Saral Suraksha Bima, Star Health And Allied Insurance Co Ltd

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UIN: SHAPAIP22039V022122

HIGHLIGHTS

Plan Essentials

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Entry Age

Any person aged between 18 and 70 years can avail this policy. Dependent children are covered from 3 months to 25 years.
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Sum Insured

The minimum Sum Insured of this policy is Rs. 2.5 Lakhs and the maximum is Rs. 1 Crore (in multiples of Rs. 50,000/-).
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Instalment Options

The policy premium can be paid on a quarterly or half-yearly basis. It can also be paid on an annually.
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Cumulative Bonus

A cumulative bonus is provided at 5% of the Sum Insured for each claim-free year subject to a maximum of 50% of the Sum Insured.
DETAILED LIST

Understand what’s included

BASE COVER

Policy Term

The policy is available for a term of 1 year.

Policy Type

This policy provides benefits on Individual basis.

Accidental Death

This policy provides 100% of the Sum Insured in the event of accidental death of the insured person that occurs within 12 months from the date of the accident.

Permanent Total Disablement

This policy provides 100% of the Sum Insured in the event of permanent total disablement of the insured person that occurs within 12 months from the date of the accident.

Permanent Partial Disablement

This policy provides a specific percentage of the Sum Insured as mentioned in the policy clause in the event of permanent partial disablement following accidental injuries that occurs within 12 months from the date of the accident.

OPTIONAL COVERS

Temporary Total Disablement

This policy provides benefits as specified in this policy in the event of grievous injury of the insured person solely due to accidents and leads to temporary total disablement.

Hospitalisation Expenses due to Accidents

The medical expenses incurred towards hospitalisation due to accident are covered up to 10% of the total Sum Insured.

Educational Grant

In the event of accidental death or permanent total disablement of the insured person, a one-time educational grant of 10% of the Sum Insured for the dependent children of the insured person is provided.
Please refer to the Policy Documents to know the policy details and Terms & Conditions.
STAR HEALTH

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What is a Saral Suraksha Bima Policy? 


Saral Suraksha Bima Policy is an advantageous policy, which offers for payment of compensation after the accidents sustained by the Insured Person at the time of the policy period. Saral Suraksha Bima Star Health  has many features that are oriented to the accidents.      

 

Exclusions of Saral Suraksha Bima Policy  


Though the Saral Suraksha Bima Policy has many features, it also has some exclusions. Let's see some of the exclusions of Saral Suraksha Bima Policy :  

  • The Company shall not be liable to make any payments below this policy with respect to any claim for death or disablement.  
  • The Coverage for any claim for death, disablement, or hospitalization of the Insured Person because of the participation as a professional in hazardous or adventure sports, including but not limited to para jumping, motor racing, horse racing or scuba diving, rock climbing,  deep-sea diving, mountaineering, rafting,  hand gliding, sky diving will not be included. 
  • Any claim due to any consequential loss directly or indirectly arising from any loss arising out of the Insured Person's attempted or actual commission of or willful participation in any violation or an illegal act or attempted violation of the law will not be covered.  
  • Also, the expenses related to any admission, basically for diagnostics and evaluation purposes, are excluded.  
  • Expenses for any diagnosis which are not related or not incidental to the
  • current diagnosis and treatment will not be covered.

 

How do you claim the Saral Suraksha Bima Policy? 


There are a few steps to claim Saral Suraksha Bima Star Health. Here are the steps to claim Coverage under the Saral Suraksha Bima policy.  

  • Gather Documents all the original documents and pay all hospital bills once you get discharged from the hospital. 
  • Just download and complete filling out the claim form. 
  • Submit the necessary documents to the nearest branch of the insurance company.  
  • Next, wait for claim settlement from the insurance company, as it may settle or reject the claim within a particular time frame.  

 

Documents Needed For the Saral Suraksha Bima Star Health  


Some documents are needed to claim coverage under the Saral Suraksha Bima. The documents you might need in the claim process include :  

  • A completed claim form. 
  • A Photo ID of the insured person. 
  • A Copy of the Medico-Legal Certificate
  • The Copy of FIR, Police Inquest Report or Panchnama. 
  • A proper certificate from the attending Doctor. 
  • A proper original discharge certificate or card must be obtained from the hospital or Doctor. 
  • Original investigation test reports
  • Indoor case papers.

 

Claim Notification 

  • You need to notify the insurance company before 30 days of an event that might result in a claim. 
  • If you must be hospitalized for an emergency treatment, you need to inform the insurance company within 24 hours. 


Claim Process 
 

The insurance company will look at the claim and might enquire for extra documents.