ICICI Lombard Group Personal Accident Insurance Policy – Coverages, Features, Benefits, Exclusions, Claim Process, Eligibility Criteria, Quotes | Buy & Renew Online
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What is ICICI Lombard Group Personal Accident Insurance Policy?
ICICI Lombard Group Personal Accident Insurance Policy provides coverage for employees against Accidental Death or Permanent (Total or Partial) Disablement and Temporary Total Disablement resulting from an accident. The Policy also covers medical expenses incurred as a result of the accidental injury. A Group Personal Accident Insurance Policy, also known as a GPA Insurance Policy, provides coverage for Accidental Death or Accidental Disablement. This article provides a detailed overview of ICICI Lombard Group Personal Accident Insurance Policy, including its coverages, benefits, exclusions, and features.
About ICICI Lombard General Insurance Company
ICICI Lombard General Insurance Company, incorporated in 2001, is India’s first Private Sector General Insurance Company and a leader in India’s General Insurance Industry.
What are the Coverages under ICICI Lombard Group Personal Accident Insurance Policy?
The ICICI Lombard Group Personal Accident Insurance Policy offers the following coverages:
- Accidental Death: ICICI Lombard GPA Insurance Policy pays the Policy Sum Insured mentioned against the Death Benefit for any injury caused du e to an accident that immediately or within 12 months of the date of accident results in the death of the Insured.
- Permanent Total Disablement (PTD): ICICI Lombard Group Accidental Insurance Policy pays 100% of the Policy Sum Insured in case of Accidental Body Injury that results in Permanent Total Disablement within 12 months of the date of accident.
- Permanent Partial Disablement (PPD): If an accident leads to Permanent Partial Disablement (PTD), ICICI Lombard pays a percentage of the Sum Insured as a benefit. The table below shows the percentage of the Sum Insured paid in the event of different types of losses:
| Losses covered | % of Sum insured |
|---|---|
| Loss of toes - all | 20% |
| Great both phalanges | 5% |
| Great - one phalanx | 2% |
| Other than great if more than one toe lost each | 1% |
| loss of hearing- both ears | 75% |
| loss of hearing- one ear | 30% |
| Loss of four fingers and thumb of one hand | 40% |
| Loss of four fingers | 35% |
| Loss of thumb - both phalanges | 25% |
| one phalanx | 10% |
| Loss of Index finger - three phalanges | 10% |
| two phalanges | 8% |
| one phalanx | 4% |
| Loss of middle finger - three phalanges | 6% |
| two phalanges | 4% |
| one phalanx | 2% |
| Loss of ring finger - three phalanges | 5% |
| two phalanges | 4% |
| one phalanx | 2% |
| Loss of little finger - three phalanges | 4% |
| two phalanges | 3% |
| one phalanx | 2% |
| Loss of metacarpus - first or second (additional) | 3% |
| Loss of metacarpus - third, fourth or fifth (additional) | 2% |
| Any other permanent partial disablement | % as assessed by the Doctor |
- Temporary Total Disablement (TTD): In case of an Accident Bodily Injury resulting in Temporary Total Disablement of the Insured Employee and preventing the employee from engaging in his employment or occupation, the GPA Policy pays a weekly benefit to the employee. ICICI Lombard will make the payment until the employee is able to restart work or for a maximum period of 104 weeks, whichever is earlier.
What are the Add-On Covers under ICICI Lombard Group Personal Accident Insurance Policy?
ICICI Lombard Group Personal Accident Insurance Policy offers the following Add-On Covers:
- Accidental Hospitalization Expenses: ICICI Lombard Group Personal Accident Insurance Policy reimburses the medical expenses incurred by the Insured during hospitalization as an inpatient for more than 24 consecutive hours as a result of an accident.
- Cover for Expenses related to Burns: Expenses incurred during hospitalisation by an Insured Employee because of any degree of burns suffered due to an Accident are covered under ICICI Lombard Group Personal Accident Policy.
- Accidental Medical Expenses: If the insurer accepts an Insurance Claim for Accidental Death or (Permanent or Temporary) Disablement, then the ICICI Lombard Group Personal Accident Policy covers the medical expenses incurred by the Insured in relation to the treatment necessitated due to the accident which has resulted in such Death or Disability.
- Outpatient Expenses: Medical expenses incurred by the Insured Employee on Outpatient basis due to Accidental Injury not requiring Inpatient hospitalization or Daycare treatment are covered under the ICICI Lombard Group Personal Accident Policy.
- Child Education Support: If an Accidental Bodily Injury results in Death or Permanent Total Disablement of the Insured, then the Policy provides an amount as specified in the Policy Schedule to the Dependent Children for their education fund.
- Repatriation of Mortal Remains Cover: If ICICI Lombard accepts a claim for Accidental Death, then the ICICI Lombard GPA Policy pays for expenses incurred for the repatriation of Mortal Remains of the Insured from the place of death to his place of residence.
- Residence and/or Vehicle Modification Expenses Cover: This Extension covers the expenses incurred by an Insured Employee for modification of his residence and/or vehicle required due to necessitated due to disability resulting from an accident
- Treatment outside India: This Add-On Cover under the ICICI Lombard GPA Policy covers the covers the cost of medical treatment in a country outside India in case of any accidental injury when prescribed by the treating Medical Practitioner.
- Loss of Job Cover: If the Insured Person loses their job due to an accidental injury because of the Insured being unfit for the job, then the ICICI Lombard Group Personal Accident Insurance Policy shall pay an amount as specified in the policy.
What are the Benefits and Features of ICICI Lombard Group Personal Accident Insurance Policy?
The benefits of ICICI Lombard Group Personal Accident Insurance Policy are as follows:
- Comprehensive Coverage: ICICI Lombard Group Personal Accident Insurance Policy provides comprehensive coverage for Death, Disability, and Injury caused due to accidents.
- Extensive Add-On Covers: ICICI Lombard GPA Insurance Policy has extensive add-on covers which can be chosen to enhance the Insurance Policy coverage.
- Hassle-Free Claim Settlement: ICICI Lombard’s In-House Claim Settlement Team provides seamless and quick claim settlement.
What are the Exclusions under ICICI Lombard Group Personal Accident Insurance Policy?
The major exclusions under ICICI Lombard Group Personal Accident Insurance Policy are listed below:
- ICICI Lombard GPA Insurance Policy does not cover Claims in respect of death, injury or disablement of Insured Person due to intentional self-injury, suicide or attempted suicide or whilst under the influence of intoxicating liquor or drugs.
- Any Claims in respect of death, injury or disablement of Insured Person due to participation in adventure or professional sports are not covered under the Policy.
- ICICI Lombard GPA Policy does not cover any claims in respect of Death or Disablement resulting from childbirth or pregnancy.
- The Policy does not cover Claims respect of Death or Bodily Injury to the Insured while serving in the Military or Armed Forces of any country during war operations.
- Claims in respect of Accidental Death or Disablement caused due to participation in War, Civil War, Invasion, Revolution, Act of Foreign Enemy etc are also not covered under the Policy.
How to Cancel ICICI Lombard Group Personal Accident Insurance Policy?
The Employer can cancel ICICI Lombard GPA Insurance Policy by sending 15 days written notice to the Insurance Company. If no Claim has been made under the Group Personal Accident Insurance Policy, the Premium is refunded depending on the time the Policy has been in effect. The refunded premium will depend on how long the Policy has been in effect and will be reimbursed as per the below table.
| Covered Upto Days | % of Refund |
|---|---|
| 7 | Up to 90% |
| 30 | Up to 75% |
| 60 | Up to 65% |
| 90 | Up to 50% |
| 120 | Up to 40% |
| 180 | Up to 25% |
| 240 | Up to 15% |
| Exceeding 240 | Up to 0% |
Download ICICI Lombard Group Personal Accident Insurance Policy Wordings
ICICI Lombard Group Personal Accident Insurance Policy Wordings can be downloaded at the following link: ICICI Lombard Group Personal Accident Insurance Policy Wordings
How to purchase ICICI Lombard Group Personal Accident Insurance Policy with Qian?
Qian Insurance Broking is a licensed Group Personal Accident Insurance Broker. Our team will assist you with the best GPA Insurance Policy Quotes and also help with the entire claims process under a Group Personal Accident Insurance Policy. As a licensed of ICICI Lombard GPA Insurance Broker, we will take you through the entire process hassle-free, from filling out the proposal form to submitting all the documents required for the Claims. If you wish to buy ICICI Lombard Group Personal Accident Insurance Policy to protect employees against accidental death or disability, we at Qian would be happy to assist you. If you wish to purchase ICICI Lombard Group Personal Accident Insurance Policy, you can email us at insurance@qian.co.in or call us on 022-35134695. We would be glad to assist you
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