Group Personal Accident
Category:Non Motor
Description:
Death or accidental bodily injury to staff as declared in accordance with the benefits specified subject to policy terms, conditions & exclusions.
From: To:
1. ___________________________
2. ___________________________
3. ___________________________
4. ___________________________
5. ___________________________
6. ___________________________
Estimate Ann. Earnings
_____________________
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. ___________
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
