PERSONAL ACCIDENT INSURANCE
What is this product about?
This policy will provide compensation for bodily injury, disability or death caused by accidental means which injury shall solely by violent, accidental, external and visible cause result in the insured person disablement or necessitate medical and/or surgical treatment or death.
Personal Accident Insurance policy can be categorized into two main types:
- Individual Personal Accident – covers a single individual on their own lives or on the lives of their spouse and children.
- Group Personal Accident Insurance – covers a group of people, usually on the lives of their employees within a company or members of an organization.
What are the covers / benefits provided?
This policy covers:
| No. | Benefits | Limits |
|---|---|---|
| 1 | Accidental death | 100% of capital sum insured |
| 2 | Accidental Permanent Total/ Partial Disablement | Based on certain percentage of capital sum insured depending on the severity of the disablement. Depending on the severity of the disablement, the scale for compensation per scale stated in the Table of Compensation |
| 3 | Accidental Medical Expenses | Reimbursement the actual, necessary and reasonable medical expenses up to the limit of sum insured |
| 4 | Funeral Fund (Accidental Death) | Based on amount insured |
What is the subject matter insured?
Covers any bodily injury, disability or death caused solely and directly by violent, accidental external and visible means resulting in the death or permanent disablement or necessitate medical and/or surgical treatment of the Insured person.
Period of Insurance
Duration of cover is for one year. You need to renew your insurance Policy annually.
How much premium do I have to pay?
The premium you have to pay may vary depending on the sum insured, occupation, the ages, type of cover required – 24 hours worldwide or during working hours in Cambodia only, past loss history and our underwriting requirements.
What is the payment mode and how do I pay the premium?
This is an annual policy and you may pay your premium in full either by cash or cheque or bank transfer.
What are some of the key terms and conditions that I should be aware of?
- Duty of disclosure
- You must give all the facts which you know or ought to know.
- You must ensure that the proposal form is completed accurately as it forms the basis of the insurance contract. - Sum Insured
There is no market value for human life. The Insured has to determines/fix an adequate sum insured by their own depending on each individual’s background, age, state of career development, earning power and the number of dependents. - Claim Notification
- In the event of a claim, you must notify us as soon as reasonably possible, but no later than 30 days from the date of the accident.
- You must submit the claim documents to us within 30 days from the date you are allowed to discharge from the hospital or such further time as we may in writing allow. - Premium Warranty
Premium must be paid in full and received by us within 30 days from the inception date of the cover, otherwise the cover is automatically cancelled and you will still be responsible to pay the proportion of premium for the period we have been on risk.
What are the major exclusions under this policy?
This insurance does not cover:
- Commit illegal and criminal activities.
- Any accidents directly or indirectly caused by alcoholic substances or illegal drugs.
- Commit or attempt to commit suicide or intentionally inflicting self-injury.
- Disablement or death caused by plastic surgeries.
- Any accidents caused directly or indirectly by riot, strike, rebellion, mutiny and terrorism.
- Sickness or diseases.
- Death directly or indirectly caused by childbirth or complications of pregnancy.
- AIDS/HIV or any related disease.
- Nuclear weapons material or contributed to or arising from ionising radiation.
- War, invasion, act of foreign enemy, hostilities (whether war be declared or not), civil war.
Note: This list is not exhaustive. Please refer to the policy contract for the full list of terms and conditions under this policy.
What are the pre-acceptance conditions for this product?
- No claims for the past 3 years.
- Insured has never been declined, cancelled or refused coverage previously.
Can I cancel my policy?
You may cancel the policy by giving Us ten (10) working days’ notice in writing. Upon cancellation, you are entitled to a refund of the premium based on the unexpired period of insurance less 10% administration charge provided no claims have been made during the current policy period.
No refund of premium for any cancellation of policy if premium is charged on minimum premium.