BEST GROUP INSURANCE SCHEME FOR EMPLOYEES

Group Personal Accident Insurance

Provide cover for financial losses of your employees from unforeseen accidental death or disability.

Contact Details>>Employee Count>>Quotes

Compare quotes in 2 steps

Customise benefits based on your budget.

Group Personal Accident Insurance

Contact Details>>Employee Count>>Quotes

Compare quotes in 2 steps

Customise benefits based on your budget.

Trusted Benefit Platform

Dashboard

A dashboard for you to view and manage your policies

Reimbursement Via App

Centralised Support

Connect with single contact for all support queries

Cashless Via App

Electronic mediclaim cards and insurance reminders

Endorsement Ledger

Real time estimate of CD balance is available

Dashboard

A dashboard for you to view and manage your policies

Reimbursement Via App

Centralised Support

Connect with single contact for all support queries

Cashless Via App

Electronic mediclaim cards and insurance reminders

Endorsement Ledger

Real time estimate of CD balance is available

Top Most Trusted Insurers

Book your Insurance in Simple steps

Finalise the Plan

Collect Employee Data

Make Payment Online

Get Policy

Get E-Cards

Make Claims

Claims Helpline

Add and Delete Employee

1) Finalise the Plan

Delight your Employees With Our Add-On Plans

BRONZE

Free

Key Account Manager

Mobile App:Cashless eCard and Reimbursement eClaims

Claim status on app

HR Dashboard

SILVER

Rs. 100/ per employee

All feature of Bronze

General Physician Video consultation: 2 per employee

wellness webinar: 1 per month

Quarterly premium client engagement call

GOLD

Rs. 750/ per employee

All feature of Silver

Specialist Video consultation: 2 per employee

Basic health check-up on 9 parameters

Top-up insurance of 10 lacs Sum assured with 5 lacs Deductible for self, spouse, and 2 children (max age:40)

Claims support for personal health insurance plans

PLATINUM

Rs. 2500/ per employee

All feature of Gold

Specialist Video consultation: 4 per employee

Advanced health check-up on 25 parameters

Top-up insurance of 10 lacs Sum assured with 5 lacs Deductible for Father and Mother (max age:70-for top 10% of employees)

Buy Now Pay Later OPD Upto 10K per employee

Senior Citizen helpline

BRONZE

Free

Key Account Manager

Mobile App:Cashless eCard and Reimbursement eClaims

Claim status on app

HR Dashboard

SILVER

Rs. 100/ per employee

All feature of Bronze

General Physician Video consultation: 2 per employee

wellness webinar: 1 per month

Quarterly premium client engagement call

GOLD

Rs. 750/ per employee

All feature of Silver

Specialist Video consultation: 2 per employee

Basic health check-up on 9 parameters

Top-up insurance of 10 lacs Sum assured with 5 lacs Deductible for self, spouse, and 2 children (max age:40)

Claims support for personal health insurance plans

PLATINUM

Rs. 2500/ per employee

All feature of Gold

Specialist Video consultation: 4 per employee

Advanced health check-up on 25 parameters

Top-up insurance of 10 lacs Sum assured with 5 lacs Deductible for Father and Mother (max age:70-for top 10% of employees)

Buy Now Pay Later OPD Upto 10K per employee

Senior Citizen helpline

Quick Guide to Group Personal Accident Insurance

Definition of Group Personal Accident Insurance

As the name suggests, a group personal accident insurance policy can be created by an employer to safeguard their employees’ financial condition by creating a coverage for death or permanent disablement due to accidental injury. A group accident policy taken by an organization can cover its employees, supplier, customers, as well as board or owner(s) of the company.

Key Features of Group Personal Accident Insurance Policy

The key features of a GPA policy are:

The group to be covered under a GPA policy can be formed by an organization, a travel company, banks or any other service providers

Group personal accident insurance covers for all expenses associated with an accidental injury

100% of sum assured is paid to the nominee in case of accidental death of the insured

100% of sum assured is paid in case of total permanent disability

2 to 100% of sum assured is paid in case of partial disablement depending upon the vitality of the part that is disabled

Broken bones due to accidents can also be covered

Benefits of Group Personal Accident Insurance Policy

Comprehensive coverage: Group personal accident cover assures a comprehensive coverage for all expenses pertaining to an accident.

Coverage for death due to accident: Insurance companies pay for 100% of the sum assured to the nominee in case of unfortunate death of the insured due to accidental injury.

Permanent disability cover: Compensation is awarded for full or partial disablement due to an accident.

Medical expenses: Expenses incurred due to accidental injury could be covered both for OPD and hospitalization.

Ambulance cost: In case of hospitalization, the insurance companies pay for the ambulance cost of the insured.

Transport of mortal remains: In case the insured meets with an unfortunate death due to an accident in a different location, insurance companies offer to help in transportation of the dead body to the place of residence.

Educational grant allowance: The group personal accident insurance also supports educational expenses for up to 2 dependent children based on the coverage plan.

Necessity of Group Personal Accident Insurance Policy

Group personal accident insurance cover understands the importance of an employee’s presence for his/her organization and hence, provides protection against several types of unfortunate events

A GPA cover aims at quick claim settlements in case of death, partial/permanent disablement or any other medical expenses incurred due to accidental injury, so that expenses do not become a burden for the beneficiaries

An organization that takes a group personal accident insurance policy for its employees, also builds a good reputation. Employees feel secured and that always increases productivity and loyalty for their organization

Coverages under Group Personal Accident Insurance

Accidental death covers

Coverage for loss of limb or decapitation of any body part

Partial or permanent disability cover

Transportation and ambulance cover for accidental injury

It’s possible to get a worldwide coverage for accidental injuries

Some group personal accidents also provide optional cover to fund the education for up to two dependent children per insured

The coverage is applicable 24X7 irrespective of the place of accident of the employee

Claim process for a Group Personal Accident Insurance

In case of an accident, under the group personal accident insurance policy, the employer and the insurance company have to be informed about the incident and a procedure for filing a claim has to be followed.

Disability or Injury Claim

Duly filed claim form

Health check-up reports and original bills provided by the medical practitioner

Disability certificate from government or the hospital

Leave certificate from employer

Police report if required

Death Claim

Duly filled claim form with proper information about the deceased and the beneficiary

Death certificate of the insured

Post-Mortem report

Police report

Employment Letter and salary slips from HR/organization

Photo ID of the beneficiary

Documents required for Group Personal Accident Insurance Policy

Below are the documents required for a cashless claim processing of a group personal accident insurance:

Duly filled application form

ID proof of patient

Treatment details of the patient

Medical bills and prescriptions from treating doctor

Police investigation report

Below additional documents will be required in case of a reimbursement claim:

Discharge summary and complete treatment details

Final hospital bills

Investigation and diagnosis details

Requirement of personal accident plan under motor insurance policy

It is mandatory for vehicle owners to have a personal accident cover. A personal accident cover needs to be bought irrespective of you buying a third-party liability policy or a comprehensive policy for your car. This is to cover all car owners against personal accidents up to a minimum mandatory coverage limit. In 2019, IRDAI brought changes to the “compulsory personal accident cover” by segregating personal accident cover from motor vehicle insurance. This meant that one can opt out of buying a personal accident insurance from a motor vehicle insurance if they already hold a Personal Accident Cover Policy of at least Rs 15 lakhs sum assured.

Frequently Asked Questions

Initially, group personal accident insurance cover was not extended towards family members of the employee. However, some of the group personal accident insurances now have provisions for covering the spouses of the insured as well as dependent children.

A group personal accident insurance policy provides coverage for partial or permanent disablement and death due to accidental injuries. Injuries that are self-induced, cosmetic or related to political and social commotion cannot be included under a GPA policy.

Accidents that are sudden and unintended will be covered under a group personal accident policy. Death or disability due to a plane crash is not in the control of the insured and hence, will be covered as part of the insurance scheme.

Any activity that signifies self-harm will not be covered as part of group personal accident insurance. Hence, suicidal attempts and self-indulgence in commotions that can cause harm to the self will not be covered as part of group personal accident insurance scheme.

Below list is detail of benefits that are not covered as part of a group personal accident policy:

Natural death of the insured
Death or injury due to indulgence in intoxicating materials like drugs or alcohol
Death or injury due to self-harm and indulgence in adventurous or dangerous activities
Death or disability arising due to pre-existing and lingering diseases
Damage due to political unrest, war or any kind of social or political commotion
Pregnancy including childbirth, abortion, miscarriage or any other complications
Sexually transmitted diseases
Death of injury pertaining to curative treatments

Additional benefits that are offered under the group personal accident scheme are:

Education allowance :In case of mishaps that result in death or permanent disablement of the insured, the insurance companies compensate for policyholder’s children’s education, if part of the policy.
Repatriation of remains or transportation of mortal remains: in case of death in a different location other than residence, the insurer also supports repatriation of the remains and or movement of the body from accident location to residence or to other specified location, as mentioned in the policy.
Weekly benefit: if the policyholder is disabled for a limited period, then the insurance company has provisions to pay a weekly compensation for the sum assured.
Ambulance charges: the insurance company bears the ambulance charges or reimburses it based on need; in case the policyholder requires an ambulance for transportation to a hospital after meeting with an accident.

The premium amount is determined on the basis of occupation of employee, sum insured, group size and claims history if any. Risks associated with the job plays a major role in premium calculation. Professional mountaineers, pilots, and miners have to pay a higher premium rate in comparison with people with low-risk jobs such as banker, IT professionals.

Premium of a group personal accident insurance plan is treated as an expense deductible from the profit and loss of a company. So, an employer can claim the premiums paid under this plan as a business expense and can claim tax deduction on such expense under Section 37. Employees cannot avail any separate deduction for the same.

One way to confirm if the selected coverages are sufficient, is to check with market benchmarks of your industry. The typical cover offered by the employer to employees under group personal accident policy is 3 to 5 times the annual salary of the employee. The higher the insurance cover the more is the security for the employee.

There are a lot of insurance companies that provide a group personal accident insurance policy. A few factors that you should consider before selecting an insurer are: simple insurance plans that provide wide coverage for accidental injury, good claim settlement ratio, minimum documentation and medical tests for obtaining a group personal accident plan. Top 5 insurance companies that provide group personal accident insurance are: Aditya Birla, Bajaj Allianz, HDFC Ergo, Max Bupa and Care.

Permanent total disability benefits- In the event of an accident, where the employee is subject to permanent total disability for 12 months or more, the insurance company pays the sum assured to the employee as a compensation.
Transportation of mortal remains- Insurance companies bear the expense of transportation of the body of the insured to their residence, hospital or cremation ground in case the accidental death has happened elsewhere.
Education allowance- In case of a mishap that results in death or permanent disability of the employee, the insurance company compensates by providing for the education of the policyholder’s children, as mentioned in the policy

Yes, such policies are called fixed benefit insurances. So, you can maintain multiple policies and get benefits from all of them.

A group personal accident will not cover losses of delayed or canceled travel plans, but it definitely covers accidental injuries worldwide and during transit. An employee can also make a claim for an accident outside India with necessary documents and steps followed.

Health or mediclaim insurance policies will always be a cushion for your over 24 hours of hospitalization charges and life insurance provides death benefits to the family of the policyholder. So, it is essential to have a group personal accident insurance policy for two reasons. First, in case of accidental injury you will be able to get a weekly benefit drawn from your sum assured till you recover from your accidental injury and rejoin the workforce. The second thing is, a GPA scheme provides for medical expenses during your accidental injury irrespective of the duration of hospitalization.

While making a claim under group personal accident insurance, the employer is required to produce complete personal information (name, age, gender, address, ID proof) along with the death certificate (in case of death), duly filled claim form, panchnama, FIR report, post-mortem report, hospitalization report, medical bills and medical certificate.

Yes, employees can make a claim for an accident outside India as a group personal accidental insurance provides coverage for accidents happening anywhere in the world. However, the claim settlement is done in Indian currency and the claim gets paid under the jurisdiction of India only. All the required documents need to be submitted timely to the insurer.

There are no deductibles under the standard group personal accident insurance. Benefits paid under this policy depends upon the benefit schedule of the selected insurance plan agreed at the time of inception of the policy, depends upon the nature of injury sustained by the employee and upon the nature of work, the employee is engaged in.

BEST GROUP INSURANCE SCHEME FOR EMPLOYEES

Group Personal Accident Insurance

Compare quotes in 2 steps

Compare quotes in 2 steps

Trusted Benefit Platform

Dashboard

Reimbursement Via App

Centralised Support

Cashless Via App

Endorsement Ledger

Dashboard

Reimbursement Via App

Centralised Support

Cashless Via App

Endorsement Ledger

Top Most Trusted Insurers

Book your Insurance in Simple steps

Finalise the Plan

Collect Employee Data

Make Payment Online

Get Policy

Get E-Cards

Make Claims

Claims Helpline

Add and Delete Employee

Delight your Employees With Our Add-On Plans

BRONZE

Free

SILVER

Rs. 100/ per employee

GOLD

Rs. 750/ per employee

PLATINUM

Rs. 2500/ per employee

BRONZE

Free

SILVER

Rs. 100/ per employee

GOLD

Rs. 750/ per employee

PLATINUM

Rs. 2500/ per employee

Quick Guide to Group Personal Accident Insurance

Definition of Group Personal Accident Insurance

Key Features of Group Personal Accident Insurance Policy

Benefits of Group Personal Accident Insurance Policy

Necessity of Group Personal Accident Insurance Policy

Coverages under Group Personal Accident Insurance

Claim process for a Group Personal Accident Insurance

Documents required for Group Personal Accident Insurance Policy

Requirement of personal accident plan under motor insurance policy

Frequently Asked Questions

1. If I am covered under group personal accident insurance, will my family be covered as well?

2. Does Group Personal Accident Insurance cover all types of Injuries?

3. If a plane crashes while traveling, is it covered?