Policy Conditions and Benefits:
Benefit | Sum Insured | Deductible |
Loss of checked in baggage | INR 10,000 | Nil |
Delay of checked in baggage | INR 2,500 | 5 hours |
Missed connecting common carrier/public carrier | INR 5,000 | Nil |
Common carrier delay - Other conveyances | INR 10,000 | 3 hours |
Personal Accident | INR 7,50,000 | Nil |
Permanent Total Disability | INR 1,00,000 | Nil |
Permanent Partial Disability | INR 1,00,000 | Nil |
Compassionate Visit - Stay | INR 10,000 | Nil |
Trip Cancellation | INR 3,000 | Nil |
Trip Interruption | INR 5,000 | Nil |
Common Carrier Delay :
Definitions specific to this coverage:
Coverage:
The Company will reimburse Covered Expenses, if Insured Person’s Trip is delayed due to late departure of a Common Carrier arising out of:-: -
The Company is liable to pay the Claim only if the delay in departure of Common Carrier is more than the Time Deductible hours mentioned on Policy Schedule/Certificate of Insurance
Exclusions specific to this coverage:
In addition to the General Exclusions listed in this Policy this Coverage shall not cover: -
Claims documentation specific to this Coverage:
Below is a general check-list of documents. This should be read in conjunction with Policy Wordings - Section 5, Claim procedure and Document
Delay of Checked-In Baggage
Delay of Checked-In Baggage means the baggage entrusted by Insured Person and accepted by Common Carrier for Transportation for which a baggage receipt is issued to Insured Person. This also includes the contents of the baggage checked in by Insured Person as long as such contents do not violate any specific policy or rule restricting the nature of items that may be carried on board in Common Carrier.
Coverage:
The Company will pay a fixed amount if Insured Person’s Checked-in Baggage is delayed or misdirected by Common Carrier for more than the number of consecutive hours as mentioned in the Policy schedule/Certificate of Insurance from the time Insured Person arrives at the destination stated on his ticket during Insured Journey whilst on Trip.
Insured Person must be a ticketed passenger on the Common Carrier. Any such delay or misdirection of Checked-in-Baggage must be certified by the Common Carrier for admissibility of Claim.
Exclusions Specific to this coverage
Loss of Checked-in Baggage
Definitions specific to this coverage:
Coverage:
The Company will reimburse the non refundable cost of an entire piece of Checked-In Baggage and its contents, held in the care, custody and control of the Common Carrier, due to Theft or misdirection by the Common Carrier or due to non- delivery at its destination during Insured Journey whilst on Trip. Insured Person must be a ticketed passenger on the Common Carrier.
The maximum amount to be reimbursed per bag and the maximum value per article contained in any bag of the amount will be as stated in the Policy Schedule / Certificate of Insurance. A combined maximum limit of 10% is applicable on jewellery, watches, articles consisting in whole or in part of silver, gold or platinum, furs, articles trimmed with or made mostly of fur.
Any such Loss of Checked-in-Baggage must be certified by the Common Carrier for admissibility of Claim.Benefits for Checked-in Baggage and Personal Effects will be in excess of any amount paid or payable by the Common Carrier responsible for the loss or any other valid and collectible insurance.
In the event of same claim being admissible under both Coverages Delay of Checked-In Baggage and Loss of Checked-In Baggage, the amount that has already been admitted / payable under this Coverage Delay Of Checked-In Baggage shall be deducted from the amount admissible / payable under Loss of Checked- In Baggage.
Exclusions Specific to this coverage:
In addition to the General Exclusions listed in this Policy this Coverage shall not cover: -
Trip Cancellation
Definitions specific to this coverage:
Coverage:
The Company will reimburse Covered Expenses in the event of cancellation of Insured Person’s Trip prior to commencement of such Trip due to: -
Exclusions Specific to this coverage:
In addition to the General Exclusions listed in this Policy, this Coverage shall not cover: - 1. Any of the covered causes for Trip cancellation, which were known to Insured Person prior to the booking date of Insured Person’s Trip or Policy issue date whichever is later.
Trip Interruption
Definitions specific to this coverage:
1. Catastrophe: means an unexpected natural event, such as an earthquake, tsunami or flood which causes widespread loss, damage, or disruption at locations which are forming part of the trip.
2. Covered Expenses means
a) Non refundable travel costs and / or Non-refundable accommodation costs
b) Additional accommodation necessarily incurred at the place of interruption and / or travel expenses (excluding telephone costs, meals and beverages) necessarily incurred by the Insured Person to return by the most direct and economical route possible to his Place of Destination , where Insured Person had started the Trip.
3. Public Authority: means any governmental, quasi-governmental organization or any statutory body or duly authorized organization with the power to enforce laws, and command, determine, or judge. 4. Strike: means any labor disagreement, which interferes with the normal departure and arrival or departure of Scheduled Airlines/Scheduled Railways and is defined as legal by relevant authorities in the respective Place of Origin.
Coverage:
The Company will reimburse the Covered Expenses following shortening and / or alteration of the Trip, due to: -
In the event of same claim being admissible under both 3.12. Add on - Trip Interruption and 5.1. Add on - Accommodation Cancellation, the amount that is payable under this Coverage 3.12. Add on - Trip Interruption shall not be admissible under 5.1. Add on - Accommodation Cancellation
Exclusions Specific to this coverage:
In addition to the General Exclusions listed in this Policy this Coverage shall not cover: Any facts or matters which led to delay or which were publicly announced in advance, which the Insured Person
Missed Connecting Flight
Definitions specific to this coverage:
Coverage:
The Company will reimburse Covered Expenses, if the Insured Person misses the flight through which the Insured Person’s Trip would have commenced, due to:
For admissibility of Claim under this Coverage it is a condition precedent that the Missed Flight/Cruise should be solely due to the reasons as mentioned above and provided the time gap between the expected arrival of the << mode of transport as mentioned in the Policy Schedule / Certificate of Insurance>> at the Airport and departure of the Missed Flight is more than three (3) hours
Exclusions Specific to this coverage:
In addition to the General Exclusions listed in this Policy this Coverage shall not cover: -
PERSONAL ACCIDENT
The Company’s total liability for all Claims admissible in aggregate under Accidental Death and Permanent Total Disability and Permanent Partial Disability shall not exceed the Sum Insured as mentioned in the Policy Schedule .
Accidental Death
The Company will pay the Sum Insured as mentioned in Policy Schedule / Certificate of Insurance in the event of death of the Insured Person caused by an Accident whilst on Trip. The loss must occur within 12 (Twelve) months from the date of the Accident.
The Company will pay, the Sum Insured less any other amount paid/payable under Coverage: Permanent Total Disability, Permanent Partial Disability, of this Policy, if these Coverages are opted under this Policy, as a result of the same Accident.
Once a Claim has been accepted then this Coverage shall immediately and automatically cease in respect of that Insured Person.
Disappearance
The Company will pay for Death of Insured Person whilst on a Trip, if the Insured Person’s body cannot be located within one (1) year after the forced landing, stranding, sinking or wrecking of a Common Carrier in which the InsuredPerson was a passenger or as a result of any Acts of God, in which case it shall be deemed, that he shall have suffered loss of life within the meaning of the Policy
Once a Claim has been accepted then this Coverage shall immediately and automatically cease in respect of that Insured Person.
Claims Documentation
Claim form duly completed and signed by the Insured Person/Nominee
Permanent Total Disability
The Company will pay such percentage of Sum Insured if an Injury caused by an Accident, directly and independently results in permanent total disability within twelve (12) months of the date of Accident during the Trip.
Liability under this extension shall only be admissible provided
a. such Injury should result in at least one of the losses as shown in the Table of Losses-A below b. for any Functional Loss such Functional Loss has continued for a period of twelve (12) consecutive months andis total, continuous and permanent at the end of this period.
The Company will pay such percentage of Sum Insured less any other amount paid/payable under Coverage: Permanent Partial Disability of this Policy, if these Coverages are offered under this Policy, as a result of the same Accident.
Once a Claim has been accepted and 100% Sum Insured has been paid then this Coverage shall immediately and automatically cease in respect of that Insured Person.
Table of Losses -A
Type of Permanent Total Disability - | % of Sum Insured (as specified in Policy Schedule / Certificate of Insurance) |
Actual Loss by physical separation or Functional Loss of both Hands or BothFeet | 100% |
Actual Loss by physical separation or Functional Loss of sight of Both Eyes | 100% |
Actual Loss by physical separation or Functional Loss of one Hand and One Foot | 100% |
Actual Loss by physical separation or Functional Loss of either Hand or Footand Sight of One Eye | 100% |
Loss of Speech and Hearing in Both Ears | 100% |
Actual Loss by physical separation or Functional Loss of either Hand or Foot | 50% |
Loss of Sight of One Eye | 50% |
Loss of Speech | 50% |
Loss of Hearing in Both Ears | 50% |
Actual Loss by physical separation or Functional Loss of Thumb and Index Finger of Same Hand | 25% |
Quadriplegia | 100% |
Paraplegia | 100% |
Hemiplegia | 100% |
Uniplegia | 50% |
a. The criteria for deciding Functional Loss of body part for the permanent total disability shall be based on a certificate from treating medical practitioner’s certificate / disability certificate from civil surgeon.
b. Functional Loss for the purposes of this Extension means Injury due to Accident leading to loss and the total and permanent inability to perform all the usual and customary duties and activities of a person of like age and sex.
c. “Loss” with regard to
(a) Hand or Foot means actual severance through or above the wrist or ankle joints. (b) Eye means entire and irrecoverable loss of sight.
(c) Thumb and Index Finger means actual severance through or above the joint that meets the hand at the palm.
(d) Speech or Hearing means entire and irrecoverable loss of speech or hearing of both ears
Claims Documentation
Claim form duly completed and signed by the Insured Person
Permanent Partial Disability
The Company will pay a specified percentage of the Sum Insured as mentioned in Policy Schedule / Certificate of Insurance for Injury because of an Accident, directly and independently resulting in Permanent Partial Disability within twelve (12) months of the date of Accident during the Trip provided such disability and is total, continuous and permanent, as mentioned in Table of Losses –B.
If the Insured Person suffers more than one of the below mentioned loss as a result of the same Accident, the Company will add the percentages of each disability. However, the Company will not pay more than 100% of the Sum Insured stated in the Policy.
If a Claim is admitted under Permanent Total Disability, then no Claim can be admitted under this Coverage which arises out of the same Accident.
Once a Claim has been accepted and 100% Sum Insured has been paid then this Coverage shall immediately and automatically cease in respect of that Insured Person
Table of Losses- B
“Loss” with regard to:
Type of Permanent Partial Disability | Percentage (%)of Sum Insured (as specified in Policy Schedule / Certificate of Insurance) |
1. Loss of toes – all | 20% |
2. Loss of Great Toe | 5% |
3. Other than great toe, if more than one toe lost, each | 1% |
4. Loss of Hearing – both ears | 50% |
5. Loss of hearing – one ear | 25% |
6. Loss of four fingers and thumb of one hand | 40% |
7. Loss of four fingers | 25% |
8. Loss of thumb | 15% |
9. Loss of index finger | 10% |
10. Loss of middle finger | 6% |
11. Loss of ring finger | 5% |
12. Loss of little finger | 4% |
(a) Toe, Finger, Thumb means actual complete severance from the foot or Hand.
(b) Hearing means entire and irrecoverable loss of hearing.
Claims Documentation:
Claim form duly completed and signed by the Insured Person