Great Employee Care (GEC) aims to assist SMEs organisations provide a comprehensive Employee Benefits programme.
GEC is a special group insurance plan that offers reliable financial protection, generous benefit limits and easy administration for the organisation. Other benefits include affordability and tax-deductible premiums.*
* Tax benefits are subject to the Malaysian Income Tax Act 1967 and the final decision of the Inland Revenue Board.
Annually renewable policy – This protection plan is economical and features affordable premium cost, based on current year’s risk. This offers employers the flexibility to revise benefit plans to meet changing needs in future years.
Policy owner is the Employer – An employer who cares for the well-being of his people takes steps to protect them.
This protection plan offers benefits that are generous and serves as a means to attract potential employees as well as being an important tool of staff retention.
Eligibility – All full time actively-at-work employees who are of an eligible age can be enrolled into the GEC programme. An employer may also choose to cover only specific categories of staff. (Please take note of the minimum number of insured employee’s requirement).
Coverage – The employer has full discretion in the selection of benefit plans for employees’ coverage. It is important to know however, that the plan selection must be consistent with the specific job category.
|DEATH & DISABILITY (OPTION)||Plan 1
|I. Death (all causes)||100,000||75,000||50,000||25,000|
|II. Total & Permanent Disability (all causes)||100,000||75,000||50,000||25,000|
|III. Permanent & Partial Disability (all causes) in accordance to Schedule of Compensation below||100,000||75,000||50,000||25,000|
|IV. Specified Catastrophic Illness Benefit (additional 50%)||50,000||37,500||25,000||12,500|
Death within 180 days of the occurrence of the Specified Catastrophic Illness i.e. Heart Attack, Cancer, Kidney Failure, Major Organ Transplant & AIDS due to blood transfusion.
(Please refer to the policy contract for detail description of the Specified Catastrophic Illness)
|HOSPITAL & SURGICAL (OPTION)||Plan 1
|A. Hospital Room and Board (maximum per day, up to 120 days in any Period of Insurance for Insured Benefits (A) and (B) in aggregate)||500||250||150||100|
|B. Intensive Care Unit (maximum per day, up to 30 days in any Period of Insurance)||800||500||350||350|
|C. Hospital Supplies and Services
D. Surgical Fees
E. Operating Theatre
F. Anaesthetist Fee
G. In-Hospital Physician Visit (maximum 2 visits per day)
|As Charged subject to Overall Annual Limit|
|H. Pre-hospital Diagnostic Tests (within 60 days before hospitalisation/surgery)
I. Pre-Hospital Specialist Consultation (within 60 days before hospitalisation/surgery)
J. Post Hospitalisation Treatment (within 60 days after discharge from Hospital)
K. Ambulance Fees
L. Second Surgical Opinion (within 60 days prior to surgery)
M. Emergency Outpatient Treatment for Accidental Injury (maximum 30 days from the date of Accident in any Period of Insurance)
|As Charged subject to Overall Annual Limit|
|N. Day Surgery||20,000||15,000||10,000||5,000|
|O. Daily Cash Allowance at Malaysia Government Hospital (maximum 120 days in anyPeriod of Insurance)||100||75||50||25|
|P. Emergency Sickness Out-patient Treatment (from 12 midnight to 6 a.m.)||100||100||100||100|
|Q. Emergency Dental Treatment – Accidental causes only||100||100||100||100|
|R. Medical Report Reimbursement (maximum per disability)||100||100||100||100|
|S. Hospital Service Tax||6%||6%||6%||6%|
|Catastrophic Illness Benefit|
|T. Out-patient Kidney Dialysis (at duly registered dialysis centre)||50,000||37,500||25,000||12,500|
|U. Out-patient Cancer Treatment (at duly registered cancer centre)||50,000||37,500||25,000||12,500|
|OVERALL ANNUAL LIMIT (maximum per annum)||100,000||75,000||50,000||25,000|
Important Note: With the exception of claims submitted for Items (A), (B), (J), (M), (O), (P), (Q), (T) and/or (U) of this Schedule of Benefits, all other Eligible Expenses are subject to coinsurance in the event of upgraded Room and Board.
For more information, download a full brochure for Great Employee Care.
Q. Who is eligible to be a GEC master policyholder?
A. Any duly registered company or organisation is eligible.
Q. Who is eligible to be covered by a GEC policy?
A. All full-time actively-at-work employees who are within the age and occupational class specifications as stated in the ‘Underwriting Rules’ are eligible.
Q. Can new employees be eligible for coverage?
A. All new employees are eligible to be enrolled for coverage within 31 days from the effective date of employment.
Q. What is the minimum number of employees required to be eligible for GEC?
A. Any company with a minimum of 10 employees is eligible.
Q. Is evidence of health (underwriting) required?
A. Yes, for all applicants to be covered under the Death & Disability (Option). No evidence of health will be required for Hospital & Surgical (Option) only. However the Hospital & Surgical policy’s cover will be subject to the terms and conditions, and exclusion clauses of the policy.
Important Note: In cases whereby both Death & Disability as well as Hospital & Surgical (Options) are purchased together, underwriting acceptance will be required before the commencement of effective cover.
Q. How will the premium rates be charged?
A. Policy inception - The premium rates are the same for both male and female employees and are based on the age next birthday of each employee and, if applicable, the employee’s dependent spouse and children.
Policy renewal - The premium rates will be increased for an employee and, if applicable, the employee’s dependent spouse and children based on the age next birthday at policy renewal.
Important Note: Premium rates are not guaranteed and subject to be reviewed by the Company.
Q. What happens when there is a resignation or when a new employee joins the Company?
A. When employees resign, a pro-rated refund is calculated and for new employees, a pro-rated premium will be charged.
Q. Will the GEC policy be automatically renewed?
A. The policy is an annually renewable policy. Great Eastern Life Assurance (Malaysia) Berhad will invite the employer/ policyholder for policy renewal subject to renewal terms and conditions.
Q. Can an Insured Employee’s Spouse and Dependent Children be covered?
A. Yes, but only for the Hospital & Surgical (Option) and provided that there are a minimum of 20 Assured Life (Employee category). Each Eligible Spouse & Dependent Children must be enrolled to be insured and the Hospital & Surgical policy’s cover will be subject to the conditions and exclusion clauses of the policy.
Important Note: Eligible Spouse & Dependent Children are as defined in the GEC policy.
For the purpose of this brochure:
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The product information above is for general information only. It is not a contract of insurance. You are advised to refer to the Product Brochure, consumer education booklet on Medical and Health Insurance product (MHI), Product Disclosure Sheet and sample policy documents for detailed important features and benefits of the plan before purchasing the plan. The exclusions and limitations of benefits highlighted are not exhaustive. For further information, reference shall be made to the terms and conditions specified in the policy issued by Great Eastern Life Assurance (Malaysia) Berhad.