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^mJ - ~r : n[a^mfmE§ PART – B: DEFINITIONS

Bg AZwd¥{X²Y XñVmdoO ‘| à¶wº$ nm[a^m{fH$ eãX/eãXm| H$s n[a^mfmE§ {ZåZ The definitions of terms/words used in this Rider Document
àH$ma h¢: are as under:
1. Accident is a sudden, unforeseen and involuntary event
1. XþK©Q>Zm EH$ AMmZH$, AZno{jV, Am¡a AZ¡pÀN>H$ KQ>Zm h¡ Omo ~mhar, caused by external, violent and visible means.
qhgH$ Am¡a Ñí¶‘mZ gmYZm| Ûmam K{Q>V hmoVr h¡& 2. Age is the age nearer birthday of the Life Assured at the
2. Am¶w nm°{bgr Ho$ àma§^ hmoZo Ho$ g‘¶ ~r{‘V ì¶{º$ Ho$ {ZH$Q>V‘ OÝ‘ time of commencement of this Rider except for age 18
{Xdg na CgH$s Am¶w h¡& bo{H$Z 18 df© H$s Am¶w Ho$ {bE ¶h nyU© df© yrs for which the age is in completed year.
‘| hmoJr& 3. Base Policy refers to the Policy to which this Rider
Document is attached.
3. ‘yb nm°{bgr H$m gå~§Y Cg nm°{bgr go h¡, {OgHo$ gmW ¶h AZwd¥{Õ 4. Date of commencement of LIC’s Accidental Death and
XñVmdoµO g§b¾ h¡& Disability Benefit Rider is the start date of this Rider.
4. EbAmB©gr H$s XþK©Q>ZmË‘H$ ‘¥Ë¶w VWm An§JVm {hVbm^ AZwd¥{Õ àma§^ 5. Date of commencement of risk for Rider is the date on
hmoZo H$s VmarI Bg AZwd¥{Õ H$s àma§^-VmarI h¡& which the Corporation accepts the risk for insurance
(cover) for this Rider as evidenced in the Schedule of
5. AZwd¥{Õ Ho$ {bE OmopI‘ àma§^ hmoZo H$s VmarI dh VmarI h¡, {Og na the Rider.
{ZJ‘, ‘yb nm°{bgr Ho$ gmW gmW Bg AZwd¥{Õ H$s OmopI‘ (gwajm) Ho$ 6. Life Assured is the person on whose life the insurance
{bE OmopI‘ H$mo ñdrH¥$V H$aVm h¡, O¡gm{H$ Bg AZwd¥{Õ H$s AZwgyMr ‘| cover has been accepted for the Base Policy along with
Xem©¶m J¶m h¡& this Rider.
6. ~r{‘V ì¶{º$ dh ì¶{º$ h¡ {OgHo$ OrdZ na Bg AZwd¥{Õ Ho$ gmW ‘yb 7. Limited Premium Payment Policy means the non-
linked insurance policy other than single premium
nm°{bgr Ho$ {bE ~r‘m gwajm ñdrH$ma H$s JB© h¡ & policy, where the premium payment period is limited
7. gr{‘V àr{‘¶‘ ^wJVmZ nm°{bgr H$m AW© h¡ EH$b àr{‘¶‘ nm°{bgr Ho$ compared to the policy term, and premium are payable
Abmdm Zm°Z-qbŠS> ~r‘m nm°{bgr, Ohm§ nm°{bgr Ad{Y H$s VwbZm ‘| at regular intervals like yearly, half yearly, quarterly,
àr{‘¶‘ ^wJVmZ H$s Ad{Y gr{‘V h¡, Am¡a àr{‘¶‘ dm{f©H$, N>‘mhr, monthly or any other intervals as approved by the
Authority.
Ì¡‘m{gH$, ‘m{gH$ ¶m àm{YH$aU Ûmam AZw‘mo{XV {H$gr ^r {Z¶{‘V
8. Policyholder is the legal owner of this policy.
A§Vamb na Xo¶ h¢&
9. Premium Paying Term means the period, in years,
8. nm°{bgr YmaH$ Bg nm°{bgr H$m H$mZyZr ñdm‘r h¡ & during which the premium is payable.
9. àr{‘¶‘ ^wJVmZ Ad{Y H$m AW© dfm] ‘| dh Ad{Y h¡, {OgHo$ Xm¡amZ 10. Proposer is a person who proposes the life insurance
àmo{‘¶‘ ^wJVmZ H$aZm h¡ proposal for the Base Policy along with this Rider.
11. Regular Premium Policy means non-linked insurance
10. àñVmdH$ dh ì¶{º$ h¡ Omo Bg AZwd¥{Õ Ho$ gmW ‘yb nm°{bgr Ho$ {bE policy, where the premium payment is throughout the
OrdZ ~r‘m àñVm{dV H$aVm h¡& term of the policy or premium payment term of the
11. {Z¶{‘V àr{‘¶‘ nm°{bgr H$m AW© h¡ Zm°Z -qbŠS> ~r‘m nm°{bgr, Ohm§ policy, and premiums are payable at regular intervals
like yearly, half-yearly, quarterly, monthly or any other
àr{‘¶‘ ^wJVmZ nm°{bgr H$s Ad{Y ¶m nm°{bgr H$s àr{‘¶‘ ^wJVmZ Ad{Y
interval as approved by the Authority.
Ho$ Xm¡amZ Xo¶ hmoVm h¡, Am¡a àr{‘¶‘ dm{f©H$, AY©-dm{f©H$, Ì¡‘m{gH$,
12. Rider is an additional cover which can be opted for
‘m{gH$ ¶m àm{YH$aU Ûmam AZw‘mo{XV {H$gr ^r {Z¶{‘V A§Vamb na Xo¶ along with Base Policy.
hmoVo h¢& 13. Rider Term is the period, in years, as chosen by
12. AZwd¥{Õ dh A{V[aº$ gwajm h¡ {OgH$m M¶Z ‘yb ¶moOZm Ho$ gmW {H$¶m the policyholder and mentioned in the Schedule,
Om gH$Vm h¡& commencing from the Date of commencement till the
Date of expiry of LIC’s Accidental Death and Disability
13. AZwd¥{Õ Ad{Y H$m AW© h¡, dfm] ‘|, nm°{bgrYmaH$ Ûmam MwZr JB© Am¡a Benefit Rider.
AZwgyMr ‘| Cëbo{IV Ad{Y Omo EbAmB©gr H$s XþK©Q>ZmË‘H$ ‘¥Ë¶w VWm 14. Schedule is the part of this Rider document that gives
An§JVm {hVbm^ AZwd¥{Õ Ho$ ewê$ hmoZo H$s VmarI go g‘m{á H$s VmarI the specific details of your Rider.
VH$ H$s Ad{Y h¡ & 15. Single Premium Policy means non-linked insurance
policy, where the premium payment is made in lump
14. AZwgyMr Bg AZwd¥{Õ XñVmdoµO H$m {hñgm h¡ Omo AmnH$s AZwd¥{Õ Ho$
sum at the inception of the policy.
{d{eï> {ddaU XoVm h¡&
16. Accidental Death and Disability Benefit Rider Premium
15. EH$b àr{‘¶‘ nm°{bgr H$m ‘Vb~ Zm°Z-qbŠS> ~r‘m nm°{bgr h¡, Ohm§ is the premium payable by the policyholder along with
nm°{bgr Ho$ ewê$ hmoZo na àr{‘¶‘ H$m ^wJVmZ EH$‘wíV {H$¶m OmVm h¡& the premium under Base Policy towards the cover/
benefit opted under the LIC’s Accidental Death and
16. XþKQ© >ZmË‘H$ ‘¥Ë¶w VWm An§JVm {hVbm^ AZwd{¥ Õ àr{‘¶‘ nm°{bgrYmaH$
Disability Benefit Rider.
Ûmam MwZo JE A{V[aº$ gwajm / bm^ , ¶{X H$moB© hm| , CZHo$ {bE nm°{bgr 17. Accident Benefit Sum Assured means the amount
YmaH$ Ûmam Xo¶ dh àr{‘¶‘ h¢, Omo ‘yb nm°{bgr Ho$ àr{‘¶‘ Ho$ gmW Xo¶ h¡& specified in the Schedule as opted by the Policyholder
17. XþK©Q>Zm {hVbm^ AZwd¥{Õ ~r‘m am{e AZwd¥{Õ boZo Ho$ g‘¶ nm°{bgrYmaH$ at the time of taking the Rider.
Ûmam MwZr JB© am{e h¡, Omo AZwgyMr ‘¢ {d{Z{X©ï> h¡. Note: For definitions of other terms/words used anywhere
in this endorsement, the definitions given in the Base
{Q>ßnUr: Bg g§b½ZH$ ‘| H$ht ^r Cn¶moJ {H$E JE Aݶ eãXm| / eãXm| H$s n[a^mfm Policy may be referred to.
Ho$ {bE, ‘yb nm°{bgr ‘| Xr JB© n[a^mfmAm| H$mo g§X{^©V {H$¶m Om gH$Vm
h¡& PART–C: BENEFITS

^mJ - gr : {hVbm^ 1. The following benefits are payable under an in-force


Rider:
1. EH$ Mmby AZwd¥{Õ Ho$ A§VJ©V {ZåZ{bpIV {hVbm^ Xo¶ h¢: If the Life assured is involved in an accident at any
time when this Rider is in-force, and such injury shall
AJa ~r{‘V ì¶{º$, O~ ¶h nm°{bgr gånyU© ~r‘m am{e Ho$ {bE Mmby
within 180 days of its occurrence solely, directly and
hmo, V~ {H$gr ^r g‘¶ XþK©Q>Zm go gå~Õ hmoVm/hmoVr h¡,Am¡a g‘J«V… independently of all other causes result in (a) either
Eogr MmoQ> hmoZo Ho$ 180 {XZ Ho$ A§Xa , à˶ú¶ ê$n go Am¡a g^r Aݶ Total and Permanent disability, as hereinafter defined

Lic’s Accidental Death And Disability Benefit Rider Page 2 of 8


H$maUm| go ñdV§Ì hmo H$a (H$) ¶m Vmo ñWm¶r Ed§ gånyU© An§JVm,O¡gm or (b) death of the Life assured; and the same is proved
to the satisfaction of the Corporation, the following
¶hm± BgHo$ nümV n[a^m{fV h¡, ¶m (I) ~r{‘V ì¶{º$ H$s ‘¥Ë¶w Ho$ ê$n
benefits shall be payable subject to ‘Conditions and
‘¢ n[a{UV hmoVr h¡ , Am¡a ¶h {ZJ‘ Ho$ g§Vmof VH$ {gÕ hmoVr h¡, Vmo Restrictions’ mentioned in Condition 4 of Part C of this
Bg g§b½ZH$ Ho$ ^mJ gr H$s eV© 4 ‘| Cpëb{IV ""{Z¶‘m| Am¡a eVm]'' Endorsement.
Ho$ AZwgma, {ZåZm§{H$V {hVbm^ Xo¶ hm|Jo & a. In case of Disability to the Life Assured:
(i) Disability Benefit equal to the Accident Benefit Sum
H$) ~r{‘V ì¶{º$ H$s An§JVm H$s pñW{V ‘| : Assured, divided into equal monthly instalments
i) Bg AZwd¥{Õ Ho$ VhV An§JVm {hVbm^ Ho$ ê$n ‘| 10 df© VH$ spread over a period of 10 years, shall be paid and
{dñVm[aV g‘mZ ‘m{gH$ {H$ñVm| ‘| XþK©Q>Zm bm^ ~r‘m am{e Ho$ (ii) the payment of future premiums, if any, shall also
be waived in respect of this Rider and the premium
~am~a am{e H$m ^wJVmZ {H$¶m OmEJm , Am¡a for Base Policy corresponding to Basic Sum Assured
equal to Accident Benefit Sum Assured. The total
ii) Bg AZwd¥{Õ Ho$ {bE VWm XþK©Q>Zm {hVbm^ ~r‘m am{e Ho$ ~am~a premium including the premium for other Rider(s),
‘yb ~r‘m am{e Ho$ {bE ‘yb nm°{bgr Ho$ àr{‘¶‘ ^wJVmZ H$s ‘m’$s& if opted for, and premium under the Base Policy
H$moB© Aݶ AZwd¥{Õ(¶m§), AJa MwZr JB© hmo, CZHo$ àr{‘¶‘ Am¡a corresponding to the difference in the Basic Sum
Assured and the Accident Benefit Sum Assured (if
‘yb ~r‘m am{e Ho$ gmW XþK©Q>Zm {hVbm^ ~r‘m am{e Ho$ A§Va (AJa Basic Sum Assured exceeds the Accident Benefit
‘yb ~r‘m am{e Bg AZwd¥{Õ Ho$ A§VJ©V ~r‘m am{e go Á¶mXm hmo Vmo) Sum Assured under this Rider), shall continue to
be paid for continuity of coverage of respective
H$s am{e go g§X{^©V ‘yb nm°{bgr Ho$ àr{‘¶‘ H$m Hw$b ^wJVmZ Omar benefits as per the terms and conditions of the
aIZm n‹S>oJm, Vm{H$ ‘yb nm°{bgr VWm AZwd¥{Õ H$s eVm] Am¡a {Z¶‘m| Base Policy and Rider(s).
Ho$ AZwgma g§~§{YV gwajm Omar aho& On death or maturity before the expiry of the said
period of 10 years, during which monthly instalments
Cnamoº$ 10 df© H$s Ad{Y, {OgHo$ Xm¡amZ ‘m{gH$ {H$íV Xo¶ h¡, go nhbo are to be paid, the Disability Benefit instalments, which
‘¥Ë¶w ¶m n[an³dVm hmoZo na, An§JVm {hVbm^ {H$íVm| H$mo, Omo Xo¶ Zht have not fallen due, will be paid in lumpsum.
hþE h¡, CZH$m ^wJVmZ EH$‘wíV {H$¶m OmEJm& The proximate cause of disability must be an ‘Accident’
and must be total and permanent. Accidental injuries
An§JVm H$m ge³V$ H$maU EH$ "XþK©Q>Zm' hmoZm Mm{hE Am¡a dh gånyU© which independently of all other causes and within 180
Am¡a ñWm¶r hmoZm Mm{hE& Eogr XþK©Q>ZmË‘H$ MmoQ> Omo g^r Aݶ H$maUm| go days from the happening of such accident result in such
disability due to which life assured is unable to perform
ñdV§Ì hmoH$a Am¡a Eogr XþK©Q>Zm Ho$ 180 {XZm| Ho$ A§Xa Eogr An§JVm ‘| at least 4 (four) of the following Activities of Daily Living
n[aUV hmo OmVr h¡, {OgHo$ H$maU ~r{‘V ì¶{º$ X¡{ZH$ OrdZe¡br Ho$ {bE (defined below) permanently without any external help/
support including the use of mechanical equipment,
Oê$ar {ZåZ{bpIV H$m¶m] ‘| go (ZrMo n[a^m{fV) H$‘ go H$‘ 4 H$m¶© special devices or other aids, then such disability shall
ñWm¶r ê$n go {~Zm ¶m§{ÌH$ CnH$aUm|,{deof ¶§Ì,¶m Aݶ ghm¶H$m| Ho$ be treated as Total and Permanent. Medical Examiner
authorized by the Corporation shall examine the life
Cn¶moJ g{hV Aݶ H$moB© ^r ~mhar ghm¶Vm Ho$ {~Zm H$aZo ‘| Ag‘W© h¡,
assured to certify the disability as Total and Permanent.
Vmo Eogr An§JVm H$mo Hw$b VWm gånyU© ‘mZm OmEJm& {ZJ‘ Ûmam àm{YH¥$V
The Activities of Daily Living are:
{M{H$Ëgm narjH$ An§JVm H$s g§nyU©Vm à‘m{UV H$aZo Ho$ {bE ~r{‘V
i. Dressing - the ability to put on and take off all
ì¶{º$ H$s Om§M H$a|Jo& necessary garments, artificial limbs or other
X¡{ZH$ OrdZe¡br H$s J{V{d{Y¶m± Bg àH$ma h¡ : surgical appliances that are medically necessary
i. H $n‹S>o nhZZm - g^r Amdí¶H$ dóm|, H¥${Ì‘ A§Jm| ¶m Eogo Aݶ ii. Washing - the ability to wash to maintain an
g{O©H$b CnH$aUm| H$mo nhZZo Am¡a CVmaZo H$s j‘Vm Omo H$s adequate level of cleanliness and personal hygiene
{M{H$ËgH$s¶ ê$n go Amdí¶H$ h¡& iii. Feeding - the ability to transfer food from a plate
or bowl to the mouth once food has been prepared
ii. Y moZm- gm’$-g’$mB© Am¡a ì¶{º$JV ñdÀN>Vm Ho$ n¶m©á ñVa H$mo and made available
~ZmE aIZo Ho$ {bE YmoZo H$s j‘Vm
iv. Toileting - the ability to use the lavatory or
iii. ^ moOZ H$aZm - ^moOZ V¡¶ma hmoZo Ho$ ~mX Am¡a {‘bZo Ho$ ~mX EH$ otherwise manage bowel and bladder functions
ßboQ> ¶m H$Q>moao go ^moOZ H$mo ‘w§h VH$ ñWmZm§V[aV H$aZo H$s j‘Vm& so as to maintain a satisfactory level of personal
iv. e
 m¡M H$aZm - em¡M H$aZo ¶m AݶWm ‘b-‘yÌ {dgO©Z H$mo à~§{YV hygiene
H$aZo H$s j‘Vm, Vm{H$ g§VmofOZH$ ñVa H$s ì¶{º$JV ñdÀN>Vm H$mo v. Mobility - the ability to move indoors from room
~ZmE aIm Om gHo$& to room on level surfaces at the normal place of
residence
v. J {VerbVm - {Zdmg Ho$ gm‘mݶ ñWmZ na g‘Vb gVhm| go EH$
vi. Transferring - the ability to move from a bed to an
H$‘ao go Xÿgao H$‘ao ‘| Am¡a Ka Ho$ A§Xa OmZo H$s j‘Vm&
upright chair or wheel chair and vice versa
vi. ñ WmZm§V[aV hmoZm- EH$ {~ñVa go CR>H$a grYr Hw$gu ¶m ìhrb Mo¶a Notwithstanding what is mentioned above, Accidental
na OmZo H$s j‘Vm Am¡a BgHo$ {dnarV& injuries which independently of all other causes and
C n¶w©º$ Ho$ ~mdOyX, XþK©Q>Zm H$s MmoQ>| Omo Aݶ g^r H$maUm| go ñdV§Ì within 180 days from the happening of such accident,
ê$n go Am¡a Eogr XþK©Q>Zm Ho$ hmoZo go 180 {XZm| Ho$ A§Xa, XmoZm| Am±Im| result in the irrecoverable loss of the entire sight of both
eyes or in the amputation of both hands at or above
H$s nyar Ñ{ï> H$s AnwaUr¶ j{V hmoVr h¢ ¶m H$bmB© go ¶m Cggo D$na
the wrists or in the amputation of both feet at or above
XmoZm| hmWm| Ho$ {dÀN>oXZ ¶m Jwë’$ na ¶m CgHo$ D$na go XmoZm| n¡am| H$m ankles, or in the amputation of one hand at or above
{dÀN>oXZ, ¶m H$bmB© na ¶m CgHo$ D$na go EH$ hmW H$m Am¡a Jwë’$ na the wrist and one foot at or above the ankle, shall also
¶m CgHo$ D$na go EH$ n¡a H$m {dÀN>oXZ ^r Bg Vah H$s An§JVm Ho$ be deemed to constitute such disability.
ê$n ‘| ‘mZm OmEJm& In the event of it being discovered at any time that a
claim under this clause has been wrongly admitted, all
AJa {H$gr ^r g‘¶ ¶h nVm bJVm h¡ {H$ Bg Ymam Ho$ A§VJ©V Xmdm JbV
premiums falling due after the date of the Corporation’s
VarHo$ go XmpIb {H$¶m J¶m , Vmo Eogr pñW{V ‘|, {ZJ‘ H$s gyMZm H$s intimation to that effect shall be paid on due dates and
{V{W Ho$ ~mX ~H$m¶m hmoZo dmbr g^r àr{‘¶‘m| H$m Xo¶ {V{W¶m| na ^wJVmZ further all premiums for which waiver was wrongly
H$aZm n‹S>oJm Am¡a Eogo g^r àr{‘¶‘ {OZHo$ {bE Ny>Q> H$m Xmdm JbV VarHo$ claimed and all instalments of disability benefit which

Lic’s Accidental Death And Disability Benefit Rider Page 3 of 8


go {H$¶m J¶m Wm, Am¡a An§JVm {hVbm^ H$s g^r {H$íV| {OZH$m ~r{‘V have been paid to the life assured shall be returned to
ì¶{º$ H$mo ^wJVmZ {H$¶m J¶m Wm, g‘¶ g‘¶ na {ZJ‘ Ûmam V¶ {H$E JE the Corporation in one lump sum with interest, at such
rate as fixed by the Corporation from time to time, as if
Xa na ã¶mO Ho$ gmW EH$‘wíV ê$n go {ZJ‘ H$mo dmng H$aZm n‹S>oJm, O¡go no disability had occurred, failing which
{H$ An§JVm Zht hþB© h¡, daZm Eogm Z H$aZo na (i) the benefits available under the policy shall stand
reduced as if the policy has been discontinued
i) nm°{bgr na CnbãY {hVbm^m| H$mo Eogo KQ>m {X¶m OmEJm, O¡go
as on the date from which premiums have been
nm°{bgr Cg {V{W go ~§X H$a Xr JB© hmo, {Og {V{W na àr{‘¶‘ waived or on the payment of the first instalment of
{H$ Ny>Q> Xr J¶r hmo, ¶m An§JVm {hVbm^ am{e H$s nhbr {H$íV Ho$ Disability Benefit, whichever is earlier and
^wJVmZ na, Omo ^r nhbo hmo, Am¡a (ii) the instalments of Disability Benefit already paid
shall be treated as a debt against the said policy
ii) nhbo go ^wJVmZ H$s$ JB© An§JVm {hVbm^ am{e H$s {H$íVm| H$mo
and shall be deducted with interest at such rate as
g§X{^©V nm°{bgr na F$U Ho$ ê$n ‘| ‘mZm OmEJm Am¡a {ZJ‘ Ûmam fixed by the Corporation from time to time from
g‘¶ g‘¶ na V¶ {H$E JE Xa na ã¶mO Ho$ gmW nm°{bgr na Xo¶ the proceeds of the policy.
am{e go H$mQ> {b¶m OmEJm& No further instalment/s of Disability Benefit shall be
payable considering as if no disability had occurred.
AmJo Ho$ H$moB© An§JVm {hVbm^ {H$íV/{H$íV| Xo¶ Zht hm|Jr, ¶h ‘mZVo hþE
b. In case of Death of the Life Assured:
{H$ H$moB© An§JVm Zht hþB© h¡&
A sum equal to the Accident Benefit Sum Assured
I) ~r{‘V ì¶{º$ H$s ‘¥Ë¶w H$s pñW{V ‘| : Bg AZwd¥{Õ Ho$ A§VJ©V XþK©Q>Zm shall be payable under this Rider. However, the
{hVbm^ ~r‘m am{e Ho$ ~am~a {H$ am{e H$m ^wJVmZ {H$¶m OmEJm& hmbm§{H$, Rider shall have to be in-force at the time of
accident (i.e. all due premiums should have been
XþK©Q>Zm {H$ g‘¶ na AZwd¥{Õ H$mo Mmby ahZr Mm{hE (AWm©V XþK©Q>Zm H$s
paid as on the date of accident).
VmarI na Xo¶ g^r àr{‘¶‘m| H$m ^wJVmZ {H$¶m hmoZm Mm{hE& c. Maturity Benefit:
J) n[an³dVm {hVbm^ : Bg AZwd¥{Õ Ho$ VhV H$moB© ^r n[an³dVm {hVbm^ No maturity benefit is payable under this Rider.
Xo¶ Zht hmoJm& 2. Payment of Premium:
(a) The Accidental Death and Disability Benefit
2) {à{‘¶‘m| H$m ^wJVmZ : Rider premium, including the taxes as applicable
from time to time, is payable only along with the
H$) XþK©Q>ZmË‘H$ ‘¥Ë¶w VWm An§JVm {hVbm^ AZwd¥{Õ àr{‘¶‘, premium for the Base Policy and cannot be paid
g‘¶-g‘¶ na bmJy H$am| g{hV, Ho$db ‘yb nm°{bgr Ho$ àr{‘¶‘ separately.
Ho$ gmW hr Xo¶ h¡ Am¡a BgH$m AbJ go ^wJVmZ Zht {H$¶m Om (b) Once a disability claim under LIC’s
gH$Vm h¡& Accidental Death and Disability Benefit
Rider has been admitted, no subsequent
I) EH$ ~ma EbAmB©gr {H$ XþK©Q>ZmË‘H$ ‘¥Ë¶w VWm An§JVm {hVbm^ premium towards this Rider shall be
AZwd¥{Õ Ho$ A§Xa An§JVm Xmdo H$mo ñdrH$ma H$a {b¶m J¶m, Vmo charged. However, the total premium
Bg AZwd¥{Õ Ho$ {bE AmJo H$m H$moB© ^r àr{‘¶‘ Zht {b¶m OmEJm& including the premium for other Rider(s),
hmbm§{H$, H$moB© Aݶ AZwd¥{Õ(¶m§),AJa MwZr JB© hmo, CZHo$ {bE Xo¶ if opted for, and premium under the Base
Policy corresponding to the difference in
àr{‘¶‘ Am¡a ‘yb ~r‘m am{e Ho$ gmW XþK©Q>Zm {hVbm^ ~r‘m am{e
the Basic Sum Assured and the Accident
Ho$ A§Va (AJa ‘yb ~r‘m am{e Bg AZwd¥{Õ Ho$ A§VJ©V ~r‘m am{e Benefit Sum Assured (if Basic Sum Assured
go Á¶mXm hmo Vmo) H$s am{e go g§X{^©V ‘yb nm°{bgr H$m àr{‘¶‘, exceeds the Accident Benefit Sum Assured
BZ XmoZmo§ Ho$ Hw$b àr{‘¶‘ H$m ^wJVmZ Omar aIZm n‹S>oJm, Vm{H$ under this Rider), shall continue to be paid
‘yb nm°{bgr VWm AZwd¥{Õ H$s eVm] Am¡a {Z¶‘m| Ho$ AZwgma g§~§{YV for continuity of coverage of respective
gwajm Omar aho& benefits as per the terms and conditions of
the Base Policy and Rider(s).
J) Bg AZwd¥{Õ Ho$ g§~§Y ‘| ^wJVmZ {H$¶m J¶m A{V[aº$ àr{‘¶‘ ‘yb (c) The additional premium paid in respect of
nm°{bgr Ho$ ‘¥Ë¶w bm^ Ho$ {ZYm©aU Am¡a ‘yb nm°{bgr Ho$ Aä¶n©U this Rider shall not be taken into account for
‘yë¶ H$s JUZm Ho$ {bE {dMma ‘| Zht {b¶m OmEJm& determination of Death Benefit of the Base
Policy and in calculating the surrender value of
3. AZwJ«h Ad{Y : O¡go ‘yb nm°{bgr ‘| Cëbo{IV the Base Policy.
3. Grace period: Same as mentioned under the Base
4. eV] Am¡a à{V~§Y Policy.
H$) Bg nm°{bgr Ho$ g§X^© ‘| XþK©Q>Zm H$mo Bg g§b½ZH$ Ho$ ^mJ ~r ‘| 4. Conditions and restrictions:
n[a^m{fV {H$¶m J¶m h¡& (a) An Accident for the purpose of this policy is as
defined in Part B of this Endorsement.
I) ¶h AZwd¥{Õ Zm~m{bJ H$s OrdZ na nm°{bgr ‘| ~r{‘V ì¶{º$ (b) This Rider will not be available under the policy
H$s Zm~m{bJr Ho$ Xm¡amZ CnbãY Zht hmoJr& hmbm§{H$,{ZJ‘ Ho$ on the life of minors, during minority of the Life
{Z¶‘m| Ho$ AZwgma XþK©Q>Zm bm^ Ho$ {bE ¶mo½¶ nmE OmZo na VWm Assured. However, this Rider will be available
{d{eï> AZwamoY na Am¡a A{V[aº$ àr{‘¶‘ H$s ^wJVmZ H$s àm{á na from the policy anniversary following completion
18 df© H$s Am¶w nyar hmoZo Ho$ ~mX H$s nm°{bgr df©Jm§R> go ¶h of age 18 years on receipt of specific request and
payment of additional premium, if found eligible as
{hVbm^ CnbãY hmoJm&
per the underwriting rules of the Corporation.
J) O¡gm H$s D$na ~Vm¶m J¶m h¡, Mmby nm°{bgr Ho$ A§VJ©V ‘yb nm°{bgr (c) Subject to as stated above, under an in-force policy
H$s àr{‘¶‘ ^wJVmZ Ad{Y Ho$ Xm¡amZ {H$gr ^r g‘¶ Bg AZwd¥{Õ the LIC’s Accidental Death and Disability Benefit
H$m {dH$ën MwZm Om gH$Vm h¡&, ~eV] H$s ‘yb nm°{bgr VWm Rider can be opted for by payment of additional
premium at any time within the premium paying
AZwd¥{Õ Ho$ {bE ~H$m¶m àr{‘¶‘ Ho$ ^wJVmZ H$s eof Ad{Y H$‘ go term of the Base Policy provided, the outstanding
H$‘ 5 df© hmo, bo{H$Z Cg nm°{bgr df©Jm§R> go nhbo {Og na ~r{‘V premium paying term of the Base Policy as well
ì¶{º$ H$s {ZH$Q>V‘ OÝ‘{XZ na Am¶w 65 df© hmoJr& Bg AZwd¥{Õ as Rider is at least five years but before the policy
Ho$ A§VJ©V {hVbm^ ‘yb nm°{bgr Ho$ ~H$m¶m àr{‘¶‘ ^wJVmZ Ad{Y anniversary on which the age nearer birthday of

Lic’s Accidental Death And Disability Benefit Rider Page 4 of 8


Ho$ Xm¡amZ ¶m nm°{bgr Ho$ Cg df©Jm§R> VH$ {Og na ~r{‘V ì¶{º$ H$s the Life Assured is 65 years. The benefit covered
{ZH$Q>V‘ Am¶w 70 df© hmo, BZ‘| go Omo ^r nhbo hmo, VH$ CnbãY under this Rider will be available during the
outstanding policy term of the Base Policy, or upto
hm|Jo ~eV] H$s nm°{bgr XþK©Q>Zm H$s {V{W na nyar ~r{‘V am{e Ho$ the policy anniversary on which the age nearer
{bE Mmby hmo& birthday of the Life Assured is 70 years, whichever
is earlier, provided the Policy is in-force as on date
K) ‘yb nm°{bgr Ho$ A§VJ©V g^r àr{‘¶‘m| H$m ^wJVmZ H$a {XE OmZo of accident.
Ho$ ~mX AWdm Cg nm°{bgr df©Jm§R> na ¶m Cg Ho$ ~mX O~ ~r{‘V (d) The additional premium for this Rider will not
ì¶{º$ H$s {ZH$Q>V‘ OÝ‘{XZ na Am¶w 70 df© hmo, Bg ‘| go Omo be required to be paid after all premiums under
the Base Policy have been paid or on and after
^r nhbo hmo, Bg {hVbm^ Ho$ {bE A{V[aº$ àr{‘¶‘ H$m ^wJVmZ
the policy anniversary on which the age nearer
H$aZo H$s Amdí¶H$Vm Zht hmoJr& hmbm§{H$, ‘yb nm°{bgr Ho$ A§VJ©V birthday of the Life Assured is 70 years, whichever
àr{‘¶‘ H$m nm°{bgr H$s Ad{Y Ho$ A§V VH$ 70 df© H$s Am¶w go is earlier. However, the premium under the Base
AmJo, Ohm§ ^r bmJy hmo, ^wJVmZ {H$¶m OmZm Omar aIm OmEJm& Policy with which this Rider is attached shall
continue to be paid beyond age 70 years till the
L>) XþK©Q>Zm {hVbm^ ~r‘m gwajm H$s A{YH$V‘ g§¶wº$ gr‘m {ZåZmZwgma end of policy term, wherever applicable.
hmoJr : (e) The maximum aggregate limit of Accident Benefit
cover shall be as under:
i) é. 100 bmI H$s ݶyZV‘ ‘yb ~r‘mH¥$V am{e dmbo EbAmB©gr H$s
i) For LIC’s Jeevan Shiromani with minimum Basic
OrdZ {eamo‘{U Ho$ {bE Sum Assured of Rs. 100 lakhs
EH$ hr OrdZ na ì¶{º$JV nm°{b{g¶m| Ho$ gmW hr g‘yh nm°{b{g¶m|, The maximum aggregate limit of assurance
{OgHo$ {bE AJ«m§{H$V bm^ bmJy hm|Jo, Ho$ A§VJ©V ^maVr¶ OrdZ under all policies including policies with in-
~r‘m {ZJ‘ Ho$ gmW br JB© A§V{Z©{hV XþK©Q>Zm bm^ dmbr nm°{b{g¶m| built Accident Benefit taken with Life Insurance
g{hV g^r nm°{b{g¶m| Ho$ A§VJ©V ~r‘m H$s A{YH$V‘ g§¶wº$ gr‘m Corporation of India under individual policies as
well as group policies on the same life to which
{H$gr ^r pñW{V ‘| XþK©Q>Zm bm^ ~r‘m am{e (EbAmB©gr H$s Or¶Z following benefits apply shall not in any event
{eamo‘{U g{hV) é. 200 bmI go A{YH$ Zht hmoJr& ¶{X EH$ exceed Rs.200 lakhs of Accident Benefit Sum
go A{YH$ nm°{b{g¶m± hm|Jr Am¡a ¶{X Hw$b XþK©Q>Zm {hVbm^ ~r‘m Assured (including LIC’s Jeevan Shiromani). If
am{e é. 200 bmI (EbAmB©gr H$s OrdZ {eamo‘{U Ho$ A§VJ©V there be more policies than one and if the total
ݶyZV‘ é. 100 bmI g{hV) go A{YH$ hmoJr, Vmo bm^ Omar H$s Accident Benefit Sum Assured exceeds Rs. 200
lakhs (including a minimum of 100 lakhs under
JB© nm°{b{g¶m| H$s {V{W Ho$ H«$‘ ‘| àW‘ é. 200 bmI XþK©Q>Zm LIC’s Jeevan Shiromani) the benefits shall apply
{hVbm^ ~r‘m am{e na bmJy hm|Jo& to the first Rs. 200 lakhs Accident Benefit Sum
Assured in order of date of policies issued.
ii) Aݶ g^r ¶moOZmAm| Ho$ {bE (EbAmB©gr H$s OrdZ {eamo‘{U H$mo
ii) For all other plans (excluding LIC’s Jeevan
N>mo‹S>H$a) Shiromani):
EH$ hr OrdZ na ì¶{º$JV nm°{b{g¶m| Ho$ gmW hr g‘yh nm°{b{g¶m|, The maximum aggregate limit of assurance
{OgHo$ {bE AJ«m§{H$V bm^ bmJy hm|Jo, Ho$ A§VJ©V ^maVr¶ OrdZ under all policies including policies with in-
~r‘m {ZJ‘ Ho$ gmW br JB© A§V{Z©{hV XþK©Q>Zm bm^ dmbr nm°{b{g¶m| built Accident Benefit taken with Life Insurance
g{hV g^r nm°{b{g¶m| Ho$ A§VJ©V ~r‘m H$s A{YH$V‘ g§¶wº$ gr‘m Corporation of India under individual policies
as well as group policies on the same life to
{H$gr ^r pñW{V ‘| XþK©Q>Zm bm^ ~r‘m am{e é. 100 bmI go which following benefits apply shall not in any
A{YH$ Zht hmoJr& ¶{X EH$ go A{YH$ nm°{b{g¶m± hm|Jr Am¡a ¶{X event exceed Rs.100 lakhs of Accident Benefit
Hw$b XþK©Q>Zm {hVbm^ ~r‘m am{e é. 100 bmI go A{YH$ hmoJr, Sum Assured. If there be more policies than one
Vmo bm^ Omar H$s JB© nm°{b{g¶m| H$s {V{W Ho$ H«$‘ ‘| àW‘ é. 100 and if the total Accident Benefit Sum Assured
bmI XþK©Q>Zm {hVbm^ ~r‘m am{e na bmJy hm|Jo& exceeds Rs. 100 lakhs, the benefits shall apply
to the first Rs. 100 lakhs Accident Benefit Sum
{H$gr ^r pñW{V ‘|, Cnamoº$ eV© 4(L>)(i) Ho$ A§VJ©V br JB© nm°{b{g¶m| Assured in order of date of policies issued.
g{hV {H$gr ì¶{º$ H$mo àXmZ H$s JB© A{YH$V‘ XþK©Q>Zm {hVbm^ ~r‘m In any case, the maximum Accident Benefit cover
gwajm é. 200 bmI go A{YH$ Zht hmoJr& offered to an individual including the policies taken
under Condition 4.(e) (i) above,will not exceed Rs.
M) à{V~§Y : 200 lakhs.
{ZJ‘ D$na ‘| Cëbo{IV nmQ>© gr H$s eV© 1 H$ ¶m 1 I ‘| {d{Z{X©ï> (f). Exclusions:
{hVbm^ H$m ^wJVmZ H$aZo Ho$ {bE CÎmaXm¶r Zhr hmoJm, ¶{X ~r{‘V The Corporation shall not be liable to pay the
ì¶{º$ H$s ‘¥Ë¶w : benefits as specified in Condition 1.(a) or 1.(b) of
Part C above , if the disability or the death of the
i) OmZ~yPH$a ñd¶§ H$mo MmoQ> nhþ§MmZo,AmË‘h˶m Ho$ à¶mg, nmJbnZ Life Assured shall:
¶m AZ¡{VH$Vm Ho$ H$maU ¶m ~r{‘V ì¶{º$ Ho$ eam~, Zerbr Xmdm (i) be caused by intentional self injury, attempted
¶m ‘mXH$ nXmW© ({gdm¶ Ohm§ {M{H$Ëgm Ho$ EH$ A§J Ho$ ê$n ‘| suicide, insanity or immorality or whilst the Life
{M{H$ËgH$ Ûmam {ZYm©[aV H$s JB© hmo) Ho$ à^md ¶m Cn¶moJ Ho$ AYrZ Assured is under the influence or consumption
of intoxicating liquor, narcotic or drug (unless
ahZo Ho$ Xm¡amZ hmoVr h¡; ¶m prescribed by doctor as a part of treatment); or
ii) X§Jm|, ZmJ[aH$ CnÐd {dÐmoh,¶wÕ (Mmho ¶wÕ Kmo{fV hmo ¶m Z hmo), (ii) be caused by injuries resulting from taking any
AmH«$‘U, {eH$ma, nd©VmamohU, ñQ>rnb MoqOJ,{H$gr àH$ma H$s part in riots, civil commotion, rebellion, war
(whether war be declared or not), invasion,
Xm¡‹S>,n¡am½bmBqS>J ¶m n¡ameyqQ>J ‘| ^mJ boZo, gmh{gH$ Iobm| ‘| ^mJ
hunting, mountaineering, steeple chasing,
boZo Ho$ n[aUm‘ñdê$n MmoQ>m| Ho$ H$maU hmoVr h¡; ¶m racing of any kind, paragliding or parachuting,
iii) ~r{‘V ì¶{º$ Ûmam Amnam{YH$ BamXo go H$mZyZ H$m C„§KZ H$aZo Ho$ taking part in adventurous sports; or
n[aUm‘ñdê$n hmoVr h¡; ¶m (iii)result from the Life Assured committing any
criminal act with criminal intent; or
iv) H$) geó ~bm| AWdm g¡Ý¶ godm ‘| ~r{‘V ì¶{º$ Ho$ Zm¡H$ar go (iv)a) arise from employment of the Life Assured
hmoVr h¡& ¶{X ~r{‘V ì¶{º$ S>çyQ>r na Zht ahZo Ho$ Xm¡amZ {H$gr in the armed forces or military service. This
XþK©Q>Zm H$m {eH$ma hmo J¶m ¶m h‘mao Xoe ‘| àmH¥${VH$ AmnXmAm| exclusion is not applicable if the Life Assured
H$m ‘wµH$m~bm H$aZo Ho$ Xm¡amZ {H$gr ~Mmd H$m¶© Z| em{‘b Wm was involved in an accident when he is not on
Vmo ¶h AndO©Z bmJy Zht hmoJm& duty or was involved in any rescue operations
while combating natural calamities in our
I) AY©g¡{ZH$ ~b Ho$ Abmdm {H$gr ^r nw{bg g§JR>Z ‘| nw{bg country; or

Lic’s Accidental Death And Disability Benefit Rider Page 5 of 8


S>çyQ>r (àemg{ZH$ H$m¶© H$mo N>mo‹S>H$a) ‘| g§b¾ hmoZo go hmoVr b) arise from being engaged in police duty (which
excludes administrative assignments) in any
h¡& ¶h AndO©Z bmJy Zht hmoVm h¡, Ohm§ nw{bg S>çyQ>r ‘| g§b¾
police organization other than paramilitary
ahZo Ho$ Xm¡amZ XþK©Q>Zm go hmoZo dmbm XþK©Q>Zm {hVbm^ ~r‘m forces. This exclusion is not applicable where
gwajm H$m {dH$ën MwZm J¶m h¡; ¶m the option to cover Accidental Death and
Disability Benefit arising on accident while
v) ~r{‘V ì¶{º$ H$s ‘¥Ë¶w XþK©Q>Zm H$s {V{W go 180 {XZ {XZm| Ho$ ~mX engaged in police duty, has been chosen; or
hmoVr h¡& v) occur after 180 days from the date of accident of
the Life Assured.
^mJ - 'S>r' : godm nhbw go g§~§{YV eV] PART-D: CONDITIONS RELATED TO SERVICING ASPECTS

1. Am¶w gå~§{YV à‘mU : O¡go ‘yb nm°{bgr ‘¢ Cëbo{IV 1. Proof of Age :Same as mentioned under the Base Policy
2. OãVr Am¡a J¡a-OãVr {d{Z¶‘: 2. Forfeiture and Non-forfeiture Regulations:
Hw$N> Aݶ pñW{V¶m| ‘| OãVr : O¡go ‘yb nm°{bgr ‘¢ Cëbo{IV Forfeiture in Certain Other Events: Same as mentioned
under the Base Policy.
J¡a-OãVr {d{Z¶‘: ¶o àmdYmZ Bg AZwd¥{Õ na bmJy Zht hmoVo, Š¶m|{H$ Non-forfeiture Regulations: These provisions do not
¶h H$moB© àXÎm ‘wë¶ AO©Z Zht H$aVr, Am¡a ¶{X ‘yb nm°{bgr H$mbmVrV apply to this Rider as it does not acquire any paid up
pñW{V ‘¢ hmo Vmo AZwd¥{Õ {hVbm^ bmJy hmoZm ~§X hmo OmVm h¡ & value and the Rider benefit ceases to apply, if Base
policy is in lapsed condition.
3. H$mbmVrV nm°{bgr H$m nwZM©bZ
3. Revival of lapsed Policies:
AZwd¥{Õ Ho$ nwZM©bZ H$m ‘yb nm°{bgr Ho$ nwZM©bZ Ho$ gmW {dMma {H$¶m The revival of the Rider will be considered along with
OmEJm Am¡a {ZJ‘ H$s ~r‘mboIZ Zr{V Ho$ AZwgma nwZM©bZ {H$¶m OmEJm& the revival of the Base Policy and shall be revived
‘yb nm°{bgr XñVmdoµO Ho$ ^mJ S>r ‘| ""H$mbmVrV nm°{bgr Ho$ nwZM©bZ'' in accordance with the Underwriting policy of the
Ho$ VhV {Z¶‘ Am¡a eVm] H$m C„oI {H$¶m J¶m h¡ & Corporation. The terms and conditions are as mentioned
under “Revival of Lapsed Policies” in Part D of the Base
4. Aä¶n©U ‘yë¶
Policy Document.
¶h AZwd¥{Õ H$moB© àXÎm ‘yë¶ A{O©V Zht H$aoJr Am¡a CgHo$ VhV H$moB© 4. Surrender Value:
Aä¶n©U ‘yë¶ CnbãY Zht hmoJm& hmbm§{H$, AJa Bg {hVbm^ H$m M¶Z
This Rider shall not acquire any Paid-up Value and no
{Og ‘yb nm°{bgr gmW {H$E {H$¶m J¶m hmo CgHo$ Aä¶n©U na, ~eV] Bg Surrender Value will be available under this Rider.
{hVbm^ Ed§ ‘yb nm°{bgr Ho$ g§~§Y ‘| g^r Xo¶ àr{‘¶‘m| H$m ^wJVmZ {H$¶m However, if this Rider has been opted for and on
J¶m hmo, Am¡a ‘yb nm°{bgr Zo Aä¶n©U ‘yë¶ àmá H$a {b¶m hmo, àr{‘¶‘ surrender of the base policy to which this Rider is
^wJVmZ Ad{Y Ho$ ~mX ~r‘m-gwajm Ho$ {bE AXm {H$E JE A{V[aº$ attached, provided all the due premiums in respect of
AZwd¥{Õ àr{‘¶‘m| H$mo {ZåZmZwgma dmng {H$¶m OmEJm : this Rider and the base policy have been paid and the
base policy has acquired surrender value, additional
{Z¶{‘V àr{‘¶‘ nm°{bgr : Hw$N> ^r Xo¶ Zht hmoJm& rider premium charged in respect of cover after
EH$b àr{‘¶‘ nm°{bgr : AZwd¥{X²Y EH$b àr{‘¶‘ H$m 90% * (nyU© dfm] premium paying term shall be refunded as follows:
‘| Bg {hVbm^ Ho$ {bE ~H$m¶m Ad{Y/AZwd¥{Õ Ad{Y) Regular premium policy: Nothing shall be refunded.
gr{‘V àr{‘¶‘ ^wJVmZ nm°{bgr : àr{‘¶‘ ^wJVmZ Ad{Y Ho$ Xm¡amZ : 80% * Single premium policy: 90% of rider single premium *
(à{V é.1000 XþK©Q>Zm {hVbm^ ~r‘m am{e na dm{f©H$sH¥$V AZwd¥{Õ (outstanding term for this rider in complete years/ Rider
àr{‘¶‘ - 1) * (XþK©Q>Zm {hVbm^ ~r‘m am{e/1000) * (CZ dfm] term)
H$s g§»¶m {OZHo$ {bE Bg {hVbm^ Ho$ g§~§Y ‘| àr{‘¶‘ H$m ^wJVmZ Limited premium paying policy:
{H$¶m J¶m h¡) During Premium Paying Term: 80% * (annualised rider
àr{‘¶‘ ^wJVmZ Ad{Y Ho$ ~mX : 80% * (à{V é.1000 XþK©Q>Zm premium per Rs. 1000 Accident Benefit Sum Assured –
1) * (Accident Benefit Sum Assured/1000) * (Number of
{hVbm^ ~r‘m am{e na dm{f©H$sH¥$V AZwd¥{Õ àr{‘¶‘ - 1) * (XþK©Q>Zm
years for which premiums in respect of this rider have
{hVbm^ ~r‘m am{e/1000) * (AZwd¥{Õ Ho$ {bE àr{‘¶‘ ^wJVmZ been paid)
Ad{Y) * (gånyU© dfm] ‘| AZwd¥{Õ Ho$ {bE ~H$m¶m Ad{Y/(AZwd¥{Õ
After Premium Paying Term: 80% * (annualised rider
Ad{Y - AZwd¥{Õ bo {bE àr{‘¶‘ ^wJVmZ Ad{Y) premium per Rs. 1000 Accident Benefit Sum Assured –
Ohm± EH$b àr{‘¶‘/dm{f©H$sH¥$V AZwd¥{Õ àr{‘¶‘ ‘| H$a em{‘b Zht h¡& 1) * (Accident Benefit Sum Assured/ 1000) * (Premium
paying term for the rider) * (outstanding term for the
{Q>ßnUr… àVrH$ (*) JwUZ H$mo Xem©Vm h¡ Am¡a àVrH$ (/) {d^mOZ H$mo Xem©Vm rider in complete years / ( Rider term – Premium paying
h¡& term for the rider))
Where single premium or annualized rider premium
5. F$U : Bg AZwd¥{Õ Ho$ VhV H$moB© F$U AZw‘mo{XV Zht hmoJm &
mentioned above excludes taxes.
6. EbAmB©gr H$s XþK©Q>ZmË‘H$ ‘¥Ë¶w VWm An§JVm {hVbm^ AZwd¥{Õ H$s Note:Symbol (*) denotes multiplication and symble (/)
g‘m{á : denotes division.
{ZåZ{bpIV ‘| go g~go nhbo H$moB© ^r pñW{V K{Q>V hmoZo na, EbAmB©gr 5. Loan: No loan will be granted under this Rider.
H$s XþK©Q>ZmË‘H$ ‘¥Ë¶w VWm An§JVm {hVbm^ AZwd¥{Õ Vwa§V hr g‘má hmo 6. Termination of LIC’s Accidental Death and Disabilty
OmEJr : Benefit Rider:
The cover under LIC’s Accidental Death and Disability
(1) ~r{‘V ì¶{º$ H$s ‘¥Ë¶w hmoZo na & Benefit Rider will terminate on the earliest of:
(2) gånyU© Ed§ ñWm¶r An§JVm H$s pñW{V ‘| An§JVm {hVbm^ H$s A§{V‘ a) On death of the Life Assured.
{H$íV H$m ^wJVmZ hmoZo na & b) On payment of final instalment of disability benefit
in case of total and permanent disability.
(3) EbAmB©gr H$s XþK©Q>ZmË‘H$ ‘¥Ë¶w VWm An§JVm {hVbm^ AZwd¥{Õ
c) The date of expiry of the LIC’s Accidental Death
g‘má hmoZo H$s VmarI na (O¡go AZwgyMr ‘| Cëbo{IV h¡) and Disability Benefit Rider (as mentioned in the
Schedule).

Lic’s Accidental Death And Disability Benefit Rider Page 6 of 8


(4) dh VmarI {Og na ‘yb nm°{bgr, {Oggo ¶h AZwd¥{Õ g§b¾ hmo, d) The date on which the Base Policy to which the
g‘má hmo OmVr h¡ ¶m nyU© àXÎm nm°{bgr ‘| n[ad{V©V hmo OmVr h¡& Rider is attached terminates or is converted into a
paid up policy.
(5) Bg AZwd¥{Õ Ho$ VhV {Z…ewëH$ AdbmoH$Z {ZañVrH$aU am{e H$m e) On payment of Free Look cancellation amount for
^wJVmZ hmo OmZo na& this Rider.
AJa Bg AZwd¥{Õ Ho$ VhV An§JVm {hVbm^ H$mo ñdrH$ma {H$¶m J¶m h¡ If Disability Benefit claim is admitted under this Rider
and the Base Policy is surrendered subsequently by
Am¡a BgHo$ ~mX ‘yb nm°{bgr H$m nm°{bgr YmaH$ Ûmam Aä¶n©U {H$¶m
the policyholder, the Disability Benefit instalments, if
OmVm h¡, Vmo Bg AZwd¥{Õ ‘| An§JVm {hVbm^ Ho$ àmdYmZm| Ho$ AZwgma any, shall continue to be paid as per the provisions of
An§JVm {hVbm^ H$s {H$íVm|, AJa H$moB© hmo, H$m ^wJVmZ Omar ahoJm& Disability Benefit under this Rider.
7. {Z…ewëH$ AdbmoH$Z Ad{Y : ¶{X nm° { bgrYmaH$ nm° { bgr Ho $ ""{Z¶‘ 7. Free look period:
Ed§ eVm]'' go g§Vwï> Zht h¡ Vmo nm° { bgrYmaH$ Ûmam nm° { bgr XñVmdo O During the Free Look period, If the policyholder is not
àmá H$aZo H$s VmarI go 15 {XZ (B§ Q >aZo Q > Ho $ ‘mܶ‘ go nm° { bgr satisfied with the “Terms and Conditions” of the Rider,
IarXZo na 30 {XZ) H$s {Z…ew ë H$ Adbmo H $Z Ad{Y Ho $ Xm¡ a mZ the Rider Endorsement along with the Base Policy may
be returned to the Corporation within 15 days (30 days if
dh Amn{Îm¶m| H$m H$maU ~VmVo hþ E ‘w b nm° { bgr XñVmdo O Ho $ gmW the policy is purchased online) from the date of receipt
AZwd¥{Õ g§b½ZH$ {ZJ‘ H$mo bm¡ Q >m gH$Vm h¡ & nm° { bgr àmá hmo Z o na, of the policy stating the reason of objections. On receipt
{ZJ‘ AZwd¥{X²Y H$mo {ZañV H$a Xo J m Am¡ a Bg AZw d ¥ { Õ Ho $ g‘mdo e Z of the same the Corporation shall cancel the Rider and
go g§~§{YV g‘mZwnmVr Omo { I‘ àr{‘¶‘ (Bg AZw d ¥ { Õ Ho $ {bE) VWm return the amount of premium deposited for this Rider
{M{H$Ëgm Om§M, {deof [anmo Q >m] (AZw d ¥ { Õ g‘mdo e Z Ho $ H$maU, ¶{X after deducting the proportionate risk premium (for
this Rider) for the period of cover, charges for medical
H$moB© hmo) Am¡a ñQ>m§n ewë H$ Ho $ à^ma H$mQ>H$a Bg AZw d ¥ { X² Y Ho $ {bE examination, special reports, if any, on account of Rider
O‘m {H$E JE àr{‘¶‘ H$s am{e bm¡ Q >m Xo J m & inclusion and stamp duty charges.
^mJ B©
PART E
bmJy Zht Not Applicable.
^mJ E’$ : Aݶ {Z¶‘m| Ed§ eV]
PART – F: OTHER TERMS AND CONDITIONS
1. g‘ZwXoeZ Am¡a Zm‘m§H$Z: ‘yb nm°{bgr H$s Vah
1. Assignments and Nominations: Same as mentioned
2. H$a …
under the Base Policy.
d¡Ym{ZH$ H$a, ¶{X H$moB© hmo, ^maV gaH$ma Ûmam Eogo ~r‘m AZwd¥{Õ na
2. Tax:
bJm¶m OmVm h¡ ¶m {H$gr ^r Aݶ g§d¡Ym{ZH$ H$a àm{YH$aU Ho$ ê$n ‘|
Statutory Taxes, if any, imposed on such insurance Riders
g‘¶-g‘¶ na bmJy hmoZo dmbo H$a H$mZyZm| Am¡a H$a H$s Xa Ho$ AZwgma
by the Government of India or any other Constitutional
hmoJm& Tax Authority of India shall be as per the Tax laws and
àM{bV Xam| Ho$ AZwgma Xo¶ bmJy H$am| H$s am{e, nm°{bgrYmaH$ Ûmam the rate of tax as applicable from time to time.
A{V[aº$ àr{‘¶‘ g{hV àr{‘¶‘ na Xo¶ hmoJr, {Ogo nm°{bgrYmaH$ Ûmam The amount of applicable taxes payable as per the
Xo¶ àr{‘¶‘ Ho$ A{V[aº$ Am¡a AbJ go {b¶m OmEJm& ^wJVmZ H$s JB© am{e prevailing rates, shall be payable by the policyholder
H$mo AZwd¥{Õ Ho$ VhV Xo¶ bm^m| H$s JUZm Ho$ {bE {dMma ‘| Zhr {b¶m on premiums including extra premiums, which shall be
OmEJ& collected separately over and above in addition to the
premiums payable by the policyholder. The amount of
3. Xmdo Ho$ {bE gm‘mݶ Amdí¶H$VmE± : Tax paid shall not be considered for the calculation of
‘yb nm°{bgr ‘| ~VmE JE Xmdm àmdYmZm| Ho$ A{V[aº$, XþK©Q>Zm Ho$ H$maU benefits payable under the Rider.
hþB© ‘¥Ë¶w {hVbm^ VWm An§JVm Xmdo Ho$ {dMma Ho$ {bE VWm {Og KQ>Zm 3. Normal requirements for accidental claim:
Ho$ H$maU ‘¥Ë¶w/An§JVm hþB© h¡ Cg H$mo Om±MZo Ho$ {bE ZrMo {XE JE gyMr In addition to the Claim provisions as stated in the Base
Policy, for considering accidental death benefit and
go bmJy {ddaUm| H$mo ‘m§Jm Om gH$Vm h¡ :
disability claim, the applicable statements from the
1) àW‘ gyMZm [anmoQ>© (E’$ AmB© Ama) H$s à‘m{UV à{V& following list may be called to ascertain circumstances
2) nw{bg AÝdofU [anmoQ>© H$s à‘m{UV à{V& under which death/disability took place:-
1) A certified copy of first information report (FIR).
3) n§MZm‘o H$s à{V& 2) A certified copy of police inquest report.
4) ‘¥Ë¶w H$m g§^m{dV H$maU OmZZo Ho$ {bE nmoñQ>‘m°Q>}‘ [anmoQ>©& ¶{X 3) Copy of panchanama.
nmoñQ>‘m°Q>}‘ ‘| A§Vam§J g§a{jV {H$¶m J¶m h¡, Vmo Cg‘| nmB© JB© 4) Post mortem report to know the probable cause of
gm‘J«r AWm©V, Š¶m ~r{‘V ì¶{º$ Zo eam~, Zerbr nXmWm] ¶m Oha death. If viscera is preserved in post mortem, then
chemical analyzer report to know the contents i.e.
H$m godZ {H$¶m Wm ¶m Zht, OmZZo Ho$ {bE amgm¶{ZH$ {dûcofH$ whether life assured has consumed liquor, drugs,
[anmoQ>© & narcotics or poison.
5) g‘mMma nÌ H$s H$mÌU Ohm§ XþK©Q>Zm H$s gyMZm Xr JB© h¡& 5) News paper cuttings where accident is reported.
6) If death is due to vehicle accident, then copy of
6) ¶{X ‘¥Ë¶w dmhZ XþK©Q>Zm Ho$ H$maU hmoVr h¡, Vmo S´>mBqdJ bmBg|g H$s driving licence, if life assured was driving the
à{V{b{n, ¶{X ~r{‘V ì¶{º$ dmhZ Mbm ahm Wm& vehicle.
7) ‘¥Ë¶w Ho$ ~mao ‘| Cn-g§^mJr¶ ‘{OñQ´>oQ> H$m A§{V‘ {ZU©¶- ¶h ‘¥Ë¶w 7) Sub-divisional magistrate final verdict about death-
this will give classification of death as ‘natural/
H$mo àmH¥${VH$/AmË‘h˶m/AmH$pñ‘H$ H$m d{J©H$aU àXmZ H$aoJm&
suicide/accidental’
8) O~ nw{bg A{YH$m[a¶m| H$mo XþK©Q>Zm gy{MV Zht H$s OmVr h¡, O¡go 8) When accident is not reported to police authorities,
Hw$Îmo ¶m gm±n H$mQ>Zo H$s ~Oh go ‘¥Ë¶w, Vmo d¡H$pënH$ à‘mU O¡go like death due to dog or snake bite, then alternate
H$s à˶jXeu H$m ~¶mZ,J«m‘godH$ ¶m gaH$mar A{YH$m[a¶m| H$m proofs such as statement of eye witness, affidavit
of gramsevak or govt. officials, our own enquiry
hb’$Zm‘m, h‘mar AnZr Om§M [anmoQ>©,XoIZo dmbo {M{H$ËgH$ ¶m
report, attending physician or hospital reports may
AñnVmb H$s [anmoQ>© n¶m©á hmoJr& be sufficient.

Lic’s Accidental Death And Disability Benefit Rider Page 7 of 8


9) AñnVmb H$m CnMma [anmoQ>©, Am{X& 9) Hospital treatment records, etc.
Within 90 days from the date of death, intimation of
H$moB© ^r Xmdm ñdrH$m¶© hmoZo Ho$ {bE ‘¥Ë¶w H$s VmarI go 90 {XZ Ho$
death along with death certificate must be notified in
A§Xa, ‘¥Ë¶w H$s gyMZm ‘¥Ë¶w à‘mUnÌ Ho$ gmW {ZJ‘ Ho$ Cg H$m¶m©b¶ ‘| writing to the office of the Corporation where the policy
A{Ygy{MV H$s OmZr Mm{hE, Ohm§ nm°{bgr go g§~§{YV godmE§ Xr OmVr h¢& is serviced for any claims to be admissible. However,
VWm{n, XmdmH$Vm© Ho$ Ûmam gƒo Xmdm| H$s gyMZm ‘| hþB© Xoar H$mo, {ZJ‘ Ho$ delay in intimation of the genuine claim by the claimant
Ûmam JwU-Xmof H$s ¶mo½¶Vm Ho$ AmYma na VWm XmdmH$Vm© Ho$ {Z¶§ÌU go may be condoned by the Corporation on merit and
~mha Ho$ H$maUm| go hþB© Xoar à‘m{UV hmoZo na bmJy {H$¶m Om gH$Vm h¡ & where delay is proved to be for the reasons beyond his/
her control.
An§JVm {hVbm^ H$m Xmdm H$aZo Ho$ {bE A{V[aº$ Amdí¶H$ XñVmdoµO : Additional requirements for claiming Disability
An§JVm hmoZo Ho$ ~mX CgH$m nyam {ddaU {bpIV ê$n ‘| {ZJ‘ Ho$ Cg Benefit:
H$m¶m©b¶ H$mo {X¶m OmZm Mm{hE, Ohm± Bg nm°{bgr go{dV hmoVr h¡, {OgHo$ After the happening of the disability, full particulars
thereof must be given in writing to the office of the
gmW nVm Ed§ ~r{‘V ì¶{º$ ì¶{º$ H$m {R>H$mZm ^r hmo, An§JVm hmoZo Ho$
corporation where this policy is serviced together
90 {XZm| Ho$ A§Xa {ZJ‘ Ho$ godmH$Vm© H$m¶m©b¶ H$mo Cg VarHo$ go {X¶m with the then address and whereabouts of the Life
OmZm Mm{hE, O¡gm Bgo Amdí¶H$ hmo, Am¡a CgHo$ gmW {ZJ‘ H$s g§Vw{ï> Assured and within 90 days of the happening of the
Ho$ AZwgma Am¡a {ZJ‘ Ho$ {H$gr IM© {~Zm An§JVm H$m à‘mU ^r XoZm disability, must be given to the servicing office of the
n‹S>oJm& {ZJ‘ Ûmam àm{YH¥$V {M{H$Ëgr¶ narjH$ ~r{‘V ì¶{º$ H$s Om§M Corporation, in the manner required by it, proof of
H$a|Jo Am¡a gyMZm Ho$ ~mX Xmdm {H$E JE {H$gr ^r An§JVm H$mo à‘m{UV disability satisfactory to the Corporation and without
any expense to the Corporation. Medical Examiner
H$a|Jo& BgHo$ Abmdm, AJa Amdí¶H$ hmo Vmo ha Eogo ‘m‘bm| na AbJ go
authorized by the Corporation shall examine the Life
{dMma H$aVo hþE An§JVm H$s {Za§VaVm H$mo d¡Y ñWmnZ H$aZo Ho$ {bE ~mX Assured and certify in respect of any disability claimed
‘| ^r {M{H$Ëgm Om§M H$s Om gH$Vr h¡& after the intimation. Further medical examination may
be done to validate the continuity of disability on case
AZwd¥{Õ Xmdm Ho$ ‘yë¶m§H$Z Ho$ {bE H$moB© ^r A{V[aº$ Amdí¶H$VmAm| H$s
to case basis, if required.
‘m§J H$aZo H$m A{YH$ma {ZJ‘ Ûmam g§a{jV h¡&
The Corporation reserves the right to call for any
4. d¡Ym{ZH$ n[adV©Z: additional requirement for the assessment of Rider
claim.
Bg AZwd¥{Õ Ho$ VhV Xo¶ àr{‘¶‘ Am¡a bm^ g{hV {Z¶‘ Am¡a eV] 4. Legislative Changes:
àmg§{JH$ {dYmZ Am¡a {d{Z¶‘m| Ho$ AZwgma {^ÞVm Ho$ AYrZ h¢& The Terms and Conditions including the premiums
and benefits payable under this Rider are subject to
variation in accordance with the relevant Legislation &
^mJ 'Or' : d¡Ym{ZH$ àmdYmZ
Regulations.
PART-G: STATUTORY PROVISIONS
~r‘m A{Y{Z¶‘, 1938 H$s Ymam 45 : ‘yb nm°{bgr ‘| Cëbo{IV Ho$ AZwgma
Section 45 of Insurance Act, 1938: Same as mentioned under
{eH$m¶V {ZdmaU aMZmV§Ì : ‘yb nm°{bgr ‘| Cëbo{IV Ho$ AZwgma
the Base Policy.
{Q>ßnUr: • Bg XñVmdoO ‘| Cëbo{IV {Z¶‘m| Ed§ eVm] Am¡a {deof àmdYmZm|/
Grievance Redressal Mechanism: Same as mentioned under
eVm] H$s ì¶m»¶m Ho$ {df¶ ‘| H$moB© n[admX hmoZo H$s pñW{V ‘|, A§J«oOr
the Base Policy.
^mfm§Va {d{Y‘mݶ hmoJm &
Note:• In case of dispute in respect of interpretation of
• Bg g§b¾H$ ‘| Cëbo{IV eVm] AbJ go Zht n‹T>m OmZm Mm{hE terms and conditions mentioned in this Document,
~pëH$ ‘yb nm°{bgr ‘| Cëbo{IV eVm] Ho$ gmW AZw~§Y ‘| n‹T>m OmZm the English version shall stand valid.
Mm{hE& • The conditions mentioned in this endorsement are
Amngo AZwamoY h¡ {H$ Amn Bg nm°{bgr H$s Om§M H$a b| Am¡a ¶{X Bg‘| H$moB© JbVr not to be read in isolation but in agreement with
the conditions mentioned in the Base Policy.
nmB© OmE, Vmo Bg nm°{bgr H$mo gwYma Ho$ {bE Vwa§V bm¡Q>m X| &
YOU ARE REQUESTED TO EXAMINE THIS POLICY, AND IF ANY
MISTAKE BE FOUND THEREIN, RETURN IT IMMEDIATELY FOR
CORRECTION.

Lic’s Accidental Death And Disability Benefit Rider Page 8 of 8

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