Policy Benefits of Personal Accident

Sr.
Causes % of Sum
No
Assured

1 Death 100

100
2 Total Permanent Disability

100
3 Loss of both arms

100
4 Loss of both legs

100
5 Total loss of vision in both eyes

50
6 Loss of one arm

50
7 Loss of one leg

50
8 Total loss of vision in one eye

50
9 Disfiguration of face and scalp

10 Total hearing loss in both ears 50

11 Broken back bone 50

12 Broken neck bone 50

13 37.5
Loss of hand from wrist and loss of foot from ankle

14 Physical loss of both ears 30

15 Broken arms 30
16 Broken legs 30

17 Broken hips bones 30

18 Broken skull 25

19 Ischial fracture 25

20 Total hearing loss in one ear 25

21 Abdominal operation 25

22 Injury to kidney 25

23 Injury to male organ 25

24 Repair of urinary bladder injury 25

25 Splenic injury 25

26 Injury to uterus 25

27 Injury to spleen 20

28 Broken shoulder bone or collar bone 20

29 Physical loss of one ear 15

30 Broken arm 15

31 Broken leg 15

32 Broken temple 15

33 Broken jaw 15

34 Broken eye socket 15

35 Broken cheek bone 15

36 Broken fore head 15

37 Broken inner ear bone 15

38 Broken foot or ankle 15

39 Broken ankle 15

40 Broken heel bone 15

41 Broken pelvic bone 15

42 Broken hip bone 15

43 Coccygeal fracture 15

44 Broken knee cap 15

45 Injury to one eye 15

၁ ၅
46 Non serious bodily injury not otherwise listed 1 to 5

47 Injury to female organ 15

48 Grast 15

49 Temporary partial loss of hearing due to injury of one ear 12.5

50 Broken shoulder blade 10

51 Loss of thumb 10

52 Broken nose 10

53 Split gum 10

54 Broken rib 10

55 Injury to one ear 10

56 Leg alignment disability 10

57 Publis dislocation 10

58 Stisness of joint 10

59 Loss of big toe 9

60 Loss of index finger 9

61 Loss of any middle/ little fingers 7.5

62 Loss of any remaining toes 7.5

63 Broken hand bone 5

64 Broken foot bone 5

65 Broken thumb 5

66 Broken big toe 5

67 Breakage of any remaining fingers 3

68 Breakage of any remaining toes 3

69 Loss of one tooth 2.5

70 The weekly hospitalization benefit for an injury is 3% of the sum insured and a maximum of 15% sum
insured for any one claim.

71 The weekly benefit for loss of earning due to injury is 3% of the sum insured and a maximum of 15%
sum insured for any one claim.