Medindure is a group accidental insurance policy for school children. The policy is specifically tailored for school going children. The policy is a school system-established benefit that provides coverage for accidental injuries that occur during normal school hours or during any school sponsored and supervised activity. The benefit works as a supplement to fill the gaps in existing plans that may not cover all expenses including deductibles, coinsurance and other high out-of-pocket costs. This benefit can also work as the primary insurance in the event there is no other coverage.
This provides payment of the policy sum insured in the unfortunate event of accidental death of the Insured Person. The Company will pay an amount as compensation 100% of the Capital Sum Insured.
|1. Permanent Total Disablement||150%#|
|1. Total and irrevocable loss *of|
|(i) Sight of both eyes||100%|
|(ii) Physical separation of two entire hands||100%|
|(iii) Physical separation of two entire foot||100%|
|(iv) One entire hand and one entire foot||100%|
|(v) Sight of one eye and loss of one hand||100%|
|(vi) Sight of one eye and loss of one entire foot||100%|
|(vii) Use of two hands||100%|
|(viii) Use of two foot||100%|
|(ix) Use of one hand and one foot||100%|
|(x) Sight of one eye and use of one hand||100%|
|(xi) Sight of one eye and use of one foot||100%|
|(xii) Sight of one eye||50%|
|(xiv) Physical separation of one entire foot||50%|
|(xv) Use of one hand without physical separation||50%|
|(xvi) Use of one foot without physical separation||50%|
*Loss of foot / hand means total severance through or above the ankle/ wrist joints respectively. Loss of eye means entire and irrevocable loss of sight. Thumb and index finger means severance through or above the joint that meets the hand at the palm.
# payable only when the insured person, following accidental injuries is unable to engage in each and every occupation or employment for compensation or profit for which he is reasonably qualified by education, training or experience for the rest of his life. If at the time of loss the insured person is unemployed, Permanent Total Disability shall mean the total and permanent inability to perform all of the usual and customary duties and activities of a person of like age and sex even with the use of special equipment routinely available to help and having taken any appropriate prescribed medication.
|Permanent Partial Disablement||Table of Benefits|
|Benefits||Percentage Of Sum Insured|
|1||Loss of toes all||All||20|
|Loss of Great toe||both phalanges||5|
|Loss of Great toe||one phalanx||2|
|Other than Great, if more than|
|One toe lost, for each toe||For each toe||1|
|2||Loss of hearing both ears||Both ears||75|
|Loss of hearing one ear||One ear||30|
|3||Loss of four fingers and thumbs of One hand||40|
|4||Loss of four fingers||35|
|Loss of thumb both phalanges||Both phalanges||25|
|5||Loss of index finger three phalanges||Three phalanges||10|
|Two phalanges||Two phalanges||8|
|One phalanx||One phalanx||4|
|6||Loss of middle finger||Three phalanges||6|
|7||Loss of ring finger||Three phalanges||5|
|8||Loss of little finger||4|
|9||Loss of metacarpals||First or second||3|
|Additional (third fourth or fifth)||2|
|10||Any other Permanent partial disablement||Percentage as assessed by the Medical Board or by the government doctor|
Following an admissible claim under the policy due to an Accident outside the place of the insured's residence the Company shall pay during the policy period as a lump sum Either
The limit of Company's liability towards either Ambulance charges or Transportation of mortal remains is Rs.5,000/- only during the policy period ,per insured person. This lump sum amount is payable in addition to the sum insured.
The Company will pay 1% of Total Sum insured up to Rs.50,000/-, subject to actual, for the transport expenses to one relative of the Insured Person following an admissible claim under the policy for Accidental Death. This amount is payable in addition to the sum insured and applicable for each person covered under the policy
The Company will pay up to 10% of Table B sum insured subject to a maximum of Rs.50,000/- towards the expenses incurred to modify the Insured Person's residential accommodation or vehicle as long as the modification have been carried out in India and certified by a Doctor to be necessary and directly required as a result of the Accident for which there is an admissible claim.
This benefit is applicable only where there is an admissible claim for Permanent Total Disablement. This amount is payable in addition to the sum insured. This benefit is per insured person.
The Company will pay up to 5% of the sum insured under relevant table/tables opted subject to a maximum of Rs.10,000/- whichever is less towards the expenses incurred in purchasing blood through a Hospital or Government approved blood bank for the purpose of the Insured Person's medical or surgical treatment provided there is an admissible claim under this policy. This amount is payable in addition to the sum insured
The Company will pay up to 5% of Total sum insured subject to a maximum of Rs.20,000/- towards the expenses incurred on freight charges for importing medicines to India, provided that:
This amount is payable in addition to the sum insured.
1. Document to be submitted in case of Accidental Death Claims
2. Document to be submitted in case of Disability Claims
Note : Claims will be settled by in-house claims team.