Ballorat Ballorat company for company for cooperative cooperative insurance insurance agencies agencies servicesservices

Mission StatementMission Statement““To be the professional insurer of choice by delivering To be the professional insurer of choice by delivering world-class solutions for the protection of economic and world-class solutions for the protection of economic and

human interestshuman interests””..

Our visionOur visionBallorat vision reflects the image of what the external and Ballorat vision reflects the image of what the external and internal environment and the desired culture is going to be internal environment and the desired culture is going to be at a definite point in time. The year 2007 was chosen as at a definite point in time. The year 2007 was chosen as the designated point in time for Ballorat vision to the designated point in time for Ballorat vision to materialize. The Company's vision of the external and materialize. The Company's vision of the external and internal environment includes the legal environment, internal environment includes the legal environment, society, industry, market position, financial position and society, industry, market position, financial position and overall positionoverall position..

Strategic GoalsStrategic Goals

Since its inception, Ballorat goals have exceeded purely commercial Since its inception, Ballorat goals have exceeded purely commercial ambitions based on profit gain as an ultimate objective. Hence, the Company ambitions based on profit gain as an ultimate objective. Hence, the Company has designed its strategic goals and implemented them in a manner to realize has designed its strategic goals and implemented them in a manner to realize its future financial and non-financial ambitions. its future financial and non-financial ambitions. These goals areThese goals are::

11 . .Offer professional quality service to customers and provide first class Offer professional quality service to customers and provide first class security.security.2. Promote awareness of the benefits derived from the concept of cooperative 2. Promote awareness of the benefits derived from the concept of cooperative insurance.insurance.3. Maximize retention of insurance funds within Saudi Arabia.3. Maximize retention of insurance funds within Saudi Arabia.4. Maximize the number of professionally qualified Saudi nationals within the 4. Maximize the number of professionally qualified Saudi nationals within the Saudi insurance industrySaudi insurance industry..

Ballorat offers its retail and corporate clients a mixture Ballorat offers its retail and corporate clients a mixture of products that cater to their insurance needs of products that cater to their insurance needs

such assuch as:: ProductsProducts: :

Motor InsuranceMotor Insurance Medical Insurance Medical Insurance Fire & PropertyFire & Property Miscellaneous AccidentMiscellaneous Accident Engineering InsuranceEngineering Insurance Marine InsuranceMarine Insurance Takaful InsuranceTakaful Insurance Aviation InsuranceAviation Insurance Energy InsuranceEnergy Insurance

Health insuranceHealth insurance To avoid the high cost of medical treatment, To avoid the high cost of medical treatment,

NCCI offers a number of well-organized NCCI offers a number of well-organized medical insurance plans. These plans provide medical insurance plans. These plans provide comprehensive healthcare at the largest comprehensive healthcare at the largest medical centers in the Kingdom.medical centers in the Kingdom.

Individual insuranceIndividual insurance    :: Ballorat provides individuals with a diversified Ballorat provides individuals with a diversified

set of retail insurance programs that offer set of retail insurance programs that offer comprehensive protection to them and their comprehensive protection to them and their property. These programs include the property. These programs include the insurances of Motor, Medical, and Casualty insurances of Motor, Medical, and Casualty and Property. The Company has the and Property. The Company has the resources and means to extend its insurance resources and means to extend its insurance covers to meet all retail needs. The following covers to meet all retail needs. The following are Ballorat retail programs.are Ballorat retail programs.

Taj medical insuranceTaj medical insurance::

Taj Necessity for Healthy LifeTaj Necessity for Healthy Life

Health is real wealth, if utilized properly the Health is real wealth, if utilized properly the result will be a very happy life. Alike the result will be a very happy life. Alike the ““CrownCrown””, which according to the Arabic proverb, , which according to the Arabic proverb, sits on the head of healthy people only seen by sits on the head of healthy people only seen by patients. Hence, it is essential to plan perfectly patients. Hence, it is essential to plan perfectly to obtain you and your family members high to obtain you and your family members high quality healthcare. To avoid the exorbitant quality healthcare. To avoid the exorbitant medical treatment expenses, NCCI has prepared medical treatment expenses, NCCI has prepared a well-organized 4 medical insurance plans to a well-organized 4 medical insurance plans to provide you and your family with a provide you and your family with a comprehensive healthcare at the largest comprehensive healthcare at the largest medical providers in the Kingdom. You can medical providers in the Kingdom. You can obtain such benefits against the payment of obtain such benefits against the payment of annual premium at your disposal. Being the annual premium at your disposal. Being the client of NCCI, you and your family will receive client of NCCI, you and your family will receive high standard medical services.high standard medical services.

Taj PlansTaj Plans::NCCI provides 4 quality medical insurance plans NCCI provides 4 quality medical insurance plans that vary as to coverage limits to meet the that vary as to coverage limits to meet the healthcare demand of our clientshealthcare demand of our clients’’ needs. All Plans needs. All Plans provide the beneficiaries, within the period of provide the beneficiaries, within the period of insurance, the maximum level of healthcare. insurance, the maximum level of healthcare. These plans are as follows:These plans are as follows:

1 . 1 . AA’’Shifa PlanShifa Plan

As a member of this plan, you will be covered for As a member of this plan, you will be covered for all In-patient expenses including room and board all In-patient expenses including room and board in hospital, surgery, anesthetics, investigations in hospital, surgery, anesthetics, investigations and medical supplies and treatment. The cover and medical supplies and treatment. The cover also includes post hospital treatment expenses, also includes post hospital treatment expenses, one day surgery/ treatment, ambulance services, one day surgery/ treatment, ambulance services, companion of a child less than 10 years old companion of a child less than 10 years old expenses and repatriation of mortal remains. expenses and repatriation of mortal remains.

2 . 2 . AA’’Shifa Premier PlaShifa Premier Plann

This plan provides all the benefits mentioned under AThis plan provides all the benefits mentioned under A’’Shifa Shifa Plan, plus higher coverage limits and delivery expenses. Plan, plus higher coverage limits and delivery expenses.

3. 3. Taj Care PlanTaj Care Plan

This Plan provides people seeking comprehensive coverage This Plan provides people seeking comprehensive coverage (out-patient and in-patient). It covers both A(out-patient and in-patient). It covers both A’’Shifa plans Shifa plans covers as detailed above with additional coverage for out-covers as detailed above with additional coverage for out-patient services. Such cover includes doctor fees, patient services. Such cover includes doctor fees, medications, diagnostic procedures and treatments.medications, diagnostic procedures and treatments.

4 . 4 . Taj Care Premier PlanTaj Care Premier Plan

It is the best and most comprehensive plan you can get. It It is the best and most comprehensive plan you can get. It grants you added security by knowing that you are fully grants you added security by knowing that you are fully insured with high benefit limits against any medical insured with high benefit limits against any medical expenses arising as a result of In-patient and Out-patient expenses arising as a result of In-patient and Out-patient medical treatment including maternity and delivery and medical treatment including maternity and delivery and dental treatment expenses. The cover limit of taj amounted dental treatment expenses. The cover limit of taj amounted to SR 1 million per insured person per policy year. to SR 1 million per insured person per policy year.

Taj group MedicalTaj group Medical

Eligibility for Insurance:Eligibility for Insurance:

While designing this program, we highly While designing this program, we highly considered that our largest medical care considered that our largest medical care should include the beneficiaries. The should include the beneficiaries. The coverage is eligible for full-time employees, coverage is eligible for full-time employees, their spouses, dependent children (up to their spouses, dependent children (up to 21st birthday) and unmarried daughters. 21st birthday) and unmarried daughters. Providing more flexibility, we may expand Providing more flexibility, we may expand the choice to include dependent children the choice to include dependent children (up to 25th birthday), divorced and (up to 25th birthday), divorced and widowed daughters too.widowed daughters too.

Benefits Duration Period:Benefits Duration Period:The duration of coverage will be for one Gregorian year, starting from the The duration of coverage will be for one Gregorian year, starting from the

inception date. Renewal is possible at the desire of both parties. inception date. Renewal is possible at the desire of both parties. However, each party has the right to end, cancel or amend any of the However, each party has the right to end, cancel or amend any of the contract conditions or cover limits prior to renewal.contract conditions or cover limits prior to renewal.

Scope of CoverScope of Cover•• In- Patient and Out-Patient Services: In- Patient and Out-Patient Services:These are the main covers of all medical insurance These are the main covers of all medical insurance programs launched in the market. By the time many programs launched in the market. By the time many services are being excluded from other medical programs, services are being excluded from other medical programs, TAJ Medical Program provides a wide range coverage to all TAJ Medical Program provides a wide range coverage to all basic healthcare expenses, presented either in patient or basic healthcare expenses, presented either in patient or under treatment as an out-patient. Out-patient services under treatment as an out-patient. Out-patient services include doctorsinclude doctors’’ consultation fees, medication, x-rays, lab consultation fees, medication, x-rays, lab tests and children vaccination. In-Patient covers includes tests and children vaccination. In-Patient covers includes ambulance services to or from hospital, accommodation and ambulance services to or from hospital, accommodation and board expenses, surgery, oxygen supplies, anesthetizes, board expenses, surgery, oxygen supplies, anesthetizes, physiotherapy, wheelchair service, artificial organs, private physiotherapy, wheelchair service, artificial organs, private nursing within the insurednursing within the insured’’s home and the companion s home and the companion charges for children. charges for children.

•• Pregnancy and Maternity:Pregnancy and Maternity:The pregnancy and maternity is one of the additional The pregnancy and maternity is one of the additional covers provided by this program. It includes both pre-covers provided by this program. It includes both pre-natal and post-natal care in addition to baby born care. natal and post-natal care in addition to baby born care. Benefits payable are not limited to normal deliveries only. Benefits payable are not limited to normal deliveries only. It expands to also include caesarean/complicated delivery It expands to also include caesarean/complicated delivery plus the miscarriage/ legal abortion. The cover plus the miscarriage/ legal abortion. The cover commences from the inception of the insurance period commences from the inception of the insurance period and is payable for one pregnancy per spouse per policy and is payable for one pregnancy per spouse per policy year. year.

•• Optical Treatment:Optical Treatment:The NCCI medical program provides an additional cover The NCCI medical program provides an additional cover with agreed limit to the expenses of optical examination with agreed limit to the expenses of optical examination and normal lenses per person per policy year.and normal lenses per person per policy year.

•• Dental Treatment:Dental Treatment:Up to suitable maximum sub-limit, the program covers Up to suitable maximum sub-limit, the program covers dental expenses per person per policy year related to dental expenses per person per policy year related to teeth extractions, fillings, root canals and gum treatment teeth extractions, fillings, root canals and gum treatment and periodontal treatment including related x-rays and and periodontal treatment including related x-rays and prescribed medications. prescribed medications.

•• Pre-existing Diseases:Pre-existing Diseases:It may coincide that some of your employees have certain It may coincide that some of your employees have certain diseases or injury cases prior to policy. Such cases are diseases or injury cases prior to policy. Such cases are usually excluded by some insurers as to avoid extra usually excluded by some insurers as to avoid extra expenses. Yet, TAJ program provides the advantage of expenses. Yet, TAJ program provides the advantage of covering pre-existing cases along with all medical services covering pre-existing cases along with all medical services needed for treatment.needed for treatment.

•• Geographical Limits:Geographical Limits: Basically, the program provides insurance cover for Basically, the program provides insurance cover for

employees resident in Saudi Arabia. Yet, we offer to employees resident in Saudi Arabia. Yet, we offer to extend such coverage to provide benefits for insured extend such coverage to provide benefits for insured employees and their eligible dependents for emergency employees and their eligible dependents for emergency medical treatment while abroad on vacation or business medical treatment while abroad on vacation or business trips/training. Moreover, we can provide full cover over trips/training. Moreover, we can provide full cover over medical cases provided that a prior approval is obtained medical cases provided that a prior approval is obtained from the company and the medical reports stated that the from the company and the medical reports stated that the treatment is unavailable in the Kingdom of Saudi Arabia.treatment is unavailable in the Kingdom of Saudi Arabia.

•• Repatriation of Mortal Remains:Repatriation of Mortal Remains:In addition to all previous covers, the program also In addition to all previous covers, the program also provides the cost of repatriating of remains of an insured provides the cost of repatriating of remains of an insured person, following a fatal ailment, to his country of origin person, following a fatal ailment, to his country of origin or KSA. or KSA.

TAJ Medical CardsTAJ Medical CardsNCCI will provide each insured employee and eligible NCCI will provide each insured employee and eligible dependents Taj Medical Cards including basic information dependents Taj Medical Cards including basic information such as policy number, expiry date and insured ID number. such as policy number, expiry date and insured ID number. By presenting this card, the insured will be able to obtain By presenting this card, the insured will be able to obtain all necessary medical services directly from the approved all necessary medical services directly from the approved medical providers by all facilitated means. NCCI will freely medical providers by all facilitated means. NCCI will freely replace lost or damaged cards and will issue cards for replace lost or damaged cards and will issue cards for every new insured member.every new insured member.

Medical Care Kingdom-WideMedical Care Kingdom-WideNCCI has highly qualified officers and coordinators who NCCI has highly qualified officers and coordinators who are able to assist you all around the country. Not only are able to assist you all around the country. Not only through our head office that you can reach us, but we can through our head office that you can reach us, but we can be as near as possible in all regions. There are qualified be as near as possible in all regions. There are qualified doctors in our three regional offices (Riyadh, Jeddah and doctors in our three regional offices (Riyadh, Jeddah and Dammam) available to solve any problem related to Dammam) available to solve any problem related to program benefits and, in some cases, may provide second program benefits and, in some cases, may provide second opinion as needed. opinion as needed.

Taj Unique Features:Taj Unique Features:- To provide out of KSA cover with additional contribution.- To provide out of KSA cover with additional contribution.

- To provide you with a comprehensive medical treatment - To provide you with a comprehensive medical treatment at the largest medical providers in the Kingdom.at the largest medical providers in the Kingdom.

- To provide you with the second medical opinion on - To provide you with the second medical opinion on critical cases to ensure exact diagnosis.critical cases to ensure exact diagnosis.

- To provide the tele-medicine service to save our clients - To provide the tele-medicine service to save our clients the trouble and hardship sustained when traveling abroad the trouble and hardship sustained when traveling abroad for medical treatment.for medical treatment.

- To offer world wide healthcare assistance to clients - To offer world wide healthcare assistance to clients whilst traveling outside the Kingdom.whilst traveling outside the Kingdom.

- To ensure the customers receive excellent healthcare - To ensure the customers receive excellent healthcare service by applying the service quality control check.service by applying the service quality control check.

- To simplify the procedures of obtaining required medical - To simplify the procedures of obtaining required medical service with no unnecessary administrative obstacles.service with no unnecessary administrative obstacles.

Taj Plan RatesTaj Plan Rates

NCCI has prepared a schedule of Taj plan NCCI has prepared a schedule of Taj plan rates through which you know the rates through which you know the premium amount you have to pay for premium amount you have to pay for obtaining the required medical cover. You obtaining the required medical cover. You only have to select one of Taj's 4 plans only have to select one of Taj's 4 plans then determine age, sex and geographical then determine age, sex and geographical limit. The value of payable premium is limit. The value of payable premium is determined to you accordingly. determined to you accordingly.

Reimbursement of medical expenses:Reimbursement of medical expenses: •• The insured person should refer only to the The insured person should refer only to the approved medical providers stated in the policy.approved medical providers stated in the policy.•• In certain cases may you will not be able to find In certain cases may you will not be able to find appointed medical provider, in this case NCCI will appointed medical provider, in this case NCCI will accept your bills for reimbursement.accept your bills for reimbursement.•• In order for the claim to be eligible for In order for the claim to be eligible for reimbursement:reimbursement:a. You must fill in the reimbursement form a. You must fill in the reimbursement form completely.completely.b. Forward originals of Doctor's prescriptions, b. Forward originals of Doctor's prescriptions, pharmacy bills and all cash receipts.pharmacy bills and all cash receipts.c. Original detailed medical report.c. Original detailed medical report.d. A copy of the medical card. d. A copy of the medical card. •• Emergency cases and in cities where no Emergency cases and in cities where no providers NCCI will accept your bills subject to providers NCCI will accept your bills subject to the stated policy conditionsthe stated policy conditions..

Why medical malpracticeWhy medical malpractice? ?

It is of course perfectly right and proper It is of course perfectly right and proper that everyone has personal liability for that everyone has personal liability for any harm he might cause to another any harm he might cause to another person . for the medical professional person . for the medical professional whose work necessarily involve a degree whose work necessarily involve a degree of risk of the patient, this is not an of risk of the patient, this is not an abstract concept but a profound abstract concept but a profound responsibility to be porn every moment responsibility to be porn every moment

of his or her working lifeof his or her working life . .

Although these rules set guideline for the Although these rules set guideline for the profession they in no way limit the profession they in no way limit the liability of the individual practitioner liability of the individual practitioner under sharia lawunder sharia law..

What does the medical malpractice policy What does the medical malpractice policy cover ?cover ?

Economically priced and designed with Economically priced and designed with painstaking care to meet the needs of today painstaking care to meet the needs of today medical professional, the policy indemnifies medical professional, the policy indemnifies you against legal liability for negligent acts you against legal liability for negligent acts committed within Saudi Arabia covering committed within Saudi Arabia covering compensation and claimant costs as well as compensation and claimant costs as well as the cost of defence and investigation of the the cost of defence and investigation of the alleged malpractice. Cover is provided for all alleged malpractice. Cover is provided for all claims made during the currency of the claims made during the currency of the policy. General public Liability cover is also policy. General public Liability cover is also available as an optional extra. You may set available as an optional extra. You may set the financial limit of indemnity according to the financial limit of indemnity according to your own requirements.your own requirements.

Basic Cover: Malpractice:Basic Cover: Malpractice:Any bodily or mental injuries, illness, disease or death Any bodily or mental injuries, illness, disease or death

of any patient caused by any negligent act, error or of any patient caused by any negligent act, error or omission committed by the insured in or about the omission committed by the insured in or about the conduct, within Saudi Arabia, of the insured conduct, within Saudi Arabia, of the insured occupation or business or in respect of other occupation or business or in respect of other emergency medical treatment.emergency medical treatment.

Advantages:Advantages:1. It provides protection against economical and 1. It provides protection against economical and

financial consequences of professional errors in financial consequences of professional errors in medicine which may arise out of negligent acts. medicine which may arise out of negligent acts. Indemnity against legal liability for negligence in Indemnity against legal liability for negligence in medicine are as follows:medicine are as follows:

Compensation and claimant costs.Compensation and claimant costs. The cost of defence and investigation of the alleged The cost of defence and investigation of the alleged

malpractice.malpractice.2. Evidence of insurance cover that may be a 2. Evidence of insurance cover that may be a

protection against being held or prohibited from protection against being held or prohibited from travel by the authorities.travel by the authorities.

Optional Cover: public LiabilityOptional Cover: public LiabilityAny bodily or mental injuries, illness, disease or death Any bodily or mental injuries, illness, disease or death of or to any person (not an employee), or loss of or of or to any person (not an employee), or loss of or damage to tangible property of any person in damage to tangible property of any person in connection with the insured occupation or connection with the insured occupation or business, conducted within Saudi Arabia, as stated business, conducted within Saudi Arabia, as stated in the proposal or Declaration including the in the proposal or Declaration including the provision of food and drinkprovision of food and drink..AdvantageAdvantage::It provides protection against the legal liability of the It provides protection against the legal liability of the practitioner which arises in the course of or in practitioner which arises in the course of or in connection with the insured occupationconnection with the insured occupationOr business including the liability arising out of food Or business including the liability arising out of food and drink supplied through (kitchens in licensed and drink supplied through (kitchens in licensed medical providers) as followsmedical providers) as follows::

compensation and claimants costs.compensation and claimants costs. the cost of defence and investigations of the the cost of defence and investigations of the

alleged incident.alleged incident.

Medical expenses insurance quotationMedical expenses insurance quotation Group medical insurance has become a legal Group medical insurance has become a legal

and economic necessity for any and economic necessity for any organization .the following is a summary of organization .the following is a summary of its main benefits:its main benefits:

1.providing health care for employees and their 1.providing health care for employees and their eligible family members that will reflect positively eligible family members that will reflect positively on their standard of work and performanceon their standard of work and performance

2.controlling medical expenses as the employer 2.controlling medical expenses as the employer pays a fixed contribution for providing his pays a fixed contribution for providing his employees and their families with adequate employees and their families with adequate medical cover.medical cover.

3. relieving management of the administrative 3. relieving management of the administrative burden , thus allowing the employer to devote his burden , thus allowing the employer to devote his energies to better mange and develop his core energies to better mange and develop his core business. business.

The Cooperative Insurance Concept The Cooperative Insurance Concept

The cooperative insurance concept is approved by the Saudi Council of Senior Ulema as the Islamically accepted substitute for commercial insurance.In simple words, the cooperative concept is based on the cooperation of the policyholders contributing funds towards compensating those amongst themselves who are faced with accidental mishaps.Surplus resulting from insurance operations is returned back to the policyholders in the manner and time determined by NCCI’s Board of Directors. Till this date, NCCI returned back to policyholders in surplus distributions more than SR 285 million for the insurance operations from 1990 to 2004.