DIGITAL SURAKSHA GROUP INSURANCE POLICY GROUP POLICY WORDINGS

PREAMBLE:

Whereas as the Insured/Group Manager has made to Bajaj General Insurance Limited (hereinafter called the “Company” or “Insurer” ), a proposal which is hereby agreed to be the basis of this Group Policy and has paid the premium specified in the Schedule/Group

Policy/Certificate of Insurance, now the Company agrees, subject always to the following terms, conditions, exclusions, and limitations, to indemnify the Insured Beneficiary in excess of the amount of the Deductible and subject always to the Sum Insured in the respective Certificate of Insurance against such loss/expenses, as is herein provided and such loss/expenses is actually incurred by Insured Beneficiary within the Cover Period.

DEFINITIONS:

Bank/ Qualified Financial Institution/ Payment System Operator means:

- 1. Banking Company as defined in Chapter 3A of Reserve Bank of India Act, 1934;
  2. Non-Banking Financial Company (NBFC) as defined under Reserve Bank of India Act, 1934 read with the RBI guidelines, from time to time.
  3. Entity authorized by the Reserve Bank of India to set up and operate in India under the Payment and Settlement Systems Act, 2007
- Certificate of Insurance means the document issued by the Company to the Insured Beneficiary under the Terms and Conditions of Group Policy detailing the Master Policy number, Certificate of Insurance number, the, Cover Period with the commencement date and end/expiry date of the cover, Insured Beneficiary’s name, address, coverage, benefits, Sum Insured, Deductible, Premium, condition(s), exclusions and or endorsement(s), and the terms and conditions of the coverage. Provided however if there is any contradiction between what is stated in the wordings attached to Certificate of Insurance and these Group Policy Wordings, then these Group Policy Wordings shall prevail.
- Computer System means a device or collection of devices including input and output support devices , which contain computer programmes, electronic instructions , Input and output data that performs logic, arithmetic , data storage and retrieval communication control and other functions but excludes devices which are not programmable and are incapable of being used in conjunction with external files.
- Cover Period means the period as specified in the Certificate of Insurance issued to the respective Insurance Beneficiary falling within Risk commencement/Inception Date and Risk Expiry/End Date, during which he is insured as per Terms and Conditions of Certificate of Insurance read with the Group Policy.

Switched Period shall mean the date(s) declared by the Insured Beneficiary (falling within the Cover Period) on the designated app during which the Insured Beneficiary is willing to activate the risk cover provided to him/her in switched mode as per the Terms and Conditions) of Certificate of Insurance read with the Group Policy. Note: For Clarification of doubts, when cover under the Certificate of Insurance is offered in

Switched Mode, Company shall be liable for any loss incurred by the Insured Beneficiary only during the Switched Period and subject to admissibility of claim as per terms and conditions of the Certificate of Insurance*.*

1. Cyber Attack means a Targeted Intrusion into the Insured Beneficiary’s Computer

System:

which results in the transmission of unauthorized Data to the Insured Beneficiary’s Computer System or from the Insured Beneficiary’s Computer System to a Third Party’s Computer System that is designed to modify, alter, damage, destroy, delete, record or transmit information without authorization, including Data that is self-replicating or self-propagating, or is designed to contaminate other computer programmes or legitimate computer Data, consume computer resources or in some fashion usurp the normal operation of a Computer System.
To obtain unauthorized access or use of the Insured Beneficiary’s Computer

System

Targeted Intrusion is an intrusion, or a series of intrusions specifically directed against the Insured Beneficiary. A “series of intrusions” are intrusions made using the same weakness of Computer Systems or using the same malicious programmes or codes.

1. Data means any electronic information in a form readily usable by a computer programme. This shall include but not limited to images, documents, audio/video clips, software programmes.
2. Deductible means the amount which shall be borne by the Insured Beneficiary in respect of each and every admissible claim made under this Group Policy. The Company’s liability to make any payment under the Group Policy is in excess of the Deductible.
3. Direct Financial Loss shall mean unrecoverable loss of funds

belonging to the Insured Beneficiary held in his/her Bank account / accounts with

Payment System Operator and/or

on account of Lien created on the Insured Beneficiary in his/her Bank account / account with Payment System Operator
1. Discovery Period means the period commencing immediately after the expiry/risk expiry date of the Cover Period, during which written notice may be given to the Company, of a claim that has occurred prior to the expiry date/ risk expiry .date of the Cover Period and only where such loss is not partially nor wholly covered by any other insurance policy in force after risk expiry date /the expiry date of the Certificate of Insurance.
2. Family Member shall mean the Insured’s
3. Legally wedded Spouse, Children
4. Parents/ Parents in Law permanently residing in India

1. Group shall mean a group as per the provisions of IRDAI group guidelines and further amendments, circulars/guidelines/regulations, if any issued/that may be issued, from time to time.
2. Identity Theft refers to any fraudulent or unauthorized access, use, deletion, or modification of an Insured Beneficiary’s Personal Data by a Third Party.
3. Policy Holder/ Group Manager / Group Organizer/ Group Administrator/ Insured is the Organization or legal Entity named in the Group Policy Schedule which has taken the Group Policy on behalf of all Insured Beneficiaries
4. Insured Beneficiary shall mean members of the Group covered under the Master Policy

to whom Certificate of Insurance is issued by the Company.

1. Insured Beneficiary’s Computer System means a Computer System the Insured Beneficiary leases, owns or operates and which is secured with necessary security measures/ applications to protect against any potential threats
2. Insured Beneficiary’s Personal Data shall mean authentication information of electronic signature, password or any other unique identification feature of Insured Beneficiary. This shall not include publicly available information that is lawfully made available to general public.
3. Master Policy or Group Policy means the proposal, the Group Policy Schedule, and any endorsements attaching to or forming part thereof either on the effective date or during the Policy Period and these Group Policy Wordings/Terms and Conditions under which Certificates of Insurance shall be issued to the Insured Beneficiary. The validity of the Master Policy shall be for a period as mentioned in the Group Policy Schedule.
4. Phishing/Spoofing is the attempt to obtain, inter alia, sensitive information of Insured Beneficiary such as usernames, passwords, card details, (and sometimes, money), often for malicious reasons, by masquerading as a trustworthy Entity in an electronic communication.
5. Policy Period means the period specified in the Group Policy Schedule. falling within group policy commencement date and group policy end date and during which Certificate of Insurance will be issued to Insured Beneficiary/ies.
6. Schedule/ Group Policy Schedule means the group policy schedule and any annexure to it read with endorsements, if any, and read with respective Certificate of Insurance which are forming part of the Group Policy.
7. Simjacking happens when a third party replaces a sim card issued to the Insured Beneficiary by a registered telecom service provider, without his/her knowledge and consent./
8. Sum Insured means the amount stated in the Certificate of Insurance, which is the maximum amount (regardless of the number of claims made) for any one claim and/or in the aggregate for all claims by the Insured Beneficiary under Certificate of Insurance during the Cover Period.
9. Third Party means any entity who deals at arm’s length with Insured Beneficiary and does not include any person insured under the Certificate of Insurance or any person employed by the Insured Beneficiary.
10. Waiting Period shall mean the number of consecutive days from the date of first inception of the Cover Period (as shown on Your Certificate of Insurance), during which the Insured Beneficiary will not be entitled to any benefits under the Certificate of Insurance. This shall not apply in case of renewals without break in.
11. You, Your, Yourself, his/her named in the Certificate of Insurance means the Insured Beneficiary that We insure.
12. We/Us/Our/Company/Insurer means Bajaj General Insurance Limited

Note: Any words not defined in these wordings shall bear same definitions as provided under Information Technology Act, 2000 read with Rules there under and Bhartiya Nyay Sanhita 2023.

COVERAGE:

The Company shall indemnify the Insured Beneficiary for Direct Financial Loss occurred during the Cover Period as a result of following as opted by the Insured/ Insured Beneficiary and specified in the Certificate of Insurance:

Unauthorized Digital Financial Transaction and/or

1. Unauthorized Physical Financial Transaction

The liability of the Company during any one Cover Period will not individually or in the aggregate exceed the Sum Insured stated in the Certificate of Insurance.

SCOPE OF COVER:

Unauthorized Digital Financial Transaction shall mean electronic transaction from Insured Beneficiary’s account to a Third-Party account consequent upon Identity Theft , arising out of below perils as opted by the Insured/ Insured Beneficiary and specified in the Certificate of Insurance:

Cyber Attack(s)

1. Phishing/Spoofing E-Mail and/or Messages and/or Links and/or telephonic calls
2. Simjacking

SPECIAL EXCLUSIONS APPLICABLE TO UNAUTHORIZED DIGITAL FINANCIAL TRANSACTION

Any transactions involving physical money / cash / currency or currency equivalent, including withdrawal of money from Automated Teller Machine (A.T.M)
Direct Financial Loss as a result of physical loss/ theft of card, sim card,phone, laptop or any other device (unless specifically covered on payment of additional premium under extension 3)
Gross negligence in taking precautions to safeguard Insured Beneficiary’s

Personal Data

Cyber Extortion Loss (unless specifically covered on payment of additional premium under extension 13)
Unauthorized Physical Financial Transaction shall mean transactions as a result of Identity Theft arising out of below perils as opted by the Insured/ Insured Beneficiary and specified in the Certificate of Insurance:
1. wrongful withdrawal of money/cash from Automated Teller Machine (A.T.M) using credit card, debit card, cash card issued by Banks, NBFC or Payment System Operator in India under RBI guidelines
2. use of forged signatures and physical documents attributing the same to/of Insured Beneficiary.

SPECIAL EXCLUSIONS APPLICABLE TO UNAUTHORIZED PHYSICAL FINANCIAL TRANSACTION

Direct Financial Loss as a result of physical loss/ theft of card, phone, laptop or any other digital device/ payment authorization instrument (unless specifically covered on payment of additional premium under extension 3)
Gross negligence in taking precautions to safeguard Insured Beneficiary’s Personal Data

SPECIAL CONDITIONS APPLICABLE TO PART I AND II OF (C) “ SCOPE OF COVER”

HEREINABOVE:

1. The Direct Financial Loss to the Insured Beneficiary should have first occurred during the Cover Period and reported to Us within the Cover Period or Discovery Period (if applicable) specified in the Certificate of Insurance.
2. Multiple claims/ incidents are covered under the Certificate of Insurance up to the limit of total Sum Insured under Certificate of Insurance.
3. The Sum Insured shall stand reduced by the amount of Direct Financial Loss to the Insured Beneficiary that has been claimed by the Insured Beneficiary and cannot be reinstated. (Unless specifically restored on payment of additional premium)
4. Direct Financial Loss to the Insured Beneficiary should have occurred within the territorial scope chosen.

GENERAL EXCLUSIONS APPLICABLE TO PART I AND II OF (C) “ SCOPE OF COVER” ABOVE:

We shall not be liable to pay any claim to You under this Group Policy arising directly or indirectly from the following:

1. Fraudulent or Dishonest Conduct of Insured Beneficiary:

Any one or more of the following would constitute fraud or dishonest conduct

- 1. deliberate, criminal, fraudulent, dishonest or malicious act or omission of Insured Beneficiary; or
  2. intentional or knowing violation of any duty, obligation, contract, law or regulation; by the Insured Beneficiary; or
  3. Any Direct Financial Loss to Insured Beneficiary that are caused by Insured Beneficiary intentionally & against the law of the land.
- Bodily Injury

Any actual or alleged bodily injury, sickness, Illness, ailments, mental anguish or emotional distress or disturbance, disease or death of any person howsoever caused and treatment thereof (unless specifically covered elsewhere under extensions)

1. Property Damage

Any damage to or destruction or loss of/to any tangible property [including Computer Systems, Data, Insured Beneficiary’s Personal Data, including loss of use thereof. (Unless specifically covered elsewhere under extensions)

1. Contractual Liability

Any liability under any contract, agreement, guarantee or warranty executed or assumed or accepted by the Insured Beneficiary except to the extent that such liability would not have attached to the Insured Beneficiary but for the contract, agreement, guarantee or warranty done due to Unauthorized Digital Financial Transaction and/or Unauthorized Physical Financial Transaction.

1. Prior Acts Exclusion

Any claim arising out of or based upon or attributable to Unauthorized Digital Financial Transaction and/or Unauthorized Physical Financial Transaction , along with extensions opted, committed, attempted, or allegedly committed or attempted, prior to the Risk Inception Date mentioned in the Certificate of Insurance except for uninterrupted and continuous renewal of the certificate of Insurance by the Insured / Insured Beneficiary.

1. War, Terrorism including Cyber Terrorism, looting and Governmental Acts
2. Trading

Any losses or liabilities connected with any types of purchase or sale transactions or other dealing in securities, commodities, derivatives, foreign or Federal Funds, currencies, foreign exchange, currency swap, crypto currencies, non-fiat currencies and the like.

1. Unsolicited Communication

Any distribution of unsolicited correspondence or communications (whether in physical or electronic form) (unless specifically covered under extension 14 on payment of additional premium)

1. Commercial, Political, Union or Religious Activities

Any kind of Direct Financial Loss to Insured Beneficiary in connection to commercial

transactions (his/her business or his/her employer’s business), political or union activities.

1. Trade Secrets and Intellectual Property

Any actual or alleged plagiarism or infringement of any Trade Secrets, patents, trademarks, trade names, copyrights, licenses or any other form of intellectual property.

1. Pollution and Natural Perils Any Pollution.

Any: electromagnetic fields or radiations; earthquakes etc.

1. Licensing Fees:

Any actual or alleged licensing fee or royalty payment including, but not limited to, any obligation to pay such fees or royalty payments.

1. Outage/Disturbance Loss

Losses due to the outage/disturbance of external networks (e.g., power, internet, cable & telecommunications)

1. Immoral/Obscene Services

Any losses in connection with racist, extremist, pornographic or other immoral/obscene services, statements or representations provided made or committed by the Insured Beneficiary.

1. Unauthorised Collection of Data

Any unlawful or unauthorized collection of personal Data or Client Information.

1. Any unexplained losses or mysterious disappearance
2. Any Direct Financial Loss to Insured Beneficiary caused by the order of any government authority
3. Any Direct Financial Loss to Insured Beneficiary during the Waiting Period specified in the Certificate of Insurance

GENERAL CONDITIONS APPLICABLE TO I AND II OF (C) “ SCOPE OF COVER” ABOVE

1. Condition Precedent:

The Insured Beneficiary shall

take all reasonable measures to safeguard Insured Beneficiary’s Personal Data to prevent the occurrence and to minimize the impact of claim under the Certificate of Insurance;
in connection with the coverage afforded hereunder submit to the Company (at own Cost) a written, detailed proof of Direct Financial Loss to him/ her which provides an explanation of the circumstances and a detailed calculation of such Direct Financial Loss sustained by him/her.
provide to the Company all such cooperation and assistance as the Company may request in connection with such Direct Financial Loss to Insured Beneficiary; and in case of Direct Financial Loss to Insured Beneficiary involving both covered risk and uncovered risk/matters under the Certificate of Insurance take reasonable joint effort with Company to determine a just and equitable allocation of Direct Financial Loss to Insured Beneficiary covered under the Certificate of Insurance.
shall not admit liability, make any payments, assume any obligations, negotiate any settlement enter into any settlement or accept any judgment or award without the Insurers prior written consent;
not agree to any waiver or limitation of or delay as to the Insured Beneficiary’s legal rights of recovery against any other party;
duly comply with/fulfil all Terms and Conditions of the Group Policy read with

Certificate of Insurance.

1. Subrogation and Recoveries: The Company shall be subrogated to all of the Insured Beneficiary's rights of recovery against any person or organization, or entity without any requirement of having any written documents executed by the Insured Beneficiary to the extent of all payments of Direct Financial Loss made by the Company under admissible claims or any other amounts paid/payable under the Certificate of Insurance. Further the Insured Beneficiary shall execute and deliver instruments, documents, deeds and or affidavits that may be required by the Company and do everything necessary to secure such rights including but not limited to, assignment of the Insured Beneficiary’s rights against any person or organization or entity whose acts, commissions and omissions have resulted in loss for which the Company has made payment under any admissible claim under the Certificate of Insurance read with Group Policy. The Insured Beneficiary shall also, at the expense of the Company, do and concur in doing and permit to be done, all such acts and things that may be necessary or reasonably required by the Company for the purpose of enforcing, in the name of the Company and or in the name of Insured Beneficiary or both, any civil or criminal rights and remedies or for obtaining relief or indemnity from third party/ies to which the Company shall be or would become entitled or subrogated, whether such acts and things shall be or become necessary or required before or after the Company's indemnification of admissible claim of Insured Beneficiary. The Insured Beneficiary shall not do, or permit to be done, anything that may prejudice the Company’s rights under this clause. The Insured Beneficiary shall not waive, release, or modify any rights of recovery against any property, property, or third party against whom the Insured has right to recover.

Any Recoveries whether being subject to subrogation or not, in respect of any Direct Financial Loss or all other amounts for which risk cover is provided by the Company

under the Certificate of Insurance, shall accrue to the Company and shall be distributed as follows:

first, to reimburse the costs and expenses actually incurred by the Company in making the recovery;
second, to the Company for the amount paid to the Insured Beneficiary for any covered Direct Financial Loss caused to Insured Beneficiary ;
third, to the Insured Beneficiary for the amount of Direct Financial Loss caused to Insured Beneficiary otherwise covered but in excess of the Sum Insured under Certificate of Insurance; and
fourth, to the Insured Beneficiary for loss specifically excluded by this Group Policy and Certificate of Insurance.

Recovery by the Company from reinsurance shall not be deemed a recovery for the purpose of this clause.

1. Contribution

If, at the time of any claim, there is, or but for the existence of Certificate of Insurance read with this Group Policy, the Direct Financial Loss caused to the Insured Beneficiary would be covered under any other insurance policy of indemnity or insurance in favour of or effected by or on behalf of the Insured Beneficiary applicable to each of such claim, then the Company shall not be liable to pay or contribute more than its ratable proportion of any loss or damage.

1. Sanctions/Embargoes

The Company shall not be deemed to provide cover and the Company shall not be liable to pay any claim for Direct Financial Loss caused to the Insured Beneficiary to the extent that the provision of such cover, payment of such Direct Financial Loss or claim would expose the Company to any sanction, prohibition or restriction under United Nations resolutions or the trade or economic sanctions, laws or regulations of the European Union, United States of America and/or any other applicable national economic or trade sanction law or regulations.

1. Territorial scope

Where legally permissible under Indian law, and subject to all Terms and Conditions of Certificate of Insurance read with the Group Policy, this Group Policy shall apply to any Direct Financial Loss incurred within India, unless otherwise specifically extended and stated in the Certificate of Insurance upon payment of additional premium under Extension 4 (Worldwide Cover ).

All claims arising under this Group Policy shall be made, processed, and payable in India as per Governing Law, irrespective of where the loss occurs or the claim arises.

1. Governing law and Jurisdiction.

All admissible claims will be settled and paid to the Insured Beneficiary only in Indian Rupees.
The Certificate of Insurance read with Group Policy constitutes the complete contract of insurance between the Company and Insured Beneficiary. So also, the Group Policy shall constitute the complete contract of insurance between the Master Policy Holder and the Company. No change or alteration shall be valid or effective unless approved in writing by Us, which approval shall be evidenced by an endorsement on the Schedule/ Certificate of Insurance.
This Group Policy and the Certificate of Insurance, including it’s construction, interpretation and meaning of its provisions, shall be governed, interpreted, and determined exclusively in accordance with Indian law. The section headings in this Group Policy are included for descriptive purposes only and shall not affect the interpretation of this Group Policy, unless the Headings are supported with more inputs as to intent of the respective clauses/terms and conditions.
This Group Policy and the Certificate of Insurance shall be subject to the exclusive jurisdiction of the Courts in India.
1. Renewal Notice

The Company shall not be bound to receive any renewal premium nor give notice that such renewal and renewal premium is due. If the Company agrees to renew the Cover Period under the Certificate of Insurance every renewal premium (which shall be paid and accepted in respect of the Certificate of Insurance) shall be so paid by Insured Beneficiary and accepted by the Company upon the distinct understanding that no alteration has taken place in the facts contained in the proposal or declaration herein before mentioned and that nothing is known to the Insured Beneficiary that may result in change or enhancement of the risk of the Company under the Certificate of Insurance. No renewal receipt shall be valid unless it is on the printed form of the Company and signed by an authorized official of the Company. There is a possibility of revision/ modification of terms, conditions, coverages and/or premiums of this product in future at the time of renewal which are binding on the Insured Beneficiary.

1. Validity of Certificate of Insurance

Subject to provision relating to cancellation, the coverage under the Certificate of Insurance will terminate on the earliest of the following occurrence:

The risk end date of Cover Period as mentioned in the Certificate of Insurance
In case of Direct Financial Loss to the Insured Beneficiary, any admissible claim paid up to the Sum Insured as mentioned in the Certificate of Insurance
The date that the Insured Beneficiary is no longer member of the group of the

Insured.

The effective date of cancellation of Certificate of Insurance by the Company or Insured Beneficiary, as the case may be, in accordance with these Terms and Conditions of the Group Policy read with Certificate of Insurance.
1. Entire Contract

This Certificate of Insurance issued to the Insured Beneficiary read with this Group Policy constitutes the complete contract of insurance for the Insured Beneficiary. No change or alteration in this Group Policy or Certificate of Insurance shall be valid or effective unless approved in writing by the Company, which approval shall be evidenced by an endorsement to the Group Policy/Certificate of Insurance.

1. Transfer

Transferring/assigning of Interest of Insured Beneficiary in the Certificate of Insurance or the Policy Holder under Group Policy, respectively to any other person is not allowed and if done then same is null and void-ab-initio.

1. Fraud

If the Policy Holder or any Insured Beneficiary makes any proposal with fraud or fraudulent intention/means and or Insured Beneficiary under the Certificate of Insurance or any one acting on his/her behalf makes or advance any claim be in any respect fraudulent, or if any false declaration/mis-representation/false statements be made or used in support thereof or if any fraudulent means or devices are used to obtain any claim/benefits under the Group Policy/Certificate of Insurance or if the Direct Financial Loss caused to the Insured Beneficiary be occasioned by the wilful act, or with the connivance of/with the Policy Holder /Insured Beneficiary, or for non-co-operation of Policy Holder / Insured Beneficiary, all benefits/risk covers under the Certificate of Insurance shall be void and all claims or payments thereunder shall be forfeited along with forfeiture of the premium, irrespective of whether claim is paid or not and whether or not the claim is admitted or repudiated.. Further the Insured Beneficiary and or any person making claim on behalf of Insured Beneficiary shall be also liable to be proceeded by the Company with suitable legal action/proceedings.

Cancellation:

Cancellation by Us –
1. The Group Policy may be cancelled by the Company at any time before the expiry of the Policy Period of Group Policy by giving at least 15 days written notice to the Policy Holder . Provided however if the Company cancels the Group Policy even then the respective Certificate of Insurance/s already issued to various Insured Beneficiaries shall be valid for the Covered Period, unless the Certificate of Insurance is also cancelled by the Company.
2. The Certificate of Insurance can be cancelled by the Company at any time before the expiry of the Cover Period only on the grounds of established fraud, by giving minimum written notice of 7 days to the Insured Beneficiary .
3. If the Certificate of Insurance is cancelled by the Company after the commencement of the Cover Period mentioned in the Certificate of Insurance, the Company shall refund to the Insured Beneficiary a pro-rata premium, for the unexpired Cover Period in respect of the Certificates of Insurance issued prior to the date of cancellation on which no claim has been lodged.
4. No refund shall be made in respect of Certificates of Insurance cancelled by the Company on which claim has been lodged by the Insured Beneficiary or any person on behalf of the Insured Beneficiary, whether such claim was admitted or repudiated.
5. For the avoidance of doubt, the Company shall remain liable for any claim that was made prior to the effective date on which the Certificate of Insurance is cancelled.

Cancellation by Policy Holder -

Cancellation of Group Policy/Certificate of Insurance by Policy Holder (where insurance premium is borne by the Policy Holder)
1. During the Group Policy Period, the Policy Holder may cancel the Group Policy at any time by giving at least 7 days written notice to the Company and also intimating the same to the Insured Beneficiary. Provided however if the Policy Holder cancels the Group Policy even then the respective Certificate of Insurance/s already issued, before effective date of termination of Group Policy, to various Insured Beneficiaries shall be valid for the Covered Period, unless the Certificate of Insurance is also cancelled by the Policy Holder.
2. The Certificate of Insurance may be cancelled by the Policy Holder as under:
  1. The Certificate of Insurance may be cancelled by the Policy Holder by sending Seven (7) day’s written notice to the Company by registered letter in which case the Company will refund the Premium to the Policy Holder on a pro-rata basis by reference to the risk undertaken as provided in the respective Certificates of Insurance till effective date of such termination, in respect of those Certificates of Insurance on which no claim has been lodged.
  2. No refund of Premium shall be due on cancellation of Certificate of Insurance if a claim has been made by the Insured Beneficiary, whether such Claim was admitted or repudiated.
3. For the avoidance of doubt, the Company shall remain liable for any claim that was made prior to the effective date of cancellation of Certificate of Insurance.

Cancellation of Group Policy/ Certificate of Insurance by Policy Holder (where insurance premium is borne by the Insured Beneficiary)

1. During the Group Policy Period, the Policy Holder may cancel the Group Policy at any time by giving at least 7 days written notice to the Company and also intimating the same to the Insured Beneficiary. Provided however if the Policy Holder cancels the Group Policy even then the respective Certificate of Insurance/s already issued to various Insured Beneficiaries shall be valid for the Covered Period, unless the Certificate of Insurance is also cancelled by the Policy Holder.
2. The Certificate of Insurance may be cancelled by the Group/Master Policy Holder as under:
  1. The Certificate of Insurance may be cancelled on behalf of the Insured Beneficiary by the Policy Holder by sending Seven (7) day’s written notice to the Company by registered letter in which case the Company will refund the Premium to Policy Holder or Insured Beneficiary (as per the terms of Certificate of Insurance) on a pro-rata basis by reference to the risk undertaken as provided in the respective Certificates of Insurance till effective date of such termination, in respect of those Certificates of Insurance on which no claim has been lodged.
  2. No refund of Premium shall be due on cancellation of Certificate of Insurance if a claim has been made by the Insured Beneficiary, whether such Claim was admitted or repudiated.
3. For the avoidance of doubt, the Company shall remain liable for any claim that was made prior to the effective date of cancellation of Certificate of Insurance.

Cancellation of Certificate of Insurance by Insured Beneficiary

1. The Insured Beneficiary can seek cancellation of Certificate of Insurance issued to him by sending request for cancellation to Us and Policy Holder any time during the Cover Period mentioned on the Certificate of Insurance in which case refund of insurance premium shall be as per the same process applicable in case of cancellation of Certificate of Insurance by Policy Holder as enumerated above in clause 12)B.(I) or 12)B.(II), as the case may be applicable.
2. No refund of Premium shall be due on cancellation of Certificate of Insurance if a claim has been made by the Insured Beneficiary, whether such Claim was admitted or repudiated.
3. For the avoidance of doubt, the Company shall remain liable for any claim that was made prior to the effective date of cancellation of Certificate of Insurance.

For Certificate of Insurance issued for the Covered Period of more than 1 year, the following method shall be applied for refund of insurance premium:

1. For Certificate of Insurance with the Covered Period more than 1 year :
  1. If the request for cancellation is received in First Year, the apportioned Premium for subsequent years will be refunded in full and refund of Premium for the First Year shall be on pro-rata basis.
  2. If the request for cancellation is received in subsequent year(s) the apportioned Premium for the completed years of the Covered Period will be retained in full, refund of Premium for the ongoing year shall be on pro-rata basis, and apportioned Premium for the remaining unutilized years of the Covered Period to be refunded in full.

Note: No Premium refund shall be made in respect of Certificate of Insurance on which claim has been lodged by the Insured Beneficiary or a person on behalf of the Insured Beneficiary, whether such claim was admitted or repudiated.

Effect of cancellation of Group Policy/ Certificate of Insurance:

From the effective date of cancellation/termination of this Group Policy/Certificate of Insurance at the instance of Group Manager:

Upon effective date of cancellation/termination of Group Policy, the Company’s obligation shall continue only in respect of those Certificate of Insurance validly issued prior to such effective date of cancellation/termination of Group Policy.
In respect of Certificate of Insurance, the Company shall remain obligated to indemnify the Insured Beneficiary for admissible claims arising under & during the Covered Period specified in the Certificate of Insurance, in accordance with the terms and conditions of Certificate of Insurance read with this Group Policy and this obligation shall apply irrespective of whether the claim is made before or after the effective date of cancellation/termination of Group Policy, provided that (i) the respective Insured Beneficiary [claimant] was enrolled under the Group Policy prior to the effective date of cancellation/termination of the Group Policy, and (ii) the claim pertains to a loss arising during the Covered Period as specified in the Certificate of Insurance, subject however to all other terms and conditions of Group Policy;
The Policy Holder would continue to be responsible for facilitating the claims pertaining to Certificates of Insurance issued prior to the effective date of termination of Group Policy, to the full extent of the Covered Period provided to the Insured Beneficiary under such Certificate of Insurance.
The Company shall not be obligated to indemnify any Insured Beneficiary for losses or claims where the right to payment accrued after the effective date of cancellation/ termination of this Group Policy, if such Insured Beneficiary was enrolled by the Group Manager after the effective date of cancellation/termination of the Group Policy;
Subject to all other terms and conditions, the Company shall continue to have an obligation to indemnify the Insured Beneficiary for amounts or claims where such right to payment accrued before the effective date of cancellation/termination of this Group Policy/ Certificate of Insurance; and
The Company, the Insured, and the Insured Beneficiary shall remain liable under the terms and conditions of this Group Policy to fulfil the obligations that have accrued up to the effective date of cancellation/ termination of this Group Policy/Certificate of Insurance.

Validity of Certificate of Insurance issued to Insured Beneficiary under Group Policy

Subject to provision relating to cancellation, the coverage under the Certificate of Insurance will automatically terminate on the earliest of the following occurrence:

1. On the expiry of Covered Period as mentioned in the Certificate of Insurance
2. In case of loss/damage, any claim paid up to the Sum Insured as mentioned in the Certificate of Insurance
3. On the date that the Insured Beneficiary is no longer member of the Group of the Policy Holder.
4. On the effective date of cancellation of Certificate of Insurance by the Company or Policy Holder, as the case may be, in accordance with these terms and conditions of the Group Policy.
5. Arbitration

(Applicable only in cases where this Group Policy is issued under commercial lines of business)

"The Insurer and Insured may mutually agree and enter into a separate Arbitration Agreement to settle any and all disputes in relation to this Group Policy. Arbitration shall be conducted under and in accordance with the provisions of the Arbitration and Conciliation Act, 1996."

Note: Wherever this Group Policy is issued under retail lines of business, this clause shall not be applicable.

This clause shall not be applicable in case of Group Policy issued under commercial lines of business where Insured has specifically consented for not opting for this clause.

1. Notices

Any and all notices and declarations for the attention of the Company shall be submitted in writing and shall be delivered to the servicing office address specified in the Certificate of Insurance/Group Policy Schedule.
Any and all notices and declarations for the attention of the Insured Beneficiary shall be in writing and posted to his/her address stated in the Certificate of Insurance.
Any and all notices and declarations for the attention of the Policy Holder shall be in writing and posted to his/her/its address stated in the Group Policy Schedule.
1. Each Incident

Direct Financial Loss caused to the Insured Beneficiary arising out of the same, continuous and related acts shall be treated as arising out of single incidence.

1. The Insured shall take all reasonable steps to prevent a claim from arising under the

Certificate of Insurance read with this Group Policy;

1. Notification in the event of a Direct Financial Loss caused to the Insured Beneficiary Upon Discovery of Direct Financial Loss, the Insured Beneficiary shall give written notice thereof to the Insurer within 7 days, but in any event not later than 14 days after the end of the Cover Period or Discovery Period;

if, during the Cover Period, the Insured Beneficiary becomes aware of any fact, event or circumstance which is likely to give rise to a claim then the Insured Beneficiary shall give written notice thereof to the Insurer as soon as reasonably practicable and, in any event, during the Cover Period/ Discovery Period

*Note: Waiver of above condition may be considered by the Company at its absolute discretion, in extreme cases of hardship where it is proved to the satisfaction of the

Company that under the circumstances in which the Insured Beneficiary was placed, it was not possible for the Insured Beneficiary to give notice or file claim within the prescribed time limit. The decision of the Company shall be final and binding on the Insured Beneficiary.

If the Insured Beneficiary reports a claim or facts that might give rise to a claim to the Insurer , then the Insured Beneficiary must give the Insurer such information and co-operation as it may reasonably require including but not limited to:

PAYING A CLAIM:

The Insured Beneficiary agree that the Company shall be liable to make payment of a claim only after the Insured Beneficiary has provided to the Company with all the necessary documentation and information as required/requested by the Company for the assessment of the claim.
All claim payments shall be made to the Insured Beneficiary in Indian Rupees (INR) only.
Upon receipt of all the documents and information and on being satisfied with regard to the admissibility of the claim as per terms and conditions of the Certificate of Insurance issued to the Insured Beneficiary read with this Group Policy terms, the Company will settle the claim within 7 (Seven) days of the receipt of the last necessary document. In the cases of delay in the payment, the Company shall be liable to pay interest at a rate which is 2% above the bank rate (as defined by the Reserve Bank of India and prevalent at the beginning of the financial year in which the claim is reviewed) from the date of receipt of last necessary document to the date of payment of claim.
However, where the circumstances of a claim warrant an investigation, the Company will initiate and complete such investigation at the earliest, in any case not later than 30 days from the date of receipt of last necessary document. In such cases, the Company will settle the claim within 45 days from the date of receipt of last necessary document. In case of delay beyond stipulated 45 days, the Company will be liable to pay interest at a rate which is 2% above the bank rate (as defined by the Reserve Bank of India and prevalent at the beginning of the financial year in which the claim is reviewed) from the date of receipt of last necessary document to the date of payment of claim.
If the Company, for any reason, decides to reject the claim under the Certificate of Insurance read with this Group Policy the reasons regarding the rejection shall be communicated to the Insured Beneficiary in writing within 7 (Seven) days of the receipt of last necessary documents. The Insured Beneficiary may take recourse to the Grievance Redressal procedure stated under this Group Policy.

Basic Mandatory Documents for Claim:

1. Submission of fully completed and duly signed Claim form
2. Copy of signed or stamped E-FIR/ FIR/ Diary entry lodged with Police Authorities / cyber cell
3. Copies of correspondence with financial institutions with regard to Direct Financial Loss to the Insured Beneficiary
4. Proof to show that Direct Financial Loss to the Insured Beneficiary is incurred by the Insured Beneficiary (Bank/financial statement) along with Bank intimation/ confirmation that the amount will not be refunded by them
5. A copy of passport to show proof of traveling outside India (only applicable for claims admissible on opting worldwide extension)

Other Documents (necessitated on case-to-case basis wherever applicable)

Police / Cyber cell Final Report
Copies of legal notice received from any Affected Person/entity
Copies of summons received from any court in respect of a suit filed by an Affected party/entity
legal notice served on any Qualified Financial Institution and or case filed against

Qualified Financial Institution for Direct Financial Loss

Copies of legal notice served on any Third Party for any Data Breach
Copies of criminal case filed against Third Party
Copies of invoices for expenses incurred on restoration cost (wherever applicable)
Details/invoices of costs incurred for filing of criminal case /claim for damages against

Third Party

Proof to show that the Insured Beneficiary’s Personal Data is the proprietary information belonging to the Insured Beneficiary

All notifications and all communications under this Group Policy must be in writing to the registered address of the Company.

1. Resolving Issues

The Company has always been known as a forward-looking customer centric organization. We take immense pride in the spirit of service and the culture of keeping customer first in our scheme of things. The Company do its best to ensure that its customers are delighted with the service they receive from the Company. If the Insured Beneficiary is dissatisfied the Company would like to inform the Insured Beneficiary that the Company has provided you with multiple platforms and procedure via which you can always reach one of our representatives for resolving issues, as mentioned herein below. Please include Your

Certificate of Insurance number in any communication. This will help the Company to deal with the issue more efficiently.

First Step

Initially, it is suggested that the Insured Beneficiary contact the local office/ policy issuing office/servicing office of the Company which has issued the Group Policy and the Certificate of Insurance. The address and telephone number will be available in the Certificate of Insurance issued to the concerned Insured Beneficiary.

Second Step

Naturally, the Company hope the issue can be resolved to the satisfaction of Insured Beneficiary at the earlier stage itself. But if Insured Beneficiary feel dissatisfied with the suggested resolution of the issue after contacting the policy issuing office, he/she may please e-mail or write to:

Customer Care Cell

Bajaj General Insurance Ltd

GE Plaza, Airport Road, Yerawada, Pune 411 006 E-mail: customercare@bajajgeneral.com .co.in

If the Insured Beneficiary is still not satisfied, he can approach the Insurance Ombudsman in the respective area for resolving the issue. The contact details of the Ombudsman offices are mentioned below:

Office Details

Jurisdiction of Office Union Territory, District)

AHMEDABAD -

Insurance Ombudsman

Office of the Insurance Ombudsman, Jeevan Prakash Building, 6th floor, Tilak Marg, Relief Road, AHMEDABAD – 380 001.

Tel.: 079 – 25501201 /02

Email: oio.ahmedabad@cioins.co.in

Gujarat, Dadra & Nagar Haveli, Daman and Diu

BENGALURU -

Insurance Ombudsman

Office of the Insurance Ombudsman, Jeevan Soudha Building,PID No. 57-27-N-19 Ground Floor, 19/19, 24th Main Road,

JP Nagar, Ist Phase, Bengaluru – 560 078. Tel.: 080 - 26652048 / 26652049

Email: oio.bengaluru@cioins.co.in

Karnataka.

Office Details	Jurisdiction of Office Union Territory, District)
BHOPAL - Insurance Ombudsman Office of the Insurance Ombudsman, 1st floor, “Jeevan Shikha", 60-B,Hoshangabad Road, Opp. Gayatri Mandir,Arera Hills Bhopal – 462 011. Tel.: 0755 - 2769201 / 2769202 / 2769203 Email: oio.bhopal@cioins.co.in	Madhya Pradesh Chattisgarh.
BHUBANESHWAR – Insurance Ombudsman Office of the Insurance Ombudsman, 62, Forest park, Bhubaneswar – 751 009. Tel.: 0674 – 2596461 / 2596455 / 2596429 / 2596003 / Email: oio.bhubaneswar@cioins.co.in	Orissa.
CHANDIGARH - Insurance Ombudsman Office of the Insurance Ombudsman, Jeevan Deep Building SCO 20-27, Ground Floor Sector- 17 A, Chandigarh – 160 017. Tel.: 0172 – 2706468 Email: oio.chandigarh@cioins.co.in	Punjab, Haryana (excluding Gurugram, Faridabad, Sonepat and Bahadurgarh), Himachal Pradesh, Union Territories of Jammu & Kashmir,Ladakh & Chandigarh.
CHENNAI - Insurance Ombudsman Office of the Insurance Ombudsman, Fatima Akhtar Court, 4th Floor, 453, Anna Salai, Teynampet, CHENNAI – 600 018. Tel.: 044 - 24333668 / 24333678 Email: oio.chennai@cioins.co.in	Tamil Nadu, Puducherry Town and Karaikal (which are part of Puducherry)
DELHI – Insurance Ombudsman Office of the Insurance Ombudsman, 2/2 A, Universal Insurance Building, Asaf Ali Road, New Delhi – 110 002. Tel.: 011 – 46013992 / 23213504 / 23232481 Email: oio.delhi@cioins.co.in	Delhi & following Districts of Haryana - Gurugram, Faridabad, Sonepat & Bahadurgarh.
GUWAHATI - Insurance Ombudsman Office of the Insurance Ombudsman,	Assam, Meghalaya, Manipur, Mizoram, Arunachal Pradesh, Nagaland and Tripura.

Office Details	Jurisdiction of Office Union Territory, District)
Jeevan Nivesh, 5th Floor, Near Pan Bazar, S.S. Road, Guwahati – 781001(ASSAM). Tel.: 0361 - 2632204 / 2602205 / 2631307 Email: oio.guwahati@cioins.co.in
HYDERABAD - Insurance Ombudsman Office of the Insurance Ombudsman, 6-2-46, 1st floor, "Moin Court", Lane Opp. Hyudai Showroom , A. C. Guards, Lakdi-Ka-Pool, Hyderabad - 500 004. Tel.: 040 – 23312122 / 23376991 / 23376599 / 23328709 / 23325325 Email: oio.hyderabad@cioins.co.in	Andhra Pradesh, Telangana, Yanam and part of Union Territory of Puducherry.
JAIPUR - Insurance Ombudsman Office of the Insurance Ombudsman, Jeevan Nidhi – II Bldg., Gr. Floor, Bhawani Singh Marg, Jaipur - 302 005. Tel.: 0141 –2740363 Email: oio.jaipur@cioins.co.in	Rajasthan.
KOCHI – Insurance Ombudsman Office of the Insurance Ombudsman, 10th Floor, Jeevan Prakash,LIC Building, Opp to Maharaja's College Ground, M.G.Road, Kochi - 682 011. Tel.: 0484 - 2358759 Email: oio.ernakulam@cioins.co.in	Kerala, Lakshadweep, Mahe-a part of Union Territory of Puducherry.
KOLKATA – Insurance Ombudsman Office of the Insurance Ombudsman, Hindustan Bldg. Annexe, 7th Floor, 4, C.R. Avenue, KOLKATA - 700 072. Tel.: 033 - 22124339 / 22124341 Email: oio.kolkata@cioins.co.in	West Bengal, Sikkim, Andaman & Nicobar Islands.
LUCKNOW – Insurance Ombudsman Office of the Insurance Ombudsman, 6th Floor, Jeevan Bhawan, Phase-II,	Districts of Uttar Pradesh : Lalitpur, Jhansi, Mahoba, Hamirpur, Banda, Chitrakoot, Allahabad, Mirzapur, Sonbhabdra, Fatehpur, Pratapgarh, Jaunpur,Varanasi, Gazipur, Jalaun, Kanpur, Lucknow, Unnao, Sitapur, Lakhimpur, Bahraich, Barabanki, Raebareli, Sravasti,

Office Details	Jurisdiction of Office Union Territory, District)
Nawal Kishore Road, Hazratganj, Lucknow - 226 001. Tel.: 0522 - 4002082 / 3500613 Email: oio.lucknow@cioins.co.in	Gonda, Faizabad, Amethi, Kaushambi, Balrampur, Basti, Ambedkarnagar, Sultanpur, Maharajgang, Santkabirnagar, Azamgarh, Kushinagar, Gorkhpur, Deoria, Mau, Ghazipur, Chandauli, Ballia, Sidharathnagar..
MUMBAI - Insurance Ombudsman Office of the Insurance Ombudsman, 3rd Floor, Jeevan Seva Annexe, S. V. Road, Santacruz (W), Mumbai - 400 054. Tel.: 022 - 69038800/ 27/ 29/ 31/ 32/ 33 Email: oio.mumbai@cioins.co.in	List of wards under Mumbai, Metropolitan Region excluding wards in Mumbai – i.e M/E, M/W, N , S and T covered under Office of Insurance Ombudsman Thane and excluding areas of Navi Mumbai.
NOIDA - Insurance Ombudsman Office of the Insurance Ombudsman, Bhagwan Sahai Palace 4th Floor, Main Road, Naya Bans, Sector 15, Distt: Gautam Buddh Nagar, U.P-201301. Tel.: 0120-2514252 / 2514253 Email: oio.noida@cioins.co.in	State of Uttarakhand and the following Districts of Uttar Pradesh: Agra, Aligarh, Bagpat, Bareilly, Bijnor, Budaun, Bulandshehar, Etah, Kannauj, Mainpuri, Mathura, Meerut, Moradabad, Muzaffarnagar, Oraiyya, Pilibhit, Etawah, Farrukhabad, Firozbad, Gautam Buddh nagar, Ghaziabad, Hardoi, Shahjahanpur, Hapur, Shamli, Rampur, Kashganj, Sambhal, Amroha, Hathras, Kanshiramnagar, Saharanpur.
PATNA – Insurance Ombudsman Office of the Insurance Ombudsman, 2nd Floor, Lalit Bhawan, Bailey Road, Patna 800 001. Tel.: 0612-2547068 Email: oio.patna@cioins.co.in	Bihar, Jharkhand.
PUNE - Insurance Ombudsman Office of the Insurance Ombudsman, Jeevan Darshan Bldg., 3rd Floor, C.T.S. No.s. 195 to 198, N.C. Kelkar Road, Narayan Peth, Pune – 411 030. Tel.: 020- 24471175 Email: oio.pune@cioins.co.in	State of Goa and State of Maharashtra excluding areas of Navi Mumbai, Thane district, Palghar District, Raigad district & Mumbai Metropolitan Region
THANE - Insurance Ombudsman Office of the Insurance Ombudsman, 2nd Floor,Jeevan Chintamani Building, Vasantrao Naik Mahamarg,	Area of Navi Mumbai, Thane District, Raigad District, Palghar District and wards of Mumbai, M/East, M/West, N, S and T."

Office Details

Jurisdiction of Office Union Territory, District)

Thane (West)- 400604 Tel.: 022-20812868/69

Email: oio.thane@cioins.co.in

Note: Address and contact number of Governing Body of Insurance Council: Council for Insurance Ombudsmen,

3rd Floor, Jeevan Seva Annexe,

S. V. Road, Santacruz (W), Mumbai - 400 054.

E-mail: inscoun@cioins.co.in

Tel: 022 -69038800/69038812

Website: https://www.cioins.co.in

EXTENSIONS AVAILABLE UNDER THE GROUP POLICY

Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 1 : LOST WALLET COVER

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy, in consideration of payment of additional premium, it is hereby declared and agreed that Bajaj General Insurance Limited,the [“Company” ] shall indemnify the Insured Beneficiary for the following when his/her wallet is lost or stolen.

Replacement costs for the lost or stolen wallet and for the Personal Papers and payment card that were in the wallet when lost or stolen.
Application fees for applying for new Personal Papers and/or payment cards

The Sum Insured under this extension is limited to a maximum amount of Rs. for any one loss and Rs. in any one year. This shall be over and above the base Group Policy Sum Insured.

SPECIAL CONDITIONS APPLICABLE TO EXTENSION 1 :

1. An official police report (F.I.R) is a mandatory document for lodging a claim under this cover
2. In the event of a covered loss:
  1. Insured Beneficiary should inform the Company within 24 hours of discovering the loss to make a claim.
  2. A police report has to be filed within 24 hours of discovering the loss
  3. The claims form and claim supporting documents must be submitted to the

Company within 3 days of making the original claim.

EXCLUSIONS APPLICABLE TO EXTENSION 1 :

1. Money, cheques, transportation tickets, or other similar items that were in the lost or stolen wallet other than Your Personal papers and payment cards
2. losses that are caused by any events other than lost or stolen, such as fire, water damage, normal wear and tear, manufacturing defects, vermin, insects, cleaning or repairs or similar events
3. accidental physical damage to Your wallet and items inside
4. any fraudulent/unauthorized charges on the lost or stolen payment cards
5. any Identity Theft related costs that are caused by lost or stolen papers or payment cards

If Insured Beneficiary does not agree whether any of these exclusions apply to his/her claim, he/she agrees to accept the burden of proving that they do not apply on him/her.

DEFINITIONS APPLICABLE TO THIS ENDORESMENT OF EXTENSION 1 :

Personal Papers: Identification documents issued by Your country, state including but not

limited to Your driver’s license, passport, Aadhar card, P.A.N card.

Subject otherwise to all other terms, conditions and exclusions of the Certificate of Insurance issued to Insured Beneficiary read with extensions, and the terms, conditions and exclusions under Group Policy/Master Policy.

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 2 : AUTOMATED TELLER MACHINE (A.T.M) WITHDRAWAL ROBBERY COVER

1. A.T.M Robbery – Insured Beneficiary shall be indemnified and reimbursed the money he/she withdrew from any A.T.M in India using his/her card against a Robbery event that occurs within 15 minutes of the withdrawal of the money. The Company’s indemnity under this extension is limited to Rs. for any one loss and Rs. in any one year.
2. Bodily Injury- Insured Beneficiary shall be indemnified and reimbursed the actual medical expenses, subject to a maximum of Rs. in the aggregate during the Cover Period, incurred by him/her for immediate medical treatment of the bodily Injury arising out of a Robbery that is covered by this endorsement.

SPECIAL CONDITIONS APPLICABLE TO THIS ENDORSEMENT - EXTENSION 2:

1. Insured Beneficiary must provide an official police report that indicates the incident happened within the Cover Period under Certificate of Insurance.
2. In the event of a covered loss:
  1. Insured Beneficiary should inform the Company within 24 hours of discovering the loss to make a claim.
  2. A police report has to be filed within 24 hours of discovering the loss
  3. The claims form and claim supporting documents must be submitted to the

Company within 3 days of making the original claim.

1. Loss payable under this extension shall be over and above the base Sum Insured.

EXCLUSIONS APPLICABLE TO EXTENSION 2:

The Company will not be liable to indemnify the Insured Beneficiary for the following events:

1. Damages and/ or liabilities to any third parties
2. Damages or losses to anything other than the money Insured Beneficiary withdrew from his/her account from the ATM.
3. Damages and/ or liabilities that happened before or after the covered Robbery period
4. Charges for emergency first aid to anyone other than Insured Beneficiary.

If Insured Beneficiary does not agree whether any of these exclusions apply to his/her claim, he/she agrees to accept the burden of proving that they do not apply is on the Insured Beneficiary.

DEFINITIONS APPLICABLE TO EXTENSION 2:

1. Robbery means (i) in order to the committing of the theft, or in committing the theft, or in carrying away or attempting to carry away property obtained by the theft, the offender, for that end, voluntarily causes or attempts to cause to the Insured Beneficiary and/or Insured Beneficiary’s family members, death or hurt or wrongful restraint, or fear of instant death or of instant hurt, or of instant wrongful restraint or

(ii) if the offender, at the time of committing the extortion, is in the presence of the Insured Beneficiary and/or Insured Beneficiary’s family members who is/are put in fear, and commits the extortion by putting the Insured Beneficiary and/or Insured Beneficiary’s family members in fear of instant death, of instant hurt, or of instant wrongful restraint to the Insured Beneficiary and/or Insured Beneficiary’s family members, and, by so putting in fear, induces the Insured Beneficiary and/or Insured Beneficiary family members so put in fear then and there to deliver up the thing extorted. In this regard the offender is said to be present if he is sufficiently near to put the Insured Beneficiary and/or Insured Beneficiary’s family members in fear of instant death, of instant hurt, or of instant wrongful restraint.

The term Extortion means intentionally putting the Insured Beneficiary and/or Insured Beneficiary’s family members in fear of any injury to the Insured Beneficiary and/or Insured Beneficiary’s family members, and thereby dishonestly induces the Insured Beneficiary and/or Insured Beneficiary’s family members so put in fear to

deliver to any person any property or valuable security, or anything signed or sealed which may be converted into a valuable security.

1. Injury: Injury means accidental physical bodily harm excluding illness or disease solely and directly caused by external, violent and visible and evident means which is verified and certified by a Medical Practitioner .
2. Medical Practitioner shall mean any person who qualifies the National Exit Test held under section 15 of National Medical Commission Act, 2019 and is granted a license to practice medicine and shall have his/her name and qualifications enrolled in the National Register or a State Register, as the case may be maintained under National Medical Commission Act, 2019. Provided that a person who has been registered in the Indian Medical Register maintained under the Indian Medical Council Act, 1956 (102 of 1956) (i) prior to 02nd September 2019, and (ii) before the National Exit Test becomes operational under sub-section (3) of section 15 of National Medical Commission Act, 2019, shall be deemed to have been registered under National Medical Commission Act, 2019 and be enrolled in the National Register maintained under National Medical Commission Act, 2019.

Provided further Medical Practitioner shall not include any member of family of

customer/insured/proposer.

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 3: FINANCIAL LOSS OCCASSIONED TO LOST/STOLEN DEVICE

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy, it is hereby agreed and declared that on payment of additional premium, Direct Financial Loss occasioned to lost/stolen devices shall be indemnified and admissible under the Group Policy.

In consequence whereof, Exclusion No. (2) “SPECIAL EXCLUSIONS APPLICABLE TO UNAUTHORIZED DIGITAL FINANCIAL TRANSACTION” and/or Exclusion No. (1) “SPECIAL EXCLUSIONS APPLICABLE TO UNAUTHORIZED PHYSICAL FINANCIAL TRANSACTION” stands

deleted. Subject otherwise to the terms conditions and exclusions of the Group Policy.

EXCLUSIONS APPLICABLE TO EXTENSION 3:

Direct Financial Loss indemnification recoverable under this extension shall be limited to financial transactions due to Identity Theft from such lost/stolen device. This shall not include replacement cost of the lost/stolen device.

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 4: WORLDWIDE COVER

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy, it is hereby agreed and declared that on payment of additional premium, the Territorial limit of indemnification under the Certificate of Insurance shall be extended to worldwide, subject otherwise to all other terms, conditions and exclusions of the Certificate of Insurance issued to Insured Beneficiary read with extensions, and the terms, conditions and exclusions under Group Policy /Master Policy.

SPECIAL CONDITIONS APPLICABLE TO EXTENSION 4

The Company’s liability of indemnification to make any payment for admissible claims under Certificate of Insurance shall be to make payment to concerned Insured Beneficiary within India and in Indian Rupees only and not exceeding the Sum Insured

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 5: LOSS OF WAGES

SPECIAL CONDITIONS APPLICABLE TO EXTENSION 5

This cover can be opted only by salaried Insured Beneficiaries.
Insured Beneficiary should be actively employed to claim benefit under this extension at the time of claim.

DEFINITIONS APPLICABLE TO EXTENSION 5:

Lost Wages means actual wages that would have been earned by Insured Beneficiary for reasonable time necessarily taken off from current employment in effort to rectify the Direct Financial Loss admissible under this Group Policy.

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 6: COUNSELLING EXPENSES

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy in consideration of payment of additional premium, it is hereby declared and agreed that, the Company will indemnify and pay to or on behalf of each Insured Beneficiary, all reasonable fees, and expenses of an accredited psychiatrist, psychologist or counsellor chosen by the Insured Beneficiary at his/her own discretion with the prior written consent of the Company, not to be unreasonable, withheld or delayed, to treat the Insured Beneficiary for stress, anxiety or such similar medical conditions resulting from Direct Financial Loss admissible under the Group Policy, not exceeding the Sum Insured applicable to Extension 6 (this extension)

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 7: PROSECUTION COST EXPENSES

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy in consideration of payment of additional premium, it is hereby declared and agreed that, the Company shall indemnify the Insured Beneficiary for the costs incurred for prosecution of a criminal case under the relevant laws prevalent in India including the relevant provisions of Bharatiya Nyay Sanhitha 2023 against a Third Party for incurring Direct Financial

Loss to Insured Beneficiary. The liability of the Company during the Cover Period will not individually or in the aggregate exceed the Sum Insured applicable to Extension 7 (this extension)

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 8: REINSTATEMENT OF SUM INSURED

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 9: VOLUNTARY DEDUCTIBLE

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy the Company’s indemnity and liability to make any payment to Insured Beneficiary under the Certificate of Insurance shall be in excess % of each and every claim admissible under the Certificate of Insurance. For clarification of doubt Deductible can be opted separately for each cover including extensions, and shall be an amount as specified in the Certificate of Insurance.

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 10: RESTORATION COST (APPLICABLE ONLY TO

PART I OF (C) “ SCOPE OF COVERAGE” )

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy, it is hereby agreed and declared that on payment of additional premium, the Company shall indemnify the Insured Beneficiary up to the Sum Insured specified in the Certificate of Insurance, towards restoration cost of digital device(s) owned by the Insured Beneficiary, and damaged on account of insured perils under part I of (C) “SCOPE OF COVER”. This Sum Insured shall be over and above the base Sum Insured

Restoration costs shall not include;

More than two attempts per claim at restoration of data or Insured Beneficiary’s Computer

System during the Cover Period.

Costs that the Insured Beneficiary would have incurred anyway without operation of an insured peril.
Costs for correction of manually incorrect input of Data
The costs to design, upgrade, maintain, or improve the Insured Beneficiary’s Computer System or computer programmes.

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 11 : LOSSES RESTRICTED TO SPECIFIC ACCOUNTS

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy it is hereby agreed and declared that the coverage opted under the part I and/or part II of (C) “SCOPE OF COVER” and any extension thereon shall be restricted to the specific Bank/ Payment System Operators/ Group Manager/ Entities accounts of the Insured Beneficiary as specified under this extension in the Certificate of Insurance

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No. ENDORSEMENT WORDINGS FOR EXTENSION 12: DEFENSE COST

In consideration of payment of additional premium, it is hereby declared and agreed that, the

Company shall indemnify the Insured Beneficiary for the defense costs incurred by him/her to defend a claim for legal liability, arising as a result of Identity Theft of the Insured Beneficiary. The liability of the Company during the Cover Period will not individually or in the aggregate exceed the Sum Insured specified against Extension 12 (this extension) in the Certificate of Insurance.

This Sum Insured shall be over and above the base Sum Insured

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 13: CYBER EXTORTION COST (APPLICABLE ONLY

TO PART I OF (C) “ SCOPE OF COVERAGE” )

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy, and in consideration of payment of additional premium, it is hereby declared and agreed that, the Group Policy shall be extended to cover Cyber Extortion Loss that the Insured Beneficiary incurs solely and directly as a result of a Cyber Extortion Threat first discovered during the Cover Period/Discovery Period

In consequence whereof, Exclusion No. (4) “SPECIAL EXCLUSIONS APPLICABLE TO UNAUTHORIZED DIGITAL FINANCIAL TRANSACTION” under part I of (C) “SCOPE OF COVER” stands

deleted.

As a condition for payment under this cover the Insured Beneficiary shall:

1. keep the terms and conditions of this cover confidential, unless disclosure to law enforcement authorities is required; and
2. take all reasonable steps to notify and cooperate with the appropriate law enforcement authorities; and
3. take all reasonable steps (including the involvement of a security consultant with the

Insurer’s prior written consent), to effectively mitigate the Cyber Extortion Loss.

IMPORTANT DEFINITIONS:

- 1. Cyber Extortion Loss means:
    1. Reasonable and necessary fees, costs and expenses incurred by or on behalf of the Insured Beneficiary with the prior written consent of the Insurer directly resulting from a Cyber Extortion Threat ;
    2. monies payable by the Insured Beneficiary with the prior written consent of the

Insurer in order to resolve or terminate a Cyber Extortion Threat .

- 1. Data Breach means unauthorized access or use of the Insured Beneficiary’s Personal Data stored in the Third-Party Computer System in actual or alleged breach of any Data Protection Legislation
  2. Cyber Extortion Threat means threat by an extortionist to cause a Data Breach or Cyber Attack .
  3. Data Protection Legislation means any Law or Regulation regulating the processing of personal information, including the Indian Information Technology Act, 2000 and Information Technology, (reasonable security practices and procedures and sensitive personal Data or information) Rules, 2011 or any amendments or modifications thereof, from time to time.

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 14: COVER FOR LOSSES ATTRIBUTED TO UNSOLICITED COMMUNICATION (APPLICABLE ONLY TO PART I OF (C) “ SCOPE OF COVERAGE” )

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy, and in consideration of payment of additional premium, it is hereby declared and agreed that, the Group Policy shall be extended to cover Direct Financial Loss attributed to/resulting out of unsolicited communication.

In consequence whereof, Exclusion No. (8) “GENERAL EXCLUSION APPLICABLE TO PART I AND II

OF (C) “SCOPE OF COVER” under (D) stands deleted.

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 15: UNAUTHORIZED DIGITAL FINANCIAL TRANSACTION SCOPE ENHANCEMENT (APPLICABLE ONLY TO PART I OF (C) “ SCOPE OF COVERAGE” )

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy, and in consideration of payment of additional premium, it is hereby declared and agreed that, the Unauthorized Digital Financial Transaction under Part I of (C) “Scope of Cover” , shall be extended to cover unauthorized electronic transaction from Insured Beneficiary’s account to a Third Party account consequent upon Identity Theft , arising out of and occasioned to “Anything other than (a), (b), (c) specified under Part I of (C) “Unauthorized Digital Financial Transaction” , and which is otherwise not specifically excluded under the Group Policy.

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Group Policy No. [“ Group Policy” ]

Certificate of Insurance No.

ENDORSEMENT WORDINGS FOR EXTENSION 16: DIRECT FINANCIAL LOSS SCOPE

ENHANCEMENT (APPLICABLE ONLY TO PART I OF (C) “ SCOPE OF COVERAGE” )

Save as more specifically stated elsewhere in the Certificate of Insurance read with Group Policy/Master Policy, and in consideration of payment of additional premium, it is hereby declared and agreed that, the scope of DIRECT FINANCIAL LOSS shall be extended to cover “Loss of any other benefits accrued and held which can be redeemed in lieu of money”

- - - - - - - - - - -x - - - - - - - - - - - - x- - - - - - - - - - - - - x - - - - - - - - - - - x - - - - - - - ENDORSEMENT WORDINGS FOR EXTENSION 17: VALUE ADDED SERVICES “ SCOPE OF COVERAGE” )

In consideration of payment of additional premium, it is hereby declared and agreed that, the Company shall provide Value Added Services to You as per benefit opted by Policy Holder/You, and as specified in Certificate of Insurance from service provider engaged / named by the Company in the Group Policy Schedule / Certificate of Insurance

Applicable to Base Cover B1: Unauthorized Digital Financial Transaction

Description: The Group Manager can opt for any of the following value-added services. The Certificate of Insurance will specify the scope of cover applicable to the opted service/s. This Cover can be opted with the base Cover as described in Group Policy wordings. These value-added services can be availed by Insured Beneficiary through a web portal / mobile application of the service provider which is mentioned in the Group Policy schedule / Certificate of Insurance.

What are the covers available under Value Added Services:-

S.No	Service Name	Service Availability	Portal / App Based Service
A	Identity Monitoring	247	Portal
i	Instant Alerts	Real Time	Portal
ii	Personalized Dashboard	Any Time	Portal
B	Digital Risk Assessment & Score	Any Time	Portal
C	Cyber Education	Any Time	Portal
D	Incident Response online guided version	Any Time	Portal
E	Incident Response - Helpline or Crisis Resolution	247	Portal
F	Wifi Scan	Real Time	App
G	Safe Browsing	Real Time	App
H	Endpoint Protection (iOS & ANDROID)	Real Time	App
I	QR Code Scanner(optional)	Real Time	App
J	One call to block cards	Real Time	App
K	Emergency travel assistance	Real Time	App
L	ID Replacement Service	Real Time	App
M	SIM Blocking Service	Real Time	App

Meaning ascribed to specific terms wherever mentioned:

Identity Monitoring This covers 24/7 dark web monitoring with alerts, expert guidance and tailored recommendations to protect personal information of the Insured Beneficiary.

Digital Risk Assessment :

This cover provides adaptive security protection with risk scoring, actionable fixes, and evolving checks for data breaches.

Cyber education- Self & Family : This cover provides awareness by offering multilingual video and written materials to promote good cybersecurity practices.

Incident Response-Online guided version:

This cover provides an automated incident response interface to Insured Beneficiary with real-time triage, external stakeholder collaboration and tailored cyber-security solutions to strengthen account protection and monitoring.

Incident Response - Helpline or Crisis Resolution

This cover provides 24/7 cyber support service offering expert phone/email assistance for scams, malware, data recovery and account security, with optional online guided response. (D Above)

WI-FI Scan: This service analyzes any WIFI network for potential threats and uncovers security risks, including advanced detection of possible attacks targeting your wireless network.
Safe Browsing: This cover provides browsing protection service that shields You from malicious websites by issuing alerts and blocking privacy-compromising sites.
Endpoint Protection (iOS & ANDROID): This cover safeguards Your mobile devices with cutting-edge security standards and advanced features tailored to the handset.
QR Code Scanner: This cover securely scans QR codes and barcodes, verifying embedded links to ensure safe access by the Insured Beneficiary.

SIM Blocking Service:

This cover provides Insured Beneficiary with one-call from any number to trigger SIM blocking service that ensures quick verification, provider coordination and confirmation for lost devices.

One call to block cards: This cover provides Insured Beneficiary with card blocking service that lets customers instantly block all lost cards in one go, reducing stress and hassle.
ID Replacement Service: It Covers replacement assistance service that coordinates with authorities to reissue lost government IDs at no cost to the customer.
Emergency travel assistance: This service covers return flights or hotel costs in emergencies, repayable within 28 days under the plan chosen by Insured Beneficiary.

Special Conditions:

1. You agree and acknowledge that the value added services under this optional cover are offered/provided by respective service providers to insured. the company is only a facilitator for such value-added services by service provider and does not represent, assure or endorse the accuracy, completeness, reliability, suitability, appropriateness or the quality of the actual services provided by service provider/s. decision to avail the value-added services of service provider shall be taken by insured after careful and independent evaluation, which shall be at

insured’s sole discretion and risk.

1. The company is not responsible / liable in any way for any deficiency of value-added services provided by service providers or for any losses / sufferings / injuries/legal liability if any, incurred by the insured as a result of availing / utilizing the value-added services from service provider/s.
2. We shall not be liable for any conduct of the service provider. However, we encourage You to notify us of any complaints that You may have against the service Provider.
3. The value-added services shall be available throughout the policy period. You can avail the desired value-added services as per plan opted by You by calling on the toll free number specified in the policy schedule/certificate of insurance.
4. The value added services shall be available across the country wherever internet/ cellular network /service is accessible.
5. This cover cannot be cancelled independently without cancellation of the Policy/Group Policy. In case of cancellation:
  1. Wherever You have availed any value-added services under this optional cover You shall not be entitled for any refund of fees for value added services
  2. Wherever You have not availed any value-added services and You have requested for cancellation of the Policy/Certificate of Insurance within 7 days from the Commencement Date, You shall be entitled for full refund of premium for this optional cover. However, no refund shall be applicable in case of short-term policies issued for a period less than one year.

Service Process

- - 1. If You require assistance, please call the toll-free number mentioned on the certificate of insurance.
    2. While availing any service, You are required to declare the Value Added Services that You wish to utilize.

Exclusions:-

- - - 1. Any indirect, special, incidental, consequential loss or damage, third party liability or other similar damages arising out of use/availing of such value added services from service provider.
      2. any performance or poor workmanship towards the value added services availed from service provider.
      3. Any loss or damage by malicious or willful action, negligence, misuse, interference or faulty workmanship, fraudulent act of anyone.
      4. Any area wide disruption to essential services or disruption to essential services as the result of disconnection by the relevant authority
      5. Any shortcomings, difficulties, failures or delays in the performance of the services by service

provider that may result directly or indirectly from “force majeure”.

“force majeure” means any unforeseeable, unpreventable and unavoidable event beyond the

control of a party, which includes but not limited to the following:

Governmental actions, war, invasion, acts of foreign enemies, hostilities, (whether war be declared or not, war like situation), civil war, rebellion, military or usurped power, riot or civil commotion, terrorist acts,

Ionising radiation or contamination by radioactivity from any nuclear fuel or from any nuclear waste, from the combustion of nuclear fuel;

The radioactive, toxic, explosive or other hazardous properties of any explosive nuclear assembly or nuclear component thereof;

Extreme and exceptional weather conditions such as floods, extreme storms, sudden extreme temperature changes and climatic circumstances resulting from them, and generally acts of god.

Other major disaster or events - earthquakes; - tornadoes, hurricanes, cyclones; explosions; - fire; - flood; - political or industrial disturbances, riots or civil commotion; - tsunami, tidal wave, storm surge, landside; - acts of terrorism; - epidemic, pandemic war; and use, existence or escape of any nuclear or radioactive material or any biological, chemical or nuclear pollution or contamination.

An event which is not within the scope of services of this optional cover

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