PAKISAMA Mutual Benefit Association, Inc.
Products and Services

 
The Initial Product

Risk Cover
  1. On account of an accident
    - Death of the insured person
    - Permanent (total or partial) disability of the insured person
  2. On the death of the insured person (before reaching 65 years of age due to a natural cause)
  3. Death of a dependent of the insured person
  4. Hospitalization of the insured person or his/her dependents
  5. The same risk cover exclusive of Item 3 above is also possible for (all) the children between the ages of 1 year to 18 years.  Each will be paid a proportionate benefit based on the number of covered children.  If only one child is covered, the full benefit will be paid.

Benefit Entitlement

Plan Type

F

E

D

C

B

A

Monthly Fee (P)

35

50

65

80

95

185

1.     Death of the insured person due to an accident: 

Plan Type

F

E

D

C

B

A

Benefit (P)

10,000

15,000

20,000

25,000

30,000

60,000

Preceding benefits or advance payments because of permanent disability due to the same accident shall be deducted thereof with a maximum of the insured amount for death. 

2.     Permanent disability of the insured person due to an accident:

Plan Type

F

E

D

C

B

A

Benefit (P)

20,000

30,000

40,000

50,000

60,000

120,000

In case of 100% disability, the membership ceases with the benefit payment.  In case of partial disability, the membership can be continued if fees are paid regularly. 

3.     Death of the insured person due to natural causes:

Plan Type

F

E

D

C

B

A

Benefit (P)

5,000

7,500

10,000

12,500

15,000

30,000

Before reaching the age of 65 and after more than two (2) years of continuous membership, the full benefit will be paid. The agreement ceases thereafter. If the membership has existed below two (2) years, the sum of the paid fees will be paid minus paid claims for hospitalization. 

4.     Death of a dependent of the insured person:

Plan Type

F

E

D

C

B

A

Benefit (P)

1,000

1,500

2,000

2,500

3,000

6,000

In case of death of a dependent, not the insured person, who is older than one (1) year but younger than 65 years of age and after more than two (2) years of continuous membership the full benefit will be paid. If the membership is below two (2) years, the sum of the paid fees will be paid minus paid claims for hospitalization.  

5.     Hospitalization of the insured person or dependents mentioned in the agreement form:

Plan Type

F

E

D

C

B

A

Benefit per day (P)

35

50

65

80

95

185

The payment is for a maximum of fifteen (15) days hospitalization within a consecutive 12-month period.  The benefit to be paid shall be calculated as number of days not exceeding 15 X the amount of the monthly fee as stipulated by plan type.  Hospitalization claims can be made only after six (6) months of membership.  

6.     Benefit for children who are covered under a separate agreement for children. 

Payments will be made only as per schedule (1), (2), (3) and (5).