Shagun SBI

Gift Certificate Number: _______________________

Intermediary: ________________________________

 

Date: DD/MM/YYYY

Dear <Name>,

You have made with right choice with "Shagun-Gift an Insurance" Personal Accident Insurance Policy from SBI General Insurance. You have gifted <GIFT RECEIVER’S NAME> financial protection and an assurance to overcome uncertainties in the future.

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Shagun Receipt

The ‘Shagun – Gift an Insurance’ of ₹ 501/- has a Personal Accident Insurance Cover of ₹ 4,80,000. The Policy has the following coverage under Individual Personal Accident Insurance.

Policy Coverage

  • icon Accidental Death

    Sum Insured is paid out to the nominee in case of accidental death of the Insured Person.

  • icon Permanent Total Disablement (PTD):

    If accidental bodily injury causes permanent total disablement then Sum Insured percentage is paid to the Insured Person. Additionally, two other covers include:
    a. Education Benefit – 1% of the Sum Insured or ₹50,000/-, whichever is lower is paid towards education benefit of up to maximum of 2 children.
    b. Adaption Allowance - 1% of the Sum Insured or ₹25,000/-, whichever is lower is paid towards cost of modifying house or vehicle.

  • icon Permanent Partial Disability (PPD)

    If accidental bodily injury causes permanent partial disablement then Sum Insured percentage is as per the Policy.

  • icon Ambulance Cover:

    10% of the Sum Insured subject to maximum of ₹100,000/- will be paid towards expenses incurred for availing an Ambulance Service (Including air ambulance) to transfer the Insured Person to a Hospital from the location of Accident or Injury or from one Hospital to the other Hospital or from Hospital to place of residence in case of Accidental Death or Permanent Total Disablement (Subject to admissible claim under Policy and transit within India Only).

  • icon Hospital Confinement Allowance (HCA)

    Daily Benefit for each Day the Insured remains in a Hospital due to Injury or Accident subject to maximum coverage for 15 days for the entire policy period will be paid. (Subject to hospitalisation within India Only).

Shagun SBI

Gift Certificate Number: _______________________

Intermediary: ________________________________

 
 

I,______________________________________, S/D/W of___________________________________ acknowledge that I have fully gone through the Benefit Illustration of the proposal. I acknowledge that I understood how the proposal will work, what are the coverages provided to the participating policyholders, what are the information to be shared with the Insurers and what are the benefits available to the participating policyholders.

I understood that the proposal is introduced as an experiment to test a new idea under the proposal of Regulatory Sandbox. I understood that the outcome of the experiment is unknown. I acknowledge that my participation in this experiment/ proposal is entirely voluntary and conscious choice.

I understood that once the experiment is complete or an earlier termination or withdrawal thereof, the insurer may discontinue the product; however, Insurer will ensure the fulfillment of any existing obligations to policyholders. The continuance of the product beyond the testing period will be subject to IRDAI approval.

I hereby give my informed consent and willingness to participate in the experiment after reading the terms and conditions of the proposal.

Signature:_____________________________________________________<OTP provided by the Giftor for digital transaction>

Date:

 
 

Disclaimer: SBI General Insurance Company Limited I Corporate & Registered Office: 'Natraj', 301, Junction of Western Express Highway & Andheri - Kurla Road, Andheri (East), Mumbai - 400 069. | IRDAI Reg. No. 144 dated 15/12/2009 |CIN: U66000MH2009PLC190546 | SBI Logo displayed belongs to State Bank of India and used by SBI General Insurance Co. Ltd. under license.| The proposal is valid only for period of six months from 1st February 2020 to 31st July 2020 . UIN: 441/IRDAI/HLT/GEN/SBI-SB/2019-20. | Proposal Application Reference ID: 222.