Filing a Life Insurance Claim
Claim settlement is one of the most important services that an insurance company can provide to its customers. Insurance companies have an obligation to settle claims promptly. You will need to fill a claim form and contact the financial advisor from whom you bought your policy. Submit all relevant documents such as original death certificate and policy bond to your insurer to support your claim. Most claims are settled by issuing a cheque within 7 days from the time they receive the documents. However, if your insurer is unable to deal with all or any part of your claim, you will be notified in writing.
Types of claims
Maturity Claim – On the date of maturity life insured is required to send maturity claim / discharge form and original policy bond well before maturity date to enable timely settlement. Most companies offer/issue post dated cheques and/ or make payment through ECS credit on the maturity date. Incase of delay in settlement kindly refer to grievance redressal.
Death Claim (including rider claim) – In case of death claim or rider claim the following procedure should be followed.
Follow these four simple steps to file a claim:
- Claim intimation/notification
The claimant must submit the written intimation as soon as possible to enable the insurance company to initiate the claim processing. The claim intimation should consist of basic information such as policy number, name of the insured, date of death, cause of death, place of death, name of the claimant. The claimant can also get a claim intimation/notification form from the nearest local branch office of the insurance company or their insurance advisor/agent. Alternatively, some insurance companies also provide the facility of downloading the form from their website.
- Documents required for claim processing
The claimant will be required to provide a claimant’s statement, original policy document, death certificate, police FIR and post mortem exam report (for accidental death), certificate and records from the treating doctor/hospital (for death due to illness) and advance discharge form for claim processing. Based on the sum at risk, cause of death and policy duration, insurance companies may also request some additional documents.|
- Submission of required documents for claim processing
For faster claim processing, it is essential that the claimant submits complete documentation as early as possible. A life insurer will not be able to take a decision until all the requirements are complete. Once all relevant documents, records and forms have been submitted, the life insurer can take a decision about the claim.
- Settlement of claim
As per the regulation 8 of the IRDA (Policy holder’s Interest) Regulations, 2002, the insurer is required to settle a claim within 30 days of receipt of all documents including clarification sought by the insurer. However, the insurance company can set a practice of settling the claim even earlier. If the claim requires further investigation, the insurer has to complete its procedures within six months from receiving the written intimation of claim.
In case a claim arises you should:
Contact the respective life insurance branch office.
Contact your insurance advisor
Call the respective Customer Helpline
For Death Claim:
Original Policy Bond
Claim Forms issued by the insurer along with supporting documents
For Accidental Disability / Critical Illness Claim:
Copies of Medical Records, Test Reports, Discharge Summary, Admission Records of hospitals and Laboratories.
Original Policy Bond
Claim Forms along with supporting documents
For Maturity Claims:
Original Policy Bond
Maturity Claim Form
What is the procedure for transferring monies from an account of the deceased, in case a nominee is mentioned?
When Nomination is registered with the bank, the nominee can apply to the Bank, giving full details of the accounts of the deceased depositor. On receipt of the claim from the nominee, the branch will verify the photocopy with the original Death Certificate, Nomination number as registered in CBS, Nomination register.
Signatures of two witnesses of good standing and integrity who are acceptable to the Bank should also be provided on the application. The witness can be any of the following:
Magistrate or Judicial official
Any Officer of the Central / State Government or Any Officer of the Bank.
Any two persons acceptable to the Bank.
IN case a nominee is not indicated
In a deceased account where there is neither Survivorship clause nor Nomination, our Bank delivers the assets only to the legal heirs. As disposal with legal representation is time consuming, to improve customer service, our Bank has devised a system of settling the accounts without production of legal representation on the basis of Indemnity – cum – Affidavit. This is applicable only when:
The customer has died INTESTATE i.e. without a WILL and
There are no disputes among the legal heirs and all the legal heirs (other than those who have furnished a Letter of Disclaimer) join in indemnifying the Bank and there is no reasonable doubt about the genuineness of the claimant(s) being the only legal heirs.