COMBINED WORKMEN'S COMPENSATION/GROUP PERSONAL ACCIDENT INSURANCE
Summary of Cover
To provide Compensation as per benefits below to employees:
  1. Death or bodily injury by accident or disease arising out of and in the course of employment.
  2. Bodily injury caused solely and directly by accidental violent external and visible means resulting in death or disablement to any of the insured persons.
  3. This policy is extended to occupational disease of asbestos and Silicon.
Proposer Occupation
Geographical Limit Period of Cover
Category of EmployeeNo. of EmployeeEstimated Annual Earnings
Clerical/Admin
Engineers
Drivers
TOTAL VALUE