Term Insurance is a Life Insurance Plan that offers a death benefit to the policyholder’s beneficiaries if the policyholder passes away during the policy duration. To initiate the claim process, beneficiaries must notify the insurer, complete the Death Claim Form, and submit the required documents for verification. This article outlines the step-by-step process for a claim settlement and the necessary documents. Understanding these steps ensures a smooth Insurance Claim process for the family during a challenging time.
Life Cover Starting @ just ₹18/day*
Choose India’s Only Personalised Term Plan
Modify coverage as per your life stages & commitments
Hassle-Free Claim Settlement
99.38% Claim settlement ratio*
Smart Income Tax Savings
Save up to ₹54,600* on your taxes
Before initiating a death claim for a life insurance policy, it’s important to review several critical factors to ensure a smooth insurance claim process. Here are key points to consider:
Most insurers have specific timeframes for notifying them of the policyholder’s death. This claim intimation period, often within 30 days after my death, is crucial. Missing this time limit can complicate the death claim process.
Gather all necessary documents, such as the death certificate, the original policy bond, and the completed death claim form. Accurate documentation is essential for the insurer to validate and process the application for a deceased claim.
Understand the specifics of the death insurance policy and any exclusions that may apply. Reviewing death claim rules ensures you’re clear on what’s covered and whether the policy includes death claim settlement without nomination options if no nominee was assigned.
If no beneficiary was assigned, additional legal proof may be required. Submitting an application for deceased claim along with legal evidence of title ensures the rightful claimant receives the death claim amount.
If the policyholder survived the policy term, it becomes a maturity claim instead of a death claim. In such cases, filing the maturity claim form and discharge form will be necessary to access the maturity form benefits.
Receiving a death claim amount may have tax implications. Consulting a financial advisor helps beneficiaries make the most of the death claim settlement and plan for long-term financial stability.
Beneficiaries should know how to claim by contacting the insurer promptly, submitting a correctly filled death claim form, and providing complete life insurance information. This includes understanding what is claim in insurance and the steps involved to avoid delays in the death claim settlement.
To file a death claim for a Life Insurance Policy, beneficiaries must gather essential documents to support a smooth insurance claim process. Requirements vary by cause of death and policy type. Below is a list of necessary documents, including those needed for medical or accidental death cases:
Here’s a list of steps that are needed to be followed by the beneficiary to claim the Death Benefits after the death of the policyholder.
Note: This is an overview; the exact steps and the process will depend on the insurer.
If the policyholder outlives the term, no payouts will be made (unless there’s a Return of Premium add-on as a part of the coverage), and the policyholder will have to renounce the coverage. This is because standard term life insurance is designed primarily to provide financial security to the policyholder's beneficiaries in the event of the policyholder's untimely death during the policy term. Therefore, if the policyholder is still alive when the policy expires, the insurance coverage ends, and no payout is issued.
However, some term life insurance policies have an optional feature, the Return of Premium (ROP). This add-on benefits those seeking a safety net if they outlive their policy. With an ROP feature, all or a part of the premiums paid during the term are returned to the policyholder if they survive the policy period. It's important to note that policies with ROP typically cost more than those without this option due to the potential for the insurance company to return the premiums.
Once the policy term ends and if the policyholder does not have the ROP feature, they must decide whether to purchase another policy to continue life insurance coverage or forego it. This decision often depends on the individual's life circumstances at that time, such as financial responsibilities, dependents, and overall health.
Not all kinds of deaths are allowed to be claimed under the Term Insurance plan. Here’s a generic list of deaths which will and will not be covered in term insurance plans. The exact list will depend upon the policy’s terms and conditions.
These are the documents that are to be submitted by the beneficiaries in order to claim the benefits of the term insurance, disregarding the type of death met.
Not just these, but additional documents might be required as per the cause of death.
In this case, the insurance company would require documentation substantiating the medical cause and history. This typically includes:
In cases of death resulting from an accident or unnatural causes, the documentation required is more extensive, often involving legal and police reports:
When filing an insurance claim, policyholders and beneficiaries must understand the common pitfalls that might lead to a claim being rejected. Here are the various reasons why an insurance claim might not be approved:
This occurs when the information provided in the claim form conflicts with the details initially provided when the policy was taken out or with documentation submitted at other times. For example, if the cause of death in a claim contradicts medical records or an autopsy report, the insurer might reject the claim due to inconsistencies.
Providing false information to an insurance company is a severe offence and can lead to the rejection of a claim. This might include lying about the policyholder's health status, the circumstances of death, or any other pertinent details that would affect the insurer's decision to cover the risk or pay the claim.
Insurance policies stipulate that premiums must be paid regularly to keep the insurance active. If there are missed payments and the policyholder still needs to arrange for a grace period or reinstatement of the policy, any claim filed under such a lapsed policy is likely to be rejected.
If the policy does not have a nominated beneficiary or the nominee's details need to be updated or mentioned, it can complicate the claims process. This oversight might delay or even result in the rejection of the claim, as the insurer may need to verify who is legally entitled to receive the claim amount.
If a policyholder fails to disclose significant medical conditions or previous health issues when purchasing the insurance, the company may view it as non-disclosure or misrepresentation. This is particularly critical if the undisclosed condition is related to the cause of death, leading to potential claim rejection.
Not disclosing other existing insurance policies can be seen as an attempt to over-insure, which can be a red flag for fraud. Insurers often require information about other policies to assess the policyholder's total coverage and evaluate the risk accurately.
A policy lapses when the premiums are not paid within the specified time, leading to the termination of the policy's benefits. A claim made under a lapsed policy will only be entertained if the policy is reinstated, which usually requires paying all overdue premiums and undergoing any additional underwriting procedures required by the insurer.
Beneficiaries must follow the above steps to claim insurance after a policyholder’s death. First, promptly notify the insurer to begin the insurance claims process. Then, complete the application for a deceased claim, filling out details like the policyholder’s information and your relationship to the beneficiaries. Understanding what is an insurance claim and its requirements can help ensure a smooth experience. Gather all necessary documents, such as the death certificate and the Life Policy. Following these steps ensures the Life Insurance benefit supports the family effectively during a challenging time.