RECOVERY BENEFIT. If you experience a Recovery from your Disability, we will pay you a Recovery Benefit if: • you are working in your Regular Occupation or any other occupation, and working at least as many hours as you worked prior to Disability; and • you continue to have a Loss Of Earnings of at least 20%, and that Loss Of Earnings is solely due to the previous Injury or Sickness that caused your Disability.
RECOVERY BENEFIT. We will pay the lump sum amount as specified in the Policy Schedule or Certificate of Insurance once in a Policy Year, in respect of an Insured Person’s Hospitalization where the Hospitalisation continues for at least 10 consecutive days. This Benefit is payable only if We have paid a claim for the same Hospitalisation of the Insured Person under Section 1.1.
RECOVERY BENEFIT. If you experience a Recovery from your Disability, we will pay you a Recovery Benefit if: • you are working in your Regular Occupation or any other occupation, and working at least as many hours as you worked prior to Disability; and • you continue to have a Loss Of Earnings of at least 20%, and that Loss Of Earnings is solely due to the previous Injury or Sickness that caused your Disability. Loss Of Earnings means: your Indexed Predisability Earnings on the date of your Recovery – your Monthly Earnings your Indexed Predisability Earnings on the date of your Recovery The amount of Recovery Benefit we pay will equal: your Loss Of Earnings x the Basic Monthly Benefit PR204(8/18)CA Page 2 If your Regular Occupation prior to your Disability was that of being retired or unemployed, you are not eligible for the Recovery Benefit. You must be able to demonstrate that your Loss Of Earnings is solely due to the previous Injury or Sickness for the Recovery Benefit to be payable. We will periodically review the amount of your Monthly Earnings and the relationship between your Loss Of Earnings and the Injury or Sickness that caused your Disability. If the Indexed Cost of Living Benefit Rider is part of the policy, the Recovery Benefit will be calculated based on the Adjusted Basic Monthly Benefit (instead of the Basic Monthly Benefit) last paid before you Recovered from your Disability. No additional increases under the Indexed Cost of Living Benefit Rider will be made while Recovery Benefits are payable under this rider. The Premium Waiver Benefit in the policy will apply while Recovery Benefits are payable. Other benefits under your policy will not be payable while Recovery Benefits are payable. The Recovery Benefit will no longer be payable on the date that the first of the following events occurs: • you are no longer working in your Regular Occupation or any other occupation for a reason other than your Disability; • you are working fewer hours than you worked prior to your Disability; • your Loss Of Earnings is less than 20%; • your Loss Of Earnings is no longer solely due to the Injury or Sickness that caused your Disability; • you become Disabled again; or • the Maximum Benefit Period ends.
RECOVERY BENEFIT. The Company will pay a fixed amount, as specified against this Benefit, up to a maximum 10 days of Hospitalization during the Policy Year for each continuous and completed period of 24 hours of Hospitalization for recovery of the Insured Person, subject to the conditions specified below:
1. The Hospitalization period exceeds 10 continuous days.
2. The Company will be liable to pay from the 11th day till the 20th day for a block of continuous Hospitalization arising from Any One Illness or Accident.
3. The Company has accepted the recipient Insured Person’s claim under Benefit 3.1 (Hospitalization Expenses).
4. The fixed amount limit per day applicable for different variants under this policy are as follows: Silver - Not Applicable, Gold Rs.1000/- and Platinum Rs.1500/-
