Universal Sompo Individual Personal Accident Policy

Policy Benefits

• Accidental death (AD) is covered up to 100% of the Sum Insured (SI) opted under the plan.
• Permanent total disability (PTD) is covered up to maximum of SI available under the chosen plan. This benefit is applicable for wider & comprehensive cover.
• Permanent partial disability (PPD) is covered up to a specific percentage of sum insured. This benefit is applicable for wider & comprehensive cover.
• Temporary Total disablement (TTD) is covered as per the limits mentioned under the plan. This benefit is payable for a maximum of 104 weeks. This benefit is applicable for comprehensive cover.
• Cost incurred towards transportation of mortal remains is covered.
• Cost of clothing damaged in accident is covered.
• In case of AD/PTD, education fund is payable up to 2 dependent children.
• In case PTD, loss of employment due to an accident is covered under this policy.
• Accidental medical expenses are covered as an add-on benefit.
• Hospital Confinement Allowance is payable under this policy. It is available as an add-on cover. This benefit is payable for a maximum of 30 days.

Value Added Benefits

• Ambulance charges are payable under this policy.
• Get discount on opting family cover. There is 10%/12%/15% discount on opting 3/4/5 family members.
• There is an option to enhance the sum insured at the renewal, subject to underwriter’s approval.
• Avail loyalty discount of 5%/10%/15% for 1^st/2^nd/3^rd year respectively.
• Opt for lifetime renewability under this policy.

Sub Limits

• Permanent partial disability is payable in-between 1% to 50% of SI or any other percentage as assessed by medical practitioner.
• Temporary Total disablement is payable as 1% of SI or Rs 5,000 whichever is less.
• Transportation of mortal remains is covered up to 1% of SI or Rs 2,500 whichever is less.
• Cost of clothing is payable up to actual expenses incurred, to a maximum of Rs 1,000.
• Ambulance charges are covered up to Rs 1,000.
• Education fund is covered up to 5% of SI or up to a maximum of Rs 15,000.
• Loss of Employment is covered up to 2% of SI, to a maximum of Rs 25,000.
• Accidental medical expenses are payable up to 40% of accidental claim or actual expenses incurred, whichever is less.
• Hospital Confinement Allowance of Rs 500 per day is payable.

Waiting Period Clause

No specific waiting period is applicable.