Term insurance is one of the most effective ways to provide financial security to your loved ones in case of your untimely demise. It is designed to offer a payout commonly known as a death benefit to your beneficiaries, ensuring they remain financially stable even in your absence. However, to make the most of your term insurance policy, it is essential to ensure a seamless claims experience. After all, a claim which is left pending or declined defeats the whole purpose of buying the insurance.
Indian scenario has also undergone significant change over these years, however, difficulties in claims handling still appear for some insured and dependents. Here are a few actionable tips specially designed according to the Indian scenario. These tips ensure that all term insurance claims run very smoothly.
- Choose a policy with a high claim settlement ratio: One must evaluate CSR, while selecting a term insurance policy in India. CSR represents the percentage of claims that an insurer has settled, out of the total received during the financial year. High CSR is a better indicator that the insurer has the propensity to honour claim commitments. Always look for an insurer with a highly consistent CSR, as such decreases the chances of problems occurring while filing a claim.
Pro Tip: Check how IRDAI publishes an annual report with the relevant CSR, which ensures information is authentic to the date.
- Truthful Disclosure: Honesty is the foundation for a hassle-free claims process. When purchasing a term insurance policy, ensure to disclose all relevant details regarding your health, lifestyle, and habits. For example, if you are a smoker or have a pre-existing medical condition or a high-risk occupation, make sure such details are recorded in the application accurately.
Non-disclosure or misrepresentation of facts can lead to rejection of claims. In India, insurers check at each and every step of the claim process, and in case of any difference between the application and reality, there may be a dispute.
Key Areas to Disclose:
- Medical history and current treatments
- Smoking or alcohol consumption habits
- Hazardous occupations or hobbies
- Previous insurance claims (if any)
- Organize Your Documents: The claims process usually demands specific documentation. Having them ready and well-organized can speed up the process considerably. Essential documents usually are:
- Original policy document
- Death certificate of the policyholder
- Identity proof of the claimant
- Medical records (if applicable)
- Proof of relationship with the deceased, such as a marriage or birth certificate.
Consider creating a digital copy of these documents, too. Share the location of these files with your beneficiaries so that they will have access to them when the need arises.
- Nominate and Update Beneficiaries: Nomination of the right beneficiaries is a very important aspect of the smooth claim process. Make sure that the nominee details in your policy are correct and updated. In India, especially, changes need to be addressed due to significant life events such as marriage, divorce, or birth of a child.
This way, there is no scope for disputes among family members, and the right person receives the claim amount.
Note: Indian insurers generally permit changing the nomination through a rather effortless procedure involving merely making an application. Some policies also accept multiple nominees with specific distribution percentages.
- Reading the Policy Terms and Conditions
Each term insurance comes with certain terms and conditions, including exclusions. Common exclusions in India include suicide within the policy’s first year, hazardous activities or any criminal activities.
Read and comprehend what the policy document covers and does not. This makes you capable of deciding sensibly, which will be well-planned and prepared for your beneficiaries.
- Pay premiums in time
One of the major causes of claim rejection is when the policy has lapsed. Make sure you pay your premium in time so that it does not lapse. Indian insurers generally offer a grace period for late payment, but if you fail regularly, your policy will eventually be cancelled.
Consider establishing automatic payments or reminding your insurer of the deadline to avoid missing the due date. If your policy lapses, contact your insurer regarding reinstatement possibilities as early as possible.
- Inform Your Beneficiaries
Your beneficiaries should know about the term insurance plan and the claim process. Educate them on the following:
- Contact information of your insurer
- Policy number and where the documents are located
- What they need to do to make a claim
Clear communication ensures that they are not overwhelmed during an already challenging time. In India, this step is especially important as many families may not be familiar with the claims process.
- Leverage Digital Tools and Services
Indian insurers are now offering digital tools to ease claims processing. Beneficiaries can upload documents and track claim status with online portals and mobile apps and receive real-time updates. Get yourself and your family to be prepared during the time-consuming claims process.
Pro Tip: Most insurance companies also have a separate claim settlement helpline and support team. Note down their contact details and share them with your beneficiaries.
- Choose Riders Wisely
Adding riders to your term insurance policy can enhance its coverage. For example, critical illness or accidental death riders provide additional benefits that may come in handy during a claim. However, ensure that you understand the rider’s terms and conditions to avoid surprises during the claim process.
Popular riders in India include waiver of premium, disability benefit, and income benefit riders. Choose these add-ons based on the needs of your family and your financial goals.
- Take Professional Help If Necessary
If the beneficiaries face difficulty in submitting a claim, then seeking professional advice will really help them. Insurance advisors, financial planners, or even legal experts who are familiar with the Indian insurance scene can assist them in handling the paperwork and ensuring compliance with all requirements.
A Final Word: Plan for a Stress-Free Future
Term insurance is a staple in financial planning, but it is only as good as how smoothly your loved ones can gain access to the benefits. Proactively addressing factors that influence claim approvals can mean that the insurance policy truly serves its purpose without hindrances.
These are the small steps that make a world of difference: investing time in choosing a good insurer with a high claim settlement ratio, disclosing accurate information, and organizing documents. These efforts not only ensure financial stability for your family but also give them peace of mind during difficult times.
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