The Personal Accident plan by Bajaj Allianz is another personal accident disability plan which offers coverage in case of death or disability resulting from an accident. With this plan uncertain expenses resulting from accidental injury are covered.
Plan variants – None
Scope of cover –
Proposer and spouse between age 18 years to 65 years can be covered under this policy.
Dependents between age 5 years up to 21 years can be covered under this health insurance plan.
In case you opt for family package and cover 2 or more number of member with this policy then, you would get discount of 10% on premium.
Sum insured values –
There are 3 coverage options in this plan namely Basic, Wider and Comprehensive given below are the details of each:
PTD- Permanent Total Disability
PPD –Permanent Partial Disability
TTD – Temporary Total Disability
Policy Period – 1 year
Risk Group Covered –
This policy is available only for all three occupational risk groups which are categorized as follows:
Risk Level I –
Includes individuals under administrative/ managing functions, accountants, doctors, lawyers, architects, teachers and similar functions.
Risk Level II –
Includes all manual labors, garage mechanics, machine operators, paid drivers, cash carrying employee, builder, contractor, veterinary doctor and similar functions.
Risk Level III –
Workers in underground mines, electric installations with high tension wires, big game hunters, circus performers and similar functions.
Main highlights of the plan –
Some of the important benefits offered by Personal Accident Plan by Bajaj Allianz Health Insurance are:
125% of sum insured is paid as compensation in case of permanent total disability.
The benefit of around INR 15,000 is available without any additional premium.
Benefits offered in this plan –
Most important –
The Personal Accident Plan by Bajaj Allianz offers benefits like:
ACCIDENTAL DEATH –
Under this benefit the nominee (appointed by the insured) gets compensation from the insurance company which is equal to 100% of sum insured after insured individual’s death.
PERMANENT TOTAL DISABILITY –
A consequential injury caused by an accident that results in permanent total disability is covered under this benefit as long as it occurs within 12 months from the date of an accident. The compensation up to 125% of sum insured is provided by the insurance company in such cases.
PERMANENT PARTIAL DISABILITY –
A consequential injury caused by an accident that results in partial disability is covered under this benefit as long as it occurs within 12 months. The compensation is paid by the insurance company in the range of 2 to 75% of sum insured depending on the part of body affected.
TEMPORARY TOTAL DISABILITY -
A consequential injury caused by an accident that prevents one from pursuing his/her occupation is covered under this benefit as long as it’s within 12 months. The compensation equal to 1% of sum insured up to a maximum of INR 5000 is paid by the insurer up to a maximum of 100 weeks.
Good to have –
Some of the good to have benefits offered in Personal Accident plan by Bajaj Allianz are:
1. COVERAGE FOR TRANSPORTATION EXPENSES –
Under this benefit the expenses on transportation of mortal remains equal to 2% of sum insured up to a maximum of INR 500 are covered.
2. Education Fund –
Under this benefit, a compensation equal to INR 5,000 would be paid as part of education fund to each of the insured individual’s dependent children below age 19 years. This benefit would be paid only in case of valid claim for death or disability of the insured. Maximum of 2 dependents would get this benefit.
Value add cover-
Some benefits which add value to this personal accident disability plan by Bajaj are:
1. NO-CLAIM BONUS –
After each claim free year the company rewards you with no-claim bonus which is equal to 10% of the basic sum insured for a maximum of 5 years i.e. up to a maximum of 50% of the sum insured.
The benefits offered in the Personal Accident plan by Bajaj Allianz on payment of additional premium are:
1. DAILY CASH/ HOSPITAL CONFINEMENT ALLOWANCE –
Under this benefit, for each valid claim under any section of this policy a daily cash of INR 1000 per day up to a maximum of INR 30,000 is paid.
2. Hospitalization expense cover –
Under this benefit in case of any valid claim in this policy, hospitalization expense for the treatment is covered up to 40% of the sum insured in the section up to a maximum of INR 5,00,000.
Please refer the policy wordings for the detail list of coverage offered under each section.
Some of the major exclusions under a personal accident plan are:
War or terrorism related injuries.
Self- injury or suicide.
Pre-existing injury or disability.
Injury due to adventurous activities.
Hospitalization for treatment of illness or disease.
Please refer the policy document for the detailed list of all the exclusions.