Life Accident Insurance protects you and your family from any accidents.
What is life accident insurance?
Life Accident Insurance protects you and, possibly your family, against everyday accidents. It covers you in situations not covered by the guarantees of your auto and home insurance contracts.
Often, in a domestic accident, you injure yourself on your own. It therefore impossible to "turn" against someone to be compensated for the damage suffered.
If you take out Accident of Life Insurance, the insurer will compensate you even if the person responsible for the accident is not identified or if you are held responsible.
Unlike auto or home insurance, taking out an Accident of Life policy is not mandatory but is recommended if you want to protect yourself and your family in the event of a daily household accident. You will be covered, regardless of partial or total disability or the level of disability generated.
If this Accident of Life Insurance is a full contract, it is sometimes included as an option in home insurance.
Why take out Accident of Life Insurance?
Falling down your stairs may seem unimportant to you, but this fall can have a major financial impact (loss of motor skills, broken arm, temporary interruption of work, hospitalization, Ipp, partial or permanent incapacity, etc.).
If you take out an Accident of Life policy, you are in the event of a domestic accident.
For policyholders, this compensation aims to repair, or at least try to mitigate the physical damage but above all the consequences on personal, professional, material, or family life.
WHO IS SHE TALKING TO?
Regardless of your profile or your age, all policyholders can benefit from this type of contract. Indeed, a privacy accident can happen to anyone and anytime.
Life Accident Insurance is modular insurance. It allows you to be insured alone or with your family.
If you want to ensure all the members of your family, all you have to do is take out a contract and declare your spouse and children. Thus, you protect them in the event of disability related to a domestic accident.
WHAT ARE THE RISKS COVERED BY LIFE ACCIDENT INSURANCE?
This insurance covers the following bodily injuries:
➢ Domestic accidents: burns, poisoning, falls, DIY, gardening, etc.
➢ Accidents occurring while traveling or playing sports.
➢ Natural or technological disasters: storm, earthquake, store collapse.
➢ Medical accidents.
➢ Attacks
➢ The aggressions.
All privacy accidents that occur, even in the absence of a third party are covered.
To know! It doesn't matter whether you are the victim of an accident in France, the European Union, Switzerland, Norway, Iceland, the Vatican, Monaco, or Andorra you will be covered. If you are the victim of an accident in another country, you may be compensated if you have been staying there for less than 3 months.
⛔️ WHAT ARE THE EXCLUSIONS OF THIS INSURANCE?
Personal injuries related to traffic accidents are generally excluded from this insurance.
Ditto for accidents occurring in the practice of your profession or at your place of work.
Another frequent exclusion, you will not be compensated if you injure yourself while practicing a sport considered “at-risk” by your insurer: parachuting, skiing, motor racing, motorcycling, diving, etc.
Last exclusion criterion: age.
Most insurers set a subscription age limit.
How am I protected?
In order to protect yourself, you must be compensated as quickly as possible by your insurer.
Once the amount of compensation has been validated, your insurer must pay the amount of compensation no later than 1 month after receiving your agreement.
A threshold that cannot be exceeded is set for Accident of Life insurance. The law provides that the maximum amount of compensation must be less than one million euros.
Compensation amounts are determined on the basis of the set disability rates. The higher the percentage, the more serious the accident. Compensation thresholds then make it possible to set the amount of compensation paid.
| DISABILITY RATE | SEQUEL CORRESPONDING TYPES |
|---|---|
| from 1 to 4% | Breathing discomfort, incomplete elbow extension, dizziness |
| from 5 to 9% | Loss of the finger, 10% burn of the body, limited knee flexion |
| from 10 to 29% | Loss of vision in one eye, loss of hearing in one ear, loss of a thumb |
| from 30 to 59% | Sciatic nerve palsy, loss of a hand, loss of all teeth |
| 60% and more; | Complete hearing loss, total loss of grip, high or total quadriplegic |
➢ Valid for a dominant member
In general, it is triggered if the violation of physical or mental integrity (AIPP) is greater than 10%. For some insurers, this threshold is set at 5% but in any case, it cannot reach more than 30%.
To determine the AIPP, an independent expert doctor is commissioned to estimate the extent of the trauma.
WHAT DOCUMENTS MUST BE PROVIDED FOR COMPENSATION IN THE EVENT OF AN ACCIDENT?
Send to your insurer within the time limit set by law, a letter with acknowledgment of receipt with the following elements:
➢ A description of the causes, circumstances, and location of the accident.
➢ Your medical certificates are necessary for assessing the claim and calculating compensation.
➢ The causal link between the injuries identified and the accident.
In the event of death, additional documents must be provided:
➢ The death certificate.
➢ A civil status card or a copy of the family record book.
➢ A medical certificate + a copy of the police or gendarmerie report depending on the circumstances.
➢ Proof of income received to determine economic damage.
➢ The statement of reimbursements from the general social security scheme and your complementary health insurance.
WHAT ARE THE DIFFERENT TYPES OF CONTRACTS ON THE MARKET?
Life Accident Insurance provides more or less extensive assistance guarantees.
We will find:
➢ Assistance to children: custody, driving to school; household help,
➢ Home delivery of medicines,
➢The care of animals,
➢ Psychological support,
➢ Housing development assistance,
➢ Professional retraining/job search,
➢ Legal protection
In the event of death, assistance covers the repatriation or transport of the body.
And the professionals in all this? Additional coverage for professionals is possible as an option. It covers all accidents that occur in the exercise of your profession (trader, farmer, or liberal profession).
How to terminate your Accident of Life Insurance?
WITH DRAWAL FROM LIFE ACCIDENT INSURANCE
➢ You have 14 days after signing the insurance contract to terminate it.
➢ To terminate, use the termination letter provided with your contract.
➢ Can't find the termination request? Make the withdrawal request by registered letter with acknowledgment of receipt.
➢ After receipt, the insurer has 30 days to return all the amounts you have paid.
ANNUAL TERMINATION OF LIFE ACCIDENT INSURANCE
➢ The term of a contract is one year. Like any insurance contract, it is automatically renewed every year.
➢ Exception: You decide to terminate your contract.
➢ If you wish to terminate your contract, send a registered letter with acknowledgment of receipt 2 months before the anniversary date of the renewal of your contract.
➢ Notice to the stunned, do not panic. The Châtel law requires your insurer to warn you that you are not obliged to renew your contract.
➢ For this, he must send you a notice of maturity at least 15 days before the deadline for the two-month notice.
➢ In the event of non-compliance with this obligation, you have an additional 20 days, from the date of sending the letter, to terminate your contract.
➢ No news from your insurer? You are free to terminate your contract at any time without any penalty. All you need to do is send a registered letter with acknowledgment of receipt to your insurer. The termination will be effective the day after this letter is sent.
| Reason for termination | Deadline for sending the letter | Effective |
|---|---|---|
| The death of the policyholder, a child who is no longer insured for tax purposes, a change of domicile, a change of situation or matrimonial regime, a change of profession, retirement, or cessation of professional activity | Within 3 months of the date of the event | 1 month after the date of receipt |
| Reduced risk in the event of a refusal of the contribution or the deductible outside of legal or regulatory changes. | Within 30 days of the due date | 1 month after the date of receipt of the letter |
| Cancellation by the insurer of another of the claims contracts. | In the month following the sending of the termination letter from your insurer | 1 month after termination |
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