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Group personal accident policy from ICICI Lombard

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Presentation about Group Personal Accident Policy offered by ICICI Lombard. Even small organizations as low as 15 - 20 employees can avail this policy

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Group personal accident policy from ICICI Lombard

  1. 1. Group Personal Accident (GPA) Call +91 9900113820 for more information
  2. 2. Insured Who do I insure?
  3. 3. Benefit policy     Concept of Capital Sum Insured (CSI) Taken by a corporate to cover the employees Corporate - Insured Employers - Insured Person
  4. 4. Inclusion-Exclusion Impact of accident can not be determined.. What scenarios do we consider and what we don’t?
  5. 5. Scope of cover Policy pays Insured in case of: Benefit Table Coverage A Accidental Death B Accident Death + loss of limbs + loss of eyes + Permanent Total Disablement C Accidental Death + loss of limbs + loss of eyes + Permanent Total Disablement + Permanent Partial Disablement D Accidental Death + loss of limbs + loss of eyes + Permanent Total Disablement + Permanent Partial Disablement + Temporary Total Disablement
  6. 6. Exclusions Death injury or disablement due to Intentional self injury Suicide Intoxicating liquor or drugs While engaging in aviation or ballooning Venereal disease or insanity Resulting from Insured committing a breach of law with criminal intent War and nuclear perils Caused by childbirth or pregnancy
  7. 7. Extentions  Medical Expenses reimbursed subject to maximum of 40% of valid claim or 10% of relevant Sum Insured whichever is less  Hospital Confinement allowance-payment of a daily benefit for a maximum period of 30 days for hospitalisation due to an accident for which a claim is admitted.
  8. 8. Basis of assessment Injury Explanation Death Benefit 100% of SI PTD Actual - Loss of limbs, Loss of sight, Loss of one hand / one limb, One limb and one eye Loss of Use of above Totally / permanently incapacitated to work 100% of SI PTD Actual - Loss of one limb, Loss of one eye, Loss of one hand, Loss of Use of above 50% of SI PPD As certified by physician % as certified by physician
  9. 9. Basis of assessment contd.…  TTD benefits      Payable so long as the insured person be totally disabled from engaging in any employment or occupation of any description whatsoever 1% of SI One week max of Rs.5000/Max of 100 weeks Additional amount payable  Carriage of Dead Body- In event of death due to Accident expenses for transportation of Insured’s dead body reimbursed subject to a maximum of 2% of CSI or Rs 2500/=whichever is less.
  10. 10. Information required from client to quote lives to be covered  No of  Sum Insured per life  Nature of industry of client  Benefit table required  Medical extension add-on required or not  Past 3 years claims data
  11. 11. Claims What information do I need from client’s end??
  12. 12. Claim Process
  13. 13. Claim Documents  Duly completed claim form  Doctor’s Report  Police report, wherever necessary  Death certificate, wherever necessary/applicable
  14. 14. Thank you Call +91 9900113820 for more information

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