Personal Accident Insurance Policy

Classification of document- internal/ external/ media etc1 Place - date

Presenting the smart

way for comprehensive

protection……

SmartPersonal Accident

Insurance Policy..

Classification of document- internal/ external/ media etc2

For more detail about our products please visit us at www.bharti-axagi.co.in or for more plan options call us at 080-49010200

Agenda

What does the SmartPA Policy cover?

Free/In-built Benefits

Value added benefits

Exclusions

Plan Details

Why SmartPA is a smart choice?

http://www.bharti-axagi.co.in/




Agenda

What does the SmartPA Policy cover? Free/In-built Benefits


Exclusions

Plan Details








This Policy provides comprehensive cover against bodily

injury resulting in death or disablement arising due to

accidents

Major covers under this Policy include: Accidental Death

Permanent Total Disability

Permanent Partial Disability

Temporary Total Disability






Definition of Accident

“Accident" means a sudden, unforeseen, and involuntary

event caused by external, visible and violent means.

“Injury” means accidental physical bodily harm excluding

illness or disease solely and directly caused by external,

violent and visible and evident means which is verified and

certified by a Medical Practitioner.






Agenda

What does the SmartPA Policy cover? Accidental Death Permanent Total Disability Permanent Partial Disability Temporary Total Disability

Free/In-built Benefits Value added benefits Exclusions Plan Details Why SmartPA is a smart choice?






Accidental Death

Payment of compensation in the unfortunate event of

Insured Person‟s death caused by accidental bodily injury,

within 12 months of happening of such an accident.






Agenda








Definition - Permanent Total Disability

“Permanent Total Disablement” means a bodily injury

caused by accidental, external, violent and visible means, which as a direct consequence thereof totally disables and prevents the Insured

Person from :

- attending to any business or occupation of any and every kind or

- if he/she has no business or occupation, from attending to his/her usual and

normal duties

that last for a continuous period of twelve calendar months from the date of the

accident, with no hopes of improvement at the end of that period.






Coverage - Permanent Total Disability

Payment of compensation in the event of an accidental bodily

injury leading to the total and irrecoverable loss of: sight of both eyes, physical separation of two entire hands or feet, or of one entire hand and

foot, or sight of one eye and use of one entire hand or foot

use of two hands or two feet, or of one hand and one foot, or sight of one eye and use of one

hand or one foot

Total paralysis

Loss of all fingers and both thumbs OR loss of arm - at shoulder; between shoulder and

elbow ; at and below elbow OR Loss of legs - at hip; between knee and hip ; below knee

Permanent total and absolute disablement disabling the Insured Person from engaging in any

employment or occupation






Agenda








Definition - Permanent Partial

Disability

“Permanent Partial Disablement” means a bodily injury

caused by accidental, external, violent and visible means,

which as a direct consequence thereof, disables any part of

the limbs or organs of the body of the Insured person and

which falls into one of the categories listed in the Scale of

Benefits Table.






Coverage - Permanent Partial

Disability

Payment of compensation for bodily injury caused by

accident, resulting in Permanent Partial Disablement within

12 (twelve) calendar months of occurrence of such injury.






Coverage - Permanent Partial Disability

PPD - Total and irrecoverable loss of various parts as given

below:

Percentage of Capital Sum

Insured

The sight of one eye or the actual loss by physical separation of one

entire hand or one entire foot.

50%

Use of a hand or a foot without physical separation 50%

Loss of speech 50%

Loss of toes – all 20%

Loss of toes great - both phalanges 5%

Loss of toes great - one phalanx 2%

Loss of toes other than great, if more than one toe lost: each 2%

Loss of hearing - both ears 75%

Loss of hearing - one ear 30%

Loss of four fingers and thumb of one hand 50%

Loss of four fingers of one hand 40%

Loss of thumb - both phalanges 25%

Loss of thumb – one phalanx 10%

Loss of index finger – three phalanges 15%

Loss of index finger – two phalanges 10%

Loss of index finger - one phalanx 5%

Loss of middle finger or ring finger or little finger – three phalanges 10%

Loss of middle finger or ring finger or little finger – two phalanges 7%

Loss of middle finger or ring finger or little finger - one phalanx 3%

Loss of metacarpals – first or second (additional) or third, fourth or

fifth (additional)

3%

Any other permanent partial disablement Percentage as assessed by a

panel doctor of the Company






Agenda








Definition – Temporary Total

Disablement

“Temporary Total Disablement” means a bodily injury

caused by accidental, external, violent and visible means, which as a direct consequence thereof totally disables and prevents the Insured

Person f

- From attending to any business or occupation of any and every kind or

- if he/she has no business or occupation, from attending to his/her usual and

normal duties

that lasts temporarily for a certain period within twelve calendar months from the

date of the accident.






Coverage - Temporary Total Disability

Payment of compensation for bodily injury caused by accident and

resulting in Temporary Total Disablement.

Such an injury prevents the Insured Person from attending to his/her

business or occupation temporarily.

Compensation shall be payable for the temporary period for which

the Insured Person suffers from total disablement due to accidental

bodily injury.

The benefit under this Section is limited payment of compensation

for 104 weeks and upto the limit of Sum Insured specified.






Agenda


Free/In-built Benefits Value added benefits

Exclusions

Plan Details








This Policy offers the following free benefits, in case of a

valid claim under the „Accidental Death‟ Section: Transportation of Mortal Remains: Allowance equivalent to 1% of SI towards

expenses incurred for transporting the dead body.

Funeral Expenses: Allowance towards expenses incurred for funeral in the case

of accidental death

Education Grant for Children: Payment of a fixed allowance of Rs. 10,000 per

dependent child (for a maximum of 2 dependent children) upto the age of 23

years pursuing studies

FREEFor more detail about our products please visit us at www.bharti-axagi.co.in or for more plan options call us at 080-49010200





Agenda



Value added benefits Exclusions

Plan Details







Value-added Benefits

The Policy offers a host of value-added

benefits such as: Hospital Daily Cash Allowance

Accidental Medical Expenses

Double Death or Permanent Total Disablement

Benefit

Legal Expenses

Please refer to the plan details for the applicability of

these benefits and the Sum Insured for these benefits






Hospital Daily Cash Allowance

Payment of a fixed allowance per day of hospitalisation

treatment in India for accidental bodily injury

This is applicable if the hospitalisation exceeds a 2 days

Please refer to the plan details for the applicability of these benefits and the Sum Insured for this benefits






Accidental Medical Expenses

Reimbursement of actual medical expenses incurred in India following medical treatment for bodily injury, caused by an accident

“Medical expenses” means those expenses that an Insured

Person has necessarily and actually incurred for medical

treatment on account of Illness or Accident on the advice of a

Medical Practitioner, as long as these are no more than would

have been payable if the Insured Person had not been insured and

no more than other hospitals or doctors in the same locality would

have charged for the same medical treatment. It includes,

the costs of a bed; treatment and care by medical staff; medical procedures, Medical Practitioner’s / Consultants fees, medicines and consumables including cost of pacemaker, cost of organs, artificial limbs etc. as long as these are recommended by the attending Medical Practitioner

Please refer to the plan details for the applicability of these benefits and the Sum Insured for this benefits






Double Benefit for Death or Permanent

Total Disablement

Payment of Double Indemnity , i.e. 200% of the sum insured covered under section 1

200% of the sum insured covered section 2 of the benefit schedule

in case of Permanent Total Disablement, due to bodily

injury, caused by an accident while the Insured is traveling

as a passenger in a public conveyance






Legal Expenses

Payment of legal costs and expenses incurred, with the

consent of the Company by the Insured Person or the legal

representative of the Insured Person towards claims for

compensation for death or disablement arising due to an

accidental bodily injury






Agenda




Exclusions Plan Details







Exclusions

Death or disablement caused by,aggravated or prolonged by child

birth or from pregnancy

Compensation under more than one of the foregoing Clauses in

respect of the same period of disablement except the Add-on

covers.

Any payment in case of more than one claim under the Policy

during any one period of insurance by which the maximum liability

of the Company in that period would exceed the sum payable

under the Section I, II, III or IV of the Policy. This would not apply to payments made under Add-on covers, education grant

and expenses for transportation of mortal remains.






Exclusions

Any claim in respect of accidental death or permanent disablement of the Insured/Insured Persons. from intentional self-injury, suicide or attempted suicide whilst under the influence of liquor or drugs or other intoxicants whilst engaging in adventure activities directly or indirectly, caused by venereal disease, AIDS or insanity arising or resulting from the Insured/Insured Person committing any breach of law

or participating in an actual or attempted felony, riot, crime or civil commotion whilst engaging in racing, hunting, mountaineering, ice hockey, winter sports.

Any claim arising out war and war like operations as well as nuclear perils.






Agenda




Exclusions

Plan Details Why SmartPA is a smart choice?






Plan Options






Plan Details

In case you need more detail about our products please visit us at www.bharti-axagi.co.in or for more plan options call us at 080-49010200









Why Smart PA Insurance is a smart

choice?

Simple and affordable Premium Starting from Rs.250 No long term commitment required – unlike a life insurance policy.

Instant, Hassle-free Policy Delivery No lengthy application forms No need to undergo any medical tests before enrollment

Over-the-counter packaging Pay, Buy and walk away with the policy Easy shopping experience for the customer

No complex claims procedures Customer deals directly with the company Payment of fixed compensation






Product Comparison





34 Classification of document- internal/ external/ media etc

Thank You





Personal Accident Insurance Policy

Economy & Finance

Transcript of Personal Accident Insurance Policy