A-2.1.2 Type and amount of the benefit., Watercraft Accident Insurance, Premium

A-2.1.2.1 Calculation of the permanent impairment benefit. You receive the permanent impairment benefit as a one off lump sum payment. The bases for calculating the benefit are German law applies to the contract. The German wording of the conditions alone is binding; this translation is provided for understanding only.  the agreed sum insured, and  the degree of permanent impairment caused by the accident.

A-2.1.2.2 Assessment of the degree of permanent impairment, period for the assessment. The degree of permanent impairment is determined by the schedule of limb values (A-2.1.2.2.1), where the affected parts of the body, sensory organs or internal organs are named there, and otherwise by the extent to which normal physical or mental capacity is permanently impaired (A-2.1.2.2.2). The decisive factor is the state of health caused by the accident that is recognisable at the latest at the end of the third year after the accident. This applies both to the first and to any later assessment of the permanent impairment (A-8.4).

A-2.1.2.2.1 Schedule of limb values. In the event of loss or complete loss of function of the following parts of the body or (sensory) organs, exclusively the degrees of permanent impairment stated here apply:  arm: 75 per cent  arm up to above the elbow joint: 70 per cent  arm up to below the elbow joint: 70 per cent  hand at the wrist: 65 per cent  thumb: 30 per cent  index finger: 20 per cent  other finger: 10 per cent  leg above the middle of the thigh: 75 per cent  leg up to the middle of the thigh: 70 per cent  leg up to below the knee: 60 per cent  leg up to the middle of the lower leg: 55 per cent  foot including the ankle joint: 50 per cent  big toe: 10 per cent  other toe: 5 per cent  eye: 60 per cent  hearing in one ear: 40 per cent  sense of smell: 15 per cent  sense of taste: 10 per cent  voice: 80 per cent In the event of partial loss or partial impairment of function, the corresponding part of the stated degrees of permanent impairment applies. Example: if an arm has completely lost its function, that gives a degree of permanent impairment of 75 per cent. If its function is impaired by one tenth, that gives a degree of permanent impairment of 7.5 per cent (one tenth of 75 per cent).

A-2.1.2.2.2 Assessment outside the schedule of limb values. For other parts of the body or sensory organs, the degree of permanent impairment is determined by the extent to which normal physical or mental capacity as a whole is permanently impaired. The yardstick is an average person of the same age and sex. The assessment is made exclusively on medical grounds. German law applies to the contract. The German wording of the conditions alone is binding; this translation is provided for understanding only.

A-2.1.2.2.3: same wording in Accident Basis, clause A-2.1.2.2.3

A-2.1.2.2.4 Degree of permanent impairment where several parts of the body or sensory organs are impaired. Several parts of the body, internal organs or sensory organs may be impaired by one accident. The degrees of permanent impairment determined under the preceding provisions are then added together. If the function of both eyes or the hearing in both ears is impaired to the same extent, the degree of permanent impairment established is increased by one half. If the function is restricted to differing extents, the degree of permanent impairment for the less damaged eye or the less damaged hearing is doubled instead. More than 100 per cent is, however, not taken into account. Example: as a result of an accident, an arm has completely lost its function (75 per cent) and the function of a leg is impaired by one half (35 per cent). Even though adding the degrees of permanent impairment gives 110 per cent, the permanent impairment is limited to 100 per cent.

A-2.1.2.2.5 Permanent impairment benefit on the death of the insured person. If the insured person dies before the permanent impairment is assessed, we pay a permanent impairment benefit under the following conditions:  the insured person did not die as a result of the accident within the first year after the accident (A-2.1.1.4), and  the other conditions for the permanent impairment benefit under A-2.1.1 are met. We pay according to the degree of permanent impairment that would have been expected on the basis of the medical findings.