3 sections Basic, Wider , Comprehensive and two add on covers
medical expenses , Hospital confinement allowance , details and
coverage of each section is given below:-
What are the benefits under this policy?
• Death – 100% of Sum Insured
• Permanent Total Disability (PTD) – Highest compensation of
125% of Sum Insured
• Permanent Partial Disability (PPD) - As per the table given below
• Temporary Total Disability (TTD) - 1% of the Sum Insured or
Rs5000/- per week, whichever is lesser
• Transportation of mortal remains - lower of Rs.5,000/- and
2% of the sums assured shown under the schedule headings
Basic, Wider and Comprehensive.
• Children's Education bonus in case of Death or Permanent
Total disability of proposer - onetime payment of Rs.5,000/-
each towards the cost of education of up to 2 of your
dependent children who were under the age of 19 on the date
you met with Accidental Bodily Injury.
• Hospital Confinement Allowance - If the claim is accepted
under Death, Permanent Total Disability (PTD) , Permanent
Partial Disability (PPD), Temporary Total Disability (TTD)
thenwe will pay you Rs 1000/- per 24 hours of hospitalization,
maximum up to 30 days per policy period
• Medical Expenses due to accidental injury - If the claim is
accepted under Death, Permanent Total Disability (PTD) ,
Permanent Partial Disability (PPD), Temporary Total Disability
(TTD) then reimbursement of the cost of medical expenses
due to accidental injury up to 40% of valid claim amount or
actual medical bills, whichever is lesser
• Cumulative Bonus -If You renew Your Personal Accident
Insurance Policy with Us without any break in the Policy Period
and there has been no claim in the preceding year, then We
will increase the Limit of Indemnity by 10% of Sum Assured per
annum as Cumulative Bonus,
The maximum cumulative increase in the Limit of Indemnity
will be limited to 5 years and 50% of Sum Assured.
Permanent Partial Disablement table:
In case of permanent partial disablement, we will pay the percentage,
of the sum assured as applicable given in the table below
What are the important exclusions under this policy?
1. Accidental Bodily Injury that You meet with:
a. Through suicide, attempted suicide or self inflicted injury
or illness.
b. While under the influence of liquor or drugs.
c. Arising or resulting from the insured person(s)
committing any breach of law with criminal intent.
d. Whilst engaging in aviation or ballooning, whilst
mounting into, dismounting from or travelling in any
balloon or aircraft other than as a passenger (fare paying
or otherwise) in any duly licensed standard type of
aircraft anywhere in the world.
e. Whilst participating as the driver, co-driver or passenger
of a motor vehicle during motor racing or trial runs.
f. As a result of any curative treatments or interventions
that you carry out or have carried out on your body.
g. Arising out of your participation in any naval, military or
air force operations whether in the form of military
exercises or war games or actual engagement with the
enemy, whether foreign or domestic.
2. Your consequential losses of any kind or your actual or alleged
legal liability.
3. Venereal or sexually transmitted diseases.
4. HIV (Human Immunodeficiency Virus) and/or any HIV related
illness including AIDS (Acquired Immune Deficiency
Syndrome) and/or mutant derivatives or variations thereof
however caused.
5. Pregnancy, resulting childbirth, miscarriage, abortion, or
complications arising out of any of these.
6. War (whether declared or not), civil war, invasion, act of
foreign enemies, rebellion, revolution, insurrection, mutiny,
military or usurped power, seizure, capture, arrest, restraint or
detainment, confiscation or nationalisation or requisition of or
damage by or under the order of any government or public
local authority.
7. Nuclear energy, radiation.
Special Conditions:
Free Look Period
• If you are not satisfied with policy coverage, terms and
conditions, You have the option of canceling the policy within
15 days of receipt of the first year policy documents, provided
there has been no claim.
• Free look period is not applicable for renewal policies.
Renewal & Cancellation
• Under normal circumstances, renewal will not be refused except
on the grounds of Your moral hazard, misrepresentation or fraud
• For age 66years and above, renewal Sum insured would be
restricted to lower of Rs10lacs (under Basic and or Wider) or
expiring policy sum insured under Basic and / or Wider
sections.
• However renewals can be considered with higher sum insured
subject to submission of requisite documentation to ascertain
commensuration of income.
• In case of Our own renewal a grace period of 30 days is
permissible and the Policy will be considered as continuous
coverage. Any claim incurred as a result of Accidental injury
during the break period will not be admissible under the policy.
• For renewals received after completion of 30 days grace period,
a fresh application of health insurance should be submitted to
Us, it would be processed as per a new business proposal.
• After the completion of maximum renewal age of dependent
Bajaj Allianz
Bajaj Allianz General Insurance Company Limited is a joint venture
between Bajaj Finserv Limited (recently demerged from Bajaj
Auto Limited) and Allianz SE. Both enjoy a reputation of expertise,
stability and strength. This joint venture company incorporates
global expertise with local experience. The comprehensive,
innovative solutions combine the technical expertise and
experience of more than 110 year old Allianz SE, and indepth
market knowledge and good will of Bajaj. Competitive pricing and
quick honest response have earned the company the customer's
trust and market leadership in a very short time.
The Bajaj Allianz Advantage
Personal Accident Insurance Policy:
Life is uncertain. Your future doesn't have to be. The accidental
death or injury of a breadwinner can create serious financial
problems for the family. Our Personal Accident Insurance policy
ensures total security and peace of mind.
What is the entry age under this policy?
Entry age for Proposer and Spouse is 18 to 65 years.
Dependent Children can be covered from 5years to 21years.
What will be the renewal age?
Under normal circumstances, lifetime renewal benefit is available
under the policy except on the grounds of fraud, misrepresentation
or moral hazard.
What is the policy period?
This is an annual policy
Who can be covered under the Policy?
Self, Spouse and dependent children can be covered under this policy.
What is covered under Personal Accident Insurance Policy?
Personal Accident Insurance Policy coverage is broadly divided in
An arm at the shoulder joint
An arm above the elbow joint
An arm beneath the elbow joint
A hand at the wrist
A thumb
An index finger
Any other finger
A leg above mid-thigh
A leg up to mid-thigh
A leg up to beneath the knee
A leg up to mid-calf
A foot at the ankle
A large toe
Any other toe
An eye
Hearing of one ear
Hearing of both ears
Sense of smell
Sense of taste
70 %
65 %
60 %
55 %
20 %
10 %
5 %
70 %
60 %
50 %
45 %
40 %
5 %
2 %
50 %
30 %
75 %
10 %
5 %
UIN: IRDA/NL-HLT/BAGI/P-P/V.I/280/13-14 UIN: IRDA/NL-HLT/BAGI/P-P/V.I/280/13-14 UIN: IRDA/NL-HLT/BAGI/P-P/V.I/280/13-14 UIN: IRDA/NL-HLT/BAGI/P-P/V.I/280/13-14
Details
Capital SI not
to exceed
120 times of
average
Monthly
Income
Coverage
Rs 1000/-
per 24 hours of
hospitalization,
maximum up to 30
days per policy
period
NANA
Hospital
Confinement
Allowance
Death+PTD+
PPD+TTD
Comprehensive
Death+
PTD+PPD
Wider
Death
Eligiblity
Basic
Max. 24 times of
Monthly Incomeor
maximum of Rs 5 Lakhs
Reimbursement
up to 40% of valid
claim amount or
Rs. 5lac, whichever
is less
NANA
Medical
Expenses
Max. 60 times of
Monthly Income
Max. 100 times of
Monthly Income
subject to maximum
of Rs 25 Lakhs
Contact Details
Bajaj Allianz General Insurance Company Limited,
G.E. Plaza, Airport Road, Yerawada, Pune - 411 006.
Tel: (020) 6602 6666. Fax: (020) 6602 6667.
www.bajajallianz.com
Email: [email protected]
For any queries please contact:
BSNL/MTNL
(Toll Free)
1800 22 5858
Other
(Chargeble)
<Prefix City Code> 3030 5858
Bharati Mobile & Landline
(Toll Free)
1800 102 5858
BJAZ-B-0172/20-Sep-17
Insurance is the subject matter of the solicitation
Personal Accident Insurance Policy/V002/w.e.f. 01st October 2013
Get yourself and your family covered
by Personal Accident Insurance Policy
today and sleep easy.
Disclaimer: The above information is only indicative in nature. For details of the
coverage & exclusions please contact our nearest office.
To know more visit our website, Website: www.bajajallianz.com or get in touch with
Email: [email protected] ;24*7 helpline number: 1800-103-2529
(toll free) / 020-30305858
Network Hospital & Value Added service Provider list is provisional & subject to
change based on the review of the providers
Personal Accident
Insurance Policy
From Insecure to Secure
Bajaj Allianz
Withdrawal of Policy
There is possibility of withdrawal of this product at any time in
future with appropriate approval from IRDA, as We reserve Our
right to do so with a intimation of 3 months to all the existing
insured members. In such an event of withdrawal of this product,
at the time of Your seeking renewal of this Policy, You can choose,
among Our available similar and closely similar Personal Accident
Insurance products. Upon Your so choosing Our new product, You
will be charged the Premium as per Our Underwriting Policy for
such chosen new product, as approved by IRDA.
What are the premium rates for this policy?
The Premium differs in case of different risk levels determined by
your occupation.
Risk Level - I
Administrative / managing functions, accountants, doctors,
lawyers, architects, teachers and similar occupations
Risk Level - II
Manual labour, garage mechanic, machine operator, paid driver
(car / truck / heavy vehicles) cash carrying employee, builder,
contractor, veterinary doctor and similar occupations.
Risk Level - III
Workers in underground mines, electric installations with high
tension supply, Jockey, circus performers, big game hunters,
mountaineers, professional river rafters and similar occupations.
(For occupations not specified above, please enquire with us.)
Annual Premium Rate
Premiums are exclusive of GST
How do I submit my claim?
• If you meet with an accident and injure any part of your body
that may result in a claim, you or someone claiming on your
behalf must inform us in writing immediately, and in any
event within 30 days.
• Incase of death due to accident, the same must be informed to
us inwriting immediately and send us a copy of the post
mortem report ( If conducted) within 30 days.
Premium rates given below (%) - Rs. per 1000 /-
Cover
Basic
Wider
Comprehensive
Medical
Expenses
Hospital
Confinement
Risk Class
II
0.6
1.25
2.0
25% of above
premium
Rs. 300 per
person
I
0.45
1.0
1.5
25% of above
premium
Rs. 300 per
person
III
0.9
1.75
Not available
25% of above
premium
Rs.300 per
person
children, the policy would be renewed for lifetime. However a
separate proposal form should be submitted to us at the time
of renewal with the insured member as proposer. Suitable
credit of continuity for all the previous policy years would be
extended in the new policy, provided the policy has been
maintained without a break.
• Premium payable on renewal and on subsequent
continuation of cover are subject to change with prior
approval from IRDA.
• We may cancel this insurance by giving You at least 15 days
written notice, and if no claim has been made then We shall
refund a pro-rata premium for the unexpired Policy Period.
• You may cancel this insurance by giving Us at least 15 days
written notice, and if no claim has been made then We shall
refund premium on short term rates for the unexpired Policy
Period as per the rates detailed below.
Grace period:
• In case of our own renewal a grace period of 30 days is
permissible and the Policy will be considered as continuous
coverage.
• Any claim incurred as a result of Accidental injury during the
break period will not be admissible under the policy.
When can I enhance my sum insured?
Sum Insured enhancement can be done at renewals.
Discounts available under the policy
Family discount of 10% is available for covering 2 and more
members under the policy
Portability Conditions
As per the Portability Guidelines issued by IRDA, If you are insured
under any other Personal Accident Insurance Policy of Non life
insurer you can transfer to Personal Accident Insurance Policy
with all your accrued benefits after due allowances for waiting
periods and enjoy all the available benefits of Personal Accident
Insurance Policy
Revision/ Modification of the policy:
There is a possibility of revision/ modification of terms, conditions,
coverages and/or premiums of this product at any time in future,
with appropriate approval from IRDA. In such an event of
revision/modification of the product, intimation shall be set out to
all the existing insured members at least 3 months prior to the
date of such revision/modification comes into the effect
Period on Risk
Upto 1 month
Exceeding 1 month and upto 3 months
Exceeding 3 months and upto 6 months
Exceeding 6 months
% of Annual Premium Refunded
75%
50%
25%
Nil
UIN: IRDA/NL-HLT/BAGI/P-P/V.I/280/13-14 UIN: IRDA/NL-HLT/BAGI/P-P/V.I/280/13-14
CIN: U66010PN2000PLC015329
UIN: IRDA/NL-HLT/BAGI/P-P/V.I/280/13-14UIN: IRDA/NL-HLT/BAGI/P-P/V.I/280/13-14
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