Group Insurance 251 views January 10, 2022

Care Group Secure Plan provides financial protection to your employees in case they meet with an accident. This is an personal accident insurance policy that pays a lump sum amount to the insured member or his/her nominee in case of disability or death. So, for the well-being of your employees, you can consider the Care Group Secure Plan. But before buying this plan from Care Insurance, let’s learn more about its benefits on this page below.

Care Group Secure Plan Benefits for the Insured Members

Under the Care Group Secure Plan, your employees will be protected financially against the following –

Payouts Upon Accidental Death

If any of the insured members die within twelve calendar months from the date of the accidental injury, the sum insured will be payable to their nominee.

How Much Will You Get In Case of Permanent Total Disablement (PTD)?

In case the insured person is totally disabled due to an accident and the same is confirmed by the treating doctor, the company will pay a percentage of the sum insured as shown in the table below.

Type of PTD% of the Payable Sum Insured
Total and irrecoverable loss of sight of both eyes, physical separation of two entire hands or two entire feet, one entire hand and one entire foot, loss of sight of one eye and physical separation of one entire hand or one entire foot100
Total and irrecoverable loss of use of two hands or two feet, one hand and one foot, or sight of one eye and use of one hand or one foot100
Total and irrecoverable loss of sight of one eye, or of the actual loss by physical separation of one entire hand or one entire foot50
Total and irrecoverable loss of use of a hand or a foot without any physical separation 50
Paraplegia or Quadriplegia or Hemiplegia100

As per the table above, any physical separation of a hand or foot means the removal of the hand at or above the wrist and of the foot or above the ankle. Hemiplegia means complete and irrecoverable paralysis of the arm, leg, and trunk on the same side of the body. And Paraplegia is irrecoverable paralysis of the whole lower half of the body (below waist) including both the legs; Quadriplegia is the irrecoverable paralysis of all four limbs.

Permanent Partial Disablement (PPD)

When an injury results in PPD due to an accident that has happened during the policy term, the insurance company shall pay a percentage of the sum insured as shown below.

Type of PPD% of the Payable Sum Insured
Total and irrecoverable loss of hearing in both ears or one ear75 or 30
Loss of toes -
All
Both phalanges of great toes bilateral
Both phalanges of one great toe
Both phalanges of other than great toe for each toe
Loss of toes -
20
5
2
1
Loss of four fingers and thumb of one hand 40
Loss of four fingers of one hand35
Loss of thumb both phalanges or one phalanx25 or 10
Loss of Index finger three phalanges, two phalanges or one phalanx10, 8, 4
Loss of middle finger three phalanges, two phalanges or one phalanx6, 4, 2
Loss of ring finger three phalanges, two phalanges or one phalanx5, 3, 2
Loss of little finger three phalanges, two phalanges or one phalanx4, 3, 2
Loss of metacarpus first or second 3
Loss of metacarpus third, fourth or fifth 2

Exclusions from Care Group Secure Plan

In case of the following, the insurance company won’t pay any benefit to the insured member or his/her nominee –

  • Pre-existing condition or its complications
  • An injury due to operating or learning to operate any aircraft, or performing duties as a member of the crew
  • Traveling in an aircraft other than as a fare-paying passenger
  • Any intentional self-inflicted Injury, suicide or attempted suicide, sexually transmitted conditions, mental or nervous disorders, insanity, the influence of drugs, alcohol beyond the medically permissible limit
  • War and warlike occurrences
  • Participation in an actual or attempted felony, riot, civil commotion or criminal misdemeanor
  • A complication of infection with (HIV) or any of its variants
  • If the insured is training for or participating in professional sport
  • Breach of law with criminal intent
  • Serving in any branch of the military, navy, air force or any branch of armed forces
  • Radioactive contamination, ionizing radiation, toxic, explosive or other hazardous properties of nuclear material
  • Working in underground mines, tunneling or explosives
  • Nuclear, chemical or biological attacks or weapons
  • Pregnancy or childbirth
  • Impairment of intellectual faculties by abuse of stimulants or depressants or by the illegal use of any solid, liquid or gaseous substance
  • Disease or infection except where such condition arises directly as a consequence of an accident during the cover period

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