iffco tokio Insurance Plans

IFFCO Tokio Individual Personal Accident Insurance

Life is unpredictable, and so are accidents. Hardly any day passes when we do not read about accident taking place across India.
From the risk faced by commuters from vehicular accidents to the risk faced by workers of getting hurt by the tools they use during work and the dangers of improper infrastructure, there is no end to the risks, risk will be more appropriate that one faces in daily life. When one is covered with a proper individual personal accident policy, they have the satisfaction of knowing that no matter what the extent of an accident, at least there will be financial coverage for the treatment and also for the expenses incurred by the family. It offers you coverage against broken bones, cuts, burns, ambulatory or medical services, hospitalization because of an accident, loss of eyesight or limbs, etc. If in case the insured individual survives the accident, but is injured, disabled, or crippled as a result, the policy also ensures that the insured gets a fixed sum of money. This amount of money however, depends on the type of disablement or injury that the insured suffers from.
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IFFCO Tokio Health Insurance Review

IFFCO Tokio Health Insurance
IFFCO Tokio Health Insurance sum insured
15 lacs − 30 lacs options available
Incurred Claims Ratio *
102.00%
IFFCO Tokio Health Insurance tenure options
1 year
Claims Settlement Ratio **
98.71%
List of network hospitals
7,500+ hospitals
Number of policies issued *
4,29,834
Maximum family floater coverage
Self, Spouse + dependent (children + parents)
Number of lives covered *
17,672,266
* As per IRDAI report for 2020-21   |   ** As per NL25 data published on the Insurance Company website

IFFCO Tokio Personal Accident Insurance review

  • Features
  • Benefit Coverages
  • Benefit Description
  • Exclusions

Features of IFFCO Tokio Individual Personal Accident Plan

  • Sum Insured Options of ₹3 lacs, 5 lacs, 7.50 lacs, 12.50 lacs and 15 lacs.
  • Based on Accidental Death Sum Insured opted for, Sum Insured for PTD, PPD, TTD etc can be chosen.
  • Coverage for loss of employment of the Insured individual.
  • Coverage for loss of eyesight, limbs, or permanent total & absolute disablement.
  • Coverage for the dependent children’s education cost.
  • Coverage for ambulance cost.
  • The insured amount increases every time the policy is renewed.

Benefits of IFFCO Tokio Individual Personal Accident Plan

Benefit Coverages
1. Death 100%
2. a) Loss of sight (both eyes)
b) Loss of two limbs
c) Loss of one limb and one eye
d) Loss of sight of one eye
e) Loss of one limb
100%
100%
100%
50%
50%
3. Permanent Total and Absolute Disablement 100%
4.Permanent Partial Disability As per table in Terms and Conditions
5.Temporary Total disablement benefit at the rate per week 1% of Capital Sum Insured or 2,500/- (Two thousand five hundred) whichever is lower
6 .Expenses For Carriage of Dead Body
In the event of death of Insured Person outside his/her Home, transportation cost for carriage of dead body to Home including funeral charges is payable.
2% of Capital Sum Insured or 2,500/- (Two thousand five hundred) whichever is lower
7. Damage to Clothes
Cost of Clothing damaged in the Accident as described above and liability is admitted by us.
₹1,000 (one thousand) per insured person any one accident or actual expenses whichever is lower.
8.Ambulance charges
For transportation of Insured person to Hospital following Accident which results in liability having been admitted by the insurer
₹1,000 (one thousand) per insured person any one accident or actual expenses whichever is lower.
9.Education Fund
In the event of Death, Permanent Total Disablement of the Primary Insured, the insurance company will approve compensation towards Education Fund for dependent children as below:
a) For one child upto the age of 23 yrs.
b) For more than one children upto the age of 23 yrs
10% (Ten percent) of C.S.I Subject to a maximum of ₹5,000/-
10% (Ten percent) of C.S.I Subject to a maximum of ₹10,000/-
10.Loss of Employment
In the event of accident leading to loss of employment as a consequence of Permanent / Partial Disability
₹15,000 or 1% of CSI whichever is lower.
11.Cumulative Bonus
Compensation for individual policies and family package covers under 1 to 4 of Table of Benefits shall be increased by 5%(five percent) of Capital Sum Insured in respect of each completed year subject to following;
  1. Maximum accumulation: 50%(fifty percent).
  2. Bonus is permissible on renewals of other insurers.
  3. Bonus is permissible only when the policy is renewed within 90(ninety) days from the date of expiry.
  4. In case Capital Sum Insured is increased at the time of renewal, the bonus will be allowed only on the previous years CSI at the above rate.
Cumulative bonus on the additional sum insured will be allowed next year at 5%(five percent) and such percentage that the insured has earned on the CSI of previous year policy. The cumulative bonus will accordingly be increased in subsequent years.
Medical Benefit Extension: A policy can be extended on payment of extra premium to cover medical expenses necessarily incurred by the insured in connection with the injury, provided the claim otherwise is admissible under the policy. The table for loading on premium and benefit limits for Medical extension is mentioned against the respective opted benefits-
Benefits Opted Loading for Medical Extension Limits
AD 10% Actual Expenses (or) 10% of capital sum insured (or) 25% of the admissible PA claim whichever shall be less.
AD / DM / PTD 25% Actual Expenses (or) 20% of capital sum insured (or) 50% of the admissible PA claim whichever shall be less
AD / DM / PTD / PPD 50% Actual Expenses (or) 35% of capital sum insured (or) 75% of the admissible PA claim whichever shall be less
AD / DM / PTD / PPD / TTD 100% Actual Expenses (or) 50% of capital sum insured (or) 100% of the admissible PA claim whichever shall be less
Indian Personnel working abroad:
In respect of Indian personnel Corporate/Professionals working in a foreign country on civilian duties, the cover may be granted for personal accident on payment of additional premium (as per table alongside)
Circumstances Additional Premium
During Normal Times 50% additional premium
During Apprehensive / Disturbing Times 200% additional premium
Cost of Travel:
The Policy can be extended to cover the cost of travel for one person (a relative, friend, or colleague of insured) to meet the insured person who has been injured due to accident and the claim has been admitted under the Benefit and also for return travel expenses for injured insured person.
  • Cost of travel for any relation, friend, colleague or any other nominated person by the Insured person or his/her spouse – 2% of SA or ₹10,000 or Actuals whichever is lowest
  • Cost of travel for insured person - 1% of SA or ₹5,000 or Actuals whichever is lowest
Cost of Supporting Items:
In the event of Insured person meeting with an accident and liability having been admitted under the policy terms and conditions, the Company would reimburse the cost of purchase of supporting items such as artificial limb, crutches, stretcher, tricycle, wheelchairs, intra-ocular lenses, spectacles or any other items which in the opinion of Medical Practitioner is necessary for insured person.
  • 2% of SA or ₹10,000 or Actuals whichever is lowest

Benefit Description

Accidental death If the insured meets an untimely death because of an accident, their dependants or nominees are paid death benefits, so they are covered against financial insecurity.

Permanent total disability If the insured is rendered completely disabled in a permanent way that is beyond the ability of medicine to heal, they will be entitled to avail benefits pay-outs, as mentioned in the guidelines of their policy. Even if the disability was not prominent at the time of the accident, but arises as a result of an accident within a year of it occurring, the insured will be able to avail benefits.

Permanent partial disability If the insured is rendered partially disabled in a permanent way that is beyond the ability of medicine to heal, they will be entitled to avail benefits pay-outs, as mentioned in the guidelines of their policy.

Temporary total disability Depending on the individual personal accident policy purchased, the insured can avail temporary total disability coverage. Under this benefit, if the insured individual is rendered completely disabled, even if on a temporary basis because of an accident, they are eligible for benefit pay-outs. This type of disability refers to a condition that can be restored by treatment or medicine, and the insured can return to their original productive and working capacity.

Employment Benefit The personal accident policy also compensates money up to a specified limit against loss of employment of the policy holder as a result of an accident. This coverage is offered in case an accident results in loss of limbs, eyesight, or in permanent total disability.

Education Benefit If the policy holder suffers permanent total disability, loss of eyes or limbs, or death, the cost of education for their dependent children will also be covered under the policy for up to a pre-specified limit.

Ambulance Benefit Ambulance services for the policy holder that may be required after an accident will be covered up to a specific policy limit under the personal accident policy.

Cumulative Benefit The capital sum insured under this policy is increased automatically every year at the time of renewal. The increased sum insured is up to a specified limit and no additional premium is required to be paid by the policy holder to avail this increased some insured.

Exclusionsof IFFCO Tokio Individual Personal Accident Plan

Please find below the exclusions under the Personal Accident Plan. Please refer the policy terms and conditions for the entire list of exclusions:
  • Compensation under more than one of the benefits mentioned in Table of Benefits in respect of the same period of disablement.
  • Any other payment after a claim under one of the benefits AD/DM/PTD/PPD has been admitted and becomes payable.
  • Any payment in case of more than one claim under this section during any one period of Insurance by which the insurance company’s liability in that period would exceed the sum payable under AD benefit of this policy.
  • Payment of compensation in respect of injury as a consequence of
    • Committing or attempting to commit suicide or intentional self-injury.
    • Whilst under influence of intoxicating liquor.
    • Drug addiction or alcoholism.
    • Whilst engaging in Aviation or Ballooning or whilst mounting into, dismounting from or travelling in any balloon or aircraft other than as passenger (fare paying or otherwise) in any duly licensed standard type of aircraft.
    • Pregnancy or childbirth.
    • Venereal disease or insanity.
    • Contracting any illness directly or indirectly arising from or attributable to HIV and/or any HIV related illness including AIDS and /or any mutant derivative or variation of HIV or AIDS.
    • Committing any breach of law with criminal intent.

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CIN: U66000KA2018PTC117713 | IRDAI Web aggregator License Code Number: IRDAI / INT / WBA /53/ 2018, Valid till 07/08/2025
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