Lulu’s 13 years: 15 questions, 15 real stories
These are the questions clients ask Lulu most. Each one has a straight answer, a real experience from Lulu’s 13 years as an agent, and a one-line takeaway.
15 questions
Why do so many Malaysians not know what their insurance covers?
Usually because nobody explained it properly when they bought it, the terms were in English or Malay they couldn’t follow, they bought from relatives out of obligation, and nobody ever reviewed the policy afterwards. Many only discover the gaps when they make a claim.
Fresh out of university and handing out flyers on a street in Klang, Lulu met an auntie who said, “I have insurance, money gets deducted every month.” When Lulu asked what it covered, she couldn’t say; she only remembered her nephew sold it to her. That was when Lulu realised many people don’t lack insurance. They lack someone willing to explain it.
In short:Wherever you buy, know three things: what’s covered, what isn’t, and who to call when something happens.
What is an insurance agent’s real job?
Selling the policy is only the start. A responsible agent understands your needs and budget first, explains what is and isn’t covered, handles the application, reviews the policy every year, and above all helps with documents and follow-up when you need to claim.
A few months into handing out flyers, Lulu helped a new friend with a hospital claim for his father. Seeing him go from panic to relief made her decide to get licensed and become a full-time insurance agent.
In short:When choosing an agent, ask: “How will you help me when I need to claim?”
What should I buy first?
Most people should start with a medical card, because hospital and surgery bills are the most common risk and the one most likely to drain a family’s finances. If anyone depends on you or you have a housing loan, add life and critical illness cover. A common guide is about 10% of income on protection, depending on your situation.
Lulu’s first client was a young man who had just started working, on a tight budget. Instead of a stack of plans, she suggested one basic medical card and adding more once his income was stable. Years later he came back and asked her to plan for his whole family.
In short:Cover the biggest risk first and build up gradually; that beats buying too much and not being able to keep paying.
What documents do I need for my first claim?
Usually a claim form, a copy of your IC, the policy number and supporting documents such as medical reports and bills, a police report for car accidents, or photos and a loss list for fire or flood. Notice periods differ by policy, so tell your agent or insurer as soon as something happens.
On her first claim, Lulu’s biggest worry was missing a document and slowing everything down. Since then she has kept a document checklist for every type of claim, so clients can simply follow it.
In short:Take photos, keep receipts and tell your agent; complete documents are the key to a fast claim.
What should I do first after a sudden hospital admission or accident?
For hospital admission, go to your insurer’s panel hospital if possible and show your medical card so the hospital can request a guarantee letter (GL); if something isn’t covered, a deposit may be asked. For a car accident, make a police report within 24 hours and photograph the scene. Either way, tell your agent quickly.
One night close to midnight, a client called: her child had a high fever and needed admission, and the hospital wanted a deposit. Lulu contacted the insurer and helped the hospital with the GL so the parents could focus on their child.
In short:Save your agent’s number where the whole family can find it; you’ll panic half as much.
How long does a claim take to pay?
It depends on the type of claim and whether documents are complete. Simple medical claims are usually quicker; fire, flood or life claims may need investigation and assessment. The most common cause of delay is missing documents.
After one successful claim, a client came to the office with a bag of fruit and said, “What scared me most wasn’t the money, it was having nobody to help.” Lulu says that is the most rewarding part of her work.
In short:Submit everything in one go and stay in touch; that’s the fastest way through a claim.
What if my claim is rejected?
Ask the insurer for the reason in writing and check it against your policy terms. If you think it’s wrong, submit more information or appeal to the insurer’s complaints unit; if still unresolved, go to the Ombudsman for Financial Services (OFS). Common reasons are undisclosed medical history, exclusions and waiting periods.
Lulu has seen a client’s claim rejected because an old medical condition wasn’t declared before buying. Since then she spends extra time going through every health question with each client.
In short:The best way to avoid a rejected claim is to declare everything when you apply.
How much insurance is enough?
There is no single answer. Life cover is often several times annual income plus outstanding loans; a medical card depends on the hospitals and rooms you prefer. More important than “how much” is avoiding duplicate cover and making sure premiums stay affordable long term.
A client wanted another medical card. Lulu checked and found he already had two, from work and his own, so a third would only duplicate them. She suggested putting the money into the critical illness cover he was missing.
In short:Check what you already have before deciding to add more.
How can insurance help when a family member dies suddenly?
A life policy pays the nominee, who can use it for funeral costs, household expenses and loans. A valid nomination usually gets money to the family faster than the estate process, so name your nominees and update them after marriage or children.
The family Lulu remembers most is a young father’s. After he died in an accident, Lulu walked his wife through the claim step by step. The payout meant the children could stay in school. It is why she reminds every client to keep their nominees up to date.
In short:If you have life insurance, check your nominees every few years.
What insurance does a factory or shop need?
Mainly fire insurance for the building, machinery and stock, with special perils such as flood; burglary cover; business interruption; public liability; and employee cover such as PERKESO and foreign worker insurance. With machinery or transport, consider machinery breakdown and goods in transit.
A long-time client runs a hardware factory in Klang. When the factory had an incident one year, he discovered he only had the fire policy the bank required; his stock and lost business weren’t covered. From then on Lulu focused on full risk checks for factories and shops.
In short:The bank’s fire policy usually covers only the building; the business itself needs its own cover.
Will fire insurance pay if my factory floods?
Not necessarily. A factory or shop fire policy mainly covers fire, lightning and explosion; flood usually needs the special perils extension. Many owners only find out after a flood.
During one major flood in Selangor, Lulu took call after call. For clients with the extension, she helped compile loss lists and photos; for those without, she could only help record the damage. That helplessness is why she insists on reminding every client now.
In short:In flood-hit areas such as Klang and Bukit Raja, always check that your fire policy covers flood.
Is insurance really worth it? Will they refuse to pay?
If the event is covered, you disclosed everything honestly and paid premiums on time, the insurer must pay according to the terms. Problems usually come from undisclosed medical history, exclusions, waiting periods or a lapsed policy.
One client was dead against insurance and called it a scam. Then his friend was hospitalised and Lulu helped with the claim. After seeing the whole process, he asked Lulu to plan his own cover.
In short:Insurance pays when it’s explained clearly and bought right.
How have Malaysians’ views on insurance changed?
Rising medical costs, the pandemic and several big floods have made more people value protection. Clients now research online first, ask more specific questions and care more about claims service and policy details.
When Lulu started, many people shook their heads at the word insurance. Now more clients come to her asking, “Is my cover enough?” or “Should my factory add flood cover?” She sees it as a very good change.
In short:Insurance is no longer just a favour to relatives; more people plan it for themselves.
What is the single most important thing when buying insurance?
Declare everything honestly and truly understand what you bought. Give full health and risk information when applying, know what’s covered and what isn’t, and review your policies every year or at life events such as marriage, children, a new home or a new factory.
After 13 years, Lulu’s advice to clients is still one line: “Explain it clearly, and you stay protected.”
In short:Good insurance is the kind that works when you need it most.
More topics
- Getting started 22
- Medical card 29
- Life, critical illness & accident 19
- MLTA / MRTA 13
- Car insurance & roadtax 29
- E-hailing insurance 10
- Lorry & commercial vehicles 11
- Fire insurance 23
- Business & employees 14
- Education fund 9
- Wills 15
- Wealth legacy 12
- MM2H & foreigners 9
- Claims 11
- Managing your policies 10
- Common problems 15
Been through something similar, or unsure what you’re covered for?
WhatsApp Lulu and she’ll go through your policies first. No hard selling; just asking is welcome.