Group Personal Accident Policy

Group Personal Accident Insurance that has your team covered

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Group Personal Accident Insurance

Supporting employees goes beyond offering health insurance. Group Personal Accident Insurance provides financial protection if an accident results in bodily injury, disability, or death. It helps employees and their families manage the financial impact of accidents. With ACKO, employers get flexible accident cover, simple policy management, and dedicated claim support.

 What is Group Personal Accident Insurance?

Group Personal Accident or GPA Insurance is a type of insurance that protects policyholders and their families financially against the loss of income caused by accidental disablement or death. Offered by employers, associations, and organisations as part of an employee benefits package, it covers all eligible members under a single policy instead of requiring employees to buy individual accident insurance.

Why is Group Personal Accident Insurance Important for Employers and Employees?

A Group Health Insurance policy helps cover hospitalisation expenses arising from illnesses and injuries. A Group Personal Accident (GPA) Insurance policy, on the other hand, focuses specifically on protecting employees against accident-related risks. Together, these two policies offer broader financial protection for employees.

Here's why Group Personal Accident Insurance is important for employers:

  • Shows employee care: Offering GPA insurance demonstrates that the organisation values the well-being of employees and their families.
  • Strengthens the employee benefits package: Accident cover adds value to the overall benefits package. This can help attract skilled talent and improve employee retention.
  • Provides financial security during accidents: The policy offers financial compensation in case of accidental death or disability. 
  • Improves employee confidence: Knowing they have accident cover gives employees greater peace of mind while at work and outside of it.
  • Allows flexible coverage: Employers can choose the sum insured and optional benefits based on the needs of their workforce, as well as budget.

Here's why Group Personal Accident Insurance is important for employees:

  • Provides financial protection against accidents: If an accident leads to death or disability, the policy pays a lump sum benefit as per the policy terms.
  • Covers more than medical bills: Unlike health insurance, GPA insurance pays a fixed benefit based on the type of accidental injury or disability, not just the treatment cost.
  • Comes at no extra cost to employees: Since the employer buys the policy for the group, employees receive accident cover without having to purchase a separate individual policy.

To know more, read: Difference Between GMC and GPA Insurance Policy

Key Features of ACKO’s Group Personal Accident Insurance Policy

Here are the key highlights of ACKO’s Group Personal Accident Insurance.

Key FeatureACKO Advantage
  
Flexible sum insuredEmployers can choose the coverage amount based on workforce requirements.
Employer-sponsored coverOne policy covers eligible employees.
Optional add-on benefitsEmployers can customise coverage with additional benefits.
Simple policy managementEasy administration for employers.
Dedicated claims supportAssistance throughout the claims process.

What’s Covered in a Group Personal Accident Insurance Policy?

Following are some of the major coverages included in GPA insurance. Please read the applicable policy wording for details.

A Group Personal Accident Insurance policy provides financial protection when an insured employee suffers an accidental injury, disability, or death. The exact coverage depends on the policy terms, but the following are some of the common benefits available under a GPA policy.

Accidental Death

In the event of the death of the insured person due to an accident, the nominee receives the sum insured as a lump sum benefit. Hence, it is critically important for the insured person to provide nominee details when buying a policy. In case you forget to add nominee details initially, reach out to your insurer as soon as possible for the same.

Permanent Total Disability (PTD)

If an accident results in a permanent total disability that prevents the employee from working or carrying out everyday activities, the policy pays the full sum insured, subject to the policy terms. Examples may include the permanent loss of both limbs or the complete loss of eyesight.

Permanent Partial Disability (PPD)

The policy also covers certain permanent partial disabilities caused by an accident. Depending on the nature and severity of the disability, the insured receives a percentage of the sum insured as specified in the policy schedule. Examples may include the permanent loss of one hand, one foot, hearing, or vision in one eye.

Temporary Total Disability (TTD)

A group personal accident insurance plan also provides coverage for accidental injuries that prevent the insured from engaging in employment for a limited period. An amount specified in the policy is paid to the insured until the temporary total disability continues.

Additional Benefits Under a Group Personal Accident Insurance Policy

Besides the core accident covers, many Group Personal Accident Insurance policies also include the following benefits, subject to the policy terms and conditions.

Child Education Cover

A Group Personal Accident Insurance plan offers child education coverage in case of the permanent disability or death of the insured person. An amount specified in the policy is paid at a certain frequency to cover the educational expenses of the dependent child, given that the child is less than 25 years of age and doesn’t have any independent source of income.

Medical Expenses

The cost of hospitalisation or day care treatment is reimbursed for the insured person in the Group Personal Accident Insurance. This coverage is solely for injuries that require either hospitalisation or daycare treatment. However, the policyholder can also receive reimbursement for certain post-hospitalisation medical expenses for up to 90 days.

Physiotherapy Expenses

The Group Personal Accident Insurance covers a policyholder’s physiotherapy expenses (as per the applicable terms) if required to recover from accidental injuries.

OPD Treatment

The Outpatient Department Treatment (OPD) for the policyholder after an accident is covered under GPA. The policy may cover the consultations, tests and treatments as per the terms of the policy.

Mobility Support Cover

The mobility support cover also comes under Group Personal Accident Insurance. It offers financial aid for the purchase of mobility support items resulting from an accident. The insurer reimburses the cost of items such as wheelchairs, artificial limbs, crutches, dentures, spectacles, etc.

What’s Not Covered Under Group Accident Insurance Policy

While the exact details will be mentioned in the respective policy wordings, a GPA policy usually doesn’t provide coverage in the following conditions.

General exclusionsExplanation
  
Pre-existing diseasesA Group Personal Accident Insurance policy covers only accidental injuries. Illnesses, diseases, and medical conditions that are not caused by an accident are generally not covered.
Self-inflicted injuriesThe policy does not cover injuries caused due to self-destructing acts like suicide or attempted suicide.
Mental illness and self-inflicted injuryInjuries, disability, or death resulting from mental illness, intentional self-harm, or attempted suicide are generally excluded.
Hazardous activitiesActivities such as working with explosives, underground mines, high tension electrical installations, etc., are not included in Group Personal Accident Insurance.
Bacterial infectionsAll bacterial infections are excluded except pyogenic infections that happen due to a wound or cut that may occur during an accident.
Non-accidental medical treatmentsThe GPA coverage does not include surgical or medical treatments related to non-accidental causes.
Substance abuseThe policy does not provide coverage for disability or death caused as a result of substance abuse like alcohol, intoxicant, hallucinogens, drugs, etc.
Criminal activitiesA disability or death caused during an illegal activity, participation in a riot, felony, etc., is excluded from the Group Personal Accident Insurance coverage.
Pregnancy/ChildbirthDisability or death resulting indirectly or directly due to childbirth or pregnancy is excluded from the GPA policy unless arising specifically after an accident.
War/AttacksDisability or death occurring in relation to foreign invasion, warlike operations, chemical attacks, biological attacks, etc., are not covered under the GPA insurance.

If you, as an employer, have purchased ACKO’s GMC policy to insure your employees, you can enhance its coverage by including the GPA as a group health add-on in your coverage. 

How to Buy a Group Personal Accident Insurance Policy From ACKO?

  1. You can simply contact us by sending an email to [email protected]. Send us your GPA requirements along with the following details.

    • The name of your company
    • Number of full-time employees working at your company
    • Location of your company

    Our support team will contact you to take the process forward.

What is the Claiming Process for a Group Personal Accident Insurance Policy?

The following are the steps to claim under the ACKO Group Personal Accident Insurance Policy.

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 Send an email to ACKO regarding your claim request at [email protected].

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 Our team will connect with you to further understand the claim request.

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Provide the required documents and necessary information within 30 days of the accident generally.

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Our claim settlement team will conduct the verification process to issue the claim payment as per the policy.

Documents Required to File a Group Personal Accident Insurance Claim

The GPA insurance claim process involves the following documents. Note that the number of documents required at the time of raising a claim can vary on a case-by-case basis. 

Documents required for accidental death claims

Here are the documents necessary for accidental death claims under GPA insurance.

Documents Required for Accidental Death ClaimsDocuments Required for Accidental Disability Claims
  
Duly filled claim formDuly filled claim form
Police FIR copy or Police PanchanamaPolice FIR copy (if an accident case is filed)
Death Certificate (attested from the relevant authority)Medical reports (X-ray, Pathology reports, etc., as applicable)
Post-mortem reportDisability Certificate from a reputed government office or surgeon (for permanent disability claims)
Copies of KYC documents of the claimant/nomineeSick leave letter from the organisation (for permanent and temporary disability claims)
Legal heir certificate (in case of death claim when the nominee is already deceased)Attending physician’s statement

Documents required for accidental disability claims

Here are the documents necessary for accidental disability claims under GPA insurance.

  • Duly filled claim form
  • Police FIR copy (if an accident case is filed)
  • Medical reports (X-ray, Pathology reports, etc., as applicable)
  • Disability Certificate from a reputed government office or surgeon (for permanent disability claims)
  • Sick leave letter from the organisation (for permanent and temporary disability claims)
  • Attending physician’s statement

Who is Eligible for Group Personal Accident Insurance Cover in India?

All kinds of small and large business groups or institutions can get Group Personal Accident Insurance in India for their employees/co-owners/members, etc. Some of the eligible groups for GPA insurance are as follows.

  • Employee-employer corporations
  • Banks and firms
  • Academic institutions
  • Professional associations
  • Clubs
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Frequently Asked Questions

Here are some of the common questions and answers related to Group Personal Accident Insurance in India.

Ambulance charges related to accidental treatments, medical treatment allowance, transportation of the body after accidental death and allowance for specific modifications required at home after accidents are some of the additional benefits of a GPA policy.

It is possible to obtain coverage for accidents outside India if global coverage is included in the Group Personal Accident Insurance policy. 

A health insurance policy provides coverage against medical emergencies to the insured. This covers pre-hospitalisation, during hospitalisation and even post-hospitalisation medical expenses. On the other hand, an accidental cover through a GPA policy takes care of the financial risks associated with accidental death or disability. It relieves financial burdens if the insured person is unable to work due to accidental disability. 

Group Personal Accident Insurance is provided by an employer to the employees for accidental coverage. Hence, an employee usually doesn’t have to pay any premium to avail of the policy's benefits. As with other Group Health Insurance Policies, it is likely that the employer pays the GPA premium. 

Group Personal Accident Insurance doesn’t include any health-related conditions. It only provides coverage for uncertain accidental injuries, disabilities and death. Thus, no pre-policy medical test is required to get insured. 

No, a Group Personal Accident Insurance only provides coverage for accidental injuries or death. It doesn’t include natural deaths, illnesses and self-inflicted injuries, deaths or injuries due to suicide, alcohol consumption, etc. Thus, you must check with your insurer regarding all exclusions before choosing a policy for your employees. 

Some of the major inclusions of permanent disability under GPA insurance are losing both legs in an accident, losing both hands in an accident, losing vision in both eyes after an accident, losing one hand/foot in an accident and losing vision in one eye.

Group Personal Accident Insurance doesn’t cover natural deaths. This policy offers coverage only for accidental injuries or death.

Yes, plane crashes are covered under Group Personal Accident Insurance as they fall under the category of accidents.

A GPA policy doesn’t offer tax benefits to the insured person because the employer pays the premium. Thus, only the organisation can leverage tax benefits by treating the premium as a business expense.