Step 3 Pick your optional covers

Eligibility Criteria
i. Age Minimum entry age - 5 years

Maximum entry age - 65 years

    Optional Covers Coverage under Temporary Total Disablement (TTD) benefit cannot be renewed post 70 years
1 Temporary Total • Weekly benefit options (in `): 1000, 2000, 3000, 4000, 5000, 7500,
Disablement 10000, 12500, 15000, 20000, 25000, 30000, 40000, 50000 ii. Tenure 1,2,3 years
(TTD) • Maximum TTD limit can be 2 times the income. iii. Relationships covered Self, spouse, up to 4 children, up to 2 parents and 2 parents in laws
2 Accidental Covered up to 1% of Accidental Death Sum Insured or `1 Lakh whichever
In-patient is higher iv. Eligibility for Sum • Earning member
Hospitalization Insured - Up to 12 times of annual gross income
Cover
3 EMI Protect 3 EMIs totaling upto the following options (in `): - In case Loan Protect benefit is opted for - Total sum of Personal Accident Sum Insured +
50000, 75000, 100000, 200000, 300000, 400000, 500000 Loan Protect limit chosen, should not exceed 15 times of annual gross income
4 Broken Bones Benefit limit up to `1 Lakh/`3 Lakhs/`5 Lakhs • Non-earning spouse - 100% of Proposer’s sum insured/eligibility or 30L whichever is lower
Benefit (lump sum as per table)
5 Loan Protect Available with Personal Accident sum insured up to `10 Crores only • Non-earning Parent/ Parent in laws – 100% of Proposer’s sum insured/eligibility or

Options in `: 1 lakh – 10 lakhs (in multiples of 1 lakh) 15L whichever is lower (TTD benefit is not applicable)
15 lakhs – 25 lakhs (in multiples of 5 lakhs) • Children – 100% of Proposer’s sum insured/eligibility or 15L whichever is lower
30 lakhs – 50 lakhs (in multiples of 10 lakhs) (TTD benefit is not applicable)
1 cr, 1.5 cr, 2 cr, 5 cr
Option may be chosen maximum upto Accidental Death Sum Insured amount
6 Coma Benefit Benefit limit equal to Accidental Death Cover
Sum Insured maximum up to `10 Lakhs Major Exclusions How to claim?
7 Burn Benefit Benefit limit up to `1Lakh/`2 Lakhs/`3 Lakhs (lump sum as per table)
8 Accidental Coverage up to the lowest of following: Any claim directly or indirectly arising out of: Aer the accident, intimate us within 7 days and
Medical Expenses 1) Actual Expenses submit claim documents within 30 days.
(OPD including 2) 10% of Accidental Death Sum Insured i. Suicide or attempted suicide, intentional
Day Care) 3) 40% of admissible claim under Permanent Total Disablement self-injury Documents required:
4) 40% of admissible claim under Permanent Partial Disablement Kajal and Vishal Grover / Café owners
5) 40% of admissible claim under Temporary Total Disablement ii. Venereal disease, mental Illness or sickness, Completed claim form
6) `50,000 psychiatric condition
9 Adventure Sports Benefit up to Accidental Death Cover Sum Insured, maximum up to `10 Lakhs Photo id and age proof

10
Cover
Worldwide
Emergency
Available (including Air Ambulance)
iii. War, act of foreign enemy, military or usurped
acts FIR or attested copy of medico legal certificate
PROTECTING your wellbeing is
important aer an accident.
Assistance iv. Any hospitalization not arising out of an injury Copies of consultation letters aer accident
Services
v. Insured person committing any breach of law Radiological investigation reports
11 Wellness Coach Available
with criminal intent

*Please refer to the policy document for complete list of exclusions

Additional documents for specific benefits
Activ Secure - Personal Accident Plan
- Complete protection for you and your family
We provide a wide range of Health Insurance solutions to cater to your specific - Protection against income loss
protecting needs. Under our Activ Secure Plan we also offer - 5% cumulative bonus leading to increased protection every year

Critical Illness Plan Cancer Secure Plan Hospital Cash Plan adityabirlacapital.com

@abchealthinsurance @abchealthinsurance @abchealthin

HEALTH INSURANCE
Aditya Birla Health Insurance Co. Limited. IRDAI Reg.153. CIN No. U66000MH2015PLC263677.
Product Name: Activ Secure, Product UIN: ADIHLIP18076V011718. Advertisement UIN: ABHI/LF/17-18/250
Address:- 10th Floor, R-Tech Park, Nirlon Compound, Next to HUB Mall, Off Western Express Highway, Goregaon East, Mumbai – 400 063. 1800-270-7000
Website: adityabirlahealthinsurance.com, Email: care.healthinsurance@adityabirlacapital.com, Telephone: 1800 270 7000,
Fax: +91 22 6225 7700. For more details on risk factors, terms and conditions please read terms and conditions carefully before concluding a
sale. Trademark/Logo Aditya Birla Capital is owned by Aditya Birla Management Corporation Private Limited and is used by Aditya Birla Health
Insurance Co. Limited under licensed user agreement(s).
Aditya Birla Health Insurance Co. Limited | adityabirlahealthinsurance.com
 Customize your Personal Accident Plan in 3 simple steps.
Key Benefits
Step 1 Select your sum insured (`)

Plan I Plan II Plan III Plan IV Plan V

1 – 10 lakhs 1 – 10 lakhs 1 – 10 lakhs 5 – 10 lakhs -
` (in multiples of 1 lakh) (in multiples of 1 lakh) (in multiples of 1 lakh) (in multiples of 1 lakh)

100% payout 15 – 25 lakhs 15 – 25 lakhs 15 – 25 lakhs 15– 25 lakhs 10 – 25 lakhs

100% payout for on Accidental (in multiples of 5 lakhs) (in multiples of 5 lakhs) (in multiples of 5 lakhs) (in multiples of 5 lakhs) (in multiples of 5 lakhs)
Permenant Disabilities Death 30 – 50 lakhs 30 – 50 lakhs 30 – 50 lakhs 30 – 50 lakhs 30 – 50 lakhs
due to accidents (in multiples of 10 lakhs) (in multiples of 10 lakhs) (in multiples of 10 lakhs) (in multiples of 10 lakhs) (in multiples of 10 lakhs)

1 cr, 1.5 cr, 2 cr 1 cr, 1.5 cr, 2 cr, 5 cr 1 cr, 1.5 cr, 2 cr, 5 cr 1 cr, 1.5 cr, 2 cr, 5 cr, 1 cr, 1.5 cr, 2 cr, 5 cr,
10 cr 7.5 cr, 10 cr, 15cr,
20cr

Continuous Emergency Step 2 Pick from 5 Base Plans

income during ambulance
temporary total cover
    Plan I Plan II Plan III Plan IV Plan V
disability (TTD)
1 Accidental Death 100% of 100% of
100% of 100% of 100% of
due to accidents* Cover (AD) sum insured sum insured
sum insured sum insured sum insured
2 Permanent Total - 100% of
100% of 100% of 100% of
Disablement(PTD) sum insured
sum insured sum insured sum insured
` 3 Permanent Partial
Disablement(PPD)
- -100% of
sum insured
100% of
sum insured
100% of
sum insured
5% cumulative 4 Education Benefit 10% of sum 10% of sum 10% of sum 10% of sum 10% of sum
Protection insured max insured max insured max insured max insured max
for your Loans bonus every up to `10 Lakhs up to `10 Lakhs up to `10 Lakhs up to `10 Lakhs up to `10 Lakhs
and EMI’s* claim free year 5 Emergency Road - - - Covered up to Covered up to
Ambulance Cover `10,000 `10,000
6 Funeral Expenses - - - Covered up Covered up
to 1% of to 1% of
*Optional Covers sum insured sum insured
max up max up
to `50,000 to `50,000
7 Repatriation of - - - - Lump sum
Mortal Remains benefit of
`50,000
8 Orphan Benefit - - - - Lump sum
benefit of 10%
of sum insured,
max
up to 15 Lakhs
9 Modification - - - - Covered up to
Benefit (Residence `1 Lakh
and Vehicle)

Life is so much better when you know that you are protected. 10 Compassionate
Visit
- - - - Domestic:
up to `10,000
International:
Activ Secure - Personal Accident is a specially designed plan to 11 Cumulative 5% per claim 5% per claim 5% per claim 5% per claim
up to `25,000
5% per claim
give you and your family the protection and financial backing Bonus free year,
max
free year,
max
free year,
max
free year,
max
free year,
max 50%
50% of Sum 50% of Sum 50% of Sum 50% of Sum of Sum Insured.
required in case of an unfortunate accident. Insured Insured Insured Insured Applicable for
Sum Insured
up to `10 Crores
only.