Arachas has been working with the Association to provide insurance schemes designed to protect you and your spouse against financial hardship when you need it most.
Cover provided by the Association:
- 24-hour cover
- Personal accident
- Casting Benefit designed to apply in the event of medical discharge from the Force. Policy terms, conditions and exclusions apply
Cover you can opt into by salary/pension deduction:
- 24-hour cover
- Illness weekly benefit — part of the Accident Scheme (applies in-service only)
Essential Documents
What to do in the event of an accident, illness or medical discharge from the Force
IMPORTANT INFORMATION: All aspects of the Terms, Conditions and Exclusions of the Policy are relevant and taken into consideration when determining whether the subject and circumstances of each and every claim are answered by the Policy. Please use the information contained here as guidance only. Policy Conditions and Policy Exclusions can be found in the list of Essential Documents above.
Full Policy Document is available upon request from [email protected]
THE PERSONAL ACCIDENT AND ILLNESS POLICY: It is the role of the claims handler, under instruction from the Underwriters, to determine whether the particular subject and circumstances of a claim are payable under the Terms of the AGSI Personal Accident and Illness Insurance Policy. Sometimes, the circumstances of a claim may mean that additional information is required from the insured person’s (your) doctor before a final decision may be made. Although doctors’ surgeries are helpful, sometimes it can take considerable time before the required information is produced and sent to the claims handlers which can lead to a delay in reaching a decision. In such circumstances, your help in requesting the early supply of necessary information can be of great assistance.
Where temporary total disablement extends over a period of several months, additional information may be requested from the doctor from time to time. There is no cost to the insured person (you) for medical information requested from the doctor by the claims handlers. Whilst most claims are settled in a timely fashion, in a low percentage of cases the circumstances or subject of a claim may be such that the Policy does not cover, therefore the claim must be declined.
What should I do if I have an accident or become ill and need to take time off work?
If you become ill or have an accident and are prevented from working and you believe you may be eligible to make a claim it is important that prompt notice of this is given to AGSI by contacting Jennifer Dunne, at the Association Head Offices: [email protected].
The claim form should be completed in full, including the Medical Authority Form. Your Doctor will need to complete the Medical Certificate. You can download and complete the Claim Form from the list of Essential Documents above.
As with all contracts of insurance, the terms and conditions of the Policy will determine whether or not a claim is admissible and can be accepted for settlement. For information about the Personal Accident & Illness Policy contact [email protected].
What if I am being discharged from the Force?
If you are to be discharged from the force on medical grounds you may be able to claim for Casting Benefit. For a Claim Form Contact: [email protected]
The policy benefits for accident, illness and casting benefit are limited
- The sum assured (amount payable)
- The number of weeks for which benefit may be paid
- The time within which periods of temporary total disablement (time off work) must occur in order to be eligible for payment of benefit
- the Policy Conditions which must be satisfied by the circumstances of the claim. Please use the information contained here as guidance only. Full Policy Document is available upon request from [email protected]
- the Policy Exclusions: circumstances which are specifically excluded from cover by the Policy. Please use the information contained here as guidance only.
Full Policy Document is available upon request from [email protected]
Every claim is scrutinised by loss adjusters on behalf of underwriters in the context of each of the above elements of the Policy in order to establish eligibility for payment of benefit. You can use the leaflet as guidance, in the first instance, when deciding whether or not you may be eligible to claim, as it provides a summary of the benefits offered, Limits of Benefits and Exclusions (the circumstances which mean that a claim is inadmissible). Full information is contained within the Policy Document itself. A copy of the Policy Document is available upon request. Contact Jennifer Dunne at [email protected]
You can access the full list of AGSI Essential Documents in the "Essential Documents" section above.
How do I join the Optional Illness Insurance Scheme?
AGSI Head Office will provide you with appropriate forms to complete. Please contact Jennifer Dunne at [email protected]