Acko General Insurance Limited Key Terms - Group Domestic Travel Insurance Policy

Terms & Conditions

This is a summary of the key terms under the Group Domestic Travel Insurance Policy (“Policy”) offered by Acko General Insurance Limited (“Acko”) to OYO Hotels and Homes Private Limited (“OYO”) subject to the receipt of premium in full in respect of the Insured Person(s) and the terms, conditions and exclusions of underlying Policy. The covers available under the Policy can be availed by OYO customer. The insurance coverage period under this policy is valid as mentioned in the Certificate of Insurance.

Insured Person(s): The customers of OYO staying in the OYO property whose premium is collected by OYO for providing Insurance Coverage Key Benefits

1. Benefit Table

Sr. No.	Name of Benefit	Sum Insured Per Person (INR)	Benefit Type	Additional Conditions
1	Accidental Death Benefit	₹ 10,00,000	Fixed
2	Accidental Medical Expenses Reimbursement	₹ 25,000	Indemnity	Minimum hospitalization of 24 Hours is required to avail benefit under this coverage
3	Repatriation of Mortal Remains	₹ 10,000	Fixed
4	OPD Treatment	₹ 5,000	Indemnity	This coverage is only provided in case of accidental injury.
5	Emergency Medical Evacuation	₹ 10,000	Fixed
6	Personal Liability	₹ 25,000	Indemnity	We will indemnify the cost of actual legal liability (including defence costs) upto Rs, 25,000 against the damages for negligence which results from a third party civil claim made for third party death, bodily injury or property damage.
7	Home Insurance Cover / Fire and Allied Perils (Home Building & Contents)	₹ 25,000	Indemnity	The benefit is applicable only for intercity OYO bookings. Intra-city bookings are not covered under this coverage. FIR is required mandatorily for evidence of the claim under the benefit.
8	Loss of Baggage and Personal Effects	₹ 10,000	Fixed	The claim is payable only if loss event has occurred in the booked Oyo property and claim is evidenced by FIR. Any loss after check-out from OYO property is not covered. For important identification document(s) such as passport, driving license and PAN Card, there is a sub-limit of INR 5,000. The following sub limits are applicable for identification documents: PAN Card: 500 Driving License: 1500 Passport: 5000 The maximum payout will be upto 5000 for documents For clothes & other personal belongings a fixed benefit of Rs 5,000 is payable if same has been lost along with the baggage which was checked-in in the OYO property. Any loss of Valuables, Money, any kinds of securities or tickets are not covered
9	Emergency Hotel Requirement	₹ 5,000	Indemnity	Emergency stay due to Illness or Injury leading to minimum 24 hours of hospitalization of any of the Insured Person staying in the booked Oyo property is covered
10	Trip Curtailment	₹ 2,500	Indemnity	Hotel Cancellation due to Natural Calamities, Hospitalization of minimum 48 hours /Death of the Insured Person or Insured Person’s immediate Relative travelling with Insured is covered. The amount under this benefit will be over and above the amount which is paid or refunded by the booked OYO property upto the OYO property booking amount or Sum Insured, whichever is lower. For example if you have booked OYO for 3500 and upon accepting claim under this benefit,we will refund the amount over and above what OYO have refunded to the insured. If OYO refund 2000 INR, then we will pay 1500 to the insured.
11	Electronic Equipment Cover	₹ 25,000	Indemnity	Only theft of laptop is covered under this coverage. Any kind of damage to the laptop is excluded from the Scope of the coverage. Depreciation grid as provided in Section 1.11 will be applicable. Ownership proof / Invoice of the lost laptop is mandatory to claim under this coverage along with the FIR

2. Special Conditions:

1. The coverage under the policy will start from the hotel check-in time and ends with hotel check out time except for the benefit of Trip Curtailment where the coverage starts from the time of booking.
2. Trip Curtailment benefit is applicable only for cases where the booking amount is paid to OYO in advance at the time of booking. This benefit will not be applicable if any advance payment is made after time of booking or for pay at hotel cases of OYO.
3. Number of persons covered under the policy will be the total number of persons declared at the time of booking/check-in given premium is received by ACKO for all the declared customers.
4. In case of single person booking in OYO property, claim will only be provided if identification proof of such person is available with OYO at the time of check-in into OYO property.
5. In case of multi-person booking in OYO property, claim will only be provided for those Insured Person(s) who by themselves or through a co-traveller provided atleast one identification proof to OYO at the time of check-in into the OYO property. In case identification proof of all Insured Person(s) is not available with OYO at the time of check-in then claim will be provided to an Insured Person if both Hotel management and Primary Insured person confirms the stay of such Insured Person in OYO property in writing or over a recorded call line
6. Home Insurance Cover / Fire and Allied Perils (Home Building & Contents) is applicable only if the booked hotel location is different from the Insured Person’s place of residence and claim is evidenced by FIR. Insured persons covered under the same policy can’t make different claims for the same residential property/home.
7. Loss of Baggage and Personal Effects benefit is payable only if the same has been lost in the booked OYO property and claim is evidenced by FIR. Loss after check-out time is not covered.
8. Trip Curtailment benefit covers hotel cancellation due to Natural Calamities, Hospitalization of minimum 48 hours/Death of the Insured Person. Any loss which will be paid or refunded by hotel is not covered.
9. Only theft of laptop is covered under Electronic Equipment Cover if the loss has occurred in the booked OYO property and claim is evidenced by FIR. Any kind of damage to the laptop is excluded from the Scope of the coverage. Depreciation grid will be applicable as defined in Policy Schedule.

3. Definition:

1. Valuables: Valuables means and includes photographic, audio, video, computer and any other electronic and electrical equipment, cellular phones, data, business goods, telecommunications and electrical equipment, motor vehicles and any accessories, telescopes, lenses, binoculars, antiques, art, watches, jewellery and gems, furs and articles made of precious stones and metals.

3.1 Accidental Death Benefit:

If an Insured Person suffers an Injury due to an Accident that occurs during the Travel Period and Injury solely and directly results in the Insured Person’s death within 365 days from the date of the Accident, We will pay the Sum Insured.

If a claim is accepted under this Benefit in respect of an Insured Person and the amount due under this Benefit and claims already admitted under the Policy in respect of the Insured Person will cumulatively exceed the Sum Insured then Our maximum, total and cumulative liability under any and all such claims will be limited to the Sum Insured.

On the acceptance of a claim under this Benefit and payment being made under any applicable Cover Benefits, all cover under this Policy shall immediately and automatically cease in respect of that Insured Person.

3.2 Accidental Medical Expense Reimbursement

If an Insured Person suffers an Injury due to an Accident that occurs during the Travel Period and that Injury solely and directly requires the Insured Person to be Hospitalized or undergo Day Care Treatment, then We will reimburse the costs incurred on Medical Expenses upto limit specified in Certificate of Insurance.

If We have accepted a claim under In-built Benefit 1.2 (Accidental Medical Expenses Reimbursement), We will also reimburse Post-hospitalisation Medical Expenses incurred for up to 90 days immediately following the Insured Person’s discharge from Hospital.

This In-built Benefit will be payable provided that:

1. The Hospitalization or Day Care Treatment is for Medically Necessary Treatment and is commenced and continued on the written advice of the treating Medical Practitioner;
2. The Insured Person is admitted to Hospital or underdoes Day Care Treatment within travel period or 7 days whichever is higher of the occurrence of the Accident;
3. We will reimburse only those Medical Expenses that are in excess of the Deductible for each period of Hospitalization;
4. We will reimburse only those Medical Expenses and Post-hospitalisation Medical Expenses that are Reasonable and Customary Charges;
5. We shall not be liable to make any payment in respect of Medical Expenses incurred on the treatment of any Illness or which relate to any Pre-Existing Disease.

3.3 Repatriation of Mortal Remains:

We will reimburse the expenses incurred for transportation of mortal remains from the place of death to the residence of the Insured Person.

This Cover Benefit will be payable provided that:

1. We have accepted a claim under the In-built Benefit 1.1 (Accidental Death Benefit) in respect of that Insured Person;
2. The amount payable under this Cover Benefit will be in addition to the amount payable under In-built Benefit 1.1 (Accidental Death Benefit) or any other applicable Cover Benefits;
3. The death of the Insured Person occurred in a location that is not the city/place of residence of the Insured Person.

3.4 OPD Treatment

If an Insured Person suffers an Injury due to an Accident that occurs during the Travel Period and that Injury solely and directly requires the Insured Person to undergo OPD Treatment for any of the treatments/tests/consultations specified in the Certificate of Insurance or for treatment of fractures, burns or Dental Treatment then We will reimburse the costs incurred on Medical Expenses.

This Cover Benefit will be payable provided that:

1. The medical treatment undertaken is Medically Necessary Treatment and is commenced and continued on the written advice of the treating Medical Practitioner;
2. We will reimburse only those Medical Expenses that are in excess of the Deductible;
3. We will reimburse only those Medical Expenses that are Reasonable and Customary Charges;
4. We shall not be liable to make any payment in respect of Medical Expenses incurred on the treatment of any Illness or which relate to any Pre-Existing Disease.

3.5 Evacuation (Medical & Catastrophe):

We will reimburse the costs incurred for the air or surface transportation of the Insured Person during the Travel Period (and an attending Medical Practitioner if it is certified in writing as being medically necessary) including costs incurred for medical care during such transportation, in any of the following circumstances:

1. The Insured Person needs to be evacuated due to a Catastrophe which has occurred in the place where the Insured Person is located during the Travel Period;
2. The Insured Person needs to be transferred from the place of Accident to the nearest Hospital for medical treatment following an Accident during the Travel Period;
3. The Insured Person needs to be transported from the Hospital where the Insured Person is being treated to the nearest Hospital if such medical treatment cannot be provided at the Hospital where the Insured Person is situated.

This Cover Benefit will be payable provided that:

1. The treating Medical Practitioner certifies in writing that the transportation of the Insured Person was required for Medically Necessary Treatment to be rendered
2. We have agreed to the reimbursement of such costs of transportation in writing in advance of the transportation;
3. The Hospital to which the Insured Person is proposed to be transported is the nearest Hospital capable of providing the Medically Necessary Treatment required by the Insured Person;
4. If the Insured Person is transported to a Hospital which is not the nearest Hospital capable of providing the Medically Necessary Treatment required by the Insured Person then Our liability under this Cover Benefit shall be limited to the amount that would otherwise have been payable to transport the Insured Person to the nearest Hospital;
5. We will reimburse only those expenses that are Reasonable and Customary Charges;
6. We shall not accept more than one claim under this Cover Benefit in respect of the Insured Person following from the same Accident.

3.6 Personal Liability

We will reimburse any actual legal liability, including Defence Costs, incurred by the Insured Person in his/her private capacity to pay damages to a third party arising out of the third party’s death, Injury or property being damaged during the Travel Period upto the limit specified in the Certificate of Insurance.

This In-built Benefit will be payable provided that:

1. We are given immediate written notice of any event that may give rise to a claim under this In-built Benefit;
2. The Insured Person does not incur any Defence Costs or expenses, admit liability or settle or attempt to settle, make any admission or offer any payment or otherwise assume any contractual obligation with respect to such claim without Our prior written consent;
3. The Insured Person is obligated to defend himself/herself in any ensuing civil proceedings. We shall be entitled, but not obligated to, at any time to take over and conduct the defence and/or settlement of any action or claim in the name of the Insured Person and shall be entitled at all times to receive the Insured Person’s cooperation and assistance;
4. We shall not settle any claim without the express consent of the Insured Person, but if the Insured Person refuses an available settlement recommended by Us, then Our liability shall be restricted to the amount by which such claim could have been settled;

We shall not be liable to reimburse any expenses under this In-built Benefit for claims arising out of:

1. Any wilful, malicious, criminal or unlawful act, error, or omission;
2. Any liability incurred towards a relative, a travelling companion or work colleague of the Insured Person;
3. Participation in any Hazardous Activities;
4. The Insured Person’s business or occupation;
5. Livestock belonging to the Insured Person, or in his/her care, custody or control.

3.7 Home Insurance Cover

We will reimburse any actual loss incurred upto the limit specified in the Certificate of Insurance during the Travel Period towards any theft of personal possessions or property stored within the Insured Person’s usual place of residence that was left vacant for the duration of the Travel Period.

This In-built Benefit will be payable provided that:

1. The Insured Person provides Us with a copy of the police complaint reporting the incident;
2. The Insured Person provides Us with a written proof of ownership for any item stolen valued at more than the amount specified in the Certificate of Insurance.

We shall not be liable to reimburse any expenses for:

1. Any loss which is recovered subsequently;
2. Any loss of Valuables, Money, any kinds of securities or tickets;
3. Any loss due to any wilful act or omission of the Insured Person;
4. Any consequential loss or damage of any kind;
5. Any actual or alleged loss or destruction arising from detention, confiscation or distribution by customs, police or other public authorities.

3.8 Loss of Baggage and Personal Effects:

We will reimburse the actual loss upto the limit specified in the Certificate of Insurance incurred in relation to the permanent and total loss of the Insured Person’s luggage and personal possessions during the Travel Period.

This Cover Benefit will be payable provided that:

1. The Insured Person provides Us with a written proof of ownership for any item lost which is valued at more than the amount specified in the Certificate of Insurance;
2. The Insured Person provides Us with a certified copy of the police report filed;
3. We will reimburse only those losses that are Reasonable and Customary Charges.

We shall not be liable to reimburse any expenses under this Cover Benefit for:

1. Any loss or destruction which will be paid or refunded by the Common Carrier, hotel, agent or any other provider of travel and/or accommodation;
2. Any loss of Valuables, Money, any kinds of securities or tickets;
3. Any loss of luggage and personal possessions amounting to a partial loss or not amounting to a permanent and total loss;
4. Any actual or alleged loss or destruction arising from detention, confiscation or distribution by customs, police or other public authorities.

3.9 Emergency Hotel Requirement:

We will reimburse the costs upto the limit specified in the Certificate of Insurance towards the stay of the Insured Person in a hotel due to the Insured Person or any Immediate Relative travelling with the Insured Person suffering Injury in an Accident or Illness or Hospitalization during the Travel Period.

This Cover Benefit will be payable provided that:

1. The Injury or Illness caused to the Insured Person or his/her Immediate Relative must be so disabling as to reasonably require an extension of the stay;
2. We shall not accept more than one claim under this Benefit during the Coverage Period.

We shall not be liable to reimburse any expenses under this Cover Benefit for:

1. Any facts or matters of which the Insured Person was aware or should have been aware might result in a claim being made under this Cover Benefit;
2. Any extension opted in furtherance of business or personal reasons.

3.10 Trip Curtailment:

We will reimburse the cost of additional travel and accommodation expenses upto the limit specified in the Certificate of Insurance incurred towards any unavoidable curtailment of the Insured Person’s booked and confirmed journey due to one of the circumstances specified below:

1. Any unforeseen death, disablement (whether of a permanent or temporary nature), Injury due to an Accident, Illness or Hospitalization of the Insured Person, leading to emergency Hospitalisation for minimum period of 48 hours;
2. Any unforeseen death, disablement (whether of a permanent or temporary nature), Injury due to an Accident, Illness or Hospitalization of an Immediate Relative of the Insured Person travelling with the Insured/Insured Person, leading to emergency Hospitalisation for a minimum period of 48 hours;
3. Any irrecoverable costs of travel fares or accommodation incurred due to cancellation of the Insured Person’s booked and confirmed journey by the Common Carrier;
4. Any public event such as mass bandhs, or widespread strikes which the Insured Person could not reasonably avoid or plan for ahead in time;
5. On the occurrence of a Catastrophe during the Coverage Period.

This Cover Benefit will be payable provided that:

1. The event giving rise to a claim under this Cover Benefit must be such as to reasonably cause a journey to be curtailed;
2. We will reimburse only those expenses that are Reasonable and Customary Charges.

We shall not be liable to reimburse any expenses under this Cover Benefit for:

1. Any facts or matters of which the Insured Person was aware or should have been aware might result in the curtailment of the journey.

3.11 Electronic Equipment Cover:

We will reimburse the actual loss incurred up to the amount specified in the Certificate of Insurance in relation to the permanent and total loss of the Insured Person’s Portable Electronic Equipment due to any Accidental damage, loss or theft during the Travel Period.

For the purpose of this Cover Benefit,

1. Portable Electronic Equipment shall mean any computer equipment or communication devices carried by the Insured Person.

This Cover Benefit will be payable provided that:

1. The Insured Person provides Us with a written proof of ownership or care, custody and control of the Portable Electronic Equipment;
2. The Insured Person provides Us with a certified copy of the police report filed;
3. We will reimburse only those expenses that are in excess of the Deductible;
4. Any amount payable under this Cover Benefit shall be adjusted for depreciation as per the percentage specified below unless provided to the contrary within the Certificate of Insurance.

Age of the Equipment	Depreciation % (on Invoice Value)
i. Not exceeding 1 year	20%
ii. Exceeding 1 year but not exceeding 2 years	40%
iii. Exceeding 2 years but not exceeding 3 years	50%
iv. Exceeding 3 years but not exceeding 4 years	60%
v. Exceeding 4 years	80%

We shall not be liable to reimburse any expenses for:

1. Any loss or destruction which will be paid or refunded by a Common Carrier, hotel, agent or any other provider of travel and/or accommodation;
2. Any loss of stored data or re-creation of such stored data;
3. Any damage of Portable Electronic Equipment caused due to the Insured Person’s fault;
4. Any actual or alleged loss or destruction arising from detention, confiscation or distribution by customs, police or other public authorities.

3.12 Fire and Allied Perils (Home Building & Contents):

In consideration of the Insured named in the Schedule hereto having paid to us, the full premium mentioned in the said schedule, we, (Subject to the Conditions and Exclusions contained herein or endorsed or otherwise expressed hereon) that if after payment of the premium the Property Insured described in the said Schedule or any part of such Property be destroyed or damaged by any of the perils specified hereunder during the period of insurance named in the said schedule or of any subsequent period in respect of which the Insured shall have paid and the We shall have accepted the premium required for the renewal of the policy, We shall pay to the Insured the value of the Property at the time of the happening of its destruction or the amount of such damage or at its option reinstate or replace such property or any part thereof:

1. Fire

   Excluding destruction or damage caused to the property Insured by

   1. Its own fermentation, natural heating or spontaneous combustion.
   2. Its undergoing any heating or drying process.
   3. Burning of property Insured by order of any Public Authority.

2. Lightning

3. Explosion/Implosion

   Excluding loss, destruction of or damage

   1. To boilers (other than domestic boilers), economizers or other vessels, machinery or apparatus (in which steam is generated) or their contents resulting from their own explosion/implosion,
   2. Caused by centrifugal forces.

4. Aircraft Damage

   Loss, Destruction or damage caused by Aircraft, other aerial or space devices and articles dropped therefrom excluding those caused by pressure waves.

5. Riot, Strike and Malicious Damage

   Loss of or visible physical damage or destruction by external violent means directly caused to the property Insured but excluding those caused by

   1. Total or partial cessation of work or the retardation or interruption or cessation of any process or operations or omissions of any kind.
   2. Permanent or temporary dispossession resulting from confiscation, commandeering, requisition or destruction by order of the Government or any lawfully constituted Authority.
   3. Permanent or temporary dispossession of any building or plant or unit of machinery resulting from the unlawful occupation by any person of such building or plant or unit or machinery or prevention of access to the same.
   4. Burglary, housebreaking, theft, larceny or any such attempt or any omission of any kind of any person (whether or not such act is committed in the course of a disturbance of public peace) in any malicious act.
   5. If the Company alleges that the loss/damage is not caused by any malicious act, the burden of proving the contrary shall be upon the Insured.

   Notwithstanding any provision to the contrary within this insurance it is agreed that this insurance excludes loss, damage cost or expense of whatsoever nature directly or indirectly caused by, resulting from or in connection with any act of terrorism regardless of any other cause or event contributing concurrently or in any other sequence to the loss. For the purpose of this endorsement an act of terrorism means an act, including but not limited to the use of force or violence and / or the threat thereof, of any person or group(s) of persons whether acting alone or on behalf of or in connection with any organisation(s) or government(s), committed for political, religious, ideological or similar purpose including the intention to influence any government and/or to put the public, or any section of the public in fear. The warranty also excludes loss, damage, cost or expenses of whatsoever nature directly or indirectly caused by, resulting from or in connection with any action taken in controlling, preventing, suppressing or in any way relating to action taken in respect of any act of terrorism. If we alleges that by reason of this exclusion, any loss, damage, cost or expenses is not covered by this insurance the burden of proving the contrary shall be upon the Insured. In the event any portion of this endorsement is found to be invalid or unenforceable, the remainder shall remain in full force and effect.

6. Storm, Cyclone, Typhoon, Tempest, Hurricane, Tornado, Flood and Inundation

   Loss, destruction or damage directly caused by Storm, Cyclone, Typhoon, Tempest, Hurricane, Tornado, Flood or Inundation excluding those resulting from earthquake, Volcanic eruption or other convulsions of nature. (Wherever earthquake cover is given as an ―add on cover‖ the words ― excluding those resulting from earthquake ‖ shall stand deleted).

7. Impact Damage

   Loss of or visible physical damage or destruction caused to the property Insured due to impact by any Rail/ Road vehicle or animal by direct contact not belonging to or owned by

   1. The Insured or any occupier of the premises or
   2. Their employees while acting in the course of their employment

8. Subsidence and Landslide including Rock slide

   Loss, destruction or damage directly caused by Subsidence of part of the site on which the property stands or Land slide/ Rock slide excluding:

   1. The normal cracking, settlement or bedding down of new structures
   2. The settlement or movement of made up ground
   3. Coastal or river erosion
   4. Defective design or workmanship or use of defective materials
   5. Demolition, construction, structural alterations or repair of any property of ground works or excavations.

9. Bursting and/or overflowing of Water Tanks, Apparatus and Pipes

10. Missile Testing operations

11. Leakage from Automatic Sprinkler Installations

    Excluding loss, destruction or damage caused by

    1. Repairs or alterations to the buildings or premises.
    2. Repairs, Removal or Extension of the Sprinkler Installation.
    3. Defects in construction known to the Insured.

12. Bush Fire

    Excluding loss destruction or damage caused by Forest Fire. provided that our liability shall in no case exceed in respect of each item the Sum expressed in the said Schedule to be Insured thereon or in the whole the total Sum Insured hereby or such other Sum or sums as may be substituted therefor by memorandum hereon or attached hereto signed by or on behalf of us.

13. Earthquake (Fire and Shock) Earthquake (Fire and Shock) Endorsement:

    It is hereby agreed and declared that notwithstanding anything stated in the printed exclusions of this policy to the contrary, this Insurance is extended to cover loss or damage (including loss or damage by fire) to any of the property insured by this policy, occasioned by or through or in consequence of earthquake including flood or overflow of the sea, lakes, reservoirs and rivers and/or landslide / rockslide resulting therefrom. Provided always that all the conditions of this policy shall apply (except in so far as they may be hereby expressly varied) and that any reference therein to loss or damage by fire shall be deemed to apply also to loss or damage directly caused by any of the perils which this insurance extends to include by virtue of this endorsement.

    General Exclusion of this Benefit:

    1. This Policy does not cover (not applicable to policies covering dwellings)

       1. The first 5% of each and every claim subject to a minimum of Rs.10,000 in respect of each and every loss arising out of ―Act of God perils such as Lightning, STFI, Subsidence, Landslide and Rock slide covered under the policy
       2. The first Rs.10,000 for each and every loss arising out of other perils in respect of which the Insured is indemnified by this policy

       The Excess shall apply per event per Insured.

    2. Loss, destruction or damage caused by war, invasion, act of foreign enemy hostilities or war like operations (whether war be declared or not), civil war, mutiny, civil commotion assuming the proportions of or amounting to a popular rising, military rising, rebellion, revolution, insurrection or military or usurped power.

    3. Loss, destruction or damage directly or indirectly caused to the property Insured by

       1. Ionizing radiations or contamination by radioactivity from any nuclear fuel or from any nuclear waste from the combustion of nuclear fuel
       2. The radioactive, toxic, explosive or other hazardous properties of any explosive nuclear assembly or nuclear component thereof

    4. Loss, destruction or damage caused to the Insured property by pollution or contamination excluding

       1. Pollution or contamination which itself results from a peril hereby Insured against.
       2. Any peril hereby Insured against which itself results from pollution or contamination

    5. Loss, destruction or damage to bullion or unset precious stones, any curios or works of art for an amount exceeding Rs. 10000/-, manuscripts, plans, drawings, securities, obligations or documents of any kind, stamps, coins or paper Money, cheques, books of accounts or other business books, computer systems records, explosives unless otherwise expressly stated in the policy.

    6. Loss, destruction or damage to the stocks in Cold Storage premises caused by change of temperature.

    7. Loss, destruction or damage to any electrical machine, apparatus, fixture, or fitting arising from or occasioned by over-running, excessive pressure, short circuiting, arcing, self heating or leakage of electricity from whatever cause (lightning included) provided that this exclusion shall apply only to the particular electrical machine, apparatus, fixture or fitting so affected and not to other machines, apparatus, fixtures or fittings which may be destroyed or damaged by fire so set up.

    8. Expenses necessarily incurred on

       1. Architects, Surveyors and Consulting Engineer's Fees and
       2. Debris Removal by the Insured following a loss, destruction or damage to the Property Insured by an Insured peril in excess of 3% and 1% of the claim amount respectively.

    9. Loss of earnings, loss by delay, loss of market or other consequential or indirect loss or damage of any kind or description whatsoever.

    10. Loss or damage by spoilage resulting from the retardation or interruption or cessation of any process or operation caused by operation of any of the perils covered.

    11. Loss by theft during or after the occurrence of any Insured peril except as provided under Riot, Strike, Malicious and Terrorism Damage cover.

    12. Any Loss or damage occasioned by or through or in consequence directly or indirectly due to Volcanic eruption or other convulsions of nature.

    13. Loss or damage to property Insured if removed to any building or place other than in which it is herein stated to be Insured, except machinery and equipment temporarily removed for repairs, cleaning, renovation or other similar purposes for a period not exceeding 60 days.

General Conditions:

1. This Policy shall be voidable in the event of mis-representation, mis-description or non-disclosure of any material particular.
2. All insurances under this policy shall cease on expiry of seven days from the date of fall or displacement of any building or part thereof or of the whole or any part of any range of buildings or of any structure of which such building forms part. Provided such a fall or displacement is not caused by Insured perils, loss or damage by which is covered by this policy or would be covered if such building, range of buildings or structure were Insured under this policy. Notwithstanding the above, We, subject to an express notice being given as soon as possible but not later than seven days of any such fall or displacement may agree to continue the insurance subject to revised rates, terms and conditions as may be decided by it and confirmed in writing to this effect.
   1. Under any of the following circumstances the insurance ceases to attach as regards the property affected unless the Insured, before the occurrence of any loss or damage, obtains our sanction signified by endorsement upon the policy by or on behalf of us:-
      1. If the trade or manufacture carried on be altered, or if the nature of the occupation of or other circumstances affecting the building Insured or containing the Insured property be changed in such a way as to increase the risk of loss or damage by Insured Perils.
      2. If the interest in the property passes from the Insured otherwise than by will or operation of law.
   2. This insurance does not cover any loss or damage to property which, at the time of the happening of such loss or damage, is Insured by or would, but for the existence of this policy, be Insured by any marine policy or policies except in respect of any excess beyond the amount which would have been payable under the marine policy or policies had this insurance not been effected.
   3. This insurance may be terminated at any time at the request of the Insured, in which case we will retain the premium at customary short period rate for the time the policy has been in force. This insurance may also at any time be terminated at our option, on 15 days' notice to that effect being given to the Insured, in which we shall be liable to repay on demand a rateable proportion of the premium for the unexpired term from the date of the cancellation.
   4. On the happening of any loss or damage the Insured shall forthwith give notice thereof to the us and shall within 15 days after the loss or damage, or such further time as we may in writing allow in that behalf, deliver to us
      • A claim in writing for the loss or damage containing as particular an account as may be reasonably practicable of all the several articles or items or property damaged or destroyed, and of the amount of the loss or damage thereto respectively, having regard to their value at the time of the loss or damage not including profit of any kind.
      • Particulars of all other insurances, if any
      The Insured shall also at all times at his own expense produce, procure and give to us all such further particulars, plans, specification books, vouchers, invoices, duplicates or copies thereof, documents, investigation reports (internal/external), proofs and information with respect to the claim and the origin and cause of the loss and the circumstances under which the loss or damage occurred, and any matter touching the liability or the amount of our liability as may be reasonably required by or on our behalf together with a declaration on oath or in other legal form of the truth of the claim and of any matters connected therewith. No claim under this policy shall be payable unless the terms of this condition have been complied with (ii) In no case whatsoever shall we be liable for any loss or damage after the expiration of 12 months from the happening of the loss or damage unless the claim is the subject of pending action or arbitration; it being expressly agreed and declared that if we shall disclaim liability for any claim hereunder and such claim shall not within 12 calendar months from the date of the disclaimer have been made the subject matter of a suit in a court of law then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be recoverable hereunder.
   5. On the happening of loss or damage to any of the property Insured by this policy, we may
      • Enter and take and keep possession of the building or premises where the loss or damage has happened.
      • Take possession of or require to be delivered to it any property of the Insured in the building or on the premises at the time of the loss or damage.
      • Keep possession of any such property and examine, sort, arrange, remove or otherwise deal with the same.
      • Sell any such property or dispose of the same for account of whom it may concern.
      The powers conferred by this condition shall be exercisable by the us at any time until notice in writing is given by the Insured that he makes no claim under the policy, or if any claim is made, until such claim is finally determined or withdrawn, and we shall not by any act done in the exercise or purported exercise of its powers hereunder, incur any liability to the Insured or diminish its rights to rely upon any of the conditions of this policy in answer to any claim. If the Insured or any person on his behalf shall not comply with our requirements or shall hinder or obstruct us, in the exercise of its powers hereunder, all benefits under this policy shall be forfeited. The Insured shall not in any case be entitled to abandon any property to us whether taken possession of by us or not.
   6. If the claim be in any respect fraudulent, or if any false declaration be made or used in support thereof or if any fraudulent means or devices are used by the Insured or any one acting on his behalf to obtain any benefit under the policy or if the loss or damage be occasioned by the willful act, or with the connivance of the Insured, all benefits under this policy shall be forfeited.
   7. We at our option, reinstate or replace the property damaged or destroyed, or any part thereof, instead of paying the amount of the loss or damage, or join with any other Company or Insurer(s) in so doing, we shall not be bound to reinstate exactly or completely but only as circumstances permit and in reasonably sufficient manner, and in no case shall we be bound to expend more in reinstatement than it would have cost to reinstate such property as it was at the time of the occurrence of such loss or damage nor more than the Sum Insured by us thereon. If we so elect to reinstate or replace any property the Insured shall at his own expense furnish us with such plans, specifications, measurements, quantities and such other particulars as we may require, and no acts done, or caused to be done, by us with a view to reinstate or replace shall be deemed an election by us to reinstate or replace.
      If in any case we shall be unable to reinstate or repair the property hereby Insured, because of any municipal or other regulations in force affecting the alignment of streets or the construction of buildings or otherwise, we shall, in every such case, only be liable to pay such Sum as would be requisite to reinstate or repair such property if the same could lawfully be reinstated to its former condition.
   8. If the property hereby Insured shall at the breaking out of any fire or at the commencement of any destruction of or damage to the property by any other peril hereby Insured against be collectively of greater value than the Sum Insured thereon, then the Insured shall be considered as being his own insurer for the difference and shall bear a rateable proportion of the loss accordingly. Every item, if more than one, of the policy shall be separately subject to this condition.
   9. If at the time of any loss or damage happening to any property hereby Insured there be any other subsisting insurance or insurances, whether effected by the Insured or by any other person or persons covering the same property, we shall not be liable to pay or contribute more than its rateable proportion of such loss or damage.
   10. The Insured shall at the expense of us do and concur in doing, and permit to be done, all such acts and things as may be necessary or reasonably required by us for the purpose of enforcing any rights and remedies or of obtaining relief or indemnity from other parties to which the we shall be or would become entitled or subrogated, upon its paying for or making good any loss or damage under this policy, whether such acts and things shall be or become necessary or required before or after his indemnification by us.
   11. If any dispute or difference shall arise as to the quantum to be paid under this policy (liability being otherwise admitted) such difference shall independently of all other questions be referred to the decision of a sole arbitrator to be appointed in writing by the parties to or if they cannot agree upon a single arbitrator within 30 days of any party invoking arbitration, the same shall be referred to a panel of three arbitrators, comprising of two arbitrators, one to be appointed by each of the parties to the dispute/difference and the third arbitrator to be appointed by such two arbitrators and arbitration shall be conducted under and in accordance with the provisions of the Arbitration and Conciliation Act, 1996.
       It is clearly agreed and understood that no difference or dispute shall be referable to arbitration as hereinbefore provided, if we have disputed or not accepted liability under or in respect of this policy. It is hereby expressly stipulated and declared that it shall be a condition precedent to any right of action or suit upon this policy that the award by such arbitrator/ arbitrators of the amount of the loss or damage shall be first obtained.
   12. Every notice and other communication to us required by these conditions must be written or printed.
   13. At all times during the period of insurance of this policy the insurance cover will be maintained to the full extent of the respective Sum Insured in consideration of which upon the settlement of any loss under this policy, pro-rata premium for the unexpired period from the date of such loss to the expiry of period of insurance for the amount of such loss shall be payable by the Insured to us.
       The additional premium referred above shall be deducted from the net claim amount payable under the policy. This continuous cover to the full extent will be available notwithstanding any previous loss for which we may have paid hereunder and irrespective of the fact whether the additional premium as mentioned above has been actually paid or not following such loss. The intention of this condition is to ensure continuity of the cover to the Insured subject only to the right of the Insurance Company for deduction from the claim amount, when settled, of pro-rata premium to be calculated from the date of loss till expiry of the policy. Notwithstanding what is stated above, the Sum Insured shall stand reduced by the amount of loss in case the Insured immediately on occurrence of the loss exercises his option not to reinstate the Sum Insured as above.

4. General Exclusions

We shall not be liable to make any payment for any claim under the Policy in respect of an Insured Person, directly or indirectly for, caused by, arising from or in any way attributable to any of the following, except where provided to the contrary under any Benefit(s) within the Policy:

1. Suicide or attempted suicide, intentional self-inflicted Injury or acts of self-destruction, whether the Insured Person is medically sane or insane.
2. Bacterial infections (except pyogenic infection which occurs through a cut or wound due to Accident).
3. Medical or surgical treatment except as necessary solely and directly as a result of an Accident.
4. Certification of disability by a Medical Practitioner who shares the same residence as the Insured Person or who is a member of the Insured Person’s family.
5. Death, disability or illness directly or indirectly caused by or associated with any venereal disease or sexually transmitted disease.
6. Death, disability or illness resulting directly or indirectly, contributed or aggravated or prolonged by childbirth or from pregnancy or a consequence thereof including ectopic pregnancy unless specifically arising due to Accident.
7. Death, disability or illness caused by participation of the Insured Person in any flying activity, except as a bona fide passenger on a public aircraft, which is operating under a valid license from the relevant authority for the transportation of passengers.
8. Death, disability or illness or Injury arising from or caused by ionizing radiation or contamination by radioactivity from any nuclear fuel (explosive or hazardous form) or resulting from or from any other cause or event contributing concurrently or in any other sequence to the loss, claim or expense from any nuclear waste from the combustion of nuclear fuel, nuclear, chemical or biological attack.
9. Any change of profession after inception of the Policy which results in the enhancement of Our risk under the Policy, if not accepted and endorsed by Us on the Certificate of Insurance.
10. Any journey where the Insured Person is travelling as a commercial driver, operator or crew member in, or carrying out any testing or repairs on a Common Carrier.
11. Any intentional illegal or unlawful act or confiscation, detention, destruction by customs or other authorities or any breach of government regulation.
12. Any failure to take reasonable precautions to avoid a claim under the Policy following a mass media or government issued warning.
13. Any event arising from or caused due to use, abuse or a consequence or influence of an abuse of any substance, intoxicant, drug, alcohol or hallucinogen.
14. Any breach of law or participation of the Insured Person in an actual or attempted felony, riot, crime, misdemeanour or civil commotion with criminal intent.
15. Any act of foreign invasion, act of foreign enemies, hostilities, warlike operations (whether war be declared or not or while performing duties in the armed forces of any country during war or at peace time), and participation of the Insured Person in any naval, military or air-force operation, civil war, public defence, rebellion, revolution, insurrection, military or usurped power.
16. Engaging in any Hazardous Activities, testing of any kind of Common Carrier, engaging in manual work during a journey, engaging in any offshore work activity, mining, tunnelling or any work involving electrical installation with high tension supply, aerial photography, ammunition, explosives, firearms or flight duty, except as a fare-paying passenger.
17. Any journey commenced when You are not fit to travel or are travelling against the advice of a Medical Practitioner.
18. Any journey commenced to obtain medical care, treatment or advice of any kind whether this is the sole purpose of Your journey or not.
19. Chemical attack or weapons means the emission, discharge, dispersal, release or escape of any solid, liquid or gaseous chemical compound which, when suitably distributed, is capable of causing any Illness, incapacitating disability or death.
20. Biological attack or weapons means the emission, discharge, dispersal, release or escape of any pathogenic (disease producing) microorganisms and/or biologically produced toxins (including genetically modified organisms and chemically synthesized toxins) which are capable of causing any Illness, incapacitating disability or death.
21. Any generally excluded non-medical expenses as provided in Annexure I of Policy Wordings.

5. Claim & Documents:

On the occurrence of or discovery of any event which may give rise to a claim under this Policy, We shall be provided with the necessary information and documentation as indicated against each Category below, in respect of the claim within 15 days of the occurrence of the event giving rise to a claim under the Policy

Insured may notify a claim using one of the following communication channels:

• Acko Insurance Helpline Number. 1800 266 2256
• Email notification to Acko email address [email protected]

Sr. No.t	Name of Benefit	Documents required
1	Common Documents	Copies of valid KYC documents of the Nominee/claimant, any other regulatory requirements, as amended from time to time; Confirmation from Partner
2	Accidental Death	Copy of Death Certificate Copy of Post Mortem Report Copy of F.I.R / Panchnama Legal Heir Certificate & NOC (in the absence of nominee) *KYC & Account details of Nominee/Legal Heir (as applicable)
3	Accidental Medical Expenses Reimbursement	Hospital Final Bills with Payment Receipts Discharge Summary Medical/Pharmacy Bills with Prescriptions of the treating doctor All Investigation Reports (eg. MRI/CT Scan/USG/Blood Tests etc) Copy of FIR / Panchnama
4	OPD Treatment	Medical / Pharmacy Bills with Prescriptions of the treating doctor All Investigation Reports (eg. MRI/ CT Scan/ USG/ Blood Tests etc) Copy of FIR / Panchnama (optional)
5	Repatriation of Mortal Remains	This is associated with Death claim Receipt for expenses incurred towards preparation and packaging of the moral remains of the deceased and also for the transportation of the mortal remains of the deceased
6	Medical Evacuation	All Investigation Reports (eg. MRI/ CT Scan/ USG/ Blood Tests etc) Copy of FIR / Panchnama Treating Doctor’s consultation indicating the need of medical evacuation Original invoice and payment receipt
7	Emergency Hotel Requirement	Hospital Progress Notes or Indoor Case Papers Accommodation booking confirmation with payment receipts. Hospital Discharge Summary Hospital Final Bill
8	Personal Liability	Copy of FIR/ Panchnama Court petition
9	Loss of Baggage & Personal Effects	Report made to Hotel within 48 hours of noticing the loss Copy police complaint Invoice
10	Electronic Equipment Cover	Report made to Hotel within 48 hours of noticing the loss / Copy of Invoice Copy of Police Complaint Invoice
11	Home Insurance Cover / Fire and Allied Perils (Home Building & Contents)	Proof of ownership of house Copy of FIR/ Panchnama Copy of Fire Brigade Report
12	Trip Curtailment	Confirmation of cancellation from partner along with refund details Documents associated with Death claim in case of death of the Insured Person or Immediate Relative of the Insured Person (not required at the time of natural calamity) Documents associated with Accidental Medical Expense Reimbursement in case of Hospitalization of Insured Person or Immediate Relative of the Insured Person(not required at the time of natural calamity) Proof of Relationship between the Insured Person and Immediate Relative( not required at the time of natural calamity)

Note:

1. The list of claim documents is indicative. The claims team informs & guides the customer/claimant for the requirement of any additional document depending upon the nature & extent of loss.
2. *Documents pertains to KYC/CKYC/AML guidelines are as applicable from time to time based on notification issued by appropriate authority (IRDAI circulars, RBI circulars etc.)
3. Acko reserves the right to investigate any potential fraud claims.
4. Claims will only be settled in valid Indian bank account.

6. Grievance Redressal:

For resolution of any query or grievance, the Insured Person may write an e-mail at: [email protected]. In case the insured is not satisfied with the response of the office, insured may contact the Grievance Officerof the Company at the following address:

In case Insured Person is not satisfied with the resolution, the Insured Person may write to Acko’s Grievance Redressal Officer at the following address:

Grievance Redressal Officer
Acko General Insurance Limited
36/5, Hustlehub One East, Somasandrapalya,
27th Main Rd, Sector 2, HSR Layout,
Bengaluru, Karnataka 560102
[email protected]

In case Insured’s complaint is not fully addressed by Acko, You may use the Integrated Grievance Management System (IGMS) for escalating the complaint to IRDAI. Through IGMS, the insured can register the complaint online and track its status. For registration, please visit IRDAI website https://www.irdai.gov.in/

Please note that these terms and conditions are only indicative, and the full list of policy conditions and exclusions are available at: http://www.acko.com/download