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Basic Mediclaim does not cover organ donor expenses

Monday, April 17, 2017
By Rajiv Kumar

Rajiv Kumar is MD and CEO, Universal Sompo General Insurance Co. Ltd.

My younger brother has been diagnosed with Kidney Failure. The doctor has recommended a transplant and to search for an Organ Donor? I want to know if our Family floater Health Insurance policy covers Donor medical expenses?
     — Kishore Wadik, Navi Mumbai

A basic family floater Health Insurance Policy would not extend the coverage for Donor Expenses, provided the insured has opted for Critical Illness insurance cover during the inception of the policy.

Will a comprehensive two wheeler policy provide personal accident coverage to pillion rider? Is it restricted to the rider only?
    — Sujoy Shetty, Kalina

A pillion rider for a two wheeler vehicle can be covered for Personal Accident cover, provided an additional premium is paid while opting for a comprehensive two wheeler insurance policy.

My office has transferred me to another state for professional commitments. My car has been registered with the old location. What if I make a claim on my car in the new geography, will the insurance company honor my claim or repudiate the same citing registration reason?
     — Nasir Khan, Bandra

Irrespective of the geography, an insurance company is bound to honour your motor claim arising out of an accident caused anywhere across the country. Though it is advisable to intimate your insurance company about your transfer to a new location for their record maintenance.

I will be soon starting my own business of delivering home-made chocolates & confectioneries. I will be hiring a driver to use my personal car for delivery of customer orders as well as for my personal usage. Do I need to inform my insurance company about the usage of my vehicle?
    — Paresh Londhe, Chembur

As per the regulatory guidelines, insurance premium varies for vehicles used for commercial / business purposes, irrespective it the vehicle is manufactured for private usage. It is imperative to inform the insurance company about the purpose of your vehicle usage, to avoid claim repudiation in the future on grounds of misrepresentation of facts.
 
I have a shop which provides auto spare parts. I want to insure my shop from theft / burglary and natural calamities. Will the shop insurance policy cover my stocks in the shop in case of burglary or fire?
    — Anmol Shah, Parel

Insurance for Shops, take into account, perils of damages caused to the shop premises as well as stocks in case of theft / burglary. However, during the policy purchase, you need to ensure that proper package shopkeeper policy is opted covering sections of Fire & allied peril / Section of Burglary cover with an extension of Theft cover and premium paid thereon.

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