coop health service program

koop aksi plan

MOTORCYCLE / VEHICLE COMPREHENSIVE INSURANCE

KEYMAN​

PATXT - 15

GOLD PLAN

BenefitsAmount
Accidental Death & Dismemberment of Body PartsP 100,000.00
Murder or Unprovoked AssaultP 50,000.00
Medical Expense Reimbursement due to AccidentP 10,000.00
Hospital Income Rider due to Accident, Maximum of 7 DaysP 300.00 per day
Annual Premium per personP 330.00

SILVER PLAN

BenefitsAmount
Accidental Death & Dismemberment of Body PartsP 50,000.00
Murder or Unprovoked AssaultP 20,000.00
Medical Expense Reimbursement due to AccidentP 5,000.00
Hospital Income Rider due to Accident, Maximum of 7 DaysP 200.00 per day
Annual Premium per personP 185.00

BRONZE PLAN

BenefitsAmount
Accidental Death & Dismemberment of Body PartsP 20,000.00
Murder or Unprovoked AssaultP 10,000.00
Medical Expense Reimbursement due to AccidentP 2,000.00
Hospital Income Rider due to Accident, Maximum of 7 DaysP 100.00 per day
Annual Premium per personP 105.00
Types of CoverageResidential AmountCommercial Amount
Fire Insurance Cash Assistance on Building & Contents or improvements at indicated addressP 10,000.00P 10,000.00
Accidental DeathP 10,000.00P 10,000.00
Calamity Assistance due to earthquake, flood, & typhoon subject to 75% of the actual loss per event for the current yearP 3,000.00P 3,000.00
PREMIUMP 120.00P 165.00

PLAN A

 Accidental Death & Total DisabilityUnprovoked Murder & AssaultAccident Medical ReimbursementAccidental Burial BenefitAnnual Premium
I25,000.0025,000.002,500.002,500.0025.00
II50,000.0050,000.005,000.003,000.0045.00
III75,000.0075,000.007,500.003,500.0065.00
IV100,000.00100,000.0010,000.004,000.0085.00

PLAN B

OPTIONAccidental Death & Total DisabilityUnprovoked Murder & AssaultAccident Medical ReimbursementAccidental Burial BenefitAnnual Premium
I20,000.0020,000.002,000.005,000.0025.00
II40,000.0040,000.004,000.005,000.0045.00
III60,000.0060,000.006,000.0010,000.0065.00
IV80,000.0080,000.008,000.0010,000.0085.00
V100,000.00100,000.0010,000.0010,000.00110.00
 Plan APlan B
Pre-School students can avail ofOption I or IIOption I or II
Grade School students can avail ofOption I or IIOption I or II
High School students can avail ofOption I-II or IIIOption I-II or III
College Students can avail ofAny optionAny option

The plan offers full-time 24 hours, 365 day-a-year worldwide protection against accident which an insured person may be exposed in the course of activities related to business of pleasure, whether on or off-the-job, occurring in the house or while travelling.

For 18-65 years old under Occupational Class 1 strictly non-hazardous occupations; pure white collar jobs

Accidental DeathP 1,000,000.00
Unprovoked murder/ AssaultP 500,000.00
Accident medical expenseP 100,000.00
Accident burial benefitP 100,000.00 per day
Annual PremiumP 1,800.00
Residential Fire Insurance for building HouseholdP 50,000.00
Contents (First Loss) Comprehensive personal Liability (Home Premises) 
Personal LiabilityP 20,000.00
Medical PaymentP 2,000.00
Damage to PropertyP 2,000.00
Accident Death & Dismemberment InsuranceP 25,000.00
Bereavement Assistance (due any type of death)P 2,500.00
Premium per unit of coverage (inclusive of taxes) one(1) unit per insured locationP 250.00

Payment can be divided by 4 but requires a post dated check for the last three payments.

BenefitsOption 1Option 2
Accidental DeathP 50,000.00P 100,000.00
Murder or Unprovoked AssaultP 25,000.00P 50,000.00
Death due to Natural Causes such as Sickness Disablement &Dismemberment Various (per schedule)P 12,500.00P 25,000.00
Funeral Service AssistanceP 7,500.00P 15,000.00
ANNUAL PREMIUMP 250.00P 500.00

ELIGIBILITY & FEATURES

  • Yearly Renewable Term
  • Entry age is 18 to 69 years old
  • Those who are able to perform the usual duties of their livelihood and not mentally incompetent or physically impaired.

Personal accident with hospitalization (Individual coverage)
Age eligibility: 2-25 years old (Student)

18-69 years old (Nominated breadwinner)
Period coverage: Twelve (12) month coverage

COVERAGEPLAN APLAN BPLAN CPLAN D
BREADWINNER COVERAGE    
Accidental Death25,000.0050,000.0075,000.00100,000.00
Permanent Disablement & Dismemberment25,000.0050,000.0075,000.00100,000.00
Educational Assistance5,000.0010,000.0015,000.0020,000.00
STUDENT COVERAGE    
Accidental Death25,000.0050,000.0075,000.00100,000.00
Permanent Disablement & Dismemberment25,000.0050,000.0075,000.00100,000.00
ANNUAL PREMIUM175.00350.00500.00675.00
   
Accidental DeathP 5,000.00
Accidental Permanent DisablementP 5,000.00
Death due to motorcyclingP 5,000.00
Accidental Death due to drowning, snake/dog biteP 5,000.00
Annual Premium per person (and can avail up to 5x)P 15.00

FEATURES AND ADVANTAGES

  • Membership is open to all San Jose Koop Members who are 12 to 75 years old.
  • Premium payment can be facilitated by San Jose Koop.
  • Services rendered by non-accredited hospitals are covered in emergency cases.
  • Service is personalized.
  • There is a 24-hour customer service hotline.

PACKAGE 1
WARD PLAN
Ages 12 – 65*		PACKAGE 2
WARD PLAN
Ages 66 – 70*		PACKAGE 3
WARD PLAN
Ages 71 – 75*
PLAN 3,600 (Php 10.00/day)
60,000.00 per illness/year
(Php 30,000.00 single confinement)		PLAN 7,200 + 350 PF (Php 21.00/day)
60,000.00 per illness/year
(Php 30,000.00 single confinement)		PLAN 10,800 + 350 PF (Php 31.00/day)
60,000.00 per illness/year
(Php 30,000.00 single confinement)
  • APE (X-Ray, CPC, Urine Test, Stool Test and Physical Exam)
  • Out-Patient and In-Patient
  • ER up to MBL
  • Financial Assistance

DENTAL SERVICE:

  • Simple Tooth Extraction
  • Annual Prophylaxis
  • Temporary Filling
  • Consultation
  • APE (X-Ray, CPC, Urine Test, Stool Test and Physical Exam)
  • Out-Patient and In-Patient
  • ER up to MBL
  • Financial Assistance
  • APE (X-Ray, CPC, Urine Test, Stool Test and Physical Exam)
  • Out-Patient and In-Patient
  • ER up to MBL
  • Financial Assistance
*  and 6 months before next birthday

QUICK LINKS

The KOOPamilya insurance is the newest Microinsurance product of 1CISP which is designed for cooperatives
to provide family insurance package to its members.

FEATUREADVANTAGEBENEFITS
Natural death or total and permanent disabilityProvides coverage incase of natural death or total permanent disability.Protection for beneficiaries
Accidental Death InsuranceProvides coverage for accidental death.Beneficiaries will be burden free from the sudden loss.


Eligibility requirements are as follows:

INSUREDENTRY AGEEXIT AGE
If Principal Member is Married18-65 years old69 years & 6 months
Covered Dependent/s:  
  Legal Spouse18-65 years old69 years & 6 months old
  Biological and/or legally adopted children2 weeks – 21 years old21 years & 6 months old
If Principal Member is Single18-65 years old69 years & 6 months old
Covered Dependent/s:  
  Biological Parent/s18-60 years old60 years & 6 months old
  Biological and/or legally adopted children and/or Sibling2 weeks – 21 years old21 years & 6 months old
If Principal Member is Single without children/sibling but with Parents18-65 years old60 years & 6 months old
Covered Dependent/s:  
  Biological Parent/s18-60 years old60 years & 6 months old
LENGTH OF MEMBERSHIPINSURANCE COVERAGEPRINCIPAL MEMBERDEPENDENTS (max. of 4)
THREE (3)
MONTHS OR LESS		Natural Death or Total and Permanent Disability2,500.00None
Accidental Death20,000.005,000.00
MORE THAN 3
MONTHS UP TO
TWELVE (12) MONTHS		Natural Death or Total and Permanent Disability5,000.00None
Accidental Death20,000.005,000.00
MORE THAN
TWELVE (12) MONTHS		Natural Death or Total and Permanent Disability40,000.0010,000.00
Accidental Death80,000.0020,000.00
  
Annual Premium480

INSURANCE

I. Requirements:

  • Must be a regular member of San Jose Koop
  • Must be 12 to 75 years old under occupation
  • Fill out application form

II. Characteristics:

  • Services rendered by non-accredited hospitals are covered in emergency cases.
  • Service is personalized.
  • There is a 24-hour customer service hotline

III. Premium:

  • 12 to 65 yrs old - Php 5,400.00
  • 66 to 70 yrs old - Php 10,800.00
  • 71 to 75 yrs old - Php 16,200.00

IV. Plan Benefits:

  • Preventive (Annual Physical Examination)
    - Chest X-Ray
    - Complete Blood Count (CBC)
    - Urine & Stool Test
    - Physical Examination
  • Out Patient Consultations & Laboratories
    - Php 10,000.00 / year maximum benefit limit
  • In Patient (Confinement)
    - Net of PhilHealth
    - Php 60,000.00 maximum benefit limit (Php 30,000.00 limit per confinement)
  • Emergency Treatment (24/7)
    - Php 30,000.00 / year maximum benefit limit
  • Dental Coverage
    - Simple Tooth Extraction
    - Temporary & Permanent Filling
    - Simple Oral Prophylaxis
  • Financial Assistance
    - Php 10,000.00 : Natural Death
    - Php 20,000.00 : Accidental Death
    - Php 10,000.00 : Unprovoked Murder & Assault
  • Telemedicine
    - Unlimited Call Consultations 24/7
    - One Video Consultation / Month
    - E-Medical Certificate
    - E-Prescription
    - E-Laboratory Requests
    - E-Referral
  • Covid-19 Benefit
    - Php 1,000.00 to Php 10,000.00 : Out Patient Coverage
    - Php 10,000.00 : In Patient Coverage
    - Php 2,500.00 : Financial Assistance
  • Eyecare Benefit
    - Partnership with Executive Optical with around 215 branches nationwide

I. Requirements:

  •  Must be a regular member of San Jose Koop
  • Must be 18 to 65 years old
  • Fill out application form
  • Strictly non-hazardous occupations

II. Characteristics:

  • Accidental death Insurance

III. Coverage & Premium:

GOLD PLAN

BENEFITS

  • 1% per month in a periodic/diminishing computation
    Amount: ₱ 100,000.00
  • Murder or Unprovoked Assault
    Amount: ₱ 50,000.00
  • Medical Expense Reimbursement due to Accident
    Amount: ₱ 10,000.00
  • Hospital Income Rider due to Accident, Maximum of 7 Days
    Amount: ₱ 300.00 per day

      Annual Premium per person

      Amount: ₱ 300.00

 

I. Requirements:

  • Applicant must be a regular member of San Jose Koop
  • Below 10 years Motorcycle or Motorvehicle

II. Characteristics:

  • Accidental Insurance covering both the motorcycle or motorvehicle and its riders

III. Coverage:

  • Own Damage
  • Bodily Injury
  • Property Damage
  • Acts of God
  • Auto Personal Accident

III. Coverage:

  • Depends on the vehicle value

I. Requirements

  • Must be a regular member of San Jose Koop
  • Must be 18 to 65 years old under occupation
  • Fill out application form
  • Class 1 strictly non-hazardous occupations pure white collar jobs.

II. Characteristics:

  • Accidental death Insurance

III. Coverage:

  • Accidental death - ₱ 1,000,000.00
  • Unprovoked murder / Assault - ₱ 500,000.00
  • Accident medical expense - ₱ 100,000.00
  • Accidental burial benefit - ₱ 100,000.00
  • Accidental death Insurance

IV. Premium:

  • 1,800 pesos per annum

I. Requirments:

  • Must be a regular member of San Jose Koop
  • Must be 1 to 99 years old
  • Fill out application form

II. Terms of Payment:

  • Accidental death Insurance
  • Maximum of 5 cards per person

III. Coverage:

  • Accidental Death - ₱ 5,000.00
  • Accidental Permanent Disablement - 5,000.00
  • Death due to motorcycling - 5,000.00
  • Accidental Death due to drowning, snake/dog bite - 5,000.00

IV. Premium

  • 15 pesos per annum

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