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L&T my: health Personal Accident Insurance
Objective | This is a standalone personal accident policy that covers accidental death, disability and other conditions to help family members and insured persons to cope up with the situation of financial instability caused as a result of accidental death or disability. |
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Suited for | This policy can be bought as an individual or family package cover including spouse, dependent child and dependent parents. Sum Insured for spouse and dependents will be limited to 50% and 25% respectively. This policy is a must for those engaged in high risk job profiles. |
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What does it do? | Its working is similar to any other personal accident policy that pays a lumpsum equal to the sum insured to the family members in case of death or permanent total disability of insured member caused due to an accident. If insured member becomes permanent partially disable, the insurance benefit to the insured person will vary depending on the type and nature of disability. It pays a weekly insurance benefit in event of temporary total disability. |
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Pros | It provides financial assistance for continuation of deceased policyholder's children education. |
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Our View | This is a comprehensive accidental policy offering a broad coverage. Those looking for a personal accident policy may consider it as it offers to cover various other related expenses as well. Additional benefits can also be added on payment of a nominal extra premium if you wish to extend the scope of coverage. |
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Eligibility | |||||||
Entry Age (years) | |||||||
Minimum | 18; 5 for children | ||||||
Maximum | 70; 18 for children | ||||||
Coverage Type | Individual/ Family package | ||||||
Policy Term (years) | 1 or 2 or 3 | ||||||
Discount | 10% discount on premium for 3 or more family members under the same policy. | ||||||
No Claim Bonus | 5% no claim bonus for every claim free renewal till it reaches 50% of initial sum insured | ||||||
Free look Period | 15 days | ||||||
Grace Period for Policy Renewal | 30 days | ||||||
Policy Termination | Either of the parties may terminate this policy by giving a 15 days notice. The insurer would pay proportionate premiums if no claim has been made. | ||||||
Customer Service | |||||||
Address | L&T General Insurance Company Limited | ||||||
Mail to | |||||||
Call to | 1800-209-5846 | ||||||
SMS | 'LTI' to 5607058 | ||||||
Network Hospitals | |||||||
Exclusions and Waiting Period | |||
Pre-existing disability | not covered | ||
Scope Of Cover | |||
Death benefit | pays 100% of sum insured | ||
Permanent total disability | Pays 100% of sum insured | ||
Permanent Partial Disability | Cover varies from 1% to 50% of sum insured | ||
Temporary Total Disability | pays 1% of sum insured per week subject to maximum of Rs 6000 per week for a maximum period of 100 weeks under this policy in respect of any one injury | ||
Education benefit (for dependent child upto 23 years of age) | 10% of sum insured upto maximum of Rs 12500 in case of one child or 10% of sum insured upto maximum of Rs 25000 for all children in case of more than one child | ||
Loss of employment benefit | pays lower of 1% of sum insured or Rs 15000 in event of loss of employment as a result of loss of limbs/eyes or permanent total or partial disablement due to an accident | ||
Transportation expense | covered upto 2% of the sum insured or Rs 2500 whichever is lower | ||
Ambulance charges | covered upto Rs 1000 | ||
Out patient medical expenses | reimbursement up to 1000/- per accident or a maximum of 2500 per policy, for medical expenses incurred for treatment following an accident | ||
Additional benefit (requires extra premium) | |||
Cost of supporting items | pays lower of 2% of sum insured or actual expenses or Rs 10000 for use of wheelchair, artificial limbs, crunches etc. | ||
Cost of travel | pays lower of 2% of sum insured or actual expenses or Rs 10000 for carrying insured member from place of accident to home | ||
Medical extension benefit | pays a certain proportion of medical costs spent during hospitalisation as a result of accident | ||
Exclusions and Waiting Period | |||
Pre-existing disability | not covered | ||
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