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 Doctor’s medical prescriptions, Itemized bills and cash memos* ... HDFC Ergo Reimbursement Claim Form ERGO is part of Munich Re-Group, a German company with 49% of the shares. Original Investigation reports and bills, Original cancelled cheque with Payee name (Insured / Nominee) name printed on cheque is required. %%EOF - 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 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 Community: ... Can i claim for Accidental Hospitalization fro... Highlighted. Claims Service Representative will guide you on the claim procedures and documents required. 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. Registered: ‎23-08-2017. h޴Wko9�O�G[�� !���.���. N, Whether reported to Police station    Claim Process for HDFC ERGO car insurance. HDFC (Housing Development Corporation), on the other hand, owns a majority of 51% of holdings. For seamless processing of claims make sure to submit below details healthclaims@hdfcergo.com. Issuance of this claim form is not to be taken as an admission of liability.) You would have to fill up a pre-authorization form and submit it with HDFC Ergo for cashless claims. The HDFC Ergo Claim Form is different for all the HDFC Ergo General Insurance Policies which can be downloaded from our website. Put the day/time and place your electronic signature. For Accidental Injury Claims 1. Doctor’s prescription and line of treatment advised. Accidental Hospitalization Benefit /Hospital cash benefit . 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 98 0 obj <>stream Kindly fill out this form so that our representative can get in touch with you. Step 4: Repair And Final Claim Settlement The insurance company will pay the claim amount directly to the network garage. This policy protects the entire family of the insurance holder against accidental injuries. 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 Revive Insurance policy is the personal accident insurance policy. 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) … 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 Medical papers, pathology reports, X-ray reports and plates, as applicable 4. Y    For Bodily injury or Sickness from Civil or Foreign Wars. Open it with cloud-based editor and begin adjusting. Thank you for your interest in HDFC ERGO's Individual Personal Accident Plan 2 Policy for Personal Accident. The Claim form and other documents related to the nature of loss can be collected from you by HDFC ERGO personnel. %PDF-1.5 %���� With network across 70 cities, HDFC Ergo offers a wide range of general insurance products to meet the requirements of individuals and companies. ��&� days from the date of receipt of the premium by HDFC ERGO General Insurance Company Limited. Client No. CIN : U66010MH2007PLC177117. maximum upto 100% of the basic Sum Insured. Claim Form as per ‘Form E’. Contact HDFC ERGO at their toll-free number 022/0120-6234 623; Fill the claim form and lodge the claim Provide KYC ( Know your customer ) form along with photocopy of any one of following KYC documents for all claims amounting to … HDFC ERGO presents Personal Accident Insurance to help you sail through steadily during these times. 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 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. If you have any queries that are not answered here, please call us or write to us. The policy issuance/validity of receipt is subject to clearing of the cheque or credit card mandate. HDFC ERGO General Insurance Company Limited is not liable for any incidents between the tme that the received and policy issuance. 0 The HDFC Ergo Claim Process for Car Insurance, Health Insurance, Travel Insurance, Two Wheeler Insurance, Home Insurance is explained below. Claiming process of HDFC is seamlessly easy and quick. For Accidental Death Claims. 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. 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. 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 h�bbd``b`�S&�`��� ��$qD�qÁ��; �+ $8� ��Hp5�� VHL��H�һ@�ځDD3#�v���������@� ��� Police Report, if accident is reported to Police 3. Claim Procedure for HDFC ERGO Personal Accident Insurance Policy. 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. The policy can be issued once HDFC ERGO General Insurance Company Limited receives completed form and premium payment. 2. 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. Accidental Death    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 HDFC ERGO car insurance accidental claim. Ananya Vishwanath. endstream endobj startxref 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)    Find the Hdfc Ergo Health Claim Form you want. 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. Particulars of the accident /Description of accidental details, Was the accident related to the Insured’s occupation? Documents needed for Accidental Injury Claims. ... of accidental loss or … Provide NEFT details in the claim form along with cancelled cheque. Your happiness comes to a pause and you are left with shock and financial burden. The Documents required in HDFC Ergo Personal Accident Claim Process are. HDFC ERGO General Insurance Company Limited Ramon House, H T Parekh Marg, 169, Backbay Reclaimation, Mumbai 400 020. 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. IRDAI Registration Number : 146 (Registration type: General Insurance Company). Issuance of this claim form is not to be taken as an admission of … 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). It also provides benefit to the family of the insurance holder for accidental death, broken bones, burns, permanent disability etc. Please call our Toll-free Number 1-800-2700-2700. 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 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. A renewal incentive that doubles your sum insured in 2 years! Fill out the blank areas; concerned parties names, addresses and phone numbers etc. 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 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. 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. 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. This health insurance policy offers lump-sum compensation in one single transaction to cover accidental medical expenditures. 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. Claim status / query will be intimated via SMS/Email by HDFC ERGO Health Claim Services Team HDFC ERGO General Insurance Company Limited Corresponding Off. If name is not printed on cheque please attach first page of bank passbook / Bank statement with stamp. Policy No. If you’ve had a claim free year, HDFC Ergo will increase your basic sum insured by 50% as a no claim bonus. Customer Service Address: 6th Floor, Leela Business Park, Andheri Kurla Road, Andheri (E), Mumbai – 400 059. HDFC ERGO General Insurance Company Limited 2 Witness:Anyone who can confrm the accident as described in the claim form. Contributor Posts: 26. To download the claim form, Click Here. 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. 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 Contribution clause is not applicable in Health insurance policy hence you can claim however you can claim the difference amount only not the whole. *Photocopy of Aadhaar Card /Aadhaar Card number is mandatory for all claims Permanent Total Disability, For child education Benefit: Provide details of dependent child (If applicable). HDFC ERGO is an alliance between General Insurance Company Limited, HDFC Limited, and ERGO International AG. 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.) FIR; Medical papers, x ray reports. 1. Customize the blanks with exclusive fillable fields. 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. Attending Physician’s statement as per Form D. Exclusions under the plan. 40 0 obj <> endobj Y    Claim settlement would be initiated by HDFC ERGO Health Claim Services Team provided all documents are in order. Motor. Claim form as per Form A. The required steps to follow the claim process of HDFC ERGO car insurance plans is given below. Bills, receipts and cash memos. Claim form 2. Police FIR. 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