FLT PRIME Insurance Corporation

Unit 30, 3/F MSA Prime Building Madrigal Business Park , Muntinlupa City
Tel. Nos. (632) 403 5924 Fax No. (632) 403-59-25 Cel No. 0999-880-8316
Email: alabang@fltprime.com

Individual AxiSmart Personal Accident Insurance

and Assistance Program
________________________________________________________________________
A. SCOPE COVERAGE
The plan provides protection 24 hours a day, 365 days a year, on and off the job, anywhere in the world.
Coverage includes but not limited to flying as passenger (not as crew member) in any commercial airline
on any regular schedule, non- scheduled, chartered flight or any military transport operated by any governmental
authority.
Earthquakes, tidal waves, volcanic eruption, dog and snake bites, and Unprovoked Murder or Assault,
Motorcycling (except participating in any racing competition, test or trial, under the influence of liquor
and driving without license and any protective gear.

B. BENEFITS:
1. Accidental Death, Total Permanent Disablement/Dismemberment
and Total Permanent Disability, principal sum
If within one (1) year from the date of accident, such bodily injuries shall results in Death, loss by physical
severance or total and permanent loss of use of any part (s) of the Insureds body or becomes totally and
permanently disabled and prevented from engaging in each and every occupation of employment for
compensation or profit for which he is reasonably qualified by reason of his education or experience the
Company shall pay the following specific amount or such loss or losses:
Loss of Life
Loss of both hands, or all fingers & both thumbs
Loss of both feet
Total loss of sight of both eyes
Injuries resulting in being permanently bedridden
Any other injury causing permanent disablement
Loss of arm at or above elbow
Loss of arm between elbow and wrist
Loss of hand
Loss of four fingers & thumb of one hand
Loss of four fingers
Loss of thumb
Loss of index finger

100%

70%
50%
42.5%
42.5%
35%
15%
10%

Loss of middle finger

Loss of ring finger
Loss of little finger
Loss of metacarpals-first or second (addl.)
Third, fourth or fifth additional
Loss of leg at or above the knee
Loss of leg below the knee
Loss of one foot
Loss of toes all on one foot
Loss of big toe
Loss of any toe other than the big toe, each
Loss of sight of one eye
Loss of hearing - both ears
- one ear

6%
5%
4%
3%
2%
60%
40%
40%
15%
5%
1%
30%
50%
7%

2. Accident Medical Expense Reimbursement

If, as a result of bodily injuries the Insured Person shall require treatment by a legally qualified
Physician or surgeon, confinement in a hospital or employment of a licensed nurse, the Company
shall pay the actual medical expenses incurred within 52 weeks from the date of accident for
such treatment.

3. Burial Cash Assistance

If as a result of accidental bodily injuries , the covered person suffers loss of life within (1) year
from the date of accident the Company shall pay, in addition to all other benefits under the policy,
the accident burial cash assistance stated in the Schedule of Benefits. This does not include death due to
unprovoked murder or assault and motorcycling.

C. EXCLUSIONS
The plan does not pay for loss resulting from intentionally self-inflicted injuries, suicide or any attempt
thereat, while sane or insane; war, invasion, act of foreign enemy, rebellion, revolution. strikes, riot or civil
commotion; engaging in military duty with any armed forces of any country , under the influence of
prohibited drugs; illegal acts of the Insured or Legal Heirs, Administrators, Executors and Personal
Representatives; pregnancy, childbirth, miscarriage or any complication thereof; pre-existing conditions or
illnesses.

D. SCHEDULE OF BENEFITS AND ANNUAL PREMIUM PER PERSON

Benefits
Accidental Death, Permanent Disablement/Dismemberment and Total Permanent
Disability, principal sum
Accident Medical Expense Reimbursement
Burial Cash Assistance
Unprovoked Murder or Assault
Motorcycling
Annual premium (inclusive of stamps &
Taxes) person

Amount
P 50,000
5,000
5,000
25,000
25,000
P 150.00