Benefits and Key points of Group Personal Accident Insurance:-

Unfortunate accidents have a knack of throwing the financial footing of a whole family out of kilter for a long time and the number of people getting injured in accidents is staggering. Being a breadwinner of the family, even a single accident leading to hospitalisation can pose serious financial threats to an employee’s family. It is hence important to be well prepared for such a circumstance. And a Group Personal Accident Insurance Policy not only secures your employees’ health and finances but also boosts their morale to work and encourage employee retention.

Key Points:-

• Secures employees against unforeseen circumstances.
• Payable if the insured dies or sustains any bodily injury resulting solely and directly from accident caused by external, violent and visible means whether due to employment or otherwise.
• Will not come into force in case of occupational diseases.
• Employer can choose the Sum Insured which can be a multiple of the salary or a graded cover according to the designation.
• GPA is a Benefit policy and not under any Act where compensations are benefits offered to the employees.
• Not payable if the employee is found under the influence of alcohol/drugs or regulation i.e. negligence.

How to Claim Group Personal Accident Insurance?

The insured must follow the below mentioned procedure to submit a claim under a group accidental insurance policy. The procedure can vary slightly in case of death settlements and injury claims

• Inform the insurer that issued the policy right away. The policy's assignee should carry out this action.
• Send the required documents like the death certificate, claim form, original policy copy, autopsy report, and police report.

Steps to follow in case of claim for injuries:

• Inform the insurance provider that issued the policy immediately.
• Send police reports (if applicable).
• Send the claim form and medical certificate attesting your disability.
• If the coverage plan contains a medical expense extension, submit the prescription and related bills.

Documents Required to Claim Group Personal Accident Insurance

While filing a claim, the insured must provide the following documents in completion and correct forms:

• Completely filled and signed claim form
• Doctor's prescription or declaration completed by the attending physician
• All genuine/original bills
• Original diagnostic reports
• Copy of the employee's and the nominee's ID
• Copy of Photo ID
• A cancelled cheque written out in the name of the employee or nominee
• Copy of the Panchnama, MLC, and/or FIR (if registered)

In the event of a temporary total impairment, the following documentation must be submitted:

• A copy of the medical records attesting to the injury or accident and the treatment received
• Reports from the investigation and X-ray images supporting the accidental injury, post-operative
• Leave documents with the authorized signatory's seal and signature
• Certified medical fitness form by the treating physician

In an event of permanent partial or whole impairment, the following documentation must be submitted:

• Certificate of disability
• Reports from the investigation and X-ray images support the accidental injury

In an event of accidental death, one must submit the following documents:

• Copies of the investigative reports, treatment records and death summary
• Death certificate copy
• Copy of the post-mortem/autopsy report
• Duplicate copy of police investigation's final report

How to Claim Group Personal Accident Insurance?

The insured must follow the below mentioned procedure to submit a claim under a group accidental insurance policy. The procedure can vary slightly in case of death settlements and injury claims

• Inform the insurer that issued the policy right away. The policy's assignee should carry out this action.
• Send the required documents like the death certificate, claim form, original policy copy, autopsy report, and police report.

Steps to follow in case of claim for injuries:

• Inform the insurance provider that issued the policy immediately.
• Send police reports (if applicable).
• Send the claim form and medical certificate attesting your disability.
• If the coverage plan contains a medical expense extension, submit the prescription and related bills.

Documents Required to Claim Group Personal Accident Insurance

While filing a claim, the insured must provide the following documents in completion and correct forms:

• Completely filled and signed claim form
• Doctor's prescription or declaration completed by the attending physician
• All genuine/original bills
• Original diagnostic reports
• Copy of the employee's and the nominee's ID
• Copy of Photo ID
• A cancelled cheque written out in the name of the employee or nominee
• Copy of the Panchnama, MLC, and/or FIR (if registered)

In the event of a temporary total impairment, the following documentation must be submitted:

• A copy of the medical records attesting to the injury or accident and the treatment received
• Reports from the investigation and X-ray images supporting the accidental injury, post-operative
• Leave documents with the authorized signatory's seal and signature
• Certified medical fitness form by the treating physician

In an event of permanent partial or whole impairment, the following documentation must be submitted:

• Certificate of disability
• Reports from the investigation and X-ray images support the accidental injury

In an event of accidental death, one must submit the following documents:

• Copies of the investigative reports, treatment records and death summary
• Death certificate copy
• Copy of the post-mortem/autopsy report
• Duplicate copy of police investigation's final report