How can I know more about the claims process of TATA AIA Life Insurance?
You can use any of the following channels to inform us:
Tata AIA Life Insurance Company Limited | Claims Department
B- wing, 9th Floor, I-Think Techno (Lodha) Campus,
Behind TCS, Pokhran Road No.2,
Thane(West) - 400 607.
Can the settlement / claim payout be made online?
Claim intimation can be done online while claim payout can be made through NEFT
Can a claim be lodged at a branch other than one from where policy was purchased? / Can a claim be lodged from any branch?
Yes. It can be lodged from any branch of TATA AIA Life Insurance
Click here to locate your nearest TATA AIA Life Insurance Branch
What if the Nominee if out of India? How will the claim be processed?
The Nominee has the option to submit the claim online by uploading the signed / self attested copies or submit the documents via email.
Click here to register a claim online.
Alternatively, the nominee can send the documents by courier to his / her representative in India. The representative may visit our branch and intimate us of the claim
What are the documents required for claim settlement process?
If the original Policy Contract was lost and request for issuance of duplicate was not made, will the claim be processed without the Policy Contract?
Yes, claim would be accepted as Original Policy Contract is not mandatory for submission of Claim. Declaration is to be provided by the claimant on a plain paper regarding the misplacement of the original policy document.
How much time will my claim take?
It is our endeavour to settle your claim in an expedited manner. We also offer guarantees subject to the criteria being met
- Death Claim (Without Investigation) - Regulatory TAT 30 days from the date of receipt of all required documents.
- Death Claim (With Investigation) - Regulatory TAT 90 days provided to complete investigation there after 30 days to decide & process claim payout
Are there any guarantees for claim settlement within 24 hours?
We have the following services that can provide claims payout faster
- Xpress claim: 4 hours provided the eligibility criteria is fulfilled.
- Claims Service Guarantee: 8 working days provided no investigation is required. Interest would be paid if not settled within 8 days.
How can I find out the status of my claim?
You may track your claim status by referring to track your claim page or take assistance from our Contact Centre or Branches.
Click here to track your claim.
Who can intimate a claim?
The nominee in the policy should intimate about the claim.
To whom will the death claim be paid?
The death benefit is paid to:
- The nominee, as declared by the Policy Owner / Life Assured
- The legal heirs, in case the Policy Owner/ Life Assured has not specified the nominee
- The Appointee named by the Policyholder/ Life Assured, when the nominee is a minor at the time of claim
- The Assignee, in case the policy is assigned by the Policyholder / Life Assured
- The Trustee wherever applicable
If there are 2 nominees, one is no more, how will the distribution be done?
The distribution of the claim settlement amount will be as mentioned in the application form by the life insured. The legal heir can claim for the nominee who has passed away.
In case of multiple nominees in policies, what documents are to be submitted?
For multiple nominees, the documents required will be the same in case of 'death claim' along with KYC & Cancelled cheque of all the nominee(s). Please refer to the documentation section for more details
If the Nominee and Life Assured die at the same time will the death claim be payable? If yes, then to whom and what is the procedure for that?
In the event of the death of the Life Assured and Nominee at the same time, the legal heirs can claim for the claim settlement amount by submitting the below documents.
If Sum Assured <4 lakhs then,
- Indemnity bond of Rs. 200 bond sheet (Notarized)
- Application to dispense with legal evidence of title
- Joint Discharge Voucher & claim payment authorization to be provided on plain paper
If Sum Assured >4 lakhs then, Succession certificate issued by court would be required.
What if the Nominee and Legal heir have both passed away? Whom will the claim be payable to?
Claim will be decided on the basis of a legally valid succession certificate.
What if Nominee is a Minor? What will be the claim process?
For cases where nominee is minor, an appointee is appointed by the Life Assured at the time of policy issuance. The appointee can apply for the claim. In absence of an appointee, the minor’s legal guardian can apply for the claim proceeds.
If the nominee dies during the tenure of the policy, what needs to be done by the life assured?
In case of the death of the Nominee(s) during the tenure of the policy, the Life Assured should make a fresh nomination. If that has been missed, claim will be decided on the basis of a legally valid succession certificate
What are the different modes of claim payment?
Claim amount can only be paid by direct transfer to Bank Account via NEFT (National Electronic Fund Transfer).
If death is due to terrorist attack/war/natural calamities / Covid-19 will the claim be settled?
Is the accidental and basic Sum assured both paid together in case of death of the Life assured due to an accident?
Yes, both would be paid provided the provisions mentioned in policy contract are satisfied.
How do I know what is the Claim amount / Benefits payable in the policy?
Claim amount is payable as per the provisions of the policy contract. You may refer the Policy Schedule (Policy Certificate) for the Death Benefit amount or refer the provisions on the contract for details
In most cases, claim settlement amount includes Basic Sum Assured + Rider Sum assured (if applicable) + Other policy additions (Accrued Bonus / Guaranteed additions, etc.)
Do we pay the full sum assured at the time of claim or are there any tax deductions?
Death benefit may differ product to product as specified in the policy contract. Only in case of Keyman insurance TDS is deducted, and all other death claim proceeds paid are tax free, and TDS is not deducted.
If after applying for the policy, life insured gets to know about health conditions which were not mentioned in the proposal form, will the claim be settled?
If the insured is diagnosed of any ailment post policy issuance, it will not be considered as a non-disclosure. However, it’s good to inform the insurance company incase of any such diagnosis.
Under what circumstances will my claim not be settled? What are the possible reasons for claim repudiation?
- It is important that policy is in-force at the time of death for the claim amount to be payable as per policy provisions
- In the claims investigation, if it is established that there has been a deliberate non-disclosure of information that could be pertinent to risk assessment at the application stage, then it may lead to repudiation of the claim.
- If the documents submitted at the application/claims stage are not genuine or are forged, it would lead to claim repudiation.
Where can the case be presented in the event of a claim dispute?
In case of claim dispute, the claimant may approach the customer care department. If the response is not satisfactory, the claimant may write to the Regional Ombudsman Office
What are the IRDAI (Insurance Regulatory and Development Authority of India) regulations pertaining to Claims?
The IRDAI clearly articulates that a claim must be decided within 30 days from the date of receipt of all claim documents/required clarifications.
Investigation Cases: In case the claim warrants an investigation, Insurance Company is expected to complete the investigation in no later than 90 days from the date of receipt of claim intimation, and the claim shall be decided within 30 days thereafter.
Insufficiency of proof of title: If a claim is ready for payment but cannot be paid due to any reasons of proper identification of the payee, then the Insurer may apply to pay the amount at the Court of competent jurisdiction, or, the amount will earn interest at the prevalent rate as applicable.
Will the nominee / beneficiary get any benefits if the policy is in lapsed mode as on the 'Date of death' of life assured?
If the date of death is after the grace period of the said policy, the policy is considered to be lapsed as on the date of death.
If policy is lapsed as on the date of death, no claim will be payable. In case of ULIP products, fund value is payable as per policy terms on the receipt of proof of loss. In traditional products, no amount is payable.
What is non-disclosure and how would it affect during claim stage?
Non-disclosure refers to the situation where a customer fails to reveal a relevant fact when applying for or renewing an insurance contract. These facts are important to the Company for assessing the risk. At the claims stage if it is detected / found that the statements made at the time of application / reinstatement of the policy were false, or Life Assured had acted against the interest of the Company, the Company has the right not to pay the claim amount.
How do I make a Health / Living benefit claim?
You can do it either through Cashless Process or through non-Cashless method.
For normal processing of Health / Living Claim, once the patient suffers from any illness / undergoes a surgery / is hospitalized and is under treatment, claim can be made to the company with all the details of hospitalization. Once the patient is discharged all the medical papers including Discharge Summary, all diagnostic test reports and treatment papers need to be submitted to the company along with the list of requirements specified as per Claim type.
Which Tata AIA Life Insurance products are offered under Cashless Hospitalization?
Currently Cashless Hospitalization is available under Tata AIA Life Insurance Invest Assure Health, Tata AIA Life Insurance Health First and Tata AIA Life Insurance Hospi CashBack, Invest Assure Health Plus and Invest Assure Health Supreme.
Whom do I need to contact for availing cashless claim?
You can call up Raksha TPA on the toll free numbers given on the health card.
Special Assistance number:18001801555
How can I avail Cashless facility for health claims?
The duly filled & signed pre-authorization form along with photo ID proof & cashless card needs to be faxed from hospital to TPA. Cashless amount will be approved by TPA to the hospital basis the policy provisions.
Details of Raksha TPA:
Special Assistance number: 18001801555
E-mail : email@example.com
What amount will be covered as cashless facility? Will there be some amount of the overall claim that I will need to bear?
Cashless facility will be provided as per policy terms & conditions. The difference between the approved Cashless claim amount & balance bill amount will need to be borne by the Customer.