Workmen Compensation
Insurance Policy

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Workmen Compensation Insurance Disablements

Why Claim Get Rejected?

Prior Period Exclusion

Claims pertaining to a period before the policy inception date are not covered. If there is a break in the renewal of the workmen compensation policy, then the coverage date is reset to the start date of the new insurance. We prevent this by ensuring timely renewal

Known Issues

Claims that come about from an issue that was known before the insurance was bought are rejected. The insurer will cross examine the case closely to see when the company became aware of the matter. This can be addressed by clearly describing any known issues when you buy your first Workmen compensation insurance cover

Inconsistent And Unverifiable Accident Reports

Insurers will reject a claim if there are contradictory reports on the accident or lack of information. Typically, insurers will compare worker, employee and police reports on an incident. There is greater scrutiny of cases where the claim was filed after a worker was terminated or laid off

Why Policy Nivesh

We are not selling anything online rather just educate customer about the product features , coverages, exclusions , claim settlement and all other things where customer get confused while buying any insurance/loans etc. If customer is satisfied with our product details than may ask for competitive quotes from various insurers.

Frequently
Asked Questions

The Workmen Compensation Act is an employee welfare scheme initiated by the Government of India under which the employer has to bear the legal liability of his employees in case injury/accident/ caused during or as a result of the course of employment.
The section 2(1) (n)of the act clearly defined who is a workmen. And the schedule II of the Act, mentions the list of persons who are subject to the section 2(1) (n) , is also part of the definition of workmen.
Any body of persons, whether incorporated or not, management of the employer and legal representative of the deceased employer is the employer. The definition of employer is also extended even when the service of workmen is temporarily lent or let on hire to another person by the employer with whom the workmen or employee has signed a contract or service of apprenticeship.
If an employee gets an accidental injury during the course of official duty, the employee becomes entitled to specified workmen compensation benefits. The policy pays for death or disability caused due to accident.
The extensions for Workmen Compensation Policy is as follows:

  • Actual medical, surgical and hospital expenses including the cost of transport to hospital for Accidental employment injuries
  • Any compensation for diseases mentioned in Part ‘C’ of Schedule III of the Workmen Compensation Act, 1923, which arise out of and in the course of employment
Workmen compensation insurance is a type of employers liability insurance. Herein, liability arising on the employer due to death or disability of the employee in office or factory premises are covered.
Any injury or accident leading to death of the workman during the course of employment is a fatal accident. Whereas, any injury or accident resulting in partial or permanent physical disablement such as loss of limb or hearing is defined as non-fatal accidents.
Widowed wife of the deceased worker, a minor son, unmarried daughter, widowed mother can qualify as dependents under workmen compensation insurance policy.
Yes, shop employees are also covered under the WC policy act. Workmen’s compensation insurance policy will cover them as well.

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