| 8- Oriental Insurance Company Limited - Family Floater Policy Wording |
|
| Source: Website of The Oriental Insurance Company Limited |
|
3.17 ANY ONE ILLNESS: Any one illness SHALL be deemed to mean continuous period of illness and it includes relapse within 105 (one hundred and five) days from the date of discharge from the Hospital/ Nursing Home/ Day Care centre from where the treatment was taken. Occurrence of the same illness after a lapse of 105 (one hundred and five) days as stated above SHALL be considered as fresh illness for the purpose of this policy. |
|
3.18 PERIOD OF POLICY: This insurance policy is issued for the period as shown in the schedule. |
|
3.19 DAILY HOSPITAL CASH ALLOWANCE: When an insured member of the family is hospitalized and a claim is admitted under the GOLD plan of the policy, then the insured person SHALL be paid a daily cash allowance as specified in section 1.2 A f of the policy. |
|
3.20 Attendant allowance: When an insured member of the family aged between three months to 10 years is hospitalized and a claim is admitted under the GOLD plan of the policy, a sum as mentioned in the table of benefit under 1.2 A g will become payable under the policy. |
|
3.21 LIFE HARDSHIP SURVIVAL BENEFIT: If this benefit is opted for (under the GOLD plan only), and if a claim for the specified diseases listed hereunder is admitted under section 1.2 A of the policy, then a survival benefit as mentioned hereunder, SHALL be paid the insured. |
|
Diseases covered:
Cancer - metastasis (stage IV)
End Stage Renal Disease (ESRD)
Stroke leading to paralysis or paraplegia |
|
| Benefits: |
|
| Plan |
Total amount payable |
Amount payable on survival for 180 days and above from the date of discharge from the hospital (the first discharge date in case of more than one hospitalisations are involved). |
Amount payable on survival for 270 days and above from the date of discharge from the hospital (the first discharge date in case of more than one hospitalisations are involved). |
| A |
15 % of Sum Insured under the policy |
5% of the sum insured |
10% of the sum insured |
| B |
25 % of Sum Insured under the policy |
10% of the sum insured |
15% of the sum insured |
|
|
|
| The limit of liability SHALL be applicable for all the insured persons severally or jointly. The benefit under this section shall be paid only once under this policy or subsequent renewals for the same disease for the same person. |
|
| The overall liability in the event of one or more of the eventualities occurring SHALL be restricted to the CSI. |
|
| CSI means capital sum insured opted for the personal accident section |
|
| If the continuity of the renewal is not maintained with the Company then subsequent cover SHALL be treated as fresh policy and clauses 4.1., 4.2, 4 .3 SHALL apply unless agreed by the Company and suitable endorsement passed on the policy. Similarly if the sum insured is enhanced subsequent to the inception of the policy, the exclusions 4.1, 4.2 and 4.3 will apply afresh for the enhanced portion of the sum insured for the purpose of this section. |
|
|
|
