Work Injury Benefit Act
Category:Non Motor
Description:
CLASS OF POLICY |
Work Injury Benefit Act Insurance
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PERIOD |
From: To:
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COVER |
Employers statutory to pay compensation to employees injury as per Work Injury Benefit Act.
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INTEREST |
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INSURED PERSONS/ CATEGORIES |
Categories1. ___________________________ 2. ___________________________ 3. ___________________________ 4. ___________________________ 5. ___________________________ 6. ___________________________
Estimate Ann. Earnings |
Ksh._____________________ _____________________ _____________________ _____________________ _____________________ _____________________
_____________________ |
SPECIAL CONDITIONS & CLAUSES
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PREMIUM |
Ksh.
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WORKMEN |
Per Work Injury Benefit Act limit. |