Oriental Insurance Individual Personal Accident Policy

Policy Benefits

• This policy covers Accidental Death (AD) up to the Capital Sum Insured (CSI) as mentioned in the schedule.
• Loss of sight of both eyes/two entire hands or two entire feet/one entire hand and one entire foot/sight of one eye and one hand or one foot resulting from accidental injury is covered up to 100% of CSI. This benefit is applicable for Table IA, II & III.
• Loss of use of two hands or two feet/ loss of sight of one eye and use of one hand or one foot/one hand or one foot is covered up to CSI opted under the policy. This benefit is applicable for Table IA, II & III.
• Loss of sight of one eye/physical separation of one hand/one entire foot is covered up to the sub limit specified. Loss of use of one hand/one foot is payable as per the limit mentioned in the policy. This benefit is applicable for Table IA, II & III.
• Accidental Permanent Total Disablement (PTD) is covered up to a lump sum amount equal to 100% of CSI. This benefit is applicable for Table I, IA, & II.
• Permanent Partial Disablement (PPD) resulting from any accidental bodily injury is covered as mentioned in the sub limit. This benefit is applicable for Table II.
• Temporary Total Disablement (TTD) is covered up to the sub limit specified. This benefit is payable for a period not exceeding 100 weeks. This benefit is applicable for Table III.
• Cost incurred towards the transportation of mortal remains is reimbursed. It also includes funeral expenses.
• In the event of AD/PTD, Education Fund is payable to the dependent children aged below 23 years.
• Loss of employment due to an accidental disablement is compensated up to the sub limit applicable.
• Medical expenses are covered on payment of an additional premium.

Value Added Benefits

• Get cumulative bonus as 5% increase in CSI on completion of each policy year, but that increase shall not exceed 50% of CSI. This benefit is applicable towards death, loss of limb/s, sight and permanent total disablement.
• 4 benefit options are available and you can choose one as per your suitability.
• Avail discount on opting family cover.
• Additional benefits such as transportation of mortal remains, education fund, & loss of employment are available without paying additional premium.

Sub Limits

• Loss of sight of one eye/physical separation of one hand/one entire foot and Loss of use of one hand/one foot is capped up to 50% of CSI chosen under this policy.
• Permanent Partial Disablement is payable up to 1% to 50% of CSI or as assessed by the doctor, depending on the disablement/injury sustained.
• Temporary Total Disablement is capped up to 1% of CSI, to a maximum of Rs 5,000 per week.
• Transportation of mortal remains is payable up to 2% of CSI or Rs 2,500 whichever is less.
• Education Fund for one dependent child is capped up to 10% of CSI to a maximum of Rs 5,000. For more than one dependent child, it is payable up to 10% of CSI to a maximum of Rs 10,000.
• Loss of employment is capped up to an amount lesser of 1% of CSI or Rs 15,000.
• Medical expenses are covered up to 25% or 50% of the valid admissible claim amount.

Waiting Period Clause

No waiting period is applicable.