Claims Documents Clause Samples
Claims Documents. All certificates, information and evidence which We may require will be supplied at Your expense or the expense of Your legal representative. If Your claim is for Injury or Illness, We may request, and will pay for, a medical examination. We may also request, and will pay for, a post mortem examination in the event of death claim
Claims Documents a. Basic documents required for all claims:
(i) Photo Identity Proof (Any one) - Voter ID, Passport, PAN Card, Driving License, Ration Card, Aadhar, or any other proof accepted by the KYC norms as approved by the Company and which is admissible in court of law
(▇▇) ▇▇▇▇ completed and signed claim form in original as prescribed by Us.
(iii) Copy of FIR/ Panchnama /Police Inquest Report (if conducted) duly attested by the concerned Police Station;
(iv) Copy of Medico Legal Certificate(if conducted) duly attested by the concerned Hospital,
b. In case of Accidental Death
(i) Original Death certificate issued by the office of Registrar of Birth & Deaths;
(ii) Death summary issued by a Hospital;
(iii) Post Mortem Report (if conducted);
(iv) Copies of Medical records, investigation reports, if admitted to hospital
(v) Identity proof of Nominee or Original Succession Certificate/Original Legal Heir Certificate or any other proof to the satisfaction of the Company for the purpose of a valid discharge in case nomination is not filed by deceased.
(vi) Certificate, if applicable, from the Bank/Financial Institution stating the amortization schedule, the EMI Amounts, Principal Outstanding, etc. Page 8; Kotak Mahindra General Insurance Company Ltd; Kotak Group Accident Care UIN: IRDAI/HLT/KMGI/P-P/V.I/15/16-17; Policy Wording
c. Documents required in case of Permanent Total Disablement / Partial Disablement/ Temporary Total Disablement
(i) Original treating Medical Practitioner’s certificate describing the disablement;
(ii) Original Discharge summary from the Hospital;
(iii) Photograph of the Insured Person reflecting the disablement;
(iv) Prescriptions and consultation papers of the treatment; Disability certificate issued by civil surgeon or equivalent appointed by the District/State or Government Board.
(v) Copies of Medical records, investigation reports, if admitted to hospital
(vi) Any other medical, investigation reports, inpatient or consultation treatment papers, as applicable
d. Additional documents required in case of Temporary Total Disablement
(I) Leave/Absence Certificate from Employer (If Employed)
Claims Documents. Claim Form of the Company duly completed and signed by the insured and/or insured's legal representative.
Claims Documents a) Basic documents required for all Claims:
(i) Applicable KYC documents along with latest photographs, Valid Photo ID, address proof, etc.
(ii) Duly completed and signed Claim form in original as prescribed by Us.
1. Hospital Daily Cash Benefit Hospital discharge card/ summary, copy of treatment papers, medical investigation reports and copy of hospital bill
2. Accident Daily Cash Benefit Hospital discharge card/ summary, copy of treatment papers, medical investigation reports and copy of hospital bill
Claims Documents a) Basic documents required for all Claims:
(i) Applicable KYC documents along with latest photographs, Valid Photo ID, address proof, etc.
(ii) Duly completed and signed Claim form in original as prescribed by Us. v1 Page 11 Kotak Mahindra General Insurance Company Ltd. Kotak Group Smart Cash UIN: KOTHLGP19014V011819; Policy Wording
1. Hospital Daily Cash Benefit Hospital discharge card/ summary, copy of treatment papers, medical investigation reports and copy of hospital bill
2. Accident Daily Cash Benefit Hospital discharge card/ summary, copy of treatment papers, medical investigation reports and copy of hospital bill
Claims Documents