Overview
The suddenness of the nature of an accident makes it a deep impacting occurrence in a victim’s life. It is therefore sensible to have an accident insurance in place to be able to deal with the aftermath of an accident. The Accident Cover sachet insurance wherein in case of the Accidental Death of an insured, a sum insured of Rs. 10 Lakh is provided. While in case Permanent Total or Permanent Partial Disability a sum insured of up to Rs. 15 Lakh is provided. This accident insurance also provides for income loss in case of permanent partial disability due to an accident.
Coverages
- Option 1
- Option 2
The insured gets a Sum Insured of Rs. 10 Lakh in case of Death or of Rs. 5 Lakh in case of Permanent Total Disability due to an accident.
The insured gets a Sum Insured of Rs. 15 Lakh in case of Permanent Partial Disability or Permanent Total Disability due to an accident. The insured also gets an income replacement benefit of Rs. 1000/week, in case of Permanent Partial Disability.
Exclusions
- Any Pre-existing Condition(s) and complications arising out of or resulting therefrom
- Through suicide, attempted suicide (whether sane and insane) or intentionally self-inflicted injury or illness
- 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
- No benefit would be paid under this policy unless the nature & extent of the injury is established medically with appropriate investigation reports & certified by the treating doctor
- While engaged in any hazardous activity unless specifically insured
- Refer to the download section for the PDF mentioning more exclusions.
Claim Process for Sachet Insurance
Filing claims was never so simple. Just follow these steps and you’re done!
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1
Register your claim online
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2
Upload documents online
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3
Claim Assessment
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4
Claim Decision
- Process
- Download
- Emergency Contact
- Claim Reimbursement
- Cancellation Process
If you meet with any Accidental Bodily Injury that may result in a claim, then as a condition precedent to our liability:
a. You or someone claiming on your behalf must inform us in writing immediately and in any event within 30 days from the date of the accident and submit all documents to us within 30 days from the date of intimation.
b. You must consult a Doctor immediate and follow the medical advice and treatment recommended by the doctor.
c. You must take reasonable steps to lessen the consequence of Bodily injury.
d. You should allow examination by our medical advisors if we ask for this.
e. You or someone claiming on your behalf must promptly give us documentation and other information we ask for to investigate the claim or our obligation to make payment for it.
f. In case of your death, someone claiming on your behalf must inform us in writing immediately and send us a copy of the post mortem report (if conducted) within 30 days.
*Note: Waiver of conditions (a) and (f) may be considered in extreme scenario of hardship where it is proved to the insurer’s satisfaction that under the circumstances in which the insured individual or his/her family were placed, it was not possible for the insured individual or any other person claiming on his/her behalf to file a claim or give notice within the particular time limit.
- We may cancel this insurance by giving You at least 15 days written the notice, and if no claim has been made then we shall refund a pro-rata premium for the unexpired Policy Period. Under normal circumstances, Policy will not be canceled except for reasons of misrepresentation, fraud, non-disclosure of material facts or Your non-cooperation.
- You may cancel this insurance by giving us at least 15 days written the 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.
Period in Risk |
Premium Refund |
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Policy Period 1 Year |
Policy Period 2 Year |
Policy Period 3 Year |
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Within 15 Days |
Pro-Rate Refund |
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Exceeding 15 days but less than 2 months |
75.00% |
80.00% |
85.00% |
Exceeding 2 months but less than 4 months |
60.00% |
75.00% |
80.00% |
Exceeding 4 months but less than 6 months |
45.00% |
65.00% |
75.00% |
Exceeding 6 months but less than 8 months |
30.00% |
60.00% |
70.00% |
Exceeding 8 months but less than 10 months |
15.00% |
50.00% |
65.00% |
Exceeding 10 months but less than 12 months |
0.00% |
45.00% |
60.00% |
Exceeding 12 months but less than 14 months |
|
35.00% |
55.00% |
Exceeding 14 months but less than 16 months |
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30.00% |
50.00% |
Exceeding 16 months but less than 18 months |
|
20.00% |
45.00% |
Exceeding 18 months but less than 20 months |
|
15.00% |
40.00% |
Exceeding 20 months but less than 22 months |
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5.00% |
35.00% |
Exceeding 22 months but less than 24 months |
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0.00% |
30.00% |
Exceeding 24 months but less than 26 months |
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|
25.00% |
Exceeding 26 months but less than 28 months |
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|
20.00% |
Exceeding 28 months but less than 30 months |
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|
15.00% |
Exceeding 30 months but less than 32 months |
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|
10.00% |
Exceeding 32 months but less than 34 months |
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5.00% |
Exceeding 34 months but less than 36 months |
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|
0.00% |
However, if any claim has been made then no refund will be given for cancellation of policy.
- Claim Reimbursement
- Other Health Insurance Related Claims
- Links for Claim Settlement Forms
- List of Network Hospitals
- List of Exclusions
Link to redirect customers to links category.
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Self Declaration of KYC Document Submission - For Individual Partner
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Non-Medical Expenses List of Exclusions
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Personal Accident Claim Form
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Cashless Claims Request Form
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Reimbursement Form
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Self Declaration of KYC Document Submission - For Individual Partner
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Personal Accident Claim Form
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Non-Medical Expenses List of Exclusions
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List of Network Hospitals
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This is the link to the list of remaining 'Exclusions'
Need further assistance? Reach out on the Toll-Free Number: 1800-209-5858 to connect with an insurance expert.
Manage all your queries here
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✔️What is an accident?
An accident means a sudden, unforeseen and involuntary event caused by external, visible and violent means. -
✔️What is an Accident Cover?
This is an accident insurance which covers accidental death/ permanent partial disability/ permanent total disability arising out of an accident. This accident insurance policy has two variants: 1) The first provides lumpsum benefit of Rs. 10 Lakh in case of accidental death and Rs. 5 Lakh in case of Permanent Total Disability. 2) The second variant provides as lump sum amount of Rs. 15 Lakh in case of either Permanent Total or Partial disability. -
✔️Why should I have an accident cover?
An Accident insurance cover provides financial support to the insured in case of disability due to an accident. In case of accidental death, this personal accident insurance policy provides your family with a financial cover. Thereby reducing the financial strain your absence will cause to them. -
✔️What is covered under this accident insurance?
This accident insurance policy provides sum insured of up to Rs. 15 Lakh and covers Accidental Death, Permanent Total & Permanent Partial Disability. You get to choose between two variant covers. -
✔️Is there any age limit involved if one wants to buy this insurance?
Yes, there is an entry age limit. The insured’s entry age should be between 18 years to 70 years.
