Group Personal Accident

CLASS OF POLICY

Group Personal Accident

COVER

Death or accidental bodily injury to staff as declared in accordance with the benefits specified subject to policy terms, conditions & exclusions.

PERIOD

From:                                      To:

INSURED PERSONS/ CATEGORIES

Categories

1. ___________________________

2. ___________________________

3. ___________________________

4. ___________________________

5. ___________________________

6. ___________________________

Estimate Ann. Earnings                

Ksh.

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

BENEFITS

v                   Death                                           –     __ years Salary

v                   Permanent Total Disablement     –       __ years Salary

v                   Temporary Total Disablement      –       Wkly earnings max. 104 wks.

v                   Medical Expenses                        –       Kshs. ____________

v                   Funeral expense                         –       Ksh.     ___________

SPECIAL CONDITIONS & CLAUSES

v       Riots & strikes

v       Payment on A/C

v       Disappearance

v       Exposure

v       Duty and pleasure.

v       Trustee clause

v       24 hour cover

v       Ametuer sports

v       Motorcycling upto 125 cc

v       Scuba diving and mountain climbing excluded

v       Assault cover