Personal accident insurance pays compensation for death/disability due to accident.
Coverage
- Accidental death
- Permanent disability as a result of accident (pro rata)
- Hospital expenses as a result of accident
- Temporary disability (some policies)
Insured Type
- Individual insurance
- Group insurance (for the employer's employee)
Disability Rate
- Defined in the Regulation (percentage for each limb)
- Expert report (Forensic Medicine Institute)
- Compensation: policy amount × disability rate
Damage Denial
- Crime involvement
- Dangerous activity
- Alcoholic/drug-involved
- Intentional harm
Work Accident Difference
- Work accident within the scope of SSI
- Personal accident additional protection
- Both can be taken
Supreme Court 11. HD
11. HD adopts that the definition of "accident" in personal accident insurance should be interpreted broadly, and that a decision will be made in favor of the insured in cases of sudden deaths of unknown cause.
Insurance law lawyer is recommended.