Our SME Health plans were specially designed by taking into account the unique needs and regulatory requirements of SMEs operating in the region.
The focus is on affordability without sacrificing the incredible benefits that make our SME plans so attractive and competitive - our wide direct billing healthcare network, easy claims process, experienced claims teams, etc.
| SR# | Queries | Response |
| 1 | Introduction to Guardian Med Plan | Guardian Med is a Munich Re insured pre-underwritten product launched to cater to the SME policies up to 150 members. This product will meet the insurance needs of our partner insurance companies looking for comprehensive medical plans with primarily white collar staff and their dependents. |
| 2 | Key features of the Guardian Med | The product is available to be sold throughout the UAE. The product is exclusively offered to Munich Re partnered insurers. There is no salary band criteria hence the product can be sold by primary insurers (PI’s) and Non (PI’s). |
| 3 | Brief UW guidelines | Guardian Med product should be issued to groups: Greater than or equal to 5 employees. Restricted to 150 members only at the time of inception. UAE residents only Medical underwriting assessment applies to: Group sizes of 10 or fewer employees. Members 65 years of age and above. Endorsements except for newly employed, newly arrived to UAE, and newborn. |
| 4 | List of documentary proof required to quote for a group under the Guardian Med product | Trade License & Establishment ID. MOL registry list of employees, confirming that all employees have enrolled. If there is no MOL for Free Zone companies, then please provide alternative documents with list of employees, confirming that all employees have enrolled. |
| 5 | Restriction on minimum membership per category or members category split per region of visa issue | There is no minimum membership criteria per category. However, the maximum number of categories that can be created under the GM product is 6, as long as the group satisfies the underwriting guidelines and general criteria of the GM product. |
| 6 | Eligibility of groups with 150 members (or less) with claims reports available | These groups are eligible for Guardian Med quotation. |
| 7 | Eligibility of groups with 150 members (or less) that are branches/subsidiary/part of a larger group | We recommend not to proceed with the Guardian Med quotation as the quotation is not valid if the group (or a sub-group) is part of another parent company. Please refer to your Field Underwriter for these cases. |
| 8 | Eligibility of groups with 150 members (or less) at the time of inception however the group is expected to grow more than 150 members during the course of the year. | These groups are eligible for Guardian Med quotation. |
| 9 | Eligibility of groups split between: Ø DHA LSB/ Non LSB Ø DOH Basic/ Enhanced Where DHA LSB/DOH Basic plan coverage is requested for the eligible population | The Non LSB/Enhanced portion of these groups are eligible for Guardian Med quotation as long as the membership for this portion is 150 or less. The LSB/Basic portion is not eligible for quotation. Additionally, please add disclaimers such as: Ensure that all Non LSB/Enhanced members under the expiring SME policy are incepted with under the GM plan. Ensure that the client does not shift any member between their policies. |
| 10 | Eligibility of groups split between: Ø DHA LSB/ Non LSB Ø DOH Basic/ Enhanced Where Guardian Med coverage is also requested for the DHA LSB/DOH population | As long as the total membership is 150 or less, we propose the below two options: 1) In case our non-PI partner has a Reinsurer license, it will contract with our Preferred PI partner. The LSB members will be fronted through the PI partner while the non-PI partner will share the insurance risk with Munich Re through the contractual cession. 2) In case our non-PI partner does not have a Reinsurer license, it will contract with our Preferred PI partner. The LSB members will be fronted through the PI partner, and Munich Re will assume 100% risk. Munich Re will look at the combined performance of the secured policy for renewal. |
| 11 | Quotation eligibility of groups subject to medical underwriting assessment | All quotations which require medical underwriting assessment are considered indicative and non-binding. Our partners should confirm coverage only after medical assessment. Our online tool will display these disclaimers on the quotation when the underwriter/broker generates the quotation for such groups. |
| 12 | Eligibility of groups with 150 members (or less) currently administered by Munich Re partner insurance company | As long as the group satisfies the UW guidelines and general criteria of the GM product you can proceed with the quotation. |
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