Accident insurance is one of the sub-categories of personal insurance, which is divided into individual and group accident insurance. Personal accident insurance protects the insured against all kinds of accidents. It doesn't matter when, where and under what circumstances this incident happened. In times of difficulty and problems, you can count on individual accident insurance for financial support.
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The most important accidents that are covered by individual accident insurance include drowning, poisoning, the effect of gas, steam or corrosive substances such as acid, contracting diseases such as rabies, tetanus and anthrax, bites, trying to save people and property from danger and accidents, accidents Driving, electrocution, burns, falling from a height and animal attacks.
The main coverages of individual accident insurance
The main indemnities of personal accident insurance are the main risks that are covered by all personal accident insurances. The insured can add other coverages to his insurance policy. The main coverages for individual incidents are as follows:
Death compensation: if an accident covered by individual accident insurance leads to the death of the insured; The insurer is obliged to pay the death capital to the beneficiaries of the insured.
Death and disability capital: When concluding an insurance contract, the insured determines the amount of the death capital. Usually, the death capital amount has a maximum amount, and this maximum amount depends on the insurance company's ability to pay the death capital. The death capital amount is one of the influencing factors in the individual accident insurance premium.
Compensation for disability or permanent disability (total or partial): Another main compensation of individual accident insurance is disability or permanent disability (total or partial). If, due to one of the incidents covered by the insurance policy, the policyholder suffers a cut, deformation or loss of the ability to perform the work of a body part, the insurer must pay the death and disability capital to the policyholder according to the policy; Provided that the consequences of the incident appear no later than two years after the incident.
The cases that are included in this category include the payment of the total amount of the insurance capital. These include:
Complete and permanent blindness of both eyes
Permanent and complete disability or amputation of both hands at least from the wrist
Permanent and complete disability or amputation of both legs at least from the wrist
Permanent and complete disability or amputation of one arm and one leg at least from the wrist
Loss of both toes
Complete severing of the spinal cord
Complete and permanent deafness of both ears
Removal of the lower jaw
Disability compensation in individual accident insurance
Compensation for disability or partial permanent disability
The cases that are included in this category are considered partial disability or disability and the compensation is equivalent to a percentage of the insurance capital. These cases and their compensation percentage are:
In total, the compensation paid for permanent and complete disability or amputation of the fingers of each hand will not exceed 50% of the insurance capital.
The compensation for disability of other members is determined by the opinion of the trusted insurance doctor.
Subsidiary compensations in individual accident insurance
Sub-indemnities of individual accident insurance are not mandatory and the policyholder can add them to his insurance policy if he wishes and pays more premiums. These sub-compensations are:
Medical expenses due to the accident: one of the sub-compensations of the individual accident insurance is to pay the insured's medical expenses up to the limit specified in the insurance policy. If the insured has prepared this sub-compensation, in the event of an accident, the individual accident insurance will pay the medical expenses up to the prescribed limit. The specified ceiling for medical expenses is 10-20% of the death capital. Most companies consider 10%, but some insurers provide the possibility of paying up to 20% of the death capital.
General daily compensation due to accident: General daily compensation due to accident is one of the sub-compensations of individual accident insurance. If the insured has provided this coverage, in the event of an accident and temporary disability, the insurer is obligated to pay compensation for the insured's disability. The maximum amount of compensation is equal to 12 ten thousandths of the insured member's death and disability capital, which depends on the insurance policy. Only accidents that are covered by individual accident insurance are included in this coverage.
Daily indemnity for hospitalization in medical centers: Daily indemnity for hospitalization is another sub-indemnity of individual accident insurance. If the policyholder suffers a problem that requires hospitalization due to an accident covered by the personal accident insurance, he will receive daily compensation from the personal accident insurance. This amount of compensation is a maximum of 24 ten thousandths of the death and disability capital.
Damages outside the general obligation of individual accident insurance
Individual accident insurance does not normally cover some damages and they are covered if you pay a higher premium and obtain a written commitment from the insurance company. Of course, not all insurance companies may accept. The terms of acceptance of these damages also completely depend on the insurance company. Some of these damages include:
Damages caused by war, rebellion, chaos, etc.
Damages caused by earthquakes, volcanoes and nuclear actions
Damages resulting from professional sports, hunting, horseback riding, sailing, swimming, diving, skydiving (except free fall), driving a geared motorcycle, training aircraft, racing car, helicopter, and other non-motorized flying devices.
Some damages are not covered by individual accident insurance under any circumstances, and in case of such accidents, the insurance does not pay any expenses. Some of these damages include:
Damages caused by suicide or attempted suicide
Bodily injuries caused by the insured intentionally
Damages caused by the consumption of psychedelics, alcoholic beverages, drugs, sedatives and sleeping pills without a doctor's prescription.
Participation of the insured in criminal and illegal acts (such as driving accidents of the insured who does not have a driver's license.)
The death of the insured due to the intentional act of the beneficiary (in this case, the insurance company is only required to pay the share of other beneficiaries.)
Individual accident insurance premium
The most important factor determining the individual accident insurance premium is the insured's job. All jobs are categorized in 5 different classes:
1. This class includes people who face the lowest level of risk in their jobs; such as office and administrative employees, designer engineers, commercial salesmen, etc.
2. This class includes people who face more risks than people in category 1, but do not use industrial machinery. In addition to intellectual work, these people also do manual work; such as dentists, supervising engineers, tailors, storekeepers, marketers, housekeepers, tailors, etc.
3. This class includes expert and semi-expert people who usually work with industrial tools; such as videographers, farmers, construction workers, electrical and mechanical equipment repairers, car drivers, etc.
4. This class includes people with relatively high-risk jobs. Those who work with high-risk industrial machinery are included in this category; such as metal press workers, construction workers, riggers, heavy machine drivers, construction electricians, etc.
5. People of this class face the greatest risks in their jobs; such as test pilots, underground mine workers, high pressure electrical engineers, etc.
Each of these job classes has a coefficient for different compensations. The death and disability capital coefficient is multiplied by its capital and determines the insurance premium. If the insured wants to have sub-compensations, each of these compensations has a specific ceiling amount. Finally, all these numbers are added together and determine the insurance premium for individual accidents.
After employment and ancillary benefits, the additional coverages that the policyholder chooses are effective in determining individual accident premiums. For example, the insured may go skiing or horse riding. These items should also be included in the insurance policy and included in the insurance premium so that in the event of an accident, the individual accident insurance will compensate for the loss.
Important points to know about individual accident insurance!
1. Insurance coverage of individual accidents of insurance companies is usually only for inside the country, but some insurers may be willing to accept accidents abroad by paying a higher premium.
2. The minimum and maximum age of the insured is different for different insurers. For example, the age range for Mellat Insurance is between 4 and 80 years. This range for Saman insurance is between 12 and 75 years. Some insurance companies cover people outside their age range by paying an additional premium, but some others do not issue individual accident insurance for people outside the specified age range.
Buying personal accident insurance
A copy of birth certificate and national card is necessary to buy this insurance and you must inform the representative about your job; Then, according to the job and the type of compensation requested, the insurer calculates the insurance premium. After paying the insurance premium, the insurance policy will be issued.
It is enough to have scanned documents in Bimito.
Online purchase of personal accident insurance
One of the ways to buy personal accident insurance is to buy from online insurance purchase systems. In Bimito, you can compare the terms and premiums of individual accident insurance of different companies and purchase the desired insurance according to your discretion. This buying method allows you to compare and you can buy your desired insurance from anywhere at any time of the day or night.
Accident insurance is in the group of personal insurance. The issue of accident insurance is the provision of insurance capital in case of death, disability and permanent disability (total or partial) of the insured person due to accidents and payment of compensation for temporary disability due to the accident and compensation for medical and treatment expenses in case of injury and damage. It is from events. Therefore, in accident insurance, four risks can be covered, two of which (death, dismemberment, and permanent disability) are the main risks of the insurance policy, and the other two risks (injury and temporary disability) are secondary or secondary risks. they are going. In accident insurance, the insurance capital related to death and limb disability or permanent disability is determined in lump sum, and in case of the realization of the risk or the occurrence of an insured event, the aforementioned capital can be paid. The insurer's obligation to compensate medical, surgical and hospital expenses is issued up to the maximum amount stated in the insurance policy.
In accident insurance, there is no mathematical reserve and redemption value because the insurance premiums are absorbed to cover the risk of death (and permanent disability) and have no saving aspect. In accident insurance, obtaining the written consent of the insured person is necessary and certain. As Article 23 of the Insurance Law says: "Life insurance or disability insurance or damage insurance of another person is invalid if that person has not given his consent in writing."
Accident insurance is offered in group and individual form. In the individual accident insurance policy, businesses are divided into five classes, and for each class certain rates have been considered for calculating insurance premiums. These rates are different for the costs of death, disability, and hospitalization costs.
If an insured, in addition to his normal professional activities, intermittently or continuously engages in activities such as hunting, horseback riding, sailing, diving, etc., which are more dangerous, it can be covered by applying additional rates for each of them. Contract.
But group accident insurances are issued for groups of more than ten people. In this insurance policy, there are job classes, with the difference that all jobs are classified in two groups.
Discounts from 5 to 25 percent are applied based on the number of insured persons.
In accident insurance, by paying the insurance premium, the policyholder is covered by insurance against all risks caused by various accidents that cause death or permanent disability, either total or partial, or cause medical expenses.
In this type of insurance, it is mostly in the form of covering risks caused by accidents at all times and 24 hours a day and in any place during the contract period, and includes all occupational, professional, sports, educational, mission, travel, etc. risks. .