PERSONAL ACCIDENT

Subject of the insurance

The Insurer takes risks, determined in the insurance policy, against events, related to the life, health and bodily integrity of persons, aged between 1 to 65 years.

The accident is expressed in injury, charring or burning, drawing, suffocation, freezing, breakage, twisting, tension and breakage of tissues, joints, tendons, muscles, bones and alike, as a result of which disability and/or death occurs.

Individuals with permanent disability above 50% are not insured and individuals with permanent disability below 50% are insured under the condition of aggravated risk, by the application of increase of the insurance premium.

The insurances can be individual or group.

Depending on the desire of the Insured/Insurer and by the specifics of the activities (main profession, hobby, sport, recreational activities – practicing of mountain and/or sea tourism), the conditions of the insurance are agreed, according to the Special and General terms and conditions of the “Accident” insurance.

Covered risks:– summarized for all types

Basic cover:

• Death as a result of an accident of individuals above 14 years-of-age;
• Permanent disability as a result of accident;
• Temporary disability as a result of accident.

Additional cover:

• Death due to occupational disease;
• Permanent disability as a result of occupational disease;
• Temporary disability as a result of general or occupational disease;
• Medical expenses as a result of accident and general or occupational disease;
• Medical transportation expenses as a result of accident;
• Transportation of relics and/or funeral as a result of accident;
• Rescue expenses as a result of accident;
• Daily allowance for hospital stay.

The insurance has many different varieties. Each variety has its specifics in relation to covered risks.

• General insurance Accident – subject of the insurance are single individuals or group of individuals. Covers the risks – death as a result of an accident of individuals above 14 years-of-age, permanent and temporary disability as a result of accident;
• Accident of borrower – natural persons, who received bank loan at age between 18 and 70 years. Covered risks– death as a result of accident; – permanent disability above 70 % as a result of accident;

The insurance sum is determined in such a way that it does not exceed the amount of the debt towards the financial institution as to the day of the conclusion of the policy. It can be concluded on annual base or for the entire period of the credit.

• Accident, suffered by hotel guests – Bulgarian and foreign citizens, who stay at hotels, motels, huts and other means of accommodation at the territory of Republic of Bulgaria are insured. The Insurer is liable for events, that occurred at the territory of the hotel and its contiguous territory.

The main covered risks are:

• death and permanent disability as a result of accident;
• medical expenses as a result of accident and/or general illness;
• repatriation expenses.

The following risks can also be covered:

• partial or total damage of and robbery of luggage;
• third-party liability of the guest for damages caused to third parties.

• Accident of tourists – subject of the insurance are individuals who are visiting the mountain and sea resorts in Bulgaria. The covered risks are:
• Death as a result of an accident of individuals above 14 years-of-age;
• Permanent disability as a result of accident;
• Temporary disability as a result of accident
• Medical expenses, as a result of an accident;
• Medical transportation expenses as a result of accident;
• Search and rescue expenses as a result of accident.
• Accident of students – subject of the insurance are the students and their teachers in kindergartens, basic, primary, secondary schools, colleges and universities. The insurance is concluded based on a list of names of the insured individuals, which list is certified by a class teacher or headmaster and it forms an integral part of the insurance policy. The covered risks are:
• Temporary disability as a result of an accident from the 11th day – indemnity is paid, depending on the duration of the disability of the Insured person;
• Permanent disability as a result of accident – the insurer pays indemnity as a percentage of the insurance sum;
• Death as a result of accident – the Insurer indemnifies the heirs by the agreed insurance sum.
• Medical expenses – recovery of expenses, as to the amount, agreed in the policy.
• Labor accident – The insurance is concluded for the life and capability to work of workers and employees, who work in the primary and support activities of plant, belonging to an economic activities, having a level of occupational injuries, equal or higher than the average level for the country. It is concluded according to Regulation for compulsory insurance of workers and employees for the risk “labor accident”, published in issue 15 from 17.02.2006 of the “State Gazette”.

Covered risks

• Death as a result of labor accident;
• permanent disability as a result of labor accident;
• Temporary disability as a result of labor accident.

The insurance sum is determined based on the monthly gross salary of the insured workers and employees as to the moment of the conclusion of the insurance.

• The insurance sum of the risks “death” and “permanent disability” cannot be lower than the amount of the annual gross salary of the relevant worker or employee, multiplied by 7.
• The insurance sum of the risk “temporary disability” cannot be lower that the monthly gross salary.

Insurance sum:

Limit of the liability of the insurance: the maximum monetary sum, which will be paid for all insured events, that have occurred during the terms of the insurance contract.

Insurance premium – as per the tariff of the Insurance company.

The essential items, taken in consideration, during its determination are:

• selected cover;
• risk class of the Insured /depending on the profession/;
• insurance sum;
• insurance term;
• health state /presence, absence of percentage of permanent disability/.

Insurance term – usually 1 year