I post this blog,
structured thoughts,
and poetry prose,
pursuit of knowledge here is a source,
word sound power that's my cause,
this is HeichSpot.
Words can assimilate so seemingly,
make repatriation of the mind be willingly,
cut through prejudice and blindness,
eternal profound words from his highness.
So step right in if you will,
and let thy iron be tempered into steel,
pieces of my mind you will see,
my hopes, fears, faith and belief.
the truth whispers forget me not,
this is HeichSpot
let words transcend through time,
let thoughts change the world,
a different perspective to all that we be,
a paradigm shift to all that we see.
lest we be stuck like a clot,
still innocent like the inhabitant of a cot,
this is HeichSpot.
heicH
Wednesday, April 30, 2014
Wednesday, April 9, 2014
Group Personal Accident Insurance Part I
The
GPA (Group Personal Accident) policy will cover for injury to employees 24 hours a day regardless
of whether they were on official duty or pleasure. it caters for
several aspects in event of an injury;
A) Temporary Disability :
based
on the number of days off duty that a doctor has awarded the claimant
as a result of the injury sustained proof of this are the sick of chits
stamped by the doctor attending.
depending on how the policy was arranged, benefit shall be for;
1) the actual daily earnings of the employee per day multiplied by the number of days awarded for sick off
2) or a lump sum per week of injury.
usually the prior is arranged.
B) Permanent Total Disability
this
is when the nature of injury is such that the claimant shall not fully
recover back to the way they were, say a lost limb or such cases. again
the degree of disability is determined by the attending doctor and is
based on a percentage say 20% permanent disability.
death in this policy is treated as 100% disability.
C) Medical expenditure ( On reimbursement)
the
policy can also reimburse any medical expenses incurred as a result of
the injury and is up to the limit capped by the policy. some policies
do not have this feature.
note
that the operative word here is reimbursement. spend then we pay you
back. thus we shall require the original medical receipts for all
payments made.
In summary the documents required are;
- completed claim form (stamped by your organization)
- completed medical certificate (issued by insurance company and written and stamped by the attending doctor)
- medical report copy or treatment notes
- copy of ID of claimant
- copy of three pay slips prior to accident
- original medical bills
- a statement from a witness if one is available ( if injury is result of a road accident then a police abstract)
If
the claimant is still undergoing treatment then it is best to just
report the claim then be issued with the medical certificate and claim
form and submit all documentation once treatment is completed.
we shall discuss how to tabulate the premiums in the next post.
Labels:
Insurance,
Insurance & Risk Transfer,
kenya,
Risk Management
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