Simplifying Life Insurance in India
What are the Documents Required for Filing a Life Insurance Claim?
As the name suggests, a life insurance policy offers financial protection to the policyholder’s family in the event of their death. However, to avail of the insurance benefits, one needs to claim the insurance at the right time and in the right way.
Read on for detailed insights into the insurance claim procedure, its types, required documents, and more.
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Insights into the Life Insurance Claim Process
You can claim life insurance upon completion of the policy tenure or after the policyholder's demise. The beneficiaries or nominees of the life insurance policy or the insurance agent can send a claim intimation to the insurance company to initiate the settlement process.
You need to provide all the essential details required to claim the insurance. For instance, in death claims, you need to provide information like the cause of death, when and where it happened, etc. Generally, the agent helps beneficiaries fulfil all the formalities properly for a seamless claim settlement.
Essential Documents for a Life Insurance Claim
Here are some of the documents that you must produce while making a life insurance claim:
Additional Documents That May Be Required for a Life Insurance Claim
Sometimes, the insurance company may ask for additional documents to support the claim process. It may include additional information regarding the policyholder’s death in case of death claims, details of the accident, or medical conditions in case of rider claims, etc.
The insurance company can contact you through email, SMS, or call to ask for additional documents. Alternatively, you can reach out to them via their customer service helpline, email, or official website to learn more about the required documents.
Types of Life Insurance Claims
1. Death Claim
This is the most common claim type in the case of life insurance policies. If the policyholder dies within the policy period, the nominee can opt for a death claim to receive the death benefits from the insurance company.
Your death benefit amount will be determined based on the policy terms and conditions. For instance, in term insurance, there is a predetermined sum assured, but in permanent life insurance, you can avail of cash value, which accumulates over the policy period.
2. Maturity Claim
You buy a life insurance policy for a specified duration and pay regular premiums throughout this period. The policy matures once this duration ends.
If a policyholder survives the policy period and has paid all the premiums on time, they can make a maturity claim. The maturity benefits depend on the type of policy. For instance, endowment plans or money-back policies provide such benefits.
3. Survival Claim
Survival claims, as the name suggests, can be made after surviving for a specific period in the policy which is pre-decided by the insurer and insured. One can get survival claims in money-back policies.4. Surrender Claim
If a policyholder terminates the insurance before the maturity period, he/she can make a surrender claim. Under this claim, a surrender charge is deducted and the policyholder receives the savings and earnings portion only.5. Rider Claim
Policyholders often add rides (add-ons) to their life insurance policy for extra protection and coverage. Riders cover specific events like accidents, serious illnesses, etc. So, to claim a rider, you need to meet some special criteria based on the insurance type you choose.
Here are some of the important life insurance riders that you can buy:
- Accidental Death Benefit Rider
- Accidental Total and Permanent Disability Rider
- Critical Illness Rider
- Waiver of Premium Rider
- Terminal Illness Rider
- Income Benefit Rider
What are the Steps to File a Life Insurance Claim?
Step 1: Contact your insurance provider to obtain the insurance claim form. you can visit the insurance office or get the form online as per your convenience.
Step 2: Fill out the claim form with adequate information as required and enter the policy number and other details. Depending on your insurer, you can complete this process either online or offline.
Note: In case of maturity claims, you can approach after completing the policy period. However, for death benefits, the nominees can make a claim after the policyholder’s death.
Step 3: Submit all the documents as requested by the insurance company. Make sure all the documents are correct, as the company will conduct a close verification before releasing your insurance benefits.
Step 4: Once the verification process is completed, your claim amount or sum assured will be released within 30 days.
It is essential to submit the right claim documents when making a life insurance claim. It helps make the claim settlement procedure faster, smoother, and more accurate. If you provide incomplete information or wrong documents, it can delay the verification process, causing you to struggle with financial adversities.
Common Mistakes to Avoid During the Life Insurance Claim Process
Any mistake in the claim settlement procedure can lead to the rejection of the insurance claim. To make the claim process hassle-free and accurate, you need to avoid some common mistakes that most beneficiaries or policyholders make. Here they are:
Incomplete Application
You need to fill in all the details regarding your income, age, lifestyle, occupation, previous policy statements, etc., on the claim application. Any wrong or incomplete information may lead to the cancellation of your claim settlement application.
Not Disclosing the Coverage
While making an insurance claim, you need to submit all the information regarding the current insurance. Insurance claims can be dismissed if the insurer does not have enough information regarding their entire policy coverage.
Incomplete Nominee Data
When the policyholder passes away, the nominee can claim a death benefit. In such cases, a nominee needs to submit all their information and supporting documents to the insurance company. Wrong or incomplete information can lead to delay or cancellation of your insurance claim.
Hiding the Medical Conditions
Sometimes, policyholders hide their medical conditions to avail of their desired sum assured. However, it can affect the claim process as the insurance company may deny death claims in case the death takes place due to a pre-existing medical condition.
False Information Submission
If the insurance company finds out that you have submitted false information, they will reject the claim application. Moreover, they can also file a case on account of fraudulent activity. It can leave you with unnecessary legal harassment and higher expenses for fraud investigations.
Claiming Against the Exclusions
There are certain exclusions in your policy terms against a list of circumstances. In case you file a claim against any of those exclaims, it will be rejected by the insurance company.
Late Claims
Delay in claiming your insurance benefits can make the settlement procedure hazardous. Several issues may arise like loss of evidence, denied claim as the reporting was not done on time, etc. therefore, it is necessary to claim your life insurance benefit immediately after an accident or incident occurs.
FAQs about Documents Required for a Life Insurance Claim
What is the maximum time required to receive your life insurance claim?
On what grounds can an insurance company reject my life insurance claim?
What are the additional requirements for accidental death claims in life insurance?
What is the life insurance claim settlement ratio?
What happens if I don’t claim the life insurance policy?
What is the process for filing a life insurance claim?
Can I track the status of my life insurance claim?
What should I do if my life insurance claim is denied?
What types of life insurance policies are eligible for claims?
Are there any tax implications on life insurance claims?
Important Guides related to Life Insurance
Disclaimer
- This is an informative article provided on 'as is' basis for awareness purpose only and not intended as a professional advice. The content of the article is derived from various open sources across the Internet. Digit Life Insurance is not promoting or recommending any aspect in the article or its correctness. Please verify the information and your requirement before taking any decisions.
- All the figures reflected in the article are for illustrative purposes. The premium for Coverage that one buys depends on various factors including customer requirements, eligibility, age, demography, insurance provider, product, coverage amount, term and other factors
- Tax Benefits, if applicable depend on the Tax Regime opted by the individual and the applicable tax provision. Please consult your Tax consultant before making any decision.
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