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RESUME APPLICATION PAY PREMIUM

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Claim Online

3 quick steps to initiate a claim online

  • before

    Verify policy details

    after
  • before

    Submit life assured details

    after
  • before

    Submit nominees details

Start Online Claim

 

Claim at Branch

  • before

    Download & fill up
    claim form

    after
  • before

    Collect all the required
    supporting claim documents

    after
  • before

    Submit claim form and
    supporting documents

Branch Locator

Find a nearest branch

Top Searches: Mumbai Bengaluru Delhi Chennai

Search results for "Tamilnadu" State

Address

Map

Documents Required for Death Claim:

1 For Natural Death

MANDATORY DOCUMENTS

  • Original policy document (Not necessary in case of dematerialised policy document)
  • Death Claim Form
  • Death certificate issued by local authority
  • Claimant's passport size photograph
  • Personalized Cancelled Cheque or Bank Passbook (with Printed A/c no, IFSC & Name account holder)
  • Claimant's Valid Identity Proof
  • Claimant's Valid Address Proof
  • Claimant's PAN CARD/Form 60 (if PAN Card not available)
  • Employer’s certificate (Form) for Life Assured, if employed (not required for pension/ annuity plans)

ADDITIONAL DOCUMENTS

  • Medical cause of death certificate
  • Medical records for all the treatments taken in the past. (Admission notes, History / Progress sheet, Discharge /Death summary, Test reports, etc.) 

2 Un-natural Death (Accidental death / Murder / Suicide)

MANDATORY DOCUMENTS

  • Original policy document (Not necessary in case of dematerialised policy document)
  • Death Claim Form
  • Death certificate issued by local authority
  • Claimant's passport size photograph
  • Personalized Cancelled Cheque or Bank Passbook (with Printed A/c no, IFSC & Name account holder)
  • Claimant's Valid Identity Proof
  • Claimant's Valid Address Proof
  • Claimant's PAN CARD/Form 60 (if PAN Card not available)
  • First Information Report (FIR)

ADDITIONAL DOCUMENTS

  • Panchnama /Inquest report
  • Post-mortem report (PMR)
  • LA ‘s Driving license
  • Police Final Report
  • Viscera report (if applicable)
  • Newspaper cutting (s), if any,
  • Others as applicable
  • Employer’s certificate (Form) for Life Assured, if employed (not required for pension/ annuity plans)

3 Disaster / Natural Calamities

  • Death certificate issued by Govt. / Relevant Authority
  • Death claim form (includes NEFT)
  • Original Policy Document (In Case of DEMAT, Original Policy Documents are not Required)
  • Claimant's Valid Address Proof
  • Claimant's Valid Identity Proof
  • Claimant's PAN CARD/Form 60 (if PAN Card not available)
  • Claimant’s photograph
  • Personalized Cancelled Cheque or Bank Passbook

Notes:

  • Self-Attestation is required on any photocopies of the KYC or any other document copies submitted by the Claimant.
  • HDFC Life may call for documents apart from the above (case specific).

INT/CL/12/22/31049

Claim at Branch

  • before

    Download & fill up
    claim form

    after
  • before

    Collect all the required
    supporting claim documents

    after
  • before

    Submit claim form and
    supporting documents

Branch Locator

Find a nearest branch

Top Searches: Mumbai Bengaluru Delhi Chennai

Search results for "Tamilnadu" State

Location

Map

Documents Required for Critical Illness Claim:

1 Documents Required for Critical Illness

To enable you arrange documents faster, find below a tentative list of documents that needs to be submitted along with the claim form:

  • Critical Illness Claim form
  • Medical records, (current & past) viz: hospital record, reports of diagnostic tests done
  • Original Policy Document (In case of DEMAT, Original Policy Documents are not Required)
  • Claimant’s Residence Proof
  • Claimant’s Identity Proof
  • Personalized Cancelled Cheque or Bank Passbook

Health Claim Process

Quick steps to submit your claims

  • Health Assure & Surgicare Reimbursement Claim Process Flow
  • Health Assure Cashless/Surgical Claim Process
  • Cancer/Cardiac Claim Process
  • Easy Health Claim Process
  • Click 2 Protect Health & Click 2 Protect Optima Secure Claim Process

Health Assure & Surgicare Reimbursement Claim Process Flow

  • before

    Planned Hospitalization:

    • Choose non network hospital of your choice & intimate the TPA at least 72 hours prior to getting hospitalized
    • Get admitted to the chosen non network hospital
    • Pay the bill on discharge
    • Submit claim form as indicated in your policy document along with duly filled claim form to available touch points within 15 days of discharge
    • HDFC Life may ask for more documents / information as per additional requirement
    • Claim will be verified and settled as per policy terms & conditions
    after
  • before

    Emergency Hospitalization

    • Get admitted to the hospital as per the hospital norms and seek emergency treatment
    • Within 24 hours of hospitalization, insured/family members intimate about the hospitalization through any of the touch points available
    • Pay the bill on discharge
    • Submit claim form as indicated in your policy document along with duly filled claim form to available touch points within 15 days of discharge
    • HDFC Life may ask for more documents/information as per additional  requirement
    • Claim will be verified and settled as per policy terms & conditions

Health Claim Process

Quick steps to submit your claims

Health Assure & Surgicare Reimbursement Claim Process Flow

Health Assure & Surgicare Reimbursement Claim Process Flow

  • before

    Planned Hospitalization:

    • Choose non network hospital of your choice & intimate the TPA at least 72 hours prior to getting hospitalized
    • Get admitted to the chosen non network hospital
    • Pay the bill on discharge
    • Submit claim form as indicated in your policy document along with duly filled claim form to available touch points within 15 days of discharge
    • HDFC Life may ask for more documents / information as per additional requirement
    • Claim will be verified and settled as per policy terms & conditions
    after
  • before

    Emergency Hospitalization

    • Get admitted to the hospital as per the hospital norms and seek emergency treatment
    • Within 24 hours of hospitalization, insured/family members intimate about the hospitalization through any of the touch points available
    • Pay the bill on discharge
    • Submit claim form as indicated in your policy document along with duly filled claim form to available touch points within 15 days of discharge
    • HDFC Life may ask for more documents/information as per additional  requirement
    • Claim will be verified and settled as per policy terms & conditions
Start Online Claim

Health Assure Cashless/Surgical Claim Process

Health Assure Cashless/Surgical Claim Process

  • before

    Planned Hospitalization

    • Choose and approach network hospital of your choice well in advance
    • Produce health card at the network hospital counter to identify yourself as beneficiary for cashless services
    • Coordinate with network hospital to forward pre-authorization request to TPA at least 72 hours prior to date of hospitalization
    • TPA will coordinate with HDFC Life and will authorize the Cashless claim services as per policy T&C
    • On discharge hospital will submit the required documents to the TPA
    • HDFC Life may ask for more documents/information as per additional requirement. We may also ask you for the NEFT details to pay benefits to your account (as per eligibility)
    • Any amount over and above the amount pre-authorized will be paid at the time of discharge
    after
  • before

    Emergency Hospitalization

    • Get admitted to the hospital as per the hospital norms and seek emergency treatment
    • Within 24 hours of hospitalization, insured/family member should approach any of the touch points to share the patients Health card details
    • HDFC Life may ask for some more information as per the requirement. On receipt of that information, pre authorization request will be processed
    • TPA will coordinate with HDFC Life and will authorize the Cashless claim services as per policy T&C
    • On discharge hospital will submit the required documents to the TPA
    • HDFC Life may ask for more documents/information as per additional requirement. We may also ask you for the NEFT details to pay benefits to your account (as per eligibility
    • Any amount over and above the amount pre-authorized will be paid at the time of discharge
Start Online Claim

Cancer/Cardiac Claim Process

Cancer/Cardiac Claim Process

  • before

    On diagnosis/treatment of Cancer condition:

    • Submit all the required documents to any of the touch points of HDFC Life
    • HDFC Life may ask for more documents/information as per additional  requirements
    • Once all the documents/information is received, Claim will be verified and settled as per policy terms & conditions

Easy Health Claim Process

Easy Health Claim Process

  • before
    • Go to any of the hospital of your choice and pay the bill
    • Submit all the required documents to any of the touch points of HDFC Life
    • HDFC Life may ask for more documents/information as per additional  requirements
    • Claim will be verified and settled as per policy terms & conditions

Click 2 Protect Health & Click 2 Protect Optima Secure Claim Process

Click 2 Protect Health & Click 2 Protect Optima Secure Claim Process


C2PH and C2POS product is solution with HDFC Life term plan and Mediclaim products- HDFC ERGO benefits. While product offers various ranges of benefits to customers, ease of claim is one of major benefit. Health claims are managed by HDFC ERGO.

  • before

    Claim Intimation & Registration –

    • Customer needs to contact HDFC ERGO through his registered mobile no./Email id along with HDFC ERGO health policy number

      • a) HDFC ERGO Insurance App- Mobile App

      b) Inbound Call Centre- 02262346234 / 012062346234
      c) Website (www.hdfcergo.com)

      d) Email- [email protected]

      e) HDFC ERGO Branch Walk in / Submission of Hard Copy
       

    • Post successful registration of claim: automated SMS and email will be sent to the customer with unique claim control number (CCN)
    • In case of HDFC ERGO branch walk in, the branch executive (BOSG) may handover the print of the claim form to the customer on demand
    after
  • before

    Cashless Claim Process (Cash less form will be provided by the hospital itself) –

    *Available only in HDFC ERGO network service provider (NSP). Network hospital list is available on www.hdfcergo.com or HDFC ERGO insurance app

    • Emergency Hospitalization (i.e. without prior intimation):
      1. Insured member gets admitted to hospital
      2. NSP/Hospital collect all the information of the insured member (i.e. policy details, id proof, Claim form, etc)
      3. NSP submits all the requisite details along with hospitalization recommendations (of doctor) to ‘Health Claim Services’ (HCS) of HDFC ERGO
      4. HCS verify all the insured details, treatment details and provides confirmation to NSP
      5. HCS may approve the claim, basis the insured member’s eligibility / treatment, etc
      6. At the time of discharge, customer may have to pay the differential amount to NSP (for the nonmedical charges) and get the discharge formality completed
      7. Once insured is discharged, NSP will send all the documents to HCS team for releasing the final payment (cashless amount that was approved by HCS) to NSP
    • Planned Hospitalization:
      1. Customer will take treatment details from treating doctor prior hospitalization
      2. Customer will intimate to HCS team along with requisite information as mentioned above and take prior approval from HCS team
      3. Rest other process as mentioned above remains unchanged
    after
  • before

    Re-imbursement Claim Process:

    • Post hospitalization, Upload/Submit the photo copy of all relevant original documents along with duly filled claim form via HDFC ERGO website/App/Email id or visiting HDFC ERGO branch against the registered claim id
    • HCS team will verify the insured & treatment details and releases the payment to insured member as per eligibility

     

    after
  • before

    Documents required for Health claims:

    • Duly filled and signed claim form with HDFC Ergo policy number.
    • Original discharge summary.
    • Original final bill with detailed breakup, payment receipt and original pharmacy invoices supported by prescriptions.
    • Original investigation reports (eg. bloodreports, X-Ray, etc).
    • Implant sticker/invoice, if used (eg. forstent in angioplasty, lens cataract, etc).
    • Past treatment documents, if any.
    • Incases of accident, Medico Legal Certificate(MLC) or FIR.
    • Incase of Proposer expired Nominee detail to be provided. Legal heir certificate is required if nominee is minor.
    • Other relevant documents, if any.
    • NEFT details for payment - Cancelled cheque in the name of the proposer or passbook copy attested by bank. Also, provide KYC (Know your customer) form along with the photocopy of any one of the following KYC documents for all claims amounting to Rs. 1 lakh and above. Passport, Driving License, Voter ID, etc for KYC Form

Disclaimer:

HDFC ERGO General Insurance Company Limited CIN: U66030MH2007PLC177117. IRDAI Reg. No.146. 

Registered & Corporate Office: 1st Floor, HDFC House, 165-166 Backbay Reclamation, H. T. Parekh Marg, Churchgate, Mumbai - 400 020. Email id: [email protected], Customer Care: 0120 6234 6234 / 022 6234 6234. www.hdfcergo.com. Trade Logo displayed above belongs to HDFC Ltd and ERGO International AG and used by the Company under license.

Click 2 Protect Health (UIN: 101Y115V05) is a Combi Product with both protection and health benefits. The risks of this product are distinct and are accepted by respective Companies.

Click 2 Protect Optima Secure (UIN: 101Y122V01) is a Combi Product with both protection and health benefits. Life Insurance Coverage is available in this product. The risks of this product are distinct and are accepted by respective Companies.

For more details on the risk factors, terms and conditions, please read the sales brochure/ prospectus before concluding the sale. ARN: PP/08/22/28415

Claim at Branch

  • before

    Download & fill up
    claim form

    after
  • before

    Collect all the required
    supporting claim documents

    after
  • before

    Submit claim form and
    supporting documents

Health claims process at HDFC ERGO branch:

  • before

    Download and fill up the claim form, keep claim ID/HDFC ERGO policy no. handy

     

    after
  • before

    Collect all the required
    supporting claim documents

    after
  • before

    Submit claim form and
    supporting documents

Branch Locator

Find a nearest branch

Top Searches: Mumbai Bengaluru Delhi Chennai

Search results for "Tamilnadu" State

Location

Map

Documents Required for Health Claim:

1 Health Assure Plan

List of documents needed in Original are as follows

  1. Claim Form
  2. Discharge summary / Transfer summary / Death summary
  3. Hospital Final Bill and break up along with payment receipt.
  4. Doctor consultation notes and bill with payment receipt.
  5. Pharmacy prescriptions and Bill with payment receipt
  6. Diagnostic investigations reports and bill with payment receipt.
  7. All bills are needed in original.

List of document which can be submitted as a Copy (Self attested by Policy Owner)

  1. KYC of Policy owner (Masking Aadhar initial 8 Digits is mandatory if received as KYC)
  2. PAN of Policy owner (If not available in our records)
  3. NEFT documents of Policy owner

Document which can be submitted as a Copy (attested by hospital authority)

  1. Indoor hospitalization case paper copy attested by hospital authorities.

Documents required for Health claim

  1. Duly filled and signed claim form with HDFC Ergo policy number.

  2. Original discharge summary.

  3. Original final bill with detailed breakup, payment receipt and original pharmacy invoices supported by prescriptions.

  4. Original investigation reports (eg. bloodreports, X-Ray, etc).

  5. Implant sticker/invoice, if used (eg. forstent in angioplasty, lens cataract, etc).

  6. Past treatment documents, if any.

  7. Incases of accident, Medico Legal Certificate(MLC) or FIR.

  8. Incase of Proposer expired Nominee detail to be provided. Legal heir certificate is required if nominee is minor.

  9. Other relevant documents, if any.

  10. NEFT details for payment - Cancelled cheque in the name of the proposer or passbook copy attested by bank. Also, provide KYC (Know your customer) form along with the photocopy of any one of the following KYC documents for all claims amounting to Rs. 1 lakh and above. Passport, Driving License, Voter ID, etc for KYC Form

2 For other Health Plans

  1. Cancer Care
  2. Easy Health
  3. Cardiac Care
  4. Surgical care 
 
For the above plans documents needed are 
 

List of documents needed in Original are as follows

  1. Claim Form

List of document which can be submitted as a Copy

  1. Discharge summary / Transfer summary / Death summary
  2. Hospital Final Bill and break up along with payment receipt
  3. Doctor consultation notes with bill and payment receipt
  4. Diagnostic investigations reports with bill with payment receipt
  5. Pharmacy prescriptions with Bill and payment receipts
  6. KYC of Policy owner
  7. PAN of Policy owner if not available on our records
  8. NEFT documents of Policy owner.

Document which can be submitted as a copy (attested by hospital authority)

  1. Indoor hospitalization case paper copy attested by hospital authorities

Document specific to plan type

  1. Easy health plan type(C,E,F,G)- Self declaration of 30 day survival (for CI benefit)
  2. Easy health plan type(B,D,E,G) - Operating Theatre Notes (for Surgical Cash benefit)

Cancer care

  1. Self declaration on chronology of health events and medical evaluations leading to diagnosis of Cancer care
  2. Copies of all medical records towards diagnosis & treatment attested by treating doctor including indoor hospitalisation papers, discharge summary, histopathology report, MRI, CT scan, doctor consultation notes and other investigation reports
  3. Attending treating doctor statement stating the TNM classification / cancer staging

Cardiac care

  1. Attending physician statement stating the history of heart conditions in parents and siblings along with the age at which they suffered from heart conditions.
  2. Diagnostic confirming reports - ECG, 2D Echo, Coronary Angiography report, PTCA report, Blood investigation reports including Cardiac Marker etc.
  3. Attending treating doctor certificate stating the Life Assured survives for a period of 30 days from the date of Occurrence/recurrence of the Covered Condition

Group Insurance Claim Process


Group Claim Process Explained Through A Diagram

Claim at Branch

  • before

    Download & fill up
    claim form

    after
  • before

    Collect all the required
    supporting claim documents

    after
  • before

    Submit claim form and
    supporting documents

Branch Locator

Find a nearest branch

Top Searches: Mumbai Bengaluru Delhi Chennai

Search results for "Tamilnadu" State

Location

Map

To enable you arrange documents faster, find below a tentative list of documents that needs to be submitted along with the claim form:

1 Pradhan Mantri Jeevan Jyoti Bima Yojana (PMJJBY) Claim-Cum-Discharge Form

1 Proof of death of the insured member (Proof of death due to accident if death is within 30 days of joining / rejoining the policy)
2 Self - attested KYC documents of Nominee/Appointee/Claimant
1)PAN Card/ Form 60
List of Officially Valid Documents (any one)
1)Valid Passport
2)Voter's identity card issued by Election commission of India
3)Valid Permanent Driving License
4)Aadhar Card(please mask First 8 digits)
3 Proof of death of Nominee, in case the nominee has predeceased the insured member
4 Proof of claimant being the legal heir,in case claimant is other than Nominee/Appointee
5 Advanced Receipt for discharge of claim,dully filled & signed

2 Group Claim Form – Non Employer Employee (Non MFI)

Documents Natural death/ Due to illness Unnatural death (accident, suicide, murder etc) Critical Illness/Disability /Terminal Illness
Claim Form-(Complete filled signed by claimant & signed,stamped by Master
Policyholder (MPH) , as per applicability)		 Mandatory Mandatory Mandatory
Member enrollment form/Member Authorisation form ( Lender – Borrower Schemes)

**Not applicable for GTI Employer /Employee Claim		 Mandatory Mandatory Mandatory
Death Certificate-Issued by Municipal Authority/ Gram Panchayat - under section

12/17 & self attested by the claimant.		 Mandatory Mandatory Not applicable
Medical  Ceritificate of Death-Self attested copy of Certificate by medical examiner who declared the Life Assured dead, submitted for cremation purposes.
 Mandatory Not applicable Not applicable
Nominee/ Beneficiary NEFT Details- Clear copy of bank passbook with transaction history for last six months/
cancelled copy of printed cheque, self attested by claimant		 Mandatory Mandatory Mandatory
Sum assured Bifurcation - Sum Assured Bifurcation - (Sum Assured / Original Loan
Amount/Recovery made by Master Policyholder (MPH) towards the loan/Outstanding loan balance as on date of death) to confirm break up of  amount payabale to MPH & balance amount payable to claimant		 Mandatory Mandatory Mandatory
Police Record – Copy of First Information report, Police Panchnama, Police Inquest
report, Final closure report, attested by police authority.		 Not applicable Mandatory Not applicable
Post Mortem report-Copy of  attested by authority & Final Viscera/ Chemical analysis if preserved for confirming cause on death on Post Morterm Report Not applicable Mandatory Not applicable
Self attested copy of Complete set of medical records, treatment papers for past and Current Illness Non-Mandatory Non-Mandatory Mandatory
Self-attested KYC documents of the Claimant
1) PAN Card/Form 60
List of Officially Valid Documents (any one)
1) Valid Passport
2) Voter's identity card issued by Election commission of India
3) Valid Permanent Driving License
4) Aadhar Card (please mask First 8 digits)
 Mandatory Mandatory Mandatory
Self attested copy of age proof of life assured  Mandatory Mandatory Mandatory

3 Group Claim Form – Non Employer Employee (MFI)

Sr No Documents  Natural death/ Due to illness Unnatural death (accident, suicide, murder etc)
1 Claim Form(Completely filled , signed by claimant & signed,Stamped by Master policy holder (MPH) , as per applicability Mandatory Mandatory
2 Member enrollment form/Member Authorisation form ( Lender – Borrower Schemes)
**Not applicable for GTI Employer /Employee Claim 		 Mandatory Mandatory
3 Death Certificate- Issued by Municipal Authority/ Gram Panchayat - under section
12/17 & self attested by the claimant.		 Mandatory Mandatory
4 *Nominee/Beneficary NEFT Details– A Cancelled copy of printed cheque with
Account holder's Name, Account No. and IFSC where the cheque is not printed, latest 6 bank month statement or copy of passbook  first page and tranasction for 6 month month.*Not applicable if the entire payout is towards the Master Policyholder (MPH).		 Mandatory Mandatory
5 Sum assured Bifurcation - Sum Assured Bifurcation - (Sum Assured / Original Loan
Amount/Recovery made by Master Policyholder (MPH) towards the loan/Outstanding loan balance as on date of death)to confim break up of amount payable to MPH & Balance amount paybale to claimant)		 Mandatory Mandatory
6 Police Record – Copy of First Information report, Police Panchnama, Police Inquest report, Final closure report, attested by police authority. Not applicable Mandatory
7 Post Mortem report-Copy attested by hospital authority  & final viscera/chemical analysis report,if preserved for confirming cause of death on post mortem report Not applicable Mandatory
8 Self-attested copy of the Pan card or KYC document of Life Assured & Nominee  Mandatory Mandatory

4 GTI Claim Form

Type of Requirement Cause Of claim
Natural Death Unnatural Death (Accidental/Murder/ Suicide) Critical Illness / Disability Terminal Illness
Death certificate issued by Municipal Authority Mandatory Mandatory Not applicable Not applicable
Cause of Death certificate issued by the treating doctor Mandatory Mandatory Not applicable Not applicable
Police records (viz. First Information Report, Panchnama, Inquest Report, etc.) attested by Police authority Not applicable Mandatory Not applicable Not applicable
Post Mortem Report attested by hospital authority Not applicable Mandatory Not applicable Not applicable
Complete medical records (for past and current illness) Not applicable Not applicable Mandatory Mandatory
Certificate from treating doctor Not applicable Not applicable Mandatory Mandatory
A cancelled personalised cheque with account holder’s name, account no.
and IFSC present. Where the cheque is not personalised, a latest bank
statement (not more than 3 months old) or copy of passbook where
account holder’s name, account no. and IFSC is mentioned.
 Mandatory Mandatory Mandatory Mandatory
Self - attested KYC documents of the Claimant
1) PAN Card/Form 60
List of Officially Valid Documents (any one)
1) Valid Passport
2) Voter's identity card issued by Election commission of India
3) Valid Permanent Driving License
4) Aadhar Card (please mask First 8 digits)		 Mandatory Mandatory Mandatory Mandatory

The claims processing, communications and documentation will remain as mentioned in the links. We have provided enablers as mentioned below if the claimant is residing outside India

1 How can I intimate a claim to HDFC Life?

  • If the claimant resides in Dubai, then claim documents can be submitted at our Dubai Representative Office.
  • Alternatively the claimant can email us the documents at [email protected] (with subject line NRI Claim). The physical documents should be sent to the following address:


Claims Department
HDFC Standard Life Insurance Company Limited
5th Floor, ILFS Building, Plot No. C-22, G-Block, 
Bandra-Kurla Complex, Bandra (E),
Mumbai – 400 051

 

2 Would the claim be paid in foreign currency?

The claim would be paid in Indian Currency (INR) only.

3 Can I submit an NRE Account for receiving the claims proceeds?

  • If the claimant provides a NRE account number then cheque would be issued and dispatched to the address.
  • A repatriation letter would be issued only if the premium towards the Policy has been paid from a NRE Account. Please submit the proof of premium payment via NRE account to enable us to issue a repatriation letter.

Claim at Branch

  • before

    Download & fill up
    claim form

    after
  • before

    Collect all the required
    supporting claim documents

    after
  • before

    Submit claim form and
    supporting documents

Branch Locator

Find a nearest branch

Top Searches: Mumbai Bengaluru Delhi Chennai

Search results for "Tamilnadu" State

Location

Map

Claim at Branch

  • before

    Download & fill up
    claim form

    after
  • before

    Collect all the required
    supporting claim documents

    after
  • before

    Submit claim form and
    supporting documents

Branch Locator

Find a nearest branch

Top Searches: Mumbai Bengaluru Delhi Chennai

Search results for "Tamilnadu" State

Location

Map

Documents Required for Rural Claim:

1 Claims due to Maturity:

When a Rural insurance policy is maturing, HDFC Life will send an advance intimation (30 days in advance of the date of maturity) to the policyholder along with a blank discharge form. The policyholder has to submit filled and signed discharge form / voucher at nearest HDFC Life branch along with original policy bond and copies of latest KYC and Bank Details to make the payment.

Request you to carry the originals of all proofs for verification,

  • Original policy document
  • Advance Maturity Benefit Payout Discharge Voucher sent with intimation letter
  • Copy of the proposal form
  • NEFT mandate form along with copy of cancelled cheque leaf
  • Identity and address proofs, the details of which should match with our records
    • Identity proofs include Voter ID, Election ID, PAN Card, Driving License, etc.
    • Address proofs include Voter ID, Election ID, Driving License, Passport, etc.
  • In case the policy is assigned to Society we would require consent letter and endorsement copy along with policy document

2 Claims due to Death:

In case of unfortunate demise of the life assured we require copy of their death certificate and the above mentioned documents to be submitted by the beneficiary / any family member, in case of demise of beneficiary.

Note: Nominee declaration is required for rural death claim in case the policy was sourced in financial years 2011-12 and 2012-13

For any query, kindly drop a mail on [email protected]

Documents required for Rural Death Claims (Mandatory Documents): 

1) Documents Required for Society Claim:

  • Death Certificate issued by the Government / Municipality
  • Endorsement Copy
  • Society Letter
  • Advance Discharge Voucher
  • Premium Receipt
  • Proposal Form
  • NEFT Mandate
  • Bank Passbook or Cancelled Cheque copy of the Claimant

If the death of the Life Assured has occurred within one year from the date of policy inception, then the following documents are additionally required:

  • Cause of Death mentioned in the Death Certificate issued by the Doctor / Hospital. 
  • In case of an accidental death, Attested Police records viz. First Investigation Report, Panchnama, Inquest Report, Final Investigation Report (Attestation need to be done by Police Authority) and Attested Post Mortem Report.

2) Documents Required for Individual Claim:

  • Death Certificate issued by the Government / Municipality
  • Residence and Identity Proof of the Nominee 
  • Advance Discharge Voucher 
  • Policy Documents 
  • Proposal Form 
  • NEFT Mandate 
  • Bank Passbook or Cancelled Cheque copy of the Nominee 

If the death of the Life Assured has occurred within one year from the date of policy inception, then the following documents are additionally required:

  • Cause of Death mentioned in the Death Certificate issued by the Doctor / Hospital
  • In case of an accidental death, Attested Police records viz. First Investigation Report, Panchnama, Inquest Report, Final Investigation Report (Attestation need to be done by Police Authority) and Attested Post Mortem Report

Quick Claims Processing for Special Circumstances

 

1 2024 Andhra Pradesh-Telangana Floods

We share our heartfelt condolences for the lives lost and sincere wishes for a speedy recovery of those injured.

We have relaxed the claim intimation guidelines for the 2024 Andhra Pradesh-Telangana flood victims and are committed to processing them on priority to help them tide over the tough times they are facing.

Please find the list of documents required for claim processing:

  • Written Death Intimation by the Claimant
  • Attested death certificate issued by Local Government, Police or Hospital
  • Identity & residence proof of Claimant
  • Copy of bank pass book / Cancelled cheque leaf of the nominee for the NEFT purpose

For any further assistance,

  • Please write to us at:  [email protected]
  • Or call us at 022-68446529, available from Mon-Sat from 10 AM to 7 PM (Local charges apply). Do not prefix any country code e.g. +91 or 00.
     

Our branch offices will provide all the required support to help you during the claim settlement process. Details of the HDFC Life branches and representatives are given below:

Branch Name

Branch Address

Nodal Officer*

Contact Number

 Vijayawada

HDFC Life Insurance, Dno. 38-8-45 MG Road,Opp All India Radio Station,Labbipet, Above Passport office, Vijayawada-520010

 P Mahaboob Subhani

 9666877796

 Khammam

HDFC life Insurance, 1st floor, KSN Mansion, VDO colony, Beside Haveli Restaurant, Khammam- 507002

 Badde Pullaiah

 9533376268

*The nodal officer would be available from 10:00 AM to 6:00 PM (Working Days).

2 2024 Wayanad landslides

We share our heartfelt condolences for the lives lost and sincere wishes for a speedy recovery of those injured.

We have relaxed the claim intimation guidelines for 2024 Wayanad landslides victims and process the same on priority to help them to tide over the tough time they face.

Please find the list of documents required for claim processing:

  • Written Death Intimation by the Claimant

  • Attested death certificate issued by Local Government, Police or Hospital

  • Identity & residence proof of Claimant

  • Copy of bank pass book / Cancelled cheque leaf of the nominee for the NEFT purpose

For any further assistance,

  • Please write to us at:  [email protected]

  • Or call us at 022-68446529, available from Mon-Sat from 10 AM to 7 PM (Local charges apply). Do not prefix any country code e.g. +91 or 00.

Our branch offices will provide all the required support to help you during the claim settlement process. Details of the HDFC Life branches and representatives are given below:

Branch Name

Branch Address

Nodal Officer*

Contact Number

Calicut Branch

Ground Floor, Royal Plaza,Main Road, Gudalai, Kalpetta, 673121, Kerala

----------------------------------------

CM Mathew Brothers Arcade, Eranhipalam PO, Calicut - 673006, Kerala

 

Anoop Parakkandy

9746559974

*The nodal officer would be available from 10:00 AM to 6:00 PM (Working Days).

3 2024 West Bengal train collision

West Bengal Train collision 2024

We share our heartfelt condolences for the lives lost and sincere wishes for a speedy recovery of those injured.

We have relaxed the claim intimation guidelines for West Bengal train collision victims and process the same on priority to help them to tide over the tough time they face.

Please find the list of documents required for claim processing:

  • Written Death Intimation by the Claimant

  • Attested death certificate issued by Local Government, Police or Hospital

  • Identity & residence proof of Claimant

  • Copy of bank pass book / Cancelled cheque leaf of the nominee for the NEFT purpose

For any further assistance,

  • Please write to us at:  [email protected]

  • Or call us at 022-68446529, available from Mon-Sat from 10 AM to 7 PM (Local charges apply). Do not prefix any country code e.g. +91 or 00.

 

Our branch offices will provide all the required support to help you during the claim settlement process. Details of the HDFC Life branches and representatives are given below:

 

Branch Name

Branch Address

Nodal Officer*

Contact Number

Siliguri - Saharan house

HDFC Life insurance co Ltd,1st & 2nd Floor ,Saharan House,Sevoke Road,Above ICICI Bank,Siliguri-734001

Qaiser Chaudhury

7797548833

 

*The nodal officer would be available from 10:00 AM to 6:00 PM (Working Days).

4 Cyclone Remal and subsequent heavy rains/floods

We share our heartfelt condolences for the lives lost and sincere wishes for a speedy recovery of those injured.

We have relaxed the claim intimation guidelines for Remal Cyclone & subsequent Heavy rains/Floods victims and process the same on priority to help them to tide over the tough time they face.

Please find the list of documents required for claim processing:

  • Written Death Intimation by the Claimant
  • Attested death certificate issued by Local Government, Police or Hospital (Shall be waived in case name of deceased matches published list by State/Central Government or appropriate/Govt. authorities)
  • Identity & residence proof of Claimant
  • Copy of bank pass book / Cancelled cheque leaf of the nominee for the NEFT purpose
     

For any further assistance,

  • Please write to us at:  [email protected]
  • Or call us at 022-68446529, available from Mon-Sat from 10 AM to 7 PM (Local charges apply). Do not prefix any country code e.g. +91 or 00.

 

Our branch offices will provide all the required support to help you during the claim settlement process. Details of the HDFC Life branches and representatives are given below:

State Name

Nodal Officers*

Contact Number

Assam

Meghalaya

Nagaland

Manipur

Mizoram

Tripura

Juri Hazarika

9864212774

West Bengal

Subhas Gayen

9733575808

Branch Name

Branch Address

District Heads

Contact Number

Agartala

 Store Ratings. 4.2. View all Reviews · RMS Chowmuhani · 3rd Floor, GRS Tower, AT Road RMS Chowmuhani Agartala - 799001

Sanjoy Malakar

9862209221

Aizawl

 3rd Flr, Kelvi International, Bara Bazar, Dawrpui, Aizawl, Mizoram 796001

Jonathan Lalnunpuia

9436155057

Contai

 1st Floor, Ward No 2 Mechda Bypass Road, Serpur Etwaribar, above UTI Bank, Contai, West Bengal 721401

Soumen Maity

9932347658

Haldia

 1st Flr, Akash Ganga Comm Cplx Durga Chowk, Vasudevpur Nr Manjushree Cinema Hall, West Bengal 721602

Soumen Barik

7908807347

Imphal

 HN 10,1st Flr RIMS Rd, DM College Colony, Thangmeiband Nr LML Showroom, Imphal, Manipur 795001

Irengbam Shaktichandra Singh

7005676773

Kharagpur

 4th Floor, ATWALS, Real Estate, O T Rd, College More, Kharagpur, West Bengal 721305

Abhijit Chakrabarty

7872300999

Kolkata - Barasat

 3rd Floor Dak Bunglow More, 8, Jessore Rd, Barasat, Kolkata, West Bengal 700124

Sandipan Dalal

8777207936

Kolkata - Shyam Bazar

 1st & 2nd Floor, Building, 123, Bidhan Sarani Rd, above NIIT, Shyam Bazar, Kolkata, West Bengal 700004

Arindam Karmakar

9874523354

Shillong

 HDFC Life · European Ward · 74/105, 1st Floor, RPG Complex, Keating Road European Ward Shillong - 793001

Sanjay Chetri

9862041449

Silchar

Shyama Prasad Rd  1st Floor, Shyama Prasad Rd, Silchar - 788001

Moumita Paul

9864282973

 

*The nodal officers & District Heads would be available from 10:00 AM to 6:00 PM (Working Days).

5 Cyclone Michaung and subsequent heavy rains/floods

We share our heartfelt condolences for the lives lost and sincere wishes for a speedy recovery of those injured.

We have relaxed the claim intimation guidelines for Michaung Cyclone & subsequent Heavy rains/Floods victims and process the same on priority to help them to tide over the tough time they face.

Please find the list of documents required for claim processing:

  • Written Death Intimation by the Claimant/ Nominee
  • Attested death certificate issued by Local Government, Police or Hospital
  • Identity & residence proof of Nominee or Beneficiary
  • Copy of bank pass book / Cancelled cheque leaf of the nominee for the NEFT purpose

For any further assistance,

  • Please write to us at:  [email protected]
  • Or call us at 022-68446529, available from Mon-Sat from 10 AM to 7 PM (Local charges apply). Do not prefix any country code e.g. +91 or 00.

 

Our branch offices will provide all the required support to help you during the claim settlement process. Details of the HDFC Life branches and representatives are given below:

Branch Name

Branch Address

Nodal Officers*

Contact Number

Chennai - T Nagar

HDFC Life Insurance Company Limited,
2nd Floor, ASV Ramana Towers,
37/38,Venkatanarayana Road,
T. Nagar, Chennai, Tamil Nadu 600017

Padmanaban K

9566540478

 

*The nodal officers would be available from 10:00 AM to 6:00 PM (Working Days).

6 Odisha Train Tragedy

We share our heartfelt condolences for the lives lost and sincere wishes for a speedy recovery of those injured.

We have relaxed the claim intimation guidelines for Odisha Train Tragedy victims and process the same on priority to help them to tide over the tough time they face.

 

Please find the process detailed below:

 

  • Written Death Intimation by the claimant/ nominee
  • Submit the attested death certificate issued by Local Government, Police or Hospital
  • Submit the Identity & residence proof of Nominee or Beneficiary
  • Copy of bank pass book / Cancelled cheque leaf of the nominee for the NEFT purpose

 

For any further assistance,

 

  • Please write to us at:  [email protected]
  • Or call us at 2268446529, available between 10am to 6 pm ,Monday to Saturday (Local charges apply). 

 

Our branch offices will provide all the required support to help you during the claim settlement process. Details of the HDFC Life branches and representatives are given below:

 

Branch Name

Branch Address

Nodal Officers*

Contact Number

Cuttack

HDFC Life, 2nd Floor, Royal Tower, Link Road Square, Madhupatna, Cuttack, Odisha - 753010

Rakesh Patnaik

9938712838

Kolkata-Menaka Estate

HDFC Life, Ground and 1st Floor, 3 Red Cross Place, Near Governor House, Kolkata- 700001, West Bengal

Debasish Pal

9874432272

*The nodal officers would be available from 10:00 AM to 6:00 PM (Working Days).

Settlement of claims in respect of Train Accident victims: Accident happened at Orissa State  on 02.06.2023
HDFC Life Insurance Company Limited
As on : 10.12.2023       
Sl.No Type of Claim  Claims reported  Claims settled Claims Outstanding Remarks
  Number Amount (in lacs) Number Amount (in lacs) Number Amount (in lacs)
1 Individual Insurance Death claims (including rider benefit if any) NIL NIL NIL NIL NIL NIL  
2 PMJJBY Death Claims NIL NIL NIL NIL NIL NIL  
3 Personal Accident(Other than PMSBY)   NIL NIL NIL NIL NIL NIL  
4 Health Claims   NIL NIL NIL NIL NIL NIL  
5 All Other Miscellaneous   NIL NIL NIL NIL NIL NIL  
VIEW MORE

Claim at Branch

  • before

    Download & fill up
    claim form

    after
  • before

    Collect all the required
    supporting claim documents

    after
  • before

    Submit claim form and
    supporting documents

Branch Locator

Find a nearest branch

Top Searches: Mumbai Bengaluru Delhi Chennai

Search results for "Tamilnadu" State

Location

Map

INT/CL/11/22/30135

Pradhan Mantri Jeevan Jyoti Bima Yojana Claim Process Flow

  • Pradhan Mantri Jeevan Jyoti Bima Yojana Claim Process Flow

Pradhan Mantri Jeevan Jyoti Bima Yojana Claim Process Flow

  • before

    Nominee to approach the Bank wherein the Member was having the ‘Savings Bank Account’ through which he / she was covered under PMJJBY; long with the death certificate of the member.

    after
  • before

    Nominee to collect Claim Form, and Discharge receipt, from the Bank or any other designated source like insurance company branches, hospitals, PHCs, BCs, insurance agents etc., including from designated websites. The insurance companies concerned shall ensure wide availability of forms at all such locations. Supply of the form shall not be denied to any person requesting the same.

    after
  • before

    Nominee to submit duly completed Claim Form, Discharge Receipt, death certificate along with photocopy of the cancelled cheque of the nominee’s bank account (if available) or the bank account details to the Bank wherein the Member was having the ‘Savings Bank Account’ through which he / she was covered under PMJJBY.

Pradhan Mantri Jeevan Jyoti Bima Yojana Claim Process Flow

Pradhan Mantri Jeevan Jyoti Bima Yojana Claim Process Flow

Pradhan Mantri Jeevan Jyoti Bima Yojana Claim Process Flow

  • before

    Nominee to approach the Bank wherein the Member was having the ‘Savings Bank Account’ through which he / she was covered under PMJJBY; long with the death certificate of the member.

    after
  • before

    Nominee to collect Claim Form, and Discharge receipt, from the Bank or any other designated source like insurance company branches, hospitals, PHCs, BCs, insurance agents etc., including from designated websites. The insurance companies concerned shall ensure wide availability of forms at all such locations. Supply of the form shall not be denied to any person requesting the same.

    after
  • before

    Nominee to submit duly completed Claim Form, Discharge Receipt, death certificate along with photocopy of the cancelled cheque of the nominee’s bank account (if available) or the bank account details to the Bank wherein the Member was having the ‘Savings Bank Account’ through which he / she was covered under PMJJBY.

Claim at Branch

  • before

    Download & fill up
    claim form

    after
  • before

    Collect all the required
    supporting claim documents

    after
  • before

    Submit claim form and
    supporting documents

Branch Locator

Find a nearest branch

Top Searches: Mumbai Bengaluru Delhi Chennai Pune

Search results for "Tamilnadu" State

Location

Map

Initiate a claim* online through Whatsapp

Scan the QR code to start the process



*Only applicable for death claims

HDFC Life Insurance Solutions cover COVID-19 claims

All product contract already issued by HDFC Life covers COVID-19 claims. The settlement of Claim would be subject to declaring all pre-existing medical conditions at the time of policy purchase and in accordance to the applicable terms and conditions of the policy contact and the extant regulatory framework. There is no such exclusion in policy contract

Riders already issued by HDFC Life covers only the critical illnesses specified in the policy and hence COVID-19 claims will not be admissible.

Click here to view document

Watch how to make a life claim online

Quicker, simpler and efficient claim settlement process.


Youtube

Please enter following details to find your claims status

Note:

#1 Please check first page of copy of Certificate of Insurance sent at the time of policy issuance.

#2 Employee No. to be entered for Group Term Insurance Policies

Note:

Your claim is settled and payment details will be available shortly.

For any further assistance, please feel free to contact us at [email protected]. We will be glad to help you.

Note:

For any further assistance, please feel free to contact us at [email protected]. We will be glad to help you.

Note:

Please be informed that your claim will be processed as per regulatory guidelines i.e within 30 days from the date of receipt of last requirement / if investigation is required - investigation will be completed not later than 90 days from the date of receipt of claim intimation and the claim decision will be taken within 30 days thereafter.

In case of no communication received within the above timelines, kindly contact the Master Policyholder for more details. Alternatively, you can contact us at [email protected]. We will be glad to help you.

Note:

Please submit the above requirements with the MPH and to us at [email protected]

Allowed document formats are Jpeg, PDF, PNG

For any further assistance, please feel free to contact us at [email protected]. We will be glad to help you.

Note:

A detailed rejection letter for your claim has been sent to you at your registered address.  

In case you wish to represent your claim to the Company, you can:

  • Submit written request along with the copy of the rejection letter within 30 days of receipt of the letter on the following address:

Claims Review Committee
HDFC Life Insurance Company Limited 
11th Floor, LodhaExcelus, Apollo Mills Compound,
N.M. Joshi Road, Mahalaxmi, 
Mumbai - 400 011 
Maharashtra


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Kindly enter the correct details as per the copy of Certificate of Insurance sent at the time of policy issuance.

Alternatively, please feel free to contact us at [email protected]. We will be glad to help you

Claim Forms

Download Form Icon Download Form

Downloads

  • Critical Illness Claim Form Download Icon Email Icon
  • Pradhan Mantri Jeevan Jyoti Bima Yojana - Claim Form (English) Download Icon Email Icon
  • Employer Certificate Download Icon Email Icon
  • Accidental Total Permanent Disability Download Icon Email Icon
  • Death Claim Form Download Icon Email Icon
  • Pradhan Mantri Jeevan Jyoti Bima Yojana - Claim Form (Hindi) Download Icon Email Icon
  • Doctor's Certificate Download Icon Email Icon
  • Death Claim Under Special Cases (Natural Disasters, Calamities, Bomb Blasts) Download Icon Email Icon
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Claim Track Record

for FY 2023-2024

Individual Death Claim Settlement Ratio of 99.5%

We have honoured 99.50% Individual Claims!*

At HDFC Life, we ensure a hassle-free and uniquely sensitive claim experience. We are always doing our utmost to enable faster settlement of claims, with our Claim Settlement Ratio reflecting this assurance. 

Same Day Claims Processing image

Same Day Claims Processing

Individual claims processed within 24 business hours for all claims over 3 years from the date of inception**

*Individual death claim settlement ratio by number of policies as per audited annual statistics for FY 2023-24.

Know More

**Provided we have received all the relevant and required documents and no further investigation is required. Claim settlement process would be completed within stipulated timelines once the claim request is approved.

Know More

Have a question

We’ll tell you everything you need to know about Claims Process

  • Documentation
  • Process
  • Process for NRIs
  • Health
  • Cancer Care
  • FAQs
    • Grievance Mechanism
    • Communication to Claimants

A ready reckoner of claims-related information for a
hassle-free settlement experience

1 What are the documents required to process a death claim?

The documents required to process the claim are based on the cause of death are:

SR.

DOCUMENT NAME

NATURAL

UN-NATURAL

NATURAL DISASTERS

i.

Claims Form * with bank account proof

✔

✔

✔

ii.

Death certificate issued by the Government

✔

✔

✔

iii.

Claimant’s Photograph

✔

✔

✔

iv.

Claimant's Identity & Address proof

✔

✔

✔

v.

Original Policy Document

✔

✔

✖

vi.

Claimant's PAN CARD/Form 60 (if PAN Card not available)

✔

✔

✔

vii.

Post Mortem attested by hospital authorities

✖

✔

✖

viii.

Medical records for diagnosis and treatments

✔

✖

✖

ix.

Doctor’s / Hospital’s certificate (Form)*

✔

✖

✖

x.

Employer’s certificate (Form)* if employed

✔

✔

✖

xi.

Police records attested by police authorities

✖

✔

✖

Note✔ : Required Documents
✖ : Documents Not Required

  • Unnatural cause would mean Accidental / Murder / Suicide.
  • Any document submitted in photocopy needs to be Originally Seen and Verified by HDFC Life employee.
  • * All the required forms are available on our website in “Download Form” tab under the following link - http://www.hdfclife.com/claims
  • Documents (i – iv) are only required where claims are submitted under following products - Pension Plans, Single Premium Whole of Life, Savings Assurance Plan, Immediate Annuity Plan.
  • Original Policy document will not be required for Group Claims.
  • HDFC Life may call for documents apart from the above (case specific).
  • Physical version of the electronic insurance policies need not be submitted by customers when electronic insurance policies are issued through the platform of registered Insurance Repositories.

2 What are the documents required for Critical Illness Claim?

  • Critical Illness claim form with bank account proof
  • Medical records viz. reports of diagnostic tests, hospital and treatment records for illness diagnosed
  • Original Policy Document
  • Claimant's PAN card and address proof

3 Which account proofs can be submitted?

For Death claim, Original cancelled personalized cheque or original bank statement with pre-printed Account Number, IFSC code and Beneficiary’s name

For Critical Illness claim, Original cancelled personalized cheque or original bank statement with pre-printed Account Number, IFSC code and Life Assured’s name  

4 What needs to be done if the Policy documents are not available with the Nominee?

  • An Indemnity Bond should be submitted in lieu of Policy document which is lost. The indemnity needs to be executed on the stamp paper and duly notarized. The value of the stamp paper would be as applicable in the state.
  • The template for indemnity bond is available on our website in “FORMS & DOWNLOAD” section under Customer Service >Quicklinks> FORMS & DOWNLOAD>
    Policy Servicing Request Forms.

1 To whom will the death claim amount be paid?

The claim amount is payable to the Policyholder / nominee / beneficiary / appointee / assignee under the Policy. Every Policy document clearly states the names against these roles.

RULE FOR PAYMENTS

PAYEE

In UL-Young Star / Children’s Plan

Beneficiary

Proposed Policyholder is different from the Life Assured

Proposed Policyholder

Policy is Assigned

Assignee

None of the above

Nominee (for death claims) / Life Assured (for living benefit claims)

Nominee is a minor

Appointee

Note:

  • In case the life assured has changed the nomination / appointee. The death claim amount is payable to the latest nominee / appointee registered with the Company
  • In case the Policy is re-assigned, then the death claim amount is payable to the latest nominee / appointee registered with the Company
  • In case there are no nominations under the Policy the death benefits would be paid to the heirs of the deceased Life Assured. HDFC Life would seek Succession Certificate; if the successor is minor, then Guardianship Certificate

2 How can I intimate a death claim to HDFC Life?

A claim can be submitted by:

3 What is the timeframe within which the claim has to be reported to the company?

A claim must be reported as soon as possible to enable the company to process the claim.

4 Is NEFT mandatory for all Life, Group and Rural claims?

  • As per the IRDAI circular no. IRDA/F&A/CIR/GLD/056/02/2014 dated February 13, 2014, all payouts made to customers need to be in the electronic form. Hence, NEFT details of the customers are mandatory to process the claim payouts.
  • NEFT payments would be made only in Indian Saving Bank Accounts or NRO Accounts.
  • Cheque would be issued if payment has to be deposited in NRE Account.

5 What is the maximum processing timeline prescribed by Insurance Regulatory Development Authority of India (IRDA)?

TYPE OF CLAIM

CLAIM SETTLEMENT TURNAROUND TIME

Claim which does not requires an investigation

30 days from receipt of all relevant papers and clarifications required

Claim which requires an investigation

120 days from the date of lodging the claim
VIEW MORE

The claims processing, communications and documentation will remain as mentioned in the links.
We have provided enablers as mentioned below if the claimant is residing outside India

1 How can I intimate a claim to HDFC Life?

  • If the claimant resides in Dubai, then claim documents can be submitted at our Dubai Representative Office.
  • Alternatively the claimant can email us the documents at [email protected] (with subject line NRI Claim). The physical documents should be sent to the following address:


Claims Department
HDFC Life Insurance Company Limited
5th Floor, ILFS Building, Plot No. C-22, G-Block, 
Bandra-Kurla Complex, Bandra (E),
Mumbai – 400 051

 

2 Would the claim be paid in foreign currency?

The claim would be paid in Indian Currency (INR) only.

3 Can I submit an NRE Account for receiving the claims proceeds?

  • If the claimant provides a NRE account number then cheque would be issued and dispatched to the address.
  • A repatriation letter would be issued only if the premium towards the Policy has been paid from a NRE Account. Please submit the proof of premium payment via NRE account to enable us to issue a repatriation letter.

1 How do I get to know about my TPA?

TPA Services are available only for claims under Health Assure plan and not for claim in other health plans.
Please reach out to
Paramount Health Services (TPA) Pvt Ltd
Claims Department
Plot No . A-442, Road No - 28,
Wagle Industrial Estate,
Thane (West) - 400 604, Maharashtra
Toll free help line: 1800227922(24 X 7 hours)
Email: [email protected]
Customer Portal: https://www.paramounttpa.com/hdfclife/

2 What are the documents required for claim processing?

Parameter

Health Assure Plan

Cancer Care , Easy Health , Cardiac Care, Surgical care

 

List of documents needed in Original
  1. Claim Form
  2. Discharge summary / Transfer summary / Death summary
  3. Hospital Final Bill and break up along with payment receipt
  4. Doctor consultation notes and bill with payment receipt
  5. Pharmacy prescriptions and Bill with payment receipt
  6. Diagnostic investigations reports and bill with payment receipt
  7. All bills are needed in original
  1. Claim Form

List of document which can be submitted as a Copy (Self attested by Policy Owner)
  1. KYC of Policy owner (Masking Aadhar initial 8 Digits is mandatory if received as KYC)
  2. PAN of Policy owner (If not available in our records)
  3. NEFT documents of Policy owner
  1. Discharge summary / Transfer summary / Death summary
  2. Hospital Final Bill and break up along with payment receipt
  3. Doctor consultation notes with bill and payment receipt
  4. Diagnostic investigations reports with bill with payment receipt
  5. Pharmacy prescriptions with Bill and payment receipts
  6. KYC of Policy owner
  7. PAN of Policy owner if not available on our records
  8. NEFT documents of Policy owner

 

Document which can be submitted as a Copy (attested by hospital authority)
  1. Indoor hospitalization case paper copy attested by hospital authorities
  1. Indoor hospitalization case paper copy attested by hospital authorities

Document specific to plan type

NA

Easy Health :

  1. Easy health plan type(C,E,F,G)- Self declaration of 30 day survival (for CI benefit)
  2. Easy health plan type(B,D,E,G) - Operating Theatre Notes (for Surgical Cash benefit)

Cancer care:

  1. Self declaration on chronology of health events and medical evaluations leading to diagnosis of Cancer care
  2. Copies of all medical records towards diagnosis & treatment attested by treating doctor including indoor hospitalisation papers, discharge summary, histopathology report, MRI, CT scan, doctor consultation notes and other investigation reports
  3. Attending treating doctor statement stating the TNM classification / cancer staging

Cardiac care:

  1. Attending physician statement stating the history of heart conditions in parents and siblings along with the age at which they suffered from heart conditions
  2. Diagnostic confirming reports - ECG, 2D Echo, Coronary Angiography report, PTCA report, Blood investigation reports including Cardiac Marker etc
  3. Attending treating doctor certificate stating the Life Assured survives for a period of 30 days from the date of Occurrence/recurrence of the Covered Condition

3 Where do I submit the claim related documents?

Claims under Health Assure plan-Send it directly to the TPA for processing. The guidelines of which TPA the documents are mentioned above
For claims under other Health Plans Walk into the nearest HDFC Life Branch and submit the documents
The claim is required to be intimated to HDFC Life along with all necessary claim documents required within 15 days of hospitalisation for Health Assure claims and for claims under other Health Plans within 60 days of claim event. However, the delay in claim intimation may be condoned, if any, where the delay is proved to be for reasons beyond the control of the claimant and the details of same submitted in writing to us.

4 For seeking cashless claims service under Health Assure plan where do I get to see the Network Service Provider’s list?

Go to the TPA website to check for the Network Service Provider’s List
For Paramount Health Services (TPA) Pvt Ltd, click on the link below
https://www.paramounttpa.com/hdfclife/

 or
You can contact the TPA to know about the network status of the hospital

 

5 For seeking claims service under Health Assure plan From where can I download my health card?

For Paramount Health Services (TPA) Pvt Ltd, click on the link below 
https://www.paramounttpa.com/hdfclife/

6 From where can I download claim form?

You can download the claim form from the “Claim Forms” section present above. Select “Health Insurance” from the dropdown.

7 Whom should I contact in case of any claim related query?

For any Health Assure claim related info, Policy Holder/Insured can contact :
Paramount TPA:  1800227922 or can also write an email to
[email protected] or can visit https://www.paramounttpa.com/hdfclife/


For query related to claims under other Health Plans contact [email protected] or call at 18602679999

 

8 Whom should I contact in case query is not resolved by TPA?

Please write to [email protected] or call at 18602679999

9 What are the exclusions applicable to health Assure plan while making a claim?

HDFC-Life-Health-Assure-Plan-101N087V02

Complete-List-Of-Exclusions

10 What are the non payable items in health assure claim as per the IRDA?

List-of-non-payable-by-IRDA

11 Where do I submit the claim related documents while making claim under Cancer Care, Cardiac Care, Easy Health plans?

You can submit the claims documents for processing through the following modes:

  • Walk into the nearest HDFC Life Branch and submit the documents
  • Email from your registered email address to [email protected]

"Please limit your email size including attachment to less than 10 MB to enable smooth and quick email response.

12 Whom should I contact in case of any claim related query?

Please contact [email protected]

13 What are the exclusions applicable while making the claim?

You can refer to your policy document for policy level coverages and exclusions

VIEW MORE

1 What are the documents required for claim processing?

The claims must be submitted along with following documents in original or attested photocopies:

  • Duly filled and signed claim form in original(including NEFT details)
  • Original/attested copy of Policy document
  • Claimant’s identity and residence proof
  • Advance discharge voucher
  • A copy of medical records for diagnosis & treatment attested by treating doctor
  • A copy of past medical records attested by self
  • Attending physician statement
  • Usual family doctor certificate
  • Employer certificate (if applicable)
  • Please note that mentioned below is an indicative list of required documents and we reserve the right to call for additional documents or raise further requirements.

2 Where do I submit the claim related documents?

You can submit the claims documents for processing through the following modes:

  • Send it directly to the Health Claims team for processing at below mentioned address:

Health Claims Team
11th Floor, Lodha Excelus, Apollo Mills Compound
N.M Joshi Marg, Mahalakshmi, Mumbai, 400011, Maharashtra
Email: [email protected]
Tel: 66682846

  • Hand over the documents to the Sales person.
  • Walk into the nearest Branch and submit the documents.
  • The claim is required to be intimated to HDFC Life along with all necessary claim documents required within 60 days from the date of diagnosis of the condition. However, we may condone the delay in claim intimation, if any, where the delay is proved to be for reasons beyond the control of the claimant.

3 From where can I download claim form?

You can download the claim form from the “Claim Forms” section present above. Select “Health Insurance” from the dropdown

4 Whom should I contact in case of any claim related query?

5 What are the exclusions applicable to Cancer Care Plan while making a claim?

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1 Where do I submit the claim related documents?

You can submit the claims documents for processing through the following modes:

  • Send it directly to the Health Claims team for processing at below mentioned address

Health Claims Team
11th Floor, Lodha Excelus, Apollo Mills Compound
N.M Joshi Marg, Mahalakshmi, Mumbai, 400011, Maharashtra
Email: [email protected]
Tel: 66682846

  • Hand over the documents to the Sales person
  • Walk into the nearest Branch and submit the documents
  • The claim is required to be intimated to HDFC Life along with all necessary claim documents required within 60 days from the date of diagnosis of the condition. However, we may condone the delay in claim intimation, if any, where the delay is proved to be for reasons beyond the control of the claimant.

2 From where can I download claim form?

You can download the claim form from the “Claim Forms” section present above

3 Whom should I contact in case of any claim related query?

4 What are the exclusions applicable to Easy Health Plan while making a claim?

1 What is the Grievance mechanism available, if Im not satisfied with the claims decision?

The customer can contact us on the below mentioned address in case of any complaint/ grievance:

Grievance Redressal Officer
HDFC Life Insurance Company Limited,
12th Floor, Lodha Excelus,
Apollo Mills Compound, N .M. Joshi Road,
Mahalaxmi, Maharashtra, Mumbai - 400 011
Helpline number: 022-68446530 (Local charges apply)
E-mail: [email protected]

In case you are dissatisfied with our service, we have in place an internal mechanism to ensure effective and timely resolution of your complaints. You can view our grievance redressal link here

If you are still not satisfied with the response provided by the Claims Review Committee, you could also approach the Insurance Ombudsman in your region

1 How will I know that a claim is registered?

  • HDFC Life will send an acknowledgement letter within 15 days of receiving the documents.
  • In case there are any further requirements the same will be intimated via this letter, e-mail on your registered address and SMS on your registered mobile number.

2 What if the NEFT payment made by HDFC Life is rejected by the bank?

  • A letter will be sent to the claimant informing them of the NEFT failure.
  • The payment will be processed on receipt of the fresh NEFT mandate along with the account proof.

3 If a claim is rejected, then how will the same be communicated?

HDFC Life will send a detailed rejection letter within 10 days of decision including the reason for the rejection of the claim.

ARN: PP/08/22/28415