PGI Personal Accident Insurance 2 — Questions and Answers
Question 1: What is 'weekly indemnity' or 'temporary disability' benefit in Singapore PA insurance?
- A weekly premium payment
- A weekly cash benefit paid when the insured is temporarily unable to work due to an accident, typically up to 104 weeks (Correct answer)
- A weekly health check-up
- A weekly deduction from the policy
Correct answer: A weekly cash benefit paid when the insured is temporarily unable to work due to an accident, typically up to 104 weeks
Weekly indemnity provides income replacement when the insured cannot work due to an accident. It pays a weekly amount (typically 60-75% of weekly income) for the duration of disability up to the policy limit.
Question 2: What does 'medical expenses reimbursement' cover in a Singapore PA policy?
- All medical expenses for any reason
- Reimbursement of medical costs directly resulting from a covered accident, including hospitalisation, surgery, and follow-up treatment (Correct answer)
- Only ambulance costs
- Only traditional Chinese medicine
Correct answer: Reimbursement of medical costs directly resulting from a covered accident, including hospitalisation, surgery, and follow-up treatment
Medical expenses reimbursement under PA covers accident-related treatment costs including emergency room visits, hospitalisation, surgery, medication, physiotherapy, and follow-up consultations.
Question 3: What activities are typically excluded from Singapore personal accident insurance?
- No activities are excluded
- Professional sports, hazardous activities (skydiving, motor racing), war/terrorism, self-inflicted injuries, and injuries while committing a crime (Correct answer)
- Only swimming is excluded
- Only overseas activities are excluded
Correct answer: Professional sports, hazardous activities (skydiving, motor racing), war/terrorism, self-inflicted injuries, and injuries while committing a crime
Standard PA policies exclude professional sports, extreme activities, war and terrorism, self-inflicted injuries, injuries from criminal activity, and injuries while under the influence of drugs or alcohol.
Question 4: What is a 'PA rider' attached to a life insurance policy in Singapore?
- A separate PA policy
- An additional benefit added to a base life insurance policy that provides extra coverage for accidental death or disability, usually doubling the payout (Correct answer)
- A type of motorcycle insurance
- A healthcare savings plan
Correct answer: An additional benefit added to a base life insurance policy that provides extra coverage for accidental death or disability, usually doubling the payout
A PA rider (often called 'double indemnity') is added to a life insurance policy. If death results from an accident, the payout is doubled. The rider costs a small additional premium.
Question 5: How does group personal accident insurance work for Singapore employers?
- It is the same as individual PA
- Employers purchase a single policy covering all employees, usually as part of employee benefits; premiums are based on group characteristics rather than individual assessment (Correct answer)
- Only government employers offer it
- It replaces WICA insurance
Correct answer: Employers purchase a single policy covering all employees, usually as part of employee benefits; premiums are based on group characteristics rather than individual assessment
Group PA insurance provides accident coverage for all employees under one policy. It is typically cheaper per person than individual PA, requires no individual medical underwriting, and is a common employee benefit.
Question 6: What documentation is needed to claim on a PA policy in Singapore?
- Only a phone call
- Completed claim form, medical reports, hospital bills, police report (if applicable), proof of disability (specialist assessment), and death certificate (for death claims) (Correct answer)
- Only the insurance card
- Only a witness statement
Correct answer: Completed claim form, medical reports, hospital bills, police report (if applicable), proof of disability (specialist assessment), and death certificate (for death claims)
PA claims require comprehensive documentation: the claim form, medical evidence of injury, original bills, specialist assessment for disability claims, police report for accident circumstances, and proof of employment for income-related benefits.
PGI Personal Accident Insurance 2
What is 'weekly indemnity' or 'temporary disability' benefit in Singapore PA insurance?