Popular Insurance FAQs

Who can buy a life insurance policy?

Any person who is 18 years of age or above, and as per other conditions specified under the Indian Contract Act, 1872 can purchase a life insurance policy. Alternatively, you may choose to buy a life insurance policy for a nominee, such as your child.

Why should I buy life insurance?

There are several reasons for purchasing a life insurance policy. Choosing a life insurance plan is fundamental to securing your family’s financial future. You can also purchase an insurance policy to save tax, create wealth, plan for your child's education or marriage, or to secure your golden years after you retire.

What is the meaning of insurance premium?

The insurance premium is the payment made by the policyholder to an insurance company for particular coverage. The payment has to be made regularly until the policy’s maturity, or as stated in policy documents, to avail of a specific life insurance cover and other monetary benefits.

Which is better – Life Insurance or Savings?

Traditional savings plans like bank FDs, NSC, and PPFs have short maturity tenures as compared to life insurance policies. Thus, such savings plans do not offer a holistic, and comprehensive financial planning prospects. 

Life insurance policies, on the other hand, pay the nominees or beneficiaries the sum assured, along with bonuses (with bonus policies), even if the policyholder passes away before the end of the payment term. Thus, a life insurance policy offers greater securityOn the other hand, a life insurance policy pays the sum assured and bonus (with bonus policies) even if the policyholder expires before the end of the payment term. Hence, this provides greater security to the person and their loved ones. As such, insurance policy is superior to other savings plans, and offers greater financial security.

What is the first premium?

The first premium is the amount paid along with the insurance proposal. This depends on the payment mode chosen; it can be annual, semi-annual, quarterly or monthly.

Whom should I contact regarding the death claim under a policy?

You can use any of the following channels to inform us:

  • Email us at: claims@tataaia.com

  • Call our helpline number - 1860-266-9966 (local charges apply)

  • Walk into any of the TALIC branch offices

  • Write directly to us at:

The Claims Department,
Tata AIA Life Insurance Company Limited
B- wing, 9th Floor,
I-Think Techno Campus,
Behind TCS, Pokhran Road No.2,
Close to Eastern Express Highway,
Thane(West) ֠400 607.
IRDA Regn No. 110

What are the benefits payable under a death claim?

Under a death claim, the benefits payable include the basic sum assured + rider (if applicable) + other policy additions (e.g., reversionary bonus/guaranteed addition (if applicable)).

What happens if I don't pay my premiums? Do I lose my insurance?

Typically, every insurance policy offers you a grace period of 30 days to pay your premium (15 days if you are paying your premiums every month). After that, the company decides if you can pay back premiums and reinstate the policy. You may also have to provide sound evidence of your good health

Save Tax FAQs

Is tax saving insurance real? How can insurance help in saving taxes?

All premium payments made towards a life insurance policy (such as an endowment plan, whole life plan, term insurance, and unit-linked insurance) under an insurance provider are eligible for tax exemption under section 80C (up to ₹1.5 lakh), and section 10(10D) of the Income Tax Act, 1961. Premium payments made towards a health insurance plan are eligible for tax exemption (up to ₹25,000) under section 80D. 

What is section 80C of Income Tax Act, and how does it help me save tax?

Under section 80C of the Income Tax Act, a policyholder can claim a maximum deduction of ₹1.5 lakh per year against the premiums paid if the premium paid does not exceed 10% of the sum assured in the policy, provided the policy has been purchased after April 1, 2012. In the event the policy was purchased before April 1, 2012, the premium paid should not exceed 20% of the sum assured.

Wealth Plan FAQs

What is a wealth plan?

We understand just how important it is to ensure a good lifestyle for your family. A wealth plan is specially designed to help you build wealth with tax advantages. It is an investment plan that provides you with life insurance coverage, along with investment options, and helps you build wealth through the power of market-linked returns. It ensures a lump sum payment at the end of the policy term. 

Who is eligible to buy a wealth plan?

Any person who is 18 years of age or above can opt for a wealth plan. Alternatively, you may choose to buy a wealth plan for a nominee, such as your child.

What is ULIP?

 

The term ‘ULIP’ stands for Unit Linked Insurance Plan. It is an investment plan with which a policyholder receives insurance benefits, as well as market-linked returns by investing in a single plan. In a ULIP, the premiums paid towards the plan are invested in funds of the policyholder’s choice, which can be equity, debt, or balanced instruments.  The fund value reflects your growing corpus via NAV changes. Upon maturity, the fund value is paid to the policyholder. 

What is NAV?

The NAV or Net Asset Value denotes the market value of each share of a particular fund. NAV is the price at which an investor may buy and sell a unit or share of a given fund. By monitoring the percentage of increase or decrease of the NAV of a fund, an investor can determine the performance of that particular fund.

Can I change my investment fund option during the policy term?

We understand that as you go through life and reach major milestones, your premium allocation reference may change over time. To facilitate that need, you are allowed to change the investment fund option. However, you may be charged a nominal fee (if any) as mentioned in the policy contract.

Can I withdraw partial funds in case of need? When can I withdraw the amount?

Yes, you can withdraw partial funds from your policy after the completion of three years.

Term Insurance FAQs

What is life insurance?

A life insurance policy is a contract between an insurance provider and a policyholder, which extends the promise of protection for their family. The policyholder makes regular payments towards the premium in exchange for the guarantee of financial cover at the end of the term (unless it is a pure term plan). It makes sure that their lifestyle is not compromised, and the sum assured can also be used to close debts.

What is term insurance?

Pure term insurance provides coverage only for the policy period. It can be opted for different periods or terms at a very low premium. Thus, in a pure term insurance plan, the benefits are payable only in the event of the death of the insured (or) policyholder during the policy term. Hence, the benefits of a pure term insurance plan are payable only on the death of the policyholder/insured within the term.

Why do we need insurance?

If you are supporting your family and/or are the income-earner, you require life insurance. Life insurance acts as a protective shield for your loved ones in the form of financial security. It can help you secure your finances for unforeseen circumstances, as well as act as an investment tool.

What is a whole life insurance plan?

Unlike term insurance, whole life insurance is a permanent policy that provides coverage for your entire life. The term of the policy is your whole life. Therefore, when the policyholder dies, the death benefit is paid to the nominee (or nominees) as stated in the policy documents.

What are insurance riders?

Riders are additional benefits that can be added to your existing insurance plan, as per your requirements. They are able to cover some aspects that do not already fall under your plan. 

How to purchase life insurance policy?

To begin with, assess the total coverage you need and select a policy that lets you protect your family the best. After deciding on a plan, you may submit your filled application. The next step is usually a telephonic interview, before which you will have to get your medical records and other necessary documents ready. After an assessment of all factors, an underwriting process takes place. Following this, you will receive a policy offer. Upon duly signing the documents and paying your first premium, your policy will be ‘in force’ or active. 

How to choose the right life insurance policy?

In the case that you have a financial advisor, you can consult them to recommend an ideal plan that meets your unique needs. If you do not have a financial advisor, please reach out to us, requesting an appointment with an advisor from Tata AIA Life Insurance. You can review and compare various policies offered by us, and choose one that suits you the best. Tata AIA Life Insurance provides a variety of insurance plans and additional riders to ensure complete protection for you and your family. 

Premium Payment  FAQs

What is renewal premium?

Renewal premiums are the subsequent premiums that are paid by the policyholder to the insurer in order to keep the policy in operation and avail the benefits of the policy accordingly.

What are the premium payment options available?

There are various convenient options to make the premium payments 

  • Various Online Payment Options (Net banking /Credit Cards/Debit Cards/Paytm/Wallets etc.)
  • Mobile apps - PAYTM, HDFC PAYZAP, JIO MONEY & Amazon Pay 
  • Payment through Bank site using 'Bill Pay'
  • Payment to our Banking Partner - State Bank of India/ Axis Bank /IndusInd Bank at their branches
  • Payment at the Retail Outlets (Suvidhaa, Andhra Pradesh Online, Common Service Centres) 
  • E-Mandate / NACH / Online Standing Instruction through Credit Card - Visa Master and American Express card are accepted for premium payments 
  • Branches - At all Tata AIA Life Insurance Company Ltd. branches locations
  • IVR- You can call our Customer Care number and make payment through our IVR 

You can get more information about the Premium Payment options by watching the video. Click here

How can I enroll for Standing Instruction facility on my Credit card or Bank Account?

Enrolling for Standing Instruction facility is a simple process. In this process, premium will be transferred from your credit card/bank account on due date.

To enroll- Visit www.tataaia.com; go to ‘Customer Service’ menu and select ' Set Standing Instruction'

  • Choose the option - Credit Card or Bank Account
  • Provide required details & proceed 
  • Login to Net banking or Debit card details & approve

Kindly ensure you register 7 days before the due date to ensure your standing instruction is ready for execution on the due date.

When will the premium be debited from my account if I opt for the Standing Instruction facility?

If you have opted for the Standing Instruction facility, the instruction is sent to your Bank 7 days in advance and the premium will be debited on due date.

Can I pay the premium online or at counters in case my Standing instruction facility is still pending?

Yes. Premium can be paid through various premium payment option during the pendency of the mandate. Click here to pay right away

Will any extra amount be charged for Standing Instruction facility?

Banks charge a one time fees for the mandate / standing instruction registration. The fee varies from bank to bank. Post registration, no extra amount is charged for execution of the Standing Instruction premium payment

How can I get the premium receipt which I would require as a proof of investment / tax filing purposes ?

After the premium is paid, you receive an instant 'premium acknowledgement statement' on the registered email id. This can also be used as an investment proof / tax filing purposes.

 

The premium is applied to your policy on the due date as per Insurance law. Once that is done, you will get the 'Premium Receipt' on your registered Email ID. You can also get it from 'download statements' or login to your 'Online Policy A/C' and download the Premium receipt.

 

Click here to login to your Online Policy A/C. 

 

Alternatively, you can also download it from our WhatsApp services. 

 

Click here to opt in for our WhatsApp services.

I have paid my premium, but I don't see the updated status. Why?

Premium status gets updated real-time normally. We request you to wait for 24-48 hours and recheck the status.

What happens if I pay excess premium?

Any extra premium paid will be refunded to your bank account registered with us, by default. In case if the next renewal premium due is in the same financial year, it may be adjusted towards next premium. However you can always raise a Service Request in case you wish to receive the amount back.. Click here to raise a service request directly from our website.

Can the premium be paid in foreign currency for a policy denominated in Indian rupees?

Yes. It can be paid in foreign currency if your residential status is NRI/PIO/OCI, and country of residence is other than India

Is GST levied on premium for NRI insurance?

As per GST Act, if the consumer shows the evidence of paying premium via NRE account, his/her residence status is NRI/PIO/OCI, and country of residence is other than India, then such customers will be eligible for GST waiver.

 

To avail the same, customers will need to make premium payment by cheque (NRE Account), or transfer using SWIFT facility in foreign currency. Additionally, we request  

  • Foreign Address proof
  • Bank statement reflecting the premium payment to Tata AIA Life Insurance 
  • Copy of Passport

To avail the GST waiver facility, you can send an email to us mentioning all the details. Click here to raise a request via email.

What is a Tax Certificate?

The Tax Certificate is a document that displays the total premium that you have paid for all your policies in a specific financial year. You can use this document as an investment proof for tax filing.

Will I get any premium due reminder before the due date?

Yes. You will get a reminder via SMS on your mobile number and email ID registered in policy records.

Can I pay in Premium in advance?

Yes. We allow one year premium in advance, subject to premium due in current financial year.

Can I pay premium after 30 days from the due date or after grace period?

Late payment fees will be levied if that is the case, along with the interest prevailing from time to time, which will be calculated from the due date till actual payment date.

Can I pay ULIP Premium on Saturday/Sunday/after 3 PM?

Premium received for ULIP on Saturday/Sunday/after 3 PM, Unit allocation will be done basis the NAV Pricing declared on next working day.

My Standing Instruction is active, can I pay premium online?

In case the Standing Instruction is active, it is advisable to pay premium 7 days in advance to avoid double payment. 

Policy Servicing FAQs

How can I change the mode/frequency of my premium payment?

We have options for all our customer to change the Premium payment frequency as per their convenience.

 

  • For changing the frequency from Monthly, Quarterly OR Half-yearly (Higher Frquency) TO Yearly premium payment (Lower Frqeuency), you may login to your 'Online Policy A/C' and do the required changes.

Click here to login to your Online Policy A/C

 

  • In case you wish to change the frequency from Yearly premium payment (Lower frequency) TO Half-yearly, Quarterly or Monthly (Higher frequency), you may write to us.

Click here to send a request via email

 

Please note that changes are effected on policy anniversary and the request must be placed 15 days piror to anniversary date

How can I change my address?

You can easily change the address in your policy by directly raising a service request from our website, and uploading the self-attested copies of the required documents along with signed copy of 'Personal details change' form.

 

Click here to raise a Service Request. 

 

Alternatively, you can also log in to your 'Online Policy Account' and make the required changes & upload the documents. 

 

Click here to login to your Online Policy A/C

How can I update my contact details?

Updating contact details on your policy is now easier than ever. You can do so directly from our website. 

 

Click here, enter your policy number, authenticate and make the required changes. You may also send us an email from your registered email id along with 'Personal details change' form for updating your contact number.

How can I update my NEFT bank details?

You can update the NEFT bank details on your policy directly from our website. 

 

Click here enter your policy number, authenticate and make the required changes. 

 

Alternatively, you can also do it by raising a service request from our website and uploading the self-attested copies of the required documents.

 

Click here to raise a Service Request. 

 

You can also log in to your Online Policy Account and make the required changes. 

 

Click here to login to your Online Policy A/C

 

How can I change the name in my policy?

You can change the name in your policy by sending an Email to us mentioning the changes along with the self-attested copies of the required documents. 

 

Click here to send a request via email. 

 

Alternatively, you can also log in to your Online Policy Account and make the required changes. 

 

Click here to login to your Online Policy A/C

 

Proof for correction in name can be Birth Certificate, Passport, Pan Card, etc. Poof for change in name can be a Marriage Certificate or a Notarized affidavit or the copy of the newspaper advertisement if applicable.

What is free look cancellation?

Free Look is similar to the return policy that we can avail when we buy goods and are not satisfied with them. Every insurance policy offers a "Freelook" period of 15 days from the date of delivery of the policy documents. The Freelook period is of 30 days for policies sourced through Electronic / Distance mode. Where customers have opted for Electronic Insurance Account at the time of purchase, the freelook period is from the date of credit to the EIA account.

If the insured wishes to use this facility and return the policy within the free look period, he/she is entitled to a return of premium with the following deductions wherever applicable-

 

  • Any expenses incurred by the insurer on medical examination of the insured persons and the stamp duty charges, or
  •  A deduction towards the proportionate risk premium for period on cover, or
  • Where only a part of the insurance coverage has commenced, such proportionate premium commensurate with the insurance coverage during such period;
  • In case of unit linked policy, in addition to the above deductions, the insurer shall also be entitled to repurchase the unit at the price of the units as on the date of the return of the policy.

How can I change my policy term?

For every policy the provision to change the policy term is different. We request you to kindly go through the Terms & Conditions for your particular policy in your Policy Document to get the required details. 

 

It is advisable to stay invested with your policy for the entire term. Longer the term of the policy, better it is for you in terms of coverage.

How can I change/transfer the ownership of the policy?

You can avail the facility of changing the ownership of the policy in case of current owner’s death or change in marital status. You can change the owner of your policy by raising a service request from our website and uploading the self-attested copies of the required documents. 

 

Click here to raise a Service Request.

How can I take a loan on my policy?

Taking a loan against your policy is really easy. Generally according to the eligibility criteria, you would be eligible to take loan of up to 60 to 80% of the Surrender Value as on the date of loan application. 

 

To apply for a loan you have to raise a service request from our website and upload the self-attested copies of the required documents.

 

Click here to raise a Service Request.

What is nomination? How do I add/change nomination for my policy?

Nomination is an authorization to someone to receive the policy money (sum assured) if/when the Life Insured dies. The Life Insured can nominate any person (usually a close relative) to receive the money from the insurance company if they pass away before the policy matures.

 

You can add/change the nomination at any time before the maturity of the policy. 

 

To do so, you can login to your Online Policy Account and make the necessary changes.

 

Click here to login to your Online Policy A/C

 

Alternatively, you can directly raise a service request from our website and upload the self-attested copies of the required documents. 

 

Click here to raise a Service Request.

What are the prerequisites for a valid nomination? And what are the rights of a Nominee?

A nominee is appointed by the policyholder, and can be anyone to whom the policyholder wants the financial benefits to accrue, in case of his/her death during policy tenure.

 

General practice is to appoint spouse, child or a parent as the nominee.

 

Under nomination, the nominee gets only the right to receive the policy money in the event of the death of the policyholder.

 

If the nominee dies after the death of the policyholder but before receiving the policy money, then nomination becomes ineffective and only the legal heirs of the policy owner can claim the money.

What is assignment?

Assignment of an insurance policy is the transfer or assignment of all rights and liabilities to the insurance policy in favour of the assignee, and cannot be revoked. However, the policy can be re-assigned in favour of the insured at the written request of the assignee.

What are the types of assignments?

There are two types of assignments for an insurance policy.

 

Absolute Assignment – Under this process, the complete transfer of rights from the Assignor to the Assignee will happen. There are no conditions applicable.

 

Conditional Assignment – Under this type of assignment, the transfer of rights will happen from the Assignor to the Assignee subject to certain conditions. If the conditions are fulfilled, only then will the Policy will get transferred from the Assignor to the Assignee.

When can one assign a policy? And how can I make an assignment or transfer of a life insurance policy?

You can assign your policy to take a loan against it, as a security, or to gift it to someone.

 

You can easily do this by directly raising a service request from our website and uploading the self-attested copies of the required documents.

 

Click here to raise a Service Request.

 

Alternatively, you can also send an email to us mentioning all the required changes. 

 

Click here to raise the request via email.

What if one loses the policy document?

Downloading Policy Document is now easier than ever. You can do so directly from our website. Click here, enter your policy number, authenticate, and download it right away.

 

If you need the hard copy of the Policy document, you can raise a service request on our website for a duplicate policy document, and pay the printing fees of Rs. 250 + GST.

 

Click here to raise a Service Request.

What is a maturity amount?

The payment to the policyholder at the end of the stipulated term of the policy is called maturity amount.

What happens if I do not make my premium payment on time?

If the due premiums are not paid while the policy is still within the lock-in period, then the policy would lapse and all benefits of the policy would cease.

 

The policy holder has a grace period for premium payment, which is 15 days from the due date for monthly premium payment frequency and 30 days from the due date for half-yearly and yearly premium payment frequency.

 

It is advisable to make the premium payment on time to continue having all the benefits that your policy provides you.

 

Click here to pay your premium.

What is Grace period?

An insurance grace period is a defined amount of time after the premium is due during which a policyholder can make a premium payment without coverage lapsing.

 

It is 15 days from the due date for monthly premium payment frequency, and 30 days from the due date for half-yearly and yearly premium payment frequencies.

What does policy lapse or 'discontinued' mean?

If the due premiums are not paid while the policy is still within the lock-in period, then the policy would lapse and all benefits of the policy would cease.

 

The policy holder has a grace period for premium payment, which is 15 days from the due date for monthly premium payment frequency, and 30 days from the due date for half-yearly and yearly premium payment frequencies.

 

If the due premiums are not paid even after completion of 45 days of the grace period, then the policy acquires a "discontinued" status, at which time the policy benefits cease. 

What is revival?

Once all outstanding premiums are paid and a Health Certificate (if required) is submitted within a period of 2/5 years from the last unpaid premium due date(as per policy contract), a policy gets revived, and the life cover restarts from the date of revival.

How do I revive my policy that has lapsed?

Policy holders can apply for the revival of the policy within two years from the date of policy discontinuance, by paying the due premium, reinstatement charges and submitting the Personal Health Declaration form (if applicable). The revival of policy is subject to underwriting.

What is the maximum time allowed to reinstate a lapsed policy?

Policy holder can reinstate his/her policy within the timeframe specified in the policy contract, which differs from product to product.

What is APL?

An automatic premium loan(APL) is an insurance policy provision that allows the insurer to deduct the amount of an outstanding premium from the Surrender Cash Value of the policy as on the date when the premium is due.

 

As per the product feature, a policy may use the APL facility and be in active state even after the non payment of premium in the grace period. The policy will be active until lapsation. However, interest will be charged on a daily basis on the premium amount, and the customer will have to pay the total amout of premium plus the daily interest charged as on the date of payment to get the policy out of APL state.

How can I get pension income from my policy?

For immediate annuity option, pension income will start immediately as per the payment mode chosen. For deferred annuity, pension income will start post deferment period.

 

You have to submit the existence certificate attested by the authorities mentioned on the existence certificate, along with ID and address proof after every 3 years, if return of purchase price option is chosen, and every year if Immediate Life annuity is chosen.

What are the different pension options?

Below are the different pension options available under Smart Annuity plan to meet your future needs.

 

Immediate Life Annuity - The annuity shall be payable in arrears as per payment mode chosen by you, for as long as the Annuitant is alive.                             

 

On death of the Annuitant, the annuity payments will

 

Immediate Life Annuity with Return of Purchase Price - The annuity shall be payable as per the payment mode chosen by you, as long as annuitant is alive. On death of annuitant, purchase price is payable.  

 

as lump sum to nominee and no further payout will be payable.

 

Deferred Life Annuity with Return of Purchase Price - Deferment Period between 1 to 10 years as chosen by you at inception. The annuity shall be payable post deferment period as per payment mode chosen by you as long as annuitant is alive. On death of annuitant, purchase price is payable as lump sum to nominee and no further payout will be payable

What documents do I need to submit to start a pension on my policy?

You have to submit the existence certificate attested by the authorities mentioned on the existence certificate, along with ID and address proof after every 3 years, if return of purchase price option is chosen, and every year if Immediate Life annuity is chosen.

What is the Existence Verification check? How is it applicable to my pension policy?

An Existence Verification check is applicable for customers who are receiving pension income from any of their pension policies with us. Once you start receiving pension income, we do a verification check every year*. This is known as the Existence Verification check. This check can be done online with a few clicks, as well as through any of our offline mediums mentioned. We will send you a detailed communication on the process closer to the time when you are required to complete it. This process is important to ensure that there is no interruption in the pension income that you receive.

 

Every year- If you have opted for pension option without return of purchase price.

 

Once in three years- If you have opted for pension option with return of purchase price.

 

You can now easily do existence verification by either calling our Customer Care, or by writing a mail to request an existence verification check via video call as well. You will just need a smartphone and a valid address proof for this.

Claims FAQs

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?

Please click on link: https://www.tataaia.com/customer-service/easy-claims.html to know the list of documents needed for claim intimation

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?

Yes

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 : crcm@rakshatpa.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.

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