or Discharge report which states date of admission and discharge will be required for CLAIM

How long will it take to get the amount reimbursed once CLAIM is generated?

The money is paid by check or mobile money within 3 – 10 working days after the submission of all documents

On which conditions a person is not entitled for CLAIM?

Due to intentional self-inflicted injury, suicide attempt, or arising out of non-adherence to medical advice. Due to an elective treatment, such as cosmetic surgery. Pregnancy and any complication arising from pregnancy will not be covered during the first 12 months of the policy becoming effective.

GENERAL TERMS & CONDISTIONS

These terms and conditions are in addition to the general terms and conditions duly approved by PTA and agreed to by the customer in CSAF/eCSAF at the time of activation of connection/SIM.

Jazz reserves the right/discretion to set/change the price/rate of any offer/package/bundle or withdraw/change/revoke such offer/package/bundle at any time. Where required under PTA’s regulations, prior notice shall be given to affected customers accordingly.

Offer Price/charges of each offer/package/bundle shall be subject to all applicable taxes, if any, irrespective of the fact in which area of the country the requisite offer/package/bundle is activated/service availed.

The charging system reserves certain proportion of available data volume in MBs of your package against opening/accessing of each application/website on the device, therefore, the simultaneous opening/accessing of multiple applications and/or websites may result in reserving all your available data volume in MBs of your package and may start charging on base rate of your package.

The amount of balance and recharge required for bundles may be rounded up to the nearest whole number.

In case of any queries, questions, complaints or additional requirements, please email us at : customercare@jazz.com.pk

Unwanted and unethical (unreasonable) messages can be reported by texting SENDER’s NUMBER (SPACE) message to 9000 –PTA

Using a SIM which is not in your name or allowing others to use your SIM is a crime – PTA

Dial 420 to block unsolicited calls/messages (charges applicable).

Unsolicited marketing communication can be blocked using “Do Not Call Register” service by texting “ON” or “SUB” to 3627. It is a free of cost service provided to Jazz customers.

The term “Purchase of Sim” means procuring/acquiring connection to the network of PMCL by a customer for availing telecommunication and other related services from PMCL. SIM always remains the property of PMCL and by issuing SIM to customer, only rights to use are given and no ownership is transferred to the customer in any manner, whatsoever. The customer is bound to return the SIM to PMCL in case he stops using service or agreement is terminated or he changes the network through MNP.

Bill date for all postpaid subscribers will be changed to 2nd of every month in 2021. Due to this change, customers will get a separate bill for difference in days for execution month . Min/MB charging will be prorated as per package.

Details of applicable Taxes/charges on usage and recharge in Pakistan and AJK are given below:

Advance income tax rate is @15% on each recharge.

Rate of sales tax in Federal Territory of Islamabad is 16%

Rate of sales tax in rest of Pakistan and AJK is 19.5%

GB is exempted from taxes.

A late payment fee of PKR 50 will be charged on bills remaining unpaid after the due date.

BIMA ACCIDENTAL INSURANCE (Postpaid)

OVERVIEW

An unexpected misfortune may hit anyone at any time, secure your family’s future by getting BIMA plan today!

BIMA is an Accidental Insurance Product aimed at providing you or your family with financial security.

It’s Hassle Free & It’s Paper Free

How to subscribe:

Call 042-111-119-878 and an agent will help you subscribe to the service OR SMS “BIMA” to 9878 and an agent will *call you to guide and help subscribe to the service

*MILVIK agents will call you within 24 working hours

There are no charges for sending an SMS to 9878

CHARGES

Plan

**Monthly Price

Maximum Cover/Benefit provided

Silver

Rs.49.67

Rs.200,000

Gold

Rs.99.31

Rs.400,000

Platinum

Rs.248.30

Rs.1,000,000

Diamond

Rs.496.62

Rs.2,000,000

 Post-Paid: For post-paid accounts, successful withdrawal represents billing and payment of the entire monthly premium due. If payment is made, corresponding cover is issued for Rs.49.67, Rs.99.30, Rs.248.30, or Rs.496.62 Premium plans as stated above. Please note that customer will be charge on prorate basis at the time of subscription till the bill date and on the bill date and advance rental will be charged and customer will be entitled for the cover accordingly.

Post-Paid subscriber is eligible for the maximum corresponding cover level/ benefit the day after the confirmation of his service subscription.

How do I Claim:

SMS ‘CLAIM’ to 9878 or call 042-111-119-878 within 270 days of the accident and a BIMA representative will contact you with full information on how to process your claim.

TERMS AND CONDITIONS

The Insurance is underwritten by IGI General Insurance and delivered by BIMA.

BIMA Pakistan is the global leader in mobile micro insurance and it protects the future of 30 million families worldwide. It has operations in across Asia, Africa, Latin America, and the Caribbean. BIMA is proud to have paid over $8 million in claims.

Bima is proudly underwritten by IGI General Insurance. IGI General Insurance offers first class security and service to the insuring public at an international standard.

Jazz Telecom, is facilitating this offering but shall not be responsible for any grievance of the Jazz Customer relating to the Insurance Services and IGI General Insurance’s or BIMA’s performance of its obligations.

BIMA PERSONAL ACCIDENT INSURANCE POLICY

Whereas the Insured Person by a proposal which shall be the basis of the contract and be held as incorporated herein has applied to the Company for the insurance hereinafter contained and has paid or agreed to pay the first premium as consideration for such insurance.

Now this policy witnesses that subject to the terms conditions and exceptions contained herein or endorsed hereon, if at any time during the period of insurance, if the Insured Person shall sustain any Bodily Injury caused by Accident as defined herein, the Company will pay to the Insured Person or in the event of his death, to his Beneficiary, if surviving, otherwise to the estate of the Insured Person the Benefit stated in the Policy Schedule attached hereto

DEFINITIONS

ACCIDENT means a sudden, unexpected, unusual, specific event, which occurs at an identifiable time and place.

ACCIDENT PROTECTION PLAN means one of the personal accident insurance covers under this Insurance Policy.

IGI refers to the COMPANY, the INSURER, or IGI General Insurance Company Limited.

APPLICANT means the individual who applies for an Accident Protection Plan under this Policy.

BENEFICIARY is defined as Beneficiary in the application or the person substituted as such.

NSURANCE BENEFIT(S) are amounts payable in the event of an indemnifiable claim and as detailed in the Schedule of Insurance Benefits attached hereinafter.

BIMA refers to BIMA Pakistan

BODILY INJURY means Bodily Injury which

is sustained by the Insured Person during the period of insurance and;

is caused by external, violent and visible means and;

is solely and independently of any other cause, except illness directly resulting from, or medical or surgical treatment rendered necessary by such Bodily Injury, occasions the death or Disablement of the Insured Person within twelve calendar months from the date of the Accident by which such Bodily Injury is caused.

The COMPANY is stated as IGI General Insurance CompanBy Limited.

ELIGIBLE APPLICANT means an Applicant who meets the eligibility criteria set forth in this Policy.

END USER PRICE means the amount to be charged to the Subscriber for getting the Insurance Policy and it shall include the Premium and Jazz’s Consideration on the telco services involved in the provision of Insurance Services.

HOSPITAL is defined as “Any institution in Pakistan that has been registered as a hospital with the local authorities and is under the supervision of a registered and qualified medical doctor.”

INSURANCE COVER means the amount which shall be paid by IGI to the Beneficiary or the Insured as per the terms and conditions of the Insurance Policy.

INSURANCE POLICY means this insurance policy setting out the terms and conditions on which insurance coverage is granted to a Subscriber.

INSURANCE SERVICES shall mean the insurance services to be provided to Jazz Customers.

The INSURED or INSURED PERSON means any Jazz Telecom subscriber who opt to purchase policy

The INSURER is stated as IGI General Insurance Company Limited.

MSISDN shall mean Mobile Subscriber Integrated Services Digital Network Number.

PERMANENT DISABLEMENT means TOTAL OR PARTIAL PERMANENT DISABLEMENT as defined here under

TOTAL AND PERMANENT DISABLEMENT means the Insured Member has established to the satisfaction of Insurer that the Insured Member has been incapacitated by Injury to such an extent as to render the Insured Member unable ever to engage in or work for reward in any occupation or work (on a temporary basis, part-time basis or full-time basis) which the Insured Member is capable of performing by reason of his or her education, training or experience.

PERMANENT PARTIAL DISABLEMENT means all those bodily injuries which result in reducing the insured person’s ability to work as defined in the Table of Insurance Benefits.

PREMIUM means the premium payable by an Insured Member to Insurer in relation to the Insurance Policy.

SUBSCRIBER means those Jazz Customers who subscribe for the Insurance Services to get this Insurance Policy.

JAZZ refers to Pakistan Mobile Communications Limited, a company duly incorporated and registered under the Companies Ordinance 1984 of Pakistan, and having its registered office at 1-A, IBC Building, F-8 Markaz, Islamabad, Pakistan.

JAZZ CUSTOMERS shall mean the customers of Jazz using Jazz’s System.

JAZZ SYSTEMS means Jazz’s GSM mobile cellular system.

JAZZ PAYMENT TERMS means Jazz’s payment terms published at jazz.com.pk , as revised from time to time.

EXCLUSIONS

Payment of claims is subject to exclusions, as outlined below. The Personal Accident Insurance Cover shall not cover any Death or Permanent Disability which is caused by, or resulting, directly or indirectly, wholly or partly, from any of the following factors:

Suicide or any attempt thereat (sane or insane).

Kidnapping for ransom.

To any death or injury sustained whilst the Insured is under the influence (temporarily or otherwise) of intoxicants, alcohol or drugs.

War, strikes, riots, civil commotion and any natural or man-made perils (including chemical, nuclear, biological, and radiological) that results in the declaration of a state of emergency on a local or national level

GENERAL PROVISIONS

  1. Eligibility & Enrolment

Applicants are eligible to apply for an Accident Protection Plan under the Policy if Applicants meet ALL the criteria set out below:

(1) Eligible Applicants shall include individual pre-paid and post-paid Jazz Customers. It is understood and agreed between the Parties that only one (1) person shall be insured per pre-paid or post-paid telecommunication connection.

(2) All Eligible Applicants shall be natural persons. Corporations, partnerships and businesses shall not be eligible for coverage under the Personal Accident Policy.

(3) All Eligible Applicants shall be a minimum of eighteen (18) years of age and a maximum of sixty four (64) years of age at the time of registration.

(4) If the Applicant wishes to apply for and subscribe to an Accident Protection Plan under this Insurance Policy, the Applicant will be required during the registration process to:

  1. acknowledge that the Applicant has read and understood the terms of the Policy and the Jazz Payment Terms;
  2. confirm that the Applicant meets the eligibility criteria set out in General Provision 1 of the policy;

iii. confirm the Accident Protection Plan that the Applicant wishes to apply for;

  1. Authorize Jazz to make 30 daily deductions each month from the prepaid account and bill the amount for postpaid
  2. the Insurance Benefits payable are subject to the Applicant’s confirmations being true and correct; and
  3. if the Applicant’s confirmation is untrue or incorrect, no Insurance Benefits will be payable and the End User Price the Subscriber paid will not be refunded.
  1. Mistake In Age

The Company shall only pay Insurance Benefits based on the disclosed age of the Insured. With the onus on the customer for incorrect disclosure the Company shall not be liable to pay any benefit under this Policy in that particular case.

  1. Intentional False Statements Of The Insured

In the event of any concealment or misrepresentation the Personal Accident Policy shall become null and void with respect to the relevant Insured.

  1. Notice Of Claims

The Company shall be notified of the occurrence of Death of the Insured or the Permanent Disablement of the Insured as soon as possible, but not later than 270 (two hundred & seventy) days from the date of Death or occurrence of Permanent Disablement after which it shall be treated as time‑barred and the Company shall not be bound to pay the Claim.

(2) For each Claim reported, the Company shall obtain:

From the Claimant:

In case of Death:

A notice of death, which could be a legal death certificate, a certificate of attending physician, containing his registration number and mentioning actual cause of death, and proof of the personal identity of the Insured, which could be the official personal identity data.

In case of Permanent Disablement:

Medical report containing the degree of Disablement certified by the surgeon.

In case of Permanent Disablement, unnatural or unusual death, Insurer may require any other document it reasonably deems necessary before approving a claim under the Policy.

(3) The Company” shall process and pay genuine and approved claims on receipt of required documents from the Claimant within three (3) working days.

(4) If there is a dispute, suspected fraudulent activity on the claim or a unique situation which requires further clarification, the payment period can be extended but shall not exceed ten (10) working days, or as long as the dispute takes to resolve in the legal system.

  1. Termination Of Individual Insurance

The insurance of an Insured shall automatically terminate at the earliest time below:

Upon payment on Death or

Upon settlement of the Insured of the amount of insurance, including in the event of early termination of such relationship; or

Upon cancellation or withdrawal of subscription by Jazz of the contract/relationship with the Insured, whatever the reason may be, or

In case of non-payment of the individual End User Price for the Insurance Policy.

  1. Participation Requirement/Process

Interested customers shall participate through an electronic enrolment process, assisted by a call center or field agent, or by submitting information electronically via their handset, in two phases:

1st Phase:

Name of the Customer:

Age or CNIC Number:

Name of the Beneficiary:

Relationship to Customer:

Insurance Benefits selected by Customer:

2nd phase:

Once the customer has answered the questions in the 1st Phase, the customer shall receive an SMS on for or on behalf of the Company and shall be asked to dial a short code, or send an SMS to a particular number to confirm registration. Alternatively, the Customer may offer his verbal consent over an official recorded channel managed by BIMA to a BIMA agent. This confirmation serves as digital signature for the Personal Accident Insurance Cover. After receiving positive response, the customer shall be enrolled under the Personal Accident Policy.

  1. Arbitration

All differences arising out of this policy shall be referred to the decision of an arbitrator to be appointed in writing by the parties in difference or if they cannot agree upon a single arbitrator to the decision of two arbitrators one to be appointed in writing by each of the parties within one calendar month after having been required in writing so to do by either of parties or incase the arbitrators do not agree of an umpire appointed in writing by the arbitrators before entering upon the reference. The umpire shall sit with the arbitrators and preside at their meetings and the making of an award shall be a condition precedent to any right of action against the Company. If the Company shall disclaim liability to the Insured Person for any claim hereunder and such claim shall not within twelve calendar months from the date of such disclaimer have been referred to arbitrator under the provisions herein contained then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder. Notwithstanding stated above, dispute resolution forums given under the Insurance Ordinance, 2000, such as the Insurance Ombudsman, Small Disputes Resolution Committee and the Insurance Tribunals, shall prevail in the order of precedence, and over the seat of Arbitration.

  1. Compliance with Policy Provisions

Failure to comply with any of the provisions contained in the policy shall invalidate all claims hereunder.

  1. Insurance Benefits

The Company hereby agrees to pay the following benefit subject to the terms and conditions provided under the Personal Accident Policy as defined hereunder.

If an Insured dies or is permanently disabled due to an Accident as defined herein, on a twenty four (24)-hour worldwide basis, the Company will, upon receipt of due proof in writing of the Death or Permanent Disablement of the insured, pay the Insured or Beneficiary as the case may be the sum assured, according to their Insurance Cover level as described in this Insurance Benefits Section of the Policy Wording, as full and final settlement of Death or Permanent Disablement Claim in respect of the deceased/disabled Insured.

Benefit:

The amount of benefit received by the Insured or the Beneficiary in the event of the accidental Death or Total and Permanent Disablement of the Insured will be according to the amount of premium paid and subject to the terms and conditions of the product.

Terms and conditions of this cover are as follows:

Only One (1) policy per applicant

A Claim must be intimated to the Company within two hundred & seventy days (270) days from the date of occurrence of the Death or Permanent Disablement

Payment of claims is subject to exclusions, as outlined in the Exclusions section of this contract

In the event of partial pay-out following Permanent Disablement due to Accident, the Company shall

permit renewal of the insurance offer on a case-by case basis, and inform the registered subscriber

accordingly. The following actions shall be taken depending on the decision of renewal or non-renewal:

On non-renewal: The insurance policy shall be terminated, and all airtime deduction or billing shall be discontinued; any amount deducted or billed after the occurrence of the accident is nonrefundable.

On renewal: the insurance policy shall continue on auto-renewal, and all airtime deduction or billing will continue to apply in subsequent calendar month

The Personal Accident Insurance Cover is extended to one (1) person per Jazz subscriber who is a successful Applicant for the Personal Accident Insurance Cover. Each Applicant is allowed to select the level of maximum insurance benefit at the point of Enrolment.

The Personal Accident Insurance Cover is extended to one (1) person per Jazz subscriber who is a successful Applicant for the Personal Accident Insurance Cover. Each Applicant is allowed to select the level of maximum insurance benefit at the point of Enrolment.

Charges and BIMA Cover Postpaid:

Plan

**Monthly Price

Maximum Cover/Benefit provided

Silver

Rs.49.67

Rs.200,000

Gold

Rs.99.31

Rs.400,000

Platinum

Rs.248.30

Rs.1,000,000

Diamond

Rs.496.62

Rs.2,000,000

 

Table of Insurance Benefit 

Death / Total Permanent Disablement

% of maximum insurance benefit paid

Accidental death

100%

Amputation or Loss of use of two limbs

100%

Amputation or Loss of use of both hands, or of all fingers and both thumbs

100%

Total paralysis or Injuries resulting in being Permanently bedridden or Disablement

100%

Total insanity

100%

Total and irrevocable loss of all sight in both eyes

100%

PERMANENT PARTIAL DISABLEMENT

% of maximum insurance benefit paid

Amputation or Loss of use of a limb

50%

Amputation or Loss of use of four fingers and thumb on one hand

50%

Total and irrevocable loss of all sight in one eye

50%

Total Loss of hearing or speech

50%

Burns – 3rd degree covering more than 9% of body

50%

In addition to the Personal Accident Insurance Cover, the Insured is entitled to cover for each night spent in hospital (hospitalization) due to an Accident. For each night spent in hospital, the Insured is eligible for the greater of (i) PKR 500, or (ii) 0.25% of the monthly sum insured, according to the Insurance Cover level as described in the Insurance Benefits Section of the Policy Wording above. For example, if the customer is deducted Rs.60 and receives Rs.400,000 of monthly Personal Accident Insurance Cover, and the Insured is hospitalized due to an accident for 2 nights but not permanently disabled, the Insured will receive Rs.2000 of cover. This additional cover is paid out for a maximum of 30 nights in a given year. The Insured cannot claim both Personal Accident Insurance Cover and this additional cover for the same incident.

Post-Paid subscriber is entitled for 500/ per night for Silver plan, 1000/ per night for Gold, 2500/ per night for Platinum & 5000/per night for Diamond plan.

This additional cover is subject to the same terms and conditions as the Personal Accident cover meaning for example that: no cover will be provided if the Insured is not receiving any cover in the present month or if the Insured is ineligible because the Insured fails to meet the criteria or is in hospital due to an exclusion or in hospital for any other reason other than an Accident.

In light of recent orders of the Supreme Court of Pakistan, Sales Tax and Advance Income Tax are not being collected from Postpaid Consumers in Pakistan w.e.f. 16th Oct 2018. The tax amount mentioned in the bill (if any) is related to the amounts incurred upto 15th Oct 2018. 

ACKNOWLEDGEMENT:

(Policy Terms and Conditions shall remain subject to the following)

Bima is the Insurance broker who has been authorized by IGI General Insurance Company Limited to bind cover on behalf of Insurer within the terms and conditions of this Insurance Policy. To cease daily deductions, the Subscriber must deregister the Subscriber’s Accident Protection Plan by contacting Bima. Otherwise, Jazz will continue making daily deductions for so long as the Subscriber’s prepaid account has a positive credit balance.

In the event that the Subscriber, as an Insured Member, subscribe to more than one (1) Accident Protection Plan under the Insurance Policy (including through different Jazz mobile accounts):

The Subscriber’s maximum benefit shall be the maximum benefit offered by only one of the Accident Protection Plans that the Subscriber has subscribed to;

Our maximum liability to the Subscriber or the Subscriber’s beneficiary shall be the higher of the two Accident Protection Plans that the Subscriber subscribed to;

After becoming the Subscriber in the Insurance Service, Jazz Subscriber permits Jazz to share his details and information available with Jazz and as sought by IGI General Insurance and Bima or any other entity authorized by IGI General Insurance in this regard, for inter alia processing of the Policy, storing and processing data across countries, and more effectively providing the Insurance Service and payment of Insurance Cover; Jazz Customer/Subscriber agrees and acknowledges that he or his legal heirs shall not hold Jazz responsible for any consequences of sharing such information;

Fraud or abuse relating to Re-Load/Re-Charge may result in forfeiture/cancellation of the Policy, suspension of Jazz Services of the Customer/Subscriber and termination of his Connection; and

While availing the Insurance Service the Subscriber shall not respond to any calls/SMSs directing to make/send calls/SMSs to any other number/short code or which are regarding award of any prize (whether money or in kind) in lieu of balance transfer or any call. Ignorance of this clause by Jazz Customer/Subscriber shall not accrue any liabilities/responsibilities on IGI General Insurance or Jazz including but not limited to liability/responsibility towards any loss occurred to the Jazz Customer/Subscriber

Jazz, IGI, or Bima may amend these Terms and Conditions at any time. The Subscriber shall be informed through an SMS or any other manner in accordance with the relevant laws that these Terms and Conditions are amended. Such SMS or information through any other manner (as mentioned above) shall contain a link to such amended Terms and Conditions, and if the Subscriber shall continue to pay for the Insurance Cover it shall be the acceptance of the Subscriber to the amended Terms and Conditions.

Jazz, Bima, and IGI may jointly amend the Service Charges from time to time at their discretion in accordance with the applicable laws and regulations of Pakistan Telecommunication Authority (“PTA”). The acceptance of these Terms and Conditions of the Subscriber shall also be the acceptance with the

End User Price to be charged to provide the Insurance Policy;

IGI, Jazz, and Bima have the complete authority to stop offering the Accident Protection Plan or Policy at any time at their discretion.

The Subscriber acknowledges that these Terms and Conditions are in addition to the terms and conditions accepted by the Subscriber at the time of availing Jazz’s cellular services (which includes the terms and conditions of CSAF and the terms and conditions received in the SIM Jacket). However in case of conflict between these Terms and Conditions and terms and conditions of CSAF, these Terms and Conditions shall prevail to the extent of subject matter of these Terms and Conditions.

The domestic laws of the Islamic Republic of Pakistan shall govern the Insurance Policy and the Courts of the Islamic Republic of Pakistan shall have jurisdiction in any dispute arising hereunder.

If any provision of the Insurance policy is found by any court or administrative body of competent jurisdiction to be invalid or unenforceable, such invalidity or unenforceability will not affect the other provisions of the Insurance policy which will remain in full force and effect.

This policy has been especially created to provide protection for those Jazz Customers who successfully apply for that protection and who pay the appropriate Premium. Accordingly, notices to the Subscriber may be provided by:

SMS to the Subscriber’s mobile service (from which daily deductions are made); If a notice is made by SMS, the notice is deemed to be received on the day the SMS is sent. If a notice is placed on a website, the notice is deemed to be received on the day the notice is placed

Notification placed on Jazz.com.pk or on the Insurer’s website at https://igiinsurance.com.pk/ ; or on https://www.milvikpakistan.com by publication in a major newspaper in the Islamic Republic of Pakistan.

FAQS

When will a postpaid customer get covered for the Accidental Insurance?

Postpaid customer will get the cover from 2nd day of the registration. BIMA will pay the premium for the cover from the date of confirmation till the customer’s bill date out of goodwill.

What will happen if a postpaid customer number remains Inactive during the billing cycle?

If the customer does not become Active in the billing cycle, BIMA will not provide insurance coverage to the customer.

Will the charges for the postpaid customer will be deducted upfront after the confirmation or will it be deducted on daily basis?

As soon as the customer is confirmed, the monthly amount will be deducted upfront and there won’t be daily deductions.

How will a customer unsubscribe from this service?

For un- subscription from this service, you have to write “NO”, “Cancel” or “Unsub” in message and send it to 9878 OR you can call on 042-111-119-878 anytime.

BIMA FAMILY

Bima Mobile Pakistan the leading provider of mobile-delivered insurance and health has launched an innovation new product “BIMA Family” that allows customers to cover their family and friends through their prepaid Jazz accounts. BIMA Family enables customers to cover the insurance needs of family, friends, relatives and employees.

Prepaid

BIMA Family provides a monthly Personal Accidental & Hospitalization insurance policy with uniquely bundled health services. Prepaid customers can add up to 10 additional people to their account. They can all access the range of BIMA Family benefits including 24/7 access to qualified tele-doctors, weekly SMS health tips and cover in case of hospitalization or accidents. The customers nominees can be registered with other networks or postpaid customers.

How to Subscribe

Call 042-111-119-878 and an agent will help you subscribe to the service, or SMS “BIMA” to 9878 and an agent will *call you to guide and help subscribe to the service

BIMA agents will call you within 24 working hours

There are no charges for sending an SMS to 9878 or CALLING on 042-111-119-878

Charges

Charges & Cover for BIMA Family

Personal Accidental Cover

Plan

**Daily Price

**Monthly Price

Maximum Cover/Benefit provided

Silver

PKR 1.58

PKR 47.50

PKR 225,000

Gold

PKR 3.17

PKR 94.99

PKR 450,000

Platinum

PKR 7.92

PKR 237.49

PKR 1,250,000

Diamond

PKR 15.83

PKR 475.01

PKR 2,500,000

BIMA SEHAT Cover

Plan

**Daily Price

**Monthly Price

Maximum sum assured per night (max 30 nights per year)

Silver

PKR 1.43

PKR 42.89

PKR 1000

Gold

PKR 2.86

PKR 85.79

PKR 2,250

Platinum

PKR 7.15

PKR 214.48

PKR 5,500

Diamond

PKR 14.30

PKR 428.95

PKR 12,000

 

Note: Monthly Price for customer will be directly dependent on the number of recipients the Funder add to the policy and the plan opted for each child.

Prepaid:

The monthly price is charged in **installments over 30 days

**Prepaid

If the Funder pays only a partial amount of the monthly cost the Funder/recipient or their beneficiary are still eligible for partial coverage.

For details please refer to the detailed Terms & Conditions

**The monthly price for whole family is divided into 30 equal installments and is charged once per day from Funder’s account until the entire month’s price is received. If the Jazz Funder’s balance is not sufficient for payment then the whole family is not charged for that day.A proportionate reduced amount of insurance benefit will be provided even after at least one day deduction. However BIMA will not be responsible to provide cover to Funder or to recipients if Funder fail to pay a minimum one day deduction in a month.

How do I Claim:

SMS ‘CLAIM’ to 9878 or call 042-111-119-878 no later than 270 days from the first night of hospitalization and a BIMA representative will contact you with full information on how to process your claim.

TERMS & CONDITIONS

The Insurance is underwritten by IGI General Insurance and delivered by BIMA (registered as BIMA)

BIMA is the global leader in mobile-delivered health and insurance products. To date BIMA has reached over 31 million customers worldwide. BIMA operates across Asia, Africa and Latin America. BIMA is proudly underwritten by IGI General Insurance. IGI General Insurance offers first class security and service to the insuring public at an international standard. Jazz Telecom, is facilitating this offering but shall not be responsible for any grievance of the Jazz Customer relating to the Insurance Services and IGI General Insurance’s or BIMA’s performance of its obligations.

BIMA FAMILY POLICY

Whereas the Insured Person by a proposal which shall be the basis of the contract and be held as incorporated herein has applied to the Company for the insurance hereinafter contained and has paid or agreed to pay the first premium as consideration for such insurance.

Now this policy witnesses that subject to the terms conditions and exceptions contained herein or endorsed hereon, if at any time during the period of insurance, if the Insured Person shall sustain any Bodily Injury caused by Accident as defined herein the Company will pay to the Insured Person or in the event of his death, to his Beneficiary, if surviving, otherwise to the estate of the Insured Person the Benefit stated in the Policy Schedule attached hereto

DEFINITIONS

ACCIDENT means a sudden, unexpected, unusual, specific event, which occurs at an identifiable time and place.

ACCIDENT PROTECTION PLAN means one of the personal accident insurance covers under this Insurance Policy.

BIMA SEHAT means monthly hospitalization insurance policy with Tele-Health Services

IGI refers to the COMPANY, the INSURER, or IGI General Insurance Company Limited.

APPLICANT means the individual (can be an individual Customer, a Funder or a Recipient) who applies for an Accident Protection or BIMA SEHAT Plan under this Policy.

FUNDER means any JAZZ CUSTOMER who pays the END USER PRICE on behalf of a Recipient

Recipient means an applicant, who is not paying the premium for BIMA Services from his own mobile account.

BENEFICIARY is defined as Beneficiary in the application or the person substituted as such.

INSURANCE BENEFIT(S) are amounts payable in the event of an indemnifiable claim and as detailed in the Schedule of Insurance Benefits attached hereinafter.

BIMA Mobile refers to BIMA Mobile PAKISTAN.

BODILY INJURY means Bodily Injury which

is sustained by the Insured Person during the period of insurance and;

is caused by external, violent and visible means and;

is solely and independently of any other cause, except illness directly resulting from, or medical or surgical treatment rendered necessary by such Bodily Injury, occasions the death or Disablement of the Insured Person within twelve calendar months from the date of the Accident by which such Bodily Injury is caused.

The COMPANY is stated as IGI General Insurance Company Limited.

ELIGIBLE APPLICANT means an Applicant who meets the eligibility criteria set forth in this Policy.

END USER PRICE means the amount to be charged to the Subscriber/Funder for getting the Insurance Policy and it shall include the Premium, Jazz’s Consideration and any applicable taxes on the telco services involved in the provision of Insurance Services.

HOSPITAL is defined as “Any institution in Pakistan that has been registered as a hospital with the local authorities and is under the supervision of a registered and qualified medical doctor.”

HOSPITALISATION: staying minimum of one night in a facility recognized as hospital.

INSURANCE COVER means the amount which shall be paid by IGI to the Beneficiary or to the Insured person as per the terms and conditions of the Insurance Policy 

INSURANCE POLICY means this insurance policy setting out the terms and conditions on which insurance coverage is granted to a Subscriber, Funder or Recipient

INSURANCE SERVICES shall mean the insurance services to be provided to Jazz Customers and to their Recipient who can be from other network.

The INSURED or INSURED PERSON means any Jazz Telecom Subscriber/Funder and Recipient from other networks who opt to purchase policy

The INSURER is stated as IGI General Insurance Company Limited.

MSISDN shall mean Mobile Subscriber Integrated Services Digital Network Number.

PERMANENT DISABLEMENT means TOTAL OR PARTIAL PERMANENT DISABLEMENT as defined hereunder

PERMANENT PARTIAL DISABLEMENT means all those bodily injuries which result in reducing the insured person’s ability to work as defined in the Table of Insurance Benefits.

TOTAL AND PERMANENT DISABLEMENT means the Insured Member has established to the satisfaction of Insurer that the Insured Member has been incapacitated by Injury to such an extent as to render the Insured Member unable ever to engage in or work for reward in any occupation or work (on a temporary basis, part-time basis or full-time basis) which the Insured Member is capable of performing by reason of his or her education, training or experience.

PREMIUM means the premium payable by an Insured Member/Funder to Insurer in relation to the Insurance Policy.

SUBSCRIBER means those Customers who subscribe for the Insurance Services to get this Insurance Policy.

JAZZ refers to Pakistan Mobile Communications Limited, a company duly incorporated and registered under the Companies Ordinance 1984 of Pakistan, and having its registered office at 1-A, IBC Building, F-8 Markaz, Islamabad, Pakistan.

JAZZ CUSTOMERS shall mean the customers of Jazz using Jazz’s System.

JAZZ SYSTEMS mean Jazz’s GSM mobile cellular system.

JAZZ PAYMENT TERMS mean Jazz’s payment terms published at jazz.com.pk , as revised from time to time.

EXCLUSIONS

Personal Accidental Insurance

Payment of claims is subject to exclusions, as outlined below. The Personal Accident Insurance Cover shall not cover any Death or Permanent Disability which is caused by, or resulting, directly or indirectly, wholly or partly, from any of the following factors:

Suicide or any attempt thereat (sane or insane).

Kidnapping for ransom.

To any death or injury sustained whilst the Insured is under the influence (temporarily or otherwise) of intoxicants, alcohol or drugs.

War, strikes, riots, civil commotion and any natural or man-made perils (including chemical, nuclear, biological, and radiological) that results in the declaration of a state of emergency on a local or national level

BIMA Sehat

BIMA SEHAT plan shall not cover any hospitalization claim which is caused by, or resulting, directly or indirectly, wholly or partly, from any of the following factors:

intentional self-inflicted injury, suicide attempt, or arising out of non-adherence to medical advice;

elective treatment, such as cosmetic surgery; and pregnancy and any complications arising from pregnancy during the first nine (9) months from the Subscription

GENERAL PROVISIONS

Eligibility & Enrolment

Applicants are eligible to apply for an Accident Protection and BIMA SEHAT Insurance Plan under the Policy if Applicants meet ALL the criteria set out below:

Eligible Applicants shall include individual pre-paid and post-paid Jazz Customers or a recipient of any other network when subscriber opts as depended. It is understood and agreed between the Parties that only one (1) person shall be insured per pre-paid or post-paid telecommunication connection.

All Eligible Applicants shall be natural persons. Corporations, partnerships and businesses shall not be eligible for coverage under the Personal Accidental or BIMA SEHAT Policy.

All Eligible Applicants shall be a minimum of eighteen (18) years of age and a maximum of sixty four (64) years of age at the time of registration.

If the Applicant wishes to apply for and subscribe to an Accident Protection or BIMA SEHAT Plan under this Insurance Policy, the Applicant will be required during the registration process to:

Acknowledge that the Applicant has read and understood the terms of the Policy and the Jazz Payment Terms;

Confirm that the Applicant meets the eligibility criteria set out in General Provision 1 of the policy;

Confirm the Accident Protection or BIMA SEHAT Plan that the Applicant wishes to apply for;

Authorize Jazz to make 30 daily deductions each month from the prepaid account and

The Insurance Benefits payable are subject to the Applicant’s confirmations being true and correct; and

If the Applicant’s confirmation is untrue or incorrect, no Insurance Benefits will be payable and the End User Price the Subscriber/Funder paid will not be refunded.

Mistake in Age

The Company shall only pay Insurance Benefits based on the disclosed age of the Insured. With the onus on the customer for incorrect disclosure the Company shall not be liable to pay any benefit under this Policy in that particular case.

Intentional False Statements of The Insured

In the event of any concealment or misrepresentation the Personal Accident and BIMA SEHAT Policy shall become null and void with respect to the relevant Insured.

Notice of Claims

The Company shall be notified of the hospitalization and occurrence of Death of the Insured or the Permanent Disablement of the Insured or in case of hospitalization as soon as possible, but not later than 270 (two hundred & seventy days) days from the date of incident or from the first night of hospitalization after which it shall be treated as time barred and the Company shall not be bound to pay the Claim.

(1)For each Claim reported, the Company shall obtain:

From the Claimant:

In case of Hospitalization

CNIC; final hospital invoice or discharge report which states date of admission and discharge.

Insurer may require any other document if reasonably deems necessary before approving a claim under the Policy.

In case of Accidental Death:

A notice of death, which could be a legal death certificate, a certificate of attending physician, containing his registration number and mentioning actual cause of death, and proof of the personal identity of the Insured, which could be the official personal identity data. 

In case of Permanent Disablement:

Medical report containing the degree of Disablement certified by the surgeon.

In case of Permanent Disablement, unnatural or unusual death, Insurer may require any other document it reasonably deems necessary before approving a claim under the Policy.

(3) The Company” shall process and pay genuine and approved claims on receipt of required documents from the Claimant within three (3) working days.

(4) If there is a dispute, suspected fraudulent activity on the claim or a unique situation which requires further clarification, the payment period can be extended but shall not exceed ten (10) working days, or as long as the dispute takes to resolve in the legal system.

Termination of Individual Insurance

The insurance of an Insured shall automatically terminate at the earliest time below:

Upon payment on Death or

Upon settlement of the Insured of the amount of insurance, including in the event of early termination of such relationship; or

Upon cancellation or withdrawal of subscription by Jazz of the contract/relationship with the Insured, whatever the reason may be, or

In case of non-payment of the individual End User Price for the Insurance Policy.

In case of non-payment of End User Price by the Funder for the Insurance Policy., Policy of Funder and Recipient will be terminated

Participation Requirement/Process

Interested customers shall participate through an electronic enrolment process, assisted by a call center agent, or by submitting information electronically via their handset, in two phases:

1st Phase:

Name of the Customer:

Age or CNIC Number:

Name of the Beneficiary:

Relationship to Customer:

Insurance Benefits selected by Customer:

2nd phase:

Once the customer has answered the questions in the 1st Phase, the customer shall receive an SMS on for or on behalf of the Company and shall be asked to dial a short code, or send an SMS to a particular number to confirm registration. Alternatively, the Customer may offer his verbal consent over an official recorded channel managed by MILVIK to a MILVIK agent. This confirmation serves as digital signature for the BIMA SEHAT/Personal Accidental Insurance Cover. After receiving positive response, the customer shall be enrolled under the BIMA SEHAT/Personal Policy.

Arbitrations

All differences arising out of this policy shall be referred to the decision of an arbitrator to be appointed in writing by the parties in difference or if they cannot agree upon a single arbitrator to the decision of two arbitrators one to be appointed in writing by each of the parties within one calendar month after having been required in writing so to do by either of parties or incase the arbitrators do not agree of an umpire appointed in writing by the arbitrators before entering upon the reference. The umpire shall sit with the arbitrators and preside at their meetings and the making of an award shall be a condition precedent to any right of action against the Company. If the Company shall disclaim liability to the Insured Person for any claim hereunder and such claim shall not within twelve calendar months from the date of such disclaimer have been referred to arbitrator under the provisions herein contained then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder. Notwithstanding stated above, dispute resolution forums given under the Insurance Ordinance, 2000, such as the Insurance Ombudsman, Small Disputes Resolution Committee and the Insurance Tribunals, shall prevail in the order of precedence, and over the seat of Arbitration.

Compliance with Policy Provisions

Failure to comply with any of the provisions contained in the policy shall invalidate all claims hereunder.

Insurance Benefits

The Company hereby agrees to pay the following benefit subject to the terms and conditions provided under the Personal Accident/BIMA SEHAT Policy as defined hereunder.

If an Insured dies or is permanently disabled due to an Accident hospitalized due to any reason(with the exception of exclusions), on a twenty four (24)-hour worldwide basis, the Company will, upon receipt of due proof in writing of the Hospitalization/ Death or Permanent Disablement of the insured, pay the Insured or Beneficiary as the case may be the sum assured, according to their Insurance Cover level as described in this Insurance Benefits Section of the Policy Wording

Benefit:

The amount of benefit received by the Insured or the Beneficiary in the event of the Hospitalization from the first night of hospitalization or accidental Death or Total and Permanent Disablement of the Insured will be according to the amount of premium paid and subject to the terms and conditions of the product.

Terms and conditions of this cover are as follows:

One (1) Personal Accidental and One (1) BIMA Sehat policy per applicant (individual applicant, Funder or customer)

A Claim must be intimated to the Company within two hundred & seventy (270) days from the date of first night of hospitalization or from the date of occurrence of Death or Permanent Disablement

Payment of claims is subject to exclusions, as outlined in the Exclusions section of this contract

In the event of partial pay-out following Permanent Disablement due to Accident, the Company shall permit renewal of the insurance offer on a case-by case basis, and inform the registered subscriber accordingly.

The following actions shall be taken depending on the decision of renewal or non-renewal:

On non-renewal: The insurance policy shall be terminated, and all airtime deduction or billing shall be discontinued; any amount deducted or billed after the cancellation of the service is nonrefundable.

On renewal: the insurance policy shall continue on auto-renewal, and all airtime deduction or billing will continue to apply in subsequent calendar month

Each Applicant can select the level of maximum insurance benefit at the point of Enrolment.

The Subscriber has the option to choose between four (4) cover levels, at four (4) corresponding End User Price points, as given below.

Cover levels of BIMA SEHAT

 

Unlimited M‑health is included for all four (4)

Monthly Price

Daily

Method of Payment

Maximum sum assured per night (max 30 nights per year)

M-Health

Specialist Consultations (Gynae, Paeds, Nutritionist & Mental Health)

PKR 42.89

PKR 1.43

Prepaid balance

PKR 1,000

Unlimited

NA

PKR 85.79

PKR 2.86

Prepaid balance

PKR 2,250

Unlimited

NA

PKR 214.48

PKR 7.15

Prepaid balance

PKR 5,500

Unlimited

YES

PKR 428.95

PKR 14.30

Prepaid balance

PKR 12,000

Unlimited

YES

 For More Details please visit https://www.jazz.com.pk/prepaid/bima-insurance/

Cover levels of Personal Accident

Monthly Price

Daily

Method of Payment

Level of maximum insurance benefit provided

PKR 47.50

PKR 1.58

Prepaid balance

PKR 225,000

PKR 94.99

PKR 3.17

Prepaid balance

PKR 450,000

PKR 237.49

PKR 7.92

Prepaid balance

PKR 1,250,000

PKR 475.01

PKR 15.83

Prepaid balance

PKR 2,500,000

 

For More Details please visit https://www.jazz.com.pk/prepaid/bima/

 

FAQS

Q: Can a Jazz Prepaid Customer become Funder?

Yes, a Jazz prepaid customer can become a Funder for BIMA Service.

Q: Can a Jazz Funder add recipient from another network?

Yes, a Funder can add user of any other network as a recipient for BIMA Service.

Q: Which products Funder can opt for recipients?

A Funder can opt for two policies (BIMA Accidental Protection & BIMA SEHAT) for each recipient.

Q: Can a Funder choose single product for Recipient?

Yes, he can.

Q: How many Recipients can a Funder add?

A Funder can add up to 10 Recipients.

Q: Does Recipient have to pay separately for BIMA Service?

No, recipient will not be charged for BIMA Services, Funder will pay from his own account for the recipient.

Q: How Recipient from other network will pay for BIMA Service?

Recipients don’t have to worry about the payment as Jazz Funder will pay for BIMA service on behalf of them.

Q: Can a Recipient request to change his/her cover level by himself?

No, Recipient can’t request to change cover level. Only Funder can request such changes.

Q: Can a Recipient claim without informing funder?

Yes, Recipient can claim directly for BIMA Services.

Q: How a Recipient can contact BIMA?

Customer can send SMS at 9878 or call at our 24/7 helpline 042-111-119-878 or dial 042-32534444

Q: Can a Funder get claim on behalf of Recipient?

If Funder is added as a beneficiary, then he can claim.

Q: Does Funder have the option to change his/her Recipient at any time?

Yes, Funder can process Recipient change request at any time. Both Funder and Recipient will receive an SMS on service de-registration.