Universal Sompo health Insurance Plans

Universal Sompo Group Personal Accident Insurance

Group Personal Accident Insurance Policy of Universal Sompo is offered to Groups comprising of employees both in trading and manufacturing sectors/ social sector and/or members of an institution/society/association/club. The policy is designed to offers protection against the financial consequences of unforeseeable accidents to you and your employees/members. The Policy can also be extended to cover the dependent children/parents of your employees.

What is covered under the Policy?

  • a. Basic Cover: covers against Death only.
  • b. Wider Cover: covers against Death, Permanent Total Disablement & Permanent Partial Disablement
  • c. Comprehensive Cover: covers against Death, Permanent Total Disablement , Permanent Partial Disablement & Temporary Total Disablement
Note : Comprehensive cover is not available to family members
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Universal Sompo Health Insurance Review

Universal Sompo Health Insurance
Number of lives covered *
Incurred Claims Ratio *
Universal Sompo Insurance tenure options
1 or 2 years options available
Claims Settlement Ratio 20-21**
List of network hospitals
5,000+ hospitals
Number of policies issued *
Maximum family floater coverage
Self, Spouse + 4 dependent children
* As per IRDAI report for 2018-19   |   ** As per NL25 data published on the Insurance Company website

Universal Sompo Group Personal Accident Insurance Overview

  • Eligibility
  • Exclusions

Eligibility of Universal Sompo Group Personal Accident Insurance

  • The enrollment age under the policy is from 5 years to 65 years. Children between the age of 3 months and 5 years of age can be covered provided one or both parents are covered concurrently.
  • Proposer needs to be aged 18 years or above.
  • An individual may cover himself/ herself and his/ her spouse, dependent children up to 23 years of age and/ or dependent parents under the policy.

Exclusions of Universal Sompo Group Personal Accident Insurance

  • Committing or attempting suicide, intentional self-injury.
  • Whilst under influence of intoxicating liquor or drugs.
  • Drug addiction or alcoholism.
  • Whilst engaged in any adventurous sports.
  • Committing any breach of law with criminal intent.
  • War, Civil War, invasion, act of foreign enemies, revolution, insurrection, mutiny, military or usurped power, seizure, capture, arrest, restraint, or detainment, confiscation, or nationalisation or requisition by or under the order of any government or public authority.
  • Consequential loss of any kind and/or any legal liability.
  • Pregnancy including child birth, miscarriage, abortion or complication arising there from.
  • Participation in any naval, military or air force operations.
  • Curative treatments or interventions.
  • Venereal or sexually transmitted diseases.
  • HIV and or related illness.
  • War, invasion, act of foreign enemy, hostilities (whether war be declared or not) civil war, rebellion, revolution, insurrection, mutiny military or usurped power, confiscation, seizure, capture, assault, restraint, nationalisation, civil commotion or loot or pillage in connection therewith. 12

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CIN: U66000KA2018PTC117713 | IRDAI Web aggregator License Code Number: IRDAI / INT / WBA /53/ 2018, Valid till 07/08/2022