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PROFESSIONAL CERTIFICATE INLIFE ASSURANCE

(PCILA)

About Programme

The Professional Certificate in Life Assurance (PCILA) introduces the fundamentals of the role of a Life Underwriter or Life Claims Assessor to insurance personnel who do not have any formal education in Life Underwriting or Life Claims. The candidate will learn about the processes involved in decision-making with regards to the respective areas of specialization.

The objective of this programme is to provide insurance personnel with the specific operational and analytical knowledge and skills to analyse and conduct a wide range of routine and non-routine life underwriting tasks or life claim task. The combination of both practical and theoretical aspects in this programme will support Life Underwriters and Life Assessor in their career development and job advancement. PCILA is also useful for customer service personnel and agents.

Programme Module

Progression Towards AMII

Who Can Enroll Benefit

Programme Fee

7 Credits exempted at AMII Level 1

Life Underwriters or Life Claims Assessors, working underwriters or customer service personnel, marketing executives and claims support personnel

Candidates will learn the best practices in Life Insurance Underwriting or Claims in respect of two different streams of study, and this will be beneficial especially to those employed in the underwriting or claims department.

Course fee RM 4,300.00

Student registration fee + Membership (for first year) RM 200.00

TOTAL RM 4,500.00

Assessment Format Minimum Pass Mark Duration of Exam

Module 1 – 100 multiple choice questions 70% 3 hours

Module 2 – 50 MCQ for each subject 70% for each subject

1 ½ hours per subject

Module 3 – 50 MCQ for each subject 70% for each subject

1 ½ hours per subject

Exemption For Module 1

Minimum Entry Requirements

Exemption for Module 1 is permissible at MII’s discretion. The course fee for module 2 and module 3 is RM 2,452 (excluding student registration & 1st year membership fees).

SPM/GCE ‘O’ Level or equivalent or higher

PROFESSIONAL CERTIFICATE IN LIFE ASSURANCE (PCILA)

Module Subject (must be taken in sequence as per below subject order) Duration

1 Insurance Principles & Market Practice (Life) 42 Hours

2Stream A: Life Underwriting• Introduction to Life Underwriting • Human Anatomy & Physiology

Stream B: Life Claims• Introduction to Claims Practice• Human Anatomy & Physiology

14 Hours14 Hours

3 • Life Underwriting Technicalities • Legal Aspects of Life Insurance

• Effective Claims Practice• Legal Aspects of Life Assurance

14 Hours14 Hours

Stream A: Life Underwriting

Module 1

Module 2

Subject Name Insurance Principles & Market Practice (Life)

Learning Topics 1. Risk & Insurance2. The Insurance Marketplace3. Principle of Insurance (Conventional and Takaful)4. Insurance Regulation and Consumer Protection5. Medical & Health Insurance6. Legal Aspects of Life Insurance7. Life Insurance Products8. Life Insurance Premium Rating9. Life Insurance Underwriting and Documents10. Life Insurance Claims

Subject Name Human Anatomy & Physiology

Learning Topics

1. Introduction to Anatomy and Physiology

2. Introduction of Human Anatomy3. Overview of entire body systems4. Related disorders and diseases based

on each body system5. General information:

• Definition• Causes• Signs & symptoms• Risks factors• What to expect?


Programme Learning Outcome

At the end of the programme, candidates will be able to: • define the roles and functions of a Life Underwriter• interpret the Life Underwriting process and its established guidelines• apply the Life Underwriting guidelines

Subject Name Introduction to Life Underwriting

Learning Topics

1. Introduction to Basic Life Underwriting2. Who is the underwriting personnel?3. What are their authority and

approaches?4. The principle of Risks selection5. The tools of Underwriting6. The classification of Underwriting7. The Underwriting process

Stream A: Life Underwriting


Module 3

Subject Name Life Underwriting Technicalities

Learning Topics

1. Underwriting Individual Life Insurance :• Medical Risk factors.

2. Underwriting Individual Life Insurance :• Financial Risk factors

3. Underwriting Individual Life Insurance :• Personal Risk factors

4. Underwriting business insurance, specialized policies, replacements and supplementary benefits

• Underwriting business insurance

• Financial assessment of a business

• Business valuation/ Key man life insurance

• Employee benefit plan• Creditor insurance/ Partnership

5. Underwriting Individual Health insurance

6. Underwriting Group Life & Health Insurance

7. Group Insurance Underwriting Activities

8. Risk assessment for Group Insurance

Subject Name Legal Aspects of Life Insurance

Learning Topics

1. Sources of Malaysian Law2. Formation of a life insurance contract3. Insurable Interest, Proposal Form,

Duty to Disclose & Misrepresentation. Provisions under the FSA 2013

4. The Life Policy5. Life Insurance Agent and related

provisions in FSA.6. Premiums7. Beneficiaries8. Assignment9. Trust & Statutory Trust10. Policy lapse, Non -Forfeiture, Surrender

and Reinstatement.11. Life Claims Management Concept12. Payment of Policy Moneys13. Discharge of Life Policies14. Bankruptcy and Inheritance.

Stream B: Life Claims

Module 1

Module 2

Subject Name Insurance Principles & Market Practice (Life)

Learning Topics 1. Risk & Insurance2. The Insurance Marketplace3. Principle of Insurance (Conventional and Takaful)4. Insurance Regulation and Consumer Protection5. Medical & Health Insurance6. Legal Aspects of Life Insurance7. Life Insurance Products8. Life Insurance Premium Rating9. Life Insurance Underwriting and Documents10. Life Insurance Claims

Subject Name Introduction to Claims Practice

Learning Topics

1. Introduction to General Principles of Insurance

• What is Insurable Interest?• Indemnity• Utmost Good Faith• Duty of Disclosure• Proximate Cause• Contribution• Subrogation

2. Basic types of Life Policies and scope of coverage

• What is a Life Insurance Policy?• Term Insurance• Endowment• Supplementary Rider

3. Various Types of Life Claims4. Basic Legal Aspects of Insurance

Subject Name Human Anatomy & Physiology

Learning Topics

1. Introduction to Anatomy and Physiology

2. Introduction of Human Anatomy3. Overview of entire body systems4. Related disorders and diseases based

on each body system5. General information:

• Definition• Causes• Signs & symptoms• Risks factors• What to expect?


Programme Learning Outcome

At the end of the programme, candidates will be able to: • define the roles and functions of a Life Claims Assessor• interpret the Life Claims process and its established guidelines• apply the Life Claims guidelines

Stream B: Life Claims


Module 3

Subject Name Effective Claims Practice

Learning Topics

1. Types of hybrid policies and scope of coverage

2. Types of Life Claims3. Basic Legal Aspects of Insurance4. Application of Financial Services Act

(FSA) to Life Claims5. Clams Management Concept

• Claims Management Definition• End to end process - from

registration, investigation to payment of Claims.

• Registration of Claims• Documentations for a valid

Claim• Policy Conditions• Exclusions and Endorsements• Appointment of Adjusters and

Investigators• Fraud Detection• Assessment of Claims• Insurance Payment• Handling Complaint

Subject Name Legal Aspects of Life Insurance

Learning Topics

1. Sources of Malaysian Law2. Formation of a life insurance contract3. Insurable Interest, Proposal Form,

Duty to Disclose & Misrepresentation. Provisions under the FSA 2013

4. The Life Policy5. Life Insurance Agent and related

provisions in FSA.6. Premiums7. Beneficiaries8. Assignment9. Trust & Statutory Trust10. Policy lapse, Non -Forfeiture, Surrender

and Reinstatement.11. Life Claims Management Concept12. Payment of Policy Moneys13. Discharge of Life Policies14. Bankruptcy and Inheritance.

Frequently Asked Questions

What is this course about?• This course is developed by MII for Life Underwriters and Life Claims Asessors and those who can benefit from it.• It is a professional programme on Life Underwriting and Life Claims Assessing.• To affirm a person has attained a minimum standard and quality in Underwriting or Claim Assessing.• Students learn about the processes involved in decision-making with regard to underwriting or claim.

What are the benefits for those attending the course?• Students learn about the practical and theoretical aspects of the Life Underwriting and Life Claims.• Knowledge, skills and competencies gained will support Life Underwriters, and Life Claims assessors in their career

development and job advancement.

Why would the course be of benefit for my staff?• For an employer, the Underwriting or Life Claims authority should be given based on the competency of the staff.• Certification is an affirmation of that competency.• Learning on the job, without formalised training, takes time.• A structured course programme enables focussed learning.

How is the course programme structured?• This is a 3-module programme, comprise of 5 subjects. First module comprises of one compulsory subject, the 2nd and 3rd

module comprise 2 compulsory subjects each based on their respective stream.• 98 learning hours, spread over 14 weeks.• One class per week, Saturday, 8 pm to 5 pm.• After to the completion of each subject, students must sit for the multiple choice questions examination.

Who can enrol?• Both new and working underwriters or Life Claim Aassessors can attend, as this is a professional programme in Underwriting

or Claim.

What are the key performance indicators which will be derived from staff who successfully complete the course?• The PCILA is examination-based. Passing the examination is a good indicator of the competency of the staff.• Improvements in the time spent on underwriting and claim assessment.• Improvements in the quality of underwriting and accuracy of claim assessment.• Improvements in customer satisfaction.

What does the PCILA lead on to for the staff?• The staff shall qualify with a Professional Certificate in Life Underwriting or Life Claims.• Membership of The Malaysian Insurance Institute.• Progression to the AMII Level 1 with 7 credits.• Free access to MII library.• Discounted access to MII events, courses and programmes.

What if student fails a subject?• Re-sit examinations of failed subjects can be taken within 24 months from the date of first registration.• The re-sit fee is RM 580.00 per subject.• The Students can still continue with the programme and take the remaining subjects even if he/she failed the earlier

subjects. • If a candidate does not complete the programme (including re-sit) within 24 months from the date of first registration, then

a further full registration payment is required in order to continue with the course.


Name (as per IC) IC No. (New)/Passport No Designation Email

Contact Person: Email Address:

Tel No : HP No : Fax No :

Company Name :

Company Stamp & Address :

PARTICIPANT DETAILS

ADMINISTRATIVE DETAILS

Cash Payment

Enclosed is a Bankdraft / Money Order no. for RM___________ made payable to The Malaysian Insurance Institute.

Direct Bank In to MII account : 2-64160-00004670

RHB Bank Bhd. G129, Ground Floor, Bangsar Shopping Centre, 285 Jalan Maarof, Bangsar, 59100 Kuala Lumpur, Malaysia.

Telegraphic Transfer in USD to MII account : 6-14165-00000321

RHB Bank Bhd. G129, Ground Floor, Bangsar Shopping Centre, 285 Jalan Maarof, Bangsar, 59100 Kuala Lumpur, Malaysia.

(Payment Slip Attached) Please charge RM ________________to my credit card. VISA MASTER

Card number : Expiry date : ________________ Cardholder’s signature : ____________________________

Note : 1. Payment to be made payable to “The Malaysian Insurance Institute” 30 days before the commencement of the programme.2. Participants will not be registered for the programme until payment is received.3. We wish to inform that MII does not accept personal cheques.

PAYMENT OPTIONS (Please tick (√) method of payment)

REGISTRATION POLICY

Important NoticeIn regards to Personal Data Protection Act 2010 (“the Act”), pleased note that your personal data is used, stored, disclosed and processed by MII solely for the Purpose of registering training courses and/or in connection to other MII products or services. Your personal information may also be disclosed or transferred to relevant third party i.e to the industry related associations, industry related companies, government agencies and any of their respective agents. Any inquiries or complaints with respect to your personal information may also be channeled to MII by submitting such request to MII via post, email ([email protected]) or facsimile (03-2093 9287). ............................ Applicant’s declarationI am deemed to have consented to MII to use, store, disclose and process my personal data for the Purpose mentioned above and agree to comply with and be subject to the jurisdiction of all rules and regulation of MII concerning the training courses. Applicant’s Signature :_______________________________________ Date :_______________________________________

• CompletedregistrationformtogetherwithpaymenttoreachMIIatleastbeforetheregistrationclosingdate.• Reservationcanbemadebyemailorfax.MIIpracticesanoncreditpolicy.Assuch,allcompaniesandindividualsarerequiredtomakepaymentbeforethecommencementofthe

course. But confirmation for places is subject to availability of seat.• MIIreservestherighttoreschedule,changethetrainer,modifythecoursecontentorcancelthecourseduetounforeseencircumstanceswithoutpriornotice.• Contactpersonorparticipantswillbenotifiedthroughtheemail,faxorphoneonthestatusofthecourse.• Nocancellationisallowedafterregistrationclosingdate.However,replacementofparticipant(s)isaccepted.

DECLARATION

EnquiriesFor further information kindly contact: The Malaysian Insurance Institute (35445-H)

No 5, Jalan Sri Semantan Satu, 50490 Damansara Heights, Kuala Lumpurwww.insurance.com.my or contact: 03-2087 8882, Santhi (ext. 273 / [email protected]), Azean (ext. 274 / [email protected]), Ashraff (ext. 275 / [email protected])

* All classes will be held every Saturday at MII City Centre @ Wisma FGV, Jalan Raja Laut, KL* Date are subject to change

Dates In 2020March Intake 2020

Module 1: 7 March - 18 April 2020Module 2: 30 May - 6 June 2020 | 20 June & 27 June 2020Module 3: 11 July & 18 July 2020 | 8 August & 15 August 2020

AssessmentModule 1: 9 May 2020Module 2: 13 June & 4 July 2020Module 3: 25 July & 22 August 2020

Closing date for registration 24 February 2020

Stream (Please tick (√) Stream A: Life Underwriting ( ) Stream B: Life Claims ( )
