Premium Calculation Mr. AD (34 years) is a customer of Bank DBS and has agreed to purchase Personal Accident Insurance products with the following information:
Policy Inception Date: January 5th , 2021 at 12.01 a.m. WIB Insured Person: Mr. AD only Main Benefits: Plan 2 Optional Additional Benefits: Covered List of Benefits (in Rupiah)
Premium (in Rupiah)
No. Main Benefits Plan 1 Plan 2 Plan 3 Plan 1 Plan 2 Plan 3 1 Accidental Death and Permanent Disability 50,000,000 75,000,000 100,000,000 137,000 200,000 268,000 2 Bereavement Benefit 10,000,000 15,000,000 25,000,000 3 Medical Expenses Sports Activities 10,000,000 15,000,000 25,000,000 And others (accident not due to sport activities) 2,500,000 3,500,000 5,000,000 4 Fractured Bones 2,500,000 3,500,000 5,000,000
No. Additional Benefits Plan 1 Plan 2 Plan 3 Plan 1 Plan 2 Plan 3 1 Ergonomic Injury Reimbursement 50,000 75,000 120,000 Surgical Fee 10,000,000 15,000,000 25,000,000
The amount of Premium paid by Mr. AD is:
Main Benefit Premium: IDR 200,000 per month
Additional Benefit Premium: IDR 75,000 per month
Claim Illustration On October 4, 2021, Mr. AD had a traffic accident on the roadway while driving from his residence to the office. After being treated for a week at the hospital at a cost of IDR 3,000,000, however Mr. AD's condition worsened, and he was finally declared dead. Where the funeral costs that must be paid by the beneficiary of Mr. AD are IDR 12,000,000.
For this incident, the beneficiary of Mr. AD filed a claim which was accompanied by the related documents. Furthermore, referring to the fact that Mr. AD died as a result of an accident covered under this policy and based on a claim analysis, the Insurer will pay compensation to the heirs with the following calculation:
Medical Expenses: IDR 3,000,000
Accidental Death: IDR 75,000,000
Bereavement Benefit: IDR 12,000,000
