Accident & Health Insurance


PRODUCT SUMMARY

  • Accident can strike when you least expect. Getting yourself and your family covered for personal accident can help you and your family members deal with the contingency and associated adverse financial impact.

  • Our Personal Accident Insurance is just what you need offering 24-hours worldwide comprehensive coverage for you and/or your family. It has the flexibility of allowing you to select the type and level of covers you want. Applying for your Personal Accident Insurance is also hassle free and does not require any pre-acceptance medical examination.

  • For more comprehensive package with additional benefits please check out our TMPal

  • BASIC COVER

    • Accidental death
        Pays for death of the insured person resulting from an accident
    • Permanent disability
        Pays for permanent disability resulting from an accident in accordance with the Scale of Benefits

    A limited war and acts of terrorism cover applies to the basic cover subject to a limit of 10% of the capital sum/sum insured or $100,000 whichever is the lower.

    SCALE OF BENEFITS

    Scale of Benefits
    Disabilities
    Percentage of Sum
    Insured
    § Death or permanent total disability 100%
    § Loss of one or more limbs 100%
    § Loss of sight in one or both eyes 100%
    § Loss of lens of one eye 50%
    § Loss of hearing in both ears 75%
    § Loss of hearing in one ear 15%
    § Loss of speech 50%
    § Loss of four fingers and thumb of one hand 50%
    § Loss of four fingers of one hand 40%
    § Loss of thumb (both phalanges) 25%
    § Loss of thumb (one phalanx) 10%
    § Loss of index finger (three phalanges) 15%
    § Loss of index finger (two phalanges) 8%
    § Loss of index finger (one phalanx) 4%
    § Loss of middle finger (three phalanges) 10%
    § Loss of middle finger (two phalanges) 4%
    § Loss of middle finger (one phalanx) 2%
    § Loss of ring finger (three phalanges) 8%
    § Loss of ring finger (two phalanges) 4%
    § Loss of ring finger (one phalanx) 2%
    § Loss of little finger (three phalanges) 7%
    § Loss of little finger (two phalanges) 3%
    § Loss of little finger (one phalanx) 2%
    § Loss of all toes of one foot 17%
    § Loss of great toe (two phalanges) 5%
    § Loss of great toe (one phalanx) 2%
    § Loss of other toe (one or more phalanges) 3%
    Notes
    § Where permanent disability is not indicated in the Scale of Benefits above (other than loss of sense of taste or smell for which no benefit is payable), we will adopt a percentage of disability based on the assessment by our appointed doctor that is consistent with the Scale of Benefits above and without regard to your occupation.
    § If an injury or a disability forms part of another injury or disability, the highest of either benefits will be payable and the total benefits payable under the policy will not exceed the sum insured.

    OPTIONAL COVERS

    • Temporary total or partial disability
      Pays in the event that accidental injury temporarily prevents the insured person from working
    • Medical expenses
      Reimburses medical expenses necessarily incurred by the insured person as a result of accidental injury
    • Hospital cash
      Pays in the event that the insured person is hospitalised as a result of an accident
      Sum Insured Options
    Basic Cover Multiples of $10,000
    § Death/Permanent disability
    Optional Covers Multiples of $100 per week/
    $50 per week
    § Temporary total/partial disability (up to 104 week per period of insurance)
    § Medical expenses (per period of insurance) Multiples of $1,000
    § Hospital cash (up to 30 days any one accident)) $100 per day

    WIDE COVERAGE

    Our Personal Accident Insurance covers the following events:

    • Strikes, riots or civil commotion
    • Assault, hijack or murder
    • Drowning, suffocation by smoke, poisonous fumes or gas
    • Exposure to natural elements
    • Disappearance following an accident
    • Peace-time military training
    • Motor cycling

    MAIN EXCLUSIONS

    Death or injury as a result of the following will not be covered:

    • Pregnancy, childbirth, miscarriage or any complications thereof
    • Pre-existing physical defects or infirmity
    • Intentional self-inflicted injury, suicide or any attempt thereat (whether sane, insane or under any mental distress)
    • Criminal or illegal act committed by you
    • Flying or any other aerial activities except as a fare paying passenger in a licensed aircraft
    • Mountaineering which requires the use of ropes or guides, racing of any kind other than on foot, ice or winter sports, water ski-jumping, underwater activities that requires the use of underwater breathing apparatus
    • Participation in professional sports or training for professional sports of any kind
    • Taking part in naval, air force or military operations other than peacetime operations as a national serviceman, military personnel or NSman
    • All illness or disease howsoever contracted, even if through injury (this, however, does not apply to disease directly resulting from medical treatment rendered necessary by injury or infections directly resulting from an injury)
    • Sexually transmitted disease including Acquired Immune Deficiency Syndrome (AIDS) disease or Human Immunodeficiency Virus (HIV) infection.
    • War, invasion, acts of foreign enemies, hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection or military or usurped power or confiscation or nationalisation or requisition or destruction of property by or under the order of any government or public or local authority
    • Use, existence or escape of nuclear weapons material or ionising radiation from or contamination by radioactivity from any nuclear fuel or nuclear waste from the combustion of nuclear fuel

    YOUR POLICY OBLIGATIONS

    To make a claim under the policy, you:

    • have to complete and send to us a claim form within 3 months from the date of the accident
    • must, at your own expense, submit all medical certificates, information and evidence required by us in support of your claim
    • must undergo examination when and as often as we may reasonably require or subject to an autopsy (in the case of death) as part of the claim evaluation process

    YOUR CANCELLATION RIGHTS

    Even after you have decided to insure with us, you may cancel your policy at any time within 14 days from your receipt of the policy provided no claim has been made thereunder. When you cancel the policy, we will refund you any premium you have paid for the insurance..


    WHO CAN APPLY

    If you and the persons to be insured are a Singapore citizen, Singapore permanent resident or work permit or employment pass holders residing in Singapore and are between the age of 18 and 65 on the next birthday you are eligible to apply for our Personal Accident Insurance. However, if the persons to be insured fall within the list of special risks, we may decline the insurance application or accept the application on certain additional conditions and at non-standard premium rates.

    The policy issued is for a period of one year and is subject to annual review. Unless otherwise informed, the policy can be renewed until the insured person reaches the age of 75 years old.


    HOW MUCH PREMIUM DO YOU PAY

    The level of premium you pay depends on the Plan you select and the occupational class that best describes your employment duties, viz.

    Class I

    Occupation that is indoor and sedentary in nature. E.g. white-collar worker performing office or showroom duties, accountants, lawyers, office executives, secretaries, clerks, etc.

    Class II

    Occupation that requires occasional manual work (skilled or semi-skilled). E.g. outdoor sales executives, factory supervisors, surveyor, etc.

    Class III

    Occupation that substantially involves manual work. E.g. carpenters, cooks, chefs, plumbers, mechanics, electricians, machinists, drivers, etc.

    Cover Premium Rates
    Class I Class II Class III
    Basic Cover $7.00 $10.00 $14.00
    § Death/Permanent disability (for every $10,000 sum insured)
    Optional Covers $15.00 $19.00 $28.00
    § Temporary total/partial disability (for every $100/$50 per week sum insured)
    § Medical expenses
  • For the first $1,000
  • For every subsequent $1,000 sum insured

  • $12.00

    $7.00


    $15.00

    $10.00


    $18.00

    $12.00

    § Hospital cash $25.00 $30.00 $45.00
    § Premium shown above is further subject to Goods and Services Tax ("GST")
    § Premium rates are non-guaranteed, i.e. at our sole discretion, we may amend the premium rates from time to time

    SPECIAL RISKS

    Aircrew, shipcrew, stuntman, actor (actress), occupation involving the handling of firearms, explosives or hazardous chemicals, diver, occupation involving underground works, professional sportsman (sportswoman), construction worker, occupation involving works at heights, jockey, stevedores, occupation involving works on board vessels or oil rigs, policeman, military personnel, fireman.

    We offer family discounts if you insure with your spouse and/or children. Please contact us or the intermediary who services you for further details



    PROVIDING YOU WITH BETTER SERVICE

    We support the general insurance code of practice developed by the General Insurance Association of Singapore (GIA) to enhance the standards of service in the insurance industry. You can obtain more information on the code of practice and how it benefits you by contacting us at 6221 6111. You can also obtain details about the code of practice from our website at www.tokiomarine.com.sg

    IMPORTANT
    This brochure is not an insurance policy. The covers and terms described herein are summaries. The detailed terms of the insurance are contained in the policy which will be issued to you upon acceptance of your application. A copy of the specimen policy can, however, be made available to you upon request
    .


    ENQUIRY

    For more information, contact one of our following staff :

    Calvin Loh

    (65) 6429-0234

    or email : calvinloh@tokiomarine.com.sg

    Mary Tan

    (65) 6325-0429

    or email : marytan@tokiomarine.com.sg