Accidents
can occur any time to any person and can result in various implications causing
death or disablement of the concerned. In all the scenario it affects an
individual’s financial position. In the case of death the income of the
affected family stops and in case of disablement the same also happens.
Although none can prevent accidents or accidental injuries but we can have some
financial plan in place by purchasing accidental insurance policy so that in
case of any untoward incident one can have financial plan and backup in place.
Let’s understand what all is covered in accidental insurance policies .
What is covered : -
Physical loss to an individual due
to an accidental injury ( including fatal)
Who can be insured
Any individual or
group of individuals ( through employer association and institution and
thorough group policy etc) aged between 12 and 70. Subject to medical
examination at 70 years a person can be covered up to 80.
What will policy pay and the quantum of
payment
When an accidental
injury happens the sole and direct cause results ( during the period of
insurance) in:
Death
|
100 % of Sum Insured
|
Permanent Total
Disablement
|
100 % of Sum Insured
|
Loss of two limbs/
Two eyes or one limb and one eye
|
100 % of Sum Insured
|
Loss of one limb or
one eye
|
50 % of Sum Insured
|
Permanent Partial
Disablement
|
Varying % of Sum
Insured as per policy
|
Temporary Total
Disablement
|
1 % of Capital Sum
Insured per week Subject to a maximum of Rs 3000 per week for a maximum
period of 100 weeks
|
On payment of extra
premium medical expenses incurred up to 25 % of claim or 10 % of Sum Insured
can be covered.
Policy also pays for
education fund for dependant children (2) of deceased insured and expenses of
carriage of dead body of insured from accident site ( as per details in policy)
Attractive cumulative
bonus at the time of renewal by way of increasing the Sum Insured by 5 % for
each completed claim free year of insurance ( maximum of 50 % sum assured )
without collecting extra premium as per policy.
Disclaimer : -
These benefits mentioned above may vary from company to company. You are
supposed to get analyzed at your own with the company while purchasing personal
accident insurance policy.
Now
let’s understand few terms used above :-
Permanent Total Disability (PTD) : -
Permanent
total disability is the situation when due to a serious injury , a person is
unable to work in their own or any other occupation for which they are
involved. This is a condition when an individual is no longer able to work due
to various injuries. Permanent Total Disability is a situation when an
individual may never able to work again during it’s life span.
Permanent
total disability may involve an individual’s loss of limbs. An individual can
get himself insured against PTD through personal accident insurance policy. The
amount of benefit is a fixed percentage of policy holders average earnings or
can vary company to company and policy to policy.
Permanent Partial Disability (PPD) : -
Permanent
partial disability is a situation when an employee or a wage earner is
permanently not able to work at full physical capacity due to injury occurred
due to accident. A benefit is paid in such situation due to complete or partial
loss of body. Loss of use means when an employee or a wage earner is not able
to use the specific body part which he or she was using before accidental
injuries. Few examples of permanent partial disability are :
.
hearing loss
.
loss of vision in one eye
.
knee injury
.
removal of a body part like a finger or a hand or a foot.
.
damage in nervous system.
Temporary Total Disability (TTD) : -
Temporary
total disability benefits are given to those employees or wage earner who are
not able to work for a period of time due to accidental injuries. These
benefits are stopped when the temporary disability is cleared and the person
starts working again. Temporary total disability is a injury which does not
result in death or permanent total disability but the injured person is not
able to perform his or her regular duties or the given job. Benefits are paid
to the affected person till the time he or she return to work and resume the
duty or job.
Dr SANJAY MITTAL
B.Com,
MBA (Finance)
CAIIB,
PGDCA
PG Wealth Management
Senior Banker and Financial Analyst
9592800921
Shsanjay.mittal@gmail.com
Thanks for providing such thorough information.
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