| 9-Overseas Student Travel Insurance - ICICI Lombard General Insurance Company Limited |
|
| TABLE OF BENEFITS |
| Benefits |
Compensation % |
| 1 |
Death |
100 |
| 2 |
Loss or Inability to function of |
|
| |
(a) |
An arm at the shoulder joint |
70 |
| (b) |
An arm to a point above the elbow joint |
65 |
| (c) |
An arm below the elbow joint |
60 |
| (d) |
A hand at the wrist |
55 |
| (e) |
A thumb |
20 |
| (f) |
An index finger |
10 |
| (g) |
Any other finger |
5 |
| (h) |
A leg above the center of the femur |
70 |
| (i) |
A leg up to a joint below the femur |
65 |
| (j) |
A leg to a point below the knee |
50 |
| (k) |
A leg up to the center of the tibia |
45 |
| (l) |
A foot at the ankle |
40 |
| (m) |
A big toe |
5 |
| (n) |
Some other toe |
2 |
| (o) |
An eye |
50 |
| (p) |
Hearing in one ear |
30 |
| (q) |
Sense of smell |
10 |
| (r) |
Sense of taste |
5 |
|
|
BENEFIT 5 - PERSONAL ACCIDENT |
|
|
|
Exclusions :
The Company shall not be liable to make any payment under this benefit in connection with or in respect of any expenses whatsoever incurred by the Insured in connection with or in respect of: |
|
| 1. Accidents due to mental disorders or disturbances of consciousness, strokes, fits or convulsions which affect the entire body and pathological disturbances caused by the mental reaction to the same. |
|
| 2. Damage to health caused by curative measures, radiation, infection, poisoning except where these arise from an accident. |
|
| 3. Any payment under this Benefit whereby the Company's liability would exceed the sum payable in the event of death. |
|
| 4. Any other claim after a claim for death has been admitted by the Company and becomes payable. |
|
| 5. Any claim which arises out of an accident connected with the operation of an aircraft or which occurs during parachuting except when the Insured is flying as a passenger on a multi engine, commercial aircraft. |
|
| 6. Any claim arising out of an accident related to pregnancy or childbirth, venereal disease or infirmity. |
|
| 7. Any exclusion mentioned in the 'General Exclusions' section of this Policy. |
|
Special Condition : |
|
| 1. In the event of partial loss or impairment of the function of one of the above parts of the body or senses, the appropriate proportion of the percentage stated in the Table of Benefits will be considered for payment. |
|
| 2. If the accident impairs a number of physical or mental functions, the degree of disablement given in the Table of Benefits will be added together, but the amount payable shall not exceed 100% of the Sum Insured specified in Part I of the Schedule to this Policy. |
|
| 3. If the accident affects parts of the body or senses whose loss or inability to function is not dealt with above, the governing factor in determining the benefit amount in such a case will be the degree to which the normal physical or mental capabilities are impaired, solely from a medical point of view, as ascertained by the Third Party Administrator. |
|
| 4. If the accident affects any physical or mental function, which was already impaired beforehand, a deduction will be made equal in amount for this prior disablement. |
|
| 5. If the Insured dies for a reason unconnected with the accident within a year of the accident for whatever reason, and if a claim for disablement payment had arisen, then the payment will be made in accordance with the degree of disablement which would have been expected to exist from the findings of the last medical examination made. |
|
| 6. In the event of permanent disablement, the Insured will be under obligation : |
|
| (a) To have himself/herself examined by doctors appointed by the Company/ the Third Party Administrator and the Company will pay the costs involved thereof. |
|
| (b) To authorize doctors providing treatments or giving expert opinion and any other authority to supply the Company any information that may be required. |
|
| If the above obligations are not met with due to whatsoever reason, the Company shall be relieved of its liability to pay. |
|
|
|
