Content  
Common Feature Policy Type
Definition of ‘Accident’ General exclusion
Definition of ‘Injury’ Basic Coverage
Coverage Period Optional Coverage
Policy Proceed Free Extension or Optional Benefit
Policy Cash Value  

Category
Accident Death and Disability-General

Target Insured

Essential for Declaration in Change of Occupation

Premium

Advantages

Accident Death and Disability-Student

Target Insured

Advantages

Premium

 

Accident Death and Disability-Family

Target Insured

Benefit Designed

Premium

Advantages

Common Features

Definition of ‘Accident’

  • An unforeseen and unexpected event of violent, accidental, external and visible nature which shall independently of any other cause be the sole and direct cause of bodily injury.

Definition of ‘Injury’

  • A visible contusion bodily injury, caused solely and directly by accidental means, excluding caused by sickness or disease, bacterial or viral infection

Coverage Period

Aged between 1 to 70 years old
Policy Proceed
Accidental death & Permanent Total Disablement & Disablement
Paid in Lump Sum as per scale of benefit
Temporary Total Disability / Partial Disability

Paid in stated amount on weekly basis or daily basis after the waiting period
Claim Basis shall be related to Average Monthly Salary for the past 12 months before the accident whichever is the lower.
Medical expense (Chinese Bonesetter & Acupuncturist)
Paid within purchased amount per accident to cover Actual expenses
Hospital Cash allowance
Paid in stated amount on weekly basis or daily basis after the waiting period
Broken bones and burns benefit
Paid in Lump Sum as per scale of benefit
 

 

Policy Cash Value
  • No Policy Cash Value or Refund of premium with or without stated increment paid upon the termination of policy

Policy Type

Package/ Standalone/ a rider attached to life insurance policy

 

  
General exclusion
Unless it is contrary to the policy exclusion, otherwise the following is the general exclusions.

War and allied perils Terrorism Suicide Illegal acts
Sickness and disease Pregnancy Food & Gas poisoning Permanently bedridden
Professional & Dangerous sports such as bungee jumping, skiing, rafting etc Traveling except as fare-paying passenger, aerial activities Intoxication by alcohol, narcotics or drugs not prescribed by a legally qualified and registered medical practitioner Acquire Immune Deficiency Syndrome (AIDS) or AIDS related complex (ARC)

Coverage

Basic Coverage + Optional Coverage + Free Extension

Basic Coverage

Accidental death
Death follow within a specified period (3 or 12 months) of the injury
Permanent Total Disablement & Disablement
  • Total loss of functional use
  • Insured person is completely unable to engage in any gainful occupation or employment for the remainder of his/ her life.
  • After 12 calendar months of continuous total disability resulted from Accidental Injury

 

Optional Coverage

Temporary Total disability (not applicable to Student Personal Accident Ins.)
  • Total and continuous disability due solely to Accidental Bodily Injury which prevents the Insured from engaging in each and every duty of his own or other suitable occupation which corresponds to his knowledge, training and education.
  • Maximum period of benefit: Range from 52 to 104 weeks
Temporary partial disability(not applicable to Student Personal Accident Ins.)
  • Partial-disability due solely to Accidental Bodily Injury which prevents the Insured from engaging in one or more major duties pertaining to his occupation.
  • Maximum period of benefit payment: Range from 52 to 104 weeks
Medical expense
  • Actual expenses paid by the Insured including the costs of medical supplies, or professional home-nursing fees
  • Exclude the cost of dental care and treatment unless such treatment is for emergency and caused by Accidental Injury
  • Total benefit payable: limited to the fixed amount per accident or per policy year
Chinese Bonesetter & Acupuncturist
Extension of Medical expense to cover treatment by Chinese Bonesetter & Acupuncturist
Hospital Cash allowance
Benefit payable to insured for hospital confinement as a result of an injury and sickness  Maximum period of benefit payment: Range from 52 to 104 weeks or 365 days
Broken bones and burns benefit
Covering Broken bones, a Second degree or Third degree burn caused by accident

Free Extension or Optional Benefit

Double indemnity
  • Traveling as a fare-paying passenger in a public common carrier
  • Traveling as a fare-paying passenger in aerial activities and etc.



Category :

General Personal Accidential Policy

Student Personal Accidential Policy

Family Personal Accidential Policy

Target Insured

Adult

Premium

  • Subject to Classification of occupation: Lower Premium for Lower Classification and vice versa
  • Normally, 5 levels on Occupation Classification

Class I- Indoor work and a non-hazardous nature

Accountants

Clerks

Lawyers

Administrators

Dentists

Pharmacists

Architects

Housewives

Stockbrokers

Students

Indoor sales representatives

Medical practitioners

Teachers

Nurses (clinic)

 

Class II- Outdoor work, use of light tools or machines of non hazardous nature
Commercial travelers Electronic factory worker Nurses(hospital)

Chauffeurs

Garment factory workers

Waiters/waitresses(restaurant)

Hairdressers

Surveyors

Factory foreman or supervisors

Outdoor sales representative

Tailors

 

Class III- Skillful or semi-skillful nature but not using heavy and hazardous machines

Bakers

Butches

Gas station workers

Mechanical engineers

Taxi drivers/ Hired private car drivers

Printing workers

Motor vehicle repair & maintenance

Kitchen workers(restaurant)

Boat boy/coxswain(pleasure craft)

Class IV- Manual work and using machines of a hazardous nature

Disciplinary squad (non-clerical)

Heavy machine manufacturing & repair

Interior decorators including electrical technicians & plumbers

Road construction & maintenance workers

Class V- Extra-hazardous nature

Delivery workers

Construction site workers

Crane operators

Life and elevator technicians

 

Essential for Declaration in Change of Occupation.

Change of occupation

Changed to more hazardous than that stated in the applications:
Insurer compensated only such portion of the indemnities provided in the application and within the limits fixed by insurer for such more hazardous occupation.

Changed to less hazardous than that stated in the application:
Insurer reduce the premium rate accordingly and return on pro-rata basis for the excess unearned premium


Advantages

Provide Replacement Value in case of Long Term Disablement and subsides to medical treatment & temporary loss of income in case of insufficient cash position in accordance with the described benefit.


Target Insured

Aged between 1 to 25 years old full-time student

Premium

It is not essential for declaration in Change of Occupation as long as student.

Advantages

Peace of Mind for Parent whom Child may be frequently hurt due to uncontrollable and unmanageable situation.

Target Insured

Family with Child Aged below 18 years old

Premium

Package Price
It is not essential for declaration in Change of Occupation, but limited coverage amount may be restricted for high class of occupation.

Benefit Designed

Spouse: Each entitled 100% of the policy benefit
Child: Each entitled certain percentage of the Parent’s policy benefit, such as 20%
Separate Limit of benefit can be available under one Package Price

Advantages

Lower Price for joining Family Package Plan if higher class of occupation exists.

Remarks:
#No limit on the number of children of family Coverage
Since the terms and conditions are different for each insurer, please contact us for details!