Insurance Plans India 455 views August 9, 2021

Saral Suraksha Bima is a standard personal accident insurance policy that all insurers offer to customers. Mandated by the Insurance Regulatory and Development Authority of India (IRDAI), this universal plan provides financial protection to individuals if they die or face disability due to an accident. The policy also provides education grants to dependent children.

You should check the key features of the plan mentioned below to get an overview. 

  1. Accidental Death Cover
  2. Policy term of One Year with Lifelong Renewability
  3. Permanent Total/Partial Disablement Cover
  4. Education Grant Cover
  5. Accidental Hospitalization Expenses Cover
  6. Ambulance Charges Cover
  7. Coverage Against Day Care Treatment 
  8. A Free Look of 15 days

Continue reading this page to understand these features in detail. Let’s start to learn more.

Let’s Discuss the Coverage Benefits of Saral Suraksha Bima in Detail

We have discussed the base and optional covers of Saral Suraksha Bima in detail below.

Base Covers

Saral Suraksha Bima provides the following base covers to all the insured persons under the policy.

Death Benefit

If a policyholder dies during the policy period due to bodily injuries sustained in an accident, the policy will pay a death benefit equal to 100% of the sum insured. The death should happen within 12 months from the date of the accident

Note: If the insurer has made claim payment due to the disappearance of the insured person after an accident and it is found that the insured person has survived, the policyholder will need to refund the claim amount.

Permanent Total Disablement

If an insured person suffers permanent total disability due to an accident (during the policy term), the insurer will pay up to 100% of the sum insured. Also, the permanent total disablement should occur within 12 months from the date of the accident. Have a look at the different types of permanent total disablement mentioned below.

  1. Loss of sight of both the eyes
  2. Loss of two entire hands or two entire feet
  3. Loss of one entire hand and one entire foot
  4. Loss of sight of one eye and such loss of one entire foot or hand
  5. Complete loss of hearing of both ears and complete loss of speech
  6. If the injury permanently disables the insured person from engaging in any employment or occupation

Permanent Partial Disablement

If an insured person faces an accident during the policy period and that causes a permanent partial disablement, Saral Suraksha Bima will provide a fixed percentage of the sum insured as per the below table.

Losses CoveredPercentage of Sum Insured
Loss of one entire hand50
Loss of one entire foot50
Loss of use of one eye50
All Toes20
Great Toes - both phalanges5
Great - One phalanx2
Other than the great toe, if more than one toe is lost, each1
Loss of hearing in both ears50
Loss of hearing in one ear20
Loss of four fingers and thumb of one hand40
Loss of four fingers35
Loss of thumb - Both phalanges25
One phalanx10
Loss of Index finger - Three phalanges10
Two phalanges8
One Phalanx4
Loss of Middle finger - Three phalanges6
Two Phalanges4
One Phalanx2
Loss of ring finger - Three phalanges5
Two Phalanges4
One Phalanx2
Loss of little finger - Three phalanges4
Two Phalanges3
One Phalanx2
Loss of metacarpus - first or second (additional)3
Sense of Smell1
Sense of Taste5
Any Other Permanent Partial DisablementAs assessed by the panel doctor of the insurer

Optional Covers

Saral Suraksha Bima also offers the following optional covers that policyholders can choose by paying an additional premium.

Temporary Total Disablement

If an individual faces temporary total disability due to an accident, the policy will pay 0.2% of the base sum insured per week for up to 100 weeks. This benefit amount will be over and above your actual sum insured.

Hospitalization Expenses Due to Accident

The policy will also cover the following hospitalization expenses incurred due to an accident, up to 10% of the base sum insured.

  1. Room, Boarding and Nursing
  2. Fees of Surgeon, Anaesthetist, Medical Practitioner, Consultants or Specialist
  3. Anesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines & drugs, etc.
  4. Intensive Care Unit (ICU) / Intensive Cardiac Care Unit (ICCU)
  5. The Cost of prosthetic and other devices or equipment (If implanted internally during a surgical procedure)
  6. Expenses incurred on hospitalization due to accident, under AYUSH

Besides, policyholders will also get coverage against the expenses incurred on day care treatments, plastic surgery and dental treatments.

Road Ambulance Charges

The policy will also cover the road ambulance charges up to INR 2,000 per hospitalization.

Education Grant

The plan will offer an education grant of 10% of the basic sum insured per child to all dependent children if an insured person dies or faces permanent total disability. To get this benefit, children should not be more than 25 years and pursuing an education course as a full-time student in an educational institution.

Saral Suraksha Bima Eligibility Criteria

Have a look at the conditions related to the plan mentioned below.

  1. The entry age for insured members ranges from 18 to 70 years.
  2. For dependent children, the entry age ranges from 3 months to 25 years.

What is Not Covered Under the Plan?

The insurer will not cover policyholders in the following situations.

  1. Any claim for death or disablement due to war, warlike occurrence, acts of foreign enemies, rebellion, etc.
  2. Intentional self-injury or suicide or attempted suicide
  3. Under the influence of intoxicating liquor or drugs
  4. Participating in aviation or ballooning
  5. Participation as a professional in hazardous or adventure sports (para-jumping, rock climbing, rafting, etc.)
  6. Nuclear weapons material
  7. Chemical, nuclear or biological terrorism

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