Protection against injury

Information to read before entering into an insurance contract

• Information about the insurance intermediary
  • Information about the insurance intermediary
• Insurance terms and conditions from PJSC UAIC ASKA-LIFE
  • Product information document "Parasolka"
  • Product information document "Parasolka Active"

• What is an injury?

  Injury is something that can happen to anyone at any time, regardless of their health status, lifestyle, or age.

  For example, injuries to bones, soft tissues, internal organs, eyesight, hearing, burns, cuts, animal and insect bites, frostbite, electric or lightning shock, poisoning resulting from an accident, household injuries, workplace injuries, road accidents or unlawful acts of third parties.

• What is the object of insurance under the Injury Protection under the Parasol and Parasol Active programs?

  The insurance object under the personal injury protection programs is the life, health, and ability to work of the Insured.

• What risks are covered and what are the limitations of personal injury insurance?

   Both programs include coverage for:

  • Temporary disability (injury) of the Insured during the term of the Contract as a result of an accident occurring during the term of the Contract (Risk 1). 
    Death of the Insured during the term of the Contract (Risk 2).

  The following persons can not be Insured:

  • Persons younger than 1 (one) year and older than 69 (sixty-nine) years as of the date of concluding the Insurance Contract, provided that their age as of the date of expiration of the Contract will exceed 70 years.
  • Persons who have cancer, severe forms of cardiovascular disease (angina pectoris, myocardial infarction, coronary artery bypass grafting), atherosclerosis, stroke, AIDS, and/or AIDS-related diseases as of the date of Insurance Contract conclusion, are HIV-infected. 
  • Persons with disability groups I, II, III. 
  • Persons who use drugs, or toxic substances for toxic intoxication, suffer from alcoholism. 
  • Persons with persistent nervous or mental disorders. 
  • Persons registered with narcological, psychoneurological, dermatological, and venereological dispensaries, are centers for the prevention and control of AIDS. 
  • Persons whose professional activity is related to high-risk work, the list of which is approved by the current legislation,n and/or who participate or plan to participate in high-risk/extreme sports/activities. 
  • Persons engaged in sports professionally.
  • Persons in places of deprivation of liberty.
• Is there a franchise in personal injury insurance contracts?

  Franchise is not applied (UAH 0).

• Are there any consequences for the consumer in case of failure to fulfill the obligations set out in the insurance contract, including consequences in case of late payment?

  Failure of the consumer (Insured) to fulfill the obligations specified in the Insurance Agreement, including untimely notification of the insured event without valid reasons, maybe a reason for the refusal of insurance payment. In case of non-payment of the insurance payment (paid as a one-time payment upon conclusion of the Agreement), the Agreement shall not enter into force.

• What is the duration of the contract for personal injury protection programs?

  The insurance contract shall be concluded for a term of 1 (one) year. The start and end dates of the Agreement shall be specified in the Acceptance (clause 9).

  The Contract shall enter into force (insurance coverage shall take effect) from 00-00 hours of the date specified in Clause 9 of the Acceptance as the date of commencement of the Contract, but not earlier than the date following the date of receipt of the insurance payment in full to the Insurer's bank account, and shall be valid until 24-00 hours of the date specified in Clause 9 of the Acceptance as the date of expiry of the Contract.

• Is it possible to take out a policy for the military?

  Yes, but the payment will be made if the insured event didn't occur while they were performing their official duties.

• If I am injured while exercising in a gym, will I be able to get paid?

  Yes, if it isn't a professional competition or a risky sport.

• Is it possible to insure a child?

  Yes, people from the age of 1 are eligible for insurance.

• Are there any consequences for the consumer in case of failure to fulfil the obligations set out in the insurance contract?

  Failure by the consumer (the Insured) to fulfil the obligations specified in the Insurance Contract, including untimely notification of the insured event without valid reasons, may be grounds for refusal of insurance payment. In case of non-payment of the insurance payment (paid as a one-time payment upon conclusion of the Agreement), the Agreement shall not enter into force.

• Is this product available separately, without related and/or additional services?

  The insurance product is not part of any package/agreement. The insurance product can be purchased separately.

• Are there any discounts or promotional offers?

  No discounts or promotional offers are available for these products.

• What is the list of information that is material to the assessment of the insurance risk and/or information on other circumstances that are taken into account when determining the amount of the insurance payment?

  The Policyholder is obliged to provide the Insurer with the following information before entering into the Insurance Policy, such as:

  • The chosen program
  • Selected insured amount
  • Age of the insured person
• A warning to the consumer about the need to familiarise themselves before entering into an insurance contract with information on exclusions from insured events and grounds for refusal to make insurance payments, the insurer's liability limits for a particular insured object, insured risk and/or insured event, as well as the procedure for calculating and making insurance payments, including links to such information.

  Events that occurred, as a result, are not recognized as insured events:

  1. Suicide, suicide attempts, or consequences of attempted suicide, including acts (actions) committed in a state of insanity, mental or psychosomatic disorder, except when the Insured was brought to this by illegal actions of third parties.
  2. Non-compliance by the Insured with medical recommendations and/or reckless refusal of medical care, self-medication or treatment by alternative medicine, treatment with experimental drugs or participation as a volunteer in physiological or medical research, cosmetic surgery not aimed at correcting the consequences of an illness or accident.
  3. Active participation of the Insured person in war, military operations or military measures, military or police exercises, sea, air, land or other type of military operations (regardless of whether the state of war is declared or not). “Active participation” shall mean the Insured's service in any branches of the armed forces of the state (land, air, naval, air assault, etc.) or other military formations and/or participation in combat actions and/or military operations of such armed forces or other military formations, participation in operations of territorial defense forces.
  4. Participation of the Insured in armed disturbances, civil wars, riots, uprisings, popular unrest and strikes, mass disorders, revolutions, civil commotion, group disturbances of public order, armed invasions, actions of external enemies, riots, seizure or usurpation of power, terrorist acts, any other events of military nature that lead to the declaration of war, armed conflicts.
  5. Driving a vehicle by the Insured under the influence of alcohol, drugs, or toxic substances, under the influence of medicines prohibited for driving a vehicle, and/or without a driver's license of the appropriate category, and/or transferring driving to a person being in a state of alcoholic, narcotic or toxic intoxication, under the influence of medicines prohibited for driving a vehicle and/or without a driver's license of the appropriate category, if the Insured person knew about it in advance but neglected it.
  6. Mental and/or nervous diseases of the Insured person, as well as diseases related to epidemics in case of quarantine.
  7. Consumption of alcohol, drugs, or toxic substances by the Insured (except for cases of forced administration of such substances to the Insured by third parties) or actions of the Insured in a state of alcohol, drug, toxic intoxication, intoxication, or under the influence of medicines taken without a doctor's prescription. All insured events during which the Insured was under the influence of alcohol, drugs, or toxic substances shall also be excluded.
  8. If the Insured person has Acquired Immunodeficiency Syndrome (AIDS) or diseases related to the AIDS complex, regardless of the way of infection, or if HIV tests or antibodies to this virus are positive.
  9. Danger. “Danger” shall mean the fact that the Insured person voluntarily exposed or exposes himself/herself to danger (except for attempts to save human life), or the Insured person commits illegal actions or violates the legally established requirements and restrictions for civilians in the conditions of martial law declared in the country, in particular non-compliance with curfew; walks in parks, forests, swimming in water/sea, etc., which are territorially related to communities where such visits/swimming, etc. have been prohibited by central and/or local authorities and the ban has not been lifted at the time of the insured event.
  10. Pregnancy or childbirth. This shall mean events related to the natural course of pregnancy or childbirth of the Insured Person, including disability related to the termination of pregnancy.
  11. Events that occurred to the Insured Person in places of detention.
  12. Flights, except for flights as a passenger of an officially registered airline, if the Insured person had a paid ticket for such a flight.
  13. High-risk activities/sports and/or extreme sports/hobbies.
  14. Exposure to nuclear or atomic energy in any form.
  15. Long-term stay of the Insured in climatically hazardous regions, trips to regions with unstable political situations, including as a member of scientific or other expeditions. Long-term stay shall mean the Insured person's stay in the respective regions for at least thirty (30) calendar days.
  16. Plastic surgeries, elimination of defects in the appearance or figure of the Insured person.
  17. Temporary disability (injury) for reasons other than an accident and/or not during the term of the Contract. 

  The reasons for refusal of insurance payment are as follows:

  1. Intentional actions of the Insured, the Insured person, or the Beneficiary aimed at the occurrence of the Insured event, except for actions taken in a state of emergency or necessary defense, or cases determined by law or international customs.
  2. Committing or attempting to commit an intentional criminal offense by the Insured, the Insured person, or the Beneficiary that has led to the occurrence of the Insured event.
  3. Submission by the Policyholder of false information about the object of insurance, circumstances essential for assessment of the insurance risk (as provided in the Insurance application), or the fact of occurrence of the insured event.
  4. Failure of the Insured/Insured person (or other Beneficiary) to notify the Insurer of the occurrence of an Insured event without good reason or failure to fulfil other obligations stipulated by the Contract or the law, if this has resulted in the Insurer's inability to establish the fact, causes and circumstances of the Insured event or the extent of damage caused to the Insured person.
  5. Other cases stipulated by the Contract and applicable laws of Ukraine.
• What are the limits of liability for a particular insurance object, insurance risk and/or insured event, group of insurance risks and/or insured events, and other components of the insurance product?

  The Insurer's liability limit is the amount of the insured amount for the insurance risk included in the insurance coverage under the Contract.

  Insurance payments shall be made within the insured amounts depending on the nature and consequences of insured events.

• What is the procedure for calculating and making insurance payments?
  • Upon occurrence of an event that has signs of an insured event (hereinafter referred to as the Event), the Insured/Insured person (or other Beneficiary) shall notify the Insurer in writing by submitting a Claim for Insured Event and payment of insurance indemnity in the form established by the Insurer, and provide the documents required by the Contract.
  • The Insurer shall decide on payment or refusal to pay within 30 (thirty) working days from the date of receipt of all required documents.
  • The Insurer shall pay the Insurance indemnity by bank transfer to the bank account of the Beneficiary within 10 business days after approval of the Insurance claim. The Insurance claim shall be drawn up within 5  business days after the decision to pay out is made.
  • The Insurance indemnity shall be paid to the Beneficiary specified in the Agreement in the following amounts:
  • Upon occurrence of an insured event under Risk 1, the Insurer shall pay the insurance benefit in the amount determined as a percentage of the sum insured outlined in the Contract under Risk 1, by the Table of Insurance Benefits depending on the nature of bodily injuries (traumas) and their complications sustained by the Insured as a result of an accident, which is Annex 1 to the General Insurance Terms and Conditions (hereinafter referred to as the Table of Benefits).
  • If as a result of an insured event the Insured suffers bodily injuries (traumas) and/or complications that are not included in the list of bodily injuries (traumas) specified in the Table of Benefits, the insurance indemnity shall be paid in the amount of 1.0% of the sum insured set out in the Contract for Risk 1.
  • In case of occurrence of an insured event under Risk 2, the Insurer shall pay insurance indemnity in the amount of 100 % of the sum insured outlined in the Contract for Risk 2. In this case, the Insurer's obligations under the Contract in respect of Risk 2 shall be deemed to be fully performed.
  • The decision to refuse payment or in case of delay in making the decision shall be notified to the Beneficiary within 30 (thirty) business days from the date of such decision with justification of the reasons for refusal or delay.
• What is the procedure for taxation of insurance payments and application of tax benefits?

  Insurance payments and payments of redemption amounts are subject to taxation in accordance with the applicable tax laws. The procedure for taxation of insurance payments and redemption amounts is available on the Insurer's website at the link: Taxation of insurance payments

• What are the conditions for reducing (decreasing) the insured amounts and/or insurance payments in case of non-payment of the insurance premium in the amount and within the terms specified in the Agreement?

  There are no reductions in the insured amounts and/or insurance payments.

• What is the amount and procedure for determining possible benefits in excess of the insured amounts and/or insurance payments established by the Agreement?

  Not provided for by the terms of the Product.