Death
We will pay the sum insured stated
in the Schedule if death of the Insured
or the insured person occurs within
12 calendar months due to an accident
occurring during the policy period
.
Permanent
Total Disablement
We will pay up to 125 % of the total
sum insured if the Insured or the
insured person is injured due to an
accident occurring during the period
of insurance and within 12 calendar
months of its happening, the Injury
becomes the sole cause of permanent
total disablement.
Permanent
Partial Disablement
We will pay a proportion of the sum
insured according to the scale of
benefits if the Insured or the insured
person is injured due to an accident
occurring during the policy period
and within 12 calendar months of its
happening, the Injury becomes the
sole cause of a permanent partial
disablement.
Temporary Total Disablement
We will pay a weekly benefit as stated
in the Schedule if the Insured or
the insured person is injured due
to an accident occurring during the
period of insurance and within 12
calendar months of its happening,
the Injury results in the Insured
or insured person being totally unable
to attend his occupation as stated
in the Schedule.
Children
Education Bonus
In case of Death or Permanent Total
Disability of Insured or the insured
person we will pay an additional amount
to the Insured's or the insured person's
children to support their education.
Additional
Benefits
Medical Expenses
We will pay a percentage of the admitted
claim under other specified coverage
towards the actual medical expenses
necessarily and reasonably incurred
for medical treatment within 100 weeks
of its happening if the Insured or
the insured person suffers injury
during the period of insurance and
provided such treatment is received
from a qualified and registered medical
practitioner.
Hospital Confinement Allowance
In the event of the Insured or the
insured person being confined in hospital
for treatment of injury for which
compensation is payable under this
policy, a daily benefit is paid for
such period of confinement subject
to a maximum period of 30 days
Classification of occupation
Risk Class 1:
You are mainly engaged in administrative
or managing functions, Accountant,
Doctor, Lawyer, Architect, Consulting
Engineer, Teacher, Banker or primarily
engaged in a similar occupation
Risk Class II:
You are engaged in manual labour,
garage or motor mechanic, machine
operator, paid driver of a car, a
truck, a lorry or other heavy vehicles,
cash carrying employee, woodworking
machinist, or you are a Builder, Contractor,
Engineer superintending functions,
veterinary doctor, or engaged in a
similar occupation.
Risk Class III:
You are working in underground mines,
in explosive magazines or in electrical
installations with high tension supply,
or you are a Jockey, Circus personnel,
engaged in racing wheels or horseback,
big game hunting, mountaineering,
winter sports, skiing, ice-hockey,
river rafting, polo or in a similar
activity or occupation.
If your personal occupation is not
mentioned above, please do not hesitate
to ask for specific information.
Special notes:
The Policy can be issued to persons
aged between 18 and 65. In case of children,
they need to be aged between 5 and 19
to become eligible for coverage.
The total sum insured is normally
restricted to 70 times of Insured's
monthly average earnings.
The minimum premium is Rs.500
Scale of Benefits
| Benefits |
Compensation as % of the Sum Insured |
| Death |
100 |
| Loss of sight on
both eyes |
125 |
| Loss of both hands |
125 |
| Loss of both feet |
125 |
| Loss of one hand
and one foot |
125 |
| Loss of one eye
and one hand |
125 |
| Loss of one eye
and one foot |
125 |
| Other total permanent
disablement |
100 |
| An arm at the shoulder
joint |
70 |
| An arm above the
elbow joint |
65 |
| An arm beneath the
elbow joint |
60 |
| A hand at the wrist |
55 |
| A thumb |
20 |
| An index finger |
10 |
| Any other finger |
5 |
| A leg above mid-thigh |
70 |
| A leg up to mid-thigh |
60 |
| A leg
up to beneath the knee |
50 |
| A leg up to mid-calf |
45 |
| A foot at the ankle |
40 |
| A large toe |
5 |
| Any other toe |
2 |
| An eye |
50 |
| Hearing on one ear |
30 |
| Hearing on both
ears |
75 |
| Sense of smell |
10 |
| Sense of taste |
5 |
In case of partial loss of one of these
parts or sensory organs, we will pay
a corresponding proportion. Should an
accident affect parts, which are not
mentioned here, then the payment depends
on the degree of disability measured
by a doctor on the panel of the Company.
General Exclusions:
Suicide, self-inflicted injury, pregnancy
or childbirth, pre-existing physical
or mental defects, infections, bleeding
from inner organs, aviation other than
as a passenger, motor rallies, war,
civil war, terrorism or similar situations