First of all, we must know exactly what accident insurance consists of: It is an insurance that covers the risks of the physical integrity of the insured when it is originally caused by an accident. This is defined as a bodily injury that derives from a violent, sudden, external cause and beyond the intention of the insured and that can cause temporary or permanent disability or even death.
We must also bear in mind that when contracting any insurance we are signing a contract, therefore we must be very aware of its conditions, clauses and fine print to comply with our obligations and also so that the insurance company does what same.
Before knowing the rights and obligations of an accident insurance, we must know who the beneficiary of an insurance is who receives the compensation in the cases provided for by the policy.
Some of the main obligations or duties of the beneficiary of accident insurance are: Identify yourself before the insurance company: so that it can verify the right to receive the agreed benefit.
Declaration of the risk: the policyholder has the duty, before the conclusion of the contract, to declare to the insurer, in accordance with the questionnaire that the latter submits, all the circumstances known to him that may influence the assessment of the risk.
Payment of the insurance premium: the beneficiary of the accident insurance is obliged to pay the insurance premium within the period indicated in the policy contract, otherwise the insurance companies may terminate the policy contract.
Regarding the rights of a beneficiary of an accident insurance, the main one is to receive compensation for the insured capital to the persons designated by the insured at the time of formalizing his policy, according to each situation or consequence caused to the insured by the accident.
Among which we can find: Death by accident: on the occasion of the death of the insured, 100% of the insured capital will be obtained according to the agreed conditions.
Absolute Permanent Disability due to an accident: refers to the permanent and irreversible physical situation caused by an accident that determines the total incapacity of the insured to maintain any employment relationship or to permanently carry out any professional activity, a situation in which Expertia Seguros will will pay the insured capital indicated in the particular conditions.
Partial Permanent Disability due to an accident: referred to the anatomical loss or the total or partial functional decrease of a permanent nature caused by an accident, of any organ or member or of the faculties of the insured whose intensity, and whose recovery is not considered foreseeable in accordance with the opinion of the experts. It will be important to know the type of intensity that would affect the insured in order to know the percentage of the insured capital that Expertia Seguros will pay to the insured.