GPA- Group Personal Accidental Policy
Total Cover
100% Claim Settlement
No
Documentation
Reasonable
Premium
Total Cover
100% Claim Settlement
No
Documentation
Reasonable
Premium
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GPA- Group Personal Accidental Policy : Buy/Renew GPA- Group Personal Accidental Policy Online Instantly
What is GPA- Group Personal Accidental Policy ?
The Group Personal Accident (GPA) Policy is an insurance policy that provides financial protection to a defined group of individuals in the event of accidental injuries or death. It is designed to cover members of the group, such as employees of a company, members of a club, or students of an educational institution. The policy offers a range of benefits, including compensation for accidental death, permanent or partial disability, and other related expenses resulting from accidents. The GPA Policy can be customized to suit the specific needs of the insured group and offers valuable financial security and peace of mind to its members in case of unforeseen accidents.
Example Scenario: Scenario: Mr. Rajesh runs a marketing company, and one day, while one of his employees was traveling for a business meeting, an accident took place on the road. The employee sustained serious injuries in the accident.
How the Group Personal Accident (GPA) Policy will help Mr. Rajesh:
1. Financial Compensation: The GPA Policy will provide financial compensation to the injured employee to cover medical expenses, hospitalization costs, and treatment fees required for his recovery.
2. Disability Benefits: In case the employee suffers from a permanent disability due to the accident, the policy will offer disability benefits to support him financially and help him cope with the challenges ahead.
3. Accidental Death Coverage: If, unfortunately, the accident leads to the employee’s death, the GPA Policy will offer a lump-sum amount as compensation to the employee’s family, helping them during their difficult times.
4. Ambulance Expenses: The policy will cover the ambulance expenses incurred in transporting the injured employee to the hospital for immediate medical attention.
5. Rehabilitation Coverage: The GPA Policy may also provide rehabilitation coverage to support the employee’s recovery process, including physiotherapy or specialized care, as needed.
6.Transportation Costs for Family: If the employee needs prolonged treatment in a different city, the policy might cover the transportation costs for the employee’s family to be with them during their recovery period.
7. Temporary Total Disability Benefits: If the employee’s injuries lead to temporary disability, rendering him unable to work for a certain period, the policy will offer temporary total disability benefits, ensuring he receives a portion of his regular income during the recovery period.
Coverages of GPA- Group Personal Accidental Policy
- The Group Personal Accident (GPA) Policy provides a range of coverages for members of a defined group in the event of accidental injuries or death. These coverages include:
Accidental Death Coverage
Financial compensation is provided to the beneficiary in the unfortunate event of the insured member’s death due to an accident.
Permanent Total Disability (PTD) Coverage
If the insured member becomes permanently and completely disabled due to an accident, the policy offers compensation.
Permanent Partial Disability (PPD) Coverage
In case of a permanent partial disability caused by an accident, the policy provides compensation based on the extent of the disability.
Temporary Total Disability (TTD) Coverage
If the insured member suffers from a temporary total disability, hindering their ability to work, the policy offers financial support during this period.
Medical Expenses Coverage
The policy covers the medical expenses incurred for treatment of injuries sustained in an accident.
Hospitalization Benefits
Financial benefits are provided for hospitalization expenses arising from accident-related injuries.
Ambulance Expenses Coverage
The policy covers the expenses incurred for ambulance services required due to an accident.
Transportation Allowance
The policy may cover transportation costs for the insured’s family in case of death or disability.
Education Grant
The policy may provide an education grant for the insured member’s dependent children in case of accidental death or permanent total disability.
Repatriation Benefits
If the insured member’s accident occurs while traveling abroad, the policy may cover the expenses for repatriating their remains to their home country.
Additional Add-ons OF GPA- Group Personal Accidental Policy
- Add-ons, also known as riders or endorsements, can enhance the coverage of the Group Personal Accidental Policy Some common add-ons are
Daily Hospital Cash
Offers a daily cash allowance for each day of hospitalization due to an accident, providing extra financial support.
Accidental Medical Reimbursement
Provides reimbursement for medical expenses incurred due to an accident, even if the insured member has other health insurance.
Loss of Income Benefit
Offers a regular income replacement to the insured member if they are unable to work due to an accident, ensuring financial stability during recovery.
Child Education Benefit
Provides a lump sum amount to support the education of the insured member’s dependent children in case of the insured’s accidental death or permanent disability.
Modification for Sports or Adventure Activities
Extends coverage to include injuries sustained during sports or adventure activities, which are typically excluded in standard policies.
Worldwide Coverage Extension
Expands the coverage beyond the geographical limits of the policy, providing protection during international travel or work assignments.
Legal and Funeral Expenses
Covers legal expenses arising from claim disputes and also provides a lump sum amount towards funeral expenses.
Emergency Assistance Services
Offers access to 24/7 emergency assistance services, including medical advice, travel arrangements, and other support during an accident.
Air Ambulance Cover
This add-on covers expenses for air ambulance transportation in case of an accident, ensuring swift and efficient medical evacuation, especially in remote or critical situations.
Coma Benefit
In case of an insured member being in a coma due to an accident, this add-on provides additional financial support with a lump sum amount, assisting during the coma period.
Weekly Cash Benefits
This add-on provides a weekly cash allowance to the insured member during temporary disability caused by an accident, assisting with day-to-day expenses.
Factors Determining the Premium of GPA Personal Accidental Insurance
- The premium of the Factors Determining the Premium of Personal Accidental Insurance in India is determined by several factors.
Group Size
The number of members in the insured group affects the premium calculation. Larger groups may receive favorable rates due to spreading the risk across a larger pool of individuals.
Age of Members
The age of the insured members is considered as younger members generally pose a lower risk of accidents, leading to relatively lower premiums.
Occupational Risks
The nature of the group’s occupation or profession is assessed to gauge the associated risk level. High-risk occupations may result in higher premiums.
Coverage Limit
The sum insured or coverage limit chosen by the insured group impacts the premium. Higher coverage limits will lead to higher premiums.
Add-ons
If the insured group opts for additional add-ons or riders to enhance the policy coverage, it will affect the overall premium cost.
Geographical Coverage
The geographic area where the insured group operates or resides is considered, as certain regions may have higher accident risks, influencing the premium.
Previous Claims History
The claim history of the insured group is taken into account. A group with a low claims frequency may be offered lower premiums.
Policy Term
The duration of the policy, whether it is a one-year term or a longer period, impacts the premium calculation.
Medical History
The medical history of the insured members, if considered for coverage, may influence the premium amount.
Occupational Hazards
If the insured group involves engaging in high-risk activities or sports, it may result in an adjustment to the premium.
Major Differences Between Workman Compensation Policy and Group Personal Accident Policy
| Aspect | Workman Compensation Policy | Group Personal Accident Policy |
|---|---|---|
Coverage |
Provides coverage for work-related injuries and illnesses of employees. |
Provides coverage for accidental injuries or death of insured members within the group. |
Scope
|
Mandatory for employers under labor laws to cover employees. |
Voluntary and can be opted by employers for specific groups of individuals. |
Purpose
|
Protects employers from financial liabilities arising from employee injuries. |
provides financial support to the insured or their beneficiaries in case of accidents. |
Insured |
Employees or workers engaged in the course of employment. |
Group members or individuals specified in the policy. |
Premium Calculation
|
Based on the nature of the business, employee wages, and risk factors. |
Calculated based on the sum insured and age group of members. |
Coverage Duration |
Continuous coverage throughout the policy period. |
Coverage is for a specified term, usually one year. |
Benefits |
Covers medical expenses, disability benefits, and death benefits for employees. |
Provides compensation for accidental death, permanent or partial disability, and other benefits as per the policy. |
Type of Injuries Covered |
Work-related injuries and occupational diseases. |
Accidental injuries and death, regardless of the cause. |
Commute Coverage |
Usually does not cover injuries during daily commutes. |
May or may not include coverage for daily commutes. |
Legal Requirement |
Mandatory for certain businesses under labour laws. |
Not mandatory but may be required by certain organizations. |
Extent of Coverage |
Comprehensive coverage for work-related incidents. |
Limited to accidents and injuries specified in the policy. |
Purpose of Coverage |
Primarily aimed at compensating employees and protecting employers. |
Focuses on providing financial assistance to the insured or their beneficiaries. |
How to Settle GPA- Group Personal Accidental Policy
- To settle a claim under the GPA - Group Personal Accidental Policy, follow these steps:
Notify the Insurer
Inform the insurance company about the accident and the claim at the earliest. Provide details such as the policy number, date, and time of the accident, and the names of the insured members involved.
Complete Claim Form
Fill out the claim form provided by the insurer, providing all necessary information accurately and truthfully.
Submit Supporting Documents
Submit all required documents, such as medical reports, hospital bills, police reports, death certificates (if applicable), and any other relevant evidence supporting the claim.
Claim Evaluation
The insurer will assess the claim based on the policy terms, coverage, and the circumstances of the accident. They may also conduct investigations if needed.
Medical Examination
In case of injury claims, the insurer may require a medical examination of the injured party to verify the extent of the injuries.
Decision and Settlement
After evaluating the claim, the insurer will make a decision on the settlement amount. If the claim is approved, the insurer will proceed with the settlement process.
Claim Payout
The insurer will provide compensation as per the policy terms. It could be a lump sum for accidental death or disability, or reimbursement for medical expenses.
Dispute Resolution
In case of claim disputes, the insured can follow the insurer’s complaint resolution process or seek help from the insurance ombudsman.
Exclusions of GPA- Group Personal Accidental Policy
- Exclusions of GPA- Group Personal Accidental Policy in India typically include:
Intentional Self-Injury
Any injury or loss resulting from deliberate self-harm or suicide attempts is not covered.
Pre-existing Conditions
Injuries or disabilities arising from pre-existing medical conditions or illnesses are excluded from coverage.
War and Terrorism
Accidents caused by acts of war, invasion, foreign enemy actions, terrorism, or acts of terrorism are generally not covered.
Participation in Illegal Activities
Injuries sustained while engaging in illegal activities or criminal acts are excluded.
Influence of Alcohol or Drugs
Accidents or injuries that occur while the insured member is under the influence of alcohol, drugs, or any other intoxicating substances are not covered.
Professional Sports and Adventure Activities
Injuries resulting from participation in professional sports events or high-risk adventure activities, such as skydiving or mountaineering, may be excluded.
Pregnancy and Childbirth
Injuries or complications related to pregnancy or childbirth are typically not covered.
Nuclear and Radioactive Contamination
Accidents caused by nuclear radiation or radioactive contamination are usually excluded.
Injuries from Civil Unrest
Accidents arising from civil unrest, riots, or public disturbances may not be covered.
Treatment Outside Policy Territory
Medical treatment for injuries received outside the geographical coverage specified in the policy is generally excluded.
Documents Required for Claim Settlement under GPA- Group Personal Accidental Policy
In Case of an Accident
Claim Form
The duly filled and signed claim form provided by the insurance company.
Policy Document
A copy of the policy document showing the coverage details and policy number.
Accident Report
A detailed report describing the accident, including the date, time, location, and circumstances.
Medical Records
Medical certificates, reports, and bills from the attending medical practitioner or hospital, confirming the injuries sustained and the treatment provided.
Death Certificate (If applicable)
In case of accidental death, a copy of the death certificate is required.
Police Report (If applicable)
If the accident involved legal authorities, a copy of the police report or FIR (First Information Report) may be needed.
Witness Statements
Statements from witnesses who can corroborate the details of the accident.
Attendance Register
An attendance register of the insured member to verify their presence at the workplace or relevant location during the time of the accident.
Wage Register
A wage register that documents the insured member’s salary or earnings, which may be used to calculate the claim amount.
ID Proof of the Insured
Valid identification documents, such as a passport or Aadhaar card, to establish the identity of the insured member.
Documents Required for Claim Settlement under GPA- Group Personal Accidental Policy
In case of a fatal death
Claim Form
A duly filled and signed claim form, providing details of the accident and the deceased employee’s personal information.
Death Certificate
The original death certificate issued by the relevant authorities, attested if required.
Post-Mortem Report
If an autopsy was conducted, the post-mortem report detailing the cause of death.
Police Report/FIR
A copy of the First Information Report (FIR) or police report filed in case of an accidental death.
Medical Reports
Medical reports from the hospital or medical facility where the deceased was treated, confirming the cause of death.
Identity Proof
Copy of the deceased employee’s identity proof, such as Aadhar card, passport, or driver’s license.
Employment Proof
Proof of the deceased employee’s employment, such as an appointment letter, work ID, or employment contract.
Employer's Certificate
A certificate from the employer confirming the deceased employee’s job position, salary details, and employment status.s.
Witness Statements
Statements from witnesses who may have witnessed the accident or have relevant information about the incident.
Bank Details
Details of the nominee or beneficiary’s bank account where the claim amount should be deposited.
Nominee/Beneficiary Proof
Proof of the relationship between the nominee/beneficiary and the deceased employee, such as a legal heir certificate or nomination form.
Attendance Register
An attendance register of the insured member to verify their presence at the workplace or relevant location during the time of the accident.
Wage Register
A wage register that documents the insured member’s salary or earnings, which may be used to calculate the claim amount.
ID Proof of the Insured
Valid identification documents, such as a passport or Aadhaar card, to establish the identity of the insured member.
- It is crucial to promptly submit all the required documents to the insurance company to ensure a smooth and timely claim settlement process.
Contact Information for Claim Settlement: related to GPA- Group Personal Accidental Policy
If Policy Obtained through Agent/Broker
Claims are the reason we get a car insurance in the first place! Therefore, ensure the claim process of your desired car insurance is smooth and doesn’t take too long. When you’re in trouble, the last thing you want is, to spend all your time and energy in just filing a claim!
If Policy Obtained Directly from Insurance Company
Claim Settlements are basically getting your compensations done right. Claims being such an important part of a car insurance, check for your desired insurer’s claim settlement ratio so that you’re assured that no matter what, your claims will be settled!
Claim Contact Information for Policy from Beemawala.com
If you have taken the policy from Beemawala.com, please use the following contact details to register your claim.
- Phone: +91-9654259715
- Email: services@beemawala.com
Frequently Asked Questions: (FAQs) on GPA - Group Personal Accidental Insurance:
Yes, SBI offers Personal Accidental Insurance as part of its insurance product portfolio.*
Yes, Personal Accidental Insurance specifically covers accidents and their related consequences, while Health Insurance provides coverage for medical expenses due to illnesses and injuries.
Yes, Group Personal Accidental Insurance is available for organizations to cover their employees or members against accidents.
Yes, Personal Accidental Insurance policies are also available for individuals to protect themselves and their families from accidental risks.
Yes, some policies offer coverage for temporary disabilities, providing financial support during recovery periods.
Yes, HDFC policies may offer Personal Accidental Death Cover as an add-on option to enhance coverage.
Yes, SBI General Insurance offers Personal Accidental Insurance policies.
Personal Accidental Insurance covers accidental death and injuries, while Life Insurance provides coverage for death due to natural causes and other events.
Group Personal Accidental Insurance provides financial security to the insured members and their families in case of accidental disabilities or death.
The policy coverage typically starts after the payment of the premium and as per the policy terms and conditions.
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