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Health insurance

HEALTH GUARD -COVERS ALL MEDICAL EXPENSES ON HOSPITALISATION It is rightly said Health is Wealth. We are all aware that health care costs are high and getting higher. At times, unfortunately we fall prey to unanticipated accidents & illness. Bajaj Allianz promises to stand by you during those difficult times of physical and mental stress. Our Health Guard policy takes care of your hospitalization expenses & also offers a wide coverage of pre & post hospitalization expenses. We are the first company to provide the higher coverage of SI 10 lacs.

Features

The member has cashless facility at over 2400 hospitals across India The member can opt for hospitals besides the empanelled ones, in which the expenses incurred by him shall be reimbursed within 14 working days from submission of all documents. Pre and post - hospitalization expenses covers relevant medical expenses incurred 60 days prior to and 90 days after hospitalization. Cumulative bonus of 5 % is added to your sum assured for every claim free year. Family discount of 10 % is applicable. Covers ambulance charges in an emergency subject to limit of Rs. 1000 /No tests required up to 45 years up to SI 10 lacs* 10% co- payment applicable if treatment taken in non-network hospitals. Waiver of copayment is available on payment of additional premium Pre-existing diseases covered after 4 years continuous renewal with Bajaj Allianz

Benefits

In house Health Administration Team for hospitalisation claims to lower turn around time Access to over 2400 hospitals all over India for cashless facility. No Sub-limits applicable on room rent and other expenses. Hassle-free claim settlement due to In-house claim administration. Income tax benefit on the premium paid as per section 80-D of Income Tax Act as per existing IT law. Health Check up for maximum amount of Rs. 1000 /- at the end of continuous four claim free years Family discount of 10% is applicable

Coverage

10 lacs coverage available from 3 months up to 55 years* Policy can be renewed up to 70 years* In built E-opinion cover for SI 5 lacs & above.

HOSPITAL CASH - COVERS NON-MEDICAL EXPENSES DURING HOSPITALISATION With a Hospital Cash policy from Bajaj Allianz you and your family can now breathe a sigh of relief! As this is a benefit policy which covers the incidental expenses incurred during the Hospitalization period. In the event of hospitalization this policy provides a cash allowance of Rs 500-2500 for each day of hospitalization.

Features

The policy pays a daily allowance as a fixed benefit on hospitalisation The Policy can be taken along with any other health insurance policies. The allowance is doubled in case of ICU admission (for maximum 7 days) Photocopy of discharge card, along with copies of reports, bills and prescriptions required for claims processing. The policy can be taken along with any other health insurance policies It is a unique policy covering incidentals or miscellaneous expenses incase of hospitalisation.

Benefits

Covers miscellaneous expenses incurred during hospitalization. Comprehensive coverage with nominal premium. Premium amount upto Rs.15000/- p.a. is eligible for tax exemption under section 80-D of Income Tax Act as per existing IT law. Dependent spouse and children can be also covered under this policy. 5% family discount is applicable if cover taken for family

Coverage

SI available from 500-2500. Cover available for 30days & 60 days

Travel insurance
Travel Companion

Traveling Overseas ? Whether you travel for business or pleasure, international travel involves risk. Medical treatment abroad can be expensive & one never knows, when one would require it. Having to spend for medical bills in foreign currency can be an expensive proposition. There are other difficult situations also, that one might face like loss of passport or baggage. Bajaj Allianz's Travel companion is specially designed to help you deal with situations while overseas travel.

Features

Covers medical expenses and repatriation Covers for any delay or loss in baggage

Provides student package for students traveling abroad for abroad for studies Family floater available

Benefits

Spend for medical bills in foreign currency Takes care of sudden and unforeseen expenditure Takes care of expenditures in foreign land away from home Convenient and hassle free trip for the family

Advantages

Provides financial support outside the country Can take care of any emergency purchases in case of loss / delay in baggage Covers for accident of sponsor travel of family visit in case of hospitalization of insured. Entire family can be covered under one policy

Student Companion What does this Policy cover? This Policy consists of the following sections:

Personal Accident -covering death and permanent disablement Medical Expenses and repatriation - covering hospitalisation expenses arising out of illness/sickness and also repatriation expenses for sending mortal remains to India Loss of checked baggage - covering total loss of baggage checked by an international airline Tuition Fee - In the event of the insured unable to continue the school semester due to any of the following reasons arising during the policy period, the Company shall reimburse the tuition fee paid in advance for the current semester, subject to maximum the limit shown in the schedule: A. Serious medical condition of the insured requiring hospitalization covered under the policy B. Death or serious injury requiring hospitalization of either of the parents of the insured Accident To Sponsor -In the event of the sponsor named in the schedule meets with an accident during the policy period, which results in his death or permanent total disability during the policy period, the Company shall reimburse the remaining school fee subject to maximum the limit shown in the schedule. Family Visit-In the event of the insured become hospitalized as a result of an accidental injury or sickness covered under the policy and the attending physician advises the necessary attendance of a Family Member of the Insured, the Company will reimburse the actual cost of economy class transportation by the most direct route via a common carrier subject to maximum the sum insured. For this purpose, family member shall mean spouse, parent, sibling and in laws of the insured. Personal Liability - covering legal liability attaching in a private capacity during the course of overseas travel. This coverage is also subject to the exclusions of Personal Accident and Medical Expenses

sections of the policy.

Following are the Plans- All Coverage's in USD Coverage Family Visit Loss Of Baggage Medical Expenses Personal Acciden Personal Liabili Accident to Spon Tuition Fee Standard USD 7500 USD 1000 USD 50000 USD 50000 USD 100000 USD 10000 USD 10000 Silver USD 7500 USD 1000 Gold USD 7500 USD 1000 Deductibles NIL USD 100

USD 100000 USD 200000 USD 100 USD 50000 USD 50000 NIL

USD 100000 USD 100000 USD 200 USD 10000 USD 10000 USD 10000 USD 10000 NIL NIL

Swades Yatra Travelling has become very frequent be it for business or leisure.The risk of accidents increase due to freqency of travel.Any accident would affect your finances either due to medical expenses incurred or loss of income to the family due to unfortunate circumstances like death or disability. Swades Yatra is a comprehensive package policy for domestic travellers which provides complete personal accident benefit cover including hospitalisation expenses as a result of accident.

Features

Covers Personal Accident including hospitalisation as a result of accident Medical evacuation & repatriation Accidental Hospital cash benefit Personal liablity benefit Accomodation charges at hotels due to trip dealy of rail/air journey Loss of ticket of rail/air Family transportation incase of visit to hospital Replacement of staff for business trip only Missed departure for air/rail

Benefits

Takes care of any emergency purchases in case of loss of ticket Covers for accident of sponsor travel of family visit in case of hospitalization of insured

Advantages

Provides financial support 24 x 7 assistance Inhouse Claims team to lower turn around time

Corporate insurance
Office Package - All office related risks under one policy
There are huge investments made when it comes to business. Investments are made for office premises, equipment's, human resources and other infrastructural facilities. Bajaj Allianz General Insurance offers the Office Package Policy ,which helps you share your financial burden should you face heavy losses.

Features

Policy covers building (if owned) and contents against fire and allied perils and burglary Covers breakdown of office equipment, including electronic equipment and laptops Fidelity Guarantee gives protection from being victimized by fraudulent and dishonest employees Public liability can also be covered Hospital Cash Daily Allowance benefit for family in case the insured is hospitalized Flexible rating for personal accident

Advantages

All the insurance requirements are addressed by a single policy Less time spent in fulfilling procedural requirement One stop shop / solution for the clients business related needs Takes care of the ailments leading to hospitalization Tailor-made as per client's needs.

Standard Fire and Special Perils Policy


Scope of Cover

This policy operates in the event of damage to the premises of an insured due to any peril insured under the Standard Fire & Special Perils Policy, causing an interruption to his business. It enables the insured to recover His Loss of Gross Profit due to a reduction in turnover Increased Cost of Working incurred in minimising that loss of Gross Profit
Definitions

Gross Profit is the sum of Net Profit and Insured Standing Charges. Net Profit is the 'Net Trading Profit' excluding capital receipts, accretions and outlay chargeable to capital after making provisions for all standing charges but prior to deduction of tax. Standing Charges are expenses which do not diminish proportionately with a reduction in turnover. Indemnity Period commences with the date of the damage, and lasts till such time as the business is restored to its pre-damage level, or the period stipulated in the policy, whichever is earlier. This policy insures earnings of the business lost during the Indemnity Period.
Basis of Sum Insured

This is based on the annual net profit of the business as per the previous year's accounts plus the 'standing charges'. An Insured is entitled to return of premium (not exceeding 50% of the premium paid) in case the Gross Profit earned during the financial year concurrent with the period of insurance is less than the Sum Insured.
Rating

The Basis Rate shall be the Average Fire Rate of the items covering the contents of the process blocks of the business premises occupied by the insured. Extensions

1. 2. 3. 4. 5.

Wages Lay - Off and Retrenchment Compensation and Notice Wages Liability Auditor's Fees Supplier's Extension Customer's Extension Insured's Property stored at other locations Public Utilities Extension

Exclusions

1. Same as excluded in the Standard Fire and Special Perils Policy

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Money Insurance
This Money insurance policy covers

Loss of money in transit caused by robbery, theft, or any fortuitous event. Loss of money from the insured's premises during business hours caused by theft or robbery Loss of money from the insured's safe or strong room caused by theft or robbery.

The term money includes cash, bank drafts, currency notes, treasury notes, postal orders, money orders and postage stamps. The loss of money in transit must occur whilst being carried by the insured or his authorized employee, that is, the employees named in the schedule. Extensions

The policy can be extended to cover the following risks: Unnamed employees: The operative clause of the policy refers to employees named in the schedule. Often large corporations seek money insurance to cover unnamed employees. The policy can be extended to cover unnamed employees at an extra premium. Carriage of cash by contractor's employees: Often, corporations contract out the task of cash carriage. The policy can be issued to include carriage of cash by contractors' employees. Policies can be issued to cover only contractor's employees provided all cash carriage is contracted out.

Exclusions

The Policy does not cover loss or damage arising from Any consequential losses of any kind Loss arising out of the infidelity of the insured or employees Loss of money from the insured premises where the money is not kept in a safe or strong room after business hours money carried under a contract of affreightment Loss of money from an unattended vehicle Loss in any way contributed to by the insured Loss caused by AOG perils

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Your employees
Group Personal Accident : : This group Personal Accident Insurance covers
Death

We will pay the sum insured stated in the Schedule if death of the Insured or the insured person occurs within 12 calendar months due to an accident occurring during the policy period .

Permanent Total Disablement

We will pay up to 125 % of the total sum insured if the Insured or the insured person is injured due to an accident occurring during the period of insurance and within 12 calendar months of its happening, the Injury becomes the sole cause of permanent total disablement.
Permanent Partial Disablement

We will pay a proportion of the sum insured according to the scale of benefits if the Insured or the insured person is injured due to an accident occurring during the policy period and within 12 calendar months of its happening, the Injury becomes the sole cause of a permanent partial disablement.
Temporary Total Disablement

We will pay a weekly benefit as stated in the Schedule if the Insured or the insured person is injured due to an accident occurring during the period of insurance and within 12 calendar months of its happening, the Injury results in the Insured or insured person being totally unable to attend his occupation as stated in the Schedule.
Children Education Bonus

In case of Death or Permanent Total Disability of Insured or the insured person we will pay an additional amount to the Insured's or the insured person's children to support their education. Additional Benefits Medical Expenses We will pay a percentage of the admitted claim under other specified coverage towards the actual medical expenses necessarily and reasonably incurred for medical treatment within 100 weeks of its happening if the Insured or the insured person suffers injury during the period of insurance and provided such treatment is received from a qualified and registered medical practitioner.
Hospital Confinement Allowance

In the event of the Insured or the insured person being confined in hospital for treatment of injury for which compensation is payable under this policy, a daily benefit is paid for such period of confinement subject to a maximum period of 30 days Classification of occupation Risk Class 1: You are mainly engaged in administrative or managing functions, Accountant, Doctor, Lawyer, Architect, Consulting Engineer, Teacher, Banker or primarily engaged in a similar occupation
Risk Class II:

You are engaged in manual labour, garage or motor mechanic, machine operator, paid driver of a car, a truck, a lorry or other heavy vehicles, cash carrying employee, woodworking machinist, or you are a Builder, Contractor, Engineer superintending functions, veterinary doctor, or engaged in a similar occupation.
Risk Class III:

You are working in underground mines, in explosive magazines or in electrical installations with high tension supply, or you are a Jockey, Circus personnel, engaged in racing wheels or horseback, big game hunting, mountaineering, winter sports, skiing, ice-hockey, river rafting, polo or in a similar activity or occupation. If your personal occupation is not mentioned above, please do not hesitate to ask for specific information.

Special notes:

The Policy can be issued to persons aged between 18 and 65. In case of children, they need to be aged between 5 and 19 to become eligible for coverage. The total sum insured is normally restricted to 70 times of Insured's monthly average earnings. The minimum premium is Rs.500 Scale of Benefits
Benefits Compensation as % of the Sum Insured

Death Loss of sight on both eyes Loss of both hands Loss of both feet Loss of one hand and one foot Loss of one eye and one hand Loss of one eye and one foot Other total permanent disablement An arm at the shoulder joint An arm above the elbow joint An arm beneath the elbow joint A hand at the wrist A thumb An index finger Any other finger A leg above mid-thigh A leg up to mid-thigh A leg up to beneath the knee A leg up to mid-calf A foot at the ankle A large toe Any other toe An eye Hearing on one ear Hearing on both ears Sense of smell Sense of taste

100 125 125 125 125 125 125 100 70 65 60 55 20 10 5 70 60 50 45 40 5 2 50 30 75 10 5

In case of partial loss of one of these parts or sensory organs, we will pay a corresponding proportion. Should an accident affect parts, which are not mentioned here, then the payment depends on the degree of disability measured by a doctor on the panel of the Company.
General Exclusions:

Suicide, self-inflicted injury, pregnancy or childbirth, pre-existing physical or mental defects, infections, bleeding from inner organs, aviation other than as a passenger, motor rallies, war, civil war, terrorism or similar situations

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