What is Permanent Total Disablement, Permanent Partial Disablement & Temporary Disablement?

Accidental death (ad): In the event of death due to an accident, the insurance company shall pay 100% of the sum insured to the nominee of the insured person.

Permanent total disability (ptd): Here, the disablement is of permanent & irrecoverable in nature and is absolutely total due to an accident. Under this disability, the insured person is prevented from engaging in a gainful employment of any kind (example, paralysis, loss of 2 limbs, etc.).

Generally, the compensation paid varies from company to company. Most of the company pays a compensation of 100% of the sum insured. However, there are certain companies which offer higher compensation like

  1. Bajaj allianz (Personal guard) - pays 125% of the sum insured as compensation,
  2. Bharti axa (Smart individual personal accident policy) - pays 150% of sum insured as compensation;
  3. Cigna ttk (Lifestyle protect accident care plan) - pays 200% of the sum insured (in the event of ptd in common carrier);
  4. Max bupa (Health assurance) pays 125% of si (level 3 & 4);
  5. Star health (Accident care individual plan) - pays 150% of the sum insured.

Permanent partial disability: This benefit is similar to permanent total disablement, but in this case the disablement is only partially & not complete. In the event of a claim, the insured shall be compensated as per the benefit table (varies for all companies).

Few instances to list are - loss of one finger, loss of one toe finger, loss of leg, loss of one eye or hearing in one ear, etc. Here, the coverage generally starts from 5% of the sum insured and goes up to 100% of the base sum insured in certain cases depending on the disablement.

Temporary total disability (ttd): It is a disablement which is total but for a temporary period only. Under this disability, the insured cannot wholly and continuously perform each and every duty pertaining to his job / occupation. Certain companies pay a compensation of 1% of the sum insured or max. Rs. 5,000 per week for a max. Period of 100 weeks.

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