Free Personal Accident Insurance Plan

Description

In your day-to-day activities such as work and play or when you commute and travel, there are a myriad of ways that you can become the victim of an accident, ranging from the simple to the severe. While there isn’t much you can do at the hand of fate, being prepared is a sensible step to take.

Fortunately with Aviva's Personal Accident Insurance Plan, you can be sure that help is there when you need it most.

Exclusively for all Thomson Medical Centre membership holders, Aviva offers free $10,000 Personal Accident coverage for 6 months. This plan will cover you for all accidental causes of the results specified in the table below, on a 24-hour worldwide basis.

Scope of coverage: all accidental causes of the results specified below, on a 24-hour worldwide basis.

Third Degree Burns - Body, Equals to or greater than 15% but less than 20%75Third Degree Burns - Body, Equals to or greater than 20%100

S/N	Key Benefits	% of Sum Assured ($10,000)
1	Accidental Death	100
2	Total and Permanent Disability	150
3	Any other injuries resulting in total paralysis or in being permanently bedridden	150
4	A. Total and irrecoverable loss of sight of both eyes	150
	B. Total and irrecoverable loss of sight of one eye	100
	C. Irrecoverable loss of sight except for perception of light of one eye	50
	D. Total and irreplaceable loss of lens of one eye	50
5	Loss of two limbs	150
6	Loss of one limb	125
7	Loss of one limb and loss of sight of one eye	150
8	A. Loss of four fingers and thumb of one hand	50
	B. Loss of four fingers	40
	C. Loss of thumb - both phalanges / one phalanx	25 / 10
	D. Loss of index finger - three phalanges / two phalanges / one phalanx	15 / 8 / 4
	E. Loss of middle finger - three phalanges / two phalanges / one phalanx	10 / 4 / 2
	F. Loss of ring finger - three phalanges / two phalanges / one phalanx	10 / 4 / 2
	G. Loss of little finger - three phalanges / two phalanges / one phalanx	7 / 3 / 2
9	A. Loss of all toes of one foot	17
	B. Loss of great toe - one or two phalanges	5
	C. Loss of toes other than the great toe, if more than one toe is lost, each	3
10	Loss of hearing (excluding Noice-Induced Deafness)
	A. Both ears	75
	B. One ear	15
11	Loss of speech	50
12	Loss of speech and hearing	100
13	Third Degree Burns - Head, Equals to or greater than 2% but less than 5%	50
	Third Degree Burns - Head, Equals to or greater than 5% but less than 8%	75
	Third Degree Burns - Head, Equals to or greater than 8%	100
	Third Degree Burns - Body, Equals to or greater than 10% but less than 15%	50

Redeem your free Personal Accident Insurance Plan

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Declaration

I declare that the information given above is true and complete to the best of my knowledge and understand that any misrepresentation or concealment of facts shall render the policy to be issued null and void. I agree that this application shall be the basis of the contract of insurance to be issued under Personal Accident Coverage. I understand that the insurance shall not become effective until it is accepted and confirmed in writing by Aviva Ltd.

I consent to Aviva Ltd seeking information from Thomson Medical Centre (and Thomson Medical related group of companies) and I authorise the giving of such information, for the purpose of verifying my eligibility for Personal Accident Insurance.

Personal Data Consent

I consent to being contacted by Aviva – by mail, email, SMS and/or phone call – for the purposes of receiving updates on Personal Accident Insurance as well as for any information, offers and promotions about Aviva’s products and services.

On behalf of myself and all proposed insured lives, I/we consent to Aviva (and Aviva related group of companies) collecting, using and/or disclosing my/our personal data (whether contained in this form or from other sources; existing data in our record or to be collected in future) for the following purposes:

To issue and administer my existing and/or new policy(ies) and/or account(s) with Aviva, including the processing of my/our personal data for underwriting purposes and/or claim purposes;
For statistical, research, compliance, audit and regulatory purposes; and
To provide general information on product enhancements and services relevant to my needs or policies, as well as to provide financial advice or product recommendations to me, where applicable.
On behalf of myself and all proposed insured lives, I/we also consent to Aviva (and Aviva related group of companies) transferring my/our personal data to Aviva related group of companies and/or third party service providers, reinsurers, suppliers or intermediaries, whether located in Singapore or elsewhere, for the above purposes.
For more information on Aviva’s data protection policy and full details of the purposes of collection, use and disclosure of your personal data, please visit http://www.aviva.com.sg/pdpa.html.