Common use of Claims Intimation Clause in Contracts

Claims Intimation. Upon the occurrence of any Illness or Injury that may result in a Claim under this Policy, then as a Condition Precedent to the Company’s liability under the Policy, all of the following shall be undertaken: (i) If any Illness is diagnosed or discovered or any Injury is suffered or any other contingency occurs which has resulted in a Claim or may result in a Claim under the Policy, the Company shall be notified with full particulars within 48 hours from the date of occurrence of event either at the Company’s call center or in writing. (ii) Claim must be filed within 30 days from the date of discharge from the hospital in case of hospitalization and actual date of loss in case of non-hospitalization benefits. Note: 5.1 (i) and 5.1 (ii)are precedent to admission of liability under the policy. (iii) The following details are to be disclosed to the Company at the time of intimation of Claim: 1. Policy Number; 2. Name of the Primary Insured Member; 3. Name of the Insured Member in respect of whom the Claim is being made; 4. Nature of Illness or Injury or contingency for which Claim has been made and the Benefit under which the Claim is being made; 5. Name and address of the attending Medical Practitioner and Hospital, if applicable; 6. Date and place of Injury or Death and/or Date of admission to Hospital or proposed date of admission to Hospital for planned Hospitalization, if applicable; 7. Any other necessary information, documentation or details requested by the Company. (iv) In case of an Emergency Hospitalization, the Company shall be notified either at the Company’s call center or in writing immediately and in any event within 48 hours of Hospitalization commencing or before the Insured Member’s discharge from Hospital. (v) In case of an Planned Hospitalization, the Company shall be notified either at the Company’s call center or in writing atleast 48 hours prior to planned date of admission to Hospital

Claims Intimation. Upon the occurrence of any Illness or Injury that may result in a Claim under this Policy, then as a Condition Precedent to the Company’s liability under the Policy, all of the following shall be undertaken: (i) a. If any Illness is diagnosed or discovered or any Injury is suffered or any other contingency occurs which has resulted in a Claim or may result in a Claim under the Policy, the Policyholder or Insured Member (or the Nominee or legal heir if the Insured Member is deceased), shall notify the Company shall be notified with full particulars within 48 hours from the date of occurrence of event either at the Company’s call center or in writing. writing immediately and in any event within the timeframe (iiif any) Claim must be filed within 30 days from the date of discharge from the hospital specified in case of hospitalization and actual date of loss in case of non-hospitalization benefits. Note: 5.1 (i) and 5.1 (ii)are precedent to admission of liability under the policy. (iii) The following details are to be disclosed to the Company at the time of intimation of Claim: 1. Policy Number; 2. Name of the Primary Insured Member; 3. Name of the Insured Member in respect of whom the Claim is being made; 4. Nature of Illness or Injury or contingency for which Claim has been made and the Benefit under which the Claim is being made;. 5. Name and address b. If the Insured Member is to undergo planned Hospitalization, the Insured Member shall give written intimation to the company of the attending Medical Practitioner and Hospital, if applicable; 6. Date and place of Injury or Death and/or Date of admission proposed Hospitalization at least 24 hours prior to Hospital or proposed the planned date of admission to Hospital for planned Hospitalization, if applicable; 7. Any other necessary information, documentation or details requested by the CompanyNetwork Provider. (iv) c. In case of an Emergency Hospitalization, the Company shall be notified either at the Company’s call center or in writing immediately and in any event within 48 24 hours of Hospitalization commencing or before admission to Network Provider. Health card will need to be produced and authenticated within 24 hours of admission and no pre-authorization is required in case of emergency hospitalization. d. It is agreed and understood that the following details are to be provided to the Company at the time of intimation of the Claim: i. Policy Number; ii. Name of Primary Insured Member; iii. Name of the Insured Member’s discharge from Hospital.Member in whose relation the Claims is being made; (v) In case iv. Nature of an Planned Hospitalization, Illness or Injury or contingency for which Claim has been made and the Company shall be notified either at Benefit under which the Company’s call center Claim is being made; v. Date and place of Injury or in writing atleast 48 hours prior Death and/or Date of admission to planned Network Provider or proposed date of admission to Network Provider for planned Hospitalization; vi. Name and address of the attending Medical Practitioner and Hospital; vii. Any other information, documentation or details requested by the Company.