Critical Illness Rider in ULIP

ULIPs offer various riders to investors to provide an extra layer of financial protection. A critical illness rider is one of the offered riders which provides financial assistance to the policyholder if they are diagnosed with a life-threatening disease which is covered by the chosen ULIP.

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What is a Critical Illness Rider in ULIP?

A ULIP can be customised to provide additional financial security for various life situations. A critical illness rider is an optional add-on benefit which can be added to your ULIP and pays a lump-sum payout to the policyholder if they are diagnosed with a specific life-threatening disease. Adding a critical illness rider to your plan can help you further enhance it by coupling wealth building with health protection.

How Does a Critical Illness Rider Work in ULIP?

A critical illness rider uses a simple step-by-step process to provide you with the financial support needed for your treatment.

  • Adding the rider to your ULIP: You can opt to add the critical illness rider when buying your ULIP or during policy renewal. A fixed premium will have to be paid for the rider throughout the term of the policy.
  • Diagnosis of an illness covered under the rider: If you are diagnosed with a life-threatening disease which is covered under the rider, you can apply for a claim.
  • Applying for the claim: You can simply claim the rider based on your diagnosis report. You can receive your payout after submitting your medical documents or a doctor’s certificate which can corroborate your diagnosis.
  • Receive your lump sum amount: A one-time fixed lump sum will be paid to you once the claim is verified by the insurer. You can use the money for hospitalisation, specialised treatments or medications. There is no restriction on the usage of the lump sum amount.
  • Continuation of your base policy and investments: Your base policy continues even if you claim your critical illness rider benefit.
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What Critical Illnesses Are Covered Under a ULIP Rider?

A wide range of illnesses is covered under the critical illness rider. While coverage for specific diseases can vary as per your insurer, the following illnesses are generally covered by most insurers.

  • Cancer
  • Heart condition
  • Neurological disorder
  • Kidney disease
  • Organ failure
  • Other conditions like burns, sclerosis and coma

Fund Name NAV sort icon AUM sort icon 5 Yr Returns sort icon 10 Yr Returns sort icon
SBI Life Balanced Fund ₹72.76 ₹20074 Cr 6.18% 8.65%
SBI Life Bond Fund ₹51.7 ₹15833 Cr 5.38% 6.24%
SBI Life Equity Fund ₹194.8 ₹81626 Cr 7.6% 10.53%
SBI Life Equity Optimiser Fund ₹54.45 ₹2606 Cr 7.95% 10.2%
SBI Life Growth Fund ₹93.8 ₹2868 Cr 6.93% 9.89%
SBI Life Money Market Fund ₹37.68 ₹489 Cr 6.02% 5.9%
SBI Life Top 300 Fund ₹55.51 ₹1977 Cr 6.94% 10.71%
SBI Life Pure Fund ₹28.34 ₹1226 Cr 7.29% 9.85%
SBI Life Bond Optimiser Fund ₹22.79 ₹3237 Cr 6.52% -
SBI Life Bluechip Fund ₹9.87 ₹3588 Cr - -
SBI Life Balanced Pension ₹73.21 ₹857 Cr 6.65% 9.52%
SBI Life Bond Pension ₹45.91 ₹551 Cr 5.32% 6.49%
SBI Life Equity Pension ₹74.9 ₹13320 Cr 8.17% 11.18%
SBI Life Growth Pension ₹74.13 ₹680 Cr 7.67% 10.47%
SBI Life Money Market Pension ₹34.83 ₹158 Cr 5.97% 5.88%
SBI Life Equity Optimiser Pension ₹59.09 ₹1063 Cr 8.26% 11.11%
SBI Life Top 300 Pension ₹55.06 ₹758 Cr 7.31% 11.03%
SBI Life Midcap Fund ₹52.16 ₹64561 Cr 15.41% 16.19%
SBI Life Corporate Bond Fund ₹16.8 ₹1028 Cr 5.28% -
SBI Life Equity Elite II ₹50.88 ₹11905 Cr 6.91% 9.87%
SBI Life Index ₹45.24 ₹90 Cr 6.6% 10.13%
SBI Life Index Pension ₹47.26 ₹24 Cr 6.66% 10.19%
SBI Life Discontinued Policy Fund ₹26.03 ₹10739 Cr 5.65% 5.89%
SBI Life Equity Elite ₹85.45 ₹12 Cr 9.04% 12.57%
SBI Life P-E Managed ₹38.53 ₹198 Cr 7.39% 8.8%
SBI Life Guaranteed Pension GPF070211 ₹27.12 ₹1 Cr 5.12% 5.88%
SBI Life Bond Pension II ₹23.94 ₹28523 Cr 5.12% 5.84%
SBI Life Equity Pension II ₹40.53 ₹11525 Cr 6.67% 10.41%
SBI Life Money Market Pension II ₹21.25 ₹1499 Cr 5.74% 5.62%
SBI Life Discontinue Pension Fund ₹21.98 ₹6316 Cr 5.68% -
SBI Life Group Growth Plus Fund ₹57.29 ₹3 Cr 6.65% -
SBI Life Group Debt Plus Fund ₹41.12 ₹115 Cr 5.92% -
SBI Life Group Balance Plus Fund ₹48.79 ₹11 Cr 6.29% -
SBI Life Group Balance Plus Fund II ₹27.29 ₹1218 Cr 6.7% -
SBI Life Group Debt Plus Fund II ₹26.76 ₹337 Cr 6.01% -
SBI Life Group Growth Plus Fund II ₹26.98 ₹295 Cr 7.04% -
SBI Life Group Short Term Plus Fund II ₹22.13 ₹19 Cr 6.1% -
SBI Life Group Money Market Plus Fund ₹14.15 ₹2 Cr 3.31% -
SBI Life Group Balanced Pension Fund ₹10.27 ₹154 Cr - -
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What are the exclusions under a Critical Illness Rider?

  • There are certain cause-based exclusions under a critical illness rider. Note that, like the inclusions, the exclusions also purely depend on the insurer.
  • Pre-existing illnesses and conditions not disclosed when buying the policy
  • Self-inflicted injury or suicide attempt
  • Illness caused due to substance usage
  • HIV/AIDS related illness
  • Any participation in hazardous activities and sports is excluded
  • Nuclear, biological and chemical contamination-related illness is not covered.
  • Any illness or injury due to a criminal act
  • Any illness present from birth is not covered

What is the Waiting Period and Survival Period for a Critical Illness Rider in ULIP?

  • Waiting Period: A waiting period is the window during which you cannot make a claim under the critical illness rider. This window starts as soon as you buy your policy. It is thus recommended to compare plans and their critical illness riders and choose policies with a shorter waiting period to ensure that you are financially covered as soon as possible.
  • Survival Period: The survival period clause is one of the most important factors to check when choosing a plan and a critical illness rider. The clause requires you to verify whether the insurer needs to survive for a specified duration after diagnosis before the benefit amount is disbursed to you. Ensure you review the plan on the aforementioned factors before you choose one and get the maximum benefit out of your premiums.
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Critical Illness Rider Vs Health Insurance

The following table lists the key differences between a critical illness rider and health insurance.

Parameter Health Insurance Critical illness rider
Payout mechanism Covers the treatment expenses and all hospitalisation bills Pays a lump sum amount upon the diagnosis of the illness.
Documentation required Requires the submission of hospital bills and invoices to claim the insurance Needs the submission of the medical documentation confirming the medical diagnosis
Restriction on usage The policy is restricted and only pays the treatment fee and the hospitalisation bills No restriction on usage. The payout once made can be used for anything
Policy type An individual policy which is not linked to life insurance An add-on cover attached on top of your base policy

Conclusion

A critical illness rider can be an essential add-on to your ULIP as health is not guaranteed in today’s day and age. A critical illness rider can help you get an immediate lump sum payout which can cover the cost of your treatment without any delay. Ensure you read the terms and conditions of the ULIP and its rider before choosing a plan to best optimise your investments.

FAQs

  • Does a Critical Illness Rider affect ULIP returns?

    No, a critical illness rider does not affect your ULIP returns. Your market-linked investments will keep on growing irrespective of whether you have claimed the rider’s benefits or not.
  • How can I claim the Critical Illness benefit under a ULIP?

    You can claim the critical illness rider by submitting proof of diagnosis which fulfils the medical definition of the illness. The payout will be disbursed to you after the insurer has verified the claim.
  • Can I claim the Critical Illness Rider more than once?

    No, after the benefit is paid out after the first diagnosis of the coverable critical illness, the rider is terminated, and the base policy remains to run as per the policy terms and conditions.
  • Is a Critical Illness Rider better than standalone critical illness insurance?

    Not necessarily; a standalone policy can be better since it offers broader disease coverage and a higher independent sum insured. A rider is comparatively cheaper and can be a better option if you already have a base policy.

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˜The insurers/plans mentioned are arranged in order of highest to lowest first year premium (sum of individual single premium and individual non-single premium) offered by Policybazaar’s insurer partners offering life insurance investment plans on our platform, as per ‘first year premium of life insurers as at 31.03.2025 report’ published by IRDAI. Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. For complete list of insurers in India refer to the IRDAI website www.irdai.gov.in
*All savings are provided by the insurer as per the IRDAI approved insurance plan.
^The tax benefits under Section 80C allow a deduction of up to ₹1.5 lakhs from the taxable income per year and 10(10D) tax benefits are for investments made up to ₹2.5 Lakhs/ year for policies bought after 1 Feb 2021. Tax benefits and savings are subject to changes in tax laws.
+Returns Since Inception of LIC Growth Fund
¶Long-term capital gains (LTCG) tax (12.5%) is exempted on annual premiums up to 2.5 lacs.
++Source - Google Review Rating available on:- http://bit.ly/3J20bXZ
^^The information relating to mutual funds presented in this article is for educational purpose only and is not meant for sale. Investment is subject to market risks and the risk is borne by the investor. Please consult your financial advisor before planning your investments.

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