| 8- Happy Family Floater Coverage from United India Insurance Company |
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| Source: Website of The Oriental Insurance Company Limited |
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| SCOPE OF COVER: |
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| If at any time during the currency of the policy the insured sustains any bodily injury resulting solely and directly from accident caused anywhere in the world by external, violent and visible means, then the Company undertakes to pay the insured or his/her legal personal representative, as the case may be, the following sums: |
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| BENEFIT COVERED |
DESCRIPTION |
AMT. PAYABLE |
| (1) |
Accidental Death only |
100 % of CSI |
| (2) |
Loss of Two entire limbs, or sight of two eyes or one entire limb and sight of one eye. |
100 % of CSI |
| (3) |
Loss of one entire limb or Sight of one eye |
50 % of CSI |
| (4) |
Permanent Total Disablement resulting in The insured becoming in engaging in any Employment or occupation whatsoever. |
100 % of CSI |
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| The overall liability in the event of one or more of the eventualities occurring SHALL be restricted to the CSI. |
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| CSI means capital sum insured opted for the personal accident section. |
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| LIFE HARDSHIP SURVIVAL BENEFIT: |
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| 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. |
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Diseases covered:
Cancer - metastasis (stage IV)
End Stage Renal Disease (ESRD)
Stroke leading to paralysis or paraplegia |
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| 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 |
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| 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. |
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| 2.DEFINITIONS/ OTHER MAJOR FEATURES: |
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AMBULANCE SERVICES: Means ambulance service charges reasonably and necessarily incurred in case the insured person is to be shifted from residence to hospital or from one hospital to another hospital. The ambulance service charges are payable only if the hospitalisation expenses are admissible. Further the ambulance service charges are admissible only if such expenses are paid to registered ambulance services providers. |
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INSURED PERSON: Means Person(s) named on the schedule of the policy which includes family comprising of the proposer, his /her legally wedded spouse, dependent unemployed children between 3 (three months) to the age of 25 years, unmarried daughters including divorcee, and widowed daughters and dependent Parents or parents-in-law (either of them only). The minimum number of persons to be covered under the policy shall be the proposer plus one family member. |
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