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Personal Accident

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Personal Accident





Accident can happen anytime and anywhere. When a serious accident occurs, it not only causes pain and sufferings; it can be a major financial burden too.

BERJAYA SOMPO INSURANCE BERHAD has designed the following various personal accident products to cater all your needs.

Individual P.A. Insurance   Family P.A. Insurance
Ultima V2 P.A. Insurance   Easy Rider P.A. Insurance
Traveller's P.A. Insurance    


Individual P.A. Insurance

This is a flexible PA product where you can pick and choose your own coverage that will most meet your needs.

Wide Cover which includes the following free of charge :
Disappearance
Motor-cycling
Food poisoning
Murder and assault
All natural disasters
Riot strike and civil commotion
Most games and sports (as an amateur only)
Hijacking not arising from war-like action
Drowning, suffocation by smoke or poisonous fumes
Exposure to the elements as a result of an accident
Insect and animal bites which cause immediate death or injury
Intoxication (except drunken driver as governed under the law)
24 hours worldwide protection
Burial or Cremation Expenses of RM2,000/-
Loss of use of limbs is treated as loss of limbs
Service Tax on Medical Expenses incurred is payable
Repatriation Expenses up to RM5,000/- in the event of death
Flying as fare-paying passenger on board licensed passenger carrying aircraft
Definition of accident does NOT include the words "violent external and visible"
Reimbursement for Traditional Treatment of RM25/- per visit subject to maximum RM250/- per accident
Automatic Increase of RM500/- in Medical Expenses in the event of Life Insured being hospitalised
Death and Permanent Disablement Benefit is payable over and above weekly benefits, medical expenses or hospital income
Hospitalisation Allowance of RM500/- per accident payable to Insured for hospital confinement exceeding 14 days when weekly benefits is covered

Coverage

Section Benefit Amount of Coverage
A\B Accidental Death/
Permanent Disablement
Flexible
C1 Temporary Total
Disablement (TTD) per week
0.2% of the sum insured for Accidental Death / Permanent Disablement and up to a maximum of RM1000 per week whichever is lower
C2 Temporary Partial Disablement
(TPD) per week
50% of TTD
D Medical Expenses Flexible
(In multiple of RM1,000 up to maximum of RM5,000)
E Hospital Income per week Flexible
(In multiple of RM100 up to maximum of RM500)


Benefits

BENEFIT A - DEATH
In the event of Accidental Death occurring within 12 calendar months from the date of injury, the sum insured is payable.
 
BENEFIT B - PERMANENT DISABLEMENT
In the event of Accidental Permanent Disablement occurring within 12 calendar months from the date of injury, the sum insured or a percentage of the sum insured is payable.

Click here to view PD Scale
 
BENEFIT C1 - TEMPORARY TOTAL DISABLEMENT
In the event the Life Insured is totally disabled and is unable to engage in or attend to his usual occupation, a specified weekly is payable for such period of temporary total disablement.
 
BENEFIT C2 - TEMPORARY PARTIAL DISABLEMENT
In the event the Life Insured is partially disabled and is unable to engage in or attend to a substantial part of usual occupation, a specified weekly benefit of 50% of the amount specified in Benefit C1 is payable for such period of temporary partial disablement.
 
BENEFIT D - MEDICAL EXPENSES
In the event the Life Insured requires medical treatment for injuries resulting from accident, and provided such treatment is received from qualified medical practitioner, such medical and surgical expenses necessarily and reasonable incurred are payable.
 
BENEFIT E - HOSPITAL INCOME
In the event the Life Insured requires hospitalisation in a registered hospital or government hospital as a result of accidental bodily injury, a specified weekly income is payable for such period of hospitalisation.

Classification Of Occupations

CLASS 1
Professions and occupations involving non-manual, administrative or clerical work, solely in offices or similar non-hazardous places.
 
CLASS 2
Professions and occupations involving work of a supervisory nature or traveling outside office for purposes but not engaging in manual work.
 
CLASS 3
Professions and occupations involving manual work and/or the use of tools or machinery.

Click here to view List of Occupations
 

Age limit at Entry: From 16 to 60 years

General Exclusions


The policy does not cover war risks, existing physical or mental defect, suicide, self-injury, pregnancy or child-birth, hernia, HIV bacterial or viral infections, any disease or sickness, participation in a criminal act, professional sports, racing of any kind (other than on foot), caving, parachuting, hang gliding, hunting, mountaineering requiring ropes or guides, water-ski jumping, underwater activities involving the use of breathing apparatus.

This brochure is not a contract of insurance. The descriptions of the available cover are only a brief summary for quick and easy reference. The precise terms and conditions that apply are stated in the policy.

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