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Group Personal Accident : : This group Personal Accident Insurance covers
 

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
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