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THE NEW INDIA ASSURANCE CO. LTD.
Leadership and Beyond
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Agents Manual
AGENCY CELL
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Head Office : New India Assurance Building,
87, M. G. Road, Fort, Mumbai - 400 001.
Tel. : 91+22+22708100 / 22708400
website : http://newindia.co.in
Toll Free No. : 1800-209-1415
(For Private Circulation Only)
1
THE NEW INDIA ASSURANCE CO. LTD.

At A Glance
Registered Office
New India Assurance Building,

87, Mahatma Gandhi Road, Fort, Mumbai 400 001.
Website
www.newindia.co.in
CMD
Mr. G. Srinivasan
Employee Strength
(As on 31-3-2013)
18935
Organization Structure
(As on 31-3-2013)
(A) DOMESTIC
Regional Office
28
Large Corporate Office
04
Divisional Office
405
Branch Office
575
DAB
(B) FOREIGN
27
Micro Offices
555
Office Type
No.
Countries Covered
Branches
19
09
Agency Office
07
07
Associate Co.
03
03
Subsidiary Co.
06
03
Total
35
22
Financial Results :
For the year ended 31.3.2013
(Rs. in Crores)
Gross Global Premium
12505
Net Worth
Solvency Ratio
7737.36
2.50 timeas as against 1.5 required by IRDA
Total Assets
45375.52
TOLL FREE NUMBER 1800-209-1415

2
CONTENTS
Page No.
Message from our Chairman ............................................................................... 4
Message from our General Manager ................................................................... 5
Message from our Deputy General Manager ...................................................... 6
Fire Insurance ..................................................................................................... 7
Marine Cargo Insurance ................................................................................... 26
Motor Insurance ................................................................................................ 28
Engineering Insurance ...................................................................................... 37
Accident Covers ................................................................................................ 77
Package Covers ................................................................................................ 83
Health Covers .................................................................................................... 96
Rural Insurance Covers .................................................................................. 123

3
MESSAGE FROM OUR CHAIRMAN

Dear Partners,
At the outset I thank all the Agents being the business
partners of this great company.
As you may be aware we have crossed the milestone
of Rs.12500 crore Global Premium in the Financial
Year 2012-13 and continue to be the market leader
amidst stiff competition. This, we could achieve owing
to our expertise gained over a period of 94 years in
the Indian as well as overseas market. Also our capacity to underwrite major
risks due to the good will enjoyed in the overseas reinsurance market enable us
to achieve this milestone. I am glad to inform you that you the Agency force are
the major contributor of our premium income. It is because of that we have
included all the agents under the preview of APEP in order to recognize and
appreciate good performers.
At this juncture, I would like to share with you that retail line of business is
growing at a faster rate which is going to be the future of our entire industry.
As you are the people, who bring this business to us, I urge upon you to
concentrate more on retail business. There is great potential in tier II, III & IV
cities for personal line of business. These areas are less competitive and a
hardworking agent can easily tap sizable premium from this segment. Micro
insurance is another area which is also to be focused in coming time. Now we
have also extended portal facility to agents so that it can be used in a big way.
I would also like you to convey the strengths of our company like more than 94
years of presence in the market, number one company in financial rating of A
Excellent , Foreign Operations over 22 countries, high retention capacity to
underwrite major risk and wide network of 1600 offices as a marketing tool to
gain the confidence of the customer.
While we value your long term association with us you can equally be proud to
be associated with the New India which is Born to lead the industry forever
and having vision Leadership & Beyond.
I hope this manual enable you to increase your business and service your
customer well.
I look forward to your continued patronage
With regards,
G. Srinivasan
Chairman cum Managing Director
4
MESSAGE FROM OUR GENERAL MANAGER

Dear Channel Partners,
I am very happy to place before you the new volume of
agency guidelines which will give you a brief detail of
various types of policies NEW INDIA is having for the
benefit of the insuring masses of our country
Agency channel has contributed approximately 56% of
the total Indian business during 2012-13 and it will
continue to increase its share in coming years. This is
because now RETAIL BUSINESS is going to grow very
significantly due to the increased awareness about insurance and increased per
capita income. It is therefore essential that our agents are updated with the
latest information so as to face the new challenges in the future.
The present booklet has incorporated changes upto August 2013 and it will be
our effort to inform you about the changes in future.
To strengthen our agency force NEW INDIA has initiated many steps and we are
monitoring it further to strengthen you in technical knowledge and provide you
input as you are the face of NEW INDIA before our customers. Apart from the
club scheme, which started in 2008-09 we have created the post of AGENT
MANAGER in each office who will be the single point of contact for all agents in
providing support in all respect so that the agents can provide good service. Two
major initiatives have been launched during this year. They are providing AGENTS
PORTAL and official email facility.
By agents portal you can issue new policies and renew policies where there is no
break sitting at home. The premium can be deposited by you in the designated
bank of your office to conclude the deal. This facility will provide you an opportunity
to serve your clients on 24x7. Presently some policies are available on Portal but
gradually we will be including more policies on Agents Portal.
Another facility of NEW INDIA is the email facility provided to present club
members. By providing email facility agents are having an official identity of
representing NEW INDIA.
We are also in the process of developing a Facebook like profile pages for the
agents. This page will be a mini bio-data of the agent containing the agents
photograph, his contact details, product details, commission payable, Club status,
trainings undergone and association with NEW INDIA. This page is a way for
agents to display their capabilities and substantiate their performance while
meeting with prospective clients. The agent can share URL for this page with his
customers. The page will be part of the NEW INDIA website hence, giving
legitimacy to it. We believe this move will empower our agents and assist them
in getting more business.
We look forward to your feedback on this initiative, when you start using this.
With Regards
Rakesh Kumar
General Manager
5
MESSAGE FROM OUR DEPUTY GENERAL MANAGER

Dear Friends,
Seasons Greetings to you all.
Now we are coming to you with revised Agents Manual
in more handy form. Last time we have printed the
Manual in 2010. I feel proud to mention that I was the
Task Force Leader at HO APEP Team who Launched
APEP in August 2008 in our esteem organisation.
As you are aware that our esteemed organisation has
taken a lead to roll out APEP Schemes in true sense to recognise the agents pride
all over the country and today we all are the witness for the success of Agency
Channel in cut throat business competition in new emerging scenario.
The Objects of APEP was Regular product training, Periodic soft skills training
for agents, Joint visits with Agent Managers to key clients with a concept of
Creation of dedicated Agents Corner in every Operating Office for prompt Customer
Service. To achieve this single window solution Agents Managers post has been
created at every Office.
In 2010, I was posted to Pune RO and now I am back in the same venture with
more enthusiasm, ideas and plans.
The Company with the success of APEP has decided to include all agents in APEP
and now APEP has to play more wider role in the Company.
Now to strengthen the Agency Force, Company has come out with Agents Portal,
creation of Email IDs under Newindia Parivar domain initially for Club Member
Agents (PY 2011-12). Recently New India has revised many products like
Mediclaim, Householder, Shopkeeper, PA, etc. in the competitive scenario with
revised benefits and competitive rates. Commission structure has also been revised.
These developments gives clear message from New India Management that we
recognise you as Business Partners of New India Assurance Company Limited.
Our worthy CMD has set a 20 points programme before us and we all are abide by
them and are boosted by his energetic initiatives towards Agency Force. He has
set target of 1 lac Agents by 2015 and 50% premium growth in Agency Channel. I
personally feel that you all being a Member of New India Parivar too will take
this 20 points programme as your task to keep our slogan Leadership & Beyond.
I hope this new Agents Manual will be very helpful and handy. We have tried our
level best to give the latest information of products however, if there are any
mistakes, shortcomings, please send us your suggestions to enable us to improvise
the same.
Wishing you all the very best, friends, feel free to contact me and express your
feelings, share your ideas and also inform suggestions, if any.
Regards
V. R. Bhailume
Deputy General Manager
6
FIRE INSURANCE
COVERAGE :
Covers Dwellings, Offices, Hotels, Shops, and Industrial, Manufacturing risks & Utilities,
tank forms/gas holders located outside the Industrial Manufacturing risks. Only
Standard Fire & Special Perils policy with the permitted ADD ON COVERS, if any,
can be issued.
The perils covered under the above policy are :
a)
b)
c)
d)
e)
f)
g)
h)
i)
j)
k)
l)
Fire
Lightning
Explosion/Implosion
Aircraft Damage
Riot strike and Malicious Damage
Storm, cyclone typhoon tempest hurricane tornado flood and inundation
Impact Damage
Subsidence and landslide including rockslide
Bursting and/or overflowing of water tanks apparatus and pipes
Missiles testing operation
Leakage from automatic sprinkler installation and
Bush fire.
TERRORISM :
It is an optional cover with appropriate extra premium.
PREMIUM :
The premium rates are given separately for Dwellings, Offices, Hotels, Shops, Industrial,
Manufacturing risks & Utilities, tank forms/gas holders located outside the Industrial
Manufacturing risks.
Premium for specific Add on Covers are also separately given.
ADD ON COVERS :
1) Architects, Surveyors and Consulting Engineers Fees (in excess of 3 % of
claim amount)
2) Removal of Debris (in excess of 1% of claim amount)
3) Deterioration of Stocks in Cold storage premises
4) Forest Fire, Impact Damage, Spontaneous Combustion
5) Omission to insure additions alterations or extensions
6) Earthquake
7) Spoilage Material Damage Cover
8) Leakage and Contamination Cover
9) Temporary Removal of Stocks Clause
7
10) Loss of Rent Clause, Additional expenses of Rent for alternative

accommodation.
11) Startup expenses
12) Escalation
13) Damage due to molten material spillage (FT/15/2011 dtd.30/7/2001)
DWELLINGS
Long-term policy will be issued for Dwellings based on either of the following 2 methods
Subject to the conditions mentioned below :
z Policy shall be for a minimum period of 3 years.
z Refund shall be allowed for mid term cancellation as per Circular FT/4/05 dtd. 31/
3/2005.
a. If the policy is cancelled within 3 years of inception, the premium to be retained
shall be worked out as per normal rates applicable that is without allowing
any discount.
b. If the policy is cancelled after 3 years of inception, the discount slab shall be
reworked for the number of years the policy was actually in force. For this
purpose fraction of a year shall be rounded to the next higher year. For example,
if the policy has run for 3 years and 3 months, premium shall be retained for 4
years.
c. Refund, if any, shall be subject to the retention of minimum premium of
Rs.100/- as provided under Rule No.6 of Section I of AIFT.
z Mid term inclusion of perils shall not be allowed.
z Premium for the entire policy period shall be collected in advance.
METHOD A : Premium shall be charged in full without any discount. However
sum insured under the policy shall be deemed to have
increased by 10% of the original sum insured at the end of
every 12 months period.
OR
METHOD B : There shall not be any automatic increase in sum insured as
in Method A. However appropriate discounts shall be allowable
on gross premium as per table below:
Duration of Policy
Long Term Policy Premium to be charged
3 Years policy
3 years premium in advance less 15% Discount
4 Years Policy
5 Years Policy
6 Years Policy
7 Years Policy
8 Years Policy

8
9 Years Policy
10 years and above
Note : Discount is applicable on basic Fire Premium

CLASSIFICATION OF PRODUCTS FIRE INSURANCE
Risks under Fire Insurance have been categorised on the basis of Sum Insured as
follows :
CATEGORISATION OF PRODUCTS
PRODUCT
CLASS RATED
INDIVIDUAL RATED
LIMIT OF SUM INSURED
LIMIT OF SUM INSURED
Standard Fire and

Special Perils Policy.
Up to Rs.5 crores
on Material Damage.
Beyond Rs.5 crores

on Material Damage.
Consequential
Loss Policy.
Where MD sum insured

is up to Rs.5 crores
Where MD sum insured

is beyond Rs.5 crores.
Petrochemical Risk
Minimum Rs.50 crores.
RATING PATTERN FOR CLASS RATED PRODUCTS &

INDIVIDUAL RATED PRODUCTS
The rating of these policies shall be as follows:
A. Rate as per internal guide rate
B. Less : Rate for deletion of STFI and/or RSMD perils
C. Add : Rate for adds on peril e.g. Earthquake, Spontaneous Combustion (as per
section VIII), impact damage due to insureds own vehicle
D. Technical Discount & Discretionary Discount.
E. Arrive at Net Rate.
F. Less : Discount % for option of Voluntary Deductible.
G. Arrive at Net Rate.
H. Add : Premium for add-on covers if opted* e.g. Debris removal
I.
Add : Terrorism Rate **
J. Add : Service Tax at the prevailing rate.

z Note : Rate at H will be applicable for calculation of premium on Add on Covers
z ** No type of discount is to be allowed on terrorism premium.
z Rates are on gross basis i.e. including commission / brokerage. In case business
comes directly without intermediary, the guide rates can be reduced to the
extent of commission / brokerage payable.
FLOATER POLICY
Floater policy can be issued for stocks at various locations under one SI with 10%
extra premium.
SHORT PERIOD SCALES OF PREMIUM
To be charged as pro-rata premium + 10% applicable on the following :
a) Policies issued or renewed for periods shorter than 12 months and
b) Policies, which are cancelled during currency at the request of the insured.
The Technical Discount, as per the regulations, if any available under the class rated
and individual rated products has to be obtained from the Underwriting Office.
DECLARATION POLICY
To take care of frequent fluctuation in stock values declaration policy can be issued
subject to minimum retention of 50% premium.
10
GUIDE RATES FOR ALL THE ABOVE CLASSES OF BUSINESS LIKE

DWELLINGS, SHOPS, ETC., IS GIVEN BELOW :
SECTION III
DWELLINGS, OFFICES, HOTELS, SHOPS ETC. LOCATED OUTSIDE THE
COMPOUNDS OF INDUSTRIAL/MANUFACTURING RISKS
Internal Guide Rates w.e.f. 01.01.2008
RISK
CODE
DESCRIPTION
New Internal
Guide Rate %0
FOR
BUILDINGS
FOR
CONTENTS
0.35
0.35
Note 1 : In case software development

activity is carried on within the premises,
the risks shall be rated under the tariff
entry Electronic Software Development
Unit of Section IV of the Guide Tariff
0.35
0.35
Cafes, Restaurants, Hotels, Confectioner

& Sweet meat sellers, Health Resorts
1.26
1.26
Shops dealing in goods otherwise not

provided for including Laundries, Battery
Charging Service Stations, Dry Cleaning,
Amusement parks, Hoarding, Neon signs
and Sports Galleries, Outdoor stadiums.
1.26
1.96
1.26
2.66
Dwellings
NEW
Places of worships, Libraries, Museums,

Schools, Colleges, Hospitals including X-ray
and other Diagnostic clinics, Office premises,
Meeting Rooms, Auditoriums, Planetarium,
Mess Houses, Clubs, Marriage Halls,
Showrooms and display centers where
goods are kept for display and no sales are
carried out, Educational and Research
Institutes imparting training in various crafts,
Lodging/Boarding Houses, Cycle Shed and
Dish Antenna, Indoor stadiums, Health club,
Gymnasium and Swimming Pool
2
3
Shops dealing in hazardous goods as per

the list below and Arms & Ammunition
dealers, Motor Vehicle showroom including
sales and service, Petrol / Diesel Kiosks.
Note : 10% loading is applicable for
presence of CNG installations in
petrol / diesel kiosks.
11
Notes (1) Reduction in guide rate for deletion of STFI - Rs. 0.15 %o.
(2) Reduction in guide rate for deletion of RSMD peril - Rs. 0.05 %o.
(3) Mid term inclusion of STFI - Rs. 0.25 %o.
(4) Mid Term Inclusion of RSMD - Rs. 0.10 %o.
(5) Presence of Hazardous Goods not exceeding 10 % of total value of the
stock may be ignored.
(6) List of Hazardous goods as per AIFT to include loose cotton, Camphor and
Agarbatti.
(7) In multiple occupancy, the risks shall be rated per se.
12
SECTION IV
INDUSTRIAL /MANUFACTURING RISKS
Internal Guide Rates W.E.F. 01.01.2008
RISK
CODE
1
2
3
4
5
6
7
8
9
10
11
12
13
13A
14
15
16
17
18
19
20
21
22
23
24
25
26
27
DESCRIPTION OF RISK
New Internal
Guide Rate
(Rs. %o)
Abrasive Manufacturing
Aerated Water, Mineral water, Soft drinks,
Cold drinks Factories
Aerial Ropeway including trolley stations
Agarbatti manufacturing
Aircraft Hangers
Airport Terminal Buildings (including all facilities like
Cafes, Shops etc)
N.B: Airport Cargo complex shall be rated
under Section
Aluminums / Magnesium Powder Plants
Aluminums, Zinc, Copper Factories
Areca nut and/or Betel nut factories
Asbestos Steam Packing and lagging manufacturing
Atta and Cereal Grinding (excluding Dal Mills)
1.40
Audio/Video Cassette Manufacturing

Automobile Manufacturing
Automobile Filter Manufacturing
Bakeries
Basket Weavers and Cane Furniture Makers
Battery Manufacturing
Beedi Factories
Biscuit Factories
Bitumens Paper and / or Hessian Cloth
Manufacturing including Tar Felt Manufacturing.
Book Binders, Envelope and Paper Bag Manufacturing.
Breweries
Brickworks (including refractory and fire bricks)
Bridges - Concrete/Steel
Bridges-Wooden
Building In course of construction
Cable Manufacturing
Camphor Manufacturing
2.45
0.88
1.75
1.05
3.15
1.58
2.10
1.05
13
1.05
1.05
1.40
2.10
1.05
3.85
1.05
1.40
1.05
1.40
2.80
1.75
1.40
0.70
1.05
1.40
0.70
1.75
2.10
28
Candle Works
2.10
29
Canning Factories
1.05
30
Capsule Manufacturing
1.05
31
Carbon paper / Typewriter Ribbon Manufacturing
1.93
32
Cardamom Factories
1.40
33
Cardboard Box Manufacturing
1.58
34
Carpenters, Wood wool Manufacturing, Furniture

Manufacturing and other wood worker shops
(excluding saw mill)
3.15
35
Carpet and Drug get Manufacturing (Cotton/jute/wool )
1.75
36
Carpet and Drug get Manufacturing (Others)
2.45
37
Cashew nut / Wall nut Factories
2.10
38
Cattle feed Mill
1.40
39
Celluloid Goods Manufacturing
10.50
40
Cement / asbestos/concrete products Manufacturing
1.05
41
Cement Factories
1.40
42
Ceramic Factories and Crockery and Stoneware pipe

Manufacturing/Clay Works.
1.05
43
Chemical Manufacturing (Using materials with

Flash Point below 32OC), Bulk Drug Manufacturing
2.10
Chemical Manufacturing (others),

Pharmaceuticals, Toiletry products
1.58
45
Cigar and Cigarette Manufacturing
1.93
46
Cigarette Filter Manufacturing

(Using Solvents with Flash Point below 32OC)
2.45
47
Cigarette Filter Manufacturing (Others)
1.93
48
Cinema Film Production Studios
2.10
49
Cinematography Film Editing, Laboratory and Sound

recording rooms where film processing is carried out
1.05
50
Cinematography Film Editing, Laboratory and Sound

recording rooms without film processing.
1.05
51
Cinema Theatres
1.75
Multiplex Theatre complexes containing shopping

malls, offices, restaurants, Cinema Theatres &
utilities except contents
1.75
44
51 A
Note - Contents to be rated per se as per relevant

section of guide tariff
52 & 77
Circus, Touring Drama Troupes, Touring Cinema

Theatres, exhibitions, fetes, mandaps & like
in kattchha Construction
14
7.35
53
53 A
54
55
56
57
58
59
60
61
61 A
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
Cloth Processing units situated outside the

complex / compound of Textile mills
Cloth Processing units which are not owned
by the textile mill but are situated within the
textile mill complex / compound
Coal / Coke / Charcoal ball & briquettes Manufacturing
Coal / Coke / Processing and Handling Plants
Coffee Curing, Roasting / Grinding
Coir Factories
Collieries - underground Machinery and pit head gear
Condensed Milk Factories, Milk Pasteurizing
Plants and Dairies
Confectionery Manufacturing
Contractors Plant and Machinery at one location
Contractors Plant and Machinery anywhere in
India at specified locations
Cork Products Manufacturing
Cotton Gin and Press Houses including cotton go
downs, detached from process block, storing cotton
in fully pressed bales or loose stored inside the cotton
ginning and pressing industry complex
Cotton Seed cleaning / delinting Factory
Dehydration Factories
Detergent Manufacturing with Sulphonation plant
Detergent Manufacturing - others
Distilleries
Duplicating/stencil paper Manufacturing
Electric Generation Stations Hydro Power stations
Electric Generation Stations - Others
Electric Lamp /T.V. Picture Tube Manufacturing
Electronic Goods Manufacturing /Assembly
Electronic Software Development companies
Enamel-ware factories
Engineering Workshop - Structural Steel
fabricators, Sheet Metal fabricators, Hot/Cold
Rolling, Pipe Extruding, Stamping, Pressing,
Forging Mills, Metal smelting, Foundries,
Galvanizing works, Metal Extraction, Ore
processing (other than Aluminums, Copper, Zinc)
Engineering Workshop - others, Clock / Watch
Manufacturing, Motor vehicle garages and
motor service canters
15
1.23
1.23
3.85
1.75
1.40
2.45
2.45
1.05
1.23
2.63
3.15
2.45
7.35
3.15
1.05
1.58
1.58
1.75
3.15
0.88
1.05
1.40
0.88
0.35
1.40
0.88
0.88
NEW
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
108 A
109
110
Exhibitions in Pucca Construction

Explosives / Blasting Factories
Fertilizer Manufacturing (other than those rate
able under Petrochemical Tariff)
Filter and wax paper Manufacturing
Fireworks Manufacturing
Flax / Hemp Mills
Flour Mills
Foamed Plastics Manufacturing and / or converting plants
Foam Rubber Manufacturing
French Polish Manufacturing
Fruit and vegetable drying/dehydrating factories
Fruit products and Condiment Factories
(including fruit pulp making)
Garment Makers, Topee, Hats and the like makers
Ghee Factories including vegetable Ghee mfg.
Glass Fiber (Fiber Glass) Manufacturing
Glass wool Manufacturing
Glass Manufacturing / Automobile Glass manufacturing
Gold thread factories / Gilding factories
Granite Factories using inflammable solvents
Granite Factories (Others)
Graphite electrode Manufacturing
Grain/seeds disintegrating/crushing/Decorticating
factories/Dal mills.
Grease / Wax Manufacturing
Green Houses/ Algae/ Spiraling and the like
Gum/Glue/Gelatin Manufacturing
Gypsum board manufacturer
Hosiery, lace, Embroidery/Thread factories
Ice candy and Ice cream Manufacturing
Ice factories
Incandescent Gas mantle Manufacturing
1.75
3.85
Industrial Diamonds Manufacturing

Industrial Gas Manufacturing (Carbon Monoxide,
Oxygen, inert gas)
Industrial Gas Manufacturing - others
Ink (excluding printing ink) Manufacturing
Jiggery Manufacturing
1.40
16
1.58
2.45
3.85
1.40
2.45
3.15
3.15
3.15
1.05
1.05
1.40
1.40
1.75
1.93
1.40
1.40
1.05
0.70
1.75
1.75
1.75
1.05
1.40
1.40
1.58
1.05
1.05
2.10
2.10
2.10
1.75
1.05
111
Jute Mills including jute go downs, detached

from process block, storing jute in fully pressed
bales or loose stored inside the jute mill complex
3.15
112
Katha Manufacturing
2.45
113
Khandsari Sugar Manufacturing
1.40
114
Lac or Shellac Factories
1.75
115
Leather Cloth Factories
1.40
116
Leather Goods Manufacturing (incl. boot/shoe)
1.40
New
Lignite Handling system
1.75
117
Lime Kiln
1.05
118
Lithographic presses
1.75
119
Liquefied Gas Bottling / Recovery Plants
3.15
120
Malt Extraction Plants
1.40
121
Man-made Fiber Manufacturing (using Cellulose)
0.88
122
Man-made Fiber Manufacturing Plant (Others)
0.88
123
Manure Blending works
1.40
124
Match Factories
3.85
125
Mattress and Pillow making
3.15
126
Metallizing works (involving metals only)
1.40
127
Metallising Works (others)
1.40
128
Metal/Tin printers
1.75
129
Mica Products Manufacturing
1.40
130
Mineral Oil blending and processing
1.40
131
Mosaic Factories
1.05
132
Mushroom Growing Premises (Excluding Crops)
1.05
133
Nitro Cellulose Manufacturing - Industrial grade
3.85
Nitro Cellulose Manufacturing - Others
10.50
Non-woven fabric Manufacturing
2.10
135
Oil Extraction
2.63
136
Oil Distillation Plants (essential)
1.75
137
Oil Mills refining (Veg/Animal)
1.40
138
Oil Mills (Vegetable)
1.40
139
Oil and Leather Cloth Factories
2.45
140
Paint factories (Water based)
1.40
141
Paint (others) & Varnish Factories
2.63
142
Paints - Nitrocellulose based
3.15
143
Pan Masala making
1.75
144
Paper and Cardboard Mills (including Lamination)
1.58
134
17
145
Particle Board Manufacturing
1.58
146
Pencil Manufacturing
2.80
147
Petroleum Coke Calcinations
1.58
148
Plastic Goods Manufacturing (excluding Foam

Plastics) having calorific value up to 15000 btu / lb
1.75
148 A
Plastic Goods Mfg (excluding foam plastic) having

calorific value above 15000 btu / lb
1.75
149
Plywood / Wood veneering Factories/

Laminating Factories
3.85
150
Polyester Film Manufacturing / BOPP Film

Manufacturing
1.05
151
Port Premises including jetties and equipment

thereon and other port facilities
Note 1:- Storage areas within the port premises shall
be charged open storage rates under section VI and/or
under section VII as applicable.
Note 2:- No reduction in rates shall be allowed for
opting out STFI perils.
1.40
152
Poultry Farms (Excluding birds therein)
1.05
153
Presses for coir fibres/waste/Grass/fodder/boosa/Jute
7.35
154
Presses for coir yarn / cotton/sienna leaves
3.15
155
Presses for carpets, rugs and tobacco
2.45
156
Presses for hides and skins
1.93
157
Printing Ink Manufacturing / Roller composition factories
2.45
158
Printing Press
1.75
159
Pulverizing Plants(Metals and non-hazardous goods)
1.05
160
Pulverizing Plants (Others)
2.10
161
Rice Mills
2.10
162
Rice polishing units
1.23
163
Rope works (Plastic), (Assembling of Plastic Goods

such as Toys and the like)
1.75
164
Rope Works (others)
1.05
165
Rubber Factories
2.10
166
Rubber Goods Mfg with Spreading
2.45
167
Rubber Goods Manufacturing without spreading
1.75
168
Salt crushing Factories and Refineries
0.70
169
Saw Mills (including Timber Merchants premises

where sawing is done).
3.85
170
Sea Food / Meat Processing
1.40
171
Silk Mills / Spun Silk Mills
1.23
18
172
Snuff Manufacturing
2.45
173
Soap Manufacturing
1.58
174
Sponge Iron Plants
1.75
175
Spray Painting
2.10
New
Powder Coating
2.10
176
Stables (excluding animals)
1.05
177
Starch Factories
1.40
178
Stone quarries
0.70
179
Sugar Candy Manufacturing
1.23
180
Sugar factories
1.05
181
Surgical Cotton Manufacturing
3.15
182
Sweetmeat Manufacturing
1.23
183
Tanneries
1.05
184
Tapioca factories
1.40
185
Tarpaulin and canvas proofing factories
2.80
186
Tea blending / packing factories
1.58
187
Tea Factories
1.75
188
Telephone Exchanges
1.05
189
Textile Mills
Spinning Mills
1.58
Textile Mills - Composite Mills (Composite Mills are

those where activities from Blow Room to Cloth
processing are involved)
1.40
190
Tile & Pottery works
1.05
191
Tiny sector industries with values at risk not

exceeding Rs. 25 lakhs
0.70
192
Tissue Culture Premises (Excluding Crops)
1.05
193
Tobacco Curing / Refrying Factories
2.45
194
Tobacco grinding/ crushing Manufacturing
2.45
195
Turpentine and rosin distilleries
4.55
196
Tyres and Tubes Manufacturing
1.58
197
Tyre Rethreading and Resoling factories
2.10
198
Umbrella Assembly factories
1.40
199
Velvet Cloth Manufacturing
1.75
200
Vermicelli factories
1.05
201
Weigh Bridges
1.05
202
Weaving Mills
1.23
203
Wheat Threshers
7.35
19
204
Wood seasoning/treatment/impregnation
1.40
205
Wool cleaning and pressing factories
1.75
206
Woolen Mills
1.40
207
Yarn Processing
1.23
208
Zip fasteners Manufacturing
1.40
Notes
Rates for deletion of STFI - 0.25 %o.
Rates for deletion of RSMD - 0.10 %o.
Rates for mid term inclusion of STFI - Rs. 0.35 %o.
Rates for mid term inclusion of RSMD- Rs. 0.15 %o.
For multiple products manufacturing units, common
utilities to be rated at the highest rate.
TERRORISM RATE FOR FIRE/ENGG. DEPTT. w.e.f .01/04/2012

SL.
NO.
TOTAL S.I.PER LOCATION
FULL RATE OF
RATE
(PER MILLE)
(MD +LOP)
1.
UPTO Rs.1000 CRORES
INDUSTRIAL RISK
NON-INDUSTRIAL RISK
RESIDENTIAL RISK
0.25
0.15
0.08
2.
OVER Rs.1000 CRORES
FIRST Rs.1000 CRORES

AS PER (1)+
ON BALANCE S.I.
AS UNDER
INDUSTRIAL RISK
NON- INDUSTRIAL RISK
0.20
0.12
FIRST Rs.2000 CRORES

AS PER (2)
ABOVE+ON BALANCE S.I.
AS UNDER
INDUSRIAL RISK
NON-INDUSTRIAL RISK
0.15
0.10
AND UPTO Rs.2500 CRORES
1. OVER Rs.2500 CRORES
20
SECTION V
UTILITIES LOCATED OUTSIDE INDUSTRIAL /MANUFACTURING RISKS
RISK
CODE
DESCRIPTION OF RISK
NEW INTERNAL
GUIDE RATE RS.%o
Analytical / Quality Control Laboratories
1.58
Boiler House
1.05
Dams
0.70
Effluent /Sewage Treatment Plant
1.05
Electric Sub-Station, Loco Sheds
1.05
10
Electric Transmission / Distribution Lines
1.05
11
Pipe lines carrying Water
0.70
12
Pipe Lines (Others)
0.88
13
Pump House (Water)
1.05
14
Pump House (Others)
1.75
15
Railway trackse
2.10
16
Roads
0.70
17
Water Treatment Plant and Water tanks
0.70
18
Wireless Transmitting Stations
1.05
New
Boundary Wall
(a) Made of combustible materials
1.75
(b) Others
1.05
New
Compressors Handling Air, Inert Gas & CO2
1.05
New
Compressors - Others
3.15
New
Electric Crematoriums
0.88
Notes
Rates for deletion of STFI Rs. 0.25 %o

Rates for deletion of RSMD - Rs. 0.10 %o
Rates for mid term inclusion of STFI - Rs. 0.35 %o
Rates for mid term inclusion of RSMD- Rs. 0.15 %o
21
SECTION VI
STORAGE RISKS LOCATED OUTSIDE THE COMPOUNDS OF
INDUSTRIAL/MANUFACTURING RISKS
Rates as per Internal Guide Rate w.e.f. 01.01.2008
RISK RATE
CODE CODE
DESCRIPTION OF RISK
New Internal Guide

Rate Rs.%o
MATERIAL STORED IN
GODOWNS
AND SILOS
OPEN
RATE RS. %o
RATE RS. %o
19
Storage of Non-hazardous goods
0.70
1.75
20
Storage of Category I hazardous

Goods subject to warranty that
goods listed in Category II, III,
Coir waste, Coir fiber and Caddies
are not stored therein.
1.75
4.20
NEW
Tractors stored in the open
NA
4.20
NEW
Bus Terminus - Vehicles in open /

vehicles parking area
NA
4.20
21
Storage of hazardous Goods listed

in Category II subject to warranty
that goods listed in Category III,
Coir waste, Coir fiber and Caddies
are not stored therein.
3.15
5.95
22
Storage of hazardous Goods listed

in Category III subject to warranty
that Coir waste, Coir fiber and,
Caddies are not stored therein.
3.85
7.35
23
Transporters godowns and go

downs of C & F agents
3.85
7.35
24
Storage of Coir Waste, Coir Fibre,

Caddies
8.40
11.90
25
Cold Storage premises
1.75
NA
(a) Rate for deletion of STFI - Rs. 0.25 %o for godowns and Rs. 0.50 %o for
materials stored in open
(b) Rate for deletion of RSMD - Rs. 0.10 %o for Godowns and for materials
stored in open
(c) Rate for mid term inclusion of STFI - Rs. 0.35 %o for Godowns and
Rs. 1.00 %o for materials stored in open
(d) Rate for mid term inclusion of RSMD - Rs. 0.15 %o for Godowns and for
materials stored in open
(e) Mode of classification of Haz. Goods and list of goods (Cat I, II, III) to
continue except Jute, Cotton and Coal & Coke
22
SECTION VII
TANK FARMS/GAS HOLDERS LOCATED OUTSIDE THE COMPOUNDS OF
INDUSTRIAL/MANUFACTURING RISKS
RISK
CODE
26
27
28
29
DESCRIPTION OF RISK
NEW INTERNAL
GUIDE RATE RS.%o
Gas Holders / Bullets / spheres and storages

for liquefied gases except for Nitrogen,
Carbon dioxide and inert gases
3.50
Gas Holders / Vessels for Nitrogen, Carbon

dioxide and inert gases
1.40
Tanks containing liquids flashing

at 32 0C and below
2.45
Tanks (others)
1.40
Notes
Rates for deletion of STFI Rs.0.25%o
Rates for deletion of RSMD Rs.0.10%o
Rates for mid term inclusion of STFI Rs.0.35%o
Rates for mid term inclusion of RSMD Rs.0.15%o
23
INTERNAL GUIDE RATES FOR ADD-ON COVERS

w.e.f. 01.01.2008
Sr. Existing
No. Rate Code
1
2
3
1001
1002
1003
1004
Peril
New Rate
Architects, Surveyors and Consulting

Engineers Fees (in excess of 3% of
the claim amount)
Policy Rate
Removal of Debris (in excess of 1% of

the claim amount)
Policy Rate
(A) Deterioration of Stocks in Cold

Storage premises due to accidental
power failure consequent to damage
at the premises of Power Station due
to an insured peril
25% of Policy Rate
(B) Deterioration of stocks in cold

storage premises due to change in
temperature arising out of loss or
damage to the cold storage machinery
(ies) in the Insureds premises due to
operation of insured peril.
1005
Forest Fire
1006
Impact Damage due to Insureds own

Rail / Road Vehicles, Fork lifts, Cranes,
Stackers and the like and articles
dropped there from.
8
9
Policy Rate
Rs.5%o subject to
applicable claims
experience discount /
loading as per
Rules 1 & 2
5% of Policy Rate
1007
Spontaneous Combustion
1007
Category I goods
0.20%o
1107
Category II goods
0.40%o
1307
Category III goods
0.60%o
1407
Category IV goods
0.80%o
1008
Omission to insure additions, alterations

or extensions
Policy Rate
1009
Earthquake (Fire and Shock)
1109
Zone I
0.5
1209
Zone II
0.25
24
10
1309
Zone III
0.10
1409
Zone IV
0.05
1010
Spoilage Material
a) Stocks in specified
blocks 5 times
the policy Rate.
Damage Cover
b) Machinery,
Containers &
Equipments in
specified blocks
2.5 times the
Policy Rate.
a) Rs.5%o for
Leakage Cover
only and
b) Rs.10%o for
Leakage
& Contamination
Cover.
11
1111
Leakage and Contamination Cover

where the tanks are within the
Insureds own premises
12
1211
Where the tanks are located

elsewhere
13
1012
Temporary Removal of Stocks Clause
14
1013
Loss of Rent Clause
Policy Rate
15
1014
Insurance of Additional Expenses of

Rent for an Alternative Accommodation
Policy Rate
Start up Expenses
Policy Rate
16
1015
25
a) Rs.6%o for
Leakage Cover
only and
b) Rs.12%o for
Leakage
& Contamination
Cover.
10% of Policy Rate
MARINE CARGO INSURANCE

Marine Cargo Insurance covers Loss or Damage to Cargo while being transported By
Rail, Road, Sea and Air.
SCOPE OF COVER :
Cover varies from simple road / rail risks to All risks depending upon the cover taken.
COVER FOR TRANSPORT WITHIN INDIA :
There are THREE types of covers available :
INLAND TRANSIT (RAIL OR ROAD) CLAUSE A, B AND C
CLAUSE A (All Risk) - Provides for All risks of physical loss or damage.
CLAUSE B (Transit Risk) - Provides Basic cover of physical loss or damage of cargo
caused by Fire, Lightning, breakage of bridges and accident/derailment to carrying
vehicle.
CLAUSE C (Basic Risk) - covers physical loss or damage to the cargo by fire and
lightning only.
DURATION :
The duration of cover under Clause A and B is from the time the goods leave the
warehouse till the time they reach final warehouse but not exceeding 7 days after arrival
of the railway wagon or lorry at the destination town.
IMPORTANT EXCLUSIONS :
z Insufficient or unsuitability of packing or preparation.
z Loss or damage to willful misconduct of the insured.
z Wear and tear ordinary/customary loss in weight.
z Loss or damage caused by delay
z Loss or damage caused by inherent property or nature of cargo
z War risks, Riot and Strike and
z Malicious Act (This is excluded only under Clause B & C)
z By paying Extra Premium we can cover the Riot & Strike.
PREMIUM RATES :
Depends upon the factors like nature of cargo, type of packing, Mode of transport,
distance, type of cover required and claims experience etc., The rating will be
determined by the Branch/ DO/ RO/HO depending on the underwriting limits. The
profitability of the portfolio of the client also plays a vital role in determining the rates.
COVER FOR EXPORT/IMPORT :
Cover for exports/imports is subject to a set of Internationally used clauses known as
Institute Cargo Clauses (ICC) Cover under ICC (A) is wider whereas cover under ICC
(B) and (C) are restricted.
(a) Institute Cargo Clauses (C)
Risk covered : Loss or damage to the subject matter by fire, explosion, sinking,
stranding, or grounding of the vessel, overturning or derailment of the land,
26
conveyance, collision of the craft or conveyance. Loss due to discharge of cargo

at a port of distress. Loss by jettisons, general average loss.
(b) Institute Cargo Clauses (B)
Risk covered : As in the case of C above with the addition of loss by earthquake,
volcanic eruption or lightening, loss of the cargo washed overboard water
damage either by entry of sea water, lake water or river water. Total loss of any
package, lost overboard the vessel or dropped during loading or unloading
operations.
(c) Institute Cargo Clauses (A)
This is the widest format of cover. This clause cover the risk in the case of B
above with rainwater damage, piracy, deliberated damage or destruction by
wrongful act of any person, theft, pilferage, non-delivery, contact with mud oils
and acids, damage by other cargo, other extraneous perils all involving a fortuity.
OPEN POLICY
If the insured is having frequent large number of dispatches and/or incoming materials
Dispatches, it becomes inconvenient to go for individual policies for every dispatch. For
such cases Marine Open Policy is very convenient document.
COVERAGE :
Covers for insurance of goods dispatched within the country by Rail/Road/Air Freight
Registered Post or for import or export by air / sea / Regd. Post.
PERIOD :
ONE YEAR
SUM INSURED :
Full premium on the sum insured will be paid in advance and the same will be
determined based upon the estimated dispatches for 12 months. Before the sum
insured is exhausted, same can be enhanced by paying additional premium.
BASIS OF VALUATION :
Invoice cost of goods, freight & Insurance Premium plus generally 10% incidental
charges or CIF + 10%.
At the end of the policy period, premium for unutilized balance of the sum insured
already paid by the insured will be refunded subject to the rules framed by the company.
OPEN COVER :
Open Cover is issued for imports or exports whereby the insurer agrees to issue
individual certificates for individual dispatches/receipts as per predetermined rates
terms and conditions. The Open Cover is not an enforceable document but only an
agreement to insure as distinct from an open policy, which is an enforceable document.
The APD A/c is to be maintained.
ANNUAL TURNOVER POLICY :
By express agreement Covers imports exports domestic transits in a single policy. The
sum insures represent the insureds annual sales turnover and the same is required to
be exhausted by paying appropriate additional premium before getting exhausted by
the declaration based on the sales turnover which should be made every quarter.
27
MOTOR INSURANCE
Motor Insurance is governed by India Motor Tariff 2002 (except rating portion)
COVERAGE :
This Policy covers all type of vehicles viz., Two Wheelers, Three Wheelers, Four
Wheelers and Commercial Vehicles against Third Party Liability, as well as Damage
to Vehicle depending upon the needs of the Customers. Third Party insurance is
compulsory.
PREMIUM :
Depends upon the Zones i.e. Location of RTO of the vehicle concerned, age of the
vehicle, cubic capacity, No. Of passengers, in case of Public Transport Vehicle, Gross
Vehicle Weight, and Insured Declared Value. For all kinds of vehicle Motor Guide rates
2008 has to be applied.
GEOGRAPICAL ZONES :
For the purpose of rating, the whole of India has been divided into the following zones
depending upon the location of the office of registration of the vehicle concerned.
(1) Private cars / motorized two wheelers / commercial vehicles ratable under section
IV C.1 & C.4
Zone A : Ahmadabad, Bangalore, Chennai, Hyderabad, Kolkata, Mumbai, New
Delhi & Pune.
Zone B : Rest of India.
(2) Commercial vehicle excluding vehicle ratable under section IV C.1 & C.4
Zone A : Chennai, Delhi/New Delhi, Kolkata, Mumbai.
Zone B : All other State Capitals.
Zone C : Rest of India.
GUIDE RATES w.e.f. 01/01/2008 MOTOR INSURANCE
PREMIUM RATES FOR VARIOUS CATEGORIES OF VEHICLES
I. PRIVATE CAR
Own Damage Premium Rates :
Rate on IDV of the vehicle
Age of
TheVehicle
ZONE B
ZONE A
CUBIC CAPACITY
CUBIC CAPACITY
Not
Exceeding Exceeding
Not
Exceeding Exceeding
exceeding 1000 cc but
1500 cc exceeding 1000 cc but
1500 cc
1000 cc not exceeding
1500 cc
1500 cc
Not exceeding
5 years
2.127 %
Exceeding
5 years but
not exceeding
10 years
2.393%
Exceeding
10 years
2.940 %
2.233 %
2.340 % 2.189 %
2.298 %
2.408 %
2.513%
2.632 % 2.462 %
2.585 %
2.709 %
3.087 %
3.235 % 3.026 %
3.176 %
3.328 %
28
Liability Premium:
CUBIC CAPACITY OF THE VEHICLE
PREMIUM
Not exceeding 1000 cc
Rs. 941/-
Exceeding 1000cc but not exceeding 1500 cc
Rs.1110/-
Exceeding 1500 cc
Rs.3424/-
II. TWO WHEELERS

Own Damage Premium Rates:
Age of
TheVehicle
ZONE B
ZONE A
CUBIC CAPACITY
CUBIC CAPACITY
Not
Exceeding Exceeding
Not
Exceeding Exceeding
350 cc
150 cc
not exceeding
3500 cc
350 cc
Not exceeding
5 years
1.257 %
1.320 %
1.383%
1.281 %
1.345 %
1. 409%
Exceeding
5 years but
not exceeding
10 years
1.496 %
1.571%
1.646%
1.524 %
1.600 %
1.677 %
1.892 %
1.982 % 1.836 %
1.928 %
2.020 %
Exceeding
10 years
1.802 %
Liability Premium :
PREMIUM
Not exceeding 75 cc
Rs.414/-
Exceeding 75 cc but not exceeding 150 cc
Rs.422/-
Rs.420/-
Exceeding 350 cc
Rs.804/-
III. COMMERCIAL VEHICLES

GOODS CARRYING :
Class A. 1 Public carriers (Other than Three Wheelers):FOR GVW Not Exceeding
12000 KG.
Own Damage Premium Rate
AGE OF THE VEHICLE
ZONE - C
ZONE - B
ZONE - A
Not exceeding 5 years
1.726%
1.743%
1.751%
Exceeding 5 years and not exceeding 7 years
1.770%
1.787%
1.795%
Exceeding 7 years
1.812%
1.830%
1.839%1
29
Liability Premium :
GROSS VEHICLE WEIGHT (GVW)
TP PREMIUM (Rs)
Not exceeding 7500 Kgs.
Rs.13,082/-
Exceeding 7500 Kgs. but not exceeding 12000 Kgs.
Rs.13,968/-
Rs.14,873/-
Rs.14,974/-
Exceeding 40000 Kgs.
Rs.15,035/-
Class A.2 : Private Carriers (other than Three Wheelers) :

AGE OF THE VEHICLE
ZONE - C
ZONE - B
ZONE - A
1.208%
1.220%
1.226%
Exceeding 5 years and not exceeding 7 years
1.239%
1.251%
1.257%
Exceeding 7 years
1.268%
1.281%
1.287%
Liability Premium :
GROSS VEHICLE WEIGHT (GVW) in Kgs.
TP PREMIUM (Rs.)
Not exceeding 7500
Rs.9,690/-
Exceeding 7500 but not exceeding 12000
Rs.11,197/-
Rs.9,969/-
Rs.11,470/-
Exceeding 40000
Rs.12,851/-
Class A. 3: Goods Carrying Motorized Three Wheelers and Motorized Pedal

Cycles (Public Carriers) :
Own Damage Premium Rates:
AGE OF THE VEHICLE
ZONE - C
ZONE - B
ZONE - A
1.640%
1.656%
1.664%
Exceeding 5 but not exceeding 7 years
1.681%
1.697%
1.706%
Exceeding 7 years.
1.722%
1.739%
1.747%
Liability Premium:
Premium for Liability Only cover
Rs. 4,098/-.
30
Class A. 4: Goods Carrying Motorized Three Wheelers and Motorized Pedal

Cycles (Private Carriers):
AGE OF THE VEHICLE
ZONE - C
ZONE - B
ZONE - A
1.148 %
1.159 %
1.165 %
Exceeding 5 but not exceeding 7 years
1.177 %
1.188 %
1.194 %
Exceeding 7 years
1.205 %
1.217 %
1.223 %
Liability Premium :
Premium for Liability only Policy
Rs.3,218/-
B. TARIFF FOR TRAILERS

No. of Trailers
Towed by
under tow at any
one time (by one
Agricultural /Forestry
Other Vehicles
or more towing
Vehicles
vehicles)
Own Damage Liability Only Own Damage Liability Only
(per Trailer)
(per Trailer)
(per Trailer) (per Trailer)
1 Trailer towed
0.87%
1.05%
2 Trailers towed
0.90%
For each
1.08%
For each
3 Trailers towed
0.93%
Trailer
1.12%
Trailer
4 Trailers towed
0.96%
Rs. 418/-
1.16%
Rs. 1023/-
5 Trailers towed
1.00%
6 Trailers towed
1.05%
(For more one
1.25%
(For more one
7 Trailers towed
1.10%
than Trailer please
1.32%
than Trailer please
8 Trailers towed
1.15%
multiplies the
1.38%
multiply the
1.20%
No. of Trailers)
31
No. of Trailers)
IV. PASSENGERS VEHICLES :

C. 1.a. Passengers (IV Wheelers) used for hire of reward with Carrying Capacity
not exceeding 6 passengers :
Age of
TheVehicle
ZONE B
ZONE A
CUBIC CAPACITY
CUBIC CAPACITY
Not
Exceeding Exceeding
Not
Exceeding Exceeding
1500 cc
1500 cc
1500 cc
Not exceeding
5 years
3.191 %
3.351 %
3.510 % 3.284 %
3.448%
3.612 %
Exceeding 5
years but not
exceeding
7 years
3.271 %
3.435 %
3.598 % 3.366 %
3.534 %
3.703 %
Exceeding
7 years
3.351 %
3.519%
3.686 % 3.448 %
3.620 %
3.793 %
Liability Premium :
PREMIUM
Rs. 3417 + Rs. 657 x Total No. of

passengers the vehicle is licensed
to carry.
Exceeding 1000 cc but not

exceeding 1500 cc
Rs.5338 + Rs.657 x Total No. of

to carry.
Exceeding 1500 cc
Rs.6191 + Rs.657 x Total No. of

to carry.
C. 1.b. Passengers (III Wheelers) used for Hire & Reward with Carrying Capacity
not exceeding 6 passengers :
AGE OF THE VEHICLE
ZONE - C
ZONE - B
ZONE - A
1.260%
1.272%
1.278%
Exceeding 5 years but not exceeding 7 years
1.292%
1.304%
1.310%
Exceeding 7 years
1.323%
1.336%
1.342%
Liability Premium :
PREMIUM FOR
LIABILITY ONLY COVER :
Rs.1102/- + Rs.527 x Total No. of

Passengers the vehicle is licensed to carry.
32
33
Maximum Licensed
Carrying Capacity
Exceeding 60 passengers
Not exceeding
18 passengers
Not exceeding
18 passengers
Maximum Licensed
Carrying Capacity
ZONE A
Rs 350 Rs 450 Rs 550 Rs 680 Rs 350 Rs 450 Rs 550 Rs 680 Rs 350 Rs 450 Rs 550 Rs 680
+
+
+
+
+
+
+
+
+
+
+
+
1.656 % 1.656 % 1.656 % 1.656 % 1.672 % 1.672 % 1.672 % 1.672 % 1.680% 1.680% 1.680 % 1.680 %
but not exceeding
36 passengers
Maximum Licensed
Carrying Capacity
but not exceeding
60 passengers
ZONE B
but not exceeding
36 passengers
ZONE C
but not exceeding
36 passengers
+
+
+
+
+
+
+
+
+
+
+
+
1.739 % 1.739 % 1.739 % 1.739 % 1.756 % 1.756 % 1.756% 1.756 % 1.764% 1.764 % 1.764 % 1.764 %
Rs 7843 + Rs. 479 X total number of passengers the vehicle is licensed to carry.
Liability Premium :
Exceeding
7 years
Exceeding
5 years but not
+
+
+
+
+
+
+
+
+
+
+
+
exceeding 7 years 1.697 % 1.697 % 1.697 % 1.697 % 1.714 % 1.714 % 1.714% 1.714% 1.722 % 1.722 % 1.722 % 1.722 %
Not
exceeding
5 years
Age of
the vehicle
but not exceeding
60 passengers
but not exceeding
60 passengers
Not exceeding
18 passengers
Class C. 2 : Four (or more) Wheeled Vehicles with Carrying Capacity exceeding 6 Passengers and Three Wheelers with
Carrying Capacity exceeding 17 Passengers for hire or reward :
CLASS: C. 3: Motorized Three Wheeled Passenger Carrying Vehicles for hire or

reward with Carrying Capacity exceeding 6 but not exceeding 17 Passengers.
AGE OF THE VEHICLE
ZONE - C
ZONE - B
ZONE - A
1.759%
1.777%
1.785%
1.803%
1.821%
1.830%
Exceeding 7 years
1.847%
1.866%
1.874%
Liability Premium :
Premium for Liability Only
cover
Rs.2641/- + Rs.527 x Total No. of passengers

the vehicle is licensed to carry.
CLASS C.4 : Motorized Two Wheelers used for Carrying Passengers for hire or
reward :
Age of
TheVehicle
ZONE B
ZONE A
CUBIC CAPACITY
CUBIC CAPACITY
Not
Exceeding Exceeding
Not
Exceeding Exceeding
350 cc
150 cc
not exceeding
3500 cc
350 cc
Not exceeding
5 years
1.743%
1.830 %
1.917 % 1.794 %
1.884 %
1.973 %
Exceeding 5
years but not
exceeding
10 years
1.787 %
1.876 %
1.965 % 1.839 %
1.931 %
2.023 %
Exceeding
10 years
1.830 %
1.922 %
2.013 % 1.884 %
1.978 %
2.072 %
Liability Premium :
Cubic Capacity of Two-Wheeler
Liability Only Premium
Not Exceeding 350 cc
Rs.780/-
Exceeding 350 cc
Rs.1794/-
34
Annexure I and II V. Tariff for Miscellaneous & Special Types of Vehicles

(Class : D)
Own Damage Premium Rate :
AGE OF THE VEHICLE
ZONE - C
ZONE - B
ZONE - A
1.190 %
1.202 %
1.208 %
1.220 %
1.232 %
1.238 %
Exceeding 7 years
1.250 %
1.262 %
1.268 %
Mobile Units : Endorsement IMT 47 is to be used in respect of the following mobile

units :
(a) Mobile Cranes
(b) Mechanical Navies, Shovels, Grabs, Rippers and Excavators
(c) Dragline Excavators,
(d) Mobile Drilling Rigs
(e) Mobile Plant
Package policies issued to the above units can be extended to cover damage to the
unit by overturning during operational use as a tool of trade at an additional rate of
0.5% of IDV of the vehicle subject to a minimum additional premium of Rs.100/-.
Liability Premium :
TYPES OF VEHICLE
i)
LIABILITY ONLY PREMIUM
Pedestrian controlled Agricultural Tractors

with Horse Power rating not exceeding
6 HP, Hearses and plane Loader
ii) Other Miscellaneous and special

type of vehicles
Rs. 570/Rs.1750/-
IRDA vide its Circular IRDA/NL/ORD/MPL/077/03/2012 dtd 29.3.2012 has shifted

following 7 types of vehicles from Miscellaneous & Special type of vehicles to Goods
Carrying Vehicles, i.e. from Class D to Class 4 A :
1. Tractors other than Agricultural Tractors
2. Dumpors
3. Milk Vans
4. Oil & transport Vehicles
5. Refrigeration / Pre-cooling Unit
6. Tankers
7. Tippers
Also vide above Circular IRDA has revised the premium for coverage of Paid Drivers,
Conductors and Employees under the WC Act from Rs.25/- per capita to Rs.50/- per
capita.
35
GR 40 Compulsory Deductibles
Claims under Own Damage section of policies covering all classes of vehicles are
subject to a compulsory deductible as per the under noted table :TYPE OF VEHICLES
Commercial
vehicles (other
than vehicles
rateable under
Class-D, E, F
and G of CVT)
COMPULSORY
DEDUCTIBLES
(Rs.)
Goods carrying
Passenger carrying
Not exceeding
7500 Kg. GVW
Not exceeding
17 passengers
500/-
Exceeding 7500 Kg.

but not exceeding
16500 Kg. GVW
Exceedind 17
passengers but not
exceeding 36
passengers
1000/-
Exceeding
16500 Kg. GVW
Exceeding
36 passengers
1500/-
Vehicles rateable under class D of the Commercial Vehicles

Tariff (CVT)
0.5% of IDV of
the vehicle
subject to a
minimum of
Rs. 2000/-
Vehicles rateable under class E, F and G of the Commercial

Vehicles Tariff (CVT)
Rs. 50/- for

two wheelers
and Rs. 500/for other
Taxis and Three Wheelers rated as Commercial Vehicles

(Not exceeding 1500 cc)
500/-
Taxis and Three Wheelers rated as Commercial Vehicles

(Exceeding 1500 cc)
1000/-
Private Cars including three wheelers rated as Private Cars

(Not exceeding 1500 cc)
1000/-
Private Cars including three wheelers rated as Private Cars

(Exceeding 1500 cc)
2000/-
Motorized Two Wheelers
100/-
36
ENGINEERING INSURANCE
MACHINERY BREAKDOWN INSURANCE
INTRODUCTION
Breakdown of machinery can be a drain on the profits and can even cause losses.
Why not seek insurance protection against such breakdowns. Machinery breakdown
insurance offers financial protection in case machinery suffers accidental, electrical
and mechanical breakdown requiring repairs and/or replacement as the case may be.
EQUIPMENTS COVERED
Machinery Breakdown Insurance covers all types of Industrial equipment like Turbines,
Compressors, Generators, Transformers, Rectifiers, Electric Motors, Diesel Engines,
Pumps, Wind Mills etc.
COVERAGE
Under Machinery Breakdown Insurance you are covered against all kinds of Accidental,
Electrical and Mechanical Breakdown due to internal causes, external causes,
operational deficiencies and human errors.
INTERNAL CAUSES
Internal causes could be damage due to faulty material, defects in casting, faulty
construction, overheating of parts, short circuit, faulty erection, disruption in case of
rotating bodies due to centrifugal forces, failure of operations of safety devices etc...
EXTERNAL CAUSES
External causes include collision or impact from external objects or falling articles ,
failure of lifting machines or cranes, accidental falls during shifting of machinery within
the premises or during overhauling.
OPERATIONAL DEFICIENCIES
Operational Deficiencies include error of judgment, faulty operation, failure of safety
devices, failure of connected machinery, over-speeding, tearing apart on account of
centrifugal forces, short circuit, electrical burn-outs, insulation failures and cracking or
overheating of parts.
HUMAN ELEMENTS
Human Elements include Carelessness, negligence of operators and sabotage or
malicious acts.
PREMIUM RATES
Electric motors
Upto 50 HP
Rs 2.00%
Above 50 HP
Rs 1.50%
For other rates please contact your office

ADDITIONAL COVERAGES
a. Damage to foundation of machinery
b. Express freight, holiday rates, overtime charges in the event of claim
37
c. Third Party Liability(including bodily injury and property damage)

d. Additional Custom Duty
RISKS NOT COVERED
z Loss of or damage to belts, ropes, chains, rubber tyres, dyes, moulds, blades,
cutters, knives or exchangeable tools, engraved or impression cylinders or rolls,
objects made of glass, porcelain, ceramics, all operating media e.g lubricating oil,
fuel, catalyst, refrigerator, dowtherm) felts, endless conveyor belts, or wires, sieves,
fabrics, heat resisting and anticorrosive lining and parts of similar nature, packing
material, parts not made of metal (except insulating material) and non-metallic
lining or coating of metal parts.
z Damage due to any cause for which the manufacturer and/or supplier is responsible.
z Overloading operations, experiments and test requiring abnormal conditions.
z Gradually developing flaws, defects, cracks etc.,
z Willful act or gross negligence of the Insured or of his responsible representative.
z Defect existing at the time of taking Insurance known to the Insured but not known
to the Insurers.
z Any type of consequential loss.
THE COVER
Can be taken by the owner of the machinery or a party holding the machinery in trust
or having financial interest in the said machinery, or Operation & Maintenance
contractor.
SUM INSURED
The Sum Insured of each item of machinery must be its Present Day New Replacement
Value of similar machines including all incidental expenses like duties, taxes, excise,
freight, insurance, landing etc.
This is a condensed version. For further details, kindly contact your office.
EXCESS
1% of sum insured for each machine subject to a minimum of Rs. 2500/Note : Sum Insured of the machine should be declared as a whole and should not be
apportioned towards parts of machine.
38
MACHINERY INSURANCE POLICY

RATE SCHEDULE
Group I
Electrical Machinery installed in Plants other than Cold Storages and Ice
Plants -Excess :- 1% of sum insured for each machine subject to a minimum of
Rs. 2,500/- (Rate differs in guide rate)
Risk
Code
Sr.
No
Rate
Code
100106 (i)
1.
03
100213
103113
2.
3.
07
07
100305
100413
100506
100616
100713
100816 (ii)
4.
5.
6.
7.
8.
9.
1.
03
07
03
09
07
08
08
100914
2.
08
101018
101116
101213
101316 (iii)
101419
3.
4.
5.
1.
2.
10
09
07
09
11
101514
101613
101711
101813
3.
a)
b)
c)
4.
07
07
07
07
(IV)
1.
Item
Rate
(%)
H.T./L.T. Switchgears and

Lightning Arrestors
Oil/Air Circuit Breakers
SF6 Circuit Breakers
Vacuum Circuit Breaker
Cables/Electrical Wiring
Battery Cells
Neutral Grounding Resistor
Series Reactor
HT Isolator Insulator
Voltage Stabilizer
Power and Distribution
Transformers.
Current and Potential
Transformers
Testing Transformers
Shunt Reactor
Capacitor Banks
Rectifier Transformers
Furnace Transformers
Rectifiers Mercury
Metal
Silicon
Thyristor Converter/ Thyristor
Control Panel
Electric Motors, Motor
Generators (including
AC/DC) & Welding Sets
of capacity 39
Remarks
0.50
1.00
1.00
0.50
1.00
0.50
1.50
1.00
1.25
1.25
1.25
1.75
1.50
1.00
1.50
2.00
1.00
1.00
1.00
1.00
Excess: 2 % of Sum
Insured subject to
minimum of
Rs. 1000/-
101919
102016
(a)
(b)
2 (a)
11
Up to 50HP (37.5 KW)

Above 50 HP
DG Sets/ Gas Engine
Generating Sets
With capacity up to 5 MW
2.00
1.60
102117
i)
09
102217
102319
ii)
iii)
10
11
With capacity above 5 MW

Where only engine is to
be covered
Steam Turbo Generator
Sets with capacity upto
500 MW
1.75
102416
2 (b)
09
102520
2 (c)
10
Gas Based Combined Cycle

Power Plants/ Gas Turbo
Generator Sets
1.75
08
Radio Frequency Drier
1.25
07
Electronic & Computer

related equipment facility,
comprising surface mount
technology machine for
placing soldering components
on printed circuit boards, a
screen printer, a re-flow oven,
and in circuit tester etc.
Thermo Vacuum Cleaner
0.60
0.80
06
40
1.50
2.00
1.50
1. Subject to DG Set
Endorsement, and
2. Turbo chargers
cannot be insured
in isolation
1. Rate will apply

irrespective of
whether the Turbine/
Generator are
covered separately
or together.
2. For higher capacity
beyond 500 MW,
reference shall be
made to Head Office
1. Rates will apply to
Gas Turbine/
Generator
irrespective
of whether they are
covered separately or
together. Other items
to be rated per se.
2. Subject to the
endorsement for
Depreciation
Adjustment for
Components along
the Hot Gas Path
of Turbines.
Subject to depreciation
endorsement
1. The equipment as
a whole to be insured
2. No MB cover can
be given to refrigerant.
Group II
RATES FOR MECHANICAL ITEMS (MACHINES COMMON TO ALL
INDUSTRIES)
Risk
Code
Sr.
No
Rate
Code
Item
Rate
(%)
Air Compressors
Refer
Compressors
Refer Receiver
for Compressors
Air Receivers
200104
200203
200307
200520
200605
200703
02
02
04
12
03
02
200803
200905
201003
02
02
02
201107
02
201205
201305
02
02
201404
201505
201610
201705
02
03
05
03
201810
201905
202013
202108
05
02
07
03
06
202222
202323
04
06
202424
07
Auto Claves/Agitators
Alignment Machines
Atomiser
Air Conditioner (Room AC)
Automatic Sealing Machine
Automatic Bushing
Condenser Taping Machine
Boring Machines
Broaching
Bar Cutting Machines (other
than Shearing machines)
Bending Machines
Blending Machines
0.40
0.40
0.60
2.50
0.50
Blowers
Bag filling and bag
Stitching Machines
Boilers
Beaters
Briquette Machines
Bronzing Machine
Baling Press
Ball Mill
Bottling and Filling Machines
Burners & Firing System
Chain Pulley Blocks
Chiller Plant (including
Compressor)
0.40
Compressors & Auxiliaries Up to 25 PSI (8.5 KSC)

Beyond 25 PSI (8.5 KSC)
up to 500 PSI (170 KSC)
Beyond 500 PSI (170 KSC)
41
Remarks
0.40
0.40
0.40
0.40
0.40
Refer Mixing &
Blending Machines
0.40
0.40
0.50
0.70
0.50
Refer Presses
0.70
0.40
1.00
0.50
0.80
0.60
0.80
1.00
202502
202602
202703
01
01
02
202807
202903
02
02
203003
02
203109
07
05
203206
03
203308
203405
203503
203603
203703
203803
203914
204003
204103
204203
204305
i)
ii)
04
02
02
02
02
02
08
02
02
02
02
204405
02
204503
204620
204710
204807
204910
205003
205103
205219
02
12
05
04
04
02
01
11
Receivers for compressors

Cooling Towers
Condensers, Chillers,
Evaporators and Pre-heaters,
Centrifuges
Cutting Machines/ Saws (Other
than Shearing Machines)
Cigarette Making Machine
Conveyors
0.20
0.20
Concast Machine (continuous)

Crushers (other than
Stone Crushers)
Calendaring Machines,
Composing Machine Computerised
Others
Cooling Machines
Crutcher Machines
Crystalizer
Cooling Coils
Corona Treatment
Carrier Circulator
1.00
Cycle Manufacturing Industries

i) Spoke Lacing Machine
ii) Swaging Machine
iii) Spoke Rolling Machine
Drilling Machines
Deep Drawing Press
Dairy & food Processing
Machines not otherwise
specifically provided for
Dry Cleaning Equipment
Deep Freezers
Disintegrators
Driers
Diffusers
Debrassing m/c
Distillation Unit
Diesel Engine
42
0.40
0.40
0.40
0.40
See Material
Handling Equipment
0.70
0.50
0.60
0.40
0.40
0.40
0.40
0.40
1.25
To be rated as
PUMPS
0.40
0.40
0.40
0.40
To be rated as
Power Press
0.40
0.40
2.50
0.70
0.60
0.60
0.40
0.20
2.00
Subject to Loss
Minimisation
Endorsement
205304
01
205409
03
205513
205603
07
02
205707
205708
205709
205803
205913
206003
206108
206213
04
04
05
02
07
02
02
07
206307
206414
04
08
222510
05
222613
07
223313
07
206513
i)
07
206616
ii)
09
206714
iii)
08
206816
206905
207005
207103
207205
207305
207403
iv)
09
02
02
02
02
02
02
De-aerator including
Storage Tanks
Embossing/ Engraving
Machines
Extruders of all types
Evaporators/ Heat
Exchangers
Electrostatic Painting Plants
Electrostatic Precipitators
Electrolyser
Edge Runners
Electrode Assembly
Economiser
E O T Crane
Electric Automatic
Incubators used in Hatchery
Ejector System
Expander Machine
Electromagnetic VibroFeeder
Electromagnetic Machine for
Manufacturing Tapes
(excluding motor)
Electromagnetic Machine for
Manufacturing Tapes
(including motor)
Electric Discharge
Machine (EDM)
Furnaces Arc Furnaces with Roof
Lifting & Tilting Mechanism
Induction Furnace
Heat Treatment/ Annealing
Furnaces Electrical &
Vacuum Furnace
Oil/Gas/Coal fired Furnaces
Fans including ID/FD Fans
Filling Machines
Flour Mills
Food Processing Machines
Filters
Finishing Machine for
Textile/Jute Mills
43
0.20
0.50
1.00
0.40
0.60
0.60
0.70
0.40
1.00
0.40
0.60
1.00
0.60
1.25
Refer Vibratory
Feeder
0.70
1.00
1.00
1.00
1.50
1.25
1.50
0.40
0.40
0.40
0.40
0.40
0.40
Subject to
Depreciation
Endorsement
Subject to
Depreciation
Endorsement
207516
207605
207709
207814
207914
08
02
05
08
08
208019
1.
11
208116
208203
208305
208405
208512
208613
208713
208820
2.
09
02
02
02
05
07
06
10
208907
04
209505
209613
209716
02
07
08
209003
209103
02
02
06
02
02
05
07
05
209204
209303
209410
209809
209905
210013
02
02
07
210103
210207
02
04
Forging Machine
Fin Fan Coolers
Flakers
Flaker drum
Final concentrator
Glass and Graphite
Equipments Pure Glass and Graphite
Equipments/ Apparatus used
for industrial purposes (other
than for laboratory
experiments /analysis and for
storage of chemicals and such
other products)
Glass lined Vessels
Grinding Machines
Gear Cutting Machines
Granulators
Gas Generators
Gear Boxes
Gas Analysers
Gas Turbine
Ginning Machines
(excluding Motor)
Hobbing Machines
Hydraulic Presses/ Systems
Hammers excluding
tup and anvil
Heat Exchangers
Humidifiers/Dehumidifiers
Humidification Plants
Hydro Pulper
Hardness Testing Machine
Hammer Mills
Hydro Turbines
Jib Cranes in Industrial
premises only
Jacquard Machine
Jewellery Making Equipments
Kneading Machines
(blades not covered)
Kettles
Kilns
44
1.25
0.40
0.70
1.25
1.25
2.00
Excess 20 % of claims
amount subject to
minimum of Rs10000
1.50
0.40
0.40
0.40
0.70
1.00
0.80
1.75
-Do-
0.60
0.40
1.00
1.25
0.40
0.40
0.80
0.40
0.40
0.70
1.00
0.70
0.40
0.40
1.00
0.40
0.60
Endorsement on
Hot Gas Path
211008
i)
02
211105
211208
ii)
iii)
02
04
210309
210416
210503
210608
iv)
v)
04
07
02
04
210703
210816
02
07
210916
09
212516
07
212603
212703
211303
211407
211503
211613
02
02
02
04
02
01
211703
211805
211907
02
02
04
212013
212105
212205
212305
212413
07
03
03
03
07
Lifts/Lifting Tackles Chain Pulley Blocks

Lift for Goods /Passengers
Overhead Cranes
including Monorail
Jib Cranes
Magnets for Lifts
Lathes (except CNC)
Lathes (CNC)/ All CNC
machines
Laundry/Dry Cleaning
Laboratory Equipments/
Instruments (excluding
pilot plants)
Load Cells along with
weighing Bridges
Magnets for Lifts
Material Handling Equipments Belt Conveyors
Chain Conveyors
Bucket Elevators
Screw Conveyors
Pneumatic Conveyors
Ropeways/Cable cars
Wheel Alignment Machine
Milling Machines
Metal Punching Machines
Machining Center
(Universal machine)
Moulding Machines
Pertaining to Foundry
Slinger
Others
Mixing and Blending Machines
Magnetic Separators
Machines not otherwise
provided for
45
0.40
0.40
0.60
0.60
1.00
0.40
0.60
0.40
1.00
Endorsements
for Ropes in lifts,
cranes & Rope Ways.
-Do-Do-Do-Do-
1. Equipments /
Instruments made of
glass will be rated
as per item Glass
lined Vessels
1.50
1.00
0.40
0.40
0.40
0.60
0.40
1.00
To be rated
under EEI policy
0.40
0.40
0.60
1.00
0.50
0.50
0.50
1.00
Provisional, to be
referred to the
head Office for
final rates.
212808
223212
03
212908
04
213014
213105
213219
213303
213419
08
03
11
02
11
217305
02
Nibbling Machine
Nitrogen Plant (modular) (with
loss or damage to molecular
sieve being excluded).
Overhead Cranes (EOT)
including Monorail
Ovens of all types
Oil Expellers
Oil Engines
Planers
Photo copiers
0.50
Rated under item
Gas Generator
0.60
1.25
0.50
2.00
0.40
2.00
With an excess of
5 % of the claim
amount subject to a
minimum of Rs.1,000/-.
Packing Machines
0.40
PRESSES
216603
02
Hand Presses
0.40
216710
05
Power Presses
0.70
216813
07
Hydraulic Presses
1.00
Roller Presses in
Please see
Cement Plant
Roller presses
Pumps
216903
02
Pumps handling water
0.40
213510
05
Pumps handling other materials 0.70
Drives for Pumps
217018
09
Turbine
1.50
217118
09
Engine
1.50
217216
09
Motor
1.50
Note : If a single value is given for the entire pump-set the higher rate of the
Drives should be applied overall.
Pressure/Reaction Vessels i) Glass/graphite lined
As per Item
Glass & Graphite
213604
02
ii) Others
0.40
213704
02
iii) Stirrers/Agitators
0.40
213801
01
iv) Pipes & fittings
0.20
PLASTICS MFG. i) Plastics Extruders
Refer Item Extruders
213916
ii) Injection Presses
Refer Item Presses
09
iii) Injection Moulding Machines 1.50
214014
08
iv) Blow Moulding Machines
1.25
214107
03
v) Other Misc. Machines
0.50
46
214205
03
214304
02
214505
03
214401
01
214609
216309
04
04
214710
214807
214903
215013
215110
05
02
02
07
215219
215305
215410
215504
215613
215705
11
03
05
02
07
03
215810
215905
216007
216105
216207
216413
216507
i)
ii)
iii)
iv)
v)
vi)
vii)
viii)
05
03
04
03
04
07
04
04
Paper & Cardboard Mills i) Preparatory Machines

like Bamboo Crushers,
Grass/ Choppers, Shredders,
Dusting Machines, Rag
Cutters, Sorters, Depithing
Machines, Willowing Machines,
beaters etc.,
ii) Digesters, Filters, Pulper,
Stock preparatory machines,
Pulp making Machines
iii) Paper and Card board
making Machines
Pipes & fittings (Excluding
instrumentation)
Printing Presses
Printing & Assembling
Machine
Pulverisers
Plate Bending Machine
Pre-heaters
Plate Polishing Machines
Primary Heating Units
(Nylon plants)
Petrol Engines
Plodders
Pendulum Rollers
Pressure Reducers
Photo Phone Cine Projector
Plastimeter in Rubber
Processing Plant
Paint Factory Machines Roller Mill
Other Machines
Powder Coating Machines
Packing Machines
Painting Electrode Static Plant
Lacquer Painting Machine
Painting (Lacquering) Plant
Painting (Varnishing) Plant
Rope Ways
47
0.50
0.40
0.50
0.20
0.60
0.60
0.70
0.40
0.40
1.00
0.70
2.00
0.50
0.70
0.40
1.00
0.50
0.70
0.50
0.60
0.50
0.60
1.00
0.60
0.60
Please refer item
Material Handling
Equipments subject
to Endorsement
for Ropes etc.
218113
217414
217505
07
08
03
217620
12
217720
217803
217909
218016
12
02
05
09
222503
222603
222703
222807
222907
223003
223104
218205
218305
218405
218503
218613
218703
218816
218903
219006
02
02
02
04
03
02
02
03
03
03
02
07
02
09
02
03
03
219103
219205
219306
219406
219506
219606
219706
219803
i)
ii)
iii)
iv)
v)
vi)
vii)
viii)
02
03
03
03
03
03
03
02
Rolling Mill (hot)

Rolling Mill (cold)
Coilers for Wire Drawing
Machines
Reaction Vessels
Refrigerator
(other than Domestic).
Room Air Conditioner
Riveting Equipment
Refrigeration Plant
Roller Presses in Cement
Plants
Shaping Machines
Slotting Machines
Straightening Machines
Shearing Machines
Sterilizing Machines
Saws of all types
Stirrers
Stitching Machines
Sewing Machines
Sealing Machines
Spooling Machines
Steam Engines
Shafting
Steam Turbines
Spoke Lacing Machines
Shredder Machines
Sterliser Vacuum chamber
Sugar Factory Machinery Cane Un-loaders
Milling Plant
Leveler
Fibriser
Rack Carrier
Sugar Grader
Sugar Hoppers Centrifuges
Screen/Sieve Machines
48
1.00
1.25
0.50
Please refer item
Pressure Vessels
2.50
2.50
0.40
0.70
1.50
0.40
0.40
0.40
0.60
0.50
0.40
0.40
0.50
0.50
0.50
0.40
1.00
0.40
1.50
0.40
0.50
0.50
0.40
0.50
0.50
0.50
0.50
0.50
0.50
0.40
Depreciation - 20 %
per annum or part
thereof subject to
a maximum of 80 %
219903
i)
02
220002
ii)
01
220109
220205
220305
220405
220503
iii)
iv)
v)
vi)
vii)
05
03
03
03
02
220603
220705
02
03
220801
220903
221111
02
02
06
222405
221203
221316
221405
221520
221616
221703
221813
221903
222005
03
02
09
03
12
07
02
07
02
03
222113
07
03
222319
Textile Mills Blow Room & Carding

Machines
Preparatory Machines like
Combing, Drawing, Lapping
& Spinning Machines etc.
Baling Press
Jacquard Machines
Sizing and Singeing Machines
Folding/ Mercerising Machines
Other Machines
Turbines -
Thermic Fluid Heaters

Tabletting and Capsuling
Machines
Valves
Vibrators
Vibratory feeder
(Electromagnetic)
Sterliser vacuum chamber
Wood Peeling Machines
Welding Machines
Washing Machines
Water Coolers
Water Turbines
Wrapping Machines
Wire Drawing Machines
Wheel Turning Machines
Weighing Machines
(Other than Electronic)
Weighing Machine (Electronic)
Wind Mills
Xerox Machines
49
0.40
0.20
0.70
0.50
0.50
0.50
0.40
Please refer item
Steam/Gas
Turbines
0.40
0.50
0.20
0.40
0.80
0.50
0.40
1.50
0.50
2.50
1.00
0.40
1.00
0.40
0.50
1.00
0.50
Subject to Wind
Mill Endorsement.
Rate/Excess as
per Photo copiers
Group III
Machinery in Cold Storages and Ice Plants
Risk
Code
Sr.
No
Rate
Code
300120
1.
11
300220
2.
11
300314
300406
3.
4.
08
03
300505
5.
03
300616
300710
300802
300902
301010
301103
301207
301305
1.
2.
3.
4.
5.
6.
7.
8.
09
05
02
02
02
04
03
301413
301516
301616
1.
2.
3.
07
09
09
301720
4.
11
Item
Rate
(%)
Power Machines Diesel Engines and Diesel

Generators Sets
Electric Motors(Including
those for Diffusers & Pumps)
Transformers
HT/LT Switchgear &
Switch board
Cables
Working Machines Compressors
Diffusers (Excluding Motors)
Cooling Coils
Condensers (Atmospheric type)
Condensers (Shell & Tube type)
Receivers
Water Pumps(Excluding Motor)
Pipelines, Valves & Fittings
Ancillary Machines Electric Hoists
Chain Pulley Block
Suction Drought Blowers
(Exhaust Fans)
Ceiling Fans Over Bunker Coils
Remarks
2.00
2.00
1.25
0.50
0.50
1.00
0.70
0..40
0.40
0.70
0.40
0.60
0.50
1.00
1.50
1.50
2.00
GROUP IV
Fertilizer Plants/Petrochemical Plants/Refineries
Risk
Code
Sr.
No
Rate
Code
a)
400119
400216
i)
ii)
b)
11
09
400318
400416
i)
ii)
10
09
Item
Rate
(%)
Process/Refrigeration
Compressors including
their drives
Turbine Driven
Motor Driven
Utility Compressors
including their drives
Turbine Driven
Motor Driven
50
2.00
1.50
1.75
1.50
Remarks
400519
c)
11
Waste Heat Recovery boilers
2.00
Please see note

below
New Waste heat exchangers/Recovery Boilers under high pressure/temperature in

Fertilizer Plants.
i) No MB Cover should be granted for first three years of operation. This may be
covered under BPP policy during this period.
ii) After the initial period of three years above equipment may be covered under MB
policy.
iii) The above decision is applicable only to Petro-chemical/ Fertilizer Plant.
400614
d)
e)
08
ID/FD fans with drive

1.25
Pumps & their drives
400710
Pumps i)
05
Handling water other than
boiler feed water
0.70
ii) a)
09
Boiler feed pump motor driven
1.50
ii) b)
10
Boiler feed pump turbine/
engine driven
1.75
iii)
08
Other pumps
1.25
Drives 400818
i)
10
Turbine
1.75
400918
ii)
10
Engine
1.75
401016
iii)
09
Motor
1.50
N.B. If a single value is given for the entire pump set, the higher rate of the drive should
be applied overall.
401116
f)
09
Purge Gas Recovery Plant
1.50
401216
g)
09
Stripper in Urea Plant
1.50
401316
h)
09
H.P. Condenser
1.50
401416
i)
09
Reformer
1.50
401516
j)
09
Expansion Turbine
1.50
401616
11
Ammonia converter
2.00
402914
q)
08
Urea Scraper including
gearbox, motor, coupling etc.
1.25
51
ADDITIONAL RATES 1. EXPRESS FREIGHT (AIR FREIGHT EXCLUDED), HOLIDAY AND OVERTIME
RATES OF WAGES
The additional premium for covering express freight (air freight excluded), holiday
and overtime rate of wages, will be at the average rate applied on the limit selected.
2. AIR FREIGHT
The rate and excess as under shall be charged exclusively for items of air freight
only and subject to the limit selected by the Insured for indemnity against air freight
only.
Rate
2 % on the amount of indemnity selected
Excess
5 % of the Air Freight incurred per claim
3. SURROUNDING PROPERTY Additional premium for covering surrounding property will be at an Additional
premium of 25 % of the gross average MB rate applied on the limit of liability
selected with excess of 1% of the limit of liability selected.
4. THIRD PARTY LIABILITY
Third Party Liability could be covered at an additional premium of 25 % of the
gross average rate applied on the limit of liability chosen for third party liability.
The excess applicable will be 1% of the TPL limits selected.
Maximum sum insured under this extension should not exceed 10% of S.I. subject
to maximum of Rs. 10 Crs Per location.
5. ADDITIONAL CUSTOMS DUTY
The cover for Additional Custom Duty will be subject to the following rates, terms
and conditions a) The cover for Additional Custom Duty will be on first Loss Basis,
b) The specific limit for Additional Custom Duty - either in percentage or in amount
- has to be selected by the Insured at the inception of the Policy and can be
reinstated in the event of loss,
c) The rate and excess will be as under
Rate
1 % to be charged on the Additional Custom Duty amount

selected
Excess
5 % of the admissible Custom Duty increased, in addition

to the Excess amount applicable for the affected item under
the Policy. Subject otherwise to the terms conditions and
exceptions of the policy.
6. ESCALATION PROVISION The additional premium payable will be at 50 % of the full rate, to be charged on
the selected percentage increase.
52
7. SEQUENCE OF COMPUTATION OF RATE

1. Basic rate
2. Apply claim experience discount/loading on (1) above
3. Apply higher excess discount on (2) above
4. Apply technical & or commercial discount on rate arrived at 3 above.
8. GROSS RATES All rates specified in this Tariff are Gross Rates and Agency Commission (or
discount in lieu of Agency Commission) can be allowed from these rates, as per
the Rules prevailing from time to time.
EXCLUDED UNDER MB POLICY
(DECLINED LIST OF MACHINES)
a) Stone Crushers
b) Rolling Mill-Stands, Pedestal bearing etc.
Raymond Mill
c) PVC lined, Rubber lined and such other lined vessels
d) Radios, Tape Recorders, TV Sets and Electric and Electrical measuring
instruments
e) Cupolas
f) Pumps-with rubber impellers
g) Computers and other Electronic Equipments other than those not specified in
the Guide Tariff (To underwrite under Electronic Equipment Insurance Policy)
h) Portable and Mobile Equipments
i)
j)
Urea Scrubber,
LP Scrubber,
Ammonia Scrubber,
) in Fertilizer- appearing in group IV
Ammonia Storage Tanks
Asphalt mixing & recycling plants
53
CONTRACTORS PLANT & MACHINERY INSURANCE

GENERAL REGULATIONS
JURISDICTION
This applies to all risks located in India.
CPM Policy can be issued covering equipment on Anywhere in India basis with
following stipulations:
a. Full description with identification number etc., of each and every equipment with
valuation should be declared.
b. Transit risks from site to site will be excluded.
c. Earthquake extra for all the Zones.
d. Loading of 10% on the basic CPM shall be charged to cover Floater risk.
MB risks in case of CPM equipments should not be covered either as an extension of
CPM Insurance policy or under a separate MB policy.
SCOPE
The cover shall be as per the standard policy form in respect of CPM insurance.
The insurance of all types of CPM and equipments engaged for work at any
specified location in India shall be subject to these General Regulations.
In respect of machinery/equipments, whether registered with RTO or not but engaged
at the project site, the Insured has an option either to select the motor/non-motor
policy under Motor Tariff or CPM policy in the Engineering Dept.
NUMBER OF LOCATIONS IN A POLICY
The policy schedule will necessarily include a list of all items of CPM and equipments,
indicating separate value against each item. Any additions or deletions in these items
during the policy period of 12 months can be done on short period basis.
Policy schedule may also include more than one location with separate list of CPM
and equipment at each location. Here also any addition or deletion of different locations
of any items of CPM equipments may be done on short period basis.
However, if the insurance is taken for a period shorter than 12 months premium to be
charged will be on the basis of short period scales provided hereafter.
Similarly, the insurance taken for 12 months initially but cancelled mid-term, before
completing of 12 months will entitle refund on short period scales only.
SHIFTING OF CPM - TRANSIT RISKS
Many a times, items of CPM and equipments require to be shifted from one location to
another location. The risk during transit from one location to another location is outside
the purview of the policy.
54
However, the risk during shifting of items of CPM and equipments in connection with
work at a Project Site from one point of the Project Site to another point in the same
Project Site is deemed covered within the rates prescribed in Table 1 of Part 1-rate
schedule.
CPM under EAR/SCE/CAR
Where the Sum Insured on CPM equipments under the Project requiring EAR/SCE
insurances not exceeding 5% of the Sum Insured for EAR/SCE or Rs 25 lacs whichever
is lower, such equipments must be rated under the CPM tariff.
Where the Sum Insured on CPM equipments under the Project requiring CAR
insurances exceeds 5% of Sum Insured for CAR/EAR , that equipment must be rated
under the CPM tariff.
Floater risks
Loading of 10% on the CPM & Equipment rate shall be charged to cover Floater
Risks.
Additional rates for Earthquake(fire and shock) perils
Additional rates are applicable as per CAR/EAR tariff.
CPM equipments mounted on floating vessel/ craft
The CPM Equipments mounted on floating vessel/craft and used for the purpose of
contract work shall attract the rates prescribed in Table 1 of the rate schedule.
However, the Excess applicable for claims on such plant, machinery & equipments
mounted on floating vessel/craft shall be the excess prescribed for claims arising out
of AOG perils in Table III of Part 1 rate schedule.
Short Period scale of Premium Rates
Policy Period required
Percentage of Annual Prem
Not exceeding one week
10
Not exceeding 1 month
25
Not exceeding 2 months
35
50
60
75
85
Exceeding 8 months
Full Annual Premium
Service Tax @ 12.24% extra
55
Third Party Liability

A rate of 0.25 % per annum should be charged and a total limit of indemnity selected
to cover the Third Party Liability upto the following limits :
A) Any one person
Rs 10 lacs
B) Any one accident
Rs 25 lacs
C) During the policy period
Rs 25 lacs
Third Party Liability Insurance for limits in excess of those mentioned above should
be underwritten in the Miscellaneous Department at the discretion of the Insurer.
The Excesses applicable for TPL Property Damage claims will be the highest of the
Excesses applicable to the Machineries insured.
Mid-term increase in Sum Insured
If the Sum Insured is increased during the currency of the policy
i)
Short Period scale of rates shall apply to increased amounts.
ii) If the policy is renewed thereafter for 12 months for an amount not less than the
increased sum insured, the difference of premium between short period scale of
rates and pro-rata rate may be refunded.
56
CONTRACTORS PLANT AND MACHINERY INSURANCE TARIFF

INTERNAL GUIDE RATE SCHEDULE
Group of
Machinery
Rates (Rs)(Inclusive
of all Acts of God
Perils including
earthquake)
0.40 %
II
0.55 %
III
0.70%
IV
1.4%
0.15 %
1. In case of railway track testing coach

and Merry Go-Round System
(including Locomotives and
Wagons), loading of 20% on the rate
applicable.
2. Plants and or Machineries working
underground/tunnels should be rated
at a loading of 50 % over these rates.
EXCESSES
A) For Machinery under Group I, II, III and IV (Except for cranes above 10 tonnes capacity)
EXCESSES
Value of equipments
For claims arising out

of AOG perils
For claims arisingout

of perils other than AOG
a. Individual value upto

Rs.1 lakh.
10 % of S.I. Subject to a
minimum of Rs. 5,000/-
2 % of S.I. subject to
b. Individual value over 5 % of S.I. Subject to a

Rs. 1 lakh and upto minimum of Rs.10, 000/Rs. 5 lakh.
1.5 % of S.I. subject to

minimum of Rs.2,000/-
c. Individual value over

Rs. 5 lakh and upto
Rs. 10 lakhs.
3 % of S.I. subject to a
minimum of Rs. 25, 000/-

d. Individual value over 2 % of S.I. subject to a

Rs. 10 lakhs upto
minimum of Rs. 30, 000/Rs. 25 lakhs

e. Individual value over 1 % of S.I. Subject to a

Rs. 25 lakhs upto
minimum of Rs. 50, 000/Rs. 50 lakhs
1% of S.I. Subject to a
f.
1% of S.I. Subject to a
Individual value over 1 % of S.I. Subject to a

Rs. 50 lakhs
minimum of Rs. 50, 000/-
57
B) For Cranes above 10 tonnes capacity under Group III Main Section
Value of
Equipment in Rs.
AOG claim
Normal
Boom Section
a) Over 5 lakhs &

upto 10 lakhs
1.5 % of S.I.
Subject to a
minimum of
Rs. 10, 000/-
0.8 % of S.I.
Subject to a
minimum of
Rs. 5, 000/-
20 % of claim amount
Subject to a
minimum of
Rs. 25, 000/-
b) Value over
Rs. 10 lakhs &
upto 25 lakhs
1 % of S.I.
Subject to a
minimum of
Rs. 20, 000/-
0.5 % of S.I.
Subject to a
minimum of
Rs. 10, 000/-
-do-
c) Value over
25 lakhs &
upto 50 lakhs
0.7 % of S.I.
Subject to a
minimum of
Rs. 25,000/-
Rs. 15, 000/-
-do-
d) Value over
50 lakhs
0.5 % of S.I.
Subject to a
minimum of
Rs. 25,000/-
Rs. 25, 000/-
- do -
Note :- Excess for Boom section of cranes of above 10 tonnes capacity - In case
damages occur to the crane body as well as boom arising out of the same incident,
the respective excess will be applicable. In case one of the two is damaged, the
corresponding excess only will apply.
C) For Machinery under Group V Rs.2,500/- Flat. Excess
GROUPS OF MACHINERY
Classification of Construction Plant, Equipment and Machinery
Risk Code
Group I
101
Chain Blocks and Pulley Blocks
102
Compressor, Air tools
103
Conveyor belts, site hoists, jacks, screws
104
Cranes up to 10 Tons capacity (except Turner and Derrick cranes)
105
Concrete pumping plant
106
Cement silos, water containers, Surveying Equipment
107
Electrical/Electronic Equipment used for Non-destructive testing
108
Fork Lift Trucks (up to 10 Tons Capacity)

58
109
Mixing Machines, Mixing Plants
110
Pavers for asphalt or concrete finishing
111
Permanent way plant (track-laying machinery, track shifters,

tempers)
112
Portable protection tents
113
Pumps, Transformers, Electric Motors
114
Road rollers
115
Railway trackage
116
Rendering Plant
117
Scrapers, scales
118
Vibrators (vibrating compacting rollers, vibration and Mechanical

tamping equipment, concrete vibrating equipment)
119
Workshop Machines, woodworking Machines, Reinforcement bar

benders, drying plant.
120
Welding set.
121
Surveying equipments
122
Tractor 144D
123
Mosaic Polishing Machines
124
Thermoplastic line marking machine
Risk Code
Group II
201
Aggregate plant
202
Air locks
203
Gas power-generating plant
204
Graders, pan scrappers, rippers
205
Hauling equipment (dumpers, dump cars, dump trucks)
206
Locomotives, field and steam generating engines, track-shifting

machines.
207
Mobile mixing plant
208
Mechanical sweepers
209
Site power-generating plant (gasoline or diesel engines)
210
Stone crushers, screens, separating plant.
211
Tractors/Trailers
59
212
Seismic Data Collection Equipment Note - Transformer Oil Filtration

Unit (Vehicle carrying this unit) to be covered under Mobile Mixing
Plant under this Section
213
Railway track testing coach
214
Stringing machine consisting of hydraulic puller & tensioner used

for the purpose of stringing of transmission lines
Risk Code
Group III
301
Bulldozers
302
Cranes above 10 tons capacity, Turner cranes and Derrick Cranes
303
Diving equipments
304
Excavators (Caterpillar shovels, drag-shovels, power shovels, selfpropelled excavators, truck-shovels, bucket excavators, Bucket
trenches).
305
Loaders
306
Pile driving and pile extracting equipment.
307
Bridge Inspection Machines.
308
Mobile diving Rig.(ON Shore)
309
Pipe jacking M/c
310
Rail Mounted Gantry Crane (RMG)
311
Ballotis
312
Top lift Truck (TLT)
313
Break down vehicle
314
Hydraulic Twin Boom Jumbo Drilling Machine
315
Electro Hydraulic Digging Arm Loader
316
Alimak Raise Climber
317
Merry Go Round Systems (see note 1 below)
Risk Code
Group IV
401
Drilling Machine for Water Supply
402
Tunnel Boring Machines
Risk Code
501
Group V
Other miscellaneous item not specified above with individual value
up to Rs. 1,00,000/60
CONTRACTORS ALL RISK (CAR)

(1) Introduction :
The basic concept of contractors all risk insurance is to offer comprehensive and
adequate protection against loss or damage in respect of the contract works,
construction plant and equipment and construction machinery, as well as for third
party claims in respect of property damage or bodily injury arising in connection
with the execution of a Civil Engg. Project.
Ordinarily a civil engineering contractor tenders for a job on the basis of design
specifications provided by the principal on the basis of soil conditions, weather
conditions etc. Contractor is required to construct the civil engineering structure
on the basis of drawings and specifications for materials prescribed by the architect
or structural engineers. His responsibility is restricted to construct as per the
specifications and designs of the architect and/or designer.
Any loss or damage to the contract works during the course of the construction
due to any cause will result in heavy financial loss to the contractor. Thus in the
event of a claim, contractor will not be in a position to find resources for reinstating
the damaged property at his cost.
The Insurance Policy can be taken by Principal or the contractor or sub contractor.
(2) Risks Covered (in Built) / Coverage :
Any sudden and unforeseen loss or damage occurring during the period of
insurance to the property insured on the building site will be indemnified. The most
important perils are
Fire, Riot & Strike & allied perils, Flood, Cyclone, etc. Theft, Burglary, Construction
Faults like defective material, workmanship, collapse, human errors/lack of skill or
negligence of workers sub. To exclusion.
(T.P. Liability Earthquake & Terrorism under extension cover only)
(3) Exclusions (Only important exclusion taken) :
z Loss or damage due to faulty design
z Cost of replacement of rectification of defective material and/or work-man ship,
but this exclusion shall not be deemed to exclude loss or damage resulting
from an accident due to such defective material and or workmanship.
z Mechanical and or electrical breakdown or derangement of constn, plant, equips.
And constn. Machinery.
(4) Jurisdiction :
This applies to all Risks located in India, for which the value of the Civil Works
involved is more than 50% of the total contract value.
61
(5) Sum Insured :

Basis of sum insured as under :
a) Machinery / Equipments Landed cost at site.
b) Cost of construction.
c) Permanent Civil Engineering Works.
d) Half the escalated value, if escalation is opted for.
(6) Sub-Contractor :
The policy can be taken by either principal / contractor / sub contractor.
As regards sub-contracts forming part of a project, it is claimed that irrespective of
whether the project value has been broken into various sections and orders/
contracts are placed with different suppliers/contractors/sub-contractors or the
insureds carry out the work themselves departmentally, the insurances for all such
sub-contractors are subject to these General Regulation.
(7) Computation of Premium :
Premium shall be computed for the total period commencing from 1)
Commencement of Work or 2) Date of arrival of the first consignment at the site of
erection whichever is earlier.
(8) Mid-term increase during policy period :
The premium should be collected on the additional sum insured at applicable CAR
rates, on short period basis from inception period.
62
CONTRACTORS ALL RISKS INSURANCE

RATE SCHEDULE
Risk
Code
(1)
Sr. Rate
No. Code
(2)
(3)
Risk
Premium Rates (%o)
Sum insured up to
Rs.1500Cr.,Excess
5 % of claim amount
subject to Min of Rs
Minimum
Rate up
to first
3 months
Addl. Rate
per month
beyond
3 months
Normal
AOG/Major
Perils/
Collapse
(5)
(6)
(7)
(8)
(4)
1. Residential and commercial buildings, Office buildings, Schools, Universities,

Hotels, Motels, Restaurants, Hospitals, Airport buildings of all the floors above
the foundation level, i.e. all floors including basement floors, are to be considered for
rating of Storied Buildings
011011
a)
01
Other than RCC and not

more than 2 storeys
1.00
0.02
15,000/-
50,000/-
012032
b)
04
Other than RCC and

exceeding 2 storeys
and upto 5 storeys
1.75
0.025
25,000/-
1,00,000/-
013022
c)
01
RCC framed structure

not more than 5 storeys
1.50
0.025
25,000/-
1,00,000/-
014043
d)
02
RCC Framed structure

above 5 storeys and
upto 10 storeys
2.00
0.03
25,000/-
1,00,000/-
--
e)
03

above 10 storeys and
upto 15 storeys
2.25
0.035
25,000/-
1,00,000/-
016096
f)
05

upto 25 storeys
3.00
0.05
2,50,000/-
10,00,000/-
017106
g)
07

upto 30 storeys
3.25
0.05
2,50,000/-
10,00,000/-
--
h)
08

upto 40 storeys
3.50
0.05
2,50,000/-
10,00,000/-
--
i)
09

upto 50 storeys
3.75
0.05
2,50,000/-
10,00,000/-
--
j)
10

upto 60 storeys
4.00
0.05
2,50,000/-
10,00,000/-
63
2. Theaters, Auditorium and Cinema Halls 021041
a)
04
Height not exceeding

22 m and span not
exceeding 10 m
2.00
0.02
15,000/-
50,000/-
022043
b)
04
Height not exceeding

22 m and span
exceeding 10 m
2.00
0.03
25,000/-
1,00,000/-
023063
c)
05
Height exceeding 22 m
and span not
exceeding 10 m
2.25
0.03
50,000/-
2,00,000/-
024073
d)
06
Height exceeding 22 m
and span exceeding 10 m
2.50
0.03
50,000/-
2,00,000/-
3. Factory sheds, Warehouses, Cold storages, Hangars

031061
a)
05
Other than RCC

construction
2.25
0.02
50,000/-
2,00,000/-
032041
b)
03
RCC
2.00
0.02
25,000/-
1,00,000/-
033051
c)
03
Hangars having walls of

I) RCC or ii) Rolled
steel in 50 mm thick
concrete or 100 mm
thick masonry with
panel walls of RCC,
burnt bricks, stone or
concrete bonded in
cement and/or lime
mortar and having roof
of combination of RCC
and GI/ Aluminium/ AC
Sheets on steel RCC
framework.
2.125
0.02
50,000/-
2,00,000/-
4. Chimneys, Silos and Cooling Towers TV Towers 041072
a)
06
Up to 15 m height and
exceeding 10 m
diameter. (Other than
hyperbolic or natural
draught type)
2.50
0.025
50,000/-
2,00,000/-
042115
b)
09
Exceeding 15 m height
and exceeding 10 m
diameter. (Other than
hyperbolic or natural
draught type)
3.50
0.04
50,000/-
2,00,000/-
043128
c)
11
Hyperbolic or Natural
draught cooling tower
4.00
0.105
5,00,000/-
10,00,000/-
64
5. Roads 051042
a)
052073
b)
053095
c)
06
In townships only
2.00
0.025
25,000/-
1,00,000/-
06
In Plain Areas
2.50
0.03
25,000/-
1,00,000/-
09
In Hilly/ Ghat areas
3.00
0.04
50,000/-
2,00,000/-
3.00
0.10
50,000/-
2,00,000/-
2.00
0.025
25,000/-
1,00,000/-
6. Interior decoration works

061097
31
Interior decoration works
7. Runways, Aprons and Air Taxiways at Airports.

071042
04
Runways, Aprons and

Air Taxiways at Airports
8. Subways on Land
091073
a)
33
Width not exceeding 15 m
2.50
0.30
25,000/-
1,00,000/-
092095
b)
35
Width exceeding 15 m
3.00
0.40
50,000/-
2,00,000/-
9. Road bridges, railway bridges, flyovers on land made of

101096
a)
08
Steel
3.00
0.05
25,000/-
1,00,000/-
102116
b)
10
RCC or Pre-stressed
concrete
3.50
0.05
50,000/-
2,00,000/-
103136
c)
13
Other materials
5.00*
0.10*
1,00,000/-
4,00,000/-
* Provisional rates, reference to be made to HO for final rate quotation.

10. Bridges on rivers/creeks, dams/coffer dams, aqua ducts, via-ducts, barrages,
structure works in water
111127
--
21
BRIDGES ON RIVERS
CREEKS, COFFER
DAMS, aqua ducts, Via
ducts, Barrages,
Weir-cum-causeway,
structures in water
6.00
0.10
22,50,000/- 75,00,000/-
11. (I) Reservoirs/Tanks of materials (Other than steel)

121093
a)
09
Surface and under

ground
3.00
0.03
25,000/-
1,00,000/-
122115
b)
11
Overhead
3.50
0.04
25,000/-
1,00,000/-
(II) Reservoirs/Tanks of steel

123062
a)
05
Surface and under

ground
2.25
0.025
25,000/-
1,00,000/-
124073
b)
07
Overhead
2.50
0.03
25,000/-
1,00,000/-
12. Tunnels and/ or other civil constructions therein

132167
25
Below water
10.00
0.10
60,00,000- 120,00,000/-
131157
ii
23
Others
7.00
0.10
30,00,000/- 75,00,000/-
Bridges on rivers/creeks,
Dams, Coffer dams etc
6.00
0.10
22,50,000/- 75,00,000/-
133147
65
13. Water supply 151043
--
04
Water Supply
Installations for housing
colonies including pump
house with pumps,
valves and piping and
water supply lines but
excluding water storage
tanks
2.00
0.03
15,000/-
50,000/-
Note - Laying of Water Pipelines Water Supply Scheme - to be rated as per EAR tariff
14. Sewage disposal
161043
a)
04
System for Housing

Colonies including
Pump house with pump,
sewage treatment
Plant, holding ponds,
sewer/ drainage lines
and storm water
drains & Channels
2.00
0.03
15,000/-
50,000/-
15. Underground and overhead water storage tanks for residential/ commercial
buildings and housing colonies
171073
05
Underground and
overhead water storage
tanks for residential/
commercial buildings
and housing colonies
2.50
0.03
15,000/-
50,000/-
0.03
15,000/-
50,000/-
0.02
15,000/-
50,000/-
0.02
15,000/-
50,000/-
16. Ground leveling and area reclamation work

181013
16
01
Ground leveling and

area reclamation work
1.00
17. Fixing of pre-cast RCC Parts for buildings

191011
17
01
Fixing of pre-cast RCC

Parts for buildings,
construction of
compound wall and
weather sheds for
existing building/
apartments, Other
sundry works for
residential/ commercial
buildings like water
proofing plastering
of walls
1.00
18. Sundry works for residential/ commercial buildings

201011
18
01
Other sundry works for

residential/ commercial
buildings like water
proofing plastering
of walls
1.00
66
19. ALL OTHER RISKS NOT COVERED

211137
19
All other risks not

covered (Provisional
Rate)
5.00
0.10
1,00,000
4,00,000/-
2.75
0.50
1,00,000/-
4,00,000/-
4.00
0.105
5,00,000/-
10,00,000/-
3.50
0.05
5,00,000/-
10,00,000/-
0.10
1,00,000/-
4,00,000/-
0.03
50,000/-
2,00,000/-
20. Under ground cable ducting

221089
20
08
Under ground cable

ducting
21. Natural Draught Cooling Towers

231128
21
13
Natural Draught
Cooling Towers
22. Pile Foundations

241116
22
09
Pile Foundations alone

in respect of buildings
& other structures
23. Canals/ culverts (Not involving works under water)

251087
23
07
Canals/ culverts
(Not involving works
under water)
2.75
24. Laying of railway track/ Railway Gauge conversion

260000
24
08
Railway Gauge
conversion (Meter
gauge to Broad gauge)
Laying of railway track
3.00
25. Aquaculture Project

270000
25
Aquaculture Project : Laying of HDPE Pipes/Accessories for Sea Water

Intake Systems for Aquaculture Project - to be rated as Works in Water
67
ELECTRONIC EQUIPMENT INSURANCE

Section I - Equipments
This policy covers sudden and unforeseen material damage to electronic equipments
due to any cause like Fire, Riot, Strike & allied perils, natural calamity like flood,
cyclone, earthquake, explosion, machinery breakdown, short circuit & voltage
fluctuations, theft, burglary, human error, falling object & entry of foreign bodies etc.
Sum Insured
The sum insured must be the present day replacement value of similar new electronic
equipment including therein all incidental expenses like cost of erection, duty, freight,
taxes etc.
Section II - External Data Media
Section I cover only the material damage to the hardware of equipment whereas
punch card paper tapes, magnetic tapes, disks & cost of reconstruction of date on
these external data media may be covered under Section II only if damaged due to
identifiable peril and if back up system is available.
Section III - Increased Cost of Working
If there is accidental damage to the insured computer and insured will use substitute
computer system then increased cost of hiring computer system is insurable. Additional
expenditure incurred as a result of failure of the EDP system necessitating the use of
a substitute external system can also be covered. Sum insured shall be the amount
which the insured would have to pay as additional expenditure for 12 months use of
substitute EDP equipment of similar performance to the EDP equipment insured.
Discounts for Deleting Fire & Allied Perils
In case of equipment covered under EEI Policy as also Fire Policy. If the insured
desires to delete fire and allied perils the following disorients are permitted.
Cover
Discounts
1. EEI + SF&SPP + EQ
10% of the applicable EEI Rate
2. EEI + SF&SPP without STFI or

RSMDT or EQ
7.5% of the applicable EEI Rate
3. EEI + SF&SPP without STFI &

RSMDT & EQ
5% of the applicable EEI Rate
Discount for opting Higher Excess

Higher Excess
Discount in
Tariff Rates
7% of the claim amount subject to a minimum of Rs.3000/-
5%
10% of the claim amount subject to a minimum of Rs.5000/-
10%
12% of the claim amount subject to a minimum of Rs.10, 000/-
20%
15% of the claim amount subject to a minimum of Rs.20, 000/-
30%
Minimum Premium: The minimum premium shall be Rs.250/68
ELECTRONIC EQUIPMENTS INSURANCE

RATE SCHEDULE
Section
I Equipments
II External
Data Media
III Increased
cost of
working
Risk
Code
Description
Rate
010101
Personal Computers
010201
EDP System
010301
Process Control Equipment
010401
Communication Equipment
010501
Laboratory Equipment
010601
Office Equipment
010701
CNC Machines/ Robots

(used in manufacturing)
010801
Film and Television (Studio)

Equipment
010901
Miscellaneous Electronic
Equipment
011001
Bio-medical Equipment
020101
Data Media such as Tapes,

Disc Packs, Spools,
Cartridges etc.
020201
Expenses for Reconstruction

and re-recording of information
030101
With
AMC
Without
AMC
1.00 %
1.00%
1.00%
2.00%
As per Section I
Rate
Rates in percent
Time
Excess
(Working
hours)
Indemnity period in weeks

Upto 12
Upto 26
Upto 40
Upto 52
96 hrs
0.70
0.80
0.90
1.00
168 hrs
0.65
0.75
0.85
0.90
336 hrs
0.50
0.60
0.65
0.70
672 hrs
0.30
0.40
0.45
0.50
Note - 1 week = 7 days, 1 day = 24 computer working hours

69
EXCESS
A. FOR PERSONAL COMPUTER : 5% of claim amount subject to minimum of
RS. 2500/B. FOR V SAT EQUIPMENT : 1. for AOG perils : 10% of claim amount subject to
minimum of RS. 10000/- 2. for other claims As per EEI tariff.
C. FOR OTHER ITEMS :
a) For equipments with value upto Rs. 1 lakh i)
Equipments (other than Winchester

Drive & or hard disc drive)
ii) Winchester Drive & or hard disc drive
5 % of claim amount subject

to a minimum of Rs.1, 000/10 % of claim amount subject
to a minimum of Rs. 2, 500/-
b) For equipments with value more than Rs. 1 lakh i)
Equipments (other than Winchester

Drive & or hard disc drives)
ii) Winchester Drive & or hard disc drive
5 % of claim amount subject

to a minimum of Rs.2, 500/25 % of claim amount subject
to a minimum of Rs. 10,000/-
In case of computers, the term equipment shall include the entire computer system
comprising of CPU, Key boards, Monitors, Priniters, Stabilisers, UPS, System Software
etc.
70
DETERIORATION OF STOCKS (POTATOES)

INTERNAL GUIDE RATE SCHEDULE
I.
Rates and Deductibles for Machinery Insurance cover for cold storage plant shall
be as per rate schedule for Group III Machinery of MI Guide Tariff.
II. Rates for deterioration of stocks insurance for cold storage plants shall be as
under :
Rate for cover upto 7 months :
(a) In respect of cold storages which have opted for FOES extension -0.56%
(b) In respect of cold storage which have not opted for FOES - 0.42%
Rate for per month cover beyond 7 months and upto maximum of 12 months :
(a) For cold storages, which have opted for FOES extension: 0.08% for every
extra month or part thereof.
(b) For cold storages, which have not opted for FOES extension: 0.06% for every
extra month or part thereof.
Discount in above rates can be granted as per the technical & commercial discounts
scales based on the risk inspections.
Note : These rates are to be charged on the sum insured i.e. the value of the
potatoes obtained by multiplying the maximum storage capacity of the Cold Storage
by the average price of the potatoes at the time of storage. The price shall include
storage charge for the whole season.
This is further subject to the following :
Cold Storages run on Captive Power only i.e. without having public electric supply
arrangement may also be granted DOS cover provided the cold storage has at
least 100% standby arrangement. Losses arising out of breakdown in DG Sets /
any other source of Captive Power shall be considered under FOES extension.
Deductible Franchise (excess) :
The compulsory deductible franchise applicable to each and every claim under
the policy shall be as under :
(a) In respect of claims falling under FOES extension/ Claims arising out of damage
to DG sets/any other source of Captive Power - 20% of the claim amount
subject to a minimum of Rs.20,000/-.
(b) In respect of other claims - 10% of the claim amount subject to a minimum of
Rs.20,000/-.
The above deductible franchises are in addition to franchise for lack of spare parts
as follows :
Compressors
Rs. 10,000
Diffusers
Rs. 5,000
Diffuser-motors
Rs. 5,000
Expansion Valves
Rs. 5,000
Note :
A) In case of annual policies, cover should relate to all the chambers of the Cold
71
Storage and no partial insurance for selected chambers is permitted even at the
instance of banks/financial institutions.
For policies issued for a period less than 12 months, all chambers of the cold
storage that are likely to be used during the entire policy period must be declared
at the time of taking the policy for their full value.
CLAIMS EXPERIENCE DISCOUNTS AND LOADINGS Average claims ratio in % for
5 years preceding the expiring
policy period
Discount
(%)
Load-ing
(%)
EXCESS
Up to 05
30
Policy Excess
Above 05 and up to 15
25
Policy Excess
20
Policy Excess
15
Policy Excess
10
Policy Excess
Policy Excess
Nil
Nil
Policy Excess
Policy Excess
10
Policy Excess
15
Policy Excess
20
Policy Excess
Beyond 150 and up to 200
35
Policy Excess
Beyond 200 & UPTO 300
35
1.5 TIMES Policy Excess
ABOVE 300 AND UPTO 400
40
2 TIMES Policy Excess
ABOVE 400 AND UPTO 500
45
2.5 TIMES Policy Excess
50
3 TIMES Policy Excess
Above 1000
100
5 times Policy Excess
Loading and Discount will apply for all proposals. In case more than one policy is
issued in one compound all such policies issued in the compound shall attract the
loading/discount.
i)
The claim experience is to be considered for both M.I. & DOS.
ii) The claims ratio to be calculated on incurred basis.

C) Rates will be decided taking into account the claims experience during the 5 years
preceding the expiring policy period. To become eligible for a discounted rate,
the policy should have run continuously for a period of 3 years. Loaded rate, if
any, shall however, be decided from the second year itself.
Rates for Extension beyond policy period:
In case extension of policy period is desired during the currency of the policy, the rate
applicable for such extension period shall be the monthly tariff rate loaded by an extra
of 25%, which should be applied on the balance Sum Insured as on the date of expiry
of the initially selected policy period.
72
BOILER AND PRESSURE PLANT INSURANCE

INTERNAL GUIDE RATING SCHEDULE
Premium rates for insurance of steam boiler explosion and collapse including flue gas
explosion are as follows The rates are also applicable to the fittings, super heaters, and built-in-economisers Group
Risk
Code
Type of Boiler
Basic Rate
Stipulated
(Rs. Per mille) age for basic
rate (Years)
1(a)
0101
Coal Fired Boilers
0.80
25
1(b)
0102
Pulverized Coal Fired Boilers
0.80
25
1(c)
0103
Oil Fired Boilers
0.80
25
1(d)
0104
Bagass /Husk Fired Boilers
0.80
25
2(a)
0201
Recovery Boilers
0.80
20
2(b)
0202
Waste Heat Boilers
0.80
20
2(c)
0203
Gas Fired Boilers.
0.80
20
0301
Unfired Vessels/ Pressure Plants
0.40
20
0401
Steam Pipes
0.20
--
NOTES
1. For recovery boilers, the basic rate is including explosion due to smelt water
reaction.
2. The basic rate is applicable up to the age stipulated
3. The basic rate will have to be increased @ 0.005 per mille per year for each year
in excess of the stipulated age.
Example for (1) age of boiler at the time of insurance is say 30.
Rate
0.80 + 0.005 x (30-25)
0.80 + 0.025
0.80+ 0.025 = 0.825 per mille
4. For boilers not required to be certified by the boiler inspectorate the rate to be
loaded by 50 %
EXCESS: - 5% of claim amount subject to a minimum of Rs. 10,000/ADDITIONAL RATES 1. EXPRESS FREIGHT (AIR FREIGHT EXCLUDED), HOLIDAY AND OVERTIME
RATES OF WAGES
The additional premium for covering express freight (air freight excluded), holiday
and overtime rate of wages, will be at the average rate applied on the limit selected.
2. AIR FREIGHT
The rate and excess as under shall be charged exclusively for items of air freight
73
only and subject to the limit selected by the Insured for indemnity against air freight
only.
Rate
2 % on the amount of indemnity selected
Excess
5 % of the Air Freight incurred per claim
3. INSUREDS OWN SURROUNDING PROPERTY Additional premium for covering surrounding property will be at an Additional
premium of 25 % of the gross average rate applied on the limit of liability selected
with excess of 1% of the limit of liability selected.
4. THIRD PARTY LIABILITY
Third Party Liability could be covered at an additional premium of 25 % of the
gross average rate applied on the limit of liability chosen for third party liability.
The excess applicable will be 1% of the TPL limits selected.
Maximum sum insured under this extension should not exceed 10% of S.I. subject
to maximum of Rs. 10 Crs per location.
5. ADDITIONAL CUSTOMS DUTY
The cover for Additional Custom Duty will be subject to the following rates, terms
and conditions a) The cover for Additional Custom Duty will be on first Loss Basis,
b) The specific limit for Additional Custom Duty - either in percentage or in amount
- has to be selected by the Insured at the inception of the Policy and can be
reinstated in the event of loss,
c) The rate and excess will be as under
Rate
1 % to be charged on the Additional Custom Duty amount

selected
Excess
5 % of the admissible Custom Duty increased, in addition

to the Excess amount applicable for the affected item under
the Policy. Subject otherwise to the terms conditions and
exceptions of the policy.
6. ESCALATION PROVISION The additional premium payable will be at 50 % of the full rate, to be charged on
the selected percentage increase.
7. GROSS RATES All rates specified in this Guide Tariff are Gross Rates and Agency Commission/
Brokerage (or discount in lieu of Agency Commission) can be allowed from these
rates, as per the Rules prevailing from time to time.
8. COMPUTATION OF RATE :
1. BASE RATE (Including age extra)
2. Add Non IBR extra if applicable
3. Apply technical / commercial discounts on rates arrived at 2 above
9. EXCESS :
5% of claim amount subject to a minimum of INR 20,000/-.
74
ERECTION ALL RISKS / STORAGE-cum-ERECTION INSURANCE

The brief details of our Erection Insurance Scheme are as under :Subject Matter :All kinds of industrial machinery small or big, old or new, high or low speed etc used
for production purposes.
Insured Party :The Insured Party can be manufacturer, Supplier, Contractor, Sub-Contractor or owner
of the machinery.
The policy can be taken jointly by owner covering the interests of all other parties i.e.
Main Contractor, Sub-Contractor etc.
Cover :The Policy covers accidental damage due to any cause except those which are
specifically excluded in the policy.
Risk Covered :Act of God Risk :All kinds of Act of God like earthquake subsidence, landslide, rockslide, flood,
inundation, storm etc.
Other Perils :Fire, theft, burglary, strike, riot, civil commotion, tearing apart on account of centrifugal
forces, short circuit, sabotage, faults in erection, lack of skill and carelessness, entry
of foreign object, falling object.
Risk not Covered :1.
2.
3.
4.
5.
6.
7.
War and similar other risks including Nuclear reaction.

Damages falling under manufacturers guarantee.
Losses discovered at the time of taking inventory.
Cost of rectification or correction of any error during erection unless results into
physical loss.
Willful act or gross negligence of the Insured.
Consequential loss of any kind and contractual liability.
Normal wear and tear gradual deterioration due atmospheric condition resulting
into rust, scratching of painted ad polished surface, breakage of glass etc.
Sum Insured :The Sum Insured should be clearly specified in the policy for each and every item of
the machine stating the FOB/CIF value plus incidental expenses like cost of erection,
custom duty, excise duty, octroi, freight, insurance charges etc in the proposal form
submitted.
Period of Cover : The period of cover is given according to the requirement of the client varying from
1 month upon 12/24/30/36 months as may be required and it includes usually
1 mothss test period for each machine.
One can select more than 1 months test period upto maximum 3 months by paying
additional premium. For old machinery testing period is not covered.
75
Deductible Franchise :From each and every claim insured is required to share the loss upto the amount fixed
as deductible franchise. The purpose of deductible franchise is to avoid small losses
and administrative work. If deductible franchise selected is higher than normal, then
certain discount is allowed in premium.
Basis of claim settlement :a)
In the event of partial loss :- Repair charges on the replacement charges of the
spare parts or components plus incidental charges for dismantling, subsequent
re-erection plus to and for freight plus insurance charges, duties, taxes less salvage
and Deductible Franchise will be payable.
b) In the event of total loss :- The replacement value of the item immediately before
the accident less salvage and Deductible Franchise will be payable.
Before final settlement of the claim, the Sum Insured is examined and if it is found to
be more than originally declared. The settlement of claim is done subject to condition
of average.
In the event of claim the Insured is allowed to go ahead with the repairs/replacement
of spare parts as may be necessary. The Insured is not necessarily obliged to wait for
the survey to be conducted. Surveyors will examine the damaged parts which may be
preserved separately for inspection at a convenient date and for approval of the
estimate of repairs/replacement.
Extension of Basic Cover :Erection Policy can be suitably extended for the various purposes may be required by
paying extra permium as under :1.
Third Party Liability - for property damage and personal Injury.
2.
Cost of removal of debris.
3.
Cost of tools and tackles used for erection purposes.
4.
Civil Engineering works connected with Erection of plant machines.
5.
Escalation Clause
6.
Surrounding property belonging to insured.
7.
Extended maintenance cover.
8.
Catalysts during test period.
9.
Maintenance period.
10. Express Freight, Overtime charges.

Marine-cum-Erection
Our standard Storage-cum-Erection Policy can also be extended to cover Marine
Voyage and local transit on All Risk basis from warehouse of supplier to warehouse
at site of erection. Our Marine-cum-Erection Policy covers the risk right from the time
Machinery dispatched from sellers warehouse to warehouse at site of erection, then
during storage at site actual erection and during trials and testing operation.
76
ACCIDENT COVERS
PERSONAL ACCIDENT (INDIVIDUAL)
COVERAGE :
Covers Death and Disablement caused by accident during the policy period at any
time. World Wide - 24 hrs cover.
Age: 5 years to 70 years. Continuous renewal after 70 years allowed. (If necessary
with loading)
BENEFITS :
1. Death
100% CSI
2. Loss of 2 limbs or 2 Eyes or 1 limb and 1 eye.
100% CSI
3. Loss of 1 limb or 1 eye
50% of CSI.
4. Permanent Total Disability
100% CSI
5. Permanent Partial Disability
% As per Table
6. Temporary Total Disablement
1% of CSI subject to 3000/per week - Max 100 Weeks.
RATING :
Based on Risk Group consisting of I, II and III.
The brief classification of Risk Groups is as under :
Risk Group I :
Accountants, Doctors, Lawyers, Architects, Consulting Engineers, Teachers,
Bankers, and Persons engaged in administrative functions, Persons primarily
engaged in occupations of similar hazard.
Risk Group II :
Builders, contractors and engineers engaged in superintending functions only,
veterinary doctors, paid drivers of motor cars and light motor vehicles and persons
engaged in occupations of similar hazard and not engaged in manual labour.
Risk Group III :
Persons working in underground mines, explosives magazines, workers involved
in electrical installation with high tension supply, jockeys circus personnel, persons
in activities like racing on wheels or horseback, big game hunting, mountaineering,
winter sports, skiing, ice hockey, ballooning, hang gliding, river rafting, polo &
persons engaged in occupations/activities of similar hazard.
Premium Rates (Per Mille) :
Risk Group
Benefits
I
II
III
1 to 6
1.50
2.00
3.00
1 to 5
1.00
1.25
1.75
1 to 4
0.70
0.90
1.30
1 Only
0.45
0.60
0.90
FAMILY PACKAGE COVER :
a) Earning Member (Person Insured) and Spouse if earning 100% of CSI for each.
b) Spouse if not earning - 50% of CSI of the earning member or Rs. 25 lakhs whichever
is lower. However, Table A benefits restricted to 50% S.I. of earning member or
5 lakhs whichever is leas.
c) Dependant Children between the Age of 5 and 25 years 25% of CSI of earning
77
member or Rs. 5 lakhs whichever is lower per child. (Cover excludes Table
A benefits)
Discount of 10% on Gross Premium under the Family Package Cover, can be allowed.
SUM INSURED :
Table A should not exceed 24 months Income and the total sum insured comprising
all the table should not exceed 72 months Income.
EXTENSION :
Policy can be extended to include Medical Expenses arising out of accident to the
extent of 40% of valid claim, by charging 20% additional premium.
CUMULATIVE BONUS :
The Sum payable under item 1 to 4 can be increased by 5% for every claim free year
on renewal of policy upto a limit of 50%
IMPORTANT EXCLUSIONS :
Services on Duty with any armed forces
1) Services on Duty with any armed forces
2) Intentional Self Injury / Suicide / Attempted Suicide / Insanity / Venereal disease,
under the influence of intoxicating Drugs
3) Aviation other than as Passenger
4) Committing any breach of law with criminal intention.
5) Medical or surgery expenses (except where such treatment is rendered necessary
within the scope of the policy and medical extension taken).
Table : Permanent Partial Disablement
Parts Lost
Percentage of
Capital sum Insured
i)
Loss of toes all
20
Great both phalanges
05
Great one phalanx
02
Other than great, if more then one toe lost each
01
ii) Loss of hearing both ears
75
iii) Loss of hearing one ear
30
iv) Loss of four fingers and thumb of one hand
40
v) Loss of four fingers
35
vi) Loss of thumb both phalanges
25
one phalanx
10
vii) Loss of index finger three phalanges or
two phalanges or one phalanx
10
viii) Loss of middle finger three phalanges or
06
ix) Loss of ring finger three phalanges or
05
x) Loss of little finger three phalanges or
04
xi) Loss of metacarpals first or second
(additional) or third, fourth or fifth (additional)
03
xii) Any other permanent partial disablement
Percentage as
assessed by the Panel
Doctor of the Company
78
PERSONAL ACCIDENT INSURANCE POLICY WITH

MEDICAL EXPENSES ARISING OUT OF ROAD ACCIDENT
(RASTA APATTI KAVACH)
The policy offers PERSONAL ACCIDENT cover including reimbursement of
Hospitalisation expenses incurred due to road accident.
SECTION - I PERSONAL ACCIDENT
If the Insured/Insured Person shall sustain any bodily injury resulting solely and directly
from Accident caused by outward, violent and visible means then the Company shall
pay/reimburse to the Insured the sum hereinafter set forth that is to say :a) If such Injury shall within twelve Calendar months of its occurrence be the sole
and direct cause of the death of an insured/insured person the capital sum insured
in the schedule hereto.
b) If such injury shall within twelve Calendar months of its occurrence be the sole
and direct cause of the total and irrecoverable loss of sight of both eyes or both
hands or both feet or of the actual loss of one eye and such loss of one of two
entire hands or two entire feet, or of the one entire hand and one entire foot, or of
such loss of sight of one eye and such loss of one entire hand or such loss of one
entire foot of an insured person the Capital Sum Insured in the schedule hereto.
c) If such injury shall within twelve Calendar months of its occurrence be the sole
and direct cause of the total and irrecoverable loss of sight of one eye or of the
actual loss of one entire hand or one entire foot of an insured person, fifty percent
(50%)of the Capital Sum Insured stated in the Schedule hereto.
d) If such injury shall as a direct consequence thereof immediately, permanently,
totally and absolutely disable an insured person from engaging in being occupied
with or giving attention to any employment or occupation of any description
whatsoever, the Capital Sum Insured stated in the schedule hereto.
SECTION II - Medical Expenses for bodily injury caused by and arising out of road
accident.
In the event of any claim becoming admissible under this scheme, the company will
pay/reimburse to the Insured person the amount of Capital Sum Insured & expenses
as would fall under different heads mentioned below, and as are reasonable and
necessarily incurred thereof by or on behalf of such Insured Person, but not exceeding
the Sum Insured in aggregate in any one policy period, as defined hereinafter.
A) Room, Boarding Expenses as provided by the hospital/nursing home.
B) Nursing Expenses.
C) Surgeons, Anesthetists, Medical Practitioners, Consultants, Specialists Fees.
D) Anesthesia, Blood, Oxygen, Operation Theater Charges, Surgical Appliances,
Medicines & Drugs, Diagnostic Materials and x-ray, Artificial Limbs & Cost of Organs
and similar expenses.
E) Ambulance Charges for carrying the injured from accident spot to Hospital and at
the time of discharge upto residence.
79
EXTENSION :
HOSPITALISATION EXPENSES ARISING OUT OF ACCIDENT IN THE COURSE
OF EMPLOYMENT
AGE LIMIT :
This insurance is available/applicable to persons between the age of 5 years and 80
years. This age limit is not applicable to third party and unnamed passengers.
SUM INSURED :
Section I
PA Cover - Rs.25000, Rs.50000, Rs.75000 or Rs. 100000 per person
Section II
Medical Expenses for Road Accident upto Rs. 25000, Rs.50000,

Rs.75000, or Rs.100000 as selected
Extension
Medical expenses whilst accident on duty upto Rs.25,000/-,

Rs.50,000/-, Rs.75,000/-, or Rs.1,00,000/- (within the limits of
Section II above) as selected.
PREMIUM :
SUM INSURED
RS.
SECTION I - 25,000
SECTION II - 25,000
SECTION I - 50,000
SECTION II - 50,000
SECTION I - 75,000
SECTION II - 75,000
SECTION I - 1,00,000
SECTION II - 1,00,000
BASIC PREMIUM
RS.
40
80
120
160
EXTENSION FOR HOSPITALISATION EXPENSES ARISING OUT OF ACCIDENT

IN THE COURSE OF EMPLOYMENT
(For Factories & Industrial Establishments)
(This premium is inclusive of basic cover)
SUM INSURED
RS.
25,000/50,000/75,000/1,00,000/N.B.
BASIC PREMIUM
RS.
(40+25)
(80+50)
(120+75)
(160+100)
1. No income tax benefit

2. Service tax as applicable
3. Sum Insured limit of basic cover for hospitalisation expenses remains the
same for extending coverage of industries in the course of employment
80
The above policy is also available for groups as under :The Group Personal Accident policy will be available to any Group/Association/
Institution/ Corporate Body like Fleet owners, Riksha owners Association, Contract
Bus owners Association etc. consisting of more than 50 persons provided it has a
central administration point. Each Insured should cover all eligible members (Insured
Persons) under one group policy only. The proposer/such group can also cover
passengers travelling in their vehicle & also Third parties.
Group Discount
The Group Discount is permissible as per the following scale depending upon the
total number of Insured Persons covered under the Group policy at the inception.
Increase/Decrease in the sizes of the group during the currency of the policy is
permissible. The final Group discount (increase/decrease) will be adjusted on the
basis of the size of the group existing on the last day of the policy period provided the
policy is renewed for the next 12 months.
No. of Persons Insured under the Group Policy
Group Discount %
First
100
Persons
15
Next
400
Persons
20
Next
500
Persons
25
Next
4000 Persons
30
Next
5000 Persons
35
Next
15000 Persons
40
Next
25000 Persons
50
Over and above 50000 Persons
66.2/3
Bonus / Malus :
a) LOW CLAIM RATIO DISCOUNT (BONUS) :
Low claim Ratio Discount at the following scale will be allowed on the Total premium
at renewal only depending upon the incurred claims ratio for the entire group insured
under the Group Mediclaim Insurance Policy for the preceding 3 completed years
excluding the year immediately preceding the date of renewal. Where the Group
Mediclaim Insurance Policy was not in force for 3 completed years, such shorter
periods of completed years excluding the year immediately preceding the date of
renewal will be taken into account.
Incurred Claims ratio under the group Policy
Discount %
Not Exceeding 60%
Not exceeding 50%
15
Not exceeding 40%
25
Not exceeding 30%
35
Not exceeding
40
25%
81
b) HIGH CLAIM RATIO LOADING (MALUS)

The Total Premium payable at renewal of the group policy will be loaded at the
following scale depending upon the incurred claims ratio for the entire group insured
under the Group Mediclaim Insurance Policy for the preceding 3 completed years
excluding the year immediately preceding the date of renewal. Where the Group
Mediclaim Policy has not been in force for the 3 completed years, such shorter
periods of completed years excluding the year immediately preceding the date of
renewal will be taken into account.
Incurred Claims Ratio under the Group Policy
Loading %
Between 80% and 100%
25
55
90
120
150
Over 200%
Cover to be reviewed
Note : Incurred claim would mean claims paid plus claims outstanding in respect of
the entire group insured under the policy during the relevant period.
Details of Insured Person
The Insured shall be required to furnish a complete list of Insured Persons in the
following format according to Sum Insured. Any additions and deletions during the
currency of the policy should be intimated to the company in the same format. However
such additions and deletions will be incorporated in the policy from the first day of the
following month subject to pro-rata premium adjustment. No change of sum Insured
for any Insured Person will be permitted during the currency of the policy.
Sr.No.
Names of Insured Persons with

their Salary Roll No. or any such
identification for Employees
Members of the Insured
Age
Sex
Name of
Nominee/
Assignee
Sum
Insured
1.
2.
3.
1.
2.
3.
No refund of premium will be allowed for deletion of Insured Person in the event of
Insured Person having made/recovered a claim under the policy.
All other terms, condition and per person premium is as per the Individual policy
mentioned above.
82
PACKAGE COVERS
JEWELLERS BLOCK INSURANCE
This is a special package policy devised to meet the various insurance requirements
of jewelers pursuing their business.
Moral hazard is of considerable importance in this class of business. Proposers
who are known for their integrity, good reputation may be accepted with the permission
of R.O.
A careful scrutiny of the proposal form is also necessary in order to know the claim
history, security factors, since earlier history has bearing on underwriting; a proposal
of jeweler operating for the 1st year is a bad risk.
The proposal form is a detailed one. Since the business relates to valuable items like
gold and jewellery, the security factors of the risk assume considerable importance.
Answers to question 3 of the proposal form should be carefully scruitinsed. The question
relates on particulars of safe, occupancy at night, night watchman, burglar alarm
system, etc. Separate limits (sums insured) are provided for risks on the premises,
outdoor risk when the property is in the custody of gold smiths, brokers, agents, cutters,
partners and employee, including transit risks. There is separate item for furniture
fixtures and fittings at the premises. The proposer has to complete question No.8 very
clearly, giving full values of insurance. The basis of valuation shall be the insured cost
plus 10% thereof.
1. Scope of Cover
The cover accorded by the policy is divided into 4 sections as under :
Section I
This section covers loss of or damage to property, whilst contained in the premises
where the insureds business is carried on or at other premises where the insureds
property is deposited as specified in the Schedule by Fire, Explosion, Lightning,
Burglary, House-breaking, theft, hold-up, Robbery and Riot and strike damage only.
Terrorism also becomes part of cover at an additional premium of Rs.0.03 per mille.
Limits of indemnity (i.e. Sum insured) are shown separately for :
(A) Property insured on the premises :
(1) Property in display windows
(2) Property in locked safe on the premises
(3) Elsewhere in the premises
(B) Cash and currency notes:
(1) Bank Lockers
(2) Private Lockers (Address of all Lockers required) subject to insured
maintaining separate register to record all deposits, withdrawal in such
lockers.
The property insured is defined as stock in trade consisting of jewellery,
gold and silver ornaments, pearls, precious stones, cash, currency notes,
83
etc. usual to the conduct of the insureds business, belonging to him or held
in trust or on commission for which he is responsible.
The cover is subject to the warranty that all stocks whilst at the premises
specified in the schedule shall be secured in locked burglar proof safe at
night and at all times out of business hours.
Section II
Loss of or damage to property insured under items (a) and (b) of Section II of the
schedule and carried and conveyed outside the specified premises for the purpose of
insureds business by any cause whatsoever except as herein after provided.
Property insured by the insured excluding cash and currency notes whilst in the custody
of brokers or agents or cutters or cutters or goldsmiths or sorters of diamonds not in
regular employment of the insured, whether directly entrusted by the insured or
otherwise subject to appropriate documentary evidence being available relating to
such entrustment.
Section III
This section covers insured property (excluding cash and currency notes) whilst in
transit within India by:
(a) Registered Insured Post Parcel not exceeding the limit of Rs.5 Lakhs or 10%
of the sum insured under Section I, whichever is less
(b) Airfreight (20% value should be declared to the Airline and included in the
Airway Bill)
(c) Angadia (Courier Service in North is not covered).
Transit by means other than above are covered, Basis of valuation for property
other than cash or currency notes in respect of Section I, II and III shall be the
insureds cost plus 10% thereof.
Note : 1) S.I. under Sec. II & III each should not exceed 25% of sum insured under
Sec. I.
2) The condition of average would be applicable to Sec. II & III also after
taking value of risk in to consideration under Sec. I, II & III.
3) Warranty to be imposed warranted that all property including cash &
currency note whilst at the premises specified in the schedule shall be in
locked safe of standard make at all times out of business hours. It is further
warranted that if numerical safe is used for storage, then combination
number of safe shall be known & used by partners/directors & nominated
employees, Mr./Mrs. - & Mr./Mrs. at all times during the currency of the
policy.
Section IV
This section covers loss/damage to office furniture, fittings being used in connection
with the insureds business whilst contained in the premises where the insureds
business is carried out caused by fire, Explosion, Lightning, Burglary, Housebreaking,
Theft, Hold-up, Robbery and Riot & Strike damage only.
84
Notes :
(a) All the rates are inclusive of Riot & Strike damage risks.
(b) If required by the insured, cover for Earthquake/FST insurance may be
included in the policy at an additional premium as per Fire guidelines.
(c) Coverage under this policy for Sections I and IV only without any coverage
under Sections II and III, if required by the proposer, may be considered.
(d) If claim ratio is favourable appropriate discount may be given as no claim
discount.
2. Rating
The current prem. structure under market agreement is as under:
Section I
Sum Insured
Class I
Class II
Class III
(a) Up to Rs.1 Crore
0.25%
0.35%
0.50%
(b) Above Rs.1 Cr. Up to Rs. 5 Cr.

(on the excess over Rs. 25 lakhs)
0.20%
0.30%
0.45%
(c) Above Rs. 5 Cr. On the excess

over Rs. 50 lakhs)
0.175%
0.275%
0.425%
(d) On the excess over Rs.10 Cr.
0.15%
0.25%
0.40%
Class I means
Watchman employed for 24 hours at all the listed premises.
Class II means
Common watchman for the building or night watchman.
Class III means :

NB :
All others.
Special discount of 10% may be allowed only in respect of those premises

where special protective device or special security measures are adopted,
e.g. built in vaults, strong rooms, closed circuit. T.V. systems, armed guard. In
the event of the insured having more than one of the named protective devices
or security measures a maximum discount of 15% may be allowed in respect
of such premises only which are eligible for the discount.
Section II
(a) On the first part of the aggregate of the individual limits under Section II, upto
50% of Section I sum insured 0.40%
(b) On the next 25% of Sec. I sum insured 0.50%
(c) On the next 25% of Sec. II sum insured 0.70%
Section III : 1% on aggregate sum insured under this section.
Section IV : 0.20% on the sum insured under this section.
Extension of Terrorism cover together with Riot & Strike is given under Section I & IV
only at an additional premium as per Terrorism Pool.
Service Tax 12.36% is payable extra.
85
OFFICE PROTECTION SHIELD (GENERAL)

COVERAGE :
Covers Building, Contents and various other properties that are generally found in
offices against various perils. Policy consists of various sections covering different
properties of the insured.
RATING
Sections
Coverage
BUILDING As per Fire Policy Building including

landlord fixtures, fittings boundary wall and fences.
0.35
OFFICE CONTENTS (Fire 0.65+ Burglary 0.75)

Risk Covered : As per Sec. I including burglary,
robbery and dacoity.
0.50
TENANTS LIABILITY Liability as a Tenant for

damage to Office PremisesIncluding Fixtures and
Fittings. Risk Covered : As per Sec II A
0.35
MONEY INSURANCE Loss of money whilst in transit,

on the premises duringOffice hours and in safe after
office hours, againstany accident and/or misfortune.
2.00
FIEXD GLASS AND SANITARY FITTINGS Covers

loss or damage due to accident/breakage including
Damage to frames.
7.00
FIDELITY GUARANTEE Pecuniary loss caused by

fraud and/or dishonest act of any salaried person
employed by the insured. Additional Rs.10/- per
capita for total number of persons covered.
4.00
ELECTRONIC EQUIPMENT Unforeseen sudden

physical loss or damage due to anyCause other than
those specifically excluded.
Major Exclusions : All pre existing fault or defect,
Wear and tear loss due to climatic conditions defects
or designs or materials for which suppliers are
responsible.
EXCESS : As per Electronic Equipment Policy.
7.50
COST OF REINSTATEMENT OF DATA

Risk Covered : As per Section VI A
7.50
PORTABLE COMPUTERS : Whilst being carried

anywhere in the world.
Risk Covered : As per Sec VI A
15.00
II
II
III
IV
VI
VI
VI
B
C
Rate Per Mille
86
VII
ADDITIONAL EXPENSES ON RENT For alternate

accommodation if premises occupied isDamaged and
declared unfit for occupation.
Coverage as per Sec II A.
VIII
PERSONAL ACCIDENT Coverage for Self and

employees. Benefits terms and conditions as per
P A guidelines.
IX
X
XI
XI
A
B
0.35
As per PA
guide rates
BREAKDOWN OF OFFICE APPLIANCES

Electrical and Mechanical Breakdown
10.00
BAGGAGE Loss or damages to Baggage belonging

to Self and/orEmployees whilst on journey anywhere
in the world.Covers any accident and/or misfortune.
5.00
PUBLIC LIABILITY Death or bodily injury and/or

damage to property ofthird party.
1.00
WORKMEN COMPENSATION
As per W C
guide rates.
1.
Section I and 2 A are compulsory for Owners (Building) insured
2.
Section 2 A compulsory for Tenants (Building) insured
3.
Minimum No. of Sections to be insured by owner is 5 (FIVE)
4.
Minimum No. of Sections to be insured by Tenant (building) insured is 4 (FOUR)
SECTION DISCOUNT
A) For additional 2 sections above minimum sections as per 3 and 4 above : 10%
discount on premium.
B) For additional 4 sections 15% discount on premium.
C) For additional 7 sections 20% discount on premium.
TERRORISM COVER :
Optional.
RENEWAL DISCOUNT :
First renewal 5%
Second renewal 10%
Third renewal 15%
Fourth renewal 20% (maximum)
87
HOUSE HOLDERS INSURANCE

COVERAGE :
Covers the House, Contents and various properties of the householder under one
single policy, against various perils. Policy consists of various sections covering different
RATING
Sections
Coverage
(A)
BUILDING (FIRE)
0.20
(B)
CONTENTS (FIRE)
Risk Covered : Fire, Lightning, Explosion of Gas in
domesticAppliances, Riot and Strike, Malicious
Damage, Flood,Cyclone etc., Impact Damage,
Aircraft Damage, Subsidenceof Landslide Bursting
and overflowing of Water Tanks,Apparatus or
pipes and Earthquake
0.20
BURGLARY AND HOUSE BREAKING

Risk Covered : Burglary, Housebreaking, Larceny or
Theft (Insurance on Contents for this Section should
be equal tovalue mentioned under
Section I (B) above.)
0.60
ALL RISKS
Risk Covered : Jewellery and Valuables against
Loss or damage by accident or misfortune
whilst anywhere in India.
5.00
PLATE GLASS
Risk Covered : Fixed Plate Glass against
accidental damage
7.50
BREAKDOWN OF DOMESTIC APPLIANCES

Risk Covered : Damage caused by and/or solely due
to Mechanical or Electrical breakdown of Domestic
electrical or Mechanical appliances apparatus or
gadgets. Sum Insured should be present day
replacement value of similar new equipment.
0.65
TV/VCR SET ETC.,

Risk Covered : Covered as per Section I & II ,
accidental External means and Mechanical or
Electrical Break down.Legal Liability upto Rs.25000/and Damage to Insured Own property due to
collapse of Antenna upto Rs.3000/-
7.50
II
III
IV
VI
Rate Per Mille
88
VII
VIII
IX
XI
PEDAL CYCLE
Risk Covered : Loss or Damage due to Fire,
Lightning, internal explosion, Riot and Strike,
Terrorism, Malicious Damage, Earthquake, Flood,
Cyclone etc., Burglary, Housebreaking, and/or theft,
external accident and legalliability subject to
limit of Rs.10, 000/-
10.00
BAGGAGE
Risk Covered : Loss or Damage to insured
accompanied baggage by accident or misfortune
whilst the insured is traveling on tour or holiday
anywhere in India.
5.00
PERSONAL ACCIDENT
Risk Covered : As per P A (Individual) Policy
terms and conditions.
As per P A
guide rates.
A - PUBLIC LIABILITY
Risk Covered : Insured Legal Liability for Bodily
injury orLoss or Damage to Property of third
party limited to amountspecified in the Schedule.
0.30
B - WORKMENS COMPENSATION LIABILITY

Risk Covered : Liability for Domestic servants
engaged I the Insured Premises.
As per W C
guide rates.
PERSONAL COMPUTERS
Risk covered : Terms conditions and exclusions
as per Electronic Equipment Policy.
7.50
TERRORISM COVER IS OPTIONAL

SECTION DISCOUNT :
For covering more than 4 and up to 6 sections (including Tariff rated section) 15%
discount on Non Tariff section premiums only. For more than 6 sections (including
Tariff rated sections) 20% discount on Non-tariff section premiums only.
Minimum Sections to be covered : 3 (THREE) Section I & II are compulsory
MAJOR EXCLUSIONS :
Loss or damage by War/Civil War and the like depreciation, wear and tear,
Consequential loss etc.,
89
PORTABLE EQUIPMENT
Laptop Computers / Medical Equipments etc.
1. Risk Covered : Fire, Explosion, Lightning, Riot & Strike terrorist, Burglary / Theft,
Accidental external means, Electrical & Mechanical Breakdown.
2. Basis of valuation is reinstatement value.
3. The value of items covered under this policy individually shall not be less than
Rs. 10,000/-.
4. Following factors to be considered for rating:
a) Power input
b) Mode of Transport
c) Servicing
d) Whether kept at a particular place or transported from one place to another.
e) Persons operating equipment. (If assistants whether qualified)
f) Safety features (in built stabilizers, etc) or back-up units.
g) If re-agents used how are they stored, whether of inflammable nature.
h) Frequency of transit (whether daily/weekly)
5. If the geographical scope is within a radius of 100 kms from normal residence, the
given rate will be applied. If a wider scope required, the rate may be suitably
loaded.
6. Rate : It may range from 1.75% to 2.50% depending upon the above factors.
Loading as under on basic rate to be applied.
Age of the equipment
Loading (%)
Over 2 years up to 5 years
10%
25%
Over 10 years
30%
7. Excess :
Age of the equipment
% of S.I.
Minimum Excess
1%
500/-
1.5%
750/-
2%
1,000/-
Up to 2 years
Over 5 years
For theft, the excess would be 25% of the claim amount.

Minimum Premium : Rs.50/- + 12.36%( S.T.)
90
SHOPKEEPERS INSURANCE
COVERAGE :
Covers Building, Contents and various other properties of a Shopkeeper under a
Single Policy against various perils. Policy consists of various sections covering different
RATING
Sections
Coverage
(A)
FIRE - BUILDING
0.55
(B)
FIRE - CONTENTS (Excluding Money and Valuables)

Risk Covered : Fire and Allied PerilsTotal Sum
Insured under item A & B should not exceed
Rs.10 crores.
Risk Covered : Fire, Lightning, Explosion of Gas in
domestic Appliances, Riot and Strike, Malicious
Damage, Flood, Cyclone etc., Impact Damage,
Aircraft Damage, Subsidence Of Landslide Bursting
and overflowing of Water Tanks, Apparatus or
pipes and Earthquake
0.55
BURGLARY AND HOUSE BREAKING

Cover against Loss or Damage to Property in the
premises Due to Burglary and House breaking.
Insurance on contents should be for value equivalent
to Section I (B) as above (Up to Rs.10 crores)
0.60
MONEY INSURANCE Money in transit (Maximum Up

to Rs 25,00,000/-)In Safe (Maximum Up to
Rs 25,00,000/-I) In till/Counter (Maximum Up to
Rs 5,00,000/-)Covers Money in the Cashier till or at
the counter on in safe/steel Cupboard or whilst being
carried to/ from the Bank against theft, burglary
and hold up
1.20
PEDAL CYCLE : Damage or Loss to Pedal Cycle

and accessories includingPublic Liability of Rs.10000/-
10.00
PLATE GLASS Maximum Up to Rs 15,00,000/-In the

business premises or the show windows against
accidental and/or Malicious breakage.
7.00
NEON/GLOW SIGN (Including theft of the whole

sign) Maximum Up to Rs 10,00,000/- Against Loss or
damage due to accident, fire and allied perils
Riot and Strike
7.00
BAGGAGE INSURANCE Maximum Up to

Rs 1,50,000/-. Against Theft/accident
5.00
II
III
IV
V
VI
VII
Rate Per Mille
91
VIII
IX
PERSONAL ACCIDENT
Risk Covered : As per P A (Individual) Policy terms
and conditions.
FIDELITY GUARANTEE Per Person Up to
Rs 5,00,000/- Aggregate Up to Rs 25,00,000/Coverage against Fraud or Dishonesty by employees
7.50
A - PUBLIC LIABILITY
Maximum Up to Rs 5,00,000/-
0.30
B - WORKMENS COMPENSATION LIABILITY

XI
XII
As per P A
guide rates.
As per W C
guide rates.*
Electronic Equipment/Personal Computer Only

Risk covered : Terms conditions and exclusions
as per Electronic Equipment Policy.
7.50
LOSS OF PROFIT COVER Description of Property

as in Section ISum Insured as in Section I BCovers
Loss of Profit due to interruption in Business
consequent upon loss sustained by the property
mentioned in Sec I of the Policy due to
perils stated in the policy.
Rates as in
Section IB
TERRORISM COVER IS OPTIONAL

* Refer Annexure - A
SECTION DISCOUNT :
For covering more than 4 and up to 6 sections (including Tariff rated section) 15%
discount on Non Tariff section premiums only. For more than 6 sections (including
Tariff rated sections) 20% discount on Non-tariff section premiums only.
Minimum Sections to be covered : 4 (FOUR) Section I & II are compulsory
92
Workmen s Compensation Liability Section XB

of Shopkeepers Insurance
ANNEXURE - A
Risk
Rate per Mille
Shop Risk - Class A

Art, Bric-a-brac and curio and art needle works
3.92
Bakers
3.92
Barometer, Hydrometer, Thermometer and

Mathematical Instruments
3.92
Biscuits
3.92
Book
3.92
Shop Risk Boot and Shoe, excl. markers and repairs
3.92
Chemists
3.92
China and Glass
3.92
Confectioners
3.92
Cutlery
3.92
Diaries
3.92
Drapers
3.92
Dress Maskers
3.92
Fancy Goods
3.92
Shop Risk Florist and Seedsmen
3.92
Furriers
3.92
Haberdashers
3.92
Hatters
3.92
Hoosiers
3.92
Leather Goods
3.92
Milliners
3.92
+Wholesale
3.92
Musicalist Instruments (Salesmen only)
3.92
Naturalist not taxidermists
3.92
Newsagents
3.92
Opticians
3.92
93
Photographic Records
3.92
Photographic appliances
3.92
Photographers
3.92
Stationers
3.92
Surgical Instrument and Appliances
3.92
Tailors, Clothiers and Outfitters
3.92
Toys
3.92
Tobacconists
3.92
Wall Papers
3.92
Watch Makers
3.92
Shop Risk Class B

Fruiterers
6.24
Groceries and provisions no license and no machinery +

All other employees
6.24
Ironmongers excl. Mechanics
6.24
Italian warehouse men
6.24
Oil and colour
6.24
Sticks and umbrellas, incl. Finishing mouting and Repairing
6.24
Shop Risk Class C

Chandlers (not ship chandlers)
7.40
Cheese mongers
7.40
Cooked Meat or cooked fish
7.40
Corn Chandlers, Dealers and Merchants retail only using no

machinery driven by mechanical power and excl. delivery
7.40
Corn Chandlers, Dealers and Merchants retail only using

machinery but excl. delivery
9.72
Furniture Electrical items excl. delivery by hand,

handcraft and otherwise
7.40
Grocery and provisions Off license where no bottling buy

machinery is done + All other employees
7.40
Hair Dressers
7.40
Pawnbrokers
7.40
Perambulators
7.40
94
Picture and Picture Frame Dealers excl. Machinery
7.40
Sewing and Washing machines
7.40
Wine, spirit and beer dealers
7.40
Off license where no bottling by machinery is done
7.40
+All other employees
7.40
Shop Risk - Class D

Groceries Provisions
Off license where bottling by machinery is done
+All other employees
9.72
Gunsmiths
9.72
Wine Spirit and Beer dealers Off license only where bottling
by machinery is done + All other employees
9.72
Shop Risk - Class E

Butchers
14.80
Fishmongers
14.80
Furniture removers(see Classification No.175)

Groceries and Provisions (Full license)
All employees engaged partially or wholly in serving drink
14.80
+All other employees where no bottling by machinery is

done excl. delivery by hand or otherwise
7.40
+All other employees where bottling by machinery is

done excl. delivery by hand or otherwise
8.56
Poulterers
14.80
Publication
14.80
Wine Spirit & Beer dealers-Ful-Licence All employees
14.80
Short Mfgrs.
19.44
95
HEALTH COVERS
Mediclaim 2012
(Salient Features)
z The policy covers the Hospitalization expenses in respect of all Hospitalization of
Insured persons during the policy period up to a Sum Insured Stated in the policy.
z This policy covers In-patient Hospitalization expenses incurred in India.
z A person can insure Self, Spouse, children and parents in a single policy.
z Sum Insured options available are Rs. 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7 and 8 lakhs.
z Insured who is migrating from Mediclaim 2007 to Mediclaim 2012 can also opt for
Sum Insured of Rs. 1.25, 1.75, 2.25, 2.75, 3.5 and 4.5 lakhs.
z Entry age will be upto 65 years.
z Policy can be renewed lifelong, if theres no break in the policy.
z Dependent Children can be covered from the age of 3 months to the age of
25 years. But in case of Mentally Challenged Child and Unmarried Dependent
Daughter there is no upper age limit.
z Pre-acceptance Medical checkup will be applicable on age above 45 years.
z Area of coverage has been distributed in 4 zones in this policy.
z If Premium is paid for a lower zone and treatment taken in higher zone, then only
80% of the admissible claim will be paid.
z Deductible of 20%, if entering in fresh Mediclaim 2012 policy, at the age of 55.
This deductible will be removed after 4 continuous claim free years.
z For person above the age of 55 years, entering in Mediclaim 2012 for first time,
then the entry sum insured could be maximum upto Rs. 3 lakhs.
z Provision for increasing the Sum Insured without Medical check-up will be given
as a onetime option at the time of migration from Mediclaim 2007 to Mediclaim
2012.
z Cumulative Bonus earned in Mediclaim 2007 policy will be available as Cumulative
Bonus Buffer after migration to Mediclaim 2012. Cumulative Bonus Buffer could
be carried over to the next year only if the renewal is effected before or within 30
days of the expiry of the policy. The Cumulative Bonus Buffer will be continued to
be carried forward to the next year unless and until it is completely used.
z Provides hospital cash benefit at 0.1% of Sum Insured for per day of hospitalization,
only if the Sum Insured is more than 3 lakhs. The amount shall not exceed 1% of
Sum Insured. (Should be hospitalized for more than 24 hrs).
z Congenital external diseases covered after 48 months of continuous coverage,
maximum upto 10% of Sum Insured.
z Ambulance charges paid up to 1% of the Sum Insured.
z Health check-up after claim free coverage of 3 years upto 1% of Average SI, subject
to maximum of Rs. 5000/-.
96
z No loading or Co-pay for adverse claim experience.

z No Loading for Diabetes and Hypertension with effect from 1st August 2013.
z Use of tobacco leading to cancer has been removed from the exclusion.
z 32+Procedures covered under day care treatments. (Hospital cash benefit will not
be paid here.)
z For Cataract, claim paid upto 20% of the Total Sum Insured i.e. Sum Insured +
Cumulative Buffer, for each eye, subject to maximum of Rs. 24000/-.
z Option to service the policy directly by the company (only reimbursement claims).
In such cases the claim will be settled by claims department. No discount will be
given for not using the TPAs service.
z No claim discount available from 2% to 15%.
z Ayurvedic / Unani / Homeopathic Treatment covered upto 25% Sum Insured.
z Pre and Post Hospitalization expenses will be covered for 30 and 60 days
respectively under the policy.
z Proof of age must be obtained, especially for persons on the borderline of age
band requiring medical examination and / or higher premium and on increasing
the Sum Insured.
z 10% discount on premium is granted for covering family members under
MEDICLAIM 2012.
z Any person above the age of 45 entering the Mediclaim 2012 for the first time
would be charged an entry load, as per table given below. This load will be
discontinued after two continuous claim free years.
SUM ASSURED
Upto 45 45-50 51-55

1000
56-60
61-65
1500
2000
Upto 3 Lakhs
Nil
Nil
3 lakhs to Rs.5 lakhs
Nil
1000
2000 NOT ELIGIBLE NOT ELIGIBLE
Over 5 lakh
Nil
2000
4000 NOT ELIGIBLE NOT ELIGIBLE
EACH ZONE IS CLASSIFIED AS BELOW : (The Cities mentioned below would

include their Urban Agglomeration)
Zone - I
Greater Mumbai (Greater Mumbai MC, Mira-Bhayandar MC, Thane

MC, Navi Mumbai MC, Kalyan- Dombivali MC, Ulhasnagar MC,
Ambarnath MC, Badlapur MC)
Zone - II
Delhi and Delhi NCR ,Bangalore, Chennai,

Hyderabad and
Secunderabad, Ahmedabad and Kolkatta, Vadodara
Zone - III
Rest of India (other than those areas specified in Zone I,II and IV)
Zone - IV
The States of Bihar, Orissa, Arunachal Pradesh, Assam, Manipur,

Meghalaya, Mizoram, Nagaland, Tripura, Jharkhand, Sikkim,
Chhattisgarh, Uttarakhand, Jammu and Kashmir
97
NO CLAIM
DISCOUNT
AGE<=60
AGE>60
% Discount
per year
Max.
Discount %
% Discount
per year
Max.
Discount %
SUM INSURED
<300000
10
15
SUM INSURED
=>300000
15
15
AT THE TIME OF MIGRATION FROM MEDICLAIM 2007 TO MEDICLAIM 2012

Age
Upto 45
Present
Sum Insured
500000
Less than
500000
but more than
or equal to
300000
Less than
300000
46-55
56-65
Over 65
Without Claim or Hospitalization in the Two Preceding Years

Yes. Upto
Yes. Upto
Yes. Upto
Yes. Upto
Eight Lakhs
Eight Lakhs
Eight Lakhs
Eight Lakhs
without Medical
without Medical
without Medical
Examination
Examination
Examination
Yes. Upto
Yes. Upto
Upto 5 Lakhs
Yes. Upto
Eight Lakhs
Eight Lakhs
without Medical
Five Lakhs
without Medical
Examination
without Medical
Examination
AND
Examination
Upto 8 Lakhs with
Medical Examination
Yes. Upto
Yes. Upto
Upto 3 Lakhs
Yes. Upto
Eight Lakhs
Five Lakhs
without Medical
Three Lakhs
without Medical
Examination
without Medical
Examination
AND
Examination
Upto 5 Lakhs with
Medical Examination
AT SUBSEQUMENT RENEWALS UNDER MEDICLAIM 2012

Age
Present
Sum Insured
500000
Less than
500000
but more than
or equal to
300000
Less than
300000
Upto 45
46-55
56-65
Over 65

Yes. Upto
Yes. Upto
Yes. Upto
Eight Lakhs
Eight Lakhs
Eight Lakhs
No
without Medical
with Medical
Enhancement
Examination
Examination
Yes. Upto
Yes. Upto
Yes. Upto 5 Lakhs
with Medical
No
Eight Lakhs
Five Lakhs
without Medical
Examination
Enhancement
Examination
Yes. Upto
Eight Lakhs
Yes. Upto
Three Lakhs
without Medical
Examination
98
Yes. Upto 3 Lakhs

with Medical
Examination
No
Enhancement
Family Mediclaim 2012

(Salient Features)
z This policy is in force with effect from 8th July 2013 with applicable premium rates
of Mediclaim 2012 for each insured member.
z The individual premium of each member for selected Sum Insured will be added
and then the discount as per below table will be applied on the total premium
payable.
DISCOUNT FOR FAMILY (FLOATER)
MEDICLAIM 2012
FLOATER SUM INSURED

% DISCOUNT ON TOTAL PREMIUM
NUMBER OF PERSONS
UPTO 300000 300000 AND MORE

(SUM INSURED) (SUM INSURED)
TWO
11
13
BETWEEN 3 AND 4
13
15
MORE THAN 4
16
18
z Health Check-up benefit for the Insured person will not be available in this Policy.
z Cumulative Bonus / Buffer is not available under this policy.
Premium Table applicable to Mediclaim 2012 and Family Mediclaim 2012 :
MEDICLAIM 2012 PREMIUM RATE
ALL RATES ARE EXCLUSIVE OF SERVICE TAX
SUM ZONE 0TO5 6TO25 26TO30 31TO35 36TO40 41TO45 46TO50 51TO55 56TO60 61TO65 66TO70
INSURED
100000
1650 1500
1600
1650
1950
2600
3700
4300
4800
5400
6200
125000
2000 1900
2000
2050
2350
3100
4500
5200
5800
6500
7200
150000
2300 2300
2350
2400
2750
3500
5200
6000
6900
7700
8500
175000
2700 2600
2650
2700
3100
4000
6100
7000
8000
9000
10000
200000
3000 2900
3000
3050
3400
4400
6800
8000
8800
10200 11400
225000
3400 3200
3300
3350
3800
4700
7500
9000
10000
11600 12800
250000
3600 3400
3500
3600
4100
5200
8200
9800
10500
12600 14000
275000
4000 3700
3800
4000
4450
5700
8900
10400 11600
13700 15000
300000
4200 4000
4100
4300
4800
6200
9700
11500 13000
14700 16500
350000
4700 4500
4600
4900
5400
7000
11000
12500 14800
16700 18800
400000
5200 4900
5000
5300
6000
7700
12200
14500 16500
19000 21000
450000
5700 5500
5600
5900
6500
8500
13800
16000 18000
21000 23500
500000
6200 6000
6200
6400
7000
9200
15000
17500 20000
23000 26000
600000
7000 7000
7200
7500
7700
10500
17000
20000 23000
25000 30000
700000
7800 7500
8000
8500
8700
11500
20000
23000 26000
30000 35000
800000
8500 8000
8800
9000
9300
12500
22000
25000 30000
33000 40000
99

SUM
INSURED ZONE 0TO5 6TO25 26TO30 31TO35 36TO40 41TO45 46TO50 51TO55 56TO60
100000
II 1600 1450 1550 1600 1900
2500 3300 4000 4400
125000
II 1950 1850 1950 2000 2300
3000 4000 4700 5300
150000
II 2250 2200 2300 2350 2700
3400 4800 5500 6300
175000
II 2600 2500 2600 2650 3000
3900 5500 6400 7300
200000
II 2900 2850 2900 3000 3300
4300 6300 7400 8300
225000
II 3300 3150 3200 3250 3600
4700 7000 8200 9100
250000
II 3500 3350 3400 3500 4000
5100 7600 8900 10000
275000
II 3900 3650 3700 3800 4400
5600 8200 9700 10800
300000
II 4150 3950 4200 4200 4700
6000 9000 10500 11800
350000
II 4650 4400 4600 4700 5300
6800 10400 12000 13500
400000
II 5000 5000 5000 5200 5800
7500 11500 13300 15000
450000
II 5600 5400 5500 5700 6400
8200 12500 14800 16800
500000
II 6100 5800 6000 6200 6900
8800 14000 16000 18500
600000
II 6800 6400 7000 7400 7600 10000 16500 18500 21000
700000
II 7300 7000 7800 8300 8500 11000 19000 21000 24000
800000
II 7700 7300 8400 8800 9000 12000 21000 23000 27000
61TO65 66TO70
4800 5500
5800 6600
7000 7700
8200 9000
9300 10400
10600 11600
11500 12700
12500 13700
13300 15000
15200 17000
17300 19000
19200 21500
21000 23600
24000 27000
28000 32000
30000 35000

SUM
INSURED
100000
125000
150000
175000
200000
225000
250000
275000
300000
350000
400000
450000
500000
600000
700000
800000

ZONE 0TO5 6TO25 26TO30 31TO35 36TO40 41TO45 46TO50 51TO55 56TO60 61TO65 66TO70
III
III
III
III
III
III
III
III
III
III
III
III
III
III
III
III
1550
1900
2300
2550
2850
3250
3450
3800
4000
4550
4950
5500
6000
6500
7000
7400
1400
1800
2150
2450
2800
3100
3300
3600
3900
4350
4700
5200
5700
6200
6800
7300
1500
1900
2250
2550
2850
3150
3350
3650
4000
4500
4900
5400
5900
6800
7500
8000
1550
1950
2300
2600
2900
3200
3450
3750
4100
4600
5050
5550
6050
7000
8000
8500
1850
2200
2550
2900
3250
3500
3900
4200
4600
5200
5700
6200
6800
7400
8200
8800
100
2400
2800
3200
3800
4250
4500
4900
5500
5700
6700
7400
7900
8500
9500
10500
11500
3100
3600
4500
5200
5800
6500
7000
7700
8300
9000
10000
10500
12500
15000
17000
19000
3500
4200
5000
5700
6600
7400
8000
8700
9400
10700
11500
13000
14200
17000
19000
22000
4000
4800
5600
6600
7400
8200
8800
9700
10500
12200
13500
15000
16500
19000
22000
25000
4400
5300
6300
7300
8400
9500
10300
11200
12000
13700
15500
17300
19000
22500
26000
29000
4900
5900
6900
8100
9300
10500
11400
12300
13500
15300
17300
19300
21200
25000
29000
32000

SUM ZONE 0TO5 6TO25 26TO30 31TO35 36TO40 41TO45 46TO50 51TO55 56TO60 61TO65 66TO70
INSURED
100000
IV
1315 1250
1250
1250
1480
1850
2500
2810
3260
3650
4110
125000
IV
1695 1615
1615
1615
1860
2280
2990
3530
4010
4510
5060
150000
IV
2015 1920
1920
1920
2210
2715
3770
4240
4840
5450
6060
175000
IV
2305 2195
2195
2195
2530
3100
4340
4880
5660
6360
7090
200000
IV
2595 2470
2470
2470
2845
3490
4910
5660
6420
7310
8210
225000
IV
2850 2715
2715
2715
3130
3830
5440
6270
7110
8260
9180
250000
IV
3105 2955
2955
2955
3405
4175
5960
6880
7810
9070
10120
275000
IV
3360 3200
3200
3200
3685
4520
6480
7490
8500
9840
10920
300000
IV
3615 3445
3445
3445
3970
4865
6990
8090
9200
10540 11820
350000
IV
4065 3870
3870
3870
4460
5470
7950
9210
10480
12030 13440
400000
IV
4510 4295
4295
4295
4950
6070
8910
10340 11780
13530 15030
450000
IV
4960 4725
4725
4725
5470
6735
9860
11460 13070
15040 16790
500000
IV
5410 5150
5150
5150
5935
7275
10820
12580 14350
16520 18460
600000
IV
6000 6000
6500
6800
7000
9000
14000
16000 18000
21000 24000
700000
IV
6500 6500
7200
7800
8000
10000
15000
17000 20000
24000 27000
800000
IV
7000 7000
7700
8300
8500
11000
16000
20000 23000
27000 30000
* For person over 70 years, Premium charged will be additional 2.5% for each
year on the premium applicable on age bang 66 to 70.
101
Mediclaim 2012 and Family Mediclaim 2012

Revised FAQs as on 31st July 2013
1. Who can take the policy?
Any person between age of 18 years and 65 years can take the policy, subject to
terms and conditions mentioned in the policy. Children between the age of 3 months
and 25 years can be covered provided parents are covered simultaneously. In case
of mentally challenged child and unmarried dependent daughter there is no upper
age limit.
2. Can Mediclaim 2012 or Family Mediclaim 2012 policy be issued with parents
of age more than 65 years?
No. No member can be added after the age of 65 years. If a person is renewing the
policy continuously with NIA then parents can be covered after the age of 65 years.
3. Is fresh proposal required while a person is migrating from Mediclaim 2007
to Mediclaim 2012?
Yes. A fresh proposal is required, if the person is migrating from Mediclaim 2007
to Mediclaim 2012. There should be a declaration by the insured that he has read
the prospectus and has specifically chosen to opt for migration into the Mediclaim
2012 policy.
4. Is fresh proposal required for continuing the renewal in Mediclaim 2007
policy?
Yes. A fresh proposal is also required when the person continues to renew in
Mediclaim 2007, along with a declaration of having made the choice.
5. How long can a person renew his policy?
There is no cover ceasing age. A person can renew his policy beyond age of 65
years, provided the policy is with us without any break.
6. Can I cover my family?
Yes, you can cover your family members in one policy, with separate Sum Insured
for each Insured Person and You will get a Family Discount of 10% on the total
premium payable. The members of the family who could be covered under the
Policy are:
z Proposer
z Proposers Spouse
z Proposers Children
z Proposers Parents
You may also cover the entire family as defined above, under a Single Sum Insured.
102
If You cover the other family members under a single Sum Insured, discounts at
the following rates are admissible :
NUMBER OF PERSONS
% DISCOUNT ON TOTAL PREMIUM

SI, UPTO 300000
SI, 300000 AND MORE
TWO
11
13
BETWEEN 3 AND 4
13
15
MORE THAN 4
16
18
Our existing Family Floater Mediclaim Policy is still available to the

customers as a fresh and renewal with revised rates of Mediclaim 2012.
The rating pattern continues to be 100% for the proposer, 50% for spouse
and 25% for each of the children on the eldest members premium.
7. How will we calculate Premium under Floater Mediclaim 2012?

The Premium of each member for selected Sum Insured will be added and then
the discount as per above table will be applied on the total premium payable.
For example, If a person is 47 years old, his spouse is 42 years old and his child is
15 years old then, zone I premium for Sum Insured of Rs. 4 lakhs will be calculated
as below :
Premium for Proposer
Rs. 12,200
Premium for Spouse
Rs. 7,700
Premium for Child
Rs. 4,900
Total Premium
Rs. 24,800
As per the above given table, the discount for the family of 3 members and Sum
Insured above Rs. 3 lakhs is 15%.
This discount will be given in the total Premium.
So Premium payable will be Rs. 21,080/8. If the person migrates from Mediclaim 2007 to Mediclaim 2012, what will
happen to his Cumulative Bonus?
His earned Cumulative Bonus will be carried forward as Cumulative Bonus Buffer
in Mediclaim 2012. This Buffer will be carried forward until the Buffer is completely
used.
E.g. 1: SI = Rs. 2,00,000 and CB Buffer = Rs. 60,000,
If a claim arises of Rs. 2,00,000, then during renewal the CB Buffer will be Rs.
60,000.
E.g. 2: SI = Rs. 2,00,000 and CB Buffer = Rs. 60,000,
If claim arises of Rs. 2,20,000 then during renewal the CB Buffer will be Rs. 40,000.
The CB Buffer will never become zero until it is completely used.
103
9. If a person has Cumulative Bonus in Mediclaim 2007 and while migrating

he opts for a higher Sum Insured, then how Cumulative Bonus Buffer will be
calculated?
His Cumulative Bonus will be converted to monetary limit using the earlier Sum
Insured and that monetary amount will be taken for Cumulative Bonus Buffer. For
example, if a person has 20% CB in his current policy of Rs. 5 lakhs and he opts
for Rs. 8 lakhs SI at migration, then he will be given 5% additional CB as per terms
& conditions of Mediclaim 2007. At the time of migration this 25% CB will be
converted to Cumulative Bonus Buffer. So his Buffer will be 25% of Rs. 5 lakh, i.e.
Rs. 1,25,000/-.
10. If there is a claim in the previous policy (Mediclaim 2007 where CB should
become zero), and the person is renewing in Mediclaim 2012 policy, what will
be the CB?
If the person is has a claim and then migrating to Mediclaim 2012, then his CB
becomes zero and nothing will be carried forward to Cumulative Buffer. But after
migrating to the Mediclaim 2012 if there is a claim then it will reduce as example
given in point 7.
11. Will the Cumulative Bonus Buffer be used for sub-limits under the policy?
No, Cumulative Bonus Buffer will not be used for any sub-limits.
Only exception for this will be sub-limit for cataract, which will be not more than 20%
of the aggregate of Sum Insured and Cumulative Bonus Buffer for each eye, subject
to maximum of Rs. 24,000/-.
E.g. 1: A person with Rs. 1,00,000 Sum Insured and Rs. 30,000 Cumulative Buffer
is hospitalized for cataract. Then his eligible room rent will be 1% of Sum Insured
i.e. Rs. 1,000 and Total reimbursement limit for Cataract will be 20% of [Sum Insured
+ Cumulative Buffer], i.e. 26,000; But the upper cap for cataract is Rs. 24,000, so
the person will be reimbursed Rs. 24,000 only.
12. What is Hospital cash and how it will be calculated?
Hospital cash is a benefit given to the customer irrespective of his expenses. This
benefit will be over and above his/her hospital bill reimbursement, subject to terms
and conditions mentioned in the Policy.
In any case the total claim amount will not be more than Sum Insured of the Insured.
Thus, Hospital cash will reduce the Sum Insured.
In case of cashless claims, the TPA needs to pay a separate claim to the customers
towards hospital cash directly.
If Deductible is applicable on the policy, it will not be applicable on Hospital cash.
Hospital cash will be applicable only if the Sum Insured is Rs. 3 lakhs or above.
In case of enhancement, Sum Insured must be Rs. 3 lakhs or above. If claim arises
due to pre existing illness, where enhanced Sum Insured is not be reckoned for
claim, the Hospital cash will be paid over and above the Eligible Reimbursement
and will be a part of total Sum Insured.
104
This will be 0.1% of Sum Insured per day maximum for 10 days in any one illness.
The total amount will not exceed 1% of Sum Insured.
E.g. 1 : A person is having a Sum Insured of 4 lakhs.
Total admissible claim is 2,80,000, and admitted for 8 days.
Hospital cash = 0.1%*4 lakhs (SI)*8(no of days admitted, max for 10 days) = 3200
Total payment= 280000+3200 = 2,83,200
E.g. 2 : A person having a Sum Insured of 4 lakhs.
Total admissible claim is 3,98,000 and admitted for 12 days.
Hospital cash = 0.1% * 4lakhs (SI) * 10 (no of days admitted max of 10 days) = 4000
Total payment= 398000+4000 = 4,02,000
But this amount is exceeding the SI which is not permissible.
Thus total payment = 4,00,000
E.g. 3 : A person having a Sum Insured of 1 lakh enhanced it to 3 lakhs and claims
for a heart disease which was admissible for 1 lakh only due to pre-existing
condition.
Total Claim amount is 2,30,000
Total Admissible claim is 1,00,000 and admitted for 8 days.
Hospital cash = 0.1% * 3,00,000 (SI) * 8 = 2400
Total payment= 100000 + 2400 = 1,02,400
Though the admissible claim is for Rs. 1,00,000 as per the pre-existing condition,
Hospital cash is calculated on the existing available Sum Insured on the date of
Hospitalization, which is Rs. 3,00,000. There by 2400 is payable in the above
example.
13. Does this policy allow an Insured to change the TPA?
This policy gives the insured an option to service the policy through TPA or by the
Company. The proposer does not have option to choose his own TPA, but to adhere
to the empanelled TPA allocated to the respective office.
Senior citizens have an option to change the TPA at the time of renewals. This
option is valid only if exercised thirty days before renewal of the policy. The
underwriting office will select any other TPA from the enlisted panel of the TPAs, if
requested.
14. Can this policy be directly serviced by Underwriting Office?
Yes, the Insured can opt for servicing of policy directly through company. For these
customers cashless facility will not be available, claims will be settled in
reimbursement basis by Claims Hub. No discount will be available for opting for
direct service.
105
15. What loading will be charged for Diabetes and Hypertension?

The loading for Diabetes and Hypertension will not be charged either for the new
policy or renewal with effect from 1st Aug 2013.
If the person has Diabetes or Hypertension at the time of inception of a fresh policy,
Medical Examination will be insisted and proposal will be accepted only after
satisfying that it is acceptable as per terms and conditions of the policy.
If person is suffering from Diabetes type 1 (insulin dependent), which is a declined
risk as per our underwriting guidelines, the proposal will be rejected.
These conditions will be considered as pre-existing conditions and no claim will be
paid for any claim arising out of these conditions for first four years.
The person who has already paid the loading in previous years and renewing the
policy without any break, hell not pay the loading, but the claims will be paid as per
the old table of coverage conditions in the policy.
E.g. 1 : A Person has taken a fresh Mediclaim 2012 policy on 1st Aug 2013 and he
is suffering from Diabetes. He will not be charged any loading for Diabetes, but claim
arising out of this will not be payable for four year as it was a pre-existing disease.
E.g. 2 : A person who has taken a Mediclaim 2007 on 1st Aug 2012 and also paid
the loading for Diabetes. In renewal on 1st Aug 2013, hell not be charged any loading
and related claims will not be paid in the year 2012-13. But 50% of the admissible
claim will be paid for related disease in the year 2014-15, 75% of the admissible
claim will be paid in year 2015-16 and 100% will be paid after 2016, if renewed
without break or within grace period.
E.g. 3 : A person who has taken a Mediclaim 2007 in 1st Aug 2011 and have not paid
the loading for Diabetes on 2011 and 2012. In renewal on 1st Aug 2013, hell not be
charged any loading and claim arising out of Diabetes will not be paid.
16. When a person will be reimbursed for Health Checkup expenses?
A person can take reimbursement for Health checkup after every 3 claim free years.
If the person is migrating from Mediclaim 2007 and he has not made any claim in
previous 3 years, than he can take reimbursement for Health checkup in the first
year of Mediclaim 2012 itself.
Without continuous 3 claim free years this benefit could not be given.
Note : If a person is migrating from some other company and has claim free
experience of 3 or more years yet he will not be eligible for free health check-up.
The customer needs to have continuous claim free experience under Mediclaim
2007 or Mediclaim 2012 or both combined.
17. When will a person be eligible for No Claim Discount?
A person will be eligible for the No Claim Discount, after each claim free years in
Mediclaim 2012 as per given table. This discount will not be given when a person
is migrating from Mediclaim 2007 to Mediclaim 2012. It will only be given for
subsequent renewals of Mediclaim 2012. If there is a claim in the current year,
then, next year there will be no discount.
106
Following table explains the discounts applicable.

AGE<=60
% Discount
per year
AGE>60
Max
% Discount
Max
Discount
per year
Discount
SUM INSURED <=300000
10
15
SUM INSURED>300000
15
15
Working of No claim Discount:

E.g. 1 : If insured is 57 years old and SI is 2 lakhs, then the discount will be 2% per
year maximum up to 10%.
E.g. 2 : If insured is 57 years old and SI is 4 lakhs then the discount will be 3% per
year max up to 15 %.
E.g. 3 : If customer is more than 60 years old then irrespective of the SI, the
discount will be 3% per year maximum up to 15%.
18. If the policy is renewed after the expiry of the policy but within the grace
period, then will the CB buffer and discount be applicable.
Yes. If the policy is renewed within the grace period then the continuity benefits as
well as CB buffer and discount will be applicable. But if the policy is renewed after
30 days of the expiry of the policy, then it will be considered as break in insurance
and all the continuity benefits, CB buffer and discount will be withdrawn.
19. In which cases Entry Load will be applicable?
The entry load will be applicable to all the cases except those that are migrating from
Mediclaim 2007 to Mediclaim 2012.
20. How long will the entry load be charged?
Entry load will cease to be charged after two Claim Free years of Continuous
coverage. If there is a claim every year, then entry load will continue to be charged.
Once the entry load is ceased to be charged it will not be charged again.
21. Can hospital be changed during the course of treatment?
Yes. It is possible to shift to another hospital for reasons of requirement of better
medical procedure. However, this will be evaluated by the TPA on the merits of the
case and as per policy terms and conditions.
22. Will the entire amount of the claimed expenses be paid?
Yes. The entire amount of claim is payable, if it is within the Sum Insured and is
related with the hospitalization as per policy terms and conditions except the
expenses which are excluded.
For persons aged over 55 and entering the Mediclaim 2012 policy for the first time,
the Company will pay only 80% of the admissible claim until he has four years of
Claim Free Continuous coverage.
107
For person taking the treatment outside the area of coverage, the Company will pay
only 80% of the admissible claim.
23. If the insured wants to continue with the original policy i.e. Mediclaim 2007,
will he get CB?
Yes. If the insured continues with the original policy i.e. Mediclaim 2007, then he
will continue to get CB according to the terms and conditions of the original policy.
However the terms and conditions will be revised as per the new Health Regulations
given by IRDA.
24. If the person continues in Mediclaim 2007 or Family Floater Mediclaim Policy,
would adverse claim loading and Co-pay be applicable?
Yes, the adverse claim loadings and co-pay will be applicable as per terms and
conditions of the Mediclaim 2007 and Family Floater Mediclaim policy.
25. If the customer wants to continue with the original policy i.e. Mediclaim 2007,
what will be his premium and what zone will be selected?
The insured can continue with his original policy i.e. Mediclaim 2007, but the
premium will be according to the revised premium rates and new zones.
26. If a person continues with the Mediclaim 2007 policy, what will be the co-pay
if treatment is availed in higher zone?
If a person is continuing with Mediclaim 2007 policy then the co-pay logic will be as
given in the table below :
Treatment taken in Zone -> Zone IV
Zone III
Zone II
Zone I
Premium paid in Zone

Zone I
100% paid 100% paid
100% paid
100% paid
Zone II
100% paid 100% paid
100% paid
90% paid and

10% co-pay
Zone III
100% paid 100% paid
90% paid and

10% co-pay
80% paid and

20% co-pay
Zone IV
100% paid 90% paid and 90% paid and

10% co-pay
10% co-pay
80% paid and

20% co-pay
27. What are the Migration benefits given on 1st renewal of Mediclaim 2007 after
1st Aug 2013?
Age deductible will not be levied, even if the persons age is above 55 years at the
time of entering the Mediclaim 2012 policy.
108
The Insured will have an onetime option to enhance the Sum Insured as mentioned
in table below :
Age
Present
Sum Insured
500000
Less than
500000
but more than
or equal to
300000
Less than
300000
Upto 45
46-55
56-65
Over 65

Yes. Upto
Yes. Upto
Yes. Upto
Yes. Upto
Eight Lakhs
Eight Lakhs
Eight Lakhs
Eight Lakhs
without Medical
without Medical
without Medical
Examination
Examination
Examination
Yes. Upto
Yes. Upto
Upto 5 Lakhs
Yes. Upto
Eight Lakhs
Eight Lakhs
without Medical
Five Lakhs
without Medical
Examination
without Medical
Examination
AND
Examination
Upto 8 Lakhs with
Medical Examination
Yes. Upto
Yes. Upto
Upto 3 Lakhs
Yes. Upto
Eight Lakhs
Five Lakhs
without Medical
Three Lakhs
without Medical
Examination
without Medical
Examination
AND
Examination
Upto 5 Lakhs with
Medical Examination
28. If the person does not migrate at the next renewal of Mediclaim 2007. Will
he be given migration benefit if he wishes to switch to Mediclaim 2012
subsequently?
No, Migration benefit will be offered only for the first renewal of Mediclaim 2007
after introduction of Mediclaim 2012. If a person wishes to migrate subsequently,
hell not get the migration benefits.
For example, if a Mediclaim 2007 policy is due for renewal on Nov 1, 2013. The
person can migrate to Mediclaim 2012 on this renewal with migration benefits.
If he wishes to continue, hell not get these benefits of subsequent renewal on
Nov. 1, 2014.
The enhancement of Sum Insured will be limited as mentioned in table below :
Age
Present
Sum Insured
500000
Less than
500000
but more than
or equal to
300000
Less than
300000
Upto 45
46-55
56-65
Over 65

Yes. Upto
Yes. Upto
Yes. Upto
Eight Lakhs
Eight Lakhs
Eight Lakhs
No
without Medical
with Medical
Enhancement
Examination
Examination
Yes. Upto
Yes. Upto
Yes. Upto 5 Lakhs
with Medical
No
Eight Lakhs
Five Lakhs
without Medical
Examination
Enhancement
Examination
Yes. Upto
Eight Lakhs
Yes. Upto
Three Lakhs
without Medical
Examination
109
Yes. Upto 3 Lakhs

with Medical
Examination
No
Enhancement
29. Can an insured migrate from Floater 2007 to Mediclaim 2012? Will he get the
migration benefits?
Yes. Any person from Floater 2007 can migrate to Mediclaim 2012. Such cases will
still be considered as migrated cases and the insured will get all benefits during
Migration.
30. Can a person migrate from Senior citizen policy or Janata Mediclaim to
Mediclaim 2012?
No. A person cannot migrate from Senior citizen policy or Janata Mediclaim to
Mediclaim 2012. He will be considered as fresh proposer for Mediclaim 2012. The
insured will continue to get the continuity benefits, but will not get any migration
benefits.
31. What will be the premium for the customers above the age of 70 (only in case
of renewals)?
For persons over 70 years, the rate chargeable will be at a loading of 2.5% for every
completed year. Such loading will be made on the premium applicable for 66-70
years age band.
32. If any customers is entering at the age of 55 or above (deductible of 20%),
paying premium for Zone I and getting treated in Zone II, will the deductible
be applicable?
Yes. The deductible will be applicable. Zone wise co-pay and deductible are two
different things. First the co-pay for zones will be checked. If there is no co-pay, then
deductible will be checked. So under any circumstances the deductible and co-pay
will not cancel each other.
33. Should Diabetes Mellitus type I be accepted for underwriting?
No, Diabetes Mellitus type I is a declined risk. It should not be accepted.
Diabetes Mellitus type II and Gestational Diabetes should be referred to Regional
Office and may be accepted without any loading after Regional Office approval.
34. Will there be any loyalty discount?
No. Loyalty discount will not be applicable under any circumstances.
35. What amount of the pre-acceptance health check-up will be reimbursed?
The company will reimburse 50% of the amount and rest will be paid by the
customer.
The Laboratories/Hospitals for Pre-acceptance Medical examinations are to be
approved by the company including the cost.
Note : This amount will be paid only if the proposal is accepted. If any proposal is
rejected then this amount will not be paid. The amount will be paid only for the
mentioned test in the policy documents. If the customer has done some extra test,
the cost of such tests will not be paid.
110
36. Will there be any staff discount in Mediclaim 2012 policy?

Yes. Staff discount will be applicable even in Mediclaim 2012 policies.
37. If a policy is cancelled by a customer or by the company, then what will be the
basis of refund of premium?
If any policy is being cancelled by the company then the refund will be on the prorata basis.
And if the policy is being cancelled by the customer then the refund will be on short
period basis.
No Policy can be cancelled except on limited grounds, as mentioned in the policy.
Note : This refund is subject to no claim under the policy for the period when the
policy was active.
38. Will the claim be paid within 30 days of the policy, if due to accident?
Yes. Any claim arising out of accident will be paid even within first 30 days of the
policy.
39. Which area does greater Mumbai includes?
The census definition of Greater Mumbai has been taken to define the urban
agglomeration.
Census definition of Greater Mumbai includes :
z Greater Mumbai Municipal Corporation
z Mira Bhayandar Municipal Council
z Thane Municipal Corporation
z Navi Mumbai Municipal Corporation
z Kalyan Dombivali Municipal Corporation
z Ulhasnagar Municipal Corporation
z Ambarnath Municipal Council
z Badlapur Municipal Council
40. What happens when an individual comes to floater policy?
If persons were covered in the individual policy and they shift to a floater policy, then
they can opt for the same Sum Insured as a floater, which the proposer was enjoying
in the individual policy.
Under floater policy Cumulative Bonus earned by them, in individual policy, will be
forfeited.
111
JANATA MEDICLAIM POLICY

COVERAGE :
As per Mediclaim Policy 2007
SUM INSURED :
Only 2 slabs : Rs.50000 and Rs.75000/PREMIUM CHART :
Sum
3
Over 5 Over 35 Over 40 Over 45 Over 50 Over 55 Over 60 Over 65
Insured months yrs to yrs to yrs to yrs to yrs to yrs to yrs to yrs to
to 5 yrs 35 yrs 40 yrs 45 yrs 50 yrs 55 yrs 60 yrs 65 yrs 70 yrs
50000
750
700
800
1100
1400
1430
1660
1900
2130
75000
1125
1050
1200
1650
2100
2170
2500
2820
3190
Loading for Pre existing conditions will be applicable as per Mediclaim Policy 2007.
CLAIMS :
Policy stipulates specific Maximum charges inclusive of Room Rent ICU charges,
Surgeon Fees, Cost of Medicines etc., for various types of illness/operations. In case
of the specified illness/operation, Maximum amount of Claim payable will be as per
the specified charges given in the policy itself subject to the Sum Insured. For any
charges not mentioned in the schedule, the payment will be considered as per the
Central Govt. Health Scheme (CGHS) rates prevalent at the time of claims.
112
GROUP MEDICLAIM 2007

COVERAGE :
All terms and conditions as per Mediclaim Policy 2007 except for the following:
1) Cumulative Bonus Cost of health check up and Family Disc: Not applicable.
2) Group proposed for Insurance must comply with the provisions of definitions of
group issued by IRDA.
3) Group Discount : Applicable as per existing rules and the rates are as under:
Number of Prime members
Up to
Discount %
500
Nil
501 2000
2001 - 5000
10
5001 and above
15
4) Age limit, basic premium, benefits and exclusions as per Mediclaim Policy 2007
5) Extension for Maternity Benefits: This is an optional cover, which can be obtained
on Payment of 20% of Total Basic premium for ALL the insured person under the
policy. Maximum Benefit allowable under this clause will be 10% of the Sum Insured
for Normal Delivery subject to Maximum of Rs25000/-. Under Caesarean Section
benefit will be 20% of Sum Insured subject to Maximum Rs.50000/-. Pre and
Postnatal expenses are not covered. The overall liability including Maternity Benefit
will not exceed the basic sum insured. Waiting period of 9 months is applicable for
payment of any claim.
6) Renewals of other insurer will be treated as FRESH proposals.
7) No Policy to be issued for Unnamed Group.
8) Policy for prime members below 500 can be given without Group Discount.
9) Additions/Deletions of named persons during the currency of the policy is allowed
on pro rata basis.
10) Bonus/Malus will apply at the time of Renewal depending upon the claims ratio.
11) Premium Chart: As per Mediclaim Policy 2007.
12) If the incurred claim ratio of the group for three years or for a lesser period (if the
cover has not been in force for three years) excluding the year immediately
preceding the date of renewal exceeds 70% to 200%, the premium for renewal of
policy will be loaded with 25% to 150% as prescribed in policy.
13) Likewise provision for low claim discount is available if claim ratio is below than
60%. This discount will vary from 5% to 40% as per incurred claim ratio.
113
SENIOR CITIZEN MEDICLAIM POLICY

New Policy introduced w.e.f. 01-10-2007, for the benefit of Senior Citizens.
COVERAGE :
As per Mediclaim Policy 2007.
AGE :
Available for person s between the Ages of 60 to 80 years. Insureds may renew their
policies beyond the age of 80 years provided there is no break in insurance.
Persons opting for a policy for the first time have to undergo prescribed Pre Health
check up from an empanelled doctor. Cost of check up has to be borne by the proposer.
FAMILY :
Comprises of the Insured and the Spouse only.
SUM INSURED :
Rs. 1 lac or Rs.1.5 lac per person.
PREMIUM :
Sum
Insured
Rates
60 - 65yrs
Rates
66 - 70yrs
Rates
71 -75yrs
Rates
76 - 80yrs
100000
3850
4250
4700
5150
150000
5720
6310
6980
7650
Loading for renewal between 81 to 85 years: 10% of the age band of 76 80 years.
86 to 90 years : 20% of the age band of 76-80 years.
Additional premium for covering Hypertension, Diabetes Mellitus from the Inception
of Policy :- 10% of the relevant basic premium for each condition.
DISCOUNTS :
Discount for opting Voluntary Excess of Rs.10000/-
10%
Discount in case of Spouse is covered
10%
CUMULATIVE BONUS :
z Every Claim free Year 5% subject to Maximum of 30%
z Renewals from other companies will not be eligible for CB and will be treated
as FRESH ?
z In the event of claim entire CB will be withdrawn irrespective of the claim amount.
COST OF HEALTH CHECKUP :
Once in 4 claim free years up to 1% of average sum insured excluding CB for
preceeding 4 years of New India Policy.
114
RENEWAL :
Loading will be applicable on renewal in the event of a claim as under :
Expiring Policy Status
Loading
Policy with CB
NIL Only CB is withdrawn
Policy without CB
25%
Policy with 25% loading
50%
CLAIM PROCEEDURES :
Each claim under the policy is subject to an excess of 10%
In the event of a claim, the policy contains the following sub limits:
Room/Boarding
1% Sum Insured Per Day
ICU
2% Sum Insured Per Day
Over All Limit For The Above Should Be 25%

Surgeon/Anesthetist/Medical Practitioner,
Consultants, Specialist Fees, Nursing Expenses
Over All Limit 25% of

Sum Insured.
Anesthesia, Blood, Oxygen, O T Charges,

Over All Limit 50% of
Surgical Appliances, Medicines, Drugs
Sum Insured.
Diagnostic, Materials And X Ray, Dialysis,
Chemotherapy, Radiotherapy, Cost of Pacemaker,
Artificial Limb Cost of Stents and Implants
Policy stipulates specific Maximum charges inclusive of Room Rent ICU charges,
Surgeon Fees, Cost of Medicines etc., for various types of illness/operations. In case
of the specified illness/operation, Maximum amount of Claim payable will be as per
the specified charges given in the policy itself subject to the Sum Insured.
The waiting period for specified diseases / ailments / conditions stipulated in the policy
is for a period of 18 months only instead of 24 months as stipulated in the Mediclaim
Policy 2007. But the waiting period for a) age related OSTEOARTHRITIS and
OSTEOPOROSIS and b) JOINT REPLACEMENT due to degenerative condition, is
48 months as stipulated in the Mediclaim Policy 2007.
Agency Commission
As per Mediclaim Policy 2007.
Special Discount in lieu of Agency Commission :
Not allowed
Rebate under Sec 80 D of I T Act;
As per prevalent provisions.
PRE EXISTING CONDITIONS :

All diseases/injuries/conditions, which are pre existing when the cover incepts for the
first time will be excluded. This exclusion will be deleted after 18 months of continuous
claim free insurance with our company.
COMPULSORY COVERAGE FOR PRE EXISTING CONDITIONS
The existing condition of Diabetes Mellitus and Hypertension, at the time of inception
of the policy, have to be covered compulsorily by payment of additional premium at
the rate of 10% of basic premium per each pre existing condition. This additional
premium will be payable at every subsequent renewals.
115
OVERSEAS MEDICLAIM POLICY

Policy provides worldwide cover for Indian Residents making bonafide trips
abroad for
A) Business and Holiday Purpose
B) Employment and Studies.
ELIGIBILITY :
A) Any Indian Resident.
B) Foreign Nationals working in India with Indian employers or multinational companies
getting salary in Indian Rupees.
C) Foreign Nationals domiciled in India subject to verification of Visa and Filing of IT
returns and if need be, work permit.
D) Employment Policy for Persons deputed abroad on duty by Indian employers
E) Study Policy for Students going abroad for Study or persons deputed for training
purpose.
AGE :
z 6 months to 70 Years.
z Proposal over 70 Years to be accepted after obtaining Medical reports and
appropriate loading of premium.
LOADING STRUCTURE - In case of age over 70 yrs.
71 & 72 years
25% (if no adverse history)
73 & 74 years
Over 75 years
Over 79 years
Over 84 years
MEDICAL REPORTS :
Must for Proposers over the age of 70 years visiting abroad excluding USA and
CANADA and over the age of 60 years visiting USA and CANADA.
Blood Sugar/Urine Strip Test and ECG print out .and any other as required by Co.
Medical reports are required when the proposer is traveling for more than 60 days.
In case the proposer is not able to submit required Medical reports, it is possible to
issue a policy by restricting the sum insured under medical expenses to US $ 10000
for Plan A and B only.
PERIOD :
z Initial cover up to 180 days under Business and Holiday.
z Extension for a further period of Maximum 180 days subject to declaration
of Good Health and No Claim.
116
PREMIUM :
Depends upon the Age, Country visited by the Proposer and No. of Days of Stay.
PLANS :
There are various types of plans available under the policy depending upon the nature
of travel and country visited, and benefits offered under the various plans are also
different.
BENEFITS UNDER VARIOUS PLANS :
Business and Holiday :
Sections Benefits
A1
A2
B1
B2
All in Us Dollars
A
Illness / Accident
Deductible
50000
100
250000
100
100000
100
500000
100
Personal Accident
10000
25000
25000
25000
Loss of checked in Baggage
1000
1000
1000
1000
Delay of Checked in Baggage

over 12 hrs (Outbound flights)
100
100
100
100
Loss of Passport
Deductible
150
30
250
30
150
30
250
30
Personal Liability
Deductible
200000
200
200000
200
200000
200
200000
200
NOTE :
Plan A1 and A2 : World wide excluding USA AND CANADA
Plan B1 and B2 : World wide including USA AND CANADA
Plan E1 and E2 for Corporate Frequent Travelers :
Sections Benefits
E1
E2
All in Us Dollars
A
Illness / Accident
Deductible
100000
100
500000
100
Personal Accident
25000
25000
Loss of checked in Baggage
1000
1000
Delay of Checked in Baggage

over 12 hrs (Outbound flights)
100
100
Loss of PassportDeductible
15030
25030
Personal Liability
Deductible
200000
200
200000
200
NOTE :
Plan E1 and E2 : World wide including USA and CANADA.
117
PLAN K: ASIAN COUNTRIES EXCLUDING JAPAN :

Sec A
Sec B
Illness/Accident
US $
15000
Deductible
US $
50
Personal Accident
US $
7500
(including Dental)
EMPLOYMENT AND STUDIES :

PLAN C : World wide excluding USA AND CANADA :
Medical Expenses
US $
150000
Deductible
US $
100
PLAN D : Worldwide including USA AND CANADA

Medical Expenses
US $
150000
Deductible
US $
100
PLAN D1 : World wide including USA AND CANADA

SEC I
MEDICAL
US $
500000
Deductible
US $
100
SEC II
CONTINGENCY
US $
750
SEC III
LOSS OF CHECKED IN BAGGAGE US $
1000
(outbound flight)
SEC IV
DELAY OF CHECKED IN BAGGAGE US $
100
(outbound flight)
Per Month
PLAN Z : WORLDWIDE TRAVEL FOR CORPORATE CLIENT ON DECLARATION

BASIS :
PREMIUM CHARTS:
Business & Holiday
Up to 180 Days
PLAN A 1 (Excluding USA & CANADA)
Period / Age
6 Months - 40 Yrs
41-60 Yrs
61-70 Yrs
1-7
500
550
850
8-14
575
630
935
15-21
600
670
990
22-28
670
750
1120
29-35
830
905
1345
36-47
950
1040
1560
48-60
1115
1231
1835
61-75
1380
1520
2305
76-90
1650
1800
2735
91-120
2790
3070
4660
121-147
3360
3685
5600
148-180
4671
5125
7800
118
PLAN A-2 (Excluding USA & CANADA)

Period / Age
6 Months-40 Yrs
41-60 Yrs
61-70 Yrs
1-7
565
627
1130
8-14
637
699
1204
15-21
665
745
1277
22-28
745
836
1446
29-35
927
1013
1741
36-47
1063
1166
2024
48-60
1252
1383
2290
61-75
1554
1714
3000
76-90
1862
2033
3564
91-120
3162
3481
6088
121-147
3812
4182
7319
148-180
5305
5824
10205
6 Months-40 Yrs
41-60 Yrs
61-70 Yrs
1-7
950
1385
1675
8-14
1045
1479
1794
15-21
1111
1584
1920
22-28
1254
1837
2208
29-35
1508
2168
2652
36-47
1793
2640
3240
48-60
2893
4290
5227
61-75
4158
6204
7608
76-90
5006
7458
9168
91-120
7051
10560
12960
121-147
9362
14058
17304
148-180
12397
18667
22935
Plus applicable Service Tax

PLAN B-1 (Including USA & CANADA)
Period / Age
119
LAN B-2 (Including USA & CANADA)

Period / Age
6 Months-40 Yrs
41-60 Yrs
61-70 Yrs
1-7
1050
1620
2065
8-14
1170
1742
2190
15-21
1247
1867
2347
22-28
1409
2168
2703
29-35
1697
2561
3251
36-47
2022
3125
3977
48-60
3276
5090
6430
61-75
4720
7373
9371
76-90
5685
8867
11301
91-120
8017
12564
15982
121-147
10651
16733
21346
148-180
14111
22226
28296
PLAN K Under B & H (Asian Countries Excluding JAPAN)

Period / Age
6 Months-40 Yrs
41-60 Yrs
61-70 Yrs
1-7
350
400
700
8-14
400
450
750
15-21
450
500
825
22-30
500
575
900
Extension Under Plan

Extension under the plan shall be done provided :
(a) The original policy period has not expired
(b) There is no claim on the original policy
(c) Declaration of good health required.
(d) The total extension including original period should not exceed 360 days.
120
PREMIUM RATE CHART FOR EXTENSION PERIOD OVER 180 DAYS :

PLAN A-1 EXCLUDING USA & CANADA
Period Upto
(Over 180 Days)
30 DAYS
60 DAYS
90 DAYS
120 DAYS
150 DAYS
180 DAYS
AGE
41-60 Yrs
1250
1975
2900
4900
5925
8250
61-70 Yrs
1600
2575
3950
6500
7850
10900
6 Months-40 Yrs
1450
AGE
41-60 Yrs
1540
61-70 Yrs
2150
2300
3575
6100
7325
10200
2430
3750
6400
7700
10700
3340
5275
9000
10850
14550
6 Months-40 Yrs
2200
5225
9175
12950
17300
22900
AGE
41-60 Yrs
2775
6625
11625
16450
22000
29200
61-70 Yrs
3150
7575
13350
18850
25200
33500
AGE
41-60 Yrs
3450
8250
14475
19500
27000
35500
61-70 Yrs
4000
9575
16900
23000
31700
41575
6 Months-40 Yrs
1150
1850
2750
4600
5600
7800
PLAN A-2 (Excluding USA & CANADA)

Period Upto
(Over 180 Days)
30 DAYS
60 DAYS
90 DAYS
120 DAYS
150 DAYS
180 DAYS
PLAN B -1 (Including USA & CANADA)
Period Upto
(Over 180 Days)
30 DAYS
60 DAYS
90 DAYS
120 DAYS
150 DAYS
180 DAYS
PLAN B -2 (Including USA & CANADA)

Period Upto
(Over 180 Days)
30 DAYS
60 DAYS
90 DAYS
120 DAYS
150 DAYS
180 DAYS
6 Months-40 Yrs
2700
6425
11300
15000
21000
27500
121
PREMIUM CHARTS :
Employment and Studies (Upto One Year)
PLAN
SUM
INSURED
AGE BAND
& PREM
AGE BAND
& PREM
AGE BAND
& PREM
C-STUDENT (EXCL
USA & CANADA)
US $ 150000
1month-17 yrs
Rs.818/-p.m.
18-40 yrs
Rs.975/- p.m.
41-60 yrs
Rs.1065/-p.m.
D-STUDENT (INCL.
USA & CANADA)
US $ 150000
1 month-17 yrs
Rs.1365/- p.m.
18-40 yrs
Rs.1568/-p.m.
41-60 yrs
Rs.2243/-p.m.
D-1 STUDENT (INCL.

USA & CANADA)
US $ 500000
1 month-17 yrs
Rs.1706/-p.m
18-40 yrs
Rs.1960/-p.m
41-60 yrs
Rs.2804/-p.m
C-EMPLOYMENT (EXCL.
USA & CANADA)
US $ 150000
1 month-17 yrs
US $ 35/- p.m
18-40 yrs
US $ 41/-p.m
41-60 yrs
US $ 47/-p.m
D-EMPLOYMENT (INCLU. US $ 150000

USA & CANADA)
1month-17 yrs
US $ 60/-p.m.
18-40 yrs
US$ 71/-p.m.
41-60 yrs
US$ 98/-p.m.
PLAN C - (EXCL. USA & CANADA) - EXCEEDING 1 YEAR

AGE
1 month-17 yrs
18-40 yrs
41-60 yrs
EMPLOYMENT
US $ 45 P.M
US $ 50 PM
US $ 55 P.M
STUDIES
Rs.818/- PM
Rs.975/-P.M
Rs.1065/-P.M
PLAN D - (INCL. USA & CANADA) - EXCEEDING 1 YEAR

AGE
1 month-17 yrs
18-40 yrs
41-60 yrs
EMPLOYMENT
US $ 90 P.M
US $ 100 PM
US $ 125 P.M
STUDIES
Rs.1365/- PM
Rs.1568/-P.M
Rs.2243/-P.M
NOTE : Applicable Service Tax has to be added along with the appropriate Premium.
MAJOR EXLUSIONS :
All pre-existing disease/Illnesses certain diseases like mumps, chicken pox measles
etc., in case of children below 5 years of age. Traveling against Medical Advise.
122
RURAL INSURANCE COVERS

CATTLE INSURANCE
The scheme is for underwriting cattle insurance business with in India.
1. SCOPE
The word Cattle refers to :
a) Milch Cows and Buffaloes
b) Calves / Heifers
c) Stud Bulls
d) Bullocks (Castrated Bulls) and Castrated Male Buffaloes, whether indigenous,
exotic or cross-bred .
Note :
z Exotic animal means an animal, whose both parents are of foreign breed. This
includes animals born in India as well as those born abroad.
z Cross-bred animal means an animal, one of whose parents is of foreign breed.
2. AGE GROUP
Animals of age in years shown below shall be accepted under the Standard Insurance
Scheme.
I
II
a) Milch cows (Indigenous /

Cross-bred / Exotic )
2 years (or age at first calving)

to 10 years.
b) Milch Buffaloes
3 years (or age at first calving)

to 12 years.
c) Stud Bulls (Cow / Buffalo species)
3 years to 8 years or earlier age

at sexual maturity.
d) Bullock (castrated bulls and

castrated male buffaloes)
3 years to 12 years.
Indigenous, cross-bred and exotic

female calves / heifers.
From 4 months up to the date of

first calving or minimum age as in
(I) (a) and (b).
Note : At the time of acceptance, the maximum age should not exceed the prescribed
age limit (in case of annual policy).
3. VALUATION AND SUM INSURED
(i) The Market value of cattle varies from breed to breed, from area to area and
from time to time. The examining Veterinarians recommendations shall be
considered as the proper guide for acceptance of insurance as well as for
settlement of claims. Wherever possible, high valued animals shall be inspected
by Companys representative.
(ii) Sum Insured will not exceed 100% of Market Value.
123
INDEMNITY
(i) Sum Insured or market value prior to illness whichever is less. Care should be
taken to assess the value of dry animals.
(ii) In case of scheme animals, the policy is issued as agreed value policy, hence
claim will be settled for 100% of Sum Insured, subject to terms, conditions and
exclusions.
4. PREMIUM RATES (Annual )
FOR MILCH COWS / MILCH BUFFALOES / FEMALE CALVES / HEIFERS / STUD
BULLS / BULLOCKS AND CASTRATED MALE BUFFALOES.
1
2
3
SPECIES
COVERS
Death
PTD Extra
2.25% (net)
0.85% (net)
4.00% (gross)
1.00% (gross)
4.00% as above
plus 2.00 % extra
1.00%
Scheme Animals (Indigenous /

crossbred )
Non-Scheme Animals (Indigenous /
crossbred)
Exotic Animals
Scheme Animals for the purpose of concessional insurance rating should cover
animals financed/ subsidised under various Central / State Government
Programmes / Schemes besides IRDP such as
(i) Development of Women & Children Schemes in Rural Areas (DWCSRA), (ii)
Schemes for SC/ST operated by the State Governments,
(iii) Special Livestock Development Programme
(iv) Mini-dairy units in U.P and
(v) Support to training and implementation programme for women.
MALUS :
The premium rates indicated are the minimum to be charged. In case of adverse
claims ratio, following Malus system should be adopted .
% Claim Ratio
Percentage of Malus
100 to 110
20%
111 to 130
33%
131 to 160
60%
161 to 200
100%
Above 200
Premium rate to be adjusted such that Claim

Ratio would appear as 90% for the rate.
MINIMUM PREMIUM : Rs. 50 per Policy.

124
SHORT PERIOD RATES :

Period (not exceeding)
Proportion of Premium
1 week
1/8 of annual rate
1 month
1/4 of annual rate
2 months
3/8 of annual rate
3 months
1/2 of annual rate
4 months
5/8 of annual rate
5 months
3/4 of annual rate
8 months
7/8 of annual rate
Exceeding 8 months
Full annual premium
5. DISCOUNT
(A) Group Discount (For Non-Scheme Only).
A group discount is allowed in case of single /partner ownership and/or single
source of premium payment and covered under a single policy (not applicable to
bank business).
NO. OF ANIMALS
RATE OF DISCOUNT
5 10
2.5%
11 15
5%
16 25
7.5%
26 50
10%
51 100
12.5%
101 - 500
15%
(If the Group is over 500 and / or very large, the discount not exceeding
20% may be given with HO apprroval)
(B) LONG TERM DISCOUNT (For Non- Scheme Animals )
Long Term Discount on
Non Scheme
3 and 4 years Policies
15%
5 years and above
25%
(i) Full premium has to be paid in advance

(ii) No refund of premium will be allowed even if claim arise in the earlier years.
(iii) Age limit should be as per Para 2 above .
(C) LONG TERM DISCOUNT (For Scheme Animals )
For Scheme animals, the basic premium for 3 years policy would be 4.80%. For
any additional year over 3 years, the premium would be @ 1.60 % per year.
125
(This rate is applicable only in case of Long Term Policies). If PTD cover has to
be extended the long term rate applicable for a three year period would be 6.60%.
The working would be as follows
Rate for basic Cover for 3 years
4.80%
Rate for PTD cover for 3 years
1.80%
6.60%
(i) Full premium has to be paid in advance .

(ii) Adjustment of premium : In case of premature death of cattle before the expiry
of policy period, the premium for the balance period after adjusting the period
up to the year In which the animal dies, would be allowed as credit to be adjusted
against premium for the new animal acquired by the Insured.
Explanation : If the animal dies in the first year of the Policy, the premium
@ 2.25% should be deducted from the total premium paid by the insured i.e.,
4.80% for the purpose of adjustment. Similarly, if the animal dies during the
second year of the policy, full premium @ 2.25% for two years should be deducted.
Since no premium will be left for adjustment if the animal dies during the third
year of the policy, there is no question of any adjustment of premium.
(iii) Age limit should be as per Para 2 above.
6. INSURANCE COVERAGE
Underwriting offices shall use standard policy wordings for Cattle Insurance as per
the existing specimen clause. The policy shall give indemnity only for death due to :a) Accident (Inclusive of fire, lightning, flood, inundation, storm, hurricane, earthquake,
cyclone, tornado, tempest and famine ).
b) Diseases contracted or occurring during the period of this policy.
c) Surgical Operations.
d) Riot and Strike.
The Policy can also be extended to cover PTD on payment of extra premium ;
i)
Permanent Total Disability which, in the case of Milch Cattle results in permanent
and total incapacity to conceive or yield milk.
ii) PTD which in the case of Stud Bulls results in permanent and total incapacity for
breeding purpose.
iii) PTD in case of Bullocks, Calves / Heifers and Castrated male buffaloes results in
permanent and total incapacity for the purpose of use mentioned in the proposal
form.
TRANSIT COVER
(a) For Scheme animals, No extra premium to be charged for transit of animal from
the place of purchase to the place of stabling. For non-scheme animals, the distance
is not exceeding 80 kms.
(b) In case of transfer of animal during currency of policy, transit cover can be extended
126
to the new owner without any additional premium in case the transit is within
80 kms.
(c) In case the transit is for more than 80 kms, an additional premium of 1% shall be
charged and such transit shall only be by road or rail and not by foot.
7. EXCLUSIONS
(A) COMMON EXCLUSIONS :
i)
Malicious or willful injury or neglect, overloading, unskillful treatment or use of

animal for purpose other than stated in the policy without the consent of the
Company in writing.
ii) Accidents occurring and /or Disease contracted prior to commencement of risk.
iii) Intentional slaughter of the animal except in cases where destruction is
necessary to terminate incurable suffering on humane consideration on the
basis of certificate issued by qualified Veterinarian or in cases where
destruction is resorted to by the order of lawfully constituted authority.
iv) Theft and clandestine sale of the insured animal.
v) War, invasion, act of foreign enemy, hostilities (whether war be declared or not),
civil war, rebellion, revolution, insurrection, mutiny, tumult, military or usurped
power or any consequences thereof or attempt threat.
vi) Any accident, loss, destruction, damage or legal liability directly or indirectly
caused by or contributed to by or arising from nuclear weapons.
vii) Consequential loss of whatsoever nature.
viii) Transport by air and sea.
ix) Any non-scheme claim arising due to diseases contracted within 15 days
from the date of commencement of risk are not covered.
(B) SPECIFIC EXCLUSIONS :
i)
Pleuropneumonia in respect of Cattle in Lakhimpur and Sibasagar Districts and

newly carved out districts out of these two districts of Assam.
i)
All the claims received without ear tag.
8. ADDITIONAL POLICY CONDITIONS

(i) The provision of 15 days waiting period should be included as policy condition No.
8. The wording may be as under
The Company is not liable to pay the claim in the event of death of insured
animal due to disease occurring within 15 days from the commencement of
risk .
(ii) The provision of No Tag No Claim should be included as policy condition No. 9.
The wording may be as under :
In the event of death of animal/s covered under the policy, claim/s shall not
be entertained unless the ear tag/s are surrendered to the Company. In the
event of loss of ear tag/s, it is the responsibility of the Insured to give
immediate notice to the Company and get the animal retagged.
127
9. VETERINARY EXAMINATION
a) The report of a qualified Veterinarian giving the age, identification marks, health
of the cattle must be obtained for each proposal. Such Certificate should be
obtained in the prescribed format duly filled in all respects.
b) Wherever qualified Veterinarians are not available, the underwriting office with HO
approval may accept Certificate of Health issued by Livestock Inspectors who are
diploma holders. Such certificates will be valid for acceptance of proposals only.
c) Fresh Veterinary Examination is not necessary for renewal of Cattle Insurance
Policy if renewal is made on or before the date of expiry of the policy provided the
animal is within insurable age.
d) Insurers may pay the Veterinarian a fee of Rs.15/- and Rs.5/- towards
examination and tagging per large animal of the proposal which has been
accepted by the insurer. No Veterinary examination fees and Tagging
charges are payable for scheme animals.
e) As regards Veterinary examination fees following the death of animals or for post
mortem if required, the same will be payable by the insurer. If qualified Veterinarians
are not available in the area concerned for certifying cause of death, the insurer may
make suitable alternate arrangements at their discretion. The maximum fees
payable may be as under. Ensure that post-mortem is conducted and report
obtained before payment of fees.
Schedule of Fees
a
For issue of Death Certificate
Rs. 20/- per animal
For conducting post-mortem examination

and preparing report
Rs. 75/- per animal
(i) A panel of Vet. Doctors / Investigators should be made by Regional Offices and their
services can be utilised at the time of acceptance of risk, settlement of claims and
for investigation purpose.
(ii) The performance of Vet. Doctors, investigators should be evaluated through
appraisal form on half yearly basis by the Regional Offices.
(iii) The scale of fees payable to Veterinary Doctors for investigation of claims/
Professional advice will be
Professional fees per claim for technical advice
Rs. 100/-
Daily Allowance payable per day
Rs. 100/-
Professional fees for spot investigation per claim

Conveyance Actual 1st class fare by rail if journey
Undertaken by Rail otherwise conveyance as
applicable for two-wheelers or actual bus fare
Rs. 150/-
For full investigation of individual cattle claim
Rs. 200/- and

Rs. 100/- for additional
claim in the same
locality, if given
together.
128
10. IDENTIFICATION OF ANIMAL

All insured animals should be suitably identified by one or more of the following
methods :
(a) Ear tag made of suitable material may be used. The cost of ear-tags and tagging
charges will be borne by the Insurer.
(b) Natural Identification marks and color should be clearly noted in the proposal
form and Veterinarians Report.
(c) Photographs of animals may be insisted in case of high value animal.
Tagging Charges
(i) Since Veterinarian fees is inclusive of tagging charges, no further tagging charges
are required to be paid.
(ii) Re- tagging charges of Rs10/- per large animal.
11. TRANSFER OF INTEREST
Provided previous notice in writing is given to the Company, a Policy may be
transferred to an approved new owner or to cover a new (another) animal which is
subject to adjustment of premium on a pro-rata basis and requirements such as ear
tag and health certificate. Transfer fee of Rs 15 should be collected.
12. CLAIM PROCEDURE Non-Scheme Animals
In the event of death of an animal, immediate intimation should be sent to the Insurers
and the following requirements should be furnished :
(a) Duly completed claim form.
(b) Death Certificate obtained from qualified Veterinarian on Companys form. (c)
Postmortem examination report.
(d) Ear Tag applied to the animal should be surrendered. The underwriting Offices
should follow the principle of No Tag- No claim. Generally claim should not be
paid if tag is not submitted. However, in cases of genuine hardship, the higher
Competent Authority may consider the claim if the identity of animal is established.
(e) The value of the animal should be established properly keeping in view of age,
etc.
Scheme Animals.
Information of loss/death of animal should be given to the Company or Financing
Bank immediately, within 7 days. Claimant has to furnish the following requirements
within 30 days.
(a) Duly completed and signed claim form along with ear tag.
(b) Certification of death from Veterinary Surgeon or a Certificate jointly by any two of
the following :
i)
Sarpanch of the village.
ii) President or any other Officer of Co-op. Credit Society

129
iii) Official of the Milk Collection Centre.

iv) Supervisor/ Inspector/ Officer of any Banking or Credit Institution (other than
the financing Bank).
v) DRDA or its authorised nominee.
vi) Secretary and Vice President of Panchayat.
vii) Village Revenue Officer / Village Accountant.
viii) Headmaster of a primary school.
Subject to their declaration that they have seen the carcass and Ear Tag
intact in the ear mentioning number thereof.
(c) Post-mortem report, if conducted.
Claim Procedure For PTD Claim
(a) A certificate from the qualified Veterinarian to be obtained.
(b) The animal should be inspected by our Veterinary Officer also.
(c) Complete chart of treatment, medicines used, receipts, etc., should be collected.
(The U/W office may engage an independent qualified Veterinarian or another
investigator in special circumstances).
(d) Admissibility of claim to be considered after two months of obtaining Veterinary
Doctor / Company Doctors report. The Companys Veterinarian should
examine the animal and confirm PTD, before settlement of the claim.
(e) The indemnity is limited to 75% of Sum Insured.
13. SALVAGE
No salvage will be deducted from claims.
1.1 CALF / HEIFER REARING INSURANCE SCHEME FOR SCHEME / NON
SCHEME BENEFICIARIES
1. The Offices may implement this Scheme with caution and separate statistics
may be maintained for review of the Scheme.
2. The Sum insured is only indicative and depending on local market conditions,
it can be altered. Proportionate premium amount may be charged using the
method given below.
3. The minimum period of coverage should not be less than 12 months.
4. In case of Non-Scheme animals, the premium rate would be @ of 4% and
accordingly, the premium amount should be computed. The premium rate
for Scheme animals would be @ 2.25%.
5. The premium amount is computed from 1 day to 32 months. For example : In
respect of Scheme animals, the premium is Rs. 207.00 for 32 months and for
Non-Scheme animals, the premium is Rs. 368.00 for 32 months as per
enclosed Table.
130
6. The formulae adopted for calculation of premium is as under

Scheme Non - Scheme
Animals
Animals
Add : The aggregate sum insured
from 1 day to 32 months
= Rs 1,10,450.00
1,10,450.00
Average Sum Insured for

32 months
= Rs
3,451.60
or 3452.00
3,451.60
or 3452.00
Apply premium rate on

Average amount
= Rs 3,452 x 2.25
77.65
3,452 x 4.00
138.08
Average for One month
= Rs
77.66 /
126.47
138.08 /
1211.50
Premium for 32 months
= Rs
6.47 x 32
207.00
11.50 x 32
368.00
If the cover is given from 6 months onwards, the sum insured for earlier
months is excluded from aggregate sum insured while calculating the premium.
7. The Scope of cover and exclusions are as per Standard Cattle Insurance
Policy.
8. The Claim procedure will be same as under Cattle Insurance Policy.
As far as Buffalo Calves are concerned, no changes have been made in the
existing scheme.
CALF REARING SCHEME VALUATION CHART FROM 1 TO 32 MONTHS
Age at the
commencement
of Insurance
Amount Payable in the event

of death during
corresponding month
Premium Schedule to be
collected (Rs.)
Scheme Non-Scheme
Animals
Animals
1 day to 1 month
150
207
368
1 to 2 months
200
207
368
2 3 months
300
206
367
3 4 months
400
206
366
4 5 months
600
205
365
5 6 months
800
204
363
6 7 months
1000
203
360
7 8 months
1200
201
357
8 9 months
1400
198
353
9 10 months
1600
196
348
10 11 months
1800
193
343
131
11 12 months
2000
189
337
12 13 months
2300
186
330
13 14 months
2550
181
322
14 15 months
2800
177
314
15 16 months
3050
171
305
16 17 months
3300
166
294
17 18 months
3600
159
283
18 19 months
3900
153
271
19 20 months
4200
145
258
20 21 months
4500
137
244
21 22 months
4800
129
229
22 23 months
5100
120
213
23 24 months
5400
110
196
24 25 months
5700
100
178
25 26 months
6000
90
159
26 27 months
6300
78
139
27 28 months
6600
67
118
28 29 months
6900
54
96
29 30 months
7100
41
73
30 31 months
7400
28
50
31 32 months
7500
14
25
VALUATION TABLE FOR BUFFALO CALVES

AGE
Valuation For
sum insured
4 days to 1 month
2nd month
Rs 125/-
PREMIUM @ RS.145 /-
Rs 175/-
PER BUFFALO CALF
3rd month
4th month
5th month
Rs 200/-
FOR THE ENTIRE PERIOD
Rs 250/-
FROM 4 DAYS TO
Rs 325/-
45 MONTHS
6th month
7th month to 12th month
Rs 400/-

Rs 850/Rs 1500/Rs 2000/Rs 3000/132
1.2 FOETUS (UNBORN CALF) INSURANCE SCHEME

This cover can be granted as a separate policy in addition to Cattle Insurance Policy.
SCOPE
The Scheme covers the risk of death of embryo / foetus due to accident or disease
contracted through the recipient or directly from external source. The Scheme
is applicable to both the embryo transferred from a selected donor to the
synchronized recipient or frozen embryo transferred to the recipient and also
the embryo / foetus developed by artificial insemination technique. The embryo /
foetus in the uterus of the recipient /mother cow can be covered as a separate policy
in addition to cattle insurance policy covering the recipient / mother cow / buffalo.
PERIOD OF COVER
The cover commences from the 60th day of the transfer of live quality embryo /
successful insemination subject to production of confirmed pregnancy certificate from
a qualified Veterinary Surgeon particularly the specialist in the field. The cover
terminates on 220 (+/-5) days for cow from the date of confirmation of pregnancy or
on the date of calving whichever is earlier. For the recipient /mother cow the period
of insurance is annual similar to standard cattle insurance policy.
PERILS COVERED
1. Still births (If calf has not survived)
2. Abortion of all kinds except otherwise it is proved to be a malafide or induced
abortion by the insured. Malafide or induced abortion caused by a third party falls
within the scope of cover.
3. Accidental Risks damages caused due to external violent and visible means
including transportation by Road / Rail.
4. Induced abortion carried out under Veterinary advice to save the mother in
conditions like downer cow syndrome, prolapse of uterus, torsion of uterus, fracture
of limbs.
SUM INSURED / VALUATION TABLE
The valuation table is arrived on the basis of input cost, which includes cost of semen
/cost of embryo and cost of medicines used for maintenance of pregnancy.
(i) EMBRYO / FOETUS
Age of the Foetus
Through E.T. Technology Rs.
Through A.I. Rs.
60 days
1000/-
500/-
61 90 days
1100/-
600/-
91 120 days
1200/-
700/-
121 150 days
1300/-
800/-
151 180 days
1400/-
900/-
181 210 days
1500/-
1000/-
211 240 days
1650/-
1100/-
241 270 days
1800/-
1200/-
271 and above
2000/-
1500/-
133
(ii) RECIPIENT / MOTHER COW

Market value certified by the Veterinary doctor or sum insured whichever is lower.
PREMIUM
(i) Embryo / Foetus: Rs. 75/-(net) irrespective of the stage of pregnancy
under artificial insemination method. Rs. 100/- (net) in case of embryo
transplants method.
(ii) Recipient / Mother Cow: The rate is as per the Cattle Insurance Scheme in
force.
EXCLUSIONS
1. Poor quality of embryo
The cover shall operate only if the embryo is supplied by the main Embryo
Biotechnology (Transfer) Laboratory at Sabarmathy Ashram, Gowshala
in Ahmedabad, 4 Regional Centres at Hassarghatta, Nashik, Salon
Nakarikallu and 25 State Centres in various States set up by NDDB or
embryos produced from reputed centres approved by insurers from time to
time, for example: Raymonds Embryo Research Centre, Bilaspur, Madhya
Pradesh .
2. Unskillful handling of embryo
The embr yo transfer carried out by a qualified Veterinarian who has
undergone special training for embryo transfer technique only shall be
covered by this policy. The qualification and training particulars of the person
transferring the embryo to be shown in the proposal.
3. Unskillful and mishandling of foetus at any stage of pregnancy.
4. Malicious act leading to death, still birth or abortion of foetus by the insured.
5. Abortion /Still birth arising out of negligent /careless act of any person attending
on to the health care of pregnant animal.
6. Death or ejection of embryo / foetus due to administration of steroids /or due
to vaccination which are contra indicated.
CERTIFICATION OF PREGNANCY OF ANIMAL
Since the confirmation of pregnancy is a very vital factor, strict adherence of this
condition of obtaining pregnancy certificate as a documentary evidence, is
necessary at the time of proposal. Also all the insemination receipts /embryo
transfer receipt should be strictly produced along with proposal to correctly assess
the age of the embryo / foetus .
All other terms and conditions of the standard cattle insurance policy holds good.
The insured should intimate claim if any within 24 hours to Insurance Company.
134
POULTRY INSURANCE
A. COMPREHENSIVE COVER FOR POULTRY FARMS
1. SCOPE
The Scheme provides rates, terms and conditions to underwrite Poultry Insurance
Business in India. The word Poultry refers to (a) layers (b) broilers (c) parent
stock (Hatchery) which are exotic and cross-bred. Indigenous and non-descript
birds will not be insured. Hereafter, only Comprehensive cover and Parent
Stock (Hatchery) cover are available.
Note :
(a) Exotic bird means whose parents are of foreign breed, which includes birds
born in India as well as those born abroad.
(b) A cross-bred bird for the insurance purpose means one of whose parents is
of foreign breed.
(c) Proposals in respect of birds other than the above do not fall within the
preview of this scheme.
2. APPLICABILITY
A. The Scheme is applicable to poultry farms consisting of all types of exotic and
cross-bred poultry birds in India.
B. All birds in a farm should be covered. After issuing policy, if additional birds
are introduced in the farm, immediate notice to be given to insurer otherwise
claim will be repudiated.
C. The scheme is applicable to poultry farms consisting of minimum number of
birds as follows :
(i) Under Bank finance (for all types of birds) Scheme :
100 (Or as per IRDP norms) Non-Scheme 500
(ii) General :
(a) Broilers 100 per batch
(b) Layers 500 per batch
(c) Hatchery 2000 birds per batch
3. AGE GROUP
Broilers
Layers
(i)
1 day to 8 weeks
(ii)
1 day to 6 weeks
(iii)
1 day to 20 weeks
(iv)
21 weeks to 72 weeks
(v)
1 day to 72 weeks
Hatchery Birds (Parent Stock)
1 day to 72 weeks
135
4. PREMIUM RATES
SCHEME
(NET)
A
NON-SCHEME ANNUAL
(GROSS)
PREMIUM
Broilers1 day
to 8 weeks
Rs. 0.25 per bird per

batch(net) or
1.5%
6.00%
1 day to 6 weeks
Rs. 1.00 per bird

p.a. (net)
1.20%
4.80%
Layers1 day to
20 weeks
3.20 %
21 weeks to 72 weeks
3.50%
1 day to 72 weeks
5.50%
*(1 day to 72 weeks)
Rs. 0.80 net

per bird)
Parent Stock (Hatchery)
5%
Note :
i)
The premium will be charged on Peak Value of birds in each of the above
categories
ii) Minimum value for Parent Stock bird should be Rs. 200/- (Negotiable).
iii) For Scheme (for layers and broilers only) following table and short period
rates may be used :
Period in
Weeks
1 day old
1st week
Maximum value
Period in Weeks
payable as per
SCHEME Chart
Layers Rs. Broilers Rs.
5.00
5.00
15th week
6.00
6.00
2nd week
3rd week
4th week
6.50
6.50
7.00
7.00
7.50
7.50
5th week
6th week
7th week
8.00
8.00
16th week
17th week
8.50
10.50
9.00
12.00
8th week
9th week
10th week
10.00
15.00
11th week
12th week
13th week
11.50
14th week
14.50
10.50
11.00
Maximum value
payable as per
SCHEME Chart
Layers Rs.
15.00
16.00
17.00
18th week
19th week
20th week
20.00
21st week
22nd week
22.00
23rd week
24th to 37th week
38th to 45th week
18.00
19.00
21.00
23.00
25.00
23.00
12.50
46th to 52nd week

53rd to 62nd week
20.00
13.50
63rd to72nd week
18.00
136
22.00
SHORT PERIOD RATES

Upto 2nd week
Upto 3rd month
1/8th of premium of full period of insurance

Upto 5th month

Upto 6th month
1/2of premium of full period of insurance

Upto 8th month

Upto 10th month

Above 10 months
Full premium
iv) Since there is no standard valuation chart and multiplier factor for Parent
Stock Birds (Hatchery), the valuation chart has to be finalised in consultation
with Hatchery.
5. SUM INSURED
(a)
Non-IRDP
IRDP
For layers maximum S.I.
Rs. 75/-
Rs. 25/-
For Broilers maximum S.I.
Rs. 45/-
Rs. 15/-
(b) Valuation Table :

(i) Any revision in Valuation Chart to be effected should be approved by the
Head Office.
(ii) Valuation chart will be worked out on the basis of multiplier factor given in the
formula as shown hereunder:
FORMULA FOR DETERMINING VALUATION CHART FOR BROILERS
Following multiplier should be applied while calculating week wise valuation :
Weeks
Multiplying Factor
Weeks
Multiplying Factor
0.160
1.962
0.336
2.882
0.709
3.815
1.270
4.750
The multiplier is to be applied to the prevailing feed cost and day old chick cost should
be added to arrive at week wise valuation.
ILLUSTRATION (ASSUMPTION)
A day old chick cost Rs. 12.65
Feed cost Rs. 7.00 per kg.
137
Week wise valuation will be arrived as follows (1 day to 8 weeks)

Week Multiplier x Feed cost + Chick cost = Total (Rs.) Rounded to (Rs.)
1
0.160
7.00
12.65
13.77
14.00
0.336
7.00
12.65
15.00
15.00
0.709
7.00
12.65
17.613
18.00
1.270
7.00
12.65
21.54
22.00
1.962
7.00
12.65
26.384
26.00
2.882
7.00
12.65
32.824
33.00
3.815
7.00
12.65
39.355
39.00
4.750
7.00
12.65
45.9
45.00
Week wise valuation chart for broilers 1 day to 6 weeks

WEEK
VALUATION
14.00
19.00
24.00
31.00
38.00
45.00
Formula for Determining Valuation Chart for Layer Birds

Week
Multiplier
Week
Multiplier
Week
Multiplier
0.07
11
3.398
21
8.566
0.234
12
3.913
22
9.293
0.447
13
4.435
23
9.544
0.870
14
4.978
24-37
10.200
1.120
15
5.523
38-45
7.285
1.560
16
6.000
46-52
5.693
2.030
17
6.500
53-62
5.523
2.560
18
6.925
63-72
4.92
2.98
19
7.535
10
3.334
20
8.170
The multiplier is to be applied to the prevailing feed cost and day old chick cost should
be added to arrive at week wise valuation.
Illustration
Assumption :
1. A day old chick cost Rs. 14.60
2. Chick mash cost Rs. 6.50 per kg.
3. Grower and Layer mash cost Rs. 6.00 per kg.
138
The valuations will be arrived as follows :

Week
Multiplier x Feed Cost + Chick Cost = Total (Rs.) Rounded to (Rs.)
0.070
6.50
14.60
15.055
15.00
0.234
6.50
14.60
16.121
16.00
0.447
6.50
14.60
17.055
17.00
0.870
6.50
14.60
20.255
20.00
1.120
6.50
14.60
21.88
22.00
1.560
6.50
14.60
24.74
25.00
2.030
6.50
14.60
27.795
28.00
2.560
6.50
14.60
31.24
31.00
2.980
6.50
14.60
33.97
34.00
10
3.334
6.50
14.60
36.271
36.00
11
3.398
6.50
14.60
36.687
37.00
12
3.918
6.50
14.60
40.0345
40.00
13
4.435
6.50
14.60
43.4275
43.00
14
4.978
6.50
14.60
46.957
47.00
15
5.523
6.50
14.60
50.4995
50.00
16
6.000
6.50
14.60
53.60
54.00
17
6.500
6.50
14.60
56.85
57.00
18
6.925
6.50
14.60
59.6125
59.00
19
7.535
6.00
14.60
59.81
60.00
20
8.170
6.00
14.60
63.62
64.00
21
8.566
6.00
14.60
65.996
66.00
22
9.293
6.00
14.60
70.358
70.00
23
9.544
6.00
14.60
71.864
72.00
24-37
10.200
6.00
14.60
75.80
75.00
38-45
7.285
6.00
14.60
58.31
58.00
46-52
5.793
6.00
14.60
49.358
49.00
53-62
5.523
6.00
14.60
47.738
48.00
63-72
4.920
6.00
14.60
44.12
44.00
Standard Policy wordings for Poultry Insurance shall be used as per the existing
clause. The Policy shall provide indemnity against death of birds due to accident
(including fire, lightning, flood, cyclone, storm, tempest, earthquake, strike, riot, act of
139
terrorism) or diseases contracted or occurring during the period of insurance subject

to the following exclusions.
7. EXCLUSIONS
(a) Malicious / willful injury, neglect.
(b) Transit by any mode of transport.
(c) Improper management (including over crowding) i.e. when the farm is not run on
scientific poultry management guidelines and standards laid down by Poultry
Corporations/ Animal Husbandry Department in regard to housekeeping,
watering, feeding, vaccination, deworming, debeaking, lighting/ heating, culling
etc.
(d) Loss / death due to natural mortality, non-specified or unknown diseases or
reasons.
(e) Undergrowth, cannibalism, action of predators like preying birds and carnivorous
animal.
(f) Theft and clandestine sale of birds.
(g) Intentional slaughter of the birds except in cases where destruction is necessary
to terminate incurable suffering on humane consideration and to protect remaining
healthy flock to reduce additional losses on the basis of certificate issued by
qualified Vet. Surgeon or in cases where destruction is resorted to by order of
lawfully constituted authority, under intimation to Insurance Company.
(h) Consequential loss however caused.
(i) Permanent and partial disablement of any nature.
(j) Loss of production i.e. the failure due to any reasons whatsoever to lay required
number of eggs or small sized eggs in layers or to attain proper weight at a particular
age in Broilers.
(k) Mareks disease, Ranikhet disease, Fowl Pox and Infectious Bronchitis. These
diseases are covered by the policy if the birds are successfully inoculated against
these diseases and the necessary veterinary certificate to that effect is supplied
to the company. Coccidiosis and other diseases are covered only if preventive
and curative measures are taken from time to time.
(l) Malnutrition/ shortage of water, death due to starvation because of non supply
of feed to birds or similar reasons of whatsoever nature.
(m)Undergrowth.
(n) Cannibalism
(o) Loss due to huddling and / or piling of birds.
(p) Avian Leucosis Complex (A.L.C.)
(q) War, invasion, act of foreign enemy, hostilities (whether war be declared or not),
civil war, rebellion, revolution, insurrection, mutiny, tumult, military or usurped
power or any consequences thereof or attempt threat.
140
(r) Any accident, loss, destruction, damage or legal liability directly or indirectly caused
by or contributed or arising from nuclear weapons.
8. VETERINARY EXAMINATION
i)
A Veterinary Certificate from a qualified Veterinarian or the Consultant Veterinarian

of the Insured is necessary.
ii) In case of layer farms having more than 5000 birds inspection of the farm should
preferably be done by Companys Vet. Officer or Panel Doctor.
iii) Veterinary Health / Examination fees should be borne by the Insurer as per the
following chart which would be payable to Panel Doctor only.
No. of Birds
Amount (Rs.)
100 to 500
25
501 to 1000
30
1001 to 5000
40
5001 onwards
50
iv) No Vet. Fees is payable for proposals under scheme birds.

v) The Insurer reserves the right to check periodically and depute for the purpose
thereof any representative.
9. DISCOUNTS
(a) No Claim Discount
No claim after completion of 1 year
15% discount on premium
No claim after completion of 2 years
No claim after completion of 3 years
(For above discount in case of layers 1 year means policy period).

(b) Good features discount : This discount not exceeding 5% may be allowed if
the farm is having any five good features listed below :
i)
Farms having Resident / own Veterinary Officer or Farms managed by

Veterinary Doctors.
ii) Farms with layer flock size of 10,000 per batch and above. Farms with broiler
flock size of 5,000 per batch and above.
iii) Farms having good dead birds disposal system i.e. farms with incinerator.
iv) Farms with standard layout such as good distance between sheds, fencing,
wind breaker trees etc.
iv) Farms with sophisticated equipment i.e. farms with automatic feeders, waterers,
etc.
v) Farms with mortality of less than 5% in previous batch.
141
vii) Presence of thermo regulators to control temperature and humidity.

Note : The above good features should be certified by a Companys representative.
10. IMPORTANT UNDERWRITING CONDITIONS:
(a) All birds in the farm / shed should be insured.
(b) Poultry farm should have Veterinary facility of their own or on Consultancy basis.
(c) Proper balanced standard food, water and light should be supplied to birds.
(d) Debeaking and deworming should be carried out regularly and record to that
effect has to be maintained.
(e) The minimum number of birds prescribed have to be maintained and all the birds
should be covered on flock basis, thus no identification is necessary.
(f) Proposer must keep all the essential records as mentioned below at the
farm.
i)
Flock record on day to day basis Daily stock register.
ii) Mortality record

iii) Culling
iv) Vaccination and Inoculation particulars
v) Feed Consumption.
vi) Production
vii) Debeaking
viii) Incidence of diseases (PM records)
ix) Purchase and Sales.
(g) The farms should not resort to replacement of chicks in the affected sheds i.e.
after claim is reported due to diseases / any other reason.
(h) Answers to all the questions in the proposal form and health certificate should be
properly answered without any blank. (Proposal should have a provision confirming
that all the birds in different sheds in the farm are covered.)
(i) Any change of birds should be informed immediately to the concerned office and
new birds being added into the batch should pass through the Vet. Examination.
(j) Transfer of interest / ownership is not allowed.
(k) The cages must be maintained properly and of normal standard.
11. PROCEDURE FOR CLAIM SETTLEMENT
(a) Admissibility of the Claim
Excess clause : Claim under the policy would be admissible only if the
142
mortality due to insured peril in the flock exceeds beyond the excess limit
given below :
Mortality
Broilers1 day old to 8 weeks (6 weeks)
5% of population in each batch
Layers1 day old to 8 weeks
5% of population in each batch at

the inception of the policy.
9th week to 20th week
3% of total population at the

beginning of 9th week
21st week to 72 weeks
1% of total population at the

beginning of 21st week and
then every month.
(Excess is not to be applied on cumulative basis).

N.B. Application of excess clauses for Broilers is illustrated below
If the farmer has got 100 birds per batch and following is a week wise mortality
chart the excess will be applied as under :
Week
Mortality
Week wiseValuation (Rs.)
Total value of birds lost
14
28
15
75
18
18
22
44
26
26
33
132
39
78
Total
17
167
401
Total value of birds lost
Average value of each bird
No. of birds lost (Mortality)
Now 5% of 100 birds
401/17
Rs. 23.595 birds
Hence the excess of Rs 23.59 x 5 = 117.95 will be deducted from total

amount payable. Thus the excess of 5% will be deducted on average valuation
arrived on the basis of mortality chart presented rather than on the basis of
first 5% birds week-wise.
Compensation towards loss of birds will be made only for death of birds
exceeding the mortality percentage given above.
143
(b) Liability of the Company : The Insured will be indemnified for 80% of the value of
the birds at the time of death as per valuation table or actual value as decided by
the Veterinary Surgeon before admissibility of claim whichever is less. 20%
additional excess for Gumboro disease.
12. CLAIMS PROCEDURE
(i) In the event of death of birds immediate intimation should be given to the Company
and the Insurer should be supplied with the following documents and required
information :
a) Duly filled in claim form.
b) Vet. P.M. Report for sample birds.
c) Daily records of mortality, feeding etc.
d) Purchase invoices for the birds.
e) Any other point to substantiate the loss like photographs, medical bills, etc.
as and when required.
(ii) In case of alarming death/outbreak of epidemic nature immediate notice
within 12 hours should be given to the Company and all birds should be
segregated and produced to the representative of the Company or to any
person authorised by the Company for inspection.
(iii) Daily mortality details should be sent to the Company on weekly basis
failing which report will be treated as nil for that particular week.
(iv) Delay in reporting of the claim should be avoided and if there is delay for
more than three days the claim would be treated as non-standard.
(v) In case of doubtful claims/ farms for which claim ratio is adverse, Technical
Report from an expert may be insisted for settlement of claim.
13. SALVAGE
During the outbreak of epidemic/ natural calamities in the farm, insured should arrange
emergency sale of live birds in the presence of the representative of the insurance
company in order to avert or minimise the loss. In case the insured realises the value
less than the valuation table agreed upon for the corresponding week then the
difference will be paid to the insured in addition to the cost of dead birds as per terms
and conditions of the policy.
14. STANDARD FORMS
i) Proposal Form
ii) Veterinary Certificate for acceptance of risk (Fitness Certificate)
iii) Claim Form.
iv) Veterinary Certificate to be submitted during claim (Death Certificate and Post
Mortem Report).
144
DOG INSURANCE
1. SCOPE OF SCHEME
Dogs are insured against death due to accident and/or diseases contracted during
the period of insurance subject to usual terms, conditions and exclusions of the
policy.
2. AGE GROUP
8 weeks to 8 years. Not to be insured when age is less than 8 weeks and more than
10 years.
3. BREED
Dogs of indigenous origin, cross-bred and exotic breeds are covered under the
scheme. For insuring Exotic and Police Security dogs, prior sanction of H.O. is
necessary.
4. VALUATION
Valuation to be done by qualified Veterinary Doctor at the time of proposing the
insurance.
Note: Authority to accept Dog Insurance up to Rs.50.000/- per dog is vested with
Regional Offices only. If value exceeds Rs.50.000/-, prior approval should be obtained
from Head Office.
5. IDENTIFICATION
Insured dogs must be suitably identified by one of the following methods :
a) Tattooing
b) Nose Print
c) Photograph
Normal identification marks and breed, sex, age etc., should be clearly described in
the Veterinary Certificate. Cost of identification is to be borne by Insured only. Detailed
pedigree record, kennel club record may be obtained along with Vet. Certificate.
6. RATING
5% Of Sum Insured
7. EXCLUSIONS
(a) Common Exclusions: As per Cattle Insurance Scheme item 7 (A)
(b) Specific Exclusions:
(i) Death due to diseases such as Distemper, Rabies, Viral Hepatitis ,
Leptospirosis,
Viral enteritis. These diseases are covered only if the dogs have
been successfully vaccinated and a Veterinary Certificate to that effect is
produced.
145
(ii) Diseases contracted prior to and within 15 days of commencement of risk.

(iii) Transport, show risk, breeding and whelping risk, third party personal injury
unless additional premium is paid
8. CLAIMS
Company to bear 80% of the claim amount and Insured to bear 20% of the claim
amount which would be ascertained on the basis of Market Value as certified by
Veterinary Doctor or Insured Value whichever is less.
9. CLAIMS DOCUMENTS
(i) Duly completed claim form.
(ii) Veterinary Certificate for death on Companys form.
(iii) Post Mortem report on standard P.M. form.
(iv) Photograph or any other document, if necessary.
10. SALVAGE
In the event of death of the insured dog, any amount received or receivable by the
Insured from third parties and the value of the salvage recovered, if any, would be
deducted from the claim amount.
11. EXTENSION OF POLICY
The policy may be extended as per following Sections, and the proposer may choose
to cover risks under any Section by payment of extra premium
Rate of Extra
Premium
Section (1)
Death by accident in transit by air, rail, road and water,
and show risk
0.5%
Section (2)
Death by accidental poisoning
1.0%
Section (3) Breeding Risk

a) Death by whelping
b) Loss of litter in case the whole litter is stillborn or dies
within 14 days of birth :
0.5%2.0%
Section (4)
Lost or stolen dogs (Including burglary or house breaking)
2.0%
Section (5)
Loss of show entry fees (limit Rs. 250/-) when the dog which
is registered with the Kennel Club is unable to attend the show
because of accident or disease covered by the policy.
0.25%
146
Section (6)
Loss of value (Limit one half of Sum Insured) resultant upon
an accident which does not result in death but which averts
its show career.
0.5%
Section (7)
Liability for personal injuries and damage to property
(Including animals, poultry) of third parties up to Rs. 5000/-.
1.0%
Note : Liability to members of the Insureds family or employees is excluded.

Veterinary Surgeons fees may be included, when incurred in a successful attempt
to save the life of a dog.
Section (8)
WORLD WIDE TRANSIT CLAUSE
@ 2%
This covers transit to various parts of the world and back to India and/or from other
countries to India.
a) Risk of death from any cause (except whelping) but with liberty to be kenneled on
checking.
b) Cover to commence 24 hours after arrival at ultimate destination or until previous
arrivals in quarantine.
Note : All certificates of vaccinations should be produced before leaving the country.
All other terms and conditions as per cattle insurance.
147
INLAND FISH INSURANCE

1. APPLICABILITY
The scheme is applicable to fish farms consisting of fry / fishlings /fingerlings / fish
in stock ponds / breeders etc. in the Pond and Fresh Water Projects. This scheme is
not applicable to Brackish-water and Marine Fisheries. All fish in a farm are to be
covered.
2. BREED
All kinds of fish reared in Fish farms/tanks are coverable (e.g. Rohu, Katla, Mrigal
etc.).
3. AGE GROUP
From stage of fish seed, fingerlings / fry to the stage when fish is ready for catch or
harvest.
4. PERIOD OF COVER
(A) Rearing ponds - fry to fingerling : 3 months period in rearing pond.
(B) Fingerling to fish state : 12 months period in stock ponds.
(C) Breeders age 1 year to 5 years : 12 months
(i) If it is offered for insurance at 400 grams stage insurance period should be
17 fortnights.
(ii) If offered at 600 grams stage insurance period should be 13 fortnights.
5. VALUATION
(a) There is no fixed Sum Insured under this policy because value of fish changes
from stage of seed (fishlings / fingerlings / fry) to the stage of catch / harvest
(adult fish / fish is ready for market).
(b) The following should be taken into consideration while determining the valuation
of fish :
(i) Cost of input.
(ii) Cost of seed / fry / fishlings / fingerlings.
(iii) Other incidental expenses.
(iv) Natural mortality of any kind should be excluded in each stage. It has been
observed that in each stage mortality is about 60% to 70% (If fingerlings seed
left in the fish tank then only 30% to 40% adult fishes will be harvested).
c) Profit should not be included while assessing the valuation of fish.
6. RATING
a) 3.4 % gross per annum on peak value of fish for non-subsidised project.
b) For scheme through FFDA and other similar schemes premium is to be
charged@ 2.90 % net.
c) Minimum premium Rs.30.00
Note : Policy can be extended to cover fish rearing ponds / bunds against fire,
lightning, riot, storm, tempest, flood, malicious damage, explosion, earthquake
and Aircraft damage subject to payment of additional premium of 0.5% of the
value of the ponds in non-flood prone areas and 1% in flood prone areas.
148
7. CERTIFICATES AND VALUATION FEE

(a) Value of fish from seed to harvest period may be certified by one of the following
authorities:
i)
Fisheries Extension Officer.
ii) Officer who has been authorised to issue such certificate by State Govt.
Fisheries Department or Central Inland Fisheries Research Institute.
(b) Certified Valuation Table should be submitted along with the proposal, which will
form the basis of claim settlement.
(c) Fee for the valuation table and issuance of certificate will not be borne by the
Insurance Company.
This policy covers only Total Loss and in case the percentage of loss of any particular
stage is equal to or exceeds 80% of the total population of fish in pond it is treated as
Total Loss. However collective loss of different incidents will not be treated as Total
Loss for the purpose of Claim.
ANNEXUE- A
VALUATION TABLE FOR FRY TO FINGERLINGS
SURVIVAL RATE
STOCKING PERIOD
VALUE OF FRY/
FINGERLINGS
2nd day to 30 days - 75%
1st month
Rs. 6 /- per 100
31 days to 60 days - 50%
2nd month
Rs. 20/- per 100
61 days to 90 days - 30%
3rd month
Rs. 60/- per 100
ANNEXURE-B
VALUATION TABLE FOR FINGERLING TO FISH STAGE
Number of Stages of
Fish culture in stock ponds
Progressive Weight
(Grams per Fish)
Value of
Per Acre
1st
Fortnight
100
2000
2nd
-do-
125
2200
3rd
-do-
150
2400
4th
-do-
200
2600
5th
-do-
250
2800
6th
-do-
300
3000
7th
-do-
350
3200
8th
-do-
400
3500
9th
-do-
450
3800
10th
11th
-do-
500
4100
-do-
550
4400
12th
-do-
600
4800
149
13th
-do-
650
5600
14th
-do-
700
6500
15th
-do-
750
7200
16th
-do-
800
8000
17th
-do-
850
8800
18th
-do-
900
9600
19th
-do-
950
10500
20th
-do-
1000
11500
21st
-do-
1050
12500
22nd
-do-
1100
13500
23rd
-do-
1175
14500
24th
-do-
1250
16000
Maximum Value per Hectare Rs. 40.000/ANNEXURE - C

VALUATION TABLE FOR BREEDERS
Period
Value
1. 1 st year stock
Rs.30/- per Kg.
2. 2nd year stock
Rs.60/- per 2 Kgs
3. 3rd year stock
Rs. 90/- per 3 Kgs
4. 4th year stock
Rs. 10O/- per 4 Kgs. Above 5 Kgs is not insurable.
9. EXCLUSIONS
(i) Loss due to improper management and bad handling.
(ii) Loss due to neglect and carelessness.
(iii) Loss due to malicious act, willful injury, error or omission. (iv) Partial loss of any
kind.
(v) Losses due to dangerous insects, predators, competitors, etc.
(vi) Losses due to variation in PH factor, physical & chemical status of the water and
soil.
(vii)
Asphyxia.
(viii) Losses due to natural mortality, burglary, house-breaking, theft or infidelity of

any person, (ix) Transit by sea, land and air.
(ix) Accident, loss, destruction, damage or legal liability directly or indirectly caused
by or contributed to or arising from nuclear weapons material.
10. PROCEDURE FOR CLAIM SETTLEMENT
a) For any loss, insured has to intimate to the Company in writing within 24 hours
of the occurrence of loss.
150
b) The assessment of loss would be on the basis of the certification by the Dept. of
Fisheries at the time of actual loss or the value of fish stated in the policy whichever
is less.
c) Liability of the Company: Companys liability would be 80% of assessed value of
the loss. Insured has to bear 20%.
d) Claim Documents:
i)
Intimation by letter, telephone, telegram or in erson,
ii) Duly completed claim form.

iii) Certificate from Dept. of Fishery for the reason of loss / death & valuation of
fish at the time of loss. Above information/documents should be submitted to
the Company within 15 days of the loss.
11. UNDERWRITING CONSIDERATIONS
i)
The project area of the farm should have strong and sufficient boundary (bunds).
ii) The water movements must be properly regulated by suitable inlets, outlets and
sluices.
iii) The soil and water of the project area must be proper and it should ensure
expected productivity.
iv) Regular and effective liming, feeding and manuring should be provided.
v) The project should have sufficient attention and help of the service of the Extension
Officer from Fisheries Dept.
vi) Regular and ideal conditions of water must be maintained. Regular analysis of
water and quality testing must be done from time to time.
vii) Dead fishes should be removed immediately.
viii) Proper records of stocking of fish, feeding / disease record, preventive steps,
input and expenditure, daily stock position etc., should be maintained properly
with the daily transit.
ix) Transport of fish/fry/fingerlings should be done with all prerequisite safeguards
as per the direction of Fishery Department so as to avoid deaths of fishes or
seed stock in transit.
x) The work schedule should be properly maintained by Dept. of Fishery.
xi) Proper conditioning should be done before transfer of fry / fishlings / fingerlings
to the project area,
xii) In case of epidemics and parasitical infestation immediate steps should be taken
to prevent the losses by using medicines, chemicals etc.
xiii) Shutting or screening the escape route of fish such as gap in the embankment
should be properly guarded by net etc.
xiv) Deweeding, earth-excavation, de silting and earth improvements should be
done from time to time,
xv) Transfer of interest is not allowed.
151
AGRICULTURE PUMPSET INSURANCE

1. SUBJECT COVERED
Centrifugal pump sets (Electrical and Diesel / Oil) and submersible pump sets used
for agricultural purposes only. It includes Pump, Driving Unit and Starter.
2. IDENTIFICATION
Make, Year of Manufacture, Serial Number, HP.
3. RISKS COVERED
a) Mechanical / Electrical Breakdown
b) Fire and lightning
c) Theft and burglary (only if pump set is lodged in a permanent enclosure and there
is forcible and violent entry but not applicable to submersible pump set ).
d) Riot / Strikes, Malicious damage, Terrorism.
e) Flood (on payment of extra premium @ 2% of Sum Insured 1 % of Sum
Insured in Submersible Pumpset).
4. EXCLUSIONS
i)
Normal wear & tear, gradual deterioration due to atmospheric conditions or

otherwise.
ii) Willful act of gross negligence by Insured or his representative.

iii) Faults existing at the time of commencement of risk and known to the Insured
or his representative.
iv) Loss or damage for which manufacturer or supplier of pump set is responsible
either by Law or Under Contract.
v) Cost of dismantling, transport to workshop & back and also cost of re-erection.
5. SUM INSURED
100% of Market Value at the time of issuance of cover or present replacement
value for Submersible Pump set as per annexure C
6. PREMIUM RATE
As per rating Schedule
a) Premium depends on Horsepower and Type of Pump set as per Annexure A
b) For submersible pumpset as per Annexure C
c) Premium to be loaded by 50% in Case of submersible pump set, if it is older than
10 years.
7. MINIMUM PREMIUM
Rs 40/- (For electric pump set) Rs 55/- (For diesel pump set)
Rs 250/- for submersible pump per unit irrespective of number of pump sets under a
policy.
152
8. DISCOUNTS
a) NO CLAIM DISCOUNT: No claim discounts at the following rates are allowed to
encourage better maintenance of pump sets.
Discount on renewal for the following year :
i)
If no claim arises for one year
10 %
ii) If no claim arises for two consecutive years
15 %
iii) If no claim arises for three consecutive years
20%
2 years policy
15 %
ii) 3 years to 5 years
25 %
iii) 6 years to 9 years
30 %
2500 to 5000
10%
5001 to 25000
15%
25001 to 50000
20%
Above 50000
25%
b) LONG TERM DISCOUNT

i)
c) GROUP DISCOUNT
No. of Pump sets
9. DEDUCTIBLE FRANCHISE
In respect of Machinery Breakdown claim for agricultural pump set the Insured has
to bear certain amount of claim. For submersible pump set excess of 1 % or Rs
250/- whichever is higher.
Details mentioned in Annexure-A
10. IMPORTANT UNDERWRITING INSTRUCTIONS
(i) Insurance of inferior make/quality to be avoided.
(ii) The Sum Insured should not be less than the present replacement value and
not the depreciated value,
(iii) An endorsement regarding maximum rewinding charges as per Horsepower
should be attached to the policy,
(iv) The pump set should be serviced regularly and overhauled annually,
(v) No refund of premium is allowed if the pump is idle or used occasionally.
(vi) All claims are subject to depreciation of 10% per year and maximum depreciation
should not be more than 75% of erected value of pump set.
(vii) Companys liability for total loss claim where pump set cannot be retrieved in
case of submersible pump set is 50% of assessed loss.
(viii) Pre-acceptance inspection should be recommended for submersible pump sets.
153
(ix) Statistics for submersible pump set for premium and claims to be kept separately
from Agricultural Pump set Insurance
(x) Pump sets beyond 25 H.P. capacity should be insured under Engg. Department.
i)
The insured will inform the Insurance Company immediately in writing about the
loss.
ii) The company registers the claim on receipt of intimation, claim form and estimate
of repairs in case of breakdown and police report in case of Burglary, Act of
Terrorism, Riot and Strike respectively.
iii) A competent surveyor may be sent by the Company to conduct survey and also
investigations if need be.
iv) On receipt of bills and report from repairer / surveyor the claim is processed and
our liability assessed after taking into consideration the salvage, deductible
franchise.
12. LIMIT OF LIABILITY
Limit of liability is cost of repair / damage. Maximum liability for rewinding charges is
as per Annexure B.
13. FORMS / DOCUMENTS
a) Proposal
b) Policy
c) Claim Form
d) Estimates
e) Bills
f) Receipts
PREMIUM FOR AGRICULTURAL CENTRIFUGAL PUMPSET
ANNEXURE A
TABLE I - ELECTRICAL MOTOR
H.P.
Premium in Rs.
Deductible Franchise Rs.
3.0
40
75
5.0
45
75
5.0
65
85
10.0
70
90
15.0
95
115
17.0
95
115
20.0
110
140
25.0
130
140
154
TABLE II DIESEL/OIL SETS

H.P
PREMIUM IN Rs.
DEDUCTIBLE FRANCHISE IN Rs.
5.0
55
90
7.5
60
105
10.0
80
115
15.0
100
140
17.5
110
160
20.0
125
175
25.0
140
200
ANNEXURE B
REWINDING CHARGES
H. P
MAXIMUM LIABILITY IN Rs.
3.0
600
5.0
800
7.5
1000
10.0
1300
15.0
1900
17.5
2000
20.0
2100
25.0
2400
ANNEXURE C
SUBMERSIBLE PUMPSET
H.P.
SUM INSURED
PREMIUM
REWINDING
CHARGES (Rs.)
LIABILITY FOR
TOTAL LOSS (Rs.)
3&5
15,000
250
1,500
7,500
7.5
18,000
250
2,000
9,000
10
22,000
275
2,500
11,000
12.5
25,000
315
3,000
12,500
15
28,000
350
4,000
14,000
20
30,000
375
4,500
15,000
25
45,000
565
5,000
22,500
The above premium rates are excluding flood risk.

155
JANATA PERSONAL ACCIDENT POLICY

1. SALIENT FEATURES
Any person irrespective of sex, occupation and profession in the age group of 10 to
70 years may be covered under JANATA PERSONAL ACCIDENT POLICY.
2. SCOPE OF COVER
This insurance will pay to the Insured (or in case of death, to the nominee) the
amount shown against the table of benefits, if the Insured shall sustain any bodily
injury resulting solely and directly from accident caused by outward violent and visible
means and such bodily injury within the twelve calendar months of its occurrence be
the sole and direct cause of :
Table of Benefits
Sum Insured Payable
(i) Death
100% of S.I.
(ii) Total and irrecoverable loss of sight of both eyes or

losses of use of two hands or feet or loss of sight
of one eye and loss of use of one hand or foot.
100% of S.I
(iii) Total and irrecoverable loss of sight of one eye or

loss of use of one hand or foot.
50% of S.I.
(iv) Permanent total disablement due to accident.
100% of S.I.
3. SUM INSURED
The policy may be issued for minimum sum insured of Rs.25.000/- per person per
annum and the maximum sum insured is to be limited to Rs.1,00,000/- per person
per annum.
4. PREMIUM
The rate of premium is Rs.15 for a sum insured of Rs.25,000/-. The sum insured shall
be increased in multiples of Rs.25,000 and premium is charged accordingly.
5. GROUP DISCOUNT
Group Size
Discount (%)
101 To 1,000
1,001 To 10,000
7.5
10,001 To 50,000
10
50,001 To 1,00,000
12.5
1,00,001 To 2,00,000
15
2,00,001 To 5,00, 000
20
5,00,001 To 10,00,000
25
above 10 lacs
30
156
Group insurance policy should be issued only in respect of the named Groups. For
the purpose of availing of Group Discount and other benefits the proposed Group
should fall clearly under any one of the following categories :
Employer-employee relationship including dependents of the employee.
Pre-identified segments / groups where the premium is to be paid by the State/
Central Governments.
Members of a registered co-operative society.
Members of Registered Service Clubs.
Holders of credit cards of Banks / Diners / Master / Visa.
Holders of Deposit Certificates issued by Banks / NBFCs.
Shareholders of Banks / Public Limited Companies.
In case of proposals relating to any further category different from the seven
notified categories, they may be decided upon by Technical Dept., Head Office.
No Group Discount can be offered on the anticipated* group size. Group Discount
is to be considered and worked out only on the actual number of members
registered in the Group at the time of taking out the policy.
Under no circumstances claims under such policies can be paid to any one other
than the individual insured.
Wherever group policies for higher Sum Insured are needed, the same shall be
covered under Personal accident policy.
6. LONG TERM DISCOUNT
Term of the Policy (Years)
Discount (%)
1
2
3
4
5
Nil
5
10
15
20
7. SPECIAL CONDITION
All discounts including other technical discounts / deductions if any granted in addition
to Group Discount, Long Term Discount, Special Feature Discount, No Claim Discount
and/or discounts / deductions of any other nature in aggregate should not exceed
30% under any circumstances.
8. EXCLUSIONS
I.
Any existing disability.
II. Death injury or disablement due to intentional self injuries, suicide or attempted
suicide.
III. Disablement or death under influence of liquor or drug.
157
IV. Death or disablement during racing, shooting, big game hunting, mountaineering,
ice hockey and winter sports.
V. Insanity.
VI. Breach of law with criminal intention. VII. War Group of perils.
VIII.
Nuclear group of perils.
10. IMPORTANT UNDERWRITING INSTRUCTIONS

I.
The Policy in respect of Individual or Group JPA should be issued for a maximum
period of 5 years.
II. No MOU or Agreement should be signed by any officer below the rank of Manager.
III. No MOU or Agreement should be signed without prior approval of HO Tech Dept
and Legal Dept.
IV. In case of long term-policy, the premium is to be collected in one lump sum
amount in advance.
V. No refund of premium will be allowed even if the claim arises in the earlier years
under long term policy.
VI. No renewal of group policy should be encouraged where loss ratio is 70% and
above.
VII. PTD should be covered as per existing JPA policy and only Death cover should
not be given.
1. Immediate notice to be given to the Policy issuing office.
2. Claim Form to be submitted with medical certificate and bills.
3. For death claim, Nominee should submit :
(a) Death Certificate
(b) Original Policy
(c) Postmortem report
(d) Police report if complaint is lodged.
4. Claims of person presumed to be dead due to drowning, may be settled after two
years on the submission of the following documents :
(a) Police report and final investigation report.
(b) Report of findings by Customs / Port Authorities.
(c) Affidavit duly notarised.
5. Subject to above, claims of persons of fishing vessels, which is missing, or a total
loss will be presumed dead and claim settled accordingly.
12. STAMP DUTY
Re.1 Per Rs.10,000/- Sum Insured.
158
FARMERS PACKAGE INSURANCE

1. OBJECTIVE : With a view to give comprehensive insurance to cover assets of
farmers the Farmers package insurance policy has been introduced. Particulars are
given below.
SECTION / DESCRIPTION OF POLICY
I)
PREMIUM RATE
Fire And Allied Perils including earthquake

a) Dwelling/ House (other than Kutcha)
0.60 per mille
b) Contents (Excluding Jewellery & Valuables)

belonging to the insured and members of his
family permanently residing with him.
0.60 per mille
c) For Kutcha constructions the premium

to be loaded for (a) & (b) by
4.00 per mille
II) Burglary House breaking Including

Larceny Or Theft
2.40 per mille
III) Agricultural Pump set (For HP Up to 25 Only)
As per APS scheme
IV) Animal Driven Cart /Tonga/Coaches
1.40% of market
value of cart
andanimal/s together.
V) Livestock / Cattle/ Sheep & Goat/

Camel/ Horse, Etc.
As perrespective
Schemes
VI) T.V. Set
10.00 per mille
VII)Pedal Cycle
20.00 per mille
VIII) Baggage Insurance
7.50 per mille
IX) Janata/ Gramin Personal Accident
As per JPA/GPA
X) Jan Arogya Bima Policy
As per Scheme
Note : Coverage will be up to a maximum of

Rs. 10, 000/- per person
2. UNDERWRITING GUIDELINES
a) This is a package of various covers. The covers included in the package will be
governed by the rate, terms, conditions, of the respective Schemes.
b) All the Underwriting /Claims guidelines conveyed from time to time by the respective
technical departments for the respective covers/sections will be applicable.
c) The Section I that is Dwelling unit / House & Contents is compulsory.
d) Apart from covering dwelling units it is compulsory to cover any one of the approved
RNTB covers.
e) Minimum three covers should form part of the Farmers Package Policy.
159
f) To be eligible for Sectional discount minimum 4 sections to be covered. The

applicable special discount in premium rates will be 15% for covering more than
4 sections and 20% for covering more than 6 sections. For covers under Sections
I, V, IX and X sectional Discount will not be available. However, these sections
will be counted for the purpose of number of sections to be eligible for sectional
discount. For sections opted to be covered, respective/ applicable proposal forms
should be obtained. In case of Cattle and Livestock / Poultry, respective veterinary
health certificates are also to be attached.
g) In case of coverage of scheme animals Net premium rate has to be applied.
h) No long term policy to be issued.
i)
If any pre-risk inspection survey or post claim inspection / survey or any other
underwriting guidelines are communicated by Fire/Misc./UNTB/RNTB Depts for
the respective covers then those guidelines should be made applicable here too.
j)
The claims of covers / sections which were hitherto underwritten in Misc./ UNTB
/ Fire/ Technical Depts.be continued to be processed by respective Depts. or
their opinion be sought before finalizing these claims. This is to have better control
over claims management.
160
HOTRICULTURE / PLANTATAION (INPUTS) INSURANCE

1. SCOPE OF COVER
Under this policy following Horticulture and plantation crops can be covered.
A) HORTICULTURE CROPS
1) Grape
2) Citrus (Orange, Lime, Sweet Lime)
3) Chikoo
4) Pomegranate
5) Banana.
B) PLANTATION CROPS
1) Rubber
2) Eucalyptus
3) Poplar
4) Teakwood
5) Oil Palm Plantations
6) All types of trees
7) Sugarcane
8) Tea.
2. UNDERWRITING AUTHORITY
Underwriting authority to accept proposals is vested with the Head Office only. Regional
Offices should recommend the proposal to Head Office along with the following
Proposal Form Additional Questionnaire in case of a new crop Input cost duly verified
and certified by an Agriculture / Horticulture expert. Indemnity table in case of a new
crop Package of Practices adopted.
Regional Offices should ensure that proper infrastructure for loss assessment
has been developed before recommending proposals to Head Office. Head
Office approval is needed for fresh proposals as well as renewals.
3. INSURED
a) Individual farmer whether owner or tenant engaged in cultivation of above.
b) However, a policy may be issued in the name of an Association or an organised
and registered body of farmers engaged in cultivation of the specified crops
where such Association / Body has been formed and is functioning for the purpose
of procurement of input processing/marketing of the produce and/or any other
are recorded in schedule (to be attached to and forming part of the policy) in a
manner that in the event of loss, claims can be assessed and settled on individual
basis.
4. PERILS COVERED
The policy shall cover and seek to indemnify the insured to the extent of loss of input
due to loss or damage to the insured tree/fruits (whichever is applicable depending
on the crop insured) occasioned by operation of any one or more of the following
perils either in isolation or in concurrence :
a) Fire (Including Forest Fire and Bush Fire)
b) Lightning
c) Storm, Hailstorm, Cyclone, Typhoon, Tempest, Hurricane, Tornado whilst in
direct and immediate operation over the insured area.
d) Flood and inundation (inspection report is necessary to cover these risks)
e) Riot, Strike and Malicious Damage
161
f) Acts of Terrorism.
These are termed as standard perils and are applicable for all type of insured fruit
crops and plantation crops. Additional/optional cover as is applicable to specific crop
can be granted on selective basis after evaluation of the proposal.
5. PERIOD OF INSURANCE
Crop duration or twelve months (one year) whichever is shorter subject to the following:
a) This policy is valid for one season only. The policy period is taken from the date of
payment of premium until crop in that season is harvested. The policy ceases
after the harvest in the season for which the policy is issued. For fruit crops
having season more than one year, appropriate additional premium will be
charged. For Citrus, Policy period will be one year from the date of issue of
policy.
b) Period of insurance in respect of sugarcane crop shall be extendable by such
period beyond twelve months (up to a maximum of eighteen months) as may be
necessitated by the variety grown. This will, however, entail additional premium
on pro rata basis for such period as may be in excess of twelve months.
c) In respect of Rubber, Eucalyptus and Poplar and trees where plants are first required
to be raised in nurseries and then fields, the period of insurance shall commence
after expiry of twelve months from transplanting (Nurseries are not covered) and
policy for these crops can be issued on annual basis.
6. SUM INSURED
Sum Insured shall be based on the cost of cultivation or Input Cost i.e. Cost of
Raising / Development of Insured Trees.
The policy will be issued for fixed Sum Insured, which is given separately under
each crop.
It may be noted that depending on the needs of clients, modified Input Cost Clause
can be considered by the Head office if justifiable.
7. PREMIUM RATES
The following rates are minimum rates and are only indicative. Depending upon the
experience for the crop, area and individual proposal Head Office will be quoting the
rates. The premium should not be accepted unless Head Office confirms the rate.
a) Horticulture Crops
Citrus Fruits (orange, lime, sweet lime), chikoo,
pomegranate, banana, grapes (standard cover),
5% of Sum Insured
Grape crop(optional cover : losses due to

unseasonal rains and frost)
Addl. Premium @1.50%

of Sum Insured
b) Plantations : Rubber, Eucalyptus,

Poplar, Teakwood
1.25% of Sum Insured
c) Sugarcane
d) Oil Palm : Part A

Part B

8. FRANCHISE
a) No Claim shall be payable under the policy if the amount of claim assessed
162
does not exceed 10% of Sum Insured per acre or Rs.1,000/- per affected
acre whichever is lower.
b) This franchise clause is not applicable for the fire losses under the Sugarcane
Policy.
9. EXCESS
The Insured shall be deemed to be his own insurer for first 20% of the claim assessed
per acre, only 80% of claim assessed shall be paid under the policy.
10. OTHER DEDUCTIONS
Losses due to any or all of the excluded peril and/or improper maintenance will
be quantified and the said sum will be deducted from the loss assessed to arrive at
the net loss payable.
11. LOSS ASSESSMENT METHOD
a) It should be clearly noted that the expenses incurred during the season for which
the policy has been issued are only to be taken into account for the purpose of
the Policy. Expenses made prior to the season in question are not to be
taken into account. Expenses for establishing an orchard from the date of
establishment are outside the scope of the policy.
b) For the purpose of indemnity, the policy is a valued policy and no statement of
accounts of actual expenses incurred is required to be submitted by the Insured.
Expenses from the previous harvest till the date on which the insured peril operates
only should be taken into account as having spent for the purpose of the claim.
Hence the claim cannot in any case be more than this amount.
c) For calculating this amount sliding scales of inputs have to be attached to the
policy as inputs clause. This inputs clause for each fruit crop is separate. The
percentages given in the input clause have to be applied on the Sum Insured
stated in the policy.
d) The amount of claim payable under the policy shall be such sum arrived after
applying the percentage of the loss of yield to the amount of the cost of inputs at
which the insured perils causing the loss of yield operates, subject to the franchise,
excess and deductions.
12. IMPORTANT POLICY CONDITIONS
a) This policy is Issued on Input Cost basis only and no other expenses/
costs are indemnifiable.
b) Failure to Intimate the claim forthwith will forfeit all rights and benefits under the
policy.
c) Condition of Average
If the Insured has more than one acre of horticultural cultivation in any one location,
he is expected to insure all of them, failing which, if claim arises, the same will be
settled in the proportion insured acreage bears to total acreage.
13. LONG TERM POLICY
Long term Policy in respect of Eucalyptus & such other plants can be issued subject
to approval of Head Office. It is precondition that entire premium will have to be
collected in advance.
163
COMPREHENSIVE FLORICULTURE INSURANCE

1. SCOPE OF COVER
Policy can be offered comprising the following sections.
A. Damage to Poly House and its structure.
B. Damage to irrigation system.
C. Cover for death of plants.
D. Cover for loss of inputs due to damage to the flowers.
The perils which are common to all the above 4 sections :
(i) Fire ( including forest fire and Bush Fire)
(ii) Lightning
(iii) Storm, Hailstorm, cyclone, Typhoon, Tempest, Hurricane, Tornado, whilst
indirect and immediate operation over the insured area.
(iv) Flood and Inundation
(v) Riot & Strike
(vi) Act of Terrorism
(vii) Earthquake, Volcanic Eruption or other convulsions of Nature other
than those specifically covered by this Insurance
Section A & B will also cover following additional perils :
(i) Theft
(ii) Landslide
(iii) Accidental damage to Machineries and pipelines.
(iv) Bursting of pipelines
(v) Machinery Breakdown cover
Section C & D will cover additional perils as follows:
(i) Insects
(ii) Mite
(iii) Pest & disease
2. SUM INSURED
SECTION A: POLYHOUSE
Sum Insured will be on Market value basis and will comprise mainly the following
items
(i) Steel Structure
(ii) Fabrication
(iii) Plastic & Grippers
(iv) Plastic fitting Charges
(v) Gutter & Poly house
SECTION B : Irrigation System
Sum Insured will be on Market Value basis with break up of following items :(i) Plastro make system
(ii) Agricorn Associates (values & pipes)
(iii) Fitting Charges
(iv) 2 Motors, 1Pump and other Accessories.
164
3.
4.
5.
6.
7.
8.
(v) Reservoir
(vi) Transformer
SECTION C : Cover For Death Of Plants Sum Insured per hectare will be as
follows
(i) Cost of saplings
(ii) Input cost from planting to first flowering i.e; incubation period of four months.
SECTION D:
Sum Insured will be the Input cost on the lines of Standard Horticulture Policy,
which can be determined on the basis of the project in consultation with the
Proposer.
PRE-INSPECTION
Each and every Floriculture Farm proposed for insurance will have to be inspected
before acceptance by a reputed structural Engineer having experience in designing
poly houses and wherever Risk improvisation of the following nature, is suggested
by the structural Engineer, such changes should be carried by the Proposer.
a) Strengthening of win ward side of Poly house by attaching additional wind bracers
to each column from all the sides .
b) Bottom cord continuous and strong of 1 diameter
c) Span of the column in both the ends of poly house perpendicular to gutters
reduced by putting additional columns .
Fees of Structural Engineer will be borne by the proposer himself.
PREMIUM RATE
1. For the farm having poly house with Aluminum Grippers
1.5%
2. For the farm having poly house with Plastic Grippers
1.75%
EXCESS
There will be an excess of Rs. 25,000/- on each and every claim.
DEPRECIATION
The policy will be issued incorporating depreciation clause as under.
a) Depreciation of 20% per year from the date of fixing will be applicable for poly
film and plastic grippers.
b) Depreciation of 5% per year on all metal structures.
c) Policy will be issued on Market value basis and not on Reinstatement basis .
CO-INSURANCE
The policy will have a Co-Insurance clause of 80:20 i.e. 20% loss to be borne by
insured.
UNDERWRITING AUTHORITY
Underwriting authority to accept proposals is vested with the Head Office only.
Regional Offices should recommend the proposal to the Head office along with the
following
Proposal Form
Report of the Structural Engineering
Input cost duly verified and certified by an Agriculture / Horticulture expert. Indemnity
table incase of cover for loss of inputs due to damage to the flowers Package of
Practices adopted.
Head Office approval is required for fresh proposals as well as renewals.
165
Jan Suraksha Laghu Bima Policy

The Micro-Insurance Product Jan SurakshaLaghuBima Policy has been designed
to meet the requirements of IRDA-Micro Insurance Regulations, 2005. This policy will
meet the requirements of the poor and needy people living in Rural and Urban areas.
The policy covers whole of the country. This Micro-Insurance Product covers Five
Sections viz.
Section I(A) Health Insurance for Individuals with minimum sum insured of
Rs.5,000/- and in multiples of Rs.5,000/- maximum upto Rs.30,000/- in the age group
of 3yrs to 70 yrs.
The Rate of Premium to be charged is Rs.1.5% of Sum Insured for persons of age
group of 3 months to 35 years and Rs.2% for 36-70 years.
Section I(B) Health Insurance with Family Floater The Sum Insured upto
Rs.30,000/- for 5 to 7 members /- in the age group of 3yrs to 70yrs.
The Rate of Premium to be charged is Rs.548/- for family of 5 and Rs.730/- for family
of 7 including dependent parents.
Section II Hut, Dwelling and Contents The Minimum Sum Insuredfor Hut
Rs.5,000/- and in multiples of Rs.5,000/- maximum upto Rs.30,000/-.
The Rate of Premium to be charged is Rs.0.06% for Pukka with RCC Roof only and
Rs.0.40% for Thatched Roof or any Non-RCC Roof.
Section III Agriculture and other Tools, Implements and other Assets Minimum
sum insured is Rs.5,000/- in multiple of Rs.5,000/- with a maximum Sum Insured
Rs.30,000/- per family.
The Rate of Premium to be charged is Rs.0.25%.
Section IV Cattle/Livestock The Sum Insured is fixed as per Market Value
of the cattle/livestock certified by a qualified veterinarian subject to maximum of
Rs.30,000/- per animal.
The Rate of Premium to be charged is 4% plus 1% extra for covering Permanent Total
Disablement.
Section V Personal Accident Cover PA Cover is available for persons
between the ages 5yrs to 70yrs. For Family members the minimum sum insured is
Rs.10,000/- and in multiple of Rs.10,000/- maximum Rs.50,000/- per person.
The Rate of Premium to be charged is Rs.0.06%.
The proposer can select One or More of the sections I to V. However, under
Section I and I (A) or I (B) can be selected.
(For information on other RID products, rates and commission structure, please refer
RID manual)
166
NOTES
167
NOTES
168
CLUB BENEFITS
TO AGENTS
There are 4 club membership available to
performing agent and the benefits are as under :
l CMD club
Total benefit upto Rs. one lac.
l GM club
Total benefit upto Rs. Fifty Thousands
l DGM club
Total benefit upto Rs. Twenty Thousands
l DM club
Total benefit upto Rs.Ten Thousands
Vaikunth Prints
vaikunth_p2009@yahoo.in

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THE NEW INDIA ASSURANCE CO. LTD.

Leadership and Beyond

87, cenelcee ieebOeer jes[, Hees&, cegbyeF& - 400 001.

THE NEW INDIA ASSURANCE CO. LTD.

New India Assurance Building,

Large Corporate Office

Gross Global Premium

TOLL FREE NUMBER 1800-209-1415

Message from our Chairman ............................................................................... 4

Message from our General Manager ................................................................... 5

Message from our Deputy General Manager ...................................................... 6

Fire Insurance ..................................................................................................... 7

Marine Cargo Insurance ................................................................................... 26

Motor Insurance ................................................................................................ 28

Engineering Insurance ...................................................................................... 37

Accident Covers ................................................................................................ 77

Package Covers ................................................................................................ 83

Health Covers .................................................................................................... 96

Rural Insurance Covers .................................................................................. 123

MESSAGE FROM OUR CHAIRMAN

MESSAGE FROM OUR GENERAL MANAGER

MESSAGE FROM OUR DEPUTY GENERAL MANAGER

10) Loss of Rent Clause, Additional expenses of Rent for alternative

Long Term Policy Premium to be charged

3 years premium in advance less 15% Discount

4 years premium in advance less 20% Discount

5 years premium in advance less 25% Discount

6 years premium in advance less 30% Discount

7 years premium in advance less 35% Discount

8 years premium in advance less 40% Discount

9 years premium in advance less 45% Discount

10 years and above

10 years premium in advance less 50% Discount

Note : Discount is applicable on basic Fire Premium

LIMIT OF SUM INSURED

LIMIT OF SUM INSURED

Standard Fire and

Beyond Rs.5 crores

Where MD sum insured

Where MD sum insured

Minimum Rs.50 crores.

RATING PATTERN FOR CLASS RATED PRODUCTS &

Add : Terrorism Rate **

J. Add : Service Tax at the prevailing rate.

GUIDE RATES FOR ALL THE ABOVE CLASSES OF BUSINESS LIKE

Note 1 : In case software development

Cafes, Restaurants, Hotels, Confectioner

Shops dealing in goods otherwise not

Places of worships, Libraries, Museums,

Shops dealing in hazardous goods as per

Audio/Video Cassette Manufacturing

Carbon paper / Typewriter Ribbon Manufacturing

Cardboard Box Manufacturing

Carpenters, Wood wool Manufacturing, Furniture

Carpet and Drug get Manufacturing (Cotton/jute/wool )

Carpet and Drug get Manufacturing (Others)

Cashew nut / Wall nut Factories

Cattle feed Mill

Celluloid Goods Manufacturing

Cement / asbestos/concrete products Manufacturing

Ceramic Factories and Crockery and Stoneware pipe

Chemical Manufacturing (Using materials with