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In the event of an accident to the insured


Procedure for the payment of the insurance benefit in the event of the insured’s injury resulting from an accident

The insurance benefit is equal to a certain percentage of the sum insured. The specific amount of the benefit is determined in accordance with Table for the Assessment of the Insurance Benefits Payable for Injuries Resulting from an Accident (Annex No. 1 to regulations of the additional insurance against injury resulting from an accident No. 005).

The amount of the Insurance Benefit paid within one calendar year of the Insurance Coverage shall not exceed the Sum Insured.

If the insured was covered by additional insurance against death resulting from an accident at the moment of the occurrence of the accident, then the insurance benefit to be paid in the event of injury will be deducted from the benefit to be paid in the event of death resulting from an accident, if such death resulted from the same accident as the injury.

The insurer shall be informed about the insureds personal injury resulting from an accident immediately and not later than within the period of 30 days from the day of the insured event.

When applying to the insurer regarding the insurance benefit, the following documents shall be provided:

  • an application for insurance benefit in a form established by the Insurer;
  • the original copy of the insurance policy;
  • documents from a health care institution containing the detailed description of the injury suffered, severity, treatment and consequences thereof;
  • other documents certifying the right to the benefit;
  • documents certifying the identity.

Any costs related to the receipt of the above mentioned documents and required information shall be paid by the persons claiming the insurance benefit.

The insurer may request to submit additional information necessary for determination of the insurance benefit.

The insurance benefit is paid within 30 days from the day of the receipt of all the information relevant for establishing the fact and its circumstances of the insured event.

In the event of death of the beneficiary, the insurance benefit is paid to the natural or legal person entitled to the benefit in accordance with the laws of the Republic of Lithuania.

If the account number of the insured / beneficiary has not been provided after the application for the insurance benefit, then a completed application for the payment of the insurance benefit (available in Lithuanian) must be submitted additionally.

Procedure for the payment of the insurance benefit in the event of the insured’s disability resulting from an accident

The insurance benefit is equal to a certain percentage of the sum insured. The specific amount of the benefit is determined in accordance with Table for the Assessment of the Insurance Benefits Payable for Injuries Resulting from an Accident" (Annex No. 1 to regulations of the additional insurance against injury resulting from an accident No. 006).

The sum of the insurance benefits paid during the entire insurance period may not exceed the sum insured.

If the insured was covered by additional insurance against death resulting from an accident at the moment of occurrence of the accident, then the insurance benefit to be paid in the event of disability will be deducted from the benefit to be paid in the event of death resulting from an accident, if such death resulted from the same accident as the disability.

The insurer shall be informed about the injury resulting from an accident immediately and not later than within the period of 30 days from the day of the insured event.

When applying to the insurer regarding the insurance benefit, the following documents shall be provided:

  • an application (available in Lithuanian) for insurance benefit in a form established by the insurer;`
  • the original copy of the insurance policy;
  • documents from a health care institution containing the detailed description of the injury suffered, severity, treatment and consequences thereof and a copy of the disability certificate.
  • other documents certifying the right to the benefit;
  • documents certifying the identity.

Any costs related to the receipt of the abovementioned documents and required information shall be paid by the persons claiming the insurance benefit.

The insurer may request to submit additional information necessary for the assessment of the insurance benefit.

The insurance benefit is paid within 30 days from the day of receipt of all the information relevant for establishing the fact and its circumstances of the insured event.

In the event of death of the beneficiary, the insurance benefit is paid to the natural or legal person entitled to the benefit in accordance with the laws of the Republic of Lithuania.

If the account number of the insured / beneficiary has not been provided after the application for the insurance benefit, then a completed application for the payment of the insurance benefit (available in Lithuanian) must be submitted additionally.

Procedure for the payment of the insurance benefit in the event of the insured’s total and permanent loss of capacity for work

The insurer shall be informed about the insured’s loss of capacity for work within the period of 30 days from the day of loss of capacity for work. When applying to the insurer regarding the insurance benefit, the following documents shall be provided:

  • an application for insurance benefit in a form established by the Insurer;
  • the original copy of the insurance policy;
  • documents issued by a health care institution certifying that the insured has totally and irretrievably lost his/her capacity to work, circumstances and reasons of disability, experts’ findings;
  • other documents certifying the right to the benefit;
  • documents certifying the identity.

The insurer may request to submit the additional information necessary for the assessment of the insurance benefit.

The insurance benefit is paid within 30 days from the day of the receipt of all the information important for establishing the fact and its circumstances of the insured event.

If the account number of the insured / beneficiary has not been provided after the application for the insurance benefit, then a completed application for the payment of the insurance benefit (available in Lithuanian) must be submitted additionally.

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