Future Generali Personal Accident Insurance Plan

An accident can result in temporary disability, permanent disability, and even death. You may not be able to prevent yourself and your dear ones from accidents, but can be financially insured to deal with such situations if at all they happen. Future Generali Personal Accident Insurance Plan helps the individual to get financial aid during the unexpected accidental incidents. The plan covers your hospitalization and other expenses if you met with an accident. It is a beneficial health insurance plan for you and your family which covers you 24X7 worldwide. The Future Generali Personal Accident Insurance Plan is very flexible and the insured can add a spouse or children in the policy. Read this page below to know what the policy covers, exclude, and other critical information.

What is Covered in the Future Generali Personal Accident Insurance Plan?

In this personal accident insurance cover, you get financial assistance for the following –

1. Accidental Death
2. Permanent Disability
3. Loss of sight (one or both eye)
4. Physical separation of one or both hand or foot
5. Loss of ability to use hand or foot
6. Coma of specified severity due to injury or accident
7. Paralysis of limbs
8. Partial permanent disability of shoulder, elbow, wrist, thumb, index finger, up to the mid-thigh, above mid-thigh, ankle, toe, up to or beneath the knee and up to mid-calf.
9. Loss of hearing of one or both ears
10. Loss of the sense of smell and taste
11. Shortening of leg by at least 5%
12. Burns 18%, 27% and 45% of the body surface area
13. Temporary total disablement
14. Spinal Cord damage
15. Pelvis, skull, chest, shoulder, arm, leg, vertebra, wrist, ankle, coccyx, hand, finger, foot, toe, nasal bone and any other broken bone.

Excursions from the Future Generali Personal Accident Insurance Plan

1. Existing disablement before the policy inception
2. Injury or death due to suicide
3. Injury or death while serving in military or armed forces
4. Injury due to participation in the war, felony, riots, etc.
5. Disablement or injury because of exposure to nuclear and radioactive materials
6. Maternity expenses

Policy Period of Future Generali Personal Accident Insurance

The policy comes with a minimum term of 1 year which can be reduced to specific events as well. Future Generali Personal Accident Insurance Plan has a maximum term of 3 years. And if the policyholder wants to continue the cover, he/she should renew the policy 30 days prior to its expiry. You can renew the accidental cover for lifelong and add unmarried children from the age of 3 to 25 years and dependents. Individuals aged 18 to 70 years can buy Future Generali Personal Accident Insurance Plan.

What is the Sum Insured?

The sum insured is dependent on the individual monthly income which can be a maximum of up to 144 times the monthly income. A salaried or self-employed person is eligible for a sum insured up to 144 times of his/her monthly income as shown in the Salary Slip and Income Tax Return report. In this table below, you will know the sum assured based on the maximum multiplying factor on monthly income

1. Class 1: Accountants, Doctors, Lawyers, Architects, Consulting Engineers, Teachers, Bankers, Persons engaged in administrative functions
2. Class 2: Builders, Contractors, Sales executives, and Engineers engaged in superintending functions only. Veterinary Doctors paid drivers of motor cars and light motor vehicles. All persons engaged in manual labor, Cash Carrying Employees, Garage and Motor Mechanics, Machine Operators, Drivers of trucks or lorries and other heavy vehicles, Professional Athletes and Sportsmen, and Woodworking Machinists.
3. Class 3: Persons Working in underground mines, explosives, magazines, workers involved in electrical installation with high tension supply, Jockeys, Circus personnel, Persons engaged in activities like racing on wheels or horseback, big game hunting, mountaineering, winter sports, skiing, ice hockey, ballooning, hand gliding, river rafting, and polo.

The maximum sum insured for Temporary Total Disablement is restricted to INR 50,00,000 only for class 1 and INR 25,00,000 for class 2. Non-working spouses can claim the policy up to 50% of the sum insured, subject to a maximum of INR 10,00,000 with Temporary Total Disablement. Dependent children from 3 to 25 years of age can claim 25% of the policy sum insured up to INR 10,00,000 except for Temporary Total Disablement coverage.

Sum Insured for Individuals Aged Above 70 Years on Renewal

Note: If the insured aged 71-80 years doesn’t have any gainful income, the sum insured will be INR 5,00,000. The sum insured, however, will be INR 2,50,000 for the insured aged 80 years and above. You should know that Temporary Total Disablement is not covered for people aged above 70 years.

Additional Benefits on Your Future Generali Personal Accident Insurance Plan

Along with the covered benefits, Future Generali offers you the following additions such as –

1. Inbuilt Cover for Funeral and Repatriation up to 1% of the Sum Insured
2. Child Education Support
3. Life Support
4. Accidental Medical Expenses
5. Accidental Hospitalization Expenses up to INR 10,00,000
6. Hospital Cash Allowance up to 30 days
7. Loan Protector
8. Adaptation Allowance up to 10% of the Permanent Total Disablement Sum Insured
9. Family Transportation Allowance maximum 10% of the principal Sum Insured
10. Broken Bones
11. Road Ambulance Cover
12. Air Ambulance Cover
13. Adventure Sport Benefit up to 50% of the Sum Insured under Accidental Death Cover
14. Chauffeur Plan Benefit up to the total Sum Insured for a maximum of 30 days
15. Family Discount if more than one member is covered
16. Inbuilt Terrorism Cover if the insured is a victim of a terrorist act and not abetting terrorism

You can also get a discount on your Future Generali Personal Accident Insurance Plan if the policy term is more than one year. Check out the table below to know.

Free Look Period Concerning the Future Generali Personal Accident Insurance Plan

A free look period starts from the date of inception, during which the insured can return the policy if not satisfied with the terms and conditions. The benefit is not for those who buy Future Generali Personal Accident Insurance Plan for less than a year. If the insured doesn’t make any claim during the free look period, he/she is entitled to the following benefits.

1. Refund of your paid premiums except for the medical test and stamp duty charges which the insurer has been charged.
2. Where the risk is already commenced and the insured has returned the policy, he/she is eligible for a deduction on the proportionate risk premium for the covered period.
3. If only a part of the risk is commenced, the risk premium is corresponding to the risk covered during that period.

How to Make a Claim for the Future Generali Personal Accident Insurance Plan?

The policy claim is processed through the In-house Health Administrator, Future Generali Health (FGH) team. You can either submit the claim form online or at your nearest branch office, whichever suits you the best. It is mandatory for the insured to intimate the accident to Future Generali India Insurance Company Ltd. at their official email id fgh@futuregenrali.in.

The in-house claim settlement process team will process your claim within 30 working days from the time you submit the required documentation. The following list of documents is required for the claim:

Weekly Claims

1. Claim Form
2. Attending Doctors Report
3. Original Disability Certificate from the Doctor, if any
4. Fitness Certificate from the Doctor
5. Investigation and Lab Reports like X-Ray reports with films & other reports
6. Original Admission/Discharge Card, if hospitalized
7. Employers Leave Certificate with grade/designation

Death Claims

1. Claim Form
2. Attending Doctors Report
3. Original Death Certificate
4. Original / attested Post Mortem / Coroner’s Report
5. Attested copy of FIR / Panchnama
6. Police Inquest report, where applicable

Dismemberment / Disablement Claims

1. Claim Form
2. Attending Doctors Report
3. Original Disability Certificate from the Doctor, if any
4. Investigation and Lab Reports like X-Rays with films & other reports
5. Original Admission / Discharge Card, if hospitalized
6. Police Inquest report, where applicable
7. In the case of Permanent Total Disablement claims – Disability Certificate from Govt. Registered Medical Practitioners

Accidental Medical Expenses Claims

1. Original Hospital Discharge Card
2. Original Final Hospital Bill along with a break-up
3. Cash-memos for the medicines along with supporting prescriptions.
4. Investigation Bills and payment receipts for the same.
5. Other documents would be the same as mentioned under Weekly Benefit OR Death OR Dismemberment / Disablement Claims (As per the applicable case).

Loan Protector Claims

Documents of the loan which the insured has availed from the financial institution or bank with the EMI per month and the balance amount of the loan should be submitted. The said documents should be authorized by the respective financial institution or bank from which the insured has availed the loan. Other documents would be the same as mentioned under Death or Dismemberment/Disablement Claims (As per the applicable case).

Repatriation Benefit and Funeral Expense Claims

Original Cash-memos of expenses incurred for preparing the insured person’s burial or cremation, including the transportation of the body. Documents stating the place of residence of the insured covered under the policy, such as a copy of electricity bill, telephone bill, etc.

Adaptation Allowance Claims

Original Cash-memos of the expenses incurred by the insured to modify his/her vehicle or house as necessitated due to Permanent Total Disability, which resulted from an accident covered under the policy. A certificate from the attending doctor certifying the necessity for modification in a house or car will also be required.

Family Transportation Allowance Claims

A certificate should be issued by the attending doctor confirming the attendance of the insured by an immediate family member due to an accident. The documents also include original bills incurred by the immediate family member for transportation with documents stating the residence of the insured such as a copy of the electricity bill, telephone bill, etc.