Get a Quote
Complaint
Contact Us
Office Timing:
Mon - Fri 8:00 AM - 5:00 PM
info@berhaninsurance.com
Toggle navigation
Home
About Us
Annual Report
Our Company
Organizational Structure
Board of Directors
Management Team
Products
Partner with us
Media
Vacancy
Bid
Meeting Called
Memorandum of Association
News
Gallery
Login
×
×
Group Personal Accident Quotation
Personal Details
Proposer Type
Individual
Corporate
Government
Public Organisations
Associations
NGO
Staff
Proposer First Name
Proposer Middle Name
Proposer Last Name
Mobile No.
Email Address
Which Berhan Insurance S.C. branch do you want to be served from?
Select
ADM-ADAMA BRANCH
ARK-ARAT KILLO BRANCH
ARM-ARBA MINCH BRANCH
AYT-AYAT BRANCH
BDR-BAHIR DAR BRANCH
BEK-BEKLOBET BRANCH
BGR-BISRATE GEBRIEL BRANCH
BOL-BOLE BRANCH
DSS-DESSIE BRANCH
GOF-GOFA BRANCH
HAY-HAYAHULET BRANCH
HOF-HEAD OFFICE
HSN-HOSAENA BRANCH
HWS-HAWASSA BRANCH
JIM-JIMMA BRANCH
JKR-JACKROS BRANCH
KAZ-KAZANCHIS BRANCH
KER-KERA BRANCH
LBU-LEBU BRANCH
LID-LIDETA BRANCH
MAN-MAIN BRANCH
MEG-MEGENAGNA BRANCH
MER-MERKATO BRANCH
MKL-MEKELLE BRANCH
OLP-OLYMPIA BRANCH
PZZ-PIAZZA BRANCH
RAS-RAS BRANCH
SAR-SARIS BRANCH
SHE-SHERA TERA BRANCH
SHM-SHASHEMENE BRANCH
THM-TEKLE HAIMANOT BRANCH
WSD-WOLAITA SODO BRANCH
Risk Details
Start Date
End Date
Cover Type
Select Cover Type
Capital Benefits basis
Please select method to add items
Please Select
UPLOAD FROM EXCEL
Last Row of Excel
Download Template
Excel
* Allowed file formats (xlsx)
Employee 1
Do you want to cover your members by group?
Estimated Annual Earnings
Select
3-years salary
5-years salary
Employee Name
Occupation Group Name
Member
No of Member
Family Name
Occupation Name
Select
(Wood working machinery)
Millwright
Accountant
Actuary
All trades involving the use of wood working machinery.
Architect
Architect (supervising site)
Artist
Auctioneer
Author
Baker and confectioner (supervising only)
Baker of Confectioner (working)
Banker
Barrister
Basket maker
Black smith ( excluding shoeing )
Blacksmith (Shoeing)
Boat builder (excluding woodworking machinery)
Book binder
Brewer (working)
Broker (stock, ship, Cotton, etc.)
Builder (Supervising only
Builder (excluding woodworking machinery)
Builder (working excluding)
Builders Clerk
Butcher (Including slaughter house work)
Butcher (excluding slaughterhouse)
Carpenter, joiner and cabinet maker (Working excluding wood working Machinery)
Chauffer (private car)
Chemist (experimenting)
Clergyman
Clerk
Clerk of works
Coast Guard officer
Commercial Traveler
Company Director (Administration Duties)
Cooper
Cooper smith
Corn, hay and straw dealer
Dairyman (delivering)
Dental surgeon
Druggist (not experimenting)
Dyer
Editor
Electrical Engineer (Working)
Electrotyper
Engineer (not experimenting)
Engineer - General Mechanical working (Excluding Electrical working)
Engineer - Civil (Supervising only)
Engineer - Electrical (Supervising only)
Engineer - General Mechanical (Supervising only)
Engraver
Farm Bailiff Manager ( supervising and occasionally working )
Farm Bailiff or Manager (working)
Farmer
Farmer (working)
Freight Agent
Furniture remover (Working)
Game keeper
Gardener
Gasfitter
Glazier
Gunsmith
Hotel Proprietor or Manager ( working including cellar)
Hotel Proprietor or Manager (working excluding cellar work)
Insurance Officials
Jeweler (shop only)
Jeweler (working)
Licensed Victualler
Lithographer
Livery stable Keeper
Mason (supervising only)
Mason (working)
Motor (Supervising only)
Motor Driver (Commercial Vehicle)
Motor Driver (private car)
Painter and Decorator (Supervising only)
Painter and Decorator (Working)
Painter and Decorator (supervising and occasionally working)
Photographer (normal risk)
Physician
Plasterer
Plasterer (working )
Plumber
Plumber (working )
Police superintendent
Potter
Quarry master(Supervising only)
Restaurant Proprietor (working)
Restaurant proprietor ( supervising only)
Saddler
Schoolmaster
Secretary
Shipwright
Shopkeeper (Including use of tools)
Shopkeepers (Excluding are of tools)
Silversmith
Slater (supervising only)
Slater (working)
Solicitor
Stereo typer
Stone cutter
Surgeon
Surveyors
Tailor (Supervising only)
Tailor (working)
Testing
Tool Maker
Veterinary Surgeon
Wheelwright (excluding wood working machinery)
watchmaker
Monthly Salary
Death
Permanent Total Disability (PTD)
Temporary Total Disability
Medical Expenses Due to Accident
Additional Benefits:
Medical Expenses Due to Illness
Eye Frame
Eye Glass
Denture
Pregnancy and child birth
Boarding & Lodging
Extension to worldwide ?
Are you engaged in any of the activities / occupations mentioned below?
Football
Small Game hunting
Big Game Hunting
Water Skinning
Motor cycling exceeding 10cc
Auto-Cycling and mechanically assisted pedal cycles not exceeding 100cc
Mountaineering
POLO
Steeple chasing winter sports
Motor Cycling not Exceeding 10cc
Racing of any kind
Swimming
Risk 1
Do you want to cover your members by group?
Group Name
No. Of Members in Group
Benefit Details of Group (Limits per person)
Job Description / Occupation
Death
Permanent Total Disability(PTD)
Temporary Total Disability
Medical Expenses Due to Accident
Occupation Name
Select
(Wood working machinery)
Millwright
Accountant
Actuary
All trades involving the use of wood working machinery.
Architect
Architect (supervising site)
Artist
Auctioneer
Author
Baker and confectioner (supervising only)
Baker of Confectioner (working)
Banker
Barrister
Basket maker
Black smith ( excluding shoeing )
Blacksmith (Shoeing)
Boat builder (excluding woodworking machinery)
Book binder
Brewer (working)
Broker (stock, ship, Cotton, etc.)
Builder (Supervising only
Builder (excluding woodworking machinery)
Builder (working excluding)
Builders Clerk
Butcher (Including slaughter house work)
Butcher (excluding slaughterhouse)
Carpenter, joiner and cabinet maker (Working excluding wood working Machinery)
Chauffer (private car)
Chemist (experimenting)
Clergyman
Clerk
Clerk of works
Coast Guard officer
Commercial Traveler
Company Director (Administration Duties)
Cooper
Cooper smith
Corn, hay and straw dealer
Dairyman (delivering)
Dental surgeon
Druggist (not experimenting)
Dyer
Editor
Electrical Engineer (Working)
Electrotyper
Engineer (not experimenting)
Engineer - General Mechanical working (Excluding Electrical working)
Engineer - Civil (Supervising only)
Engineer - Electrical (Supervising only)
Engineer - General Mechanical (Supervising only)
Engraver
Farm Bailiff Manager ( supervising and occasionally working )
Farm Bailiff or Manager (working)
Farmer
Farmer (working)
Freight Agent
Furniture remover (Working)
Game keeper
Gardener
Gasfitter
Glazier
Gunsmith
Hotel Proprietor or Manager ( working including cellar)
Hotel Proprietor or Manager (working excluding cellar work)
Insurance Officials
Jeweler (shop only)
Jeweler (working)
Licensed Victualler
Lithographer
Livery stable Keeper
Mason (supervising only)
Mason (working)
Motor (Supervising only)
Motor Driver (Commercial Vehicle)
Motor Driver (private car)
Painter and Decorator (Supervising only)
Painter and Decorator (Working)
Painter and Decorator (supervising and occasionally working)
Photographer (normal risk)
Physician
Plasterer
Plasterer (working )
Plumber
Plumber (working )
Police superintendent
Potter
Quarry master(Supervising only)
Restaurant Proprietor (working)
Restaurant proprietor ( supervising only)
Saddler
Schoolmaster
Secretary
Shipwright
Shopkeeper (Including use of tools)
Shopkeepers (Excluding are of tools)
Silversmith
Slater (supervising only)
Slater (working)
Solicitor
Stereo typer
Stone cutter
Surgeon
Surveyors
Tailor (Supervising only)
Tailor (working)
Testing
Tool Maker
Veterinary Surgeon
Wheelwright (excluding wood working machinery)
watchmaker
Additional Benefits:
Medical Expenses Due to Illness
Eye Frame
Eye Glass
Denture
Pregnancy and child birth
Boarding & Lodging
Extension to worldwide ?
Are you engaged in any of the activities / occupations mentioned below?
Football
Small Game hunting
Big Game Hunting
Water Skinning
Motor cycling exceeding 10cc
Auto-Cycling and mechanically assisted pedal cycles not exceeding 100cc
Mountaineering
POLO
Steeple chasing winter sports
Motor Cycling not Exceeding 10cc
Racing of any kind
Swimming
Submit
Office Timing: Mon - Fri 8:00 AM - 5:00 PM 
