| In case of
a Critical Illness Claim, the rider amount will
be paid if the Life Insured is diagnosed to
be suffering from any one of the twelve illnesses
as specified in the Policy contract and the
criteria as laid down for claiming the rider
is satisfied. The following documents need to
be submitted :
- Duly Filled Claim Intimation Form
- Original Policy Contract
- Questionnaire to be completed by the Doctor
/ Hospital treating the Life Insured.
- All related Medical Examination Reports
in Original*, e.g.
- Laboratory test reports.
- X-Ray / CT Scan / MRI Reports &
Plates.
- Ultrasonography Report.
- Histopathology Report.
- Clinical / Hospital Reports.
- Angiography Reports & Plates.
- Others (as may be required for the
particular illnesses).
* these can be returned
back on request.
Note:
1. The Company has a right to require medical
examination of the Life Insured and confirmation
of the diagnosis of an Insured Critical Condition
by a medical practitioner appointed by the Company.
2. The Claim for Critical Illness Rider benefit
has to be lodged by the Life Insured within
30 days from the date of diagnosis.
3. The CIB Rider gets terminated automatically
on admittance of the CIB claim.
4. The Rider is subject to the conditions and
the exclusions as laid down in the “Annexure
CIB” to the policy contract.
5. On the admittance of this Rider the Basic
Benefits will reduce proportionately.
Additional Information
- All the documents submitted to us should
be original or photocopies attested by a Gazetted
Officer, SEM, Magistrate or a person of local
standing, e.g. Sarpanch, Talathi, Tahsildar
or Police Sub-Inspector.
- All medical reports, documents and certification
shall be issued by the attending physician
and who is qualified to provide such document
/ certification according to the laws of India.
- Depending on the facts and circumstances
of the claim, the Company reserves the right
to call for and request certain additional
documents.
- Kotak Life Insurance reserves the right
to conduct and independent investigation /
inquiry to be made into the bonafides of any
claim where it is considered necessary.
Disclaimers
| 1. These are
just basic guidelines to assist in processing
the claims faster. Please refer
the Policy Contract for actual details. |
| 2. The documents
listed above are basic primary documents
to be given for each claim. Based on the
circumstances and the requirements of the
case, the Company may require further /
alternate documents as well. |
For any further assistance or information on
Claims do write to or Contact :
Claims Helpdesk
Kotak Mahindra Old Mutual Life Insurance Company
Limited
Claims & risk Control,
8th Floor, Godrej Coliseum,
Lokmanya Pan Bazaar,
Behind Evarard Nagar,
Sion (East), Mumbai - 400 022
Tel no : 6621-5170 and 6621-5171
Fax: 66215252
Email : kli.claimshelpdesk@kotak.com
It shall be our pleasure to serve you.
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