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Universal Sompo's Group Personal Accident Policy offers protection against the consequences of unforeseeable accidents to you and your employees/members. The Policy can also be extended to cover the dependent children/parents of your employees.

What does this Policy cover?

The Policy provides for defined benefits based on the nature of injury sustained, in the accident during the Policy Period by the insured person.

Coverage

The Policy provides for three different options as under:
  • Basic Cover - covers against Death only
  • Wider Cover - covers against Death, Permanent Total Disablement Permanent Partial Disablement
  • Comprehensive Cover - covers against Death, Permanent Total Disablement Permanent Partial Disablement Temporary Total Disablement
NB: Comprehensive cover is not available to dependent family members

Compensation Benefit

The compensation benefits will depend upon the nature of injury and the Capital Sum Insured under the Policy. For accidents resulting in Death or Permanent Total disablement, we will provide compensation equivalent to the full Capital Sum Insured. For Permanent Partial Disablement the compensation will depend on the nature of injury and corresponding percentage of Capital Sum Insured as detailed in the 'table class="content-table" of Benefit' under the Policy document or as per the medical advices of our appointed Medical Practioner. In respect of Temporary Total Disablement, we will provide compensation at 1% of Capital Sum Insured or Rs 5000/- whichever is less per week for a maximum period of 104 weeks.

Additional benefits under the Policy

In addition to the Compensation benefit stated above, we also undertake to provide compensation in respect of the fullowing:Optional Extension available under the PolicyThe Policy can be extended to cover the fullowing by payment of additional Premium ( applicable to Employees/Members only) Medical Expenses Extension: Covers the medical expenses reasonably and necessarily incurred by you towards medical expenses as a result of an accident resulting in the bodily injury , death or disablement. The compensation under this extension is restricted to 40% of Personal Accident Claim or actual medical expenses whichever is less. Hospital Confinement Allowance: Daily allowance of Rs 500/- per day to a maximum of 30 days if you or any of the insured person (s) is hospitalised as a result of an accident resulting in the bodily injury, death or disablement.Exclusions

Transportation Cost for carriage of dead body to Home including funeral charges. 1% of Capital Sum Insured or 2,500/- (Two thousand five hundred) whichever is lower.
Cost of Clothing damaged in the Accident as described above and liability for disablement is admitted by Us. Actual expenses subject to maximum of Rs 1000/
Ambulance charges for transportation of Insured person to Hospital fullowing Accident Actual expenses subject to maximum of Rs 1000/
Education Fund In the event of death, permanent total disablement i.e. 1 2 of table class="content-table" of Benefit of Insured Person, We will approve compensation towards Education Fund up to 2 dependent children. -5% (Five percent) of C.S.I Subject to a maximum of Rs. 15000/- in all
Loss of Employment In the event of accident leading to loss of employment as a consequence of Permanent Total Disability as per the table class="content-table" of benefits. 2% of CSI subject to a maximum of Rs 25000/-

Optional Extension available under the Policy

The Policy can be extended to cover the following by payment of additional Premium ( applicable to Employees/Members only)

Medical Expenses Extension: Covers the medical expenses reasonably and necessarily incurred by you towards medical expenses as a result of an accident resulting in the bodily injury , death or disablement. The compensation under this extension is restricted to 40% of Personal Accident Claim or actual medical expenses whichever is less.

Hospital Confinement Allowance: Daily allowance of Rs 500/- per day to a maximum of 30 days if you or any of the insured person (s) is hospitalised as a result of an accident resulting in the bodily injury, death or disablement.

Exclusions

  • Self-injury, suicide, venereal disease or insanity
  • Influence of intoxicating liquor or drugs
  • Death due to pregnancy or childbirth
  • Breach of law with criminal intent
  • War and nuclear group of perils
  • Loss whilst on duty with armed forces
  • Injury/death while participation in adventurous sports
Note: The above are only the salient features of the Policy , for complete terms and conditions please refer to Policy Wordings.

"IRDAI or its officials do not involve in activities like sale of any kind of insurance or financial products nor invest premiums”; “IRDAI does not announce any bonus”; “Those receiving such phone calls are requested to lodge a police complaint along with details of phone call and number”.