Claims Form

The following documents are the basic requirements which must be submitted to process a death claim.

1. Original policy document
2. Copy of death registration certificate issued by local registrar's office attested by Notary Public.
3. Copy of citizenship of beneficiary/ies as well as insured attested by Notary Public
4. Copy of birth registration certificate in case of minor attested by Notary Public.
5. Copy of relationship certificate showing relationship between beneficiary/ies & the insured with photographs of all concerned. In case of minor beneficiary, relationship certificate with photographs of all related persons eg. Insured, minor beneficiary/ies, surviving parent etc. attested by Notary Public 
6. Treatment papers from the hospital
7. Death certificate from the hospital
8. Police report (in case of accidental or suspicious death)
9. Autopsy report (in case of accidental or suspicious death)
10.Claimant's statement to be completed & signed by each beneficiary and to be attested by Notary Public
11. Physician's statement to be completed, signed & stamped by the last Physician who confirms death
12. Newspaper clippings (obituary ads, news etc.) [if available]

Click here for Death Claim Form.

The following documents are the basic requirements which must be submitted to process a death claim under a group policy. 

1. Original group certificate
2. Copy of original death certificate issued by local registrar's office attested by Notary Public
3. Copy of citizenship of beneficiary/ies as well as insured attested by Notary Public
4. Copy of relationship certificate showing relationship between beneficiary/ies & the insured with photographs of all concerned. In case of minor beneficiary, relationship certificate with photographs of all related persons eg. Insured, minor beneficiary/ies, surviving parent etc. attested by Notary Public
5. Treatment papers from the hospital
6. Death certificate from the hospital
7. Police report (in case of accidental or suspicious death)
8. Autopsy report (in case of accidental or suspicious death)
9. Claimant's statement to be completed & signed by each beneficiary and to be attested by Notary Public
10. Physician's statement to be completed signed & stamped by the last Physician who confirms death.
11. Letter from employer stating the date of joining and last working day deceased reported to his office on full time basis as well as the date when he was terminated by the company (In case of group death claim)
12. Salary slip showing last monthly basic salary drawn by late Insured (In case of group death claim)

1. Attested Death registration certificate
2. Group Letter
3. Claim Form (Click Here)
4. Attested Relationship certificate
5. Attested Citizenship certificate of insured and beneficiary
6. Autopsy, Police report (for accidental or suspicious death)
7. Loan Balance Details

1. Treatment papers (Prescription, Discharge summary etc)
2. Claim Form (supplied by the company to be completed and duly signed by the insured and Policy holder) (Click Here)
3. Original medical bills
4. X-ray, CT scan, MRI, Lab Tests etc.
5. Attendance Record (for AWI benefit)

The following documents are the basic requirements which must be submitted to process a AMR/IHA/AWI claim.

1. Notification from insured along with the related details
2. Claim forms (supplied by the company to be completed and duly signed by the Insured and Treating Physician) (Click Here)
3. Original hospital bills & emergency ambulance bill (if applicable)
4. Original hospital receipt
5. Medical report indicating nature as well as date of accident
6. All relevant X-Rays / CT Scans / MRIs / Lab tests and reports
7. Copy of hospital discharge summary.
8. Police Report (May be required in certain cases)

1. Notification from the insured along with the relevant details.
2. Claim forms (supplied by the company to be completed and duly signed by the insured and treating physician) (Click Here)
3. Medical report indicating nature as well as date of diagnosis of disease.
4. All relevant X-rays/ CT Scans / MRIs / Lab tests / Reports (Histopathology report, Cytology report etc)

The following documents are the basic requirements which must be submitted to process a disability claim 

1. Notification from insured along with the related details
2. Claim forms (supplied by the company to be completed and duly signed by the Insured and Treating Physician) (Click Here)
3. All relevant X-Rays / CT Scans / MRIs / Lab tests and reports
4. Attending Plysician's Statement (APS) or Medical report indicating nature and date of onset of ailment / accident as well as degree of disability
5. If a claimant is eligible for WP, then timely medical reports will be required. More details will be furnished at the time of each such claim
6. Police Report (in case of accident)