Personal Accident

Individual Personal Accident Policy

Personal accident insurance is a policy that can reimburse your medical costs, provide compensation in case of disability or death caused by accidents. Accidental death if the policyholder dies in an accident then his nominee gets accidental death compensation. The family is financially secure in this situation. Personal accident insurance, also known as personal injury insurance, is designed to pay out compensation if you suffer from a serious injury or death as the result of an accident. It can protect you and your family against loss of income, and help them with bills and other expenses.

BENEFITS OF HAVING IPA POLICY

Cover against accidental death (AD), permanent total disability (PTD), Permeant Partial Disability (PPD) on account of accident. Optional cover against accidental hospitalisation expenses & accidental hospital daily allowance. No health check-up required.The main difference between a health policy and a personal accident policy isHealth insurance provides coverage for medical expenses in various situations. Personal Accident Insurance provides coverage for injuries specifically due to an accident. Besides AD, PTD & PPD, IPA policy covers Child Education Benefit, Cost of Transporting Mortal Remains, and Cost of Performance of Death Ceremony.

COVERAGES OF IPA POLICY

Cover Name	Sum Insured	Coverage Details
Accidental Death (AD)	1500000	Covers Death due to Accident
Permanent Total Disability (PTD)	1500000	Covers Permanent Total Disability due to Accident, which totally disables the Insured from attending to any occupation/job/business or normal duties for a continuous period of 12 months.
Permanent Partial Disability (PPD)	1500000	Covers Permanent Partial Disability of te Insured relating to any part of the limbs or organs of the body listed under the Policy.
Double Indemnity	Applicable	Sum insured equivalent to the Capital sum Insured provided if Death or Permanent Total Disability occurs following an accidental injury while traveling in public carriers like Bus, ferry, hovercraft, ship, taxi, train, tram, underground train, commercial helicopter or aircraft.
Child Education Support Benefit	10,000	If Accidental death or Permanent Total Disability happens One Child will get the Educational Support of Max 10,000 on Tution Fee.
Child Education Benefits	10,000	Lump sum Education benefit for 2 dependent children upon Accidental Death or Permanent Total Disability of the Insured Person.
Performance Of Funeral Ceremony	10,000	Reimbursement of expenses incurred for preparing the mortal remains for burial or cremation.
transportation Of Mortal Remains	10,000	Reimbursement of expenses incurred for the transportation of mortal remains to the city of residence where the final funeral ceremony is to be performed.

What is PPD??

Permanent Partial Disability - Table of Benefits
Loss of	%CSI
Each arm at the shoulder joint	70%
Each arm to a point above elbow joint	65%
Each arm below elbow joint	60%
Each hand at the wrist	55%
Each thumb	20%
Each index finger	10%
Each other finger	5%
Each leg above center of the femur	70%
Each leg up to the point below the femur	65%
Each leg to a point below the knee	50%
Each leg up to the center of tibia	45%
Each foot at the ankle	40%
Each big toe	5%
Each other toe	2%
Each eye	50%
Hearing in each ear	30%
Sense of smell	10%
Sense of taste	5%
Any other Permanent Partial Disability	Percentage as assesses by Registered medical practitioner
Any other Permanent Partial Disability	Practitioner

What is PTD??

Permanent Total Disability - Table of Benefits
Loss of	%of
Limbs (both hands or both feet or one hand and one foot)	100%
Loss of a Limb and an eye	100%
Complete and irrecoverable loss of sight of both eye	100%
Complete and irrecoverable loss of speech & hearing of both ears	100%
Loss of sight of one eye, or total and irrecoverable loss of use of one hand or one foot	50%

CLAIM PROCEDURES OF IPA

In case of Personal Accident Death claims:	Incase of Personal Accident Permanent Partial and Total Disability claims:
FIR from police authorities wherever necessary (in case of accidents outside residence)	FIR from police authorities wherever necesssary (in case of accidents outside residence)
Death Certificate from the Municipal Authorities	Medical Certificate from the attending Medical Practitioner for the injury indicating the extent of disability
Death Summary from the Hospital Authorities if death is confirmed by the Hospital	Duly filled and signed claim form
Post Mortem Report, if conducted	Police Copy and Annexure
Documentry proof of accidental death	Hospital/Nursing Home Medical Records
Legal Heir/Succession Certificate	Leave certificate from HR (for salarised people)
Duly filled and signed claim form	Salary certificate/income proof
Policy Copy	Photographs of the Insured showing affected area
Inquest Report
Photographs of the Insured
Personal Accident Temporary Total Disability:	Incase of claim under other Covers: Child Education Benefit:
FIR from police authorities wherever necessary (in case of accidents outside residence)	Proof of number of dependent child/children viz. Ration card
Medical Certificate from the attending Medical Practitioner for the injury indicating the extent of disability	Age proff of the dependent child/children
Medical fitness certificate from the Treating consultant indicating duration of rest medicaly advised	Child Education Support Benefit
Duly filled and signed claim form	Proof of dependent child/children viz. Ration card
Policy Copy	Age proof of the dependent child/children
Hospital/Nursing Home Medical Records
Leave certificate from HR (for salarised people)	Cost of Transportation of Mortal remains:
Salary certificate/income proof	Bills and receipt towards cost of transportation of the mortal remains to the place of residence/hospital and/or cremation/burial grouns.
Photographs of the Insured showing affected area
Double Indemnity	Cost of Performance of Funeral Ceremony:
Proof of travel through listed Public Carrier.	Bills and receipt towards expenses relevant to funeral ceremony.
All Other documentation would be similar to the Accident Benefit(s).

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