PA Lueak ngai dai khum

Personal Accident

"ใช้ชีวิตอย่างมั่นใจ สบายใจเรื่องค่ารักษาพยาบาลจากอุบัติเหตุ เพราะมีความคุ้มครองตามไปทุกที่

กรมธรรม์ประกันภัยอุบัติเหตุส่วนบุคคล คุ้มครองตลอด 24 ชั่วโมงทั่วโลก"

ประกันอุบัติเหตุ เลือกง่าย ได้คุ้ม

จาก OCEAN LIFE ไทยสมุทร

 

Comprehensive coverage

Comprehensive coverage

24-hour worldwide accident coverage
Enjoy peace of mind with no worries

Enjoy peace of mind with no worries

Get accident medical coverage of up to 100,000 THB per incident*
Rest and recover with confidence

Rest and recover with confidence

Get daily income support during hospitalization, up to 1,000 THB per day**

Introduction of Insurance

Insurable Age

Insurable Age

16 - 70 Years
Sum Assured

Sum Assured

Choose from 5 coverage plans:
Plan 1: 130,000 Baht
Plan 2: 350,000 Baht
Plan 3: 500,000 Baht
Plan 4: 1,000,000 Baht
Plan 5: 2,000,000 Baht
Premium Payment Mode

Premium Payment Mode

Annual
Rider Attachment

Rider Attachment

Not Allowed
Medical Examination

Medical Examination

According to the Company's rules
Tax Deduction Eligibility

Tax Deduction Eligibility

Health insurance premiums can be used as a reference for personal income tax deductions in accordance with the criteria specified by the Revenue Department.

Coverage and Benefit

Benefit Details Comprehensive coverage (Baht)
Plan 130,000 Plan 350,000 Plan 500,000 Plan 1,000,000 Plan 2,000,000
1. Death, dismemberment, total and permanent disability due to accident
1.1 General accident 130,000 350,000 500,000 1,000,000 2,000,000
1.2 Murder and assault 130,000 350,000 500,000 1,000,000 2,000,000
1.3 Motorcycle riding or passenger 65,000 175,000 250,000 500,000 1,000,000
2. Medical expense per time (include murder and assault case and motorcycle riding or passenger case) 2,500 5,000 50,000 100,000 100,000
3. Hospital daily benefit (include murder and assault case and motorcycle riding or passenger case) (A maximum of not exceeding 365 days per each injury, including sections 3.1 and 3.2.)
3.1 Room and Board per day (not exceeding 365 days) 500 500 1,000 1,000 1,000
3.2 Intensive Care Unit (I.C.U.) per day (not exceeding 7 days) 1,000 1,000 2,000 2,000 2,000
4. Death, dismemberment, total and permanent Disability due to public accident (additional coverage is provided from section 1.1.) 130,000 350,000 500,000 1,000,000 2,000,000
Combine the benefits of coverage clause 1.1 and clause 4. 260,000 700,000 1,000,000 2,000,000 4,000,000
5. Death, dismemberment, total and permanent Disability due to accident on a public holiday (additional coverage is provided from section 1.1.) 260,000 700,000 1,000,000 2,000,000 4,000,000
Combine the benefits of coverage clause 1.1 and clause 5. 390,000 1,050,000 1,500,000 3,000,000 6,000,000
Combine the benefits of coverage clause 1.1, 4. and clause 5. 520,000 1,400,000 2,000,000 4,000,000 8,000,000

Conditions of Insurance

Public Holidays mean the days the government declares as national holidays in each calendar and National Labor Day This includes compensatory holidays on that date.

The day the government declares it a public holiday is New Year's Day, Makha Bucha, Chakri Day, Songkran Holiday, H.M. King's Coronation, Royal Ploughing Ceremony, Visakha Bucha Day, H.M. Queen's Birthday, Asanha Bucha, Buddhist Lent, H.M. King's Birthday, H.M. Queen Mother's Birthday, The Passing of King Bhumibol, Chulalongkorn Day, Father's Day, Thailand Constitution Day, and New Year's Eve.

Substitute Day means the day that is gazetted a public holiday in lieu of the public holiday for Christmas Day falling on a Saturday or Sunday. If a public holiday falls on a Saturday or Sunday It shall be deemed that the first working day or the first and second working day following a public holiday is a Substitute Day

Public accident means an accident which occurs to the Insured

  1. while the Insured is a passenger in a train, skytrain, subway, public transportation bus, minibus, Borkorsor transport bus, affiliated Borkorsor transport bus, affiliated public transportation van.
  2. while the insured is an elevator passenger and an accident occurs on a public elevator for carrying persons or goods between floors in public buildings This does not include elevators used in the mines. or construction site.
  3. while the insured is in a public building during the opening hours for the general public and a fire broke out in that public building including jumping from the fire to save lives.

The Exclusions contained herein are only some parts of all exclusions stated in the insurance policy. The Company shall not cover any loss or damages due to or a result of either of the following causes.

  1. In case that the insured knowingly makes false statement or knowingly omits to disclose any fact to the Company for acknowledgement while applying for the insurance, where if the Company had known of such fact, the Company has the right to void the insurance contract and not to make any policy payment.
  2. Suicide, suicide attempt or self-inflicted injury
  3. Miscarriage
  4. Act of the insured while under the influence of alcohol, narcotic drug or narcotic substance that impairs the mental faculty The term “under the influence of alcohol” is in case of having blood alcohol concentration (BAC) test result of 150 mg/dL or over

Q: Who is “Lueak ngai dai khum” personal accident insurance suitable for?
A: It is suitable for individuals who want 24-hour worldwide accident coverage and peace of mind regarding accident-related medical expenses. It is also ideal for those concerned about income loss during hospitalization, as you can choose plans that provide daily income compensation. There are 5 coverage plans available to suit different needs.

Q: Does occupation affect underwriting for “Lueak ngai dai khum” personal accident insurance?
A: Yes. This plan is available only for Occupational Classes 1 and 2.
- Class 1: Low-risk occupations, such as business owners, administrative or managerial roles, clerical work, or sales positions, typically office-based. This also includes manual work that does not involve machinery.
- Class 2: Moderate-risk occupations, such as business owners, managers, or employees who occasionally work outside the office, or those in industrial roles that may involve machinery. It also includes skilled or semi-skilled workers, and professionals who work outdoors most of the time.

Q: Is a medical examination required for “Lueak ngai dai khum”?
A: No medical examination is required; however, applicants must complete a health declaration in the application form.

Q: Can the insurance premium be used for tax deduction?
A: Yes. The insured can claim personal income tax deductions for health insurance premiums, up to 25,000 THB, in accordance with Revenue Department regulations.

Q: Can additional riders be attached to “Lueak ngai dai khum”?
A: No. This personal accident plan does not allow additional riders.

*Applicable for Plan 1,000,000 or Plan 2,000,000
**Applicable for Plan 500,000, Plan 1,000,000, or Plan 2,000,000; benefits apply to hospitalization in a standard room

  • Underwriting is subject to the Company’s terms and conditions.
  • Health check up and health declaration might be the factor of underwriting process if necessary.
  • Benefits and coverage are subject to the health insurance policy’s terms and conditions.
  • Tax Deduction according to the rules prescribed by the Revenue Department
  • This is only basic information. An insured should read aware of coverage condition, benefits, and exclusions of an insurance policy.


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