One-stop destination for all your online insurance and financial needs!

Group Personal Accident Insurance

Group Personal Accident Insurance is suitable for organizations/employers, who wish to ensure their employees against permanent total disablement, accidental death, loss or eyes and limbs, and permanent partial disablement.

Accidents create financial problems for the insured and dependents alike. Group personal accident insurance offers complete coverage in the event of death or disablement of the policyholder due to accidents occurring anywhere in the world.

Group personal accident insurance is a comprehensive cover that can be bought for large as well as small groups, such as bank customers, employees, schools, colleges, and corporates. Irrespective of the size of your group, you can buy customizable group personal accident cover to suit the requirements of your group members.

In addition to offering such basic benefits as accidental death and permanent partial/total disability coverage, various group accident covers offer an option to choose additional benefits for all or selected members of the group. The group personal accident cover also offers discounts on the basis of the number of members.

Why Is It Required?

Accidents not only create physical disablement (permanent or temporary) but can also come with the financial crisis for both the sufferer and his/her family. Since we all are exposed to accidents in our day to day life, and if the accident occurs with the breadwinner of the family, then the situations can be troublesome. Therefore, in the modern era where organizations are becoming more and more customer-centric, it has become important to opt for an insurance policy that provides compensation in case of an accident that has caused disablement or death.

In order to cater to such needs of the organizations, group accidental insurance policiesare introduced. These policies offer comprehensive coverage to the group of people against accidental disability and death.

Key Features of Group Accidental Insurance Policy

  • An accidental insurance policy for employees can be given to clubs, corporates, associations, institutions, and firms.
  • Some plans also provide an educational fund for dependent children of the insured in case of his/her permanent disablement or death.
  • Generally, the tenure of these policies is one year from the start date of the policy.
  • Most of the insurance providers offer a discount based on the size of the group.
  • Agroup accidental insurance policy can be renewed by following the same steps as forany other ordinary policy.

Benefits of Group Accidental Insurance Policy

The common benefits that most of the accidental insurance policies for employees offer are:

  • Accidental Death: The insurance provider pays the sum insured in case of accidental death of the insured to his/her nominee(s).
  • Permanent Partial Disability:If the employee has become partially disabled due to some injury, then sum assured ranging from 2% to 60% depending upon the policy term is paid by the employer to employee. However, the disability must be continued for 12 months.
  • Permanent Total Disability:If the employee of the insured meets with an accident that has caused permanent disability and that is continued for one month, then the compensation is given to the employee. This compensation can be up to the sum assured.
  • Educational Benefits:The insurance company pays for the cost of the education of the children in case of permanent disability or unfortunate death of the employee.
  • Charges of the Ambulance: The insurance company pays for the ambulance charges if the employee has met with an accident is required to be taken to the hospital by ambulance.
  • Weekly Benefits: If an employee is completely disabled due to an accident, then the insurance company pays weekly compensation for a temporary period.
  • Transportation of Mortal Remains: Most of the plans reimburse the cost incurred in transporting the mortal remains from the site of the accident to residence, hospital, or cremation ground.
  • Medical Reimbursement: The accidental insurance policies for employees reimburse hospitalization charges and medical expenses incurred due to accident or injury.
  • Broken Bones: The policy pays for the lump sum amount to the employee in case of damage of bones incurred due to injury or accident.

Types of Group Personal Insurance offered by Top Indian Insurers

Group Personal Accident insurance comes with multiple benefits. Some of the group personal accidental plans in India, you can consider in 2019:

Insurance Policy Feature Benefits Exclusion
TATA AIG Personal Accident Group Insurance Policy
  • 24x7 worldwide cover
  • Sum Insured based on Salary or Category, as per client requirements.
  • Policy can be tailor-made according to your requirements as per your choice of benefits in combination with Accidental Death benefit.
  • Policy becomes active from the day 1
  • Accidental death
  • Disable cover
  • Permanent total disability
  • Permanent partial disability
  • loss of pay on a temporary basis
  • Both in-patient and OPD expenses are covered
  • Rider benefits like education allowance, family transportation, modification allowance, repatriation of mortal remains
  • Pre-existing medical conditions
  • Suicide or suicidal attempt
  • Military Service or operations
  • war, illegal act bacterial infections, AIDS
  • Adventurous sports
  • Pregnancy or anything related to childbirth and so on
ICICI Lombard Personal Accident Group Insurance Policy
  • Medical expense due to an accident
  • Discount based on the size of the group
  • No pre-medical check-up
  • Easy and hassle-free claim settlement
  • Accidental death covers where policy benefit is paid to the family.
  • Permanent partial / total disability which includes loss of limbs and eyes
  • Hospitalisation expenses following an accident
  • Natural death
  • Self-injury
  • Injury suffered while under the influence of drugs or alcohol
  • Injury suffered while violating law/s
  • Venereal diseases
  • War and nuclear perils
  • Pregnancy
SBI General’s Group Personal Accident Insurance
  • Loss of life due to accident
  • A person with any Indian savings bank account or individual current account holders can buy this policy
  • Minimum age between 18 years to 65 Years.
  • Insured is covered for death due to accident only
  • Suicide & Self Inflicted Injury
  • HIV, AIDS
  • Persons enrolled in any branch of police, paramilitary, military & armed forces of any Country, whether in peace or war.
  • Accidents under influence of Alcohol, Drugs, or other Intoxicants
  • Participation in Riot, Crime or Civil Commotion, Felony
  • Learning or operating any Aircraft.
  • War, warlike situation, Civil War, Insurrection, Invasion, Revolution, Act of Foreign Enemy, Nuclear Damage etc.
  • Involvement in adventure & dangerous sports
  • Child Birth & Pregnancy
  • Intentional participation in Illegal act or violence or attempted violation of existing law
Royal Sundaram Group Accident Insurance
  • Competitive Premium
  • Flexibility of covers and sums insured
  • Superior claim service
  • Option to choose higher medical expenses limit
  • Option to choose higher benefit limit for Temporary Total Disablement
  • Repatriation of mortal remains maximum of 2% of the Sum Insured (up to Rs 2500)
  • Provision to restrict the cover either on duty
  • Medical Expenses extension
  • Temporary total disablement cover
  • Accidental injury
  • Worldwide cover
  • Death or bodily injury due to intentional injury, suicide, attempt to suicide
  • While under the influence of alcohol or drugs
  • While engaging in adventurous activities
  • Arising out of any criminal activities committed by the insured person
  • Death or disablement of any kind resulting due to pregnancy or child birth
HDFC ERGO Group Personal Accident
  • Accidental injury benefit
  • 24x7 assistance
  • claims are settled with utmost transparency
  • Covers the insured in case of loss of life in an Accident.
  • Pays a benefit if the insured is permanently disabled in an accident.
  • Reimbursement expenses incurred during a hospitalisation
  • cost of reconstructive surgery followed by an accident
  • Medical reimbursement within 12 months from the date of loss due to an accident
  • HIV & AIDS treatment expenses
  • Death or injury due to war or war-like situation
  • Injury or health issues due to consumption of intoxicated substance
  • Injuries due to participating in adventurous sports
  • Intentional injury
  • In case of involvement is criminal activities
Reliance Group Personal Accident Insurance
  • Complete cover including death, permanent and temporary disability
  • Carriage of mortal remains offered as additional coverage.
  • Extension can be availed for medical expenses
  • Worldwide cover
  • Option for an off duty and on–duty cover
  • Hassle free documentation​
  • Accidental death benefit up to 100 per cent of the sum insured
  • Permanent Total Disability
  • Permanent Partial Disability
  • Temporary Total Disability
  • Carriage of Mortal Remains
 
  • No compensation for same nature of disability in the same period
  • No compensation for death or disablement arising out of
  • Suicide, suicidal attempt etc.
  • Pregnancy or childbirth
  • War and nuclear perils, warlike situation
  • Radioactivity

Disclaimer: The above list is not in the chronological order, so, a through research is recommended before buying

What Does It Cover?

The group personal accident insurance offers the following coverage:

  • Accident Death: If the insured succumbs to death after an accident, the insurer will pay the principal amount
  • Permanent partial/total disability: If the injury causes a partial/permanent disability to the insured which continues for a year, the insurer will pay compensation up to the sum assured.
  • Weekly Benefit: The insured is entitled to get a weekly compensation if they are fully disabled for a temporary period due to an accident.
  • Ambulance Charges: If the policyholder meets with an accident and is taken to a hospital, the policy offers reimbursement of ambulance charges.
  • Mortal remains transportation: The policy reimburses the cost incurred in moving the mortal remains from the accident site to hospital, residence or cremation ground.
  • Broken bones: A lump sum amount is paid for broken bones resulting from an accident. The policy clearly states which broken bones will be covered under the plan.

What it doesn't cover?

Usually, group personal accident insurance doesn't offer coverage in the following cases:

  • Natural death
  • Injury caused while under the influence of drugs or alcohol
  • Violation of law
  • War and nuclear perils
  • Pregnancy or childbirth
  • Ionizing radiation or radioactivity

How to Claim?

Follow the below steps to file the claim for Group Personal Accident Insurance:

  • Claim Intimation:
    • Intimate the insurance provider about the accident either by call or by email.
    • The insurance company registers the claim after receiving the intimation.
    • After registering the claim, the insurance company sends the claim form to the insured with a checklist of all the required documents.
  • Claim Processing:
    • If the received claim documents are incomplete, the policyholder is intimated via SMS, email, call, or any other mean.
    • Upon receiving all the required documents, the claim is processed as per the policy’s merit.
  • Claim Settlement:
    • After receiving all the relevant documents with a duly filled claim form, the claim is processed and the cheque is prepared and sent to the concerned insured.
    • On rejection of the claim, a rejection letter is sent to the insured/ concerned point of contact/ beneficiary/ HR of the organization by the claim settlement team.

Required Documents

We can segregate this section in two parts

Documents Required for Personal Accident - Death Claim:

The following documents are required in case of personal accident death claim:

  • Claim Form
  • Police Panchanama or Police FIR
  • Coroner’s Report or Post-mortem report
  • Death Certificate
  • When the payment is given to the beneficiary -notarized affidavit or succession certificate certifying the legal inheritor status.
  • Salary slip, and
  • A letter from the HR of the organization

Documents Required for Personal Accident - Disablement Claim

The following documents are required in case of personal accident disablement claim:

  • Claim Form
  • Police FIR in case the accident is reported to the police.
  • Pathology reports, medical papers, X-ray reports, etc. as required.
  • In case of permanent disability claims -the disability certificate given by the reputed surgeon or government/municipality office.
  • In case of permanent total disability claims - sick leave certificate provided by the employer.
  • The statement given by the attending physician.

Compare and Buy Group Personal Accident Cover at PolicyBazaar

In just a few seconds, you can compare and buy group personal accident cover at PolicyBazaar. You can compare the plans offered by different insurers and proceed to buy the plan of your choice. The premiums can be paid online and policy will be issued instantly.

Top Reasons to Choose PolicyBazaar

  • Get free quotes
  • Instant premium quotes from a large number of insurance companies
  • Compare premiums and features at one go
  • Unbiased comparison
Written By: PolicyBazaar - Updated: 11 April 2019
Q:

What is Group Personal Accident Plan?

Ans:

Group personal accident insurance is a comprehensive policy that is offered to large as well as small groups like employees, bank customers, colleges and corporate offices. The plans are customizable irrespective of the size of the group and match the requirements of the group members.

Q:

Can I Avail Tax Benefits of Group Personal Accident Insurance?

Ans:

Unlike health or life insurance, which provides you with a tax benefit for the annual premium paid, Group Personal Accident plan don’t have any tax benefit for the insured.

Q:

What are the factors that determine the premium?

Ans:

The factors that are taken into account while deciding the premium include exposure to risk, employment category etc. However, age and income are the secondary factors here.

Q:

What is not covered by Group Personal Accident Policy?

Ans:

The exclusions of Group Personal Accident policy may vary insurer to insurer. The policyholder may find a comprehensive list of exclusions in the official wordings of the policy at the time of buying a plan. However, below conditions are not covered by this plan:

1. Intentional injury or intentional negligence

2. Injuries that happen while being under the influence of drug or alcohol

3. AIDS/HIV/STDs are not covered

4. Accidental injury happens while the insured is riding a two-wheeler with an engine capacity of over 150cc.

5. Injury due to participation in any adventitious sport.

6. Any claim arising out of past illnesses

7. No claim will be entertained for pregnancy or childbirth

Q:

What are the additional benefits offered by Group Personal Accident plan

Ans:

The additional coverage offered by group personal accident plan includes:

1. Educational allowance in case of accidental death of the insured

2. Family transportation

3. Modification allowance

4. Repatriation of mortal remains.

However, these benefits may differ insurer to insurer.

Q:

I often travel to different countries for business and at times for leisure. What if I meet with an accident outside India?

Ans:

You can be assured as group accident policy offers coverage worldwide. The insurer will pay for the expenses incurred on an accident met when abroad.

Q:

I already have a health and life insurance cover. Do I need Group Accident Insurance?

Ans:

While life insurance offers death coverage to the family in case of an accidental demise of the insured, health insurance provides a comprehensive financial net during a medical emergency by covering pre and post hospitalisation expenses. Accidental cover, on the other hand, insures you against financial risk that could occur due to accidental permanent disability or loss of income in case of a death of the earning member. The policy strengthens your financial portfolio in case of a monetary hardship.

Q:

Would I need to pay a premium for availing the benefits of group personal accident plan?

Ans:

As the name suggests, group personal accident insurance is offered by the employer under the employees’ benefit scheme. This is a group plan and the premium is paid by the employer only.

Q:

What are the benefits offered under a group personal accident cover?

Ans:

Usually, group personal accident insurance covers accidental injury, disability of all types including permanent pertial disability (PPD), permanent total disability (PTD), temporary total disability and death. Some insurers also offer additional benefits such as ambulance changes, loss of income, educational grant, transportation of mortal remains, coverage for broken bones etc.

Q:

Will the members of a group personal accident cover need a pre-policy medical test?

Ans:

As this plan is not associated with any health conditions and only offers coverage to the uncertain conditions, no medical pre-policy test is required for availing it.

Q:

Can I claim for the tax benefit for paying the premiums towards Group Personal Accident cover?

Ans:

Only an employer can avail the tax benefit earned out of the premiums paid towards group personal accident insurance.

Q:

What are the benefits to be availed by the employer under a group personal accident cover?

Ans:

Employees are the most important asset of an organisation and the employers has to perform certain responsibilities to retain them. Among the various perks, group personal accident cover comes under the employee benefit schemes where the employees are cover for accidental injury and death. However, the policy also benefits the employers up to a certain limit:

1. Employers are spared from taking a financial burden in case of an accidental emergency, as the insurance company pays the compensation.

2. Employers are spared the financial burden of paying their employees in case of an accidental death or disability as the policy pays the necessary compensation.

3. The amount pay towards the premium can be presented as business expenses against which the employer can claim tax benefit under Income Tax Act.

4. By offering perks of this type, the employer can remain in the good books of its employer and can keep them motivated for going those extra miles. This reflects in their productivity as well and improves profit.

Q:

If I am covered by Group Personal Accident cover, will my family be covered as well?

Ans:

No, employers group personal accident cover taken for the employees can’t be extended to the families of the insured.

Q:

What are the main exclusions of Group Personal Accident cover?

Ans:

The policy doesn’t cover certain conditions which are called policy exclusions. The list of exclusions under a group personal accident cover include the death or disability due to

1. War, riots, invasion, nuclear weapon, hostilities, civil war etc.

2. Radioactive contamination

3. Travelling in an aircraft other than as a normal fare paying passenger

4. Participation in dangerous activities or adventure sports

5. Self-inflicted injuries, suicide, attempt to suicide

6. Get injured and disabled while participating in the operations of Air Force, Navy or Army

7. Terrorist activities

8. Pregnancy related and childbirth

9. Criminal acts

10. Accident happens while driving under the influence of alcohol, drugs or other such substances

Q:

Will the member of a group personal accident avail the sum insured in case of loss of employment due to an accidental disability?

Ans:

The insurer doesn’t offer the full sum insured in case of loss of employment due to an accident. However, a pre-defined percentage subject to a maximum limit is paid in such a case. However, this is an additional benefits, which is not common in all group personal accident plans offered by different insurers.

Q:

Does Group Personal Accident Insurance covers all type of injuries?

Ans:

No, it only covers accidental injury/death. Death caused due to an illness or natural death is not covered. Like wise injury due to suicide, attempt to suicide, accident due to consumption of alcohol or drugs are exluded form the coverage list.

Q:

What are Permanent Disability clauses in Group Personal Accident?

Ans:

Permanent Total disablement inlcudes-

1. Loss of sight both eyes

2. loss of both hands

3. Loss of both feet

4. loss of one hand and one foot

5. loss of one eye and one hand or foot

6. Paralysis due to an accident leading to permanent disability

Q:

Permanent Partial disablement

Ans:

Loss of one eye/ one foot/ one hand/ one finger/one toe/loss of hearing etc. are termed as permanent partial disablement.

Q:

What is the payable compensation under Group Personal Accident?

Ans:

The compensation under a group personal accident cover is decided based on the sum insured chosen. However, in case of death or permanent total disability, compensation is offered up to 100% sum insured. While in case of permanent partial disability, the compensation is as mentioned in your policy document.

Q:

How to claim group personal accident insurance?

Ans:

If a claim arises, the insured should intimate the employer/HR about the accident. The employer will further intimate the insurance company.

Q:

What are the documents required to claim Group Personal Accident cover?

Ans:

In order to claim, the following documents are required:

1. Claim Form

2. Medical Certificate from attending doctor

3. Copies of medical reports

4. Leave certificate from employer

5. RTGS/bank details for transfer of claim amount

If it is a death case, following documents are also required:

1. Death Certificate

2. Post mortem report

3. PF nominee details

4. RTGS details of nominee

5. Police FIR (both case)

Q:

I am a housewife and spend majority of the time at home. Do I also need a personal accident insurance?

Ans:

Doesn’t matter whether you are  a working professional or homemaker, probability of accidental loss is always there. But getting intimidated is not the solution but being prepared financially is. You can opt for an individual personal accident cover or health insurance where medical expenses will be covered.

Q:

I usually travel frequently due to business work or at times for holidays. What if I meet with an accident and hospitalised?

Ans:

You can rest assured for such kind of incidents financially as your group personal accident cover will pay for the expenses incurred towards treatment, if the policy has worldwide coverage option.

Q:

Do I need to pay a higher premium to avail Group Personal Accident Cover?

Ans:

Usually, the premium is paid by the employer as it is an employer owned policy. The premium is decided based on the size of the group and the sum insured chosen. The employee doesn’t require paying the premiums to avail this cover.

Q:

I have a family to look after. Does Personal Accident Insurance cover death?

Ans:

Yes, personal accident insurance covers death, provided it is not natural. You’ll need to mention the name of the beneficieary in the policy document. The death benefit will be paid to the nominee in case of your accidental demise.

Q:

If someone dies of stroke, will his family get the compensation?

Ans:

As this policy only covers accidental death and injury, no claim can be made if the insured dies of stroke.

Q:

Who can buy this policy?

Ans:

This policy is especially designed for the employees above 18 years.

Q:

What is scope of cover under a Group Personal Accidental cover?

Ans:

A group personal accidental cover is an employer owned policy where the policy benefits are extended to a group of people within the organisation. The scope of policy is give for accidental injury including permanent total and partial disability, temporary total disability, accidental death, loss of income, educational grant to the children in case of death of the insured etc. However, the scope of cover may vary from insurer to insurer.

Q:

Can I avail the policy benefits in case of a natural death?

Ans:

Group personal accidental benefits can’t be availed in case of a natural death. The policy is only applicable in case of accidental injury and death

Q:

Does this policy cover minor injuries as well?

Ans:

No, it doesn’t. Only accidents leading to disability or death is covered by Group Personal accident cover.

Q:

Is there any territorial restriction is applicable while availing the plan?

Ans:

No, the policy coverage can be extended worldwide; however, claims are to be paid in Indian currency only.

Q:

If a plane crashes while travelling is it covered?

Ans:

Yes, as it is an accident and it is covered.

What our clients say