Context

The IIM Ahmedabad Alumni Relations team is launching the Enrolment Window of the IIMA Base
Health Plan.

The Base insurance program brings to you group insurance benefits of a high sum insure at very attractive terms and
conditions, without any medical test. The additional advantage of this group insurance is that it helps our alums who may
not be able to avail such benefits in retail policies owing to existing medical conditions and/or advanced age.

Alumni can Enrol for this plan from 17th October 2025

Base Health Program

The Base insurance program brings to you group insurance benefits of attractive terms and conditions,
without any medical test. The additional advantage of this group insurance is that it helps our alums who
may not be able to avail such benefits in retail policies owing to existing medical conditions and/or
advanced age.

1. Where can I see the premiums applicable to me?

A: You will be able to see the premium on the enrolment portal as part of your enrolment journey - based
on the sum insured.

2. Who will administer this plan? Who is the insurer and who is the TPA?

A. The IIM Ahmedabad Alumni Relations will administer the plan. Oriental Insurance Limited is
the insurer and Zopper Insurance Broking Limited is the broker. TPA is Family Health Plan
Insurance (FHPL).

3. Will this plan work in conjunction with my group health insurance scheme provided by my
employer?

A. Yes. Absolutely.

4. Will this plan work in conjunction with an individual health insurance plan that I have already
purchased?

A. Yes. Absolutely.

5. Which account will my premium payment be transferred to?

A. The amount will be transferred to the account of the Solvy Tech Solutions (Zopper). Solvy Tech
Solutions (Zopper) will collect the money on behalf of the IIMA & will transfer the money to the
Insurer for the policy issuance.

6. Does the proposed plan apply to or is useful to those who are NRI- permanently based abroad but
spending sizable time in India?

A. Yes-since this policy permits claim which arise in India and for hospitalizations within the borders of
India.

7. Who is the TPA?

A. TPA for the program is Family Health Plan (FHPL).

8. Once this plan comes into force, are alumni allowed to join the plan at any point of time based on
allowable age limit?

A. Alumni can buy new policy when the enrolment window is open. All alumni are eligible to join the
plan. Hence it is in the best interest of the group that we don't defer the joining

9. Would it require health check-up/tests before enrolment?

A. No, there is no requirement of a health check-up. In contrast, almost all individual plans require a medical
test, which is often a hassle

10. i) How can I enrol for the program?

ii) Why is it only through the IIMA Web Portal?

A. i) You can enrol for the program through the IIMA Web Portal.
ii) This program is limited to IIMA alumni. Since all users of the IIMA Web Portal are considered to be part of
the IIMA community and verified alumni, registration is enabled only through the IIMA Web Portal.
iii) Please enrol through IIMA Portal ht tps : //i ima .al maconn ec t .co m /

11. If two IIMA-ians are married does it make sense to have the younger spouse buy this for
the family?

A. No. The age of the oldest member in the family unit is considered to arrive at the slab rate

12. Who is the Claim Settlement ratio of Oriental Insurance Company?

A. The claim settlement ratio of the Oriental Insurance Company is 95.49%

13. If I get married in the future, will I be able to add my spouse at no extra cost? Also, children in
future?

A. Yes. One can add both children/spouse on a future date when entry is allowed during the Policy
period through Endorsement

14. Who will determine the alumni status?

A. IIMA will verify.

15. Are payments for the Base Insurance eligible for 80D or we get income tax rebate for
insurance?

A. Yes

16. Can one exit the plan and join back again?

A. No it is not allowed.

17. If the premium is increased in the renewal year, can I pull back if I do not like the price?

A. Once you don't renew your insurance, you will lose the renewal benefits & will be allowed to join in as
a new user.

18. What is the expected rise of premium from year next year?

A. Thenext year premium rise will depend on the claims ratio of the entire group as this is a group policy

19. If we have existing insurance, can this also be taken additionally or we can switch our existing planwith this
insurance?
A. This is an additional Base Health insurance.

20. The premium is annual or monthly?

A. Annual

21. In case of renegotiation, how will the PED of 1 Year work? If the insurer is changed, will the 1 Year
clause kick in again?

A. PED waiver will be applicable in next year's policy renewal. During renewal, the 1 year wait period on
PED will apply for fresh enrolments in the policy
22. I am an IIMA alumni based in the UAE (NRI). I wanted to know how to enrol if we do not have an
Indian mobile number?

A. Indian Mobile number is required for policy issuance. You can also share contact number of your
family members if you don’t have Indian Number. Also, you can add your International number as
WhatsApp Number in the Enrolment Journey

23. Premium for people over 85 years vary each year?

A. The costs would be standard for people above 85 and would not vary by person but the costs for each
slab would vary depending on claim ratio

24. Is entry into the policy possible at the time of renewal, if not opted now?

A .Yes. But it is advisable to register now as it will ensure that by next year, at the time of renewal, PED
waiting period waiver can be availed.

25. Will we get a better rate if we decrease the Sum Insured to 3 Lakhs?

A. Yes, you can choose 3 Lakhs Sum insured for a better rate.

26. Will premium increase be the same for everyone or will it increase the basis of an individual's past
claims?

A. This is a group plan and hence the price decrease or increase will be for the entire group, by age band.

27. Most people above 65 won't have kids below 25, so effectively you are paying a lot for 2
people?

A. Your pricing will be based on the rate applicable for 2 people

28. Who issues the receipt for the payment made by an individual - the insurance company or the
alumni association?

A. Receipt against funds transferred would be issued by the Insurance Company

Coverage

29. Why are aspects like maternity not part of it?

A. It has been observed that benefits like Maternity only helps a very small population but the premium
impact on the overall group is high so we have decided to opt against it. Also, most of the corporate
insurance does cover Maternity.

30. Consumables Coverage Covered?

A. No

31. Would a consolidated list of coverage points be shared?

A. Yes; this will be provided by Insurer post policy issuance

32. Will there be an age bar at any time/renewal?

A. 85 years is the entry. Once an alum or a family member enters the program before 85 years of age, he/she
can continue renewing the policy in subsequent years as long as the insurance program continues with IIMA

33. I am an NRI having a global employer coverage and am 58 years old, retiring in 2 years. Should I take
this now?

A. You can take this plan.

34. Will Covid-19 treatment be covered?

A. Yes.

35. If the Sum insured chosen is 10 Lacs and I take 3 policies (immediate family, parents and in-laws),
then will 10 L be covered for each of the 3 policies OR just once whichever gets triggered first?

A. There are 3 policy combination in our program

1. Alumni, Spouse & Kids
2. Parents
3. Parents in Law

The Sum Insured foreach policy combination is different

36. How would cashless work, with a sum insured of 5 Lakhs?

A. One has to intimate the Insurer through the Hospital TPA desk to avail the cashless facility. Also,
please reach out to Zopper Support team for all the support.

37. If an alum crosses 85 years, and the alum's spouse at that stage is less than 85 years, would the
spouse continue to get enrolled in the policy after the alum crosses 85 years?

A. Once the alum enters the policy before 85 years of age, he/she can renew the policy even after crossing
85 years. It is mandatory for alumni to be the proposer, hence alumni have to take policy under eligible
conditions, only then, he/she can add spouse and kids.

38. Is the policy open for Alums who are now foreign citizens, while Parents still hold Indian citizenship?

A. Yes. Alum will have to enroll himself/herself to avail the policy for parents/in-laws. Since the policy
jurisdiction is India, this can be used for treatments in India after the deductibles are also spent in India.

39. Is there co-pay in the policy for anyone?

A. No

40. If the alum passes away does the policy continue for family?

A. Yes, family will remain to be covered till thenext renewal. For the subsequent renewals, the spouse/family
members will have to reach out to Alumni team to provide access for alumni portal.
41. Both of us, husband and wife, are alumni. If the policy holder passes away can the cover pass on to
the remaining alumni spouse?

A. Yes. That is possible because for the next year the survivor can join the plan on the basis of his/her status
as an alumni

42. What happens in case of more than 1 claim in a single financial year?

A. There is no restriction in using the policy for multiple claims

43. Is there any limit on the claim amount for each person in the policy?

A. Forexample Policy cover is 5L. Alumni can claim max upto the sum insured chosen.

44. Can you share the list of Day Care Treatment?

A. There is No specific list & all Day Care Treatments are covered

45. Can you share the list of Specified Diseases / Named Ailments that have 1 year of Wait Period for New
Enrolling Members?

List Of Specific Diseases/ Procedures

1. Any Treatment Related To Arthritis (If Non-Infective)

1.2. Osteoarthritis And Osteoporosis, Gout
1.3.Rheumatism, Spinal Disorders(Unless Caused By Accident)
1.4.Joint Replacement Surgery(Unless Caused By Accident)
1.5.Arthroscopic Knee Surgeries/Acl Reconstruction/Meniscal And
Ligament Repair
2.Surgical Treatments For Benign Ear
2.1 Nose And Throat(Ent) Disordersand Surgeries (Including But Not
Limited To Adenoidectomy, Mastoidectomy
2.2.Tonsillec To My And Tympanoplasty)
2.3.Nasal Septum Deviation
2.4. Sinusitis And Related Disorders
3. Benign Prostatic Hypertrophy
4. Cataract
5. Dilatation And Curettage
6. Fissure / Fistula In Anus, Hemorrhoids / Piles , Pilonidal Sinus, Gastric
And Duodenal Ulcers

7. Surgery Of Genito-Urinary System Unless Necessitated By Malignancy

8. All Types Of Hernia & Hydrocele
9. Hysterectomy For Menorrhagia Or Fibromyoma Or Prolapse Of Uterus
Unless Necessitated By Malignancy
10. Internal Tumours, Skin Tumours, Cysts, Nodules, Polyps Including
Breast Lumps (Each Of Any Kind) Unless Malignant
11. Kidney Stone / Ureteric Stone
 11.1.Lithotripsy / Gall Bladder Stone
12. Myomectomy For Fibroids
13. Varicose Veins And Varicose Ulcers
14. Genetic Disorders
15. Parkinson's or Alzheimer's disease or Dementia

46. My daughter is 32 years old and stays with us. She has a base policy. Can she be included in this
policy?

A. No, Age limit to add children is upto 30 years.

47. Can we increase or decrease the amount YoY? Ex: If in year 1, I start with 5 lakhs, can I reduce to 3
lakhs on year2? And visa-versa?

A. Increase of Sum Insured is allowed this year & may not be allowed next year. No restriction in
decreasing the Sum Insured.

48. Can we take a multi-year Base Policy? Say 3 years?

A. No. The policy period is 1 year and will come up for renewal next year

49. Can siblings be included?

No. Only Spouses, kids and parents and in-laws are allowed.

50. How to declare pre-existing diseases for the risk-assessment / under-writing?

A. No PEDs are required to be declared in journey. By default all PEDs have 1 year wait period for new
members

51. If I am diagnosed outside of India can I avail this policy within India if I seek medical assistance
within India?

A. Yes

52. What role will Zopper play in the claims process?

A. Zopper would assist the alumni in the claim process. It would help through the insurer and TPA to
ensure that the interest of the alumni and family is protected

53. Can you share the list of Pre-Existing Chronic conditions that a person has suffered in the past or is
currently suffering from are not allowed to enter in the program?

A. Members with all the PEDs are allowed to enter

54. Will IIMA continue to provide this policy with the same or other provider? So that once
alumni are invested they get benefit for long term

A. Yes, definitely. IIMA would continue to provide this program

55. I understand that 85 is only the entry criteria...and the policy will continue beyond 85 years of age too,
for the life of this product. Please confirm this understanding.

A. Yes, this is correct.

56. Can we pay directly to Insurer & take this plan for my siblings/friends/relatives?

A. This is an Exclusive Health Insurance Plan designed for the IIMA alumni & the
family members. The benefits of this plan are exclusive & not available in the retail
market

57. Can we take only parent policy without ASK (Alumni, Spouse, Kid) policy?

A. It is mandatory for alumni to take at least policy for self, post which alumni can take policy for parents.

58. Can we involve Zopper in the claim process? Is there any 24/7 number or email?

A. Yes Zopper will help in claim processing, You can also email us at [email protected]

59. Are Modern Treatments Covered in the Program? Please mention the list of modern treatments.

A. Yes, Modern Treatments are covered from this year in the program up to 100% of Sum Insured. Please
find below the list of Modern Treatments
- Uterine Artery Embolization and HIFU (High Intensity focused ultrasound)
- Balloon Sinuplasty
- Deep Brain Stimulation
- Oral Chemotherapy
- Immunotherapy- Monoclonal Antibody to be given as injection
- Intra Vitreal injections
- Robotic Surgery
- Stereotactic radio surgeries
- Bronchial Thermoplasty
- Vaporisation of prostrate (Green laser treatment or holmium laser treatment)
- IONM- (Intra Operative Neuro Monitoring)
- Stem Cell Therapy : Hematological conditions to be covered

60. Can we have the List of network hospitals?

A. Yes you canfind it usingthis link–https://orientalinsurance.org.in/network-hospitals

Also, you can avail cashlessin the TPAnetwork list. Please find link for the
same- https://www.fhpl.net/#/hospital_networks

61. Can we enter for self and spouse and add kids later during subsequent renewals - will the PED /
Waiting period be treated differently?

A. Addition of spouse & children is allowed during the renewal. The PED waiting period of anyone entering
the policy will be 1 year. For existing members, the PED wait period during next renewal will be zero.

62. In case of the demise of Alumni, the existing / current year policy will be valid. But will renewal
be applicable for Spouses till 85 years and how do they enroll for it? Will the registration window
during renewal be open to them? This is important to secure the interest of family beyond us.
A. The cover will be applicable till the coming policy year renewal. For the subsequent renewals, the
spouse/family members will have to reach out to the Alumni team to provide access to portal

63. Can we register for a smaller SI now and increase during renewal? In that case will the waiting period
for original sum assured be waived and only for differential SI, the additional waiting period of 12
months will apply - Please confirm else, it should not become one more set of 12 months including
original sum assured for the whole policy, though we have pre-existing policy.

A. Increase of Sum Insured option may not be allowed next year. It is recommended to take the highest Sum
Insured during the first enrolment so that you are covered sufficiently in case of any unforeseen
circumstances.

64. Post enrolment and waiting period of 12 months, porting of existing Base policy from another insurer -
is it possible to consider , extension of Sum Insured being ported / or reduction in Premium proportion
to the amount of Sum Insured being ported ?

A. Porting is not possible

65. Do we have to share any medical records during the enrolment?

A. No

66. Will there be any no claim bonus for subsequent renewals, if no claim is made or proportional
cover increased during renewal period.

A. The overall claims performance of the group will decide the premium for the group across age
bands.
67. Is the insurance cost the same for different tier cities in India?

A. No. The cost is same for all the people

68. Where can we check the premium?

A. Premium is available on the IIMA Alumni portal. Once the alumni login into the portal, they will
be able to check the premium

You can alsomail any further questions to [email protected]

Note - Policy issuance for the members will start post-closing of the program. The start date will
tentatively 20th of November, and policy copies will be shared by the first week of December.

Thank you!