Saral Suraksha Bima
Saral Suraksha Bima Policy is a standard personal accident policy mandated by the Regulator. The Saral Suraksha Bima Policy has been drafted with the aim to cover Loss of Life, Permanent Total Disablement, Permanent Partial Disablement with optional covers Temporary Total Disablement, Hospitalization Expenses due to Accident & Education Grant. The Idea is to provide simplified, convenient pre-underwritten plans to customer.
Base Coverage available under the policy
Optional Covers available
Base Coverage available under the policy
Optional Covers available
The Company shall not be liable to make any payments under this policy in respect of:
(i) Any claim for death or disablement (whether of a permanent nature or of a temporary nature), hospitalisation of the insured person, directly or indirectly due to War (whether declared or not) and war like occurrence or invasion, acts of
foreign enemies, hostilities, civil war, rebellion, revolutions, insurrections, mutiny, military or usurped power, seizure, capture, arrest, restraints and detainment of all kinds.
(ii) Any claim for death, disablement (whether of a permanent nature or of a temporary nature), hospitalization of Insured Person
a. from intentional self-injury unless in self-defence or to save life, suicide or attempted suicide;
b. whilst under the influence of intoxicating liquor or drugs or other intoxicants except where the insured is not directly responsible for the injury / accident though under influence of intoxication.
c. whilst engaging in aviation or ballooning, or whilst mounting into, or dismounting from or travelling in any balloon or aircraft other than as a passenger (fare-paying or otherwise) in any Scheduled Airlines in the world.
[Standard type of aircraft means any aircraft duly licensed to carry passengers (for hire or otherwise) by appropriate authority irrespective of whether such an aircraft is privately owned or chartered or operated by a regular airline or whether such an aircraft has a single engine or multiengine;]
d. arising or resulting from the Insured Person committing any breach of law with criminal intent.
(iii) Any claim for death, disablement (whether of a permanent nature or of a temporary nature), hospitalization of Insured Person due to participation as a professional in hazardous or adventure sports, including but not limited to, para-jumping, rock climbing, mountaineering, rafting, motor racing, horse racing or scuba diving, hand gliding, sky diving, deep-sea diving.
(iv) Any claim resulting or arising from or any consequential loss directly or indirectly caused by or contributed to or arising from:
a. Ionizing radiation or contamination by radioactivity from any nuclear fuel or from any nuclear waste from the combustion of nuclear fuel or from any nuclear waste from combustion (including any self-sustaining process of nuclear fission) of nuclear fuel.
b. Nuclear weapons material
c. The radioactive, toxic, explosive or other hazardous properties of any explosive nuclear assembly or nuclear component thereof.
d. Nuclear, chemical and biological terrorism
(v) Any loss arising out of the Insured Person's actual or attempted commission of or willful participation in an illegal act or any violation or attempted violation of the law.
Exclusions specific to section 2(b) “Hospitalisation Expenses due to Accident”
The Company shall not be liable to make any payments under this policy in respect of any expenses incurred by the insured person in connection with or in respect of:
i. Investigation & Evaluation (Code- Excl04)
a) Expenses related to any admission primarily for diagnostics and evaluation purposes.
b) Any diagnostic expenses which are not related or not incidental to the current diagnosis and treatment.
ii. Dietary supplements and substances that can be purchased without prescription, including but not limited to Vitamins, minerals and organic substances unless prescribed by a medical practitioner as part of hospitalization claim or day care procedure (Code- Excl14)
iii. Expenses incurred for treatment of accidental injuries which does not warrant hospitalization.
iv. Any expenses incurred on Domiciliary Hospitalization and OPD treatment.
v. Treatment taken outside the geographical limits of India.
