Insuring Agreement
| Coverage Plan | AS 3 | AS 5 | AS 10 |
|---|---|---|---|
| Medical expense per accident* | 90,000 | 150,000 | 300,000 |
| Normal Room(Max. per day) | 1,500 | 2,500 | 5,000 |
| ICU Room (Max. per day) | 3,000 | 5,000 | 10,000 |
| PERSONAL ACCIDENT COVERAGE (PA 2) | |||
| Loss of life, Dismemberment, Loss of sight, Hearing or Speech, or Perminant Disability (PA. 2) from Accident* | 300,000 | 500,000 | 1,000,000 |
| Funeral expenses | |||
| In case of Death from Injury and Sickness (Except in case of Death from Sickness within the first 120 Days after the First Policy Year Effective Date) | 15,000 | 25,000 | 50,000 |
Annual Premium Include Duty Stamps (Baht)
| Annual Premium Include Duty Stamps (Baht) | |||
|---|---|---|---|
| Age (Years) | AS 3 | AS 5 | AS 10 |
| 15 days - 65 years | 3,000 | 5,000 | 10,000 |
*Extended Coverage to Riding or Being a Passenger on a Motorcycle
Remark
- Standard premium for the first policy year only.
- Cover from 15 days to 65 years of age renewable up to 70 years of age.
- Renewal year premium of each insured person may be charged higher, up to 100 percent of standard premium, up to 100 percent of standard premium,
Insuring Agreement
- This personal accident insurance covers for compensation for loss of life, dismemberment loss of sight, hearing, or speech, or permanemt disability (PA2) and covers for idemnity for medical expenses arising from an accident Including funeral expenses in case of death from injury and sickness.
- Details of insuring agreement shall be referred to the insurance policy.
Exclusions
Any loss resulting from
- Action of the insured while is under the influence of alcohol, addictive drugs, narcotic drugs to the extent of being unable to control his/her mind.
The term under the influence of alcohol is considered in case of having
a blood test with blood/alcohol level of 150 mg percent or higher - Suicide or suicide attempt, self inflicted injury
- Abortion
- Food Poisoning
- While the insured is taking part in a brawl or taking partin inciting a brawl
- Other exclusions shall be referred to the insurance policy
Apply for Coverage and Support Document
- Fill the Application Form and Applicant’s Health Condition Declaration Form truthfully and sign to certify **
- Submit copy of ID Card or copy of Passport for foreigner
- For the youth, submit copy of ID Card or Birth Certification together with copy of ID Card of the parent
- The company reserves the right to reject any application or accept with exclusions, according to underwriting standard of the company.
- The company reserves the right not to renew each insured person within the first 2 years after start coverage.
** In case the applicant knows any fact but declares false statement or fails to declare it, in which should the company acknowledge it prior, the company may increase the insurance premium or reject the application, this insurance policy shall be voided, according to the Civil and Commercial Code, Section 865. The company has the right to dissolve it.
**The insured person can request for policy cancellation within 90 days after the first policy year effective date, and the company shall refund full premium before tax and duty to the insured person, in case there is no claims.