What is Personal Accident Insurance?
Personal Accident is an insurance cover wherein, in the event of the person sustaining bodily injuries resulting solely and directly from an accident caused by EXTERNAL, VIOLENT & VISIBLE means , resulting into death or disablement.

What type of events are covered under Personal Accident Insurance?
An accident may include events like:

• Rail / Road / Air Accident
• Injury due to any collision/fall
• Injury due to Bursting of gas cylinder
• Snake-bite, Frost bite/Dog bite
• Burn Injury, Drowning, Poisoning etc

These are only illustrative and not an exhaustive list of type of accidents.

What is scope of cover & benefits available under Personal Accidental cover ? Personal Accidental policy covers accidental death, permanent total and partial disablement apart from temporary total disability, apart from riders such as education grants.

Does this policy cover medical expenses incurred due to accident ?
Yes, on payment of additional premium, medical expenses reimbursement can be covered. These expenses are payable, in case, if the claim is admitted under the basic policy cover.

Is the claim payable in case of natural death ?
No, it is payable only in case of accidental death

Do I get my premium / some portion back in case I don’t make a claim.
No

Do I get premium accumulation back after some years in case I don’t make a claim.
No

What are the other types of covers available for covering accidental injuries ?
Contact individual companies for exact details on product

What is the age limits under personal accident cover ?
This Policy is available to persons between the age of 5 and 70 years (Male & Female). In case of Family Package covers, the age of children should be between 5 to 19 years. The age ceiling of 70 years can be relaxed in special conditions subject to suitable premium loading.

Are there any territorial restrictions applicable to the policy ?
No, the coverage under this policy is WORLDWIDE however, claims, if any, will be paid in Indian currency only.

What is the basis of arriving at the sum insured ?
Sum insured is based on various factors namely:

• Income from gainful employment
• Type of occupation
• Age as on date of proposal
• Period of insurance
• Conditions prevailing at the place from where the proposal is made etc

Are personal accidental policies are available for long term?
Generally Personal Accident policies are maximum for one year only. However, depending upon the requirement of the proposer it can be offered for a period which could even be lesser than 12 months.

What is permanent total/partial and temporary disablement ?
(i) When an insured person sustains accidental injuries resulting in loss of limb (as per the table of losses for Dismemberment/PTD) and is certified by a medical specialist that the injury is of a permanent total or permanent partial nature, then only the insured shall deemed to be permanently totally/partially disabled.
(ii) Temporary total disablement arises when a person is not in a position to perform the duties that he performing immediately prior to the accident, which has to be certified by a medical professional. These are general interpretation for easy understanding & not legal wording.

What is the compensation available in the event of the insured sustaining Temporary Total Disability ?
In the event of an accidental injury resulting in temporary total disablement ( to be confirmed by the attending physician )the insured shall be entitled to a compensation @ 1% of sum insured per week subject to a maximum of 104 weeks.

Can non-earning individual take Personal Accident Insurance cover ?
A proof of income such as ITR , salary slip etc is required for claims. A non earning individual can have policies like Janta Personal Accident Policy , Gramin Personal Accident Policy etc

Is there any discount for getting family cover?
It depends upon company to company

Can a cover be granted to a proposer where war and war like situation prevails? Under normal circumstances where war and or warlike situation prevails PA cover is not offered. However, on payment additional premium the same can be got covered.

What is cumulative bonus ?
If the insured person does not prefer any claim in the expiring policy, he is entitled to a sum equivalent of some % ( say starting 5%) as cumulative bonus for every such claim free year subject to maximum of 50% (or as decided by the respective company) as cumulative bonus. It effectively means the sum insured under the renewed policy will be increased by 5% every year without charging any additional premium.

Is there any grace period for renewal of policy ?
There is no grace period for continuity of insurance cover and policy cover expires on the last day of policy period.

What is an Assignment ?
Assignment means that in the event of fatal accident of the insured person, the compensation is made to the assignee on the basis of his full and final discharge. In case the assignment is not made under Personal Accident Policy, the insurance company insists for SUCESSION CERTIFICATE from the Court for settlement of claim compensation, which is a time consuming, lengthy & cumbersome procedure.

Is there any tax benefit under Personal Accident like covers?
There is NO TAX BENEFITS for the premium paid under these types of cover.

What the insured has to do in the event of accident ?
IN THE EVENT OF ACCIDENTAL INJURIES

• Immediate written notice should be given to the Insurance Company with all particulars
• Claim from duly completed along with the following documents should be submitted
• Medical Certificate about the nature and extent of accident resulting injuries
• Medical Examiner’s Report
• Details of treatment rendered by the attending Doctor/Hospital/Nursing home
• Certificate from the employer to the effect that the Insured was on leave during the period
• Fitness certificate

IN THE EVENT OF ACCIDENTAL DEATH - The following documents are required to be submitted:

• Post-mortem Report
• F.I.R./Police Report
• Punchnama
• Departmental Inquiry, if any
• Report of Doctor/Hospital/Nursing Home
• Death Certificate

Is there a free Look-in /look-in period available ?
No

Can I cancel my policy midway?
Yes ,one can cancel the insurance policy

Can I get my money/unused premium refunded?
The refund essentially depends upon the company and would be on short rate period. Customer must check the short rate calculations to avoid any heartburns later
Claims procedure – General step by step procedure

• Immediately inform the insurance company as soon as possible by Phone , SMS , Letter , Email and take the claim number
• Collect the following indicative list of document
• Deposit the completed claim form with the insurance company
• Answer/satisfy the insurance company for query’s if any
• Advise the payment receiving mechanism

Is Motor Insurance compulsory?
Yes. Under the Motor Vehicles Act, all motor vehicle owners must have third party insurance cover.

The law in the country makes it compulsory for you to insure your motor vehicle. The compulsory nature of the law protects you against third party liability. While insuring against third party liability is important, it also makes good sense to buy a comprehensive cover to give you all round protection.

What kinds of Motor Policies are available ?
The basic insurance covers offered are as under:

• Liability Only Policy: covering the liabilities towards third parties only, as per Motor Vehicles Act. This insurance is mandatory for a vehicle plying in public place, as per Motor Vehicles Act.
• Package Policy: In addition to the above, the loss or damage to the vehicle insured, by specified perils, is also covered subject to the value declared and other terms and conditions in the policy.

For details of the risks covered under the above and also for information on other covers, please see "India Motor Tariff" at www.tac.org.in

What is "NO CLAIM BONUS"?
No claim bonus is a special discount given for every claim-free year. As per the schedule of tariff, NCB can be earned in the Own Damage section of Policies covering all classes of vehicles but not on Motor Trade Policies (Road Transit Risks / Road Risks / Internal Risks) and policies that cover only Fire and / or Theft Risks.

Is my "No Claim" Bonus transferable in case I change my insurer?
Yes, in case you are changing insurance company have accrued some NCB from previous insurer, then you get the benefits for your NCB with new company too.

What is the rate at which NCB is transferred from my previous insurance company to new company?
The discount rate remains the same; provided you show evidence that you are entitled to No Claim Bonus from your previous motor insurance company. Evidence can be in form of a renewal notice or a letter confirming the NCB entitlement from the previous insurer

What is a Cover Note?
A cover note is a interim cover of insurance issued by the Insurer before the issuance of a policy, after the Insured has given a duly filled in proposal form and has paid the premium in full. A cover note is valid for a period of 60 days from the date of issue of the cover note and the Insurer shall issue the Certificate of Insurance before the cover note expires.

When should I report to the police?
Incidents such as "Third Party Property Damage", "Bodily Injury To Self or Third Party" or "Theft" should be reported to the nearest police station, under whose jurisdiction the incident has occurred.

I hold comprehensive car insurance. In case of transport of the car by train or truck, should I take a marine policy to cover the transportation risks?
A comprehensive car policy covers transportation risk by rail, road and inland waterways.

Where can I get my vehicle insured ?
Insurance can be done at any of offices of General Insurance companies generally doing Motor Insurance business

What will be the premium for my vehicle ?
Premium depends upon various factors viz. type, make, model, cc, usage, place of registration, past claims history etc. of the vehicle. Therefore approach insurance company with vehicle details for exact premium.

Where can I renew my policy ?
Existing insurance will be renewed by the same office. Please contact the office concerned for exact premium and pay it to the same office.

Can someone contact me for insurance of my vehicle ?
Please approach the Insurance companies concerned directly.

Can I renew my policy at a different place ?
Yes, it is possible. A fresh proposal form needs to be filled in. The office may also insist for physical inspection of vehicle and other formalities, depending upon the situation. Please contact the nearest office for assistance.

Can I pay the premium online ?
Depends on company to company.

When should I renew the insurance for my vehicle & why ?
It is strongly recommended to renew your insurance before expiry of the existing insurance. This keeps your vehicle insured against the risks without any break and takes care of any loss within the ambit of the policy you have. This also retains the No Claim Bonus–the hard earned discount in premium for claim free year/s. Moreover, you are also not worried about the breach of law.

What if my previous policy has already expired ?
If, the policy has already expired, a fresh insurance can be obtained. Since a break in insurance has occurred, the vehicle will be physically inspected by a company official or an authorized representative/agency, at your cost. The entitlement of No Claim Bonus will be as per rules.

Can I transfer my insurance to the purchaser of my vehicle ?:
Yes, the insurance can be transferred to the buyer of the vehicle, provided the seller gives in writing to the insurance company. A fresh proposal form needs to be filled in. There is a nominal fee charged for transfer of insurance. Please contact the concerned insurance office for guidance and terms and conditions.

Is it ok if the insurance continues in the name of the previous owner whereas the vehicle is transferred in RTO records in my name ?
Never commit this mistake. Remember, registration and insurance of the vehicle should always be in the same name with same address. Otherwise the claim is not payable. A fresh proposal form needs to be filled in. There is a nominal fee charged for transfer of insurance. Please contact the concerned insurance office for guidance and terms and conditions.

I have lost the insurance policy. Can I get a duplicate one ?
Yes, please approach the same office which had issued the policy, with a written request. A nominal fee is charged for issuing duplicate policy copy.

Where can I get the details of risks covered and terms & conditions of the policy ?:
Motor policy terms and conditions are governed by India Motor Tariff 2002. This is available on www.tac.org.in .

What if my vehicle has CNG/LPG kit installed ?
If your vehicle has or you are installing CNG/LPG kit in your vehicle or if there is any other change in the structure/usage of the vehicle, it should be permitted by the RTO-means, it should be registered with the RTO & also entered by them in your RC. Then, you have to approach the insurance company and declare it to them with a copy of the RC. Additional premium is payable for the vehicle with LPG/CNG kit and they will pass an endorsement for the same.

What should I do in case of an accident/theft of the vehicle ?
Please inform the policy issuing office for registering a claim and deputing a surveyor and/or an investigator. An immediate report to the police is also mandatory in case of vehicle is stolen or when third party injury/death/property damage is involved. Delay in informing the Company and the police (wherever required) will prejudice your claim and the Company may deny the liability. Please read the conditions in the policy in this regard.

Whom should I contact if my vehicle suffers a loss in a city other than the policy issuing city ?
If the vehicle meets with an accident in the city of policy issuing office, the claim has to be intimated invariably to the same office. If it takes place in a different city, then approach the nearest company’s office for guiding you to the office designated for entertaining outstation claims. Meanwhile, also inform the policy issuing office.

What are the documents and formalities required for processing of the claim by the Company ?
The documents and formalities required for processing and settlement of the claim will depend upon the type of vehicle and nature of loss. Please contact the office concerned for guidance.

The general checklist is as follows, however contact respective insurance companies for exact details:
Apart from completely filled claim for insurance companies require a copy of

• Cover-note/Policy
• Driving License
• Registration certificate in case of retail policy and additionally
• permit & Fitness certificates in case of commercial vehicles

What are the important things I should bear in mind while insuring my vehicle ?

• Fill up the proposal form yourself, answering all the questions correctly and sign it. This plays a vital role in deciding the premium and the admissibility of claim. Incomplete or incorrect information may result in denying the claim to you. Therefore, never leave it to any other person to fill it up.
• Ensure that your and vehicle details are correctly recorded in the policy schedule. Make sure that every digit of vehicle registration number, engine and chassis numbers etc. are fully and correctly entered. Any error should be immediately got corrected as otherwise it would create trouble at the time of claim.
• If there are any changes in the policy, it will be done by an Endorsement by the office. Please check the correctness of the endorsement.
• Read policy terms, conditions, particularly the exclusions etc. very carefully. They are important from claim point of view. 5. Remember, registration and insurance of the vehicle should always be in the same name with same address. Otherwise the claim is not payable.

Is there a free Look-in /look-in period available ?
No

Can I cancel my policy midway?
Yes ,one can cancel the insurance policy

Can I get my money/unused premium refunded?
The refund essentially depends upon the company and would be on short rate period. Customer must check the short rate calculations to avoid any heartburns later. Claims procedure – General step by step procedure:

• Immediately inform the insurance company as soon as possible by Phone , SMS , Letter , Email and take the claim number
• Collect the following indicative list of document
• Deposit the completed claim form with the insurance company
• Answer/satisfy the insurance company for query's if any
• Advise the payment receiving mechanism

What is home insurance ?
It provides protection for property and interests of the insured and his family members who permanently reside with the insured.

What is primarily covered in such policy ?

• Fire & allied perils: Building & contents - Covers not only property, but also contents
• Burglary & Theft: Covers loss of house hold contents and expenses Incurred due to damage caused on incidence of house-breaking & theft
• Jewellery & Precious Items: All risk coverage for jewellery and precious stones
• Plate Glass: Coverage against accidental breakage of glass
• Domestic Appliances: Covered against any electrical or mechanical breakdown
• Electronic equipment: All Risk Coverage
• Pedal Cycles: All risk coverage with a third party liability extension
• Baggage Insurance: Covers loss of baggage while traveling
• Public Liability: Covers any injuries or damages caused to third parties
• Workmen's Compensation: Covers workmen whom you have employed on wages
• Personal Accident Cover: Coverage for the insured and his family for any death or disability

What is the main advantage of a Home Insurance Policy ?

• Single policy covering all risks related to home
• Complete coverage at reduced and very competitive premium rates
• Simple and quick documentation
• Related items get covered under respective sections
• No strain on pockets of insured
• Customized cover option available
• Benefits on sectional discount which will reduce the premium

Can I cover the jewels worn by my family members?
Yes, the Insurance cover includes the Jewels worn by your Spouse, Children and Parents residing with you.

If I lose jewellery while I am on tour abroad, will it be covered?
This policy covers loss of Jewellery by snatching within India only.

Are Laptops/Palmtops covered?
The Policy does not cover Laptops/ Palmtops.

Does this policy cover my building also?
This policy covers your Household contents only and when they are kept in the building which is not made of Kutcha Construction.

What is kutcha construction?
Building(s) having walls and/or roofs of wooden planks/thatched leaves and/or grass/hay of any kind/bamboo/plastic cloth/asphalt cloth/canvas/tarpaulin and the like.

When does the policy cover start ?
The cover starts from the time your payment is received by the insurer

Can I opt out of the insurance, will I get refund of premium if I cancel ?
Yes, All you need to do is to contact customer service of insurance companies or write to them to inform your intention to cancel the policy. However refund of premium will be on short period rates. Please go through the policy terms & conditions for complete details.

Is there a free Look-in /look-in period available ?
No

Can I cancel my policy midway?
Yes, one can cancel the insurance policy

Can I get my money/unused premium refunded?
The refund essentially depends upon the company and would be on short rate period. Customer must check the short rate calculations to avoid any heartburns later. Claims procedure – General step by step procedure:

• Immediately inform the insurance company as soon as possible by Phone, SMS, Letter, Email and take the claim number
• Collect the following indicative list of document
• Deposit the completed claim form with the insurance company
• Answer/satisfy the insurance company for query's if any
• Advise the payment receiving mechanism

Why do I need Travel Insurance?
One usually travels abroad for two reasons- a pleasure trip or a business trip. You do not want anything to spoil your hard earned holiday or your crucial business meeting. But there is a possibility of some unexpected occurrence no matter how perfect the planning is. Unfortunate events such as baggage loss, passport loss, a medical emergency or an accident can affect you. Having Overseas Travel Insurance protects you from all such perils. It ensures that in a foreign land you are not left stranded in any kind of an emergency.

When does the cover begin?
The Insurance cover commences on the day specified in the Policy Schedule or the time you board the conveyance to leave for onward overseas journey or the Contracted Departure Date as per the policy, whichever is later.

Till when is the policy valid?
Insurance Cover shall terminate (i) with the end of Insurance Period i.e. the period for which the premium has been paid or (ii) when the insured person first disembarks on return to India.

What happens if the stay abroad is extended?
Where your stay abroad is extended for reasons beyond your control, the extension may be granted by insurance company after collecting appropriate additional premium. You have to contact your insurer with details in such cases.

Who would I have to get in touch with if I meet with an accident abroad?
In case of any emergency, wherein you might need immediate medical care or assistance, you may call upon the Alarm Centre or assistance companies, stating the necessary details.

What is the documentation required under various sections?
The original bills and vouchers must be submitted along with all claims.

• Bills/ Prescriptions/ vouchers/ reports/ discharge summary must contain the name of the person treated, the type of illness, details of the individual items of medical treatment provided and the dates of treatment.
• Prescriptions must clearly show the medicines prescribed, the price and the receipt stamp of the pharmacy. In the case of dental treatment, the bills/ vouchers/ reports must give the details of the tooth treated and the treatment performed.
• For reimbursement of the extra costs of transporting the mortal remains to the Republic of India or of the costs of burial abroad, an official death certificate and a physician's statement giving the cause of death.
• For reimbursement of extra expenses of transportation of Insured Person to the Republic of India, a medical statement indicating the cause of illness and the necessity of the transportation. Medical statements from relations or spouses will not be accepted.
• In case of loss of baggage, a Property Irregularity Report or other report usually issued by the carriers in the event of loss of baggage. Proof of value for article above deductibles
• For personal liability, proof of judicial decision rendered by a court of law.
• For Personal Accident, bills/ vouchers/ reports/ discharge summary, Death Certificate, First Information Report, Post Mortem Report Legal Heir Certificate and such other documents as applicable.
• Any other document(s) that the company requires from the Insured Person to process the claim.

In case I don't want the policy anymore, can I get it cancelled?
You can get your policy cancelled only if you have not undertaken the journey and you produce your passport as a proof that the journey has not been undertaken. Any such request of cancellation will be entertained up to 14 days after the first date of insurance as indicated in the schedule of the policy. In case of cancellation of your policy, a specified amount will be deducted as administration charges, from the refundable amount.

Would I be reimbursed for the medical expenses incurred abroad, if I go specifically for the purpose of seeking medical treatment?
The insurance covers you only for accidents or sickness which happen unexpectedly and unintentionally while you are traveling abroad.

Is there a free Look-in /look-in period available ?
No

Claims procedure – General step by step procedure:

• Immediately inform the insurance company as soon as possible by Phone, SMS, Letter, Email and take the claim number
• Collect the following indicative list of document
• Deposit the completed claim form with the insurance company
• Answer/satisfy the insurance company for query's if any
• Advise the payment receiving mechanism

What is Hospital Cash ?
Hospitalization is expensive! In addition to hospital bills and medicines, incidental expenses like special diet, commuting to the hospital and back, hospital stay with the patient become an additional burden on the family's financial resources. Hospital Cash policies provide you with the solution for this extra financial burden during hospitalization. Hospital Cash is NOT a substitute for Health Insurance, but should be viewed as a supplement cover to help you and your family members in the event of hospitalization.

What are the key benefits of Hospital Cash Policy ?
Key Benefits are

• Instant Coverage
• No Documentation required
• No Medical Examination required
• Daily Cash benefit generally ranging from Rs.500/- to Rs 5000/- depending upon company to company for up to 180 days
• Income Tax benefit under section 80D of the IT Act
• Enhanced Accident benefit, Enhanced ICU benefit ,Convalescence benefit to name a few

Is there a free Look-in /look-in period available ?
There is no free look in period but yes some companies may offer a lookin period where a nominal charge is deducted upon cancellation within specified period which is generally 14 days

Can I cancel my policy midway?
Yes ,one can cancel the insurance policy

Can I get my money/unused premium refunded?
The refund is essentially depends upon the company and would be on short rate period. Customer must check the short rate calculations to avoid any heartburns later. General claims procedure –step by step procedure:

• Immediately inform the insurance company as soon as possible by Phone, SMS, Letter, Email and take the claim number
• Collect the following indicative list of document
• Deposit the completed claim form with the insurance company
• Answer/satisfy the insurance company for query's if any
• Advise the payment receiving mechanism