CignaTTK LifeStyle Protection – Accident Care: Types & Exclusions

Updated: 05-09-2023 05:50:28 AM

CignaTTK is unique in approach to provide insurance solutions that help an individual to reclaim earlier financial status as earlier. With a similar concept, it has launched CignaTTK LifeStyle Protection – Accident Care. The plan gives you the benefit equal to the sum insured to your nominee in case of unfortunate death during an accident. In case accidental death is as a fare-paying passenger in common vehicle, the amount payable is double of the sum insured. In case of permanent disability, the amount payable varies based on percentage disability. If it is established that permanent disability has caused permanent loss of a primary source of income, 100% sum insured is payable. Such an arrangement may not bring the same happiness in life, but it makes a humanitarian attempt to re-establish your financial position as much as possible.

Types of CignaTTK LifeStyle Accident Care

Cigna TTK Lifestyle Protection – Accident Care provides three types of plans:

Type A- Basic Cover

It primarily provides the compensation against accidental death. Moreover, you can get reimbursement of expenses like emergency ambulance expenses and funeral expenses.

Type B – Enhanced Cover

It covers every benefit of Type-A. Additionally, it provides cover against permanent total disablement and education fund for children.

Type C – Comprehensive Cover

It covers every benefit of Type-B. Additionally, it provides cover against permanent partial disablement, orphan benefit, and compensation against loss of employment.

Eligibility Criteria

Parameters	Details
Minimum Entry Age(Adults)	18 Years
Maximum Entry Age(Adults)	80 Years
Minimum Entry Age(Children)	5 Years
Maximum Entry Age(Children)	25 Years, subject to dependent status
Renewal Age	Lifelong eligibility for renewal
Policy Tenure	1 year/2 years/ 3 years
Family Definition	Self, Spouse, Dependent children and parents, siblings, parents in law
Sum Insured	Ten times of Gross Annual Income of Individual, subject to maximum INR 10 Crores
Premium Criteria	Age, Location, Lifestyle, Sum Insured, Type of cover, Nature of profession

Features of CignaTTK LifeStyle Protection – Accident Care

• You shall be paid amount equivalent to the sum insured in case of accidental death.
• In case the death is caused as a fare-paying passenger of a common carrier, the amount payable is double of sum insured.
• In case of permanent total disablement, the amount payable is equivalent to the sum insured.
• Examples of permanent total disablement are the loss of sight of both eyes, loss of both hand or both feet, loss of one hand and one foot, loss of both ears and speech, loss of one limb and one eye.
• If permanent disability is caused as a fare-paying passenger of a common carrier, the amount payable is double of sum insured.
• Under permanent partial disablement, the amount payable varies from 2% to 50% sum assured, depending on severity and quantum of disability.
• Examples of permanent partial disablement are Loss of one hand, loss of one leg, loss of fingers, loss of a thumb, loss of phalanges.
• Under temporary total disablement, you may not be able to attend your workplace for several weeks. You can avail compensation of loss of earnings due to the accident.
• You can avail 1%  or Rs.25000 per week as a loss of earnings due to the accident if you have opted temporary total disablement cover. The maximum amount payable does not exceed sum insured in the policy.
• Under “Burns” cover, avail compensation equivalent to 10% to 100%, depending on the degree of burning.
• Avail 25% amount of sum insured as “Coma” cover, in case the direct reason of Coma is an accident.

Points to Consider before purchasing CignaTTK LifeStyle Protection – Accident Plan

1. Ensure Correct Amount

 The lifestyle protection plan helps to restore your financials as they were before accidental death or disablement. If the sum insured is very less as compared to your lifestyle expenses, the compensation does not make any sense in real term. Hence, it is recommended to insure yourself with an amount equivalent to ten times of your yearly income.

2. Chose your plan wisely

The basic plan is aimed to provide compensation to your family in case of unfortunate and accidental death. However, it does not help in case of your survival with permanent disability. Before opting particular plan, you should assess your financial situation and risk independently.

3. Discounts

When you buy directly from CignaTTK, you are eligible for a 10% discount. The discount is also applicable for availing the policy through worksite marketing channels. Moreover, you can avail 10% family discount if you insure more than two members’ life in your family. If you decide to pay a premium for two years or three years, you can avail the discount of 7.5% and 10% respectively.

Filing Claims with CignaTTK Lifestyle Protection – Accident Care

After the occurrence of an accident, you should contact CignaTTK insurance company as soon as possible, but within ten days of such accidental events. The following information is necessary to ascertain the eligibility of your claim:

• Policy Number and name of the policyholder
• Short description of an accident
• Details of Hospital and Consulting doctors
• Further information as asked by CignaTTK

Documents Required

• Claim-form duly filled
• Medical Certificate from the doctor to confirm accident, the cause of the accident and resultant loss( death or permanent disability)
• Post-mortem report in case of accidental death
• Medical certificate to decide the percentage of disablement
• The discharge summary from the hospital in case of survived and claimed for disablement benefit
• In case of temporary disablement claim, a certificate from the employer regarding leave/absent is necessary
• KYC documents
• FIR copy
• CignaTTK may ask further documents if necessary for assessment of the claim.

Exclusions

• Pre-existing disability
• Suicide
• Disability arising out of a suicidal attempt
• Act of self-destruction
• The accident after any change in a profession not endorsed in the policy
• Accident under the influence of Alcohol

How Long Does It Take to Payout a Claim?

The payout of the claim is very fast if you follow the proper process, fill up the claim form accurately and submit necessary documents. Following steps will help you to avail your claim faster:

• File your claim as soon as possible, reasonably within 2-3 days of the event although company allows 10 days to file the claim
• Avail medical certificate from the doctor. If the doctor is a close relative, avail the certificate from another doctor
• Compile the documents as per order mentioned in check-list
• Submit the claim to CignaTTK office directly or through your trusted advisor
• The claim amount is credited directly to your bank account after due assessment by CignaTTK

Advantages of Buying CignaTTK LifeStyle Protection- Accident Plan

Unlike other insurance plans, CignaTTK Lifestyle protection plan provides more flexible options for premium payment and benefits as below:

1. The choice to avail benefit – Only for Death, or Death+Permannet Disability or Death + All type of Disability.
2. A wide range of compensation from 2% to 200% of sum insured, depending on actual loss suffered.
3. Optional coverage to support your family and children.
4. The double benefit in case cause of death or permanent disability is due to the accident as a fare-paying passenger.

Also Read: CignaTTK LifeStyle Protection Critical Care

FAQs

Q1. Why Post Mortem Report is required in case of accident claim?

The CignaTTK team needs to satisfy itself that cause of the accident was not due to suicidal attempt or under alcoholic influence. In such cases claim is not payable. The post mortem report will reveal such facts.

Q2. If I cover my family members in accident policy, will they get similar benefits?

The nature of benefit is the same for every member whose life is insured. However, sum insured for other family members is lower than a primary member. Usually, the spouse gets 60% cover of sum insured. While dependent parents or children get 30% cover. In case you wish a higher sum insured, you can consult CignaTTK officials before you proceed for policy.

Q3. Can I port my policy from another insurer to CignaTTK?

Yes, the insurance policy is fully portable. Since no waiting period is applied in case of accident policy, you can enjoy seamless cover when you port your existing policy to CignaTTK Lifestyle protection – Accident Care policy.