Temporary Total Disability (TTD)
Pays a weekly amount, up to a limit in the plan, while a doctor certifies that you cannot work after an accident.
Health insurance pays for treatment. It does not usually replace income if an accident leaves you unable to work for a while, or for good. Personal accident insurance pays a benefit on accidental death or disability, and some plans offer an income benefit during recovery. A Distroo Advisor helps you check which benefits you actually need.
A clear process helps when an accident happens. Here is how a claim usually works, and where your Advisor helps. The insurer decides the claim.
Inform the insurer and your Advisor as soon as possible, within the time stated in the policy.
Submit the FIR or panchnama copy, where applicable, and the treating doctor's reports and disability assessment.
The insurer assesses the extent of disability against the policy's benefit schedule, often based on a medical certificate.
The insurer decides whether the claim is admissible under the policy and the benefit payable.
If the claim is admitted, the benefit is paid by bank transfer to the insured or the nominee.
Basic accidental death cover can be extended with disability and income benefits. Each has its own terms, limits and cost.
Pays a weekly amount, up to a limit in the plan, while a doctor certifies that you cannot work after an accident.
Some plans add a benefit towards the education of dependent children after an accidental death or disability.
Some plans pay a fixed amount for specified fractures or a daily amount during hospitalisation after an accident.
Some plans cover ambulance or emergency evacuation after an accident, within limits.
How accidental events are typically treated. Your policy wording is the final word.
Typical features of personal accident policies; check your policy
The sum insured, or the percentage stated in the plan, is paid to the nominee on death caused by an accident.
A benefit for events such as loss of both limbs, loss of sight in both eyes or permanent paralysis, as defined in the policy.
A percentage of the sum insured for partial losses, such as loss of a finger or hearing in one ear, as per the policy's schedule.
Many plans cover accidents anywhere in the world during work, travel and daily life. Check the territory in your policy.
Typical exclusions; the policy wording is final
Accidents while under the influence of alcohol or drugs are generally excluded.
Intentional self-harm and attempted suicide are generally excluded.
Accidents while taking part in criminal acts, riots or civil commotion are generally excluded.
Racing, skydiving or deep-sea diving may be excluded unless a specific add-on is chosen.
Complete incident records help the insurer assess the claim.
A certified copy of the First Information Report, where applicable.
Post-mortem report, if required, and the death certificate.
Nominee's ID, PAN and a cancelled cheque for direct payment.
A medical certificate assessing the extent of disability, from a recognised doctor or medical board, as the insurer requires.
Hospital records, operation notes and rehabilitation notes related to the accident.
Imaging that supports the injury and its extent.
The treating doctor's written advice on the period you cannot work.
Employer leave confirmation and recent payslips, if the insurer asks for them.
A certificate from the treating doctor confirming recovery and fitness to resume work.
Discuss your occupation, dependants and goals with a Distroo Advisor.
Share your policy schedule and we will explain its key terms and possible gaps.
Your Advisor looks at your occupation, dependants and existing cover to suggest benefits that make sense, and explains the options from partner insurers.
Answers about disability benefits, occupation classes and claims.