Workmen’s Compensation Policy

Workmen's compensation policy is an insurance policy that covers the employees against loss due to medical care, income lost and rehabilitation cost when they are injured on the job.

Scope & coverage:

  • The act extends to the whole of india
  • The workmen's compensation act, 2000 has brought all the workers within its sphere irrespective of their nature of employment i.E. Whether employed on casual basis or otherwise than for the purposes of the Employers trade or business
  • Casual laborers will be provided compensation for death or disability.

General coverage's under this policy:

  • Death
  • Permanent total disability
  • Permanent partial disability
  • Temporary disablement
  • Legal cost and expenses incurred with the company's consent
  • Additional coverage: medical, surgical and hospital expenses including the cost of transport to the hospital for accidental employment injuries.

 

The policy covers legal liability of an employer under:

Table 'a'- indemnity against legal liability to all employees (whether or not coming within the definition of the term workmen) under the W.C.Act 1923 and subsequent amendment to the said act prior to the date of issue of the policy, the fatal accidents act, 1855 and at common law

Table 'b'- indemnity against legal liability under the fatal accidents act, 1855 and common law. (table 'b' policies may not be issued to cover employees who fall within the definition of "workmen" under the Workmen's Compensation Act, 1923 as amended)

Main exclusions

  • Any injury which does not result in fatality or partial disablement for a period exceeding 3 days
  • The first 3 days of disablement where the total disablement is less than 28 days
  • Any non-fatal injury caused by any accident directly attributed to:
  • Influence of drinks or drugs
  • Willful disobedience of an order for securing safety to the workman
  • Willful removal or disregard of a safety guard device
  • War group and nuclear group of perils
  • Liability to employees of contractors of the insured (unless separately declared and covered)
  • Liability of the insured assumed under an agreement
  • Occupational diseases.

 

Principal exclusions

  • Any injury by accident or disease directly attributable to war invasion and like perils
  • Liability towards the contractor's employees
  • Any liability attached due to an agreement, which would not have attached in the absence of that agreement
  • Any sum which the insured would have been entitled to recover from any party but for an agreement between the insured and party

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up to
Rs. 46,800
under
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