Insuremile
IRDAI/I NTAII/BA/51/2018
CIN: U72900KA2018PTC110119

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Personal Accident Policy provides a person and his family mitigation against the financial consequences of unforeseeable accidents. This Policy provides benefits based on the nature of Injury sustained by the Insured Person in an accident during the policy period. Key Features of Individual Personal Accident Insurance Plan By Universal Sompo: The Company offers Discount as under for covering more than 2 family members More than 3 family members 10% More than 4 Family Members 12.50% More than 5 Family Members 15% Company provides a loyalty discount on the premium in respect of individual and family package covered

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The premiums as under shall be payable in single installment Policy Details Sum Insured: Death only cover- 10 times the yearly Income Wider Cover- 5 times the Yearly comprehensive Cover- 5 times the Yearly Income (INR 5,00,000/- Maximum) No Claim Bonus: All claims under the policy will be paid by company within 7 working days from date of acceptance of such a claim. Incase of delay in the payment, company is liable to pay interest at a rate which is lower 2% above Bank rate prevalent at the beginning of the financial year. Coverage type: The Policy provides for 3 different Options: Basic Cover: against death only Wider Cover: against death or permanent Total disablement, compensation is equivalent to the full Capital Sum Insured. Comprehensive Cover: against death, Permanent Total Disablement Permanent Partial Disablement Temporary Total Disablement. Universal Sompo Individual Personal Accident Insurance Renewal Policy: This Policy shall ordinarily be renewable for lifetime except on grounds of fraud, moral hazard or misrepresentation or Non-Cooperation. No loading on premium shall be applied on individual claims experience basis. The Premium of the Policy may be revised subject to approval from IRDA. Policy termination: Individual may cancel this policy by giving at least 15 days written notice, and if no claim has been made then premium will be refunded on short term rates for the unexpired Policy Period as per the rates detailed below. *The above rates may change. Please check the policy wordings for more details. Substitute Product: In case Individual decides to withdraw this product under which policy is issued to individual or where the children have attended maximum eligibility age under the Policy, if covered, Company shall provide individual with an option to buy a similar substitute accident insurance Policy from Company. Nomination: The Policy has provision of nomination, in absence of Individual declaring nomination at the time of proposal, then all benefits accrued under the Policy if any, shall be given to Individual legal heir/ dependants. Exclusions in Universal Sompo Personal Accident Insurance: Natural Death Consequential loss of any kind and/or legal liability Committing any breach of law with criminal intent Pregnancy including child birth, miscarriage, abortion or complication arising there from Participation in any Naval, military or air force operations HIV or related illness Venereal or sexually transmitted diseases Whilst under influence of intoxicating liquor or drugs Drug Addiction or alcoholism

For Death Claim Duly filled up claim form Death Certificate Original FIR Original Panchnama Post mortem report For Permanent Total disablement/ Permanent Partial Disablement Duly filled up claims form Original FIR Hospitalization Report Hospital Discharge Card Original Certificate from Doctor of Govt. Hospital stating the degree of disability Termination letter for claim under-Loss of Employment For Temporary Total Disablement Duly filled up claim form Original FIR Hospitalization Report Hospital Discharge Card Universal Sompo Personal Accident Insurance Policy Eligibility Criteria: Minimum Age- 5-65 Years No Fresh Proposal beyond 75 Years No Maximum renewal age under the Policy Proposal needs to be aged 18 years or above

On accidental death or permanent total disablement of the insured, 100% of the capital sum insured shall be compensated. Individual Personal Accident Policy can be renewed for lifetime, except on grounds of fraud, false information, and less or no cooperation from the proposers end. Benefits of this policy also enumerate the cost for transportation of body to home, clothing damaged and permanent total disablement. The insured shall ak=lso be protected against the loss of employment as a consequence of Permanent Total Disability.

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The premiums as under shall be payable in single installment Policy Details Sum Insured: Death only cover- 10 times the yearly Income Wider Cover- 5 times the Yearly comprehensive Cover- 5 times the Yearly Income (INR 5,00,000/- Maximum) No Claim Bonus: All claims under the policy will be paid by company within 7 working days from date of acceptance of such a claim. Incase of delay in the payment, company is liable to pay interest at a rate which is lower 2% above Bank rate prevalent at the beginning of the financial year. Coverage type: The Policy provides for 3 different Options: Basic Cover: against death only Wider Cover: against death or permanent Total disablement, compensation is equivalent to the full Capital Sum Insured. Comprehensive Cover: against death, Permanent Total Disablement Permanent Partial Disablement Temporary Total Disablement. Universal Sompo Individual Personal Accident Insurance Renewal Policy: This Policy shall ordinarily be renewable for lifetime except on grounds of fraud, moral hazard or misrepresentation or Non-Cooperation. No loading on premium shall be applied on individual claims experience basis. The Premium of the Policy may be revised subject to approval from IRDA. Policy termination: Individual may cancel this policy by giving at least 15 days written notice, and if no claim has been made then premium will be refunded on short term rates for the unexpired Policy Period as per the rates detailed below. *The above rates may change. Please check the policy wordings for more details. Substitute Product: In case Individual decides to withdraw this product under which policy is issued to individual or where the children have attended maximum eligibility age under the Policy, if covered, Company shall provide individual with an option to buy a similar substitute accident insurance Policy from Company. Nomination: The Policy has provision of nomination, in absence of Individual declaring nomination at the time of proposal, then all benefits accrued under the Policy if any, shall be given to Individual legal heir/ dependants. Exclusions in Universal Sompo Personal Accident Insurance: Natural Death Consequential loss of any kind and/or legal liability Committing any breach of law with criminal intent Pregnancy including child birth, miscarriage, abortion or complication arising there from Participation in any Naval, military or air force operations HIV or related illness Venereal or sexually transmitted diseases Whilst under influence of intoxicating liquor or drugs Drug Addiction or alcoholism

Personal Accident Policy provides a person and his family mitigation against the financial consequences of unforeseeable accidents. This Policy provides benefits based on the nature of Injury sustained by the Insured Person in an accident during the policy period. Key Features of Individual Personal Accident Insurance Plan By Universal Sompo: The Company offers Discount as under for covering more than 2 family members More than 3 family members 10% More than 4 Family Members 12.50% More than 5 Family Members 15% Company provides a loyalty discount on the premium in respect of individual and family package covered

For Death Claim Duly filled up claim form Death Certificate Original FIR Original Panchnama Post mortem report For Permanent Total disablement/ Permanent Partial Disablement Duly filled up claims form Original FIR Hospitalization Report Hospital Discharge Card Original Certificate from Doctor of Govt. Hospital stating the degree of disability Termination letter for claim under-Loss of Employment For Temporary Total Disablement Duly filled up claim form Original FIR Hospitalization Report Hospital Discharge Card Universal Sompo Personal Accident Insurance Policy Eligibility Criteria: Minimum Age- 5-65 Years No Fresh Proposal beyond 75 Years No Maximum renewal age under the Policy Proposal needs to be aged 18 years or above

On accidental death or permanent total disablement of the insured, 100% of the capital sum insured shall be compensated. Individual Personal Accident Policy can be renewed for lifetime, except on grounds of fraud, false information, and less or no cooperation from the proposers end. Benefits of this policy also enumerate the cost for transportation of body to home, clothing damaged and permanent total disablement. The insured shall ak=lso be protected against the loss of employment as a consequence of Permanent Total Disability.