HDFC ERGO General Insurance Company Limited STANDARD FORM FOR PRIVATE CAR PACKAGE POLICY Policy Wording 1 Registered & Corporate Office: 1st Floor, 165 - 166 Backbay Reclamation, H. T. Parekh Marg, Churchgate, Mumbai – 400 020. ... HDFC ERGO Community: ... Can i claim for Accidental Hospitalization fro... Highlighted. Claim form as per Form A. ��&� Doctor’s prescription and line of treatment advised. Attach the required documents based on your claim type along with the duly filled Claim form and Submit it to the Policy Issuing Office Directly or through the Agent. If you have any queries that are not answered here, please call us or write to us. It also provides benefit to the family of the insurance holder for accidental death, broken bones, burns, permanent disability etc. Thank you for your interest in HDFC ERGO's Individual Personal Accident Plan 2 Policy for Personal Accident. If name is not printed on cheque please attach first page of bank passbook / Bank statement with stamp. Claim Procedure for HDFC ERGO Personal Accident Insurance Policy. Provide KYC ( Know your customer ) form along with photocopy of any one of following KYC documents for all claims amounting to … endstream endobj 41 0 obj <>/OCProperties<>/OCGs[65 0 R 66 0 R 67 0 R]>>/Pages 38 0 R/Type/Catalog>> endobj 42 0 obj <>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/TrimBox[0.0 0.0 595.2756 919.1934]/Type/Page>> endobj 43 0 obj <>stream Customer Service number:022-6234 6234 / 0120-6234 6234, www.hdfcergo.com Trade Logo displayed above belongs to HDFC LTD and ERGO International AG and used by HDFC ERGO General Insurance Company Limited under license. HDFC ERGO General Insurance Company Limited Motor Insurance Claim Form (To be filled in by the Insured Policy Holder or Insured’s Representatve duly authorized by Power and Atorney. Claims Service Representative will guide you on the claim procedures and documents required. Duly filled and signed claim form; FIR from Police station/ Medico legal 3.certificate from hospital (MLC Copy) Copy of discharge summary of hospitalization, if any; KYC form and KYC documents (ID and address proof e.g Pan card, Aadhaar card, Ration card, Passport etc.) 2. Fill out the blank areas; concerned parties names, addresses and phone numbers etc. The HDFC Ergo Claim Form is different for all the HDFC Ergo General Insurance Policies which can be downloaded from our website. HDFC ERGO General Insurance Company Limited Name Street Address City State Pin Code Phone (To be filled in by the Insured Policyholder or Insured’s Representative duly authorised by Power of Attorney. Medical papers, pathology reports, X-ray reports and plates, as applicable 4. If you’ve had a claim free year, HDFC Ergo will increase your basic sum insured by 50% as a no claim bonus. For Bodily injury or Sickness from Civil or Foreign Wars. If name is not printed on cheque please attach first page of bank passbook / Bank statement with stamp, Disability Certificate from Government Hospital, All treatment papers and Investigation report from hospital, KYC form and KYC documents (ID and address proof e.g Pan card, Aadhaar card, Ration card, Passport etc. %PDF-1.5 %���� Contributor Posts: 26. 64 0 obj <>/Filter/FlateDecode/ID[<0FDC24E562877DEC1A8F426BB86F007B>]/Index[40 59]/Info 39 0 R/Length 111/Prev 167252/Root 41 0 R/Size 99/Type/XRef/W[1 2 1]>>stream Y    days from the date of receipt of the premium by HDFC ERGO General Insurance Company Limited. Alternatively, you may send them to our Claims Processing Cell at the following address: HDFC ERGO General Insurance Company Limited 6th Floor, Leela Business Park, Andheri Kurla Road, Andheri - East, Mumbai- 400 059, India h�bbd``b`�S&�`��� ��$qD�qÁ��; �+ $8� ��Hp5�� VHL��H�һ@�ځDD3#�v���������@� ��� Customize the blanks with exclusive fillable fields. Client No. Documents needed for Accidental Injury Claims. Motor. HDFC ERGO General Insurance is a joint venture between HDFC Ltd., a leading Housing Finance Institution in India and ERGO International AG, a premier insurance body of Munich Re Group. Claim form 2. Claim Process for HDFC ERGO car insurance. For Accidental Death Claims. undersigned, legal beneficiary of the above claim, declare that all details mentioned in this form are true and I agree to the mode of payment against the particular claim number mentioned above. ), Original cancelled cheque with name of Nominee printed on cheque is required. The Documents required in HDFC Ergo Personal Accident Claim Process are. Step 4: Repair And Final Claim Settlement The insurance company will pay the claim amount directly to the network garage. Permanent Total Disability, For child education Benefit: Provide details of dependent child (If applicable). HDFC ERGO General Insurance Company Limited shall not be liable for any claim in respect of an event giving rise to a claim covered under the Policy of Insurance that has occurred during this period of fifteen (15) days. Issuance of this claim form is not to be taken as an admission of liability.) N, In case hospitalized list the name and address of all treating physicians and hospital, Please indicate whether claim is in respect of (tick boxes)    Toll Free Helpline: 1-800-2-700-700 From Mtnl/Bsnl Phone Or Dial 022-6638 4800 (Local/Std Charges Apply) For More Information, Please E Mail: Care@Hdfcergo.Com Kindly fill out this form so that our representative can get in touch with you. HDFC ERGO car insurance accidental claim. Contact HDFC ERGO at their toll-free number 022/0120-6234 623; Fill the claim form and lodge the claim This health insurance policy offers lump-sum compensation in one single transaction to cover accidental medical expenditures. For Claim/Policy related queries call us at +91 22 6234 6234/+91 120 6234 6234 or Visit Help Section on www.hdfcergo.com for policy copy/tax certificate/make changes/register & track claim. This policy protects the entire family of the insurance holder against accidental injuries. HDFC ERGO General Insurance Company Limited Frequently Asked Question’s (FAQ’s) - Motor Insurance ... fill up the claim form and attach a copy of the registration certificate and driving license of the person driving at the time of the accident. - Accidental bike claim amount not received Closed Amar Parl Singh filed this complaint against Hdfc Ergo General Insurance Company Ltd on Nov 14, 2019 filed this complaint against Hdfc Ergo General Insurance Company Ltd on Nov 14, 2019 The policy issuance/validity of receipt is subject to clearing of the cheque or credit card mandate. With network across 70 cities, HDFC Ergo offers a wide range of general insurance products to meet the requirements of individuals and companies. The HDFC ergo travel insurance can be acquired for the following cases: Accidental death: if a person wants to claim for a HDFC ergo travel insurance for the case of an accidental death, the first thing that is required is to attach the claim signed by the treating doctor, along with a consultation note from the emergency doctors. ... of accidental loss or … Claim status / query will be intimated via SMS/Email by HDFC ERGO Health Claim Services Team HDFC ERGO General Insurance Company Limited Corresponding Off. Claiming process of HDFC is seamlessly easy and quick. Personal Accident - Death, Accidental Hospitalization Benefit /Hospital cash benefit, Temporary total disablement /Broken bones /Accidental injury, Individual Personal Accident- Claim Document Checklist, (Additional documents if required will be requested by the insurer), FIR from Police station/ Medico legal certificate from hospital (MLC Copy), Cause of death Certificate from treating doctor, Death Certificate from Municipal Corporation, Histopathology or Chemical viscera or blood analysis report from the hospital (If done), KYC form and KYC documents (ID and address proof e.g Pan card/Aadhaar card/Ration card/Passport etc. ), Original cancelled cheque with Payee name (Insured) name printed on cheque is required. Particulars of the accident /Description of accidental details, Was the accident related to the Insured’s occupation? N, Whether reported to Police station    You would have to fill up a pre-authorization form and submit it with HDFC Ergo for cashless claims. CIN : U66010MH2007PLC177117. HDFC ERGO General Insurance Company Limited Ramon House, H T Parekh Marg, 169, Backbay Reclaimation, Mumbai 400 020. Attending Physician’s statement as per Form D. Exclusions under the plan. 40 0 obj <> endobj HDFC (Housing Development Corporation), on the other hand, owns a majority of 51% of holdings. 98 0 obj <>stream ERGO is part of Munich Re-Group, a German company with 49% of the shares. Accidental Hospitalization Benefit /Hospital cash benefit . Claim Form as per ‘Form E’. Y    For seamless processing of claims make sure to submit below details healthclaims@hdfcergo.com. HDFC Ergo will send a surveyor at the place of the accident who will evaluate the damage and provide you with the estimated claim amount. HDFC ERGO presents Personal Accident Insurance to help you sail through steadily during these times. endstream endobj startxref Put the day/time and place your electronic signature. Find the Hdfc Ergo Health Claim Form you want. h޴Wko9�O�G[�� !���.���. This form should be submitted either within 24 hours of an emergency hospitalisation or 3-4 days before a planned hospitalisation; Based on the pre-authorization form, the claim would be approved Policy No. Customer Service Address: 6th Floor, Leela Business Park, Andheri Kurla Road, Andheri (E), Mumbai – 400 059. To download the claim form, Click Here. Bills, receipts and cash memos. Registered: ‎23-08-2017. *Photocopy of Aadhaar Card /Aadhaar Card number is mandatory for all claims A renewal incentive that doubles your sum insured in 2 years! Police FIR. If you don’t claim even in the second year, HDFC Ergo will double your basic sum insured as a no claim bonus i.e. HDFC Ergo to check and revert within 3 working days for claims received if any additional documents are required If all the documents are as per the checklist, HDFC Ergo to process the claim and settle the claim to claimant/customer’s account which has been provided along with the claim document HDFC ERGO General Insurance Company Limited is not liable for any incidents between the tme that the received and policy issuance. Third Party Injury/ Property Damage: To be flled only if an accident involving the insured Vehicle has caused (1) Injury/ Fatality to a Third Party and/or (2) … Accidental Death    Issuance of this claim form is not to be taken as an admission of … Original Investigation reports and bills, Original cancelled cheque with Payee name (Insured / Nominee) name printed on cheque is required. Under HDFC ERGO Travel Insurance Insurance, a reimbursement claim can be filed for emergencies including loss of check-in baggage, flight delay, loss passport, personal liability, accidental injury, study interruption and sponsor protection among others. 1. Ananya Vishwanath. For Accidental Injury Claims 1. The policy can be issued once HDFC ERGO General Insurance Company Limited receives completed form and premium payment. The Claim form and other documents related to the nature of loss can be collected from you by HDFC ERGO personnel. h�b```���ѡ� ce`a�X蠡���䯐� �cIS�n�e�4��%�v����\m��8GGG��XZ�f`�P�@Y.��@Z�%��e�e~���"Q�����5�����C�_-�cf�e���s�����``��������9�f�W@,���m�3 Please describe the nature of Insured’s injuries: Name and address of all treating physicians and hospital, (All Fields are Mandatory in case of Fund Transfer). Contribution clause is not applicable in Health insurance policy hence you can claim however you can claim the difference amount only not the whole. Provide NEFT details in the claim form along with cancelled cheque. If name is not printed on cheque please attach first page of bank passbook /Bank statement with bank stamp, Investigation report like X-RAY/ MRI / CTscan etc if any, Leave certificate from employer (If or are salaried) or ITR of last 2 yrs if business men, Original cancelled cheque with Payee name (Insured) name printed on cheque is required. Doctor’s medical prescriptions, Itemized bills and cash memos* ... HDFC Ergo Reimbursement Claim Form The required steps to follow the claim process of HDFC ERGO car insurance plans is given below. HDFC ERGO is an alliance between General Insurance Company Limited, HDFC Limited, and ERGO International AG. Claim settlement would be initiated by HDFC ERGO Health Claim Services Team provided all documents are in order. %%EOF The HDFC ERGO Revive Insurance policy is the personal accident insurance policy. 0 HDFC ERGO General Insurance Company Limited 2 Witness:Anyone who can confrm the accident as described in the claim form. Your happiness comes to a pause and you are left with shock and financial burden. If name is not printed on cheque please attach first pageof bank passbook/Bank statement with bank stamp, FIR from Police station/ Medico legal 3.certificate from hospital (MLC Copy), Copy of discharge summary of hospitalization, if any, Original Hospital Final Bill with payment receipt, Original Medicine Bills, Prescriptions. maximum upto 100% of the basic Sum Insured. IRDAI Registration Number : 146 (Registration type: General Insurance Company). Please call our Toll-free Number 1-800-2700-2700. FIR; Medical papers, x ray reports. HDFC ERGO General Insurance Company Limited Declaration I hereby agree, affirm and declare that: a)The statements/information given/stated by me/us in this claim form is true, correct and complete to the best of my information, knowledge and belief. The HDFC Ergo Claim Process for Car Insurance, Health Insurance, Travel Insurance, Two Wheeler Insurance, Home Insurance is explained below. Title: Download hdfc-ergo Personal-Accident proposal-form Subject: Download hdfc-ergo Personal-Accident proposal-form Keywords: Download hdfc-ergo Personal-Accident proposal-form Download Proposal Forms, Claim Forms, Brochures a nd Policy Wordings of Insurance Products from www.insureatclick.com Police Report, if accident is reported to Police 3. HDFC Ergo General Insurance is an ideal choice for health insurance as it offers the following benefits to its policyholders: High Claim Settlement Ratio - HDFC Ergo General Insurance featured an impressive claim settlement ratio of 83.66% in FY 2018-19. 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