this presentation contains details about personal accident insurance. this is prepared by Mozammel,Ibno,devasish, Mumu,

1. Welcome To Our
Presentation

2. Personal Accident
Insurance

3. We Are………
Name Roll No
Jubayer-Al-Mamun 41
Md. Sumsul Arifin 42
Amor Adhikari 44
Nazia Tabassum 45
Pranti Sarker 46
Md. Mozammel Hoque 47
Debashish Das 48
Mirsadul Abrar 49
Afjal Hosen 50

4. Nazia Tabassum
Roll No.45

5. • Personal accident insurance is one of the popular
classes of accident insurance and as a supplement to
life insurance; it provides an ideal protection against
death or disability
• Due to rapid industrialization, and more and more use
of complex machinery, industrial accidents are more
frequent. To cater to the varying and increasing needs,
different forms of cover are available. Individuals are
granted this cover under an individual personal
accident insurance policy. For a group of individuals,
the insurance companies have devised group personal
accident insurance policies.

6. Definition
• This is a contractual agreement between an
insurance provider and policy holder.
The insurance provider agrees to pay the
policy holder a monthly income should they
be unable to continue working due to an
accident.
In return for this, the policy holder will pay
the insurance provider a monthly premium

7. Md. Mozammel Hoque
Roll No.47

8. Features of personal
Accident Insurance

9. Feature of personal accident
insurance:
• The maximum liability of the insurer is the capital
sum insured The amount of claim is payable to the
insured person or his illegal representative in case
of death. Appointment of nominee is desirable.
• No weekly compensation shall become payable until
total amount shall have been ascertained and
agreed.
• Personal accident insurance with another insurer
must be within the knowledge and written
permission of the insurer or else policy becomes
void

10. • Age limits between 16 and 25 years. The upper age
limit may be relaxed in certain cases on merit.
• Payment of the insurance benefits is made within 30
days of receiving the necessary documents.
• Insurance policy also implicates money
compensation to the insured's heir in case of death.
• The value of insurance - annual insurance premium
is determined according to insured's age, gender
and profession

11. •
• The terms, conditions and exceptions that appear in
the Policy or in any endorsement are part of the
contract and must be complied with. Failure to
comply may result in the claim being denied.

12. Mirsadul Abrar
Roll No.49

13. Coverage

14. Coverage
• Personal accident policy provides for specific
benefit of insured person suffering injury,
resulting in death or disablement arising
solely and directing from an accident caused
by violent external and visible means.

15. • The types of coverage normally
provided under a personal accident
policy include :
1. Accidental Death
2. Permanent Disablement:
-- Both hands or feet or one hand
and one foot (known as loss of limbs)
– Complete and irrecoverable loss
of sight in both eyes.

16. • Loss of one limb and
complete and recoverable
loss of sight of one eyes-
in this regard 50% of
capital sum insured.
• 3. Temporary total
disablement- in this
respect 33% of capital
sum insured, maximum
taka 5000 per week.

17. Debashish Das
Roll No.48

18. Types of personal
Accident Insurance

19. Types of personal accident
insurance
• Business travel accident insurance: This type of
insurance covers employees during business travel.
• Household members’ personal accident
insurance: This type of insurance covers all
members of households; spouses, children & other
members of household.
• Personal accident insurance for members of
hunting and fishing organization: This insurance
may include: insurance for members of sports
organizations, professional sports competitors &
participants in sports races and competition.

20. • Personal accident insurance for pilots, cabin crew
members & passengers: Insurance is available for;
professionals & sport pilots, military pilots, passengers.
• Personal accident insurance for members of cultural
associations: Insurance is available for; professional
members of cultural associations.
• Personal accident insurance for children, pupils &
students: This insurance is available for; children, pupils and
students.
• Personal accident insurance for students staying abroad:
This insurance is available for individuals and groups who
travel abroad for work experience through authorized legal
entities.

21. Jubayer-Al-Mamun
Roll No.41

22. Types of Policy

23. Types of policy
• There are different types of personal accident
insurance policy on the basis of payment of claim,
coverage, premium rate. There are as follows
 Simple personal accident policies only pay a cash
sum following an accident where you are injured
 Simple income protection policies pay when you are
off work following an accident
 Where they merge is when an income protection
policy also includes illness, and a personal accident
policy includes sickness and/ or pays monthly benefits
rather than a cash sum.

24.  We regard policies which cover an accident and
sickness/ illness by paying a cash sum as Personal
Accident
 We regard policies which cover accident and illness
by paying a monthly benefit as Income Protection.
 Insurers themselves often confuse you by
using vague product names like “Protection "
which can include income protection, critical
illness, life, personal accident and other
products. - or a flashy name which gives no
indication of what it covers.

25. • There are three main ways to partially or wholly
protect you against the costs of long term care.
• On some products, you only get money if you qualify
as needing care.
• On some products, you get money anyway, but
there is some help in arranging care if needed.
• On investment and Equity Release products, you
choose whether or not to use the proceeds on care.

26. Amor Adhikari
Roll No.44

27. Condition of
Policy

28. Condition of policy
• This policy and the Schedules shall be read together
to express a specific meaning of the policy.
• In the event of any accident or disablement by
diseases an insured person notice of it within
fourteen days of the occurance of the accident.
• The insured or his legal representatives demand
written report from a medical attendant.
• The doctor must be qualified and registered and
approved by the company.
• In case of the loss of sight more than fourteen days,
notice must be given.

29. • All sum payable within one calendar month that
must approved by the company.
• No sum payable unless claimed within one offer it
has become due.
• If req. by the company, medical or other agent shall
examine the accident with reasonable time.
• If an insured person shall change his occupation, he
must give immediate notice and if that job is more
hazardous, he may pay extra premium.
• The company shall not be bound to notice relating
policy.

30. Afzal Hosen
Roll No.50

31. Exceptions

32. Exceptions
 We already know that an insured person gets
benefit from the insurer due to death or disablement
arising solely and directly from an accident by
violent external and visible means. But in the
following cases an injured person will not be entitled
to get benefit from the insurer if accident death or
disablement arising from the following reasons
though he is injured.
• War & kindred risk, riot, strike and civil
commotion or international self-injury whether
criminal or not.

33. • Injury sustained whilst the insured person is
under influence of intoxicants or is suffering
from insanity.
• Injury occasioned by or contributed to by
venereal disease or pregnancy.
• Flying for the purpose of any trade or technical
operation or as member of an aircrew or any other
aerial activities.
• Hunting, stable-chasing, racing of any kind (other
than one foot), rugby, football, polo, motorcycling, or
winter sports, underwater pastime or pot-holding
except in so far as the company has by
endorsement agreed to extend all insurance.

34. • Intentional or self-inflicted injury
• Suicide or attempted suicide, while sane or insane
• Committing or attempting to commit a crime or assault,
or while engaged in a criminal enterprise
• Engaging in any speed or performance contest,
whether legal or illegal
• Use of a vehicle while under the influence of drugs or
alcohol
• Traveling in, boarding, or alighting from, any portion of
a vehicle not designed and manufactured specifically
for the transportation of persons.
• Use of the vehicle in violation of the terms of the rental
contract

35. Md. Sumsul Arifin
Roll No.42

36. Occupational
Classification And Rate
of Claim

37. Classification of Occupation
• Profession or occupation is an important factor to guide the
underwriter as regards assessment of risk in each case and
consequently it stands to serve as the basis of rating. A
representative classification is given as under:
 Class I. Accountants, Bankers, member of Legal &
Medical Profession, teachers, consulting engineers,
mercantile assistants and those engaged in executive,
administrative, etc duties.
 Class II. Architects, engineers, (Superintendents)
only, Planters, Salesmen and master tradesmen who
supervise but do not do manual work.

38.  Class III. Engineer (superintending and working)
engineering contractors engaged in manual work not
involving unusual hazards.
 Class IV. Any occupation involving unusual
hazards.
It is not possible to give exhaustive list and the
classification given above is only indicative of the
considerations involved.

39. Rate of claim
Description percentage
1.Permament total loss of sight of both 100%
eyes
2.Total or permanent total loss of use of 100%
two limbs
3.Total or permanent total loss of use of 75%
right arm
4.Total or permanent total loss of use of 60%
left arm
5.Total or permanent total loss of use of 65%
right fore arm
6. Total or permanent total loss of use of 55%
left fore arm.
7. Total or permanent total loss of use of 60%
right hand

40. 8.Total or permanent total loss of use 50%
of left hand
9. total or permanent total loss of use of 6%
things
10. total or permanent total loss of leg at 50%
or below the knee
11.total or permanent total loss of use of 40%
foot
12.permament total loss of sight of one 50%
eye
13.Permament total deafness in one ear 15%
14. total or permanent total loss of use of 25%
thumbs on right hand
15.Permament total deafness in twp ear 50%
16.total or permanent total loss of use of 20%
thumbs on left hand

41. 17.total or permanent total loss of 20%
use of index finger on the right
hand
18. total or permanent total loss of use 15%
of index finger on the left hand
19. total or permanent total loss of use 12%
of middle finger on right hand
20. total or permanent total loss of use 10%
of middle finger on left hand
21. total or permanent total loss of use 10%
of third (ring)finger on right hand
22. total or permanent total loss of use 8%
of third (ring)finger on left hand
23. total or permanent loss of use of 8%
little finger on right hand
24. total or permanent total loss of use 6%
of little finger on left hand

42. 25.total or permanent total loss of 5%
use of big toe
26. total or permanent total loss of 3%
use of big toe
27.Permsanent total disablement 55% annually
other than the above
• Source: Karnaphuli Insurance
Company Limited

43. Pranti Sarker
Roll No.46

44. Limitation And
Conclusion

45. Limitations of Personal
Accident:
• Life insurance covers the risk of death; health insurance covers
the risk of sickness ; where as personal accident insurance
covers the risk associated with accidents. If the life assured is
seriously injured in an accident and disabled either temporarily
or permanently, he/she will not able to work and earn. To
minimize the financial hardship of the life assured and his/her
family members, the personal accident insurance provides the
financial support. So personal accident insurance is very
essential and Life insurance cover without personal accident
cover is inadequate from risk management point of view.
• The personal accident policy provides compensation in event
of insured sustaining injuries solely and directly from an
accident cause by violence, visible and external means,
resulting in to death or disablement be it temporary or
permanent.

46. • These exclusions and limitation depend on insurance
company and some common things are:
• This insurance policy will pay the compensation, if you have
any physical injury due to accident.
• This policy does not pay for car, property, and animals which
are damaged or lost in accident. You are not paid for
inconvenience, lost work, injured pride or etc.
• Other common exclusions: Disability because of the
AIDS/HIV, war, normal pregnancy and childbirth, injury due to
suicide attempt, self injury, criminal acts, failing medical advice,
having a part in any dangerous or hazardous work, activity,
sport or hobby, having military duty, driving by having more
alcohol are not allowed by law.
• These are some common exclusion and limitations, this
information may help you to take the decision in choosing the
insurance policy.

47. What benefits should I
expect?
• A simple personal accident policy pays a set cash sum on death.
• On other benefits, there may be a cash sum, a monthly income or a
mixture of the two. Monthly income is limited to a set number of
months.
• Most also include a cash sum for Total Permanent Disablement. This
is where you are not going to get better.
• Then there are frequently specific items where you get payment for
injuries which result in
• Total loss of speech, hearing or sight
• Total loss of or use of a hand or foot
• Less frequent are specific higher benefits for catastrophes which
result in quadriplegia or paraplegia.
•

48. • Some policies go into great detail about the different benefits for
each type of accident such as fracture or dislocation.
• Also common is Temporary Total Disablement. This is where you are
seriously hurt but will get better.
• Other benefits may include Hospital Cash for every night you are in
hospital.
• It is quite common for benefits to be double, treble or quadrupled for
serious problems such as travel accident, accidental death,
disappearance or exposure.
• Other product features available include
• 24/7 helpline
• Counseling
• Rehabilitation
• Damage to clothing and personal property
• Kidnap and hijack
• Cost of specialist transport to get you to hospital

49. • You can be protected from accidental expenditure by this personal
accident insurance and it will pay some lump sum amount for injury or
death because of accident. Benefits depends on insurance company,
there are some general benefits such as:
• A set of cash sum on death is paid by a simple personal accident
policy.
• It may be cash sum, a monthly income or they may pay a mixture of
two.
• There are some specific payments for specific injuries like total loss of
speech, hearing or sight and total loss of or use of hand or foot.
• Hospital cash can be paid for every day if you are in hospital.
• Other features are like 24/7 help line, counseling, rehabilitation.

50. CONCLUSION:
• Personal accident policy premiums are much
lower in comparison to the term life
insurance or health insurance premiums.
Further in view of the misery and financial
hardship of the surviving insured after the
accident, taking a personal accident cover is
a necessity and should take precedence
over life and health insurance cover.