Accidental permanent injury insurance application
Please select one of the cover options below
An Accidental Permanent Injury Insurance policy can provide a financial benefit, in the event of certain types of permanent injury to an insured person, which is the direct result of an accident and not caused by illness or disease. The amount we’ll pay out for a successful claim depends on the level of cover you choose and the type of injury. Make sure you check the benefits of each cover level to see which best fits your needs.
Are you eligible for cover?
You can get cover for you and your partner if you're both:
Aged between 18 – 84 years old inclusive, a resident in the UK, living at the same address.
Table of benefits
| Cover section: Claim benefits will be paid as a lump sum payment. If multiple injuries are sustained during the same accident, the benefit for each loss will apply as shown below. | Percentage of the insured person's benefit payable | ||
|---|---|---|---|
| Section A – Permanent bodily injury. Please note that the benefits stated for loss of use of arm/leg represent a full loss of use. |
Amputation | One limb | 100% |
| Two limbs | 150% | ||
| Three limbs | 200% | ||
| Four limbs | 250% | ||
| Total loss of use | One limb | 100% | |
| Two limbs | 150% | ||
| Three limbs | 200% | ||
| Four limbs | 250% | ||
| Other permanent injury | 100% | ||
| Section B – Sensory disability | Loss of sight | One eye | 100% |
| Both eyes | 200% | ||
| Loss of hearing | One ear | 100% | |
| Both ears | 200% | ||
Your data
You can find out how we use your data and how to contact us with any queries here
Your data
The data controllers responsible for processing this personal information are Aviva Insurance Limited as the insurer of the product and Aviva UK Digital Limited who is responsible for the sale and distribution of the product
If you have any questions about how we use personal information, or if you want to exercise your rights about your data, please contact our Data Protection Officer by either emailing them at
DATAPRT@aviva.com or writing to them at
Aviva
Pitheavlis
Perth
PH2 0NH
We will use the information you have given us to decide if we can offer you insurance and to generate a quote for you. We will need to share this information within the Aviva Group and with our reinsurers and other specific third parties for this purpose. See the Privacy Notice section in the Important Information for the product, for more about how we share your personal data within the Aviva Group.
Contact us
Monday to Friday: 9.00am - 5.00pm
For our joint protection, telephone calls may be recorded and/or monitored and will be saved for a minimum of 5 years. Calls to 0800 numbers from UK landlines and mobiles are free.
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