| |
Level 3
|
Level 4
|
|
COST
(per month)
|
Single
£17.50
|
Family
£34.00
|
Single
£25.00
|
Family
£49.00
|
|
Total Claim Allowed
|
£10,000
|
£10,000 per adult
|
£15,000
|
£15,000 per adult
|
|
Accidental Death
|
£10,000
|
£10,000 per adult
|
£15,000
|
£15,000 per adult
|
|
Permanent total disablement
|
£10,000
|
£10,000 per adult
|
£15,000
|
£15,000 per adult
|
|
Permanent and Incurable Paralysis of all limbs
|
£10,000
|
£10,000 per adult
|
£15,000
|
£15,000 per adult
|
|
Permanent and Incurable insanity
|
£10,000
|
£10,000 per adult
|
£15,000
|
£15,000 per adult
|
|
Loss of entire sight of both eyes
|
£10,000
|
£10,000 per adult
|
£15,000
|
£15,000 per adult
|
|
Permanent loss of use of both hands and both feet
|
£10,000
|
£10,000 per adult
|
£15,000
|
£15,000 per adult
|
|
Permanent loss of entire sight in one eye
|
£5,000
|
£5,000 per adult
|
£7,500
|
£7,500 per adult
|
|
Loss of use of one hand or foot
|
£5,000
|
£5,000 per adult
|
£7,500
|
£7,500 per adult
|
|
Permanent total loss of hearing in both ears
|
£5,000
|
£5,000 per adult
|
£7,500
|
£7,500 per adult
|
|
Permanent loss of hearing in one ear
|
£1,500
|
£1,500 per adult
|
£2,250
|
£2,250 per adult
|
|
Permanent total loss of use of the lens in one eye
|
£2,500
|
£2,500 per adult
|
£3,750
|
£3,750 per adult
|
|
Permanent loss of use of four fingers and thumb in either hand
|
£4,000
|
£4,000
|
£6,000
|
£6,000 per adult
|
|
Permanent total loss of the use of four fingers on either hand
|
£2,000
|
£2,000 per adult
|
£3,000
|
£3,000 per adult
|
|
Permanent total loss of use of fingers of either hand
a) Three joints
b) Two joints
c) One Joint
|
£500
£350
£200
|
Per adult
£500
£350
£200
|
£750
£475
£300
|
Per adult
£750
£475
£300
|
|
Permanent loss of either thumb:
a) Both joints
b) One joint
|
£2,000
£1,000
|
Per adult
£2,000
£1,000
|
£3,000
£1,500
|
Per adult
£3,000
£1,500
|
|
Permanent total loss of use of toes:
a) All – one foot
b) Big toe – both joints
c) Big toe – one joint
d) other than big toe (each toe)
|
£1,500
£500
£200
£200
|
Per adult
£1,500
£500
£200
£200
|
£2,250
£750
£300
£300
|
Per adult
£2,250
£750
£300
£300
|
|
Established non- union of fractured leg or knee-cap
|
£1,000
|
£1,000 per adult
|
£1,500
|
£1,500 per adult
|
|
Shortening of the leg by at least 5cm
|
£750
|
£750 per adult
|
£1,000
|
£1,000 per adult
|
|
Dental Injury
|
£500
|
£500 per adult
|
£500
|
£150 per adult
|
|
Break of major arm bone(s) (Radius, Ulna &/or Humerus)
|
£150
|
£150 per adult
|
£150
|
£150 per adult
|
|
Break of major leg bone(s) (Femur, Tibia &/or Fibula
|
£150
|
£150 per adult
|
£150
|
£150 per adult
|
