Sanjay Financial :: Authorised Agent Based in Pune


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Over the next several years, you expect your annual income to:
 

Accident

An accident can put anyone’s future at risk. While an accident can be sudden, guarding against them can be a conscious deliberate decision. STAR Health Accident Care Insurance provides compensation in the event of death, permanent disability and injuries suffered due to accidents.

Accident Care Benefits

  • Accidental death
  • Permanent disability – total or partial – following an accident
  • Temporary total disablement – the Insured Person is eligible for a weekly benefit at 1% of Capital Sum Insured (following an accident) subject to maximum of Rs.5000/- per week for a for 100 weeks
  • Educational grant to children (1 Child – Rs.5000/-, 2 Children– Rs.10,000/-)
  • Transportation expenses of mortal remains (Rs.3000/-)
  • Travel expenses of one relative (Rs.1000/-)
  • Cumulative Bonus of 5% accrues to the Insured Person for every claim free year, subject to a maximum of 50%

Optional Benefits

  • Policy can be extended to cover Medical Expenses on payment of Additional Premium

Risk Features

  • For purpose of rating, persons proposed for insurance are classified under three risk groups
  • Risk Group I – Persons engaged primarily in administrative functions
  • Risk Group II – Persons engaged in manual work other than what is specifically provided for under Group III
  • Risk Group III – Persons working in explosives industry, mines workers, high tension electric supply, horse racing including jockeys, athletes and occupations of similar hazards

Claim Procedure

  • Call the Star Health 24 hour help-line to register the details of hospitalization.
  • Kindly mention your Star Health ID number for easy access to your policy details.
  • In case of a planned hospitalisation, please register 24 hours prior to admission to the hospital
  • In case of emergency hospitalisation, please regiser within 24 hours of hospitalisation
  • In all network hospitals, the cashless facility on payments can be availed
  • For treatment in non-network hospitals, payments must be made up-front to the hospital. Reimbursement of the expenses will be effected by Star Health, on submission of the necessary documents.

Exclusions

  • Expenses incurred on events occurring before the commencement of the cover or otherwise outside the Period of Insurance
  • Any claim in respect of Pre-existing condition
  • Any claim if the insured acts against the advice of a physician
  • Any claim arising out of Accidents that the Insured Person has caused intentionally or by committing a crime or as a result of drunkenness or addiction (drugs, alcohol, etc)
  • Any claim arising out of mental disorder, suicide or attempted suicide self inflicted injuries, or sexually transmitted conditions, anxiety, etc
  • Participation in Hazardous Sport/Hazardous activities
  • Persons who are physically and mentally challenged unless specifically agreed and endorsed in the policy

How much to pay (for individuals)?

Coverage / Risk Group Group I Group II Group III
Table I 0.45 per mille 0.60 per mille 0.80 per mille
Table II 0.80 per mille 1.30 per mille 1.75 per mille
Table III 1.25 per mille 1.75 per mille 2.00 per mille

For groups

Group Size % of discount on Premium
(excluding add-on covers & service tax)
2 - 100 Persons 5%
101 - 1000 10%
1001 - 5000 12.5%
5001 - 10000 15%
> 10000 20%

Can this policy be taken by a group?

    Group Policies are allowed without additional benefits. But Group Policies are eligible for a discount on the basic premium when the size of the group increases substantially.

Renewal

  • The Insurance may be renewed under mutual consent

How to buy this insurance?

  • Please contact us through our Toll Free Help Line / SMS / nearest office
 
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