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GPA Insurance: Inclusions & Exclusions

This blog outlines key inclusions like accidental death, disabilities and medical expenses, along with exclusions such as self-inflicted injuries and intoxication under GPA insurance. Understanding both helps ensure smooth claim processes and realistic expectations.

  • 26 Jun 2025
  • 3 min read
  • 0 views

Accidents can happen anytime. When they do, the financial strain can be heavy not only for the individual but also for their family. That’s where group personal accident insurance helps. This policy provides financial protection to employees against accidental injuries, disabilities or death that occur during the policy period. But what exactly is covered and what isn’t? Let’s find out.

What is included in GPA policy?

Here is what is typically included in a group personal accident (GPA) insurance plan:

  • Accidental death: The nominee gets compensation if the insured person dies due to an accident.
  • Permanent total disability: Covers full and irreversible loss of limbs or eyesight due to an accident.
  • Permanent partial disability: Offers compensation for partial and permanent disablement.
  • Temporary total disability: Reimburses a portion of income lost due to temporary inability to work.
  • Medical expenses: Reimbursement of medical costs related to the treatment of injuries caused by accidents.

These features are usually part of the GPA policy coverage, but the actual extent may vary depending on the terms set by the insurer and agreed upon by you.

What is not included in GPA policy?

While the benefits are extensive, there are exclusions you must be aware of. Here are some common exclusions:

  • Self-inflicted injuries: Any injury caused intentionally by the insured is not covered.
  • Pre-existing disabilities: Conditions or injuries that existed before the policy start date.
  • Under the influence of drugs or alcohol: Accidents occurring when the insured is intoxicated are excluded.
  • Participation in dangerous activities: Injuries from adventure sports, racing or hazardous jobs are usually not covered.
  • Criminal acts: Accidents happening while committing a criminal offence.
  • War or civil unrest: Injuries during war or riots are not part of GPA insurance coverage.

These exclusions help you understand the boundaries of your GPA coverage so you can avoid surprises during claims.

Conclusion

A group personal accident insurance policy gives you peace of mind by providing a safety net during tough times. But you must know the limits of GPA coverage. Always read your policy wordings and talk to your insurer about any doubts. Knowing both inclusions and exclusions helps you make the most of your insurance benefits.


Disclaimer: The information provided in this blog is for educational and informational purposes only. It is advised to verify the currency and relevance of the data and information before taking any major steps. Please read the sales brochure / policy wordings carefully for detailed information about on risk factors, terms, conditions and exclusions. ICICI Lombard is not liable for any inaccuracies or consequences resulting from the use of this outdated information.

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