Page 155 - Agriculture Policy Wording Binder

Group Personal Accident
5. Any Compensation payable by the Company for any period of Temporary Total Disability and/or Temporary Partial Disability or for the reimbursement of Medical Expenses shall be reduced by an amount equal to the Compensation received or receivable by or on behalf of the Insured Person under the terms of the Compensation for Occupational Injuries and Diseases Act, 1993 for Temporary Disablement (partial or total) for the same or a lesser period and/or in respect of Medical Expenses.
6. Any compensation payable by the Company for any period of Temporary Disability (partial or total) shall not exceed the average weekly earnings earned by the Insured Person at the time of the accident.
7. Where amounts recoverable from the Company are delayed pending finalisation of any claim, payments on account can be made to the Insured, at the Company' discretion, on receipt by the Company of certification by a medical doctor appointed by the Company.
8. Upon payment of a claim under Items 1 to 2.4 (other than loss of hearing in one ear) or of 100% (one hundred percent) under Item 3 of the Schedule of Permanent Disability this policy shall be terminated in respect of the Insured Person for whom such payment is made.
SCHEDULE OF PERMANENT DISABILITY TABLE
The following percentages (benefits) shall be payable in the event of Bodily Injury resulting in:
Disability
Percentage of compensation
1. Permanent total disability
2. Permanent and total loss of:
2.1 wrist, ankle or limb:
separation at or above the wrist or ankle of one or more limbs
2.4 speech
100%
100%
100%
2.2 eye(s):
whole eye
sight of eye
sight of eye except perception of light
100% 100% 100%
2.3 hearing:
both ears one ear
100% 35%
2.5 finger(s) and phalange(s):
phalanges, per phalanx
thumb, per phalanx
four complete finger either hand
5% 15% 75%
2.6 toes:
any one toe (other than great) all toes any foot
great, per phalanx
5% 35% 5%
3. Permanent disability not specified herein
a percentage which in the opinion of the Company is consistent with the above insofar as possible
In the event of Compensation being due under more than one of the benefits referred to above as a consequence of any one accident to any one Insured Person the maximum amount payable hereunder shall not exceed 100% (one hundred percent) in total of the Sum Insured stated in the Policy Schedule.
Policy Wording – Agriculture – Binder – Version 2 2023 Page | 153