Service Parameters

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Service Parameters
CITIZENS' CHARTER

Service Description

Regulatory TAT

New Business Proposal Processing

Processing of Insurance Proposal and seeking further requirements for consideration of the proposal

7 days

Decision on proposal from the date of receipt of proposal or from the date of receipt of additional requirement whichever is later

7 days

Providing copy of the policy along with the proposal form

15 days

Free look cancellation and refund of deposit from the date of receipt of the request

7 days

Post Policy Service Request

Post Policy Service Requests concerning mistakes / corrections in the Policy document

7 Days

Policy Servicing (from the date of receipt of request for the service specified)

Change of Address (KYC Norms to be complied)

7 Days

Registration /Change of Nomination, Assignment.

7 Days

Alteration in Original Policy Conditions (where applicable)

7 Days

Issuance of duplicate policy

7 Days

Inclusion of new member in case of group policies

7 Days

Any other non-claim related changes

7 Days

Cancellation of policy and refund of premium

7 Days

Claims

Acceptance of cashless claims by TPA / company to Hospital and communicate to them

1 hour

TPA's offer of settlement to the Insurer / Hospital after submission of document

3 hour

Settlement of claims (other than cashless)

15 Days

Auto action by the insurer

Premium Due Intimation

1 month before due date

Complaints

Acknowledge to complaint

Immediately

Action on Complaint & Intimation of Decision to the complainant

14 Days

If complaint is NOT resolved by the Insurer,communicate the details to the Policyholder of options including referring the complainant to Insurance Ombudsman / Consumer Court

14 days from original date of receipt of complaint. *

*The policyholder may approach the Insurance Ombudsman if his/ her complaint is not resolved within 30 days or if the decision of the company is not acceptable to the policyholder.

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