1. FAQs : New India Assurance Motor Policy

1. WHO CAN TAKE THIS POLICY

This Private Car (Motor) insurance is available to Registered Members of the Institute of Company

Secretaries of India, the Employees and Students of the Institute.

2. WHAT DOES MOTOR PACKAGE POLICY COVER?

This type of policy covers all the risks covered under Motor Liability policy plus loss or damage caused to

the vehicle due to: Accident, Fire, Explosion, Self-Ignition, Lighting, Burglary, House Breaking, Theft, Riots &

Strikes, Earthquakes, Flood, Typhoon, Hurricane, Storm, Cyclones, Malicious Acts, Terrorism, Transit by

rail/road, air and waterways and also include towing charges.

3. WHAT ARE THE EXCLUSIONS UNDER PACKAGE POLICY?

Damage caused due to:

Driver being under intoxication, Vehicle being driven by a person not holding an effective valid license,

Damage to tires (unless the vehicle is damaged at the same time), Wear and tear and mechanical

breakdown damages. To read the full coverage, exclusions, T&C of the policy please visit our site

http://icsi.newindia.co.in

4. HOW TO TAKE THIS POLICY

You can buy this policy from our web portal http://icsi.newindia.co.in, you need to fill the online form and

pay the premium by online mode (i.e. – debit card / credit card / net banking).

5. CAN I RENEW MY EXPIRING POLICY IN THIS SCHEME?

Yes, you can renew your expiring policy, provided there is no break in the insurance.

6. CAN I TAKE FRESH POLICY FOR BRAND NEW VEHICLE?

Yes, you can take this policy at the time purchase / buying new vehicle (before taking the delivery of

vehicle).

7. WHAT DOES THE POLICY COVER?

Coverage is as per the Standard policy T&C. (Please read the T&C for complete details, coverage,

exclusion etc on http://icsi.newindia.co.in.

8. HOW LONG IS THE POLICY VALID?

The Policy is valid during the Period of Insurance stated in the Schedule attached to the Policy. It is usually

valid for a period of one year from the date of beginning of insurance. As per IRDA Regulations, Vehicles

Registered on or after 1st September 2018 would be having Long Term Third Party Liability cover of

Three Years for Private Cars and Five Years for Two Wheelers.

9. WHAT IS "NO CLAIM BONUS"?

It is a special discount given on premium for every claim-free year on Own Damage Premium.

10. What is Private Car Package Policy Enhancement Cover?

a) What are the eligibility norms?

The car should be less than three years old and should have been under the same ownership

throughout.

The Enhanced Cover will be available as an Add- on cover with New India‟s Private car Package

Policy only.

The Private Car IDV should be minimum Rs. 3 lakhs

The carrying capacity should not be more than 1+9

This Cover is applicable to „New Vehicles‟ only.

b) What benefits do the Private Car – enhanced cover provide?

Coverage of Depreciation from 5% to 50% on spare parts replaced, which would have been otherwise

payable by you, in respect of the first two partial loss claims during every policy period with the Enhanced

Cover.

c) What are the major exclusions under Private Car – Enhanced Cover?

Usual Exclusions in the Private Car Package policy except depreciation.

Improvements and / or extra fittings in the car.

Claims relating to the accidents in any extended Geographical Area.

Any claim occurring after three years from the date of first purchase.

Following type of cars shall not be provided the Private Car Enhanced Cover: Sports Car, Racer

car and Imported cars.

11. HOW ARE ENDORSEMENTS DONE ON ICSI POLICIES?

You have to write to us nia.830000@newindia.co.in with documents as per the requirements of the

situation for endorsement. Insurer will intimate the required document(s) and additional premium to be

remitted for the endorsement. On the payment of such amount, endorsement will be effected by the

insurer.

12. HOW IS THE ENDORSEMENT PREMIUM COLLECTED?

Additional premium can be deposited by Bank Draft or NEFT.

13. HOW AND BY WHOM IS NCB CERTIFICATE ISSUED?

NCB certificate is issued by the previous insurer or insurance company who has issued the expiring policy.

14. WHAT IS THE PROCEDURE FOR REFUND OF PREMIUM IN AN ICSI POLICY?

Request for cancellation of the policy is to be given to the to us (nia.830000@newindia.co.in) with

documents (as per requirement). Insurer will refund the amount after cancellation / endorsement, through

the NEFT / ECS.

15. WHAT ARE DOCUMENTS REQUIRED AT THE TIME OF CLAIM?

Copy of claim intimation to be given to insurer with Xerox copy of policy and premium receipt, duly filled

Claim Form, Driving License, Registration Certificate of Vehicle, Estimate of repairs from repairer and

stamped receipt, Bills and Cash Memo of repairs, verification of road tax, Police Panchanama/FIR, and

any other documents deem fit for the situation.

16. WHAT IS THE AMOUNT I HAVE TO BEAR (IN CASE OF CLAIM)?

Compulsory excess, Reasonable value of salvage if not surrendered to insurer and depreciation.

17. WHO SHOULD BE CONTACTED IN CASE I DO NOT RECEIVE MY POLICY?

Policy schedule is being separately mailed to you on email ID given in your application. If you do not

receive policy schedule within 24 hours by mail, please write to nia.830000@newindia.co.in, quoting your

transaction number, application number, date of transaction. Please do not transact again if payment has

been processed.

18. IN CASE OF SOME ERROR IN POLICY DETAILS, WHO SHOULD BE CONTACTED?

In of error in policy details you may apply for the endorsement to correct the details. A signed

endorsement request latter addressed to be sent to the “Divisional Manager, Web Portal D.O. -113000,

The New India Assu. Co. Ltd.,IIndFloor, New India Bhawan, 34/38 Bank Street, Fort, Mumbai – 400023”

along with the enclosures like :

i. Current year policy copy

ii. RC book copy

iii. Driving license copy

iv. Other documents supporting the reason of required endorsement.

After this we will inmate about the addition premium to be paid to us (if any) and other details, documents

required. After fulfilling requirements, we will pass the endorsement to correct the details.

2. FAQs : New India Assurance Mediclaim Insurance Policy

Get a choice of cover levels – up to Rs.20 lacs and Rs. 10 lacs Cover for Parents without any Medical

Check-up.

Insurance of New India Assurance

With New India AssuranceMediclaim Insurance, you get a choice of cover levels – up to INR 20 lacs – to

insure yourself and your family against hospitalization expenses for treatment taken in India. New India

Assurance and Institute of Company Secretaries of India.

New India Assurance is approved insurers for the Institutes of Company Secretaries of India and our

Mediclaim policy complies with their requirement to insure themselves and their family against the

hospitalization expenses.

A. What’s covered by ICSI Mediclaim Policy

This Policy is designed to give You, the protection against unforeseen Hospitalization expenses for

treatment taken in India.

B. Who all can be covered under one Policy

You can cover Your family members also in one policy. The members of the family who could be covered

under the Policy under a single Sum Insured are:

a) Proposer

b) Proposer‟s Spouse

c) Proposer‟s two dependent Children

Additional dependent children may be covered by paying 10% loading on family premium.

There is also an option to cover the Proposer‟s dependent Parents for a separate Sum Insured equivalent

to the sum insured of proposer‟s family.

The number of persons to be covered under the policy is to be declared at the inception of the policy as a

one-time option. Inclusion of additional dependents would be allowed only in case of marriage of the

Insured person, or birth of a child. No other inclusion would be permitted either during the coverage of the

policy, or at the time of renewal.

Students coverage is limited to Self and not available for the Dependents however once a student

becomes a member of ICSI he can take a policy for self and his family members as stated above.

C. Pre-Existing Disease Coverage

Pre-existing disease is "Any condition, ailment or injury or related condition(s) for which the Insured Person

had signs or symptoms, and/or was diagnosed, and/or received medical advice/treatment, within 48

months prior to his/her first Policy with the Company."

If You had:

a) Signs or symptoms, or

b) Been diagnosed or received Medical Advice, or

c) Been Treated for any condition or disease within forty eight months prior to the commencement of

the first policy with us, such a condition or disease shall be considered as Pre-existing.

In ICSI Mediclaim policy, coverage for pre-existing disease commences from the first year as per the limits

below:

1st year of Coverage 25% of the admissible claim amount, subject to a maximum of 25% of the

Sum Insured.

1st year of Coverage 25% of the admissible claim amount, subject to a maximum of 25% of the

Sum Insured.

2nd year of Coverage 50% of the admissible claim amount, subject to a maximum of 50% of the

Sum Insured.

3rd year of Coverage 75% of the admissible claim amount, subject to a maximum of 75% of the

Sum Insured.

4th year of Coverage 100% of the admissible claim amount, subject to a maximum of 100% of the

Sum Insured.

C. We regret to pay the claim if it is due to:

• Diseases contracted within 30 days of insurance. However, this exclusion is not applicable for persons

with previous continuous insurance coverage.

•Debility and General Run Down Conditions.

•Sexually transmitted diseases and HIV (AIDS)

• Circumcision, Cosmetic surgery, Plastic surgery unless required to treat injury or illness

•Vaccination and Inoculation

•Pregnancy, ailments related thereto and child birth

•War, Act of foreign enemy, ionizing radiation and nuclear weapon

•Treatment outside India

•Naturopathy

•Domiciliary Treatment

•Experimental or unproven treatment

•All external equipment such as contact lenses, cochlear implants etc.

•Payments made to the Hospital like Service Charges, Surcharge, cost of external or durable medical

equipment, non-medical expenses, etc. are not payable.

E. Continuity Benefit

Continuous insurance would mean insurance under a Hospitalization policy with any non-life insurer

continuously without break.

For members having continuous insurance for three years, Pre-existing illnesses are covered fully from the

first year itself. Continuity benefits are applicable only when a person shifts from one insurer to another

and for Sum Insured & time for which he has been covered under earlier policy. The additional Sum

Insured in the new policy under this scheme will not have continuity benefits. Continuity benefits are subject

to no break in between the previous policies as per the terms & conditions. At the time of claim you need

to produce the previous 3 year‟s policy documents.

You may have Queries. We simplify a few:

1. Is hospitalization always necessary to get a claim?

Yes, unless the Insured Person is Hospitalized for a condition warranting hospitalization, no claim is

payable under the Policy. The Policy does not cover outpatient treatments.

The Policy pays only where the Hospitalization is for more than twenty-four hours. But for certain

treatments specified in the Policy, period of stay at the Hospital could be less than twenty-four hours.

Please refer to Clause 3.4 of the Policy for details.

2. Is payment available for expenses incurred before hospitalization?

Yes, Relevant medical expenses incurred before hospitalization for a period of THIRTY days prior to the

date of hospitalization are payable. Relevant medical expenses mean expenses related to the treatment

of the disease for which the insured is hospitalized.

3. Is payment available for expenses incurred after hospitalization?

Yes, Relevant medical expenses incurred after Discharge from the Hospital for a period of SIXTY days

after the date of discharge are payable. Relevant medical expenses mean expenses related to the

treatment of the disease for which the insured is hospitalized

4. Can the sum insured be increased at the time of renewal?

Yes, you may choose the appropriate Sum Insured right at the time of enrolment into the Scheme. However,

the policy Sum Insured for member and family can be enhanced upto next slab subject to NO claim

preferred during the expiring policy. However, parents Sum Insured will remain as per the policy taken for

the first time.

5. Is there an age limit up to which the policy would be renewed?

No, Your Policy can be renewed, as long as You pay the Renewal Premium before the date of expiry of

the Policy. There is no age limit for renewal. However, if you do not renew Your Policy before the date of

expiry or within THIRTY days of the date of expiry, the Policy may not be renewed. It is therefore in Your

interest to ensure that Your Policy is renewed before expiry.

6. Can the insurance company refuse to renew the policy?

We may refuse to renew the Policy only on rare occasions such as fraud, misrepresentation or suppression

or non-cooperation being committed by you or any one acting on your behalf in obtaining insurance or

subsequently in relation thereto. If we discontinue selling this Policy, it might not be possible to renew this

Policy on the same terms and conditions. In such a case you shall however have the option for renewal

under any existing Policy being issued by the Company, provided the benefits payable shall be subject to

the terms contained in such other Policy in force.

7. Can I make a claim immediately after taking the policy?

Claims for Illnesses cannot be made during the first thirty days of a fresh Insurance policy. This condition

would not apply to those persons who had insurance previously with any insurer, and renewing with us on

time. Even for those who insure for the first time, claims for Hospitalization due to accidents occurring

during the first thirty days are payable.

8. What is Cashless hospitalization?

Cashless hospitalization is service provided by the TPA on Our behalf whereby you are not required to

settle the hospitalization expenses at the time of discharge from hospital. The settlement is done directly by

the TPA on Our behalf. However, those expenses which are not admissible under the Policy would not be

paid and You would have to pay such inadmissible expenses to the Hospital. Cashless facility is available

only in Networked Hospitals. Prior approval is required from the TPA before the patient is admitted into

the Networked Hospital. The list of Networked Hospitals can be obtained from the TPA or from their

website. You will have full freedom to choose the hospitals from the Networked Hospitals and avail

Cashless facility on production of proof of Insurance and Your identity, subject to the claim being

admissible. The TPA might not agree to provide Cashless facility at a Hospital which is not a Network

Hospital. In such cases you may avail treatment at any Hospital of Your choice and seek reimbursement of

the claim subject to the terms and conditions of the policy.

In cases where the admissibility of the claim could not be determined with the available documents, even if

the treatment is at a Network Hospital, the TPA may refuse to provide Cashless facility. Such refusal may

not necessarily mean denial of the claim. You may seek reimbursement of the expenses incurred by

producing all relevant documents and the TPA may pay the claim, if it is admissible under the terms and

conditions of the Policy.

9. Can I change hospitals during the course of my treatment?

Yes, it is possible to shift to another hospital for reasons of requirement of better medical procedure.

However, this will be evaluated by the TPA on the merits of the case and as per policy terms and

conditions.

10. Can I change from this group policy to an individual policy of new India at the time of

renewal?

YES. You can. But thereafter, you would be covered by the terms of the Individual Policy, with suitable

credit for the years of continuous insurance.

11. How to get reimbursements in case of treatment in non-network hospitals or denial of

cashless facility?

In case of treatment in a non-Network Hospital, TPA will reimburse you the amount of bills subject to the

conditions of the Policy. You must ensure that the Hospital where treatment is taken fulfils the conditions of

definition of Hospital in the Policy. Within twenty-four hours of Hospitalization the TPA should be intimated.

12. Will the entire amount of the claimed expenses be paid?

The entire amount of the claim is payable, if it is within the Sum Insured and is related with the

Hospitalization as per Policy conditions and is supported by proper documents, except the expenses which

are excluded. If the Policy is subject to Loading, then there would be a deduction towards copay.

13. What is the income tax relief provided by the policy?

This insurance scheme is approved by IRDA and the premium is eligible to get exemption from income tax

under section 80D subject to the relevant provisions of the Income Tax Act 1961.The deduction available is

as follows: For individuals less than 65 years of age, amount of health insurance premium paid or Rs.

15,000, whichever is lesser. For senior citizens above 65 years, amount of health insurance premium paid

or Rs. 20,000, whichever is lesser. A further deduction of Rs 15,000 could be claimed, for buying health

insurance policy for your parents (Rs 20,000 if either of your parents is a senior citizen). No deductions can

be claimed for in-laws. Two Separate Premium certificates will be issued for Family & Dependent Parents.

However, these limits may change as per the provisions of Income Tax Act.

14. What can be maximum coverage? sum insured for any one person under the policy?

A person can have maximum up to Rupees 20 Lacs coverage (Sum Insured), under this scheme. This might

be under a single policy or may be the combination / sum of more than one policy. Please note that

"Maximum coverage for one individual person must be Rupees 20 Lacs or less". If you have more than one

policy with coverage for more than Rupees 20 lacs (SUM Insured), you may cancel and get refund for Sum

Insured exceeding Rupees 20 lacs.

15. Why not I take a Top UP Policy instead of New India’s Mediclaim Policy?

As the Medical inflation is spiraling up and Cost of Room and Nursing expenses is high, the probability of

Primary Insurance Company restricting your room rent in proportion to your basic Insurance Limit is very

High. We give an example.

A member has taken Basic Mediclaim Insurance for Rs. 3 Lacs and Top Up cover of Rs. 10 lacs.

The Basic insurance is having a room rent limit of 1.5% on Sum Insured. However, the Hospital doesn‟t have

any room lees than Rs. 10,000/- per day.

Member gets admitted and total bill is Rs. 2 Lacs with a room rent of Rs. 10,000/-

Basic Insurance Company will pay Rs. 4,500/- per day and disallow the balance as per Policy Terms and

Conditions.

Member approaches the Insurance Company issued Top UP Policy. Still, the difference of Rs. 5,500/-

would not be paid as Total expense is less than Threshold Limit of Rs. 3 Lacs.

New India Assurance Policy will pay the full room rent in this case, even if he takes the policy for Rs. 7 lacs.

3. FAQs : New India Assurance Professional Indemnity Policy

New India Assurance Professional Indemnity Insurance, you get a choice of cover levels – up to Rs.5 Crores

with cascading limits starting from Rs. 50 Lacs – to insure your business.

What’s covered by Professional Indemnity against compensation payments and legal costs. But that‟s not all

you can choose.

Insurance of New India Assurance

With New India Assurance Professional Indemnity Insurance, you get a choice of cover levels – up to INR 5

Crores – to insure your business against compensation payments and legal costs. But that‟s not all you can

choose.

We looked at latest amendments and improved the covers, so you get exactly what you pay for. That way,

you get the protection that's right for your business, not someone else‟s.

Why all these Now-We were already covering most of the requirements and come out explicitly now

basing on Global standards.

Copyright breaches

Defamation

Loss of documents

Bodily injury (from breach of professional duty)

Court attendance costs and Defence Costs

Waiver of subrogation

NewIndia Assurance and Institute of Company Secretaries of India.

New India Assurance is approved insurers for the Institutes of Company Secretaries of India and our

professional indemnity insurance complies with their requirements. We consider the challenges faced by

both Practising Company Secretaries and Company Secretaries in Employment apart from new

engagements as per latest amendments.%

A. A Simple View on Special Coverage:

Breach of Confidentiality Legal costs and Legal Compensation for Unintentional

disclosure of sensitive information to Third Parties.

Defamation Legal Expenses and Compensation against Libel and

Slander if your action of written communication is

considered to be defamatory by the opposing party during

the course of your business.

Breach of Copy Right Legal expenses and compensation towards your

unintentional act of using a property which is protected

under Intellectual Property Right of another person .

Loss of documents When your own documents or documents in your care are

lost or destroyed, the cost of restoring it would be paid

subject to policy limits.

Bodily Injury(due to breach of

professional duty)

Any bodilyinjury to Third parties (other than your

employees) due to an action done during the incidental

process of your business is covered.

Court attendance costs apart from

defence cost

When Court attendance of Insured Person is required, the

cost on the same is covered subject to proof of attendance

and associated bills.

B. Limit of liability:

The professional indemnity section covers you for awards and settlements of claims, as well as the costs

incurred in investigating, defending or settling a claim made against you.

The most we will pay is a limit of indemnity that you select for one event during the policy year. The costs

incurred in Attending, defending or settling the claim are paid in addition to the Legal Compensation.

The loss of documents cover provides up to Rs. 50 lacs or 10% of Sum Insured whichever is less. in total in

any one period of insurance for your own documents. Loss that arises where the documents belonged to

someone else and were in your care when they were damaged or destroyed is covered up to the limit

mentioned above. Court attendance costs are paid at Rs.5,000/- per day for each person required to

attend and shall not exceed 10% of Sum Insured during the Policy Period.

Minimum Sum Insured Rs. 50 Lacs per Insured Person/Firm of PCS.

Maximum Sum Insured:Rs. 5 Crores per Insured Member or Firm of PCS.

The cover is available for sum Insured of Rs. 50 Lacs, Rs. 1 Crore, Rs. 2 Crores, Rs. 3 Crores, Rs. 4 Crores,

Rs. 5 Crores.

If you wish to have the cover for two incidents per policy period, the same can be done by limiting the

exposure to 50% of original sum insured per event. This will give you a cushion to face more than one

event per year.

C. Price of Insurance Cover:

The all-inclusive price shall not exceed Nine Paisa per hundred excluding GST for a policy period not

exceeding 12 months.

D. Insurance Policy Year:

A policy year for this Insurance is restricted to 12 months from the Midnight of Commencing the Risk.

E. Mid Term Inclusions and Amendments:

Mid Term Inclusions are not possible in the policy as this being an affinity Group Model. Any addition or

Deletion is possible on renewal only.

F. Jurisdiction:

As per Indian Law with Indian Geographical Limit.

G. Your right to cancel:

You can cancel the policy within 14 days of Free Look period from starting the Risk with pro rata

deduction of premium. Pro-rata means premium per day of cover till cancellation request is made.

After 14 days, you can cancel the policy on short period basis. You will get back the refund of premium on

short period basis as explained below subject to No claim is pending or being reported.

We will cancel your policy ab initio only if the payment has not been received or payment has been

dishonored or due to fraud.

H. We regret to pay the claim if it is due to:

Any Injury other than on Professional duty Any act done under influence of intoxication

Contractual Liability specifically agreeing to a

loss

Loss of Goodwill

Any liability on the role played as Director of a

Company under D & O Liability Insurance

Any contractual liability not related to the

profession

Any Fine, Penalty levied under Criminal Law by

a Court

Any oral or written commitment to make good

the loss without informing insurance Company

Damage to the Property owned by the Insured

Person

Radioactive, Nuclear, Terrorist and War like

operation activities

Claims filed in Courts other than Indian

Jurisdiction

Trading Loss of any kind

I. Policy Excess:

You would be considered as self-Insured and the claim would be paid after deducting such sum.

Eg: If you have a claim for Rs. 50,000/- and Deductible is Rs. 1 Lac, you would be considered as self-

insured.

If you have a claim of Rs. 2 lacs and excess is Rs, 1 lac, your claim would be paid up to Rs. 1 lac.

Amount of Excess Remarks

Rs. 1 Lac For an action done in India

Rs. 5 Lacs For any action done in rest of the world

NIL Court Attendance cost

You may have Queries. We simplify a few:

1. I have filed a return unintentionally. The same had been rejected. My client suffered a

financial Loss. Will you pay me?

Yes, WE will pay you as per the terms of policy. But the process should be through Court of Law.

2. I am not a member of ICSI. Can I take this policy?

No. Only a registered member of ICSI can take this policy. This is meant for Failure to exercise due care in

one‟s profession may give, solicitor cause of action against him by his client, since such duty to the client

applies.

3. You did not tell me how to arrive at the sum insured. Tell me.

Your Sum Insured is based on your annual turnover and number of partners in the case of Practising

Company Secretaries. For others, it depends on role played and exposure as anticipated by the Member

of ICSI.

4. You did not say anything about claim.

Kindly intimate us by Post once any notice on claim for the act done by you Professionally. We need a

copy of the notice and related document to understand the nature of Liability. You can appoint a lawyer

with our prior consent to contest the case legally.

In case of notice to appear before the Court, kindly send us a copy of the same along with related

document. Generally, you would be provided with a copy of deposition given before the Court. In case,

Court is adjourned, kindly send us a proof for the same.

5. Am I entitled for Court attendance fees every time?

This is payable subject to having a court notice to appear on a claim already lodged with us. Normal

attendance to know the status or other meetings are not payable. The expenditure to be claimed

cumulatively along with proof or Court award/judgment passed against the Insured.

6. I have availed a professional Indemnity Insurance for last two years. Now, I have resigned

the job. A notice is served on me for professional liability two months back for the error

committed by me last year while working for previous employer. I have New India Assurance

policy taken for last two years for Rs. 50 Lacs. Will this claim be paid by New India

Assurance?

Yes. The retroactive date of the policy protects you and the extended notification period of three months is

fully complied in this case. You will get the claim basing on legal order as per Sum Insured.

7. I filed the returns of a customer. Due to oversight, I filled the TIN Number wrongly. This led to

penalty on the customer. Now, the customer has filed a defamation suit against me for loss of

reputation. Will the Insurance address this claim?

Yes. The defamation in this case explained by you is due to an unintended action. You have the right to

defend yourself. Insurance Company will pay the cost of conducting the case and also result thereon. This

liability is subject to policy excess.

8. As per Company Law Board, Officers in default consist of Directors and Company Secretary. I

wish to know the scope of this insurance when penalty is levied under Companies Act.

Directors and Officers Liability Insurance addresses the requirement. This insurance may not trigger.

9. I wish to know whether this Policy covers liability relating to IPR when used innocently.

Yes, this policy provides insurance support for legal claims arising out of IPR violations subject to the act

being innocent without any criminal intention.

10. Whether this policy will support fraudulent conduct as defined by Company Law?

No, this policy doesn‟t cover the fraudulent conduct as mentioned in various sections of Company Law.

11. If an ICSI member has been charged for act leading to criminal accusation on professional

negligence. Will this policy support me?

This insurance will support till the Legal Costs for defending the case. However, if convicted on criminal

charges the entire cost stands refundable to Insurance Company.

12. I wish to defend myself against Slander by employing a Publicity Agency. Is it covered.

Yes. It is covered for a sum not exceeding 10% of sum insured. However, kindly note the charges leading

to slander should be on professional negligence as a member of ICSI and not on any other business activity

or role of the member.

13. I have signed a contract which demands waiver of subrogation rights. How this insurance will

support me.

This policy covers waiver of subrogation rights in the contract. However, if it is optional to waive the

subrogation right, we request the member to support us by keeping the provision of subrogation in their

contracts

14. I have been accused of violating professional standards fixed by Governing Body. Am I

entitled to have the charges for the loss being paid under this insurance

Unfortunately, this policy does not cover any violation of Professional Standard. However, if it involves any

Legal case, the court fees and legal expenses would be paid till he is found to be proved innocent. If it the

member is found to be guilty, the expenses paid would be recovered from the Insured in full. Insurance

taken when an action is anticipated or already initiated shall be excluded.

15. Can I avail this insurance from any office of New India Assurance?

As per the MOU signed with ICSI, Digital Hub, New India Assurance will sell this Insurance through online

portal icsi.newindia.co.in. The after sales service would also be provided by the same office through

dedicated email Id and Telephonic contact.

.

4. Frequently Asked Questions on Office Protection Shield

1. Why Office Protection Shield?

It Provides an Umbrella Cover for your Office and enable you with a Worry Free Cover such as, Fire,

Natures‟ Perils, Burglary, Machine Breakdown, Theft of Money in transit, Fidelity Protection, Additional

expenses incurred for accommodation if the existing office is declared unfit for occupation, Loss of

Baggage while on Journey, Bodily injury to any Third Party while using the office premise and

Compensation to Workmen as Per Act.

2. Does it Carry any Co-Payment?

While Co-payment is not insisted, a small amount as Policy Deductible would be borne by you.

3. Whether I will get any Discounts?

As per MOU with ICSI, your premium rates are heavily discounted. The rates shared with you are after

discount and excludes GST.

4. Whether this policy carry Exclusions?

While we protect you and your office, a few causes like shortage due to error, defaults due to design

defect etc., are excluded.

5. Whether my employees can be insured under this policy?

Yes, especially for Money Insurance section, Fidelity Guarante, Baggage are a few sections that would be

useful for your employees too as an Umbrella Protection.

6. Why should I buy multiple Insurance Policies when you call this as an Umbrella Cover?

It is a pertinent Question. While some Insurance covers are compulsory like Motor Insurance, Unique

policies like Mediclaim address the need basing on specific relation and purpose.

5. Frequently Asked Questions on Personal Accident Insurance

1. What is personal accident insurance?

Personal accident insurance is an insurance policy which provides compensation to the insured or in the

event of his/her death to nominee due to an accident. The accident should be an unexpected and

unintentional event caused by external, visible, and violent means, resulting in the death of or injury to the

insured.

2. Will the insurance company pay the entire amount of sum insured on the insured meeting with

an accident?

The insurance company will pay the entire sum insured on either of the two counts. First, if the insured dies

due to an accident, and second, if the insured suffers permanent total disability due to an accident.

3. What are permanent total disability events?

The permanent total disability events include loss of both eyes, loss of both hands, loss of both feet, and

loss of one hand and one foot. If the injury suffered disables the insured from engaging in any employment

or occupation of any description whatsoever, then such an event too is considered as permanent total

disability. The insured gets the full sum insured on suffering permanent total disability.

4. How much compensation the insurance company pays if there is no permanent total

disability?

If the insured is injured and recovers after treatment weekly benefit of 1% of Capital Sum Insured not

exceeding Rs.3,000/- per week would be paid for a period not exceeding 100 weeks or Capital Sum

Insured during the period of confinement at home or hospital basing on treating doctor‟s certificate.

5. What are the partial disablement and how much will be the compensation in such situations?

Some of the partial disability events listed in the personal accident insurance policy are: loss of one hand,

loss of one leg, loss of one eye, and loss of both ears. If the insured suffers any of these events, the

insurance company will pay 50% of the sum insured as compensation. The compensation varies depending

on the kind of disability.

6. The insured is hospitalised after meeting with an accident. He is declared to have suffered

total permanent disability or dies a month or so later. Would the insurance company still pay

the sum insured as compensation?

The total permanent disability or death due to an accident should occur within 12 months from the date of

accident for being eligible for receiving the full sum insured as compensation under the policy.

Personal accident insurance is a protection every individual must have and is not replaceable by life

insurance or health insurance..

7. How to lodge the Claim:

A Written Intimation to the Insurance Company should be made immediately after accident.

While Death claims require Death Certificate and allied documents, a Disability Claim would be based on

Treating Doctor Certificate to prove the extent of disability apart from duly filled claim form. Additional

documents may be required basing on nature of claim. However, the minimum documentation would be the

aim while servicing.

6. Frequently asked Questions – Motor Insurance Policy

You may have Queries. We simplify a few:

1. Can I renew my expiring policy in this scheme ?

Yes, you can renew your expiring policy, provided there is no break in the insurance

2. Can I take fresh policy for brand new vehicle ?

Yes, you can take this policy at the time purchase / buying new vehicle (before taking the delivery of

vehicle).

3. How long is the policy valid ?

The Policy is valid during the Period of Insurance stated in the Schedule attached to the Policy. It is usually

valid for a period of one year from the date of beginning of insurance.. As per latest amendment, vehicles

registered on or after 1st September 2018 would be having long term TP liability Cover as given below.

Private Cars : Three Years Two Wheelers: Five Years

4. What is “ no claim bonus”?

It is a special discount given on premium for every claim-free year.

5. What is private car package policy enhancement cover

a) What are the eligibility norms?

• The car should be less than three years old and should have been under the same ownership

throughout.

• The Enhanced Cover will be available as an Add- on cover with New India‟s Private car

Package Policy only.

• The Private Car IDV should be minimum Rs. 3 lakhs

• The carrying capacity should not be more than 1+9

• This Cover is applicable to „New Vehicles‟ only.

b) What benefits do the Private Car – enhanced cover provide?

Coverage of Depreciation from 5% to 50% on spare parts replaced, which would have been

otherwise payable by you, in respect of the first two partial loss claims during every policy

period with the Enhanced Cover.

c) What are the major exclusions under Private Car – Enhanced Cover?

• Usual Exclusions in the Private Car Package policy except depreciation.

• Improvements and / or extra fittings in the car.

• Claims relating to the accidents in any extended Geographical Area.

• Any claim occurring after three years from the date of first purchase.

• Following type of cars shall not be provided the Private Car Enhanced Cover: Sports Car,

Racer car and Imported cars.

6. How are endorsements done on ICSI policies

You have to write to us nia.830000@newindia.co.in with documents as per the requirements of the

situation for endorsement. Insurer will intimate the required document(s) and additional premium to be

remitted for the endorsement. On the payment of such amount, endorsement will be effected by the

insurer.

7. What is the procedure for refund of premium in an ICSI policy

Request for cancellation of the policy is to be given to the to us (nia.830000@newindia.co.in ) with

documents (as per requirement). Insurer will refund the amount after cancellation / endorsement, through

the NEFT / ECS.

8. What are the documents required at the time of claim

Copy of claim intimation to be given to insurer with Xerox copy of policy and premium receipt, duly filled

Claim Form, Driving License, Registration Certificate of Vehicle, Estimate of repairs from repairer and

stamped receipt, Bills and Cash Memo of repairs, verification of road tax, Police Pachamama/FIR, and

any other documents deem fit for the situation.

9. What is the amount I have to bear (in case of claim)

Compulsory excess, Reasonable value of salvage if not surrendered to insurer and depreciation.

10. What is Owner /Driver PA Cover?

As per the recent amendment, Personal Accident cover for Rs.Fifteen Lacs is compulsory on payment of

premium as per Tariff Guideline if the Driver owns the Insured Vehicle.

11. What does Motor Package Policy Cover?

This type of policy covers all the risks covered under Motor Liability policy plus loss or damage caused to

the vehicle due to:

Accident, Fire, Explosion, Self Ignition, Lighting, Burglary, House Breaking, Theft, Riots & Strikes,

Earthquakes, Flood, Typhoon, Hurricane, Storm, Cyclones, Malicious Acts, Terrorism, Transit by rail/road,

air and waterways and also include towing charges.

12. What are the exclusions under Package Policy?

Damage caused due to:

being under intoxication, Vehicle being driven by a person not holding an effective valid license, Damage

to tyres (unless the vehicle is damaged at the same time),Wear and tear and mechanical breakdown

damages.

13. What are documents required at the time of claim?

Copy of claim intimation given to insurer with xerox copy of policy and premium receipt, duly filled Claim

Form, Driving License, Registration Certificate of Vehicle, Estimate of repairs from repairer and stamped

receipt, Bills and Cash Memo of repairs, verification of road tax, Police Pachamama/FIR, Permit and

Fitness Certificate and any other documents deem feet for the situation.

14. Can the amount be paid directly to the repairer?

Yes - In case of Approved Garage

No - In case of any other Garage

15. What is the amount I have to bear?

Compulsory excess, Reasonable value of salvage if not surrendered to insurer and depreciation.