Personal Accident Insurance

Find out how this plan works for you

Accidents can happen when you least expect it, and a serious injury or accidental death could have devastating financial consequences for you and your family.

The value of human life and sufferings cannot be measured with money, but with a view to provide some relief to you or members of your family in the event of an unfortunate accident, Personal accident insurance can help protect your financial security until you get back on your feet and return to work.



For eg for Accidental death cover- A salaried person is eligible for a sum insured upto a maximum of 144 times of his monthly income (as appearing in Salary Slip / Income Tax Returns). And a self-employed person is eligible for a sum insured upto a maximum of 144 times of his monthly income (as appearing in Income Tax Returns). A person classified under class 3 (listed below) is eligible for a sum insured upto a maximum of 144 times of his monthly income (as appearing in Income Tax Returns).

Similarly for other covers as enumerated above, you are eligible for a sum insured as mentioned in the table.

* Class I - Accountants, Doctors, Lawyers, Architects, Consulting Engineers, Teachers, Bankers, Persons engaged in administrative functions, Persons primarily engaged in occupations of similar hazard.

*Class II - Builders, Contractors, Sales executives and Engineers engaged in superintending functions only. Veterinary Doctors, paid drivers of motor cars and light motor vehicles and persons engaged in occupations of similar hazard and not engaged in manual labor.

All persons engaged in manual labor (Except those falling under Group III) Cash Carrying Employees, Garage and Motor Mechanics, Machine Operators, Drivers of trucks or lorries and other heavy vehicles, Professional Athletes and Sportsmen, Woodworking Machinists and persons engaged in occupations of similar hazard.

*Class III - Persons Working in underground mines, explosives, magazines, workers involved in electrical installation with high tension supply, Jockeys, Circus personnel, Persons engaged in activities like racing on wheels or horseback, big game hunting, mountaineering, winter sports, skiing, ice hockey, ballooning, hand gliding, river rafting, polo and persons engaged in occupations/activities of similar hazard.

How You Benefit*?

You or your family get a Worldwide cover, 24/7


Very Flexible and you can cover your spouse and children also.


No medical questionnaire or medical examination.


You pay less for more. Family discount @ 10% in case more than one person is covered under the same policy.


Specialist claims service and Claims settlement within 14 working days


Portability. Port your existing policy with us to opt for our benefits and services. Portability can be offered as per the Portability guidelines of IRDAI.


Grace period . You can renew your Policy within 30 days from the date of expiry of your policy


Free Look Period . Not satisfied with the coverage, and terms and conditions of the policy, opt for cancellation of the policy within 15 days from the date of receipt of the policy documents, provided there has been no claim and you shall be entitled to a refund as per the Policy terms and conditions

* Please see the brochure for complete details.
** Family means Self, Spouse and 2 dependent children upto the age of 25 years
*** Subject to all required documentation/information being submitted.

What's Covered

This policy covers the insured in case of Permanent Total Disability, Permanent Partial Disability, Temporary Total Disability & Death arising due to Accident including Disappearance and Drowning.

Under Permanent Total Disability and Permanent Partial Disability benefits, covers like Coma, Accidental Head Injury, Burns etc are being covered separately under Special conditions.


An inbuilt cover for Repatriation Benefit and Funeral Expenses-An amount up to a maximum of 1% of the Accidental Death Sum Insured would be reimbursed for the repatriation of the insured person's remains subject to maximum of 12500/- . No additional premium to be paid for this cover.


What's are covered



Child Education Support
In case of Accidental death or Permanent Total Disablement, the sum insured mentioned against this benefit per month for the maximum period as stated in the Policy Schedule, is paid towards your children's education benefit.

Accidental Hospitalisation
In case of hospitalisation for Inpatient Care in India, due to accidental bodily injury, reasonable Medical expenses for treatment or Surgery incurred up to the maximum sum insured shown in the Policy Schedule for this section, provided that the Hospitalisation commences within the same Policy Year This cover is independent of any claim under the primary covers.
* Special exclusions for this section
i. Pre-hospitalization Medical Expenses and Post-hospitalisation Medical Expenses are not covered

ii. AYUSH are not covered.

All other Standard exclusions are applicable for this cover.

Accidental Medical expenses
In case of Accidental Death, Permanent Total Disablement or Permanent Partial Disablement, Temporary Total Disablement, reasonable medical expenses will be reimbursed,for medical treatment or Surgery for the Injury sustained, provided the treatment is availed in a Hospital or Day care centre in India including as OPD treatment/ Day Care Treatment. The maximum amount payable shall be 40% of the valid Personal Accident claim amount or 20% of the relevant sum insured whichever is less subject to maximum of ¹ 10,00,000(Rupees Ten lacs only).

Hospital Cash Allowance
The insured person may apply for per day hospital cash (subject to limits as specified in the policy schedule), in the event of an accidental bodily injury and subsequent hospitalisation.
* Special exclusions for this section

i. AYUSH are not covered. All other Standard exclusions are applicable for this cover.


Chauffeur Plan Benefit
The company will pay the daily amount up to the Sum Insured up to a maximum of 30 days, for the hire of a taxi or chauffeur driven car or other necessarily incurred extra costs to maintain the Insured Person's mobility to meet his/her work/Occupational commitments in case the Insured Person sustains an Injury and We making payment for a claim under Permanent Partial Disablement or Temporary Total Disablement.

Road Ambulance Cover
The company will reimburse the actual expenses of transfer of Insured Person to the nearest Hospital or up to a maximum amount as mentioned in the Policy Schedule, in case the Insured Person suffers an Injury in India during the Policy Year and it is necessary to immediately transfer such person from the site of Accident to the nearest Hospital/ Day Care Centre/ Nursing Home by road in an ambulance, subject to a valid claim being admissible under the Primary Cover(s) of the Policy.
* Specific Conditions for this section

a. Expenses for road ambulance transportation are restricted within India only.

b. Return transportation to the Insured Person's home by ambulance is excluded.

Broken Bones
In case of Accident which causes fracture (a break in the continuity of a bone), the percentage of the Sum Insured is paid as specified in the table of benefits.

Loan Protector
In the event of Accidental Death or Permanent Total Disablement, the sum insured mentioned against this benefit per month for the number of months mentioned in the Schedule is paid.


Adaptation Allowance
In case of a Permanent Total disablement arising out of an accident an amount up to 10% of the Permanent Total Disablement sum insured subject to maximum of ÃÆ'Æ'¢ÃÆ'¢â‚¬Å¡ÃÆ'‚¹ 50,000 will be reimbursed to you towards the cost of modifying your house or vehicle.


Life Support Benefit
In case of Permanent Total Disablement, the sum insured mentioned against this benefit per month for the number of months mentioned in the Schedule is paid.


Air Ambulance Cover
The company will pay the expenses incurred for ambulance transportation in an airplane or helicopter for rapid ambulance transportation, in case the Insured Person suffers an Injury which causes emergency life threatening conditions during the Policy Year and it is necessary to immediately transfer such person from the site of Accident to the nearest Hospital/ Day Care Centre/ Nursing Home.
* Specific Conditions for this section

i. Expenses for air ambulance transportation are restricted within India.

ii. Return transportation to the Insured Person's home by ambulance is excluded.

iii. Insured needs to make an intimation before availing the benefit under Air Ambulance Cover.

Adventure Sports Benefit
The company will pay the expenses incurred in case of Injury which causes Accidental Death or Permanent Total Disablement whilst engaged in Adventure sports in a nonprofessional capacity and under the supervision of a trained professional, during leisure trip. The maximum amount payable shall be limited to 50% of Sum Insured under Accidental Death benefit to a maximum of 50,00,000/- (Rupees Fifty lacs only).


Family Transportation Allowance
When as a result of an accident resulting in either accidental death or permanent total disablement or permanent partial disablement, the insured person is confined in a hospital outside 100 kms of his residence, we will reimburse the expenses for transportation by the most direct route by a licensed common carrier to the place of Hospitalization of the Insured Person, incurred by the immediate family member on recommendation of a medical practitioner, to reach the insured person, limited up to 10% of the Principal Sum Insured or as mentioned in the policy schedule, whichever is less, subject to maximum ¹ 50,000/-


Exclusions of this plan


Prior to the Inception of the Policy
Any existing disablement prior to the inception of the policy.

Suicide
Suicide ,attempted suicide is not covered.

Military or Armed Forces
Serving in military, armed forces.

Influence of Intoxicants
Under the influence of drugs, alcohol & other intoxicants.

Event of Riots or War
Participation in felony, riots, war etc.

Exposure to Radioactive Materials
Exposure to nuclear, radioactive materials.

Loses Due to Pregnancy
Loss due to child birth or pregnancy.

Top reasons why this plan is ideal for you

Worldwide Cover:
You or your family get a worldwide cover, 24/7


Flexibility:
Very Flexible and you can cover your spouse and children also.


No Medical Examination



Quick Turnaround Time
Our average turnaround time for claims settlement is within 30 working days (Subject to all required information/documentation being submitted).


Portability
Port your existing policy with us to avail of benefits and services. Portability is as per the Portability guidelines of IRDAI.


30 Days for Renewal
From the expiry date of the policy, you get 30 days grace period for renewal.


Additional Coverages
Various additional coverages like – Child Education Support, Life Support Benefit, Accidental Medical Expenses, Accidental Hospitalization, Hospital Cash Allowance, Loan Protector, Adaptation Allowance, Family Transportation Allowance, Broken Bones, Road Ambulance Cover, Air Ambulance Cover, Adventure Sports Benefit, Chauffeur Plan Benefit are available under single product.


Free Look Period
If you are not satisfied with the coverage, and terms and conditions of the policy, you can opt for cancellation of the policy within 15 days from the date of receipt of the policy documents, provided there has been no claim and you shall be entitled to a refund as per the policy terms and conditions.