UAE EXCHANGE FINANCIAL SERVICES LTD. PERSONAL
ACCIDENT INSURANCE
Personal Accident Insurance Cover
Introduction
Policy Issuing Office : Cochin
Policy Number : OG-09-1602-9902-00000000
Product : Group Personal Accident
Period Of Insurance From 00:00 20/07/2008 To 19/07/2009
Insured Name : UAE Exchange Financial Services Limited
WHO CAN BUY THIS POLICY
Basic Eligibility
Should be a Customer of UAE
Exchange Financial Services Limited
Age Band Eligibility
Any person in the age category 18
years to 65 years
Nationality
Should be a citizen of India living in
India
COVERAGE – SUMMARY OF THE POLICY COVERAGE
The benefits of the policy
Accidental Death
Accidental Permanent Total Disability
Accidental Permanent Partial Disability
DEFINITION OF TERMS
Permanent Total Disability - Doctor certified total, continuous and permanent:
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Loss of the sight of both eyes.
Physical separation of or the loss of ability to use both hands or both feet.
Physical separation of or the loss of ability to use one hand and one foot.
Loss of sight of one eye and the physical separation of or the loss of ability to
use either one hand or one foot.
Permanent Partial Disability - Doctor certified total and continuous loss or
impairment of a body part or sensory organ specified.
BENEFITS PAID UNDER THE POLICY
In Case of
Amount Payable
Accidental Death
100% of Sum Insured
Permanent Total Disability
100% of Sum Insured
Permanent Partial Disability
Applicable Percentage of Sum
Insured Depending on Nature of
Disability.
BENEFITS PAID FOR PERMANENT PARTIAL DISABILITY
EXCLUSIONS
Accidental bodily injury:
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Through suicide, attempted suicide or self inflicted injury or illness.
While under influence of liquor or drugs.
Through deliberate or intentional, unlawful or criminal act, error, or omission.
Aviation or ballooning.
Participating as the driver, co-driver or passenger of a motor vehicle during motor racing or trial
runs.
Result of curative treatments or interventions carried out.
Participation in any naval, military or air force operations whether in the form of military exercises
or actual war.
Your consequential losses of any kind or your actual or alleged legal liability.
Venereal or sexually transmitted diseases.
HIV (Human Immunodeficiency Virus)
Pregnancy, resulting childbirth, miscarriage, abortion, or complications arising out of any of these.
War (Whether declared or not)
Nuclear energy, radiation
PREMIUM
Sum Insured(Rs)
Premium
Inclusive of Service Tax
50,000
As applicable
PROCESS
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Master policy issued in name of UAE Exchange Financial Services Limited
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Customers of UAE Exchange Financial services Ltd. can avail coverage by
remitting premium through any of their branch counters across India
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An individual certificate will be issued by UAE Exchange Financial Services Ltd
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The total premium collected will be remitted to Bajaj Allianz General Insurance
Company by end of day at or before 6 PM along with the list of customers who
have opted the coverage, Date of birth, Gender and Residential address
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Policy coverage will incept from subsequent day 00:00 Hrs of date of receipt of
aforementioned consolidated list from UAE Exchange Financial Services Ltd
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In case, no list is received by end of a day, it will be inferred no customer has
opted for insurance coverage for the day
PROCESS
Customer walks in at any UAE Exchange Counter
across India
Remits premium at Counter
Individual policy certificate issued
UAE Exchange forwards a consolidated detailed list (Excel sheet ) of all
customers across India who have opted Insurance along with remittance of
total applicable premium in cheque by end of day on or before 6 PM
Policy coverage incepts from subsequent day 00:00 Hrs of receipt of
aforementioned list from UAE Exchange Financial Services Ltd
Claims Procedure
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Claims can be intimated at our office 04844456677/51/52 or addressed to Bajaj Alianz
General Insurance Co, III Floor, Finance
Towers, Kaloor, Cochin 682017
Call center executive will explain the claims
procedure and documents to be submitted.
The claim form along-with a self-addressed
envelope will be sent to the claimant to
facilitate the submission of the documents.
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All queries of subscribers relating to coverage,
procedures and claims may be addressed to 04844456677/51/52
List of pending documents (if any) will be intimated to
the claimant within 7 days of receipt of original claim
documents.
Settlement of claim within 14 working days of receipt of
all relevant documents
A centralized claims settlement system.
Documents required for Death claims
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Duly Filled Claim Form
FIR
Postmortem Report
Death Certificate
Proof of legal heir /succession certificate
Original receipt copy confirming insurance
coverage
Documents required for Permanent Total
Disablement Claims
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Duly Filled Claim Form
Disablement Certificate issued by a
Government Hospital
Full photograph showing disability clearly,
attested by the Government Doctor
mentioning the name of the patient
Original receipt copy confirming insurance
coverage
Copy of hospitalization documents