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Moneycontrol » News Center » Insurance Analysis
Does your nominee know to make a claim?
Published on Fri, Mar 10, 2006 at 10:00   |  Updated at Mon, Jun 04, 2007 at 16:39  |  Source : Moneycontrol.com

Money may be the last thing on your mind, if a loved one has died. But even before grieving is over, you may find yourself faced with the harsh reality. There’s no way one can keep away financial worries, and that can be shattering when you’re vulnerable. That's what happened to Shalini Seth.

 

Forty-eight year-old Seth was devastated when her husband, a senior management executive, succumbed to an accident recently. But being practical, she rallied around to ensure she got all insurance benefits due to her, so that her son’s higher education was not hampered. But that wasn’t an easy task. She said, “I called the agent who sold the policy to my husband, but he told me that he was no longer with the same company and so couldn’t help me. I didn’t know what documents I needed to submit, to make the claim.”

 

Most nominees of insurance policies may be in a similar position. Actually, a simple call to the insurance company will tell you what documents are needed. But most of these documents need to be collected at the time of death itself. So knowing beforehand what these documents are will a a last minute dash from pillar to post.

 

According to a recent survey, 15% of the nominees of an insurance policy did not know how to make a claim, 60% relied on their agent to do the needful. But today, when agents are moving from one insurance company to another so swiftly, it doesn’t make sense to rely on your agent for a claim you may have to make, some years later.

 

Chief of Customer Service & Operations, ICICI Prudential Life Insurance Company, Anita Pai said, “Correct and complete documentation is an integral part of the claims process. It is very important that a person making the claim, keeps all the documents safely and readily accessible, as this will help settle the claim quickly.”

 

So there is no substitute for putting your paperwork in order. There are several documents to be submitted in order to make a claim (see box).

 

Accidental death
Claim form
Policy Contract
Death certificate
FIR
Details of accident
Death due to illness
Claim form
Policy Contract
Death certificate
Physician's report
Post mortem certificate
There is also the issue of nominating someone to whom the insurance company can make the payment. Many times, something as simple as this is not done at the application stage and it could lead to complications. Pai explained, “It is very important that all customers appoint a nominee at the time of application. Failing this, the company might be faced with an ‘open nominee’ situation leading to confusion about who should receive the claim amount.”

 

Normally, a spouse is nominated to a policy. Alternately, the policyholder can also nominate his child. If the child is a minor, then he must also mention the name of an appointee who will receive the benefits on behalf of the child and pass them on to him when he completes 18 years of age.

 

If a policyholder has not named a nominee while purchasing the policy, the death claims are paid to the legal heirs. Legal heirs are usually the wife and children.

 

But the nominee must submit all such documents that will be required to prove the relationship with the policyholder. If the nominee is the spouse, that would mean, showing the marriage certificate. In the absence of the same, usually a notarized affidavit or a claim format establishing the claim of the nominee and duly attested by a gazetted officer would serve the purpose.

 

Is it an ‘early death’ claim?

 

There is a term called ‘early death’ in insurance parlance. If death occurs within the first three years since the policy was taken, it is referred to as an early death claim. Apart from the documents named above, an early death claims asks for some more paperwork.  These include a medical attendant’s certificate, certificate of burial or cremation, certificate of the employer of the deceased and a police investigation report in case of death by accident.

 

These additional forms are required to satisfy insurers on the genuineness of the claim, as also to help the company at the time of investigation.

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