Group PA

Accidental Death:

In case of injury resulting in loss of life of the Insured within one calendar year after the date of Accident, the company will pay the Principal Sum Insured

Permanent Total Disability:

In the event of an Injury causing a Permanent Total Disability to the Insured and such disability continues for a period of twelve (12) consecutive months, this policy will pay compensation of a maximum of 100% of the Principal Sum Insured

Loss of sight of both eyes 100%
Loss of two entire hands or two entire feet 100%
Loss of one entire hand and one entire foot 100%
Loss of sight of one eye and such loss of one entire foot or hand 100%
Complete loss of hearing of both ears and complete loss of speech 100%
Complete loss of hearing of both ears or complete loss of speech and loss of one limb or loss of sight of one eye 100%

Permanent Partial Disability:

In the event of an injury causing a permanent partial disability to the Insured listed in the policy and such disability continues for a period of twelve (12) consecutive months, this policy will pay compensation of 2% to 60% of the Principal Sum Insured depending upon the disability.

Benefits Percentage of (Principal Sum)
Loss of toes: all 20%
Great: both phalanges 05%
Great: one phalanx 02%
Other than great, if more than one toe lost, each 02%
Loss of hearing - both ears 60%
Loss of hearing - one ear 30%
Loss of speech 60%
Loss of four fingers and thumb of one hand 40%
Loss of four fingers 35%
Loss of thumb: both phalanges
- one phalanx
25%
10%
Loss of index finger - three phalanges or two phalanges or one phalanx 10%
Loss of middle finger - three phalanges or two phalanges or one phalanx 06%
Loss of ring finger - three phalanges or two phalanges or one phalanx 05%
Loss of little finger - three phalanges or two phalanges or one phalanx 04%
Loss of metacarpals - first or second, third, fourth or fifth 03%
Sense of smell 10%
Sense of taste 05%
Sight of one eye 50%
One Hand 50%
One foot 50%

Weekly Benefit:

The policy provides weekly compensation (1% of Principal Sum for the benefit or ₹5,000, whichever is lower, for a maximum 100 weeks) to the Insured in the event that the Insured is totally disabled for a temporary period due to an accident.

Medical Reimbursement:

Insured will be reimbursed the cost of treatment and the use of hospital facilities for the treatment of injury. The compensation under this benefit is lower of the 40% of the admissible claim amount or 10% of the Principal Sum Insured and the actual medical expenditure.

Education Benefit:

In the unfortunate event of loss of life or permanent total disability due to accidental injury, the policy provides compensation of 10% of Principal Sum Insured up to a maximum of ₹25,000 towards education benefit.

Modification of Residential Accommodation and Own Vehicle:

Permanent Total Disability arising from an accident could sometimes demand a change in lifestyle. In order to meet these requirements, the Insured might have to invest in or modify an existing vehicle or invest in making some changes in the house (shifting to ground floor or change in staircase). Chola MS shall reimburse 10% of the Principal Sum up to a maximum of ₹50,000 towards this.

Ambulance Hiring Charges (in-built cover):

The Policy will reimburse up to ₹1000 for ambulance hiring charges in the event of an accident.

Transportation of mortal remains (in-built cover):

The policy reimburses up to 3% of Principal Sum up to a maximum of ₹6000 to the family, towards the cost of moving the mortal remains from the accident site to hospital, residence or cremation grounds

Broken Bones:

The Personal Accident Insurance from Chola MS offers cover for specified fractures in the event of an accident. The Principal Sum under this can be 10% of Principal Sum under Death Cover or a maximum of ₹50,000. The benefit payable is as per the percentage of sum insured specified in the policy:

  • The principal sum chosen could vary depending on the income of the Insured person.
  • The policy is open to all age groups ranging from 6 months to 70 years.
  • Terrorism Coverage can be included.

The actual coverage under the policy shall vary based on the covers opted by the Insured.

Please refer to the Policy Wordings for the complete scope of coverage, exclusions and terms and conditions of the policy.

* Conditions apply.

UIN no. IRDA/NL-HLT/CHSGI/P-H/V.I/49/13-14

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