Personal Accident Insurance

Person competent to insure

Every healthy person from age (16) years to (65) years can insure. Parents and Guardian can insure for the minor.

Age Limitation

From (16) years of age to (65) years, for the minor, parents and guardians may insure.

Term of Insurance

(3) months, (6) months, (1) Year

Insured Money

From Minimum Ks. 5 Lakhs to Maximum Ks. (200) Lakhs or USD 1000 to 200000 may be insured.

Premium Rate/ Fee for Insurance

For the dangerous occupation, such as Army, Police, Aviation staff, Electricity staff etc. 1% premium shall be paid.

Payment of the Premium

To pay chargeable premium in lump sum.

Benefit

• As per percentage and the insured money, for the compensation of Death, Disablement and Injury due to accident shall be received in lump sum.

Cases which are not beneficial

1. Premeditated self-inflicted Injury, Disablement and Death.
2. Injury, Disablement and Death due to the cause of using narcotic.
3. Death and Disablement due to decease.
4. Injury, Disablement, and Death due to the cause of War, War like fighting, Civil war, rebellion, riot, public uprising, rampaging, insurrection, revolution, Military Coup, proclamation of Martial Law, or Occupation, Civil Disturbances and their consequences.

Objective

By taking out the health insurance, the intention is:- to get some extent of relief or the cost of hospitalization:- to take out the insurance by installment system for the payment of the premium rate: - to be able to purchase the basic insurance coverage as well as the optional insurance coverage jointly.

Person competent to insure

Among the Myanmar Citizens and Foreigners who came to Myanmar for various purposes, between the ages of 6 to 65 years can be accepted by dividing them into groups according to age and for those of age 6 to 18, can be insured through their parents/guardians.

Term of Insurance 

It is one year from the day of payment of premium. 

Payment system of premium

Group - 3 months(installment), 6months(installment) and lump sum

Individual - 6months(installment) and lump sum

Purchasable Unit

• Basic Coverage
• Additional Unit 1 Unit to 8 Units
• Optional Coverage 1 Unit to 10 Units

Premium rate schedule in accordance with the kind of insurance coverage

Benefit Schedule

Bonus without indemnity

Entitled to set off the 10% of the premium paid in previous year from premium of recent year.

Facts to be complied with in claiming benefit

* When hospitalized, notice shall be given to the company in advance.
* The claim shall be made within 10 days from the day of discharge from the hospital.
* Should the company, if necessary, ask for more facts and if the insured shall not be able to give them within 3 months, then the benefits shall be lost.
* In the event of claim for cost of hospitalization within 1 month after having insured, the diseases being treated treatment in the hospital shall be examined again by the experts of the company.

Matters for which the benefit cannot be obtained

• Person who is getting treatment and has obtained the doctor’s recommendation for hospitalization.
• Normal delivery, unnatural miscarriage.
• When operated without purchasing the choosable coverage (1) for the delivery.
• Psychiatric patients
• Diagnosing the disease
• Treatments for fertility
• Dental treatment other than the injury due to accident.
• Eye test including spectacles other than the injury due to accident.
• Cosmetic operations.
• Fitting of Hearing Aid device
• Abnormality by birth
• Using Narcotic drugs
• Self-committing crime
• Suffering from AIDS/HIV
• Taking treatment abroad
• Treatment due to Terrorism, Riot, War and War like event.
• Treatment for 3 days in hospital due to disease
• Fraudulent claims
• Suicide
• During the treatment of severe disease, the treatment for cancer within 90 days from the date of starting the insurance.
• Causing Tumour in the epithelial layer and skin, in the cavity of organs of respiration, stomach and urinary tracts.

Hospitals and Clinics available for medical treatments

Hospitals and clinic having the Health Ministry’s recognized license for treatment of in-patients.

Special Caution

If the health insured himself states carelessly, wrongly and intentionally untrue facts and makes omission and cheating in the proposal, the benefits of the policy shall be lost and the premium already paid shall not be refunded.