IRDAI License Number: IRDAI/INT/ISNP/2022/250

Group Personal Accident Policy

Epoch Insurance Brokers Private Ltd.
Employee Category/SI
Employee Category / SI 5 Lakh 10 Lakh 20 Lakh
Office Staff
Field Worker/Factory Worker
Hazardous Activities Staff
Nature of Business/Industry
Policy Nature

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Introduction
Who can take this Policy?
Coverage
Add on Covers
Basis of Sum lnsured
Exclusions
Introduction

Group of People in a firm of a firm, company, association, club or society can be covered under GPA policy. Coverage can for named or unnamed employees/members.

Who can take this Policy?

An organization can take this policy for their onroll employees.

Coverage

Coverage:
In event of any bodily injury sustained due to accident the policy seeks to compensate the policyholder as per terms/conditions of the policy. Aggregate benefits under the policy are limited to capital sum insured.

Age:
Persons of 5 to 70 years can be covered under the policy. Persons over 70 years up to 80 years are coverable with loading of premium in case of renewal.

Risk Group:
For purpose of premium the persons are divided in 3 groups.
I. High
II. Medium
III. Normal on basis of occupation of person insured  

Coverage:
1. Death
2. Permanent Total Disability (PTD)
3. Permanent Partial Disability (PPD)
4. Temporary Total Disability (TTD) with weekly benefit
5. Medical Extension

Add on Covers

Add-ons under Group Personal Accident Insurance are:

  • Education Allowance
  • Repatriation of Remains
  • Broken Bones
  • Transportation of Mortal Remains
  • Weekly Benefits
  • House Modification
  • Vehicle Modification
  • Ambulance Charges

Basis of Sum lnsured

Sum insured can be on the basis of monthly salary or fixed.

Exclusions

Exclusions under Group Personal Accident Policy are:

  • Accident due to alcohol influences
  • Accident due to rash driving
  • Accident during unlawful activities

Why Choose PolicyLo.com

Professional and Experienced Team
Professional and Experienced Team
Customized Solutions
Customized Solutions
Strong Relationship With Insurance Companies
Strong Relationship With Insurance Companies
Service Commitment Ontime Everytime
Service Commitment Ontime Everytime
Technological Edge
Technological Edge
Additional Services Offered
Additional Services Offered
Competitive Premium
Competitive Premium
Single Window Solution
Single Window Solution

Important Points to remember while Buying the Policy

Can cover upto five times of annual CTC

Can cover upto five times of annual CTC

  • Sum insured taken on salary basis allows to take sum insured maximum upto five time of annual CTC.
Any Addition and deletion of employee should be reported to the insurance company

Any Addition and deletion of employee should be reported to the insurance company.

  • Details of additions and deletions of employees should be shared to insurance company and get the confirmation of coverage in the form of endorsement.
In case of un-named policy, client should ensure that number of employee should not exceed the number of employees in the policy

In case of un-named policy, client should ensure that number of employee should not exceed the number of employees in the policy.

  • In case of un-named policy, client should ensure that number of employee should not exceed the number of employees in the policy.
Downloads
Proposal Form
Proposal Form  
Policy Wordings
Policy Wordings  
Claim Form
Claim Form  
Key Documents
General Claim Intimation Format
General Claim
Intimation Format
Immediate Action Client Should Take
Immediate Action Client
Should Take
Indicative General Documents
                            for Settlement of Claims
Indicative General Documents
for Settlement of Claims

Our Insurance Partners

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Claim Case Study - 1

1
Situation
Situation

In a GPA policy of a fast growing IT company, there are frequent joining of the employees due to which the employees do not get the coverage from day one.

2
Challenge
Challenge

The insurance company had rejected the claim on the grounds of non coverage of such employees.

3
Solution
Solution

We were able to convey to the Insurance company that the CD deposit so maintained takes care of such exigencies and claims were paid accordingly.

4
Advisory/Conclusion
Advisory/Conclusion

Complete reconciliation of data was done to ensure all the existing members are covered. Monthly details of addition and deletion of members was comprehensively done for future.

Claim Case Study - 2

1
Situation
Situation

A business man died due to snake bite

2
Challenge
Challenge

the claim was rejected on the ground that animal bite is by specific mention not covered under the policy

3
Solution
Solution

the case was presented to Insurance company that animal bites within the definition of accident --Sudden , violent and external . Animal bite comes within the purview of the difinition of an accident, later on it was accepted by the Insurer.

4
Advisory/Conclusion
Advisory/Conclusion

One should structure the policy in such a way that Animal Bite is not specifically excluded from the policy.

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