Common use of Accidental Dental Expenses Clause in Contracts

Accidental Dental Expenses. If an Insured Person suffers Dental Injury or damage to his natural teeth and/or gums due to an Accident during the Policy Period, then We will reimburse the amount up to the limit specified in the Policy Schedule / Certificate of Insurance towards: - the Medical Expenses incurred for Dental Treatment including any Emergency Care / treatment by a Dentist - The fees for a dental practitioner and associated costs for carrying out routine dental procedures like clinical oral examinations, tooth scaling, normal fillings, minor procedures and non-surgical extractions - Root canal treatment and surgical extraction of tooth This benefit will exclude: - Any instructions for plaque control, oral hygiene and diet - Any treatment which is cosmetic in nature. This cover is not applicable if Benefit 3: Accidental Hospitalisation (Inpatient) and Benefit 4: OPD Treatment is opted Benefit 6: Convalescence Benefit Page 7 of 17 Kotak Mahindra General Insurance Company Ltd. Kotak Group Accident Protect UIN: KOTPAGP22075V022122; Policy Wordings We will pay the Convalescence Benefit specified in the Policy Schedule / Certificate of Insurance if the Insured Person is hospitalised, for treatment of an Injury sustained during an Accident which occurs during the Policy Period and the continuation of such Hospitalisation is Medically Necessary for at least 10 days, provided that the hospitalisation occurs within 7 days of the occurrence of the Accident and is paid only once in a Policy Year towards an Insured Person. Benefit 7: Xxxxx We will pay the amount specified in the table below to the Insured Person up to the limit specified in the Policy Schedule / Certificate of Insurance if an Insured Person sustains xxxxx directly due to an Accident that occurs during the Policy Period which results in conditions specified in the table below, provided that: - The xxxxx are not self-inflicted by the Insured Person in any way; and - A Medical Practitioner has confirmed the diagnosis of the burn and the percentage of the surface area of the burn to Us in writing. - If the bodily injury results in more than one of the nature of xxxxx specified below, We shall be liable to pay for only the highest benefit among all. Maximum amount payable in respect of multiple nature of disablement (more than 100%) would be restricted to Sum Insured opted by the Insured for this Benefit as mentioned in the Policy Schedule / Certificate of Insurance. Nature of Xxxxx Percentage of Sum Insured payable

Accidental Dental Expenses. If an Insured Person suffers Dental Injury or damage to his natural teeth and/or gums due to an Accident during the Policy Period, then We will w ill reimburse the amount up to the limit specified in the Policy Schedule / Certificate of Insurance towardstow ards: - the Medical Expenses incurred for Dental Treatment including any Emergency Care / treatment by a Dentist - The fees for a dental practitioner and associated costs for carrying out routine dental procedures like clinical oral examinations, tooth scaling, normal fillings, minor procedures and non-surgical extractions - Root canal treatment and surgical extraction of tooth This benefit will w ill exclude: - Any instructions for plaque control, oral hygiene and diet - Any treatment which w hich is cosmetic in nature. This cover is not applicable if Benefit 3: Accidental Hospitalisation (Inpatient) and Benefit 4: OPD Treatment is opted Benefit 6: Convalescence Benefit Page 7 of 17 Kotak Mahindra General Insurance Company Ltd. Kotak Group Accident Protect UIN: KOTPAGP22075V022122; Policy Wordings We will w ill pay the Convalescence Benefit specified in the Policy Schedule / Certificate of Insurance if the Insured Person is hospitalised, for treatment of an Injury sustained during an Accident which occurs during the Policy Period and the continuation of such Hospitalisation is Medically Necessary for at least 10 days, provided that the hospitalisation occurs within 7 days of the occurrence of the Accident and is paid only once in a Policy Year towards tow ards an Insured Person. Benefit 7: Xxxxx We will w ill pay the amount specified in the table below to the Insured Person up to the limit specified in the Policy Schedule / Certificate of Insurance if an Insured Person sustains xxxxx directly due to an Accident that occurs during the Policy Period which w hich results in conditions specified in the table below, provided that: - The xxxxx are not self-inflicted by the Insured Person in any wayw ay; and - A Medical Practitioner has confirmed the diagnosis of the burn and the percentage of the surface area of the burn to Us in writingw riting. - If the bodily injury results in more than one of the nature of xxxxx specified belowbelow , We shall be liable to pay for only the highest benefit among all. Maximum amount payable in respect of multiple nature of disablement (more than 100%) would w ould be restricted to Sum Insured opted by the Insured for this Benefit as mentioned in the Policy Schedule / Certificate of Insurance. Nature of Xxxxx Percentage of Sum Insured payable

Accidental Dental Expenses. If an Insured Person suffers Dental Injury or damage to his natural teeth and/or gums due to an Accident during the Policy Period, then We will reimburse the amount up to the limit specified in the Policy Schedule / Certificate of Insurance towards: - the Medical Expenses incurred for Dental Treatment including any Emergency Care / treatment by a Dentist - The fees for a dental practitioner and associated costs for carrying out routine dental procedures like clinical oral examinations, tooth scaling, normal fillings, minor procedures and non-surgical extractions - Root canal treatment and surgical extraction of tooth This benefit will exclude: - Any instructions for plaque control, oral hygiene and diet - Any treatment which is cosmetic in nature. This cover is not applicable if Benefit 3: Accidental Hospitalisation (Inpatient) and Benefit 4: OPD Treatment is opted Benefit 6: Convalescence Benefit Page 7 of 17 Kotak Mahindra General Insurance Company Ltd. Kotak Group Accident Protect – Micro Insurance UIN: KOTPAGP22075V022122KOTPMGP22116V022122; Policy Wordings We will pay the Convalescence Benefit specified in the Policy Schedule / Certificate of Insurance if the Insured Person is hospitalised, for treatment of an Injury sustained during an Accident which occurs during the Policy Period and the continuation of such Hospitalisation is Medically Necessary for at least 10 days, provided that the hospitalisation occurs within 7 days of the occurrence of the Accident and is paid only once in a Policy Year towards an Insured Person. Benefit 7: Xxxxx We will pay the amount specified in the table below to the Insured Person up to the limit specified in the Policy Schedule / Certificate of Insurance if an Insured Person sustains xxxxx directly due to an Accident that occurs during the Policy Period which results in conditions specified in the table below, provided that: - The xxxxx are not self-inflicted by the Insured Person in any way; and - A Medical Practitioner has confirmed the diagnosis of the burn and the percentage of the surface area of the burn to Us in writing. - If the bodily injury results in more than one of the nature of xxxxx specified below, We shall be liable to pay for only the highest benefit among all. Maximum amount payable in respect of multiple nature of disablement (more than 100%) would be restricted to Sum Insured opted by the Insured for this Benefit as mentioned in the Policy Schedule / Certificate of Insurance. Nature of Xxxxx Percentage of Sum Insured payable

Accidental Dental Expenses. If an Insured Person suffers Dental Injury or damage to his natural teeth and/or gums due to an Accident during the Policy Period, then We will w ill reimburse the amount up to the limit specified in the Policy Schedule / Certificate of Insurance towardstow ards: - the Medical Expenses incurred for Dental Treatment including any Emergency Care / treatment by a Dentist - The fees for a dental practitioner and associated costs for carrying out routine dental procedures like clinical oral examinations, tooth scaling, normal fillings, minor procedures and non-surgical extractions - Root canal treatment and surgical extraction of tooth This benefit will w ill exclude: - Any instructions for plaque control, oral hygiene and diet - Any treatment which w hich is cosmetic in nature. This cover is not applicable if Benefit 3: Accidental Hospitalisation (Inpatient) and Benefit 4: OPD Treatment is opted Benefit 6: Convalescence Benefit Page 7 of 17 Kotak Mahindra General Insurance Company Ltd. Kotak Group Accident Protect UIN: KOTPAGP22075V022122; Policy Wordings We will w ill pay the Convalescence Benefit specified in the Policy Schedule / Certificate of Insurance if the Insured Person is hospitalised, for treatment of an Injury sustained during an Accident which occurs during the Policy Period and the continuation of such Hospitalisation is Medically Necessary for at least 10 days, provided that the hospitalisation occurs within 7 days of the occurrence of the Accident and is paid only once in a Policy Year towards tow ards an Insured Person. Benefit 7: Xxxxx We will w ill pay the amount specified in the table below to the Insured Person up to the limit specified in the Policy Schedule / Certificate of Insurance if an Insured Person sustains xxxxx directly due to an Accident that occurs during the Policy Period which w hich results in conditions specified in the table below, provided that: - The xxxxx are not self-inflicted by the Insured Person in any wayw ay; and - A Medical Practitioner has confirmed the diagnosis of the burn and the percentage of the surface area of the burn to Us in writingw r iting. - If the bodily injury results in more than one of the nature of xxxxx specified belowbelow , We shall be liable to pay for only the highest benefit among all. Maximum amount payable in respect of multiple nature of disablement (more than 100%) would w ould be restricted to Sum Insured opted by the Insured for this Benefit as mentioned in the Policy Schedule / Certificate of Insurance. Nature of Xxxxx Percentage of Sum Insured payable