• National Insurance Individual Personal Accident Policy

    Health Insurance
    • Premiums as low as Rs12/day for coverage of Rs.4 Lakhs*
    • 10,000+ hospitals for cashless treatment
    • Claim up to Rs. 55,000 deduction under section 80D**

    National Insurance is one of the top state-owned insurance companies operating in India. The company offers a range of insurance products in multiple categories including health insurance, motor insurance, personal insurance, etc. Individual Personal Accident Policy is a personal insurance cover offered by National Insurance. This is a cover that helps people financially secure themselves against unforeseen eventualities resulting from an accident. Though this does not compensate for the medical expenses incurred, it provides a lump sum compensation against the death or disability of the insured.

    Eligibility for National Insurance Individual Personal Accident Policy

    People who wish to subscribe for the National Insurance Individual Personal Accident Policy must fit within the following eligibility criteria.

    • Proposers of the policy must be above 18 years of age and must be residing in India.
    • Anyone between the ages of 5 years and 70 years can avail this cover.
    • Proposers can nominate themselves or their dependent family members for this policy cover.

    Features of National Insurance Individual Personal Accident Policy

    Some of the key features of National Insurance Individual Personal Accident Policy can be listed as follows.

    • This cover offers protection against death or disability arising out of an accident.
    • It covers all types of accidents ranging from road accidents, rail accidents, natural calamities, and accidents arising out of terrorist acts.
    • There is no health checkup required for enrolling in this cover.
    • This policy is applicable all over the world, and it is active 24x7.
    • It is possible to enroll the whole family in this cover with a premium discount of 10%.
    • Group policies are also available in this cover for specific groups. The company can be contacted directly to know more about group covers.
    • A grace period of 30 days is available after the expiry of the policy to renew this policy. However, coverage will not be provided during the period for which no premium is paid.

    Benefits of National Insurance Individual Personal Accident Policy

    National Insurance Individual Personal Accident Policy offers a range of benefits for its policyholders. Some of the key benefits are given in the following table.

    Accidental death 100% sum insured for any accident resulting in the death of the insured within 12 months from the date of injury
    Permanent total disability 100% sum insured for any accident resulting in the permanent total disability of the insured within 12 months from the date of injury
    Permanent partial disability Compensation mentioned in the policy document for accidents resulting in permanent partial disability of the insured within 12 months from the date of injury
    Temporary total disability Weekly compensation of 1% of the sum insured (not exceeding Rs.5,000) for a maximum period of 104 weeks
    Funeral expenses Up to 2% of the sum insured or Rs.1,000 (whichever is less) for the transportation of the dead body of insured
    Education fund (against death or permanent total disability of the insured) For one child - up to 10% of the sum insured subject to a maximum of Rs.5,000 For two children - up to 10% of the sum insured subject to a maximum of Rs.10,000
    Cumulative bonus Up to 5% available for every claim-free year subject to a maximum of 50%
    Available add-on covers Coverage for hospitalisation expenses and daily cash allowance

    Exclusions of National Insurance Individual Personal Accident Policy

    National Insurance Individual Personal Accident Policy comes with a set of exclusions for which the insurer is not liable to provide any coverage. Some of the key exclusions of the policy can be listed as follows.

    • Intentional self-injuries, suicide, or attempt to suicide
    • Injuries caused while under the influence of drugs or alcohol
    • Any types of venereal diseases, HIV, AIDS, etc.
    • Injuries occurring due to insanity
    • Expenses related to pregnancy and childbirth
    • Injuries caused during breach of law or other illegal activities
    • Injuries or death caused while the insured is engaged in aviation
    • Any injuries arising out of war or warlike activities
    • Injuries caused by nuclear weapons or radioactivity
    • Injuries caused during activities like racing, hunting, mountaineering, winter sports, skiing, ice hockey, etc.

    Claim Procedure

    Upon the occurrence of an event that may give rise to a claim, the insurer must be notified immediately. For death and permanent total disability, the insurer must be notified within one calendar month following the occurrence of the event. The insurer may ask for certain documents and proofs before the claim can be processed. Some of the documents required include:

    • Original death certificate
    • Coroner’s report or post mortem report
    • Report from the attending doctor
    • Police FIR or panchnama
    • Disability certificate issued by the doctor
    • Diagnostic reports from the hospital
    • Policy enquiry report
    • Any other documents requested by the company

    Once these documents are submitted to the insurer or third-party administrator, the claim process will be initiated by the company. The company will verify the validity of these documents before providing the settlement amount to the insured or dependents. Following the verification of these documents, National Insurance will provide the settlement amount within 30 days. In case of rejection of the claim for any reason, the company will communicate the information to the concerned person within 30 days along with the reason for rejection.

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