Coop AKSI Plan

24-Hour Accidental Death & Disablement Insurance

1. Product Name: Coop Aksi Plan
2. Description: The COOP AKSI PLAN is an Individual Accident Insurance program designed as a standard accident insurance protection with medical re-imbursement, murder and unprovoked assault, and hospital income rider.
3. Age Requirement:  18-69 years old. Exit age of 70 years old. NO CONTESTABILITY CLAUSE
4. Table of Benefits and Annual Premium:
   

   Maximum Benefits at affordable cost;	Bronze	Silver	Gold
   Accidental Death & Dismemberment	20,000.00	50,000.00	100,000.00
   Unprovoked Murder & Assault	10,000.00	20,000.00	50,000.00
   Medical Re-imbursement due to accident	2,000.00	5,000.00	10,000.00
   Hospital Income Rider due to accident	100.00/day	200.00/day	300.00/day
   Maximum of 7 days per current year
   ANNUAL PREMIUM	P 100.00	P 185.00	P 330.00

5. Accident Death and Disablement Benefit. The policy will pay for death caused by accident and/or up to 100% of a person’s accident insurance coverage in case of accidental disablement.
6. Partial or Permanent and Total Disability Benefit. If a person is partially disabled by an accident, he/she will receive 50% of his total accident insurance coverage. After six months, if he/she is permanently disabled, final payment of 50% of his total insurance coverage will apply.
7. Accidental Disablement Coverage. If a person suffers an injury or becomes disabled, he/she shall receive a particular amount based on the dismemberment schedule:
   

   DESCRIPTION OF DISABLEMENT	Percentage (%) of the sum specified in the principal benefit
   1. Death due to Accident	100
   2. Loss of two limbs	100
   3. Loss of both hands, or all fingers and both thumbs	100
   4. Loss of both feet	100
   5. Total loss of sight of both eyes	100
   6. Injuries resulting in being permanently bedridden	100
   7. Any other injury causing permanent total dismemberment	100
   8. Loss of arm at or above elbow	70
   9. Loss of arm between elbow and wrist	60
   10. Loss of leg at or above knee	60
   11. Loss of hand	50
   12. Loss of One foot	50
   13. Loss of sight of one eye	50
   14. Loss of hearing – both ears	50
   15. Loss of four fingers and thumb of one hand	42.5
   16. Loss of leg below the knee	40
   17. Loss of four fingers	35
   18. Loss of hearing – one ear	25
   19. Loss of thumb	15
   20. Loss of toes – all of one foot	15
   21. Loss of index finger	10
   22. Loss of middle finger	6
   23. Loss of ring finger	5
   24. Loss of big toe	5
   25. Loss of little finger	4
   26. Loss of metacarpals – first or second (additional)	3
   27. Loss of metacarpals – third, fourth or fifth (additional)	2
   28. Loss of any toe other than big toe, each	1

   It is understood that loss of any extremity by dismemberment,( i.e., hand, foot, fingers, toe,) refers to actual amputation or severance of said extremity.

    

   The loss of the first joint of the thumb or any other finger or of any toe shall be considered as equal to the loss of one half of the thumb or finger or toe and the benefit shall be one half of the benefit above specified for the loss of the thumb or finger or toe.

    

   Where there is loss of two or more parts of the hand, the percentage payable shall not be more than loss of the whole hand.

8. Murder and Unprovoked Assault Benefit. The policy will pay up to 50% of the insurance coverage for death due to unprovoked murder and assault.
9. Medical Reimbursements due to Accidental Causes.  As an added benefit, the policy will reimburse actual medical expenses or injuries sustained from an accident provided that the treatment begins within 30 days from the date of the accident.  The amount of medical reimbursement coverage is equivalent to 10% of the accident insurance with a maximum of P 10,000.00.  This value-added option, when paid, is not deductible from the amount of accident insurance.
10. Hospital Income Rider due to Accidental Causes. It provides benefit in the form of hospital daily income if the policy holder confined in the hospital maximum of 7 days per current year.
11. Time for Filing Proof of Loss. Written notice of injury on which claim may be based must be given to CLIMBS within 30 days after the date of injury.

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