ICICI Lombard Group Personal Accident Plan

This health insurance plan caters to corporates who wish to insure their employees against accidental death, permanent total disablement, permanent partial disablement, and loss of limbs and eyes.

Features of ICICI Lombard Group Personal Accident Plan:

Entry Age The last birthday of the insured will be considered.
Sum Insured Based on the earning capacity of the person insured, the sum insured can be determined.
Policy Tenure 12 months from the state date of the cover period.
Renewability Ordinary renewal except in case of misrepresentation, fraud, moral hazard or non-cooperation on the insured’s part. The policy will be renewed as a separate contract under the prevailing group accident product. If the same product is not available, then the policy will renewed with its closest substitute.
Claims Claims will be settled within 30 days from the date of receipt of all documents. Claims will be paid through electronic fund transfer.
Premiums The amount of premium payable will depend upon the occupation of the person insured. It will also depend on the benefits opted for under the policy.
Benefits Benefits are customisable as per the needs of the corporate and the group insured. General coverage includes:
  • Death resulting from accident
  • Permanent total disablement from accident
  • Permanent partial disablement from accident
  • Temporary total disablement from accident
Documents Required for Claim
  • Photocopy of insured’s Health card
  • Duly-filled insurance claim form (attested by the treating doctor and the insured)
  • Final hospital bill (with a detailed break-up) along with interim bills
  • Discharge summary
  • Doctor’s consultation papers
  • Payment Receipts
  • Pharmacy bills with doctor’s prescriptions
  • All investigation reports (such as CT Scan, Original Blood report, X-ray, MRI, Sonography, etc.)
  • Invoice or sticker of any Implant such as stents for angioplasty or lens for cataract
  • Medico Legal Certificate and FIR for all accident cases might be required
  • If there are any miscellaneous charges, detailed bills with supporting prescription of the treating doctor are required
  • Any other relevant documents
Main Exclusions The plan will not cover costs arising out of self-injury, suicide, war, nuclear hazards, pregnancy, and venereal disease.
Group discount Based on the size of the group, discounts are available. The discounts that can be availed depend on a set slab that increases with the size of the group insured.
Grace period The policy must be renewed before or on the date of the expiry of the previous year’s policy.
Extension The policy extends to medical expenses incurred.

GST rate of 18% applicable for all financial services effective July 1, 2017.

Disclaimer: Premiums may vary depending upon factors like age, location and prevailing taxes/GST.

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