the insurer's New Sampoorna Suraksha Bima is a 4-section Micro Insurance package — combining in-patient hospitalization cover (with AYUSH, day care, ICU benefit, ambulance charges, daily allowance) with fire & allied perils protection for household contents, burglary & theft cover, and worldwide personal accident insurance for your entire family. Entry from just 91 days of age. Renewable till 80 years.
the insurer Miscellaneous· Micro Insurance· 4 Sections· Health + Home + PA
the insurer's New Sampoorna Suraksha Bima is a Micro Insurance product — a simplified, low-premium bundled package designed for inclusive insurance access. It is the only the insurer product in this series that combines health (hospitalization), home contents (fire + burglary), and personal accident protection in a single, affordable policy.
Micro Insurance is an IRDAI-designated product category offering simplified coverage at accessible premiums — designed to bring insurance protection to families who may find standard products unaffordable. The New Sampoorna Suraksha Bima combines four critical protection needs (health, fire, burglary, accident) into one easy-to-understand, low-cost package. Unlike commercial products, the focus is on inclusivity, simplicity, and broad family coverage rather than high sums insured.
In-patient + day care + pre/post hospitalization + AYUSH. Daily allowance, ICU benefit, and ambulance included — comprehensive health for the family.
Section IYoungest entry age across all the insurer products in this series. Cover your newborn from just 91 days of age. Children covered to age 25 (unmarried).
Series RecordSection IV (Personal Accident) covers your family anywhere in the world — 24×7. Sections I, II, III are India-only. PA is global.
Section IVAll admissible claims paid within 7 working days of acceptance. the insurer owes you 2% above bank rate interest for any delay. Statutory commitment.
Legal GuaranteeIf the insurer withdraws this product, you have an explicit IRDAI-backed right to migrate to the nearest substitute product with continuity benefits intact.
Consumer ProtectionRenewable till 80 years of age — one of the highest renewal ages in the the insurer personal product series. Continuity benefits carried through renewals.
Long-Term CoverAll 4 Sections — Click Any to See
All 4 sections can be opted independently or in combination. Sectional discounts apply when multiple sections are selected. Section IV (Personal Accident) has worldwide coverage — unique in this product.
Section I — In-Patient· Day Care· AYUSH· Pre/Post· Daily Allowance· ICU· Ambulance
Section I is the most comprehensive section in this micro insurance package — covering in-patient hospitalization, pre and post hospitalization expenses, day care procedures, AYUSH treatment, daily allowance during hospital stay, ICU benefit, and emergency ambulance charges. A complete health cover for the whole family.
All medical expenses for illness/injury requiring minimum 24 hours hospital admission
Expenses 30 days before hospital admission — consultations, tests, medications
Expenses 60 days after discharge — follow-up visits, medicines, physiotherapy
Ayurveda, Yoga, Naturopathy, Unani, Siddha, Homeopathy — hospitalization covered
Treatments not requiring 24-hour stay — dialysis, cataract, chemotherapy and others
Cash benefit per 24-hour completed period of hospitalization
Additional benefit for days spent in Intensive Care Unit
Emergency ambulance charges per hospitalization event
⚠️ Daily Allowance and ICU Benefit are payable over and above your actual hospitalization expenses, subject to the Section I Sum Insured limit. These benefits reduce the remaining SI for the policy year.
Hospitalization expenses arising from any illness within the first 30 days of policy commencement are NOT covered.
Exception: Accidents are covered from Day 1 — no 30-day wait for accident-related hospitalization.
Subsequent renewals: This waiting period does not apply if the policy has been continuously renewed for 12+ months without a break.
Pre-existing diseases (PED) — any condition diagnosed or treated in the 36 months before policy inception — are covered only after 36 continuous months of coverage.
Portability benefit: If you port from another insurer, prior continuous coverage reduces the PED waiting period.
Key rule: PED must be declared truthfully at inception.
Section II — Fire & Section III — Burglary & Robbery
Sections II and III cover your household contents — your personal belongings, furniture, appliances, and family possessions. Section II protects against fire and allied perils; Section III against burglary and theft. Both use the average clause for underinsurance.
"Household goods means the personal belongings to You and Your family members who permanently reside with You which includes all mechanical and electrical gadgets for personal use."
This includes: furniture, clothing, linen, utensils, crockery, bedding, curtains, televisions, refrigerators, washing machines, air conditioners, personal computers, cameras — all personal moveable possessions. Contents only — NOT the building structure.
"The unforeseen and unauthorized entry to or exit from the insured premises by aggressive and detectable means with the intent to steal the contents therefrom."
Entry must be: unauthorized + aggressive + detectable. Less strict than Shopkeepers Policy which requires "forcible and violent" — here "aggressive and detectable" is the standard.
"The illegal taking of property belonging to another person without his consent with the intention of permanently depriving the other of it."
Theft is separately defined and covered — broader than Burglary. Unlike the Shopkeepers Policy, theft (even without aggressive entry) is explicitly covered here.
"In respect of loss or damage under Section 2 (Burglary and Theft) the loss must be reported within 24 hours of the happening of any insured event."
This means: if your home is burgled, you have just 24 hours to report the loss — to the police AND to the insurer. Missing this 24-hour window may result in claim rejection. Act immediately: lodge FIR and call 022 4302 0000 within 24 hours of discovering any theft or burglary.
Confirmed from GEN643: "If actual value of assets insured under this policy at time of loss be collectively greater than sum insured, then you will be considered as being your own insurer for the difference."
Always insure at full market value of all household contents to avoid underinsurance. Review your SI annually — as you acquire new furniture and appliances, your contents value increases.
If entry/exit locks are damaged during a burglary or attempted burglary, the cost of repairing or replacing damaged locks at entry/exit points is also covered.
Limit: "The cost of repair or replacement of locks shall not exceed 5% of the sum insured."
This is a useful additional benefit — lock replacement after a break-in is often forgotten at claim time.
Section IV — Worldwide· Death + Disablement· Education Fund· Body Transport
Section IV is the only section with worldwide geographical coverage — protecting your family from accidental death and disablement anywhere in the world, 24×7. Includes education fund for children and body transport benefit.
| Benefit | % of Sum Insured |
|---|---|
| Accidental Death | 100% |
| Loss of Sight of Both Eyes | 100% |
| Physical Separation of / Loss of Ability to Use Both Hands or Both Feet | 100% |
| Physical Separation of / Loss of Ability to Use One Hand AND One Foot | 100% |
| Loss of Sight of One Eye AND Loss of One Hand or One Foot | 100% |
| Permanent Total and Absolute Disablement (as certified by a qualified medical practitioner) | 100% |
| Loss of Sight of One Eye | 50% |
| Physical Separation of / Loss of Ability to Use One Hand or One Foot | 50% |
7-Day Guarantee· Migration Right· SI Reduction· Renewal to 80
The New Sampoorna Suraksha Bima has several consumer-protective conditions that set it apart — the 7-working-day claim payment guarantee, the SI reduction mechanic, and the migration right are the most important to understand before buying.
"All admissible claims under this policy shall be paid by Us within 7 working days from date of acceptance of such a claim. In case of delay in the payment, We shall be liable to pay interest at a rate which is 2% above bank rate prevalent at the beginning of the financial year." — This is a statutory written commitment, the strongest claim payment guarantee in the the insurer product series.
"Immediately upon happening of loss or damage under the Policy, the Sum Insured shall be reduced by the amount of loss or damage and such reduced sum insured shall be the limit in respect of further claims during the policy period." — Unlike standard health policies with SI restoration, this Micro Insurance does not auto-restore. Choose your SI wisely.
What the Policy Does NOT Cover
Exclusions confirmed from the insurer policy wording and the original GEN643 IRDAI wording — the standard for all PSU versions of this micro insurance product including the insurer.
Pre-existing diseases and their direct complications are excluded for 36 months from first policy inception. Must be declared truthfully at proposal stage. Portability from other insurer reduces this wait.
Illness arising within first 30 days of commencement excluded. Accidents are covered from Day 1. Not applicable if policy continuously renewed for 12+ months.
Dental treatment (unless from accident), cosmetic/aesthetic surgery, plastic surgery (unless from injury/disease), vaccination and circumcision (unless medically necessary) — all excluded.
"Hospitalization for only investigations and diagnosis" — if admitted solely for tests without any treatment or procedure, hospitalization expense is not covered.
Treatment for drug addiction, alcoholism, or any conditions arising from substance abuse excluded from the health section. Adventure sports injuries also excluded.
Injury or disease arising from war, terrorism, nuclear contamination, radiation — excluded from the health section and from all property sections.
Burglary/theft loss NOT reported within 24 hours of the event — claim excluded. This is the most common rejection reason for Section III claims. Act immediately.
If household contents at time of loss exceed the declared SI, the claim is reduced proportionately. You become your own insurer for the difference. Review SI annually.
Compensation under PA section excluded for: suicide/self-injury, being under influence of intoxicating liquor, drug addiction/alcoholism, engagement in adventure sports.
Ionizing radiation, radioactive contamination, nuclear fuel, nuclear waste — excluded from all sections. Standard exclusion across all the insurer products.
Certain specified diseases have a specific waiting period (up to 36 months) from commencement of first health policy. Refer to the policy document for the complete list of named diseases.
SI reduces after each claim. Once SI is exhausted for the policy year, no further claims are payable — unlike standard health policies with restoration features.
7-Working-Day Guarantee· Section-Specific Steps
Section III (burglary/theft) has the strictest reporting window: 24 hours. Section I (health) has cashless facility at network hospitals. All claims must be settled within 7 working days — with statutory interest for any delay.
Health claim: call TPA/the insurer before or during hospitalization for cashless. Burglary (Sec III): call the insurer AND lodge police FIR within 24 hours. PA (Sec IV): notify the insurer as soon as possible after the accident.
Burglary/theft: lodge FIR with local police IMMEDIATELY — within 24 hours of event. For fire/RSMD (Sec II): get fire brigade report if applicable. For PA deaths: FIR if accidental death by external violence.
Health (Sec I): opt for cashless at the insurer network hospital — pre-authorize before planned hospitalization. For non-network or emergency: pay and claim reimbursement with original bills, discharge summary, and prescriptions.
Complete the insurer's claim form for the specific section. Attach: FIR/fire report (if applicable), hospital bills (Sec I), photographs (Sec II/III), purchase invoices for lost items (Sec III), medical/death certificate (Sec IV).
Health (Sec I): TPA verifies and approves. Property (Sec II/III): surveyor inspects. PA (Sec IV): medical evidence and FIR reviewed. Cooperate fully — provide all documents requested without delay.
All admissible claims paid within 7 working days of acceptance. If delayed beyond 7 working days, the insurer must pay 2% above RBI bank rate interest on the claim amount. Your SI reduces by each claim paid.
Micro Insurance Questions
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By submitting you agree to our Privacy Policy and Terms & Conditions. New Sampoorna Suraksha Bima is a Micro Insurance product subject to the insurer underwriting. PED: 36-month waiting period. SI reduces after each claim. Probitas Insurance Brokers Pvt. Ltd.· IRDAI Lic. No. 528.