Features of Reliance Workers Compensation Insurance
When considering protecting your workforce, it is crucial to understand what makes this policy valuable. Reliance Workers Compensation Insurance provides protection that meets statutory requirements and also helps you manage financial risks arising from workplace accidents.
The main features of Reliance Workers Compensation Insurance include:
- Legal liability coverage: This policy meets obligations under the Employee Compensation Act, 1923, Fatal Accidents Act, 1855, and Common Law.
- Financial protection for employers: It helps reimburse compensation paid due to death, permanent total disability, partial disability or temporary disability of employees during the course of employment.
- Reimbursement of legal expenses: When approved in advance by Reliance General Insurance, legal costs incurred for defending claims can also be covered.
This combination of statutory compliance and financial protection makes it a prudent choice for employers across sectors.
Reliance Workers Compensation Insurance Inclusions
The inclusions reflect the statutory responsibilities employers face and offer coverage in the following areas:
- Compensation payable for the death of an employee arising from an accident at work.
- Compensation for permanent total disability suffered during employment.
- Compensation for permanent partial disability.
- Compensation for temporary disability resulting from accidents during the course of employment.
- Legal costs, if approved in writing by Reliance General Insurance.
Additionally, the policy can extend coverage through optional add-ons:
- Contractual employees: If explicitly declared at the time of purchase.
- Medical expenses: This can be included on a per-employee or aggregate basis.
These inclusions ensure that your employees are adequately covered for a wide range of incidents that may occur while at work.
Reliance Workers Compensation Insurance Exclusions
While Reliance Workers Compensation Insurance offers extensive protection, it is equally important to know what it does not cover. Policy exclusions help establish expectations about the circumstances under which claims will not be payable. Although the complete list of exclusions is available in the official policy wording, some general exclusions commonly found in such policies include:
- Injuries not arising out of or during the course of employment.
- Injuries caused intentionally by the worker.
- Accidents occurring outside India, unless agreed otherwise.
- Claims arising from war, terrorism or related perils.
You should carefully read the Workmen Compensation Insurance policy document for a detailed understanding of all applicable exclusions.
Reliance Workers Compensation Insurance Claim Process
In the event of an incident, understanding the claims process helps you respond quickly, support your employee, and stay legally compliant. Here’s a step-by-step guide for Reliance Workers’ Compensation Insurance claims:
- Immediate intimation: Inform Reliance General Insurance about the incident as soon as possible. Early intimation ensures timely processing.
- Submission of documentation: Provide relevant documents such as the claim form, medical reports, wage statements and any legal notices received.
- Assessment by the insurer: Reliance General Insurance will assess the claim based on the documentation provided and may seek clarification if required.
- Decision and settlement: Once verified, the claim will be approved or declined. Upon approval, the compensation amount will be disbursed as per the policy terms.
You must maintain proper records and cooperate fully with the insurer throughout this process to ensure a timely settlement
TATA AIG Group Personal Accident Insurance - FAQs
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1. Who should buy CHOLA MS Workers Compensation Insurance?
Ans: Any business in India that employs staff, whether large or small, should purchase Workers Compensation Insurance. The law requires you to compensate employees in case of workplace injuries or diseases, and this policy ensures that you meet those obligations without large out-of-pocket expenses.
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2. Are diseases acquired at work covered under this policy?
Ans: Yes, occupational diseases listed under Schedule III of the Employees’ Compensation Act, 1923, are covered. These include diseases arising from working conditions such as exposure to dust, chemicals, or repetitive tasks.
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3. Does the policy cover independent contractor workers?
Ans: No, this policy is limited to your direct employees. Liability towards employees of independent contractors or subcontractors is excluded
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4. Can legal expenses be claimed under the policy?
Ans: Yes, legal expenses related to defending a claim are covered, provided you obtain the insurer’s prior consent.
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5. How does policy cancellation work?
Ans: The insurer can cancel the policy with seven days' notice. If this occurs, premiums will be adjusted based on wages and salaries declared.
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6. What records should employers maintain for claims?
Ans: You must maintain accurate records of wages, salaries, and other employment details, and allow inspections by the insurer. This facilitates smooth settlement and precise calculation of premiums.