Documents required for
processing Death Claim:
1. Original Premium Receipt Book
2. Original Policy Document
3. Death Certificate
4. LI-9 (b) (Claim application)
5. Medical certificate if the cause of death is other
than Accident / Suicide/ Murder.
6. FIR & Postmortem Report in case of
Suicide/Accident/Murder.
7. Claimant statement
Procedure to be followed while processing
Death Claim cases
On receipt of claim application, the eligibility has to be checked
along with the remission period. The Remission period is given below:
|
Death occurred (from date of
acceptance of the policy)
|
Remission
period
|
|
Within six months
|
Grace period (30 days)
|
|
6 – 12 months
|
30 days + Grace period
|
|
12 – 24 months
|
60 days + Grace period
|
|
24 – 36 months
|
90 days + Grace period
|
|
More than 36 months
|
11 + 1 defaults
|
|
Policy lapsed but having more than
36 credits.
|
Eligible for auto paid up
value.
|
1. If the death occurred within the remission period then the case
is eligible.
2. If the nominee of the policy is minor then the guardian has to
claim the amount.
3. If the nominee is also deceased then legal heirs has to claim
the amount by submitting the legal heirship certificate (in which the
claim value (Sum assured + Bonus) does not exceed Rs. 100000/-). For
the policies exceeding claim value Rs. 100000/- Succession certificate has to
be obtained from the legal heirs for settlement of claim.
4. Eligible claim cases should be forwarded to Sub Divisional Head
concerned for conducting detailed enquiry. (Points to be covered in detailed
enquiry report is enclosed)
5. The CPC Manager after satisfying himself as the case is genuine
may issue Death claim sanction. (Limits for settlement of Death Claim as stated
in Amendments)
Detailed enquiry report should contain the following points:
Ø Check whether exact cause of death, place of death has been
mentioned. If the cause of death is any prolonged disease like Kidney failure,
Liver failure, HIV +ve then discreet enquiry has to be conducted to ascertain
whether the late insurant had the disease before taking policy.
Ø In case of sudden death, the death certificate and report of the
doctor who had last attended the insurant must be submitted by the claimant or
legal heir. Reasons for not taking the insurant to the doctor in case of death
due to some disease should be enquired in detail and the result should be
recorded.
Ø Enquiry should be made with the neighbours, relatives, bigwigs
regarding the cause of death, general health condition of the late insurant and
health condition at the time of taking policy.
Ø Particulars of other policies held by the insurant and the
outcome of their settlement.
Ø Enquiry should be made with nearest GH/PHC whether the late
insurant had taken treatment for any serious illness for the past three years.
Ø Enquiry should be made with local police station to ascertain
that the late insurant had not committed suicide or been murdered.
Ø Whether any bad life was insured and there is any suppression of
fact at the time of taking policy.
Ø Specific recommendation of Sub Divisional Head.
Ø In case of Murder it should be enquired and eliminate that
whether “The Claimant/Legal Heirs were involved in the murder”.
Ø If death occurred at other jurisdiction then the genuineness of
the death should be got verified from the Division concerned.
Death Claim Form :
