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Accident insurance

Accident insurance will provide financial support to employees in the event of accidents and injuries (fractures, dislocations, bruises, frostbite, poisoning, etc.). Companies can choose the validity period of the policy as they wish – it can be active during the employee’s working hours only or around the clock worldwide, even ensuring the safety of employees outside of work. The policy coverage can also be chosen according to the company’s needs.

  • An individual solution for each company, according to the budget and the specificity of the company’s activity.

  • No hidden conditions – more than 50 leisure and sports activities are included in the coverage at no extra cost.

  • Easy claiming via the mobile app, website or by calling 67533375 and fast claim payment.

Security for employees – tax relief for the company!
Companies that purchase accident insurance for their employees may receive tax benefits in accordance with the procedure laid down by the laws and regulations of the Republic of Latvia. Contact the State Revenue Service for more information.

  • Financial security in the case of injury

    Receive indemnity according to the policy cover you choose, the type and severity of the injury.

  • Medical expenses paid

    We will indemnify you for unexpected medical expenses if they are incurred within one year of the accident.

  • Hospital allowance

    We will pay a daily allowance for each day spent in an inpatient overnight hospital for up to 100 days.

Which risks can be included in an accident insurance policy, and what do they cover?

In the event of an injury (burns, frostbite, broken bones, bites, poisoning, sprains, abrasions, etc.), we will pay compensation for the injury according to the coverage of the policy you have chosen and the type and severity of the injury. In the case of a compound fracture (open fracture of a bone or damage to surrounding tissue as a result of the fracture), we will increase the indemnity amount by 25%.

If the injury results in a loss of ability to work, we will provide financial support for each day of temporary incapacity for work up to 90 working days per event, with no limit on the number of days during the policy period.

If the injury is sustained by a child under 7 years of age and the parent is therefore issued with an incapacity to work certificate, we will pay for up to 10 days of incapacity to work if BALTA accident insurance has been purchased for the child.

If the injury requires inpatient overnight hospital treatment, we will pay a daily allowance for each day spent in hospital up to 100 days per incident, with no limit on the number of days during the policy period.

We will pay a one-off indemnity equal to the sum insured for the Critical Illness risk if you are diagnosed with a critical illness during the policy period: malignancy, stroke, myocardial infarction, Alzheimer’s disease, chronic renal failure, multiple sclerosis, type I diabetes, blindness, paralysis or loss of limbs, aplastic anaemia.

Please keep in mind! A waiting period (90 days) and a survival period (first 25 days from the onset of the disease) apply to this risk when the policy is purchased. The waiting period does not apply if the insurance contract containing the Critical Illness risk is renewed without interruption.

We will pay a one-off indemnity equal to the sum insured for the Critical Diseases risk if any of the following critical diseases are diagnosed during the period of insurance: diphtheria, gas gangrene, cholera, yersiniosis, leptospirosis, malaria, meningococcal infection, tetanus, rabies, trichinosis.

Please keep in mind! A waiting period applies for this risk when the policy is purchased: 20 days. The waiting period does not apply in situations where an insurance contract which includes the risk Dangerous Diseases is renewed without interruption. 

We will pay a one-off indemnity equal to the sum insured for the risk Tick-borne Diseases if a tick-borne disease is diagnosed during the insurance period: tick-borne encephalitis, myelitis, encephalomyelitis, Lyme disease.

Please keep in mind! A waiting period applies for this risk when the policy is purchased: 20 days. The waiting period does not apply in situations where an insurance contract which includes the risk Tick-borne Diseases is renewed without interruption.

We will indemnify unexpected medical expenses related to the injury if they are incurred within one year from the date of the injury.

Insured risk

Which expenses will we indemnify?

Outpatient and inpatient medical care

Patient fees and charges for outpatient services: doctor-specialist consultations, laboratory and diagnostic tests, medical manipulations (bandages, plaster, splints, blocks, etc.) and physical treatments prescribed by a doctor (maximum 10).

Magnetic resonance imaging and computed tomography

Magnetic resonance imaging and computed tomography examinations for a fee, as prescribed by a doctor.

Paid surgeries and prosthetics

Paid services in an inpatient day and overnight inpatient hospital for surgical treatment of the injury.

Dentistry

Dental services for traumatic dental injuries, including dentures. Expenses for dental implants are reimbursed at 50%.

Cosmetic surgeries

Plastic and microsurgical surgeries for the correction and prevention of facial disfigurements resulting from trauma.

Rehabilitation expenses

Outpatient and inpatient rehabilitation services prescribed by the attending physician, received within 60 days after the injury has been treated in an inpatient overnight hospital or in the case of a complex fracture of a bone.

Rehabilitation services include therapeutic massage, physical therapy, aquatic treatments, taping, sling therapy, therapeutic gymnastics and inpatient rehabilitation services on a day and overnight basis (including horse-riding therapy and passive movement training).

Medicinal products

Expenses for the purchase of medicines and dressings to treat the effects of an injury.

Purchase or rental of technical aids

The purchase or hire of orthoses, splints, bandages and technical aids (canes, crutches, wheelchairs) prescribed by a doctor, as well as the purchase of 3D immobilisation plaster in the case of a fractured bone.

Transportation costs

Medical transport from the place of the accident to the nearest medical facility and from the hospital to the place of residence if such transport is required on the doctor’s instructions.

Medical expenses abroad

Medical expenses for outpatient and inpatient emergency medical treatment and for the purchase of medicines abroad to treat the acute condition.

Insured risk

Which expenses will we indemnify?

Death

 

If the injury results in the death of the insured person, we will pay the full sum insured to the beneficiary named in the policy.

Children’s tuition fees

 

If the injury results in the death of the insured person, we will indemnify the tuition fees of the client’s dependent children at a higher education institution in accordance with the terms of the insurance contract.

Funeral benefit

 

If the injury results in the death of the insured person, we will pay the funeral expenses in Latvia.

Disability, disfigurement

 

One-off compensation if the injury results in disability or disfigurement. The amount of compensation is determined in accordance with the provisions of the insurance contract.

Social care

 

If the injury results in a disability group I or total loss of a limb, we will pay for social care expenses for the first three months after the accident and for the appropriate adaptation of your permanent residence.

Psychological help

 

We will cover the costs of psychological assistance (psychotherapy) in the event of a situation covered by the insurance conditions.

Professional retraining expenses

 

We will cover the costs of retraining (courses) necessary to learn a new profession if the injury has caused a disability group I or II and it is not possible to continue to carry out the duties of the trade.

BALTA offers 10 different accident insurance programmes for companies, allowing you to choose the most suitable solution to suit your company’s needs. However, if no standard insurance programme meets your needs, we will create an individual solution with individual insurance coverage.

Insured risks for each insured person

STANDARD

EXTRA

VIP

VIP LUX

 

Variant 1

 Variant  2

 Variant  3

 Variant  1

 Variant  2

 Variant  3

 Variant  1

 Variant  2

 Variant  3

 

Death

4000

7000

9000

10 000

15 000

20 000

30 000

50 000

70 000

100 000

Disability, disfigurement

4000

7000

9000

10 000

15 000

20 000

30 000

50 000

70 000

100 000

Injuries III

1500

2500

3000

3000

3500

4000

5000

6000

10 000

10 000

Hospital allowance

4000

5000

6000

6000

8000

10 000

10 000

12 000

15 000

15 000

Daily allowance **

 

 

 

 

 

 

 

 

 

9000

Medical expenses (risk group):

300

500

700

700

750

800

800

900

1000

1000

Outpatient and inpatient medical care

300

500

700

700

750

800

800

900

1000

1000

Magnetic resonance imaging and computed tomography

300

500

700

700

750

800

800

900

1000

1000

Paid surgeries and prosthetics

300

500

700

700

750

800

800

900

1000

1000

Dentistry

150

250

350

350

375

400

400

450

500

500

Cosmetic surgeries

300

500

700

700

750

800

800

900

1000

1000

Rehabilitation expenses

150

250

350

350

375

400

400

450

500

500

Medicinal products

300

500

700

700

750

800

800

900

1000

1000

Purchase or rental of technical aids

150

250

350

350

375

400

400

450

500

500

Transportation costs

300

500

700

700

750

800

800

900

1000

1000

Medical expenses abroad

300

500

700

700

750

800

800

900

1000

1000

Social care

-

1000

3000

3000

4000

4000

5000

5000

5000

5000

Critical illnesses A

 

 

 

500

600

700

1000

1300

2000

3000

Tick-borne diseases

-

200

300

-

400

500

500

600

700

700

Dangerous diseases

-

300

400

-

600

700

750

1000

1250

1300

Children’s tuition fees

-

-

1000

1000

2000

2500

3000

3500

3500

5000

Funeral benefit

-

-

500

-

500

700

800

900

1000

1000

Psychological help

-

-

300

400

500

500

700

700

1000

1000

Professional retraining expenses

-

-

500

-

5000

5000

7500

7500

7500

10 000

Book a consultation to find out more or to purchase one of these programmes.

Accident insurance claims statistics

While a paid claim cannot make an accident unprecedented, it can provide essential financial support to an employee at a difficult time. The number of companies purchasing accident insurance for their employees is increasing every year and the amount of claims paid out has increased significantly over the last three years. Over the last three years: (The data reflect claims statistics for both natural and legal persons.)

  • received more than

    27 thousand

    claims

  • indemnity paid out more than

    EUR 6 million

Did you know?

Data from the State Labour Inspectorate for 2021.
  • On average, 7 employees are injured at work every day. In 2021, a total of 2304 persons were injured in workplace accidents in Latvia; 246 were seriously injured and 38 employees were killed.

  • The number of workplace accidents continues to increase: in 2021, compared to 2020, the total number of workplace accidents will increase by 18%, the number of seriously injured persons by 38% and the number of fatalities by 82%.

  • The most common victims of workplace accidents are:
    -    men: 68%;
    -    employees aged 45–54;
    -    employees with less than three years’ service.

In the event of an accident, what amount of indemnity will an employee receive?

Here are some examples of indemnities in the event of an injury, but please note that this is influenced by both the insurance coverage you choose and the severity of the injury, so we consider all claims on an individual basis.

Submitting a claim

Submit your claim quickly and easily at any time on website or through our app, as well as by calling 67533375.
Follow the progress of your claim by logging in to balta.lv or checking the My BALTA section of the app.

Examples of indemnity costs are calculated assuming you have purchased one of the VIP accident insurance programmes.

  • A medical certificate from the attending physician confirming the diagnosis.
  • For a minor: the child’s birth certificate.
  • In the case of fractured bones: a statement giving the exact diagnosis, together with examinations (such as X-rays) confirming the diagnosis.
  • For an indemnity for medical expenses: copies of prescriptions and proof of payment (cheques, receipts) containing the recipient’s personal details and a transcript of the service received.
  • For the indemnity of hospital allowance expenses: inpatient certificate.
  • For the payment of a daily allowance in the case of incapacity to work: e-incapacity certificate (information from the EDS system) and employer’s confirmation of absence from work. If the temporary incapacity to work is longer than 10 days or the incapacity to work is for childcare, a decision of the State Social Insurance Agency on the granting of sickness benefit must be submitted.
  • For the payment of an indemnity for invalidism or disfigurement: decision of the State Medical Commission for the Assessment of Health Condition and Working Ability establishing invalidism; for disfigurement, a medical certificate from the attending physician.
  • For the payment of expenses in the event of social care in the event of adaptation of a residence or car: photographs of the rebuilt premises or adapted vehicle showing the object before and after the reconstruction or adaptation.
  • In the event of death: death certificate of the insured person, a medical certificate on the cause of death and a document certifying the beneficiary’s right to the insurance indemnity.
  • For funeral expenses: documents proving the funeral expenses (invoices, receipts, etc.).
  • Other documents at the request of BALTA.

Frequently asked questions

The insurance price depends on the chosen insurance risks, the number of insured persons, the sum insured, the duration of the contract, the specifics of the company’s activity and the occupation or profession of each insured person, as well as the payment schedule, so please apply for a consultation in order to receive an offer that meets both the financial possibilities of the company and the specifics of its activity.

BALTA offers 10 different accident insurance programmes for companies, allowing you to choose the most suitable solution to suit your company’s needs. However, if no standard insurance programme meets your needs, we will create an individual solution with individual insurance coverage.

Accident insurance can be purchased together with both MTPL and MOD (motor own damage) insurance. If accident insurance is included in the company’s MTPL coverage, we will indemnify the driver’s medical expenses and pay compensation in the case of disability or death if the driver has caused an accident.

If the accident insurance is included in the company’s MOD (motor own damage) cover, we will indemnify medical expenses for both the driver and other passengers (if covered) and pay compensation in the case of disability, death or injury, regardless of who was at fault for causing the accident.

The indemnity is paid to the insured person, i.e., the company’s employee.

In the event of an accident, you should see a doctor immediately but no later than within 24 hours to get the medical attention you need. If the accident is related to a road traffic accident or the unlawful actions of third parties, the police should be informed immediately. If the accident occurred at work, report it to the State Labour Inspectorate.
Keep all documents confirming both the accident and the injury, such as medical or police certificates, statements, receipts, and invoices, as this information will be needed to claim and receive the indemnity.

You can apply for an accident indemnity within 60 days of the accident.

On average, we take a decision on the insurance claim within 5 working days after receiving all the necessary documents. In particularly complex cases, the decision-making time may be longer, but no longer than 30 days.

If the company’s accident insurance policy includes the risk Tick-borne Diseases and the employee is diagnosed with a tick-borne disease (tick-borne encephalitis, myelitis, encephalomyelitis, Lyme disease) during the insurance period, we will pay a one-off indemnity equal to the sum insured for the risk.

Please keep in mind! A waiting period applies for this risk when the policy is purchased: 20 days. The waiting period does not apply in situations where an insurance contract which includes the risk Tick-borne Diseases is renewed without interruption.

The accident insurance takes effect from the first day stated in the policy. A waiting period applies for certain risks covered by the policy:

  • tick-borne diseases: waiting period 20 days;
  • dangerous diseases: waiting period 20 days;
  • critical illnesses: waiting period 90 days.

The waiting period does not apply in situations where the insurance contract containing the risk in question is renewed without interruption.

This coverage will only be valid if the accident insurance policy purchased by the company does not have a time limit, i.e., it is valid 24 hours a day worldwide, and if the policy includes the risk Medical Expenses Abroad.

If the accident occurs abroad, you must see a doctor immediately to get the medical treatment you need. If the accident is related to a road traffic accident or the unlawful actions of third parties, the police should be informed immediately.
Keep all documents confirming both the accident and the injury, such as medical or police certificates, statements, receipts, invoices, as this information will be needed to claim and receive the indemnity.

Employees will be able to apply for an accident indemnity within 60 days of the accident.

No, we will only indemnify the daily subsistence allowance in the event of incapacity to work if incapacity for work was issued in Latvia.

If the accident insurance policy includes the risk Medical Expenses Abroad, we will indemnify the costs of emergency medical treatment and acute medication received on an outpatient or inpatient basis, depending on the severity of the injury, even if the accident occurred abroad.

Yes, it is possible. If the employee has taken out accident insurance himself, he/she will be covered by both the insurance policies taken out by him/her and by his/her employer and, in the event of an injury, will be indemnified under all the policies in force.

Accident insurance terms and conditions