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. Y    FIR; Medical papers, x ray reports. 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 policy can be issued once HDFC ERGO General Insurance Company Limited receives completed form and premium payment. Provide NEFT details in the claim form along with cancelled cheque. Client No. Step 4: Repair And Final Claim Settlement The insurance company will pay the claim amount directly to the network garage. Fill out the blank areas; concerned parties names, addresses and phone numbers etc. HDFC ERGO General Insurance Company Limited 2 Witness:Anyone who can confrm the accident as described in the claim form. 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. Issuance of this claim form is not to be taken as an admission of liability.) 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. Kindly fill out this form so that our representative can get in touch with you. 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 Put the day/time and place your electronic signature. Police FIR. maximum upto 100% of the basic Sum Insured. 1. To download the claim form, Click Here. Attending Physician’s statement as per Form D. Exclusions under the plan. %%EOF Contact HDFC ERGO at their toll-free number 022/0120-6234 623; Fill the claim form and lodge the claim 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) … Claim Process for HDFC ERGO car insurance. 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. Claiming process of HDFC is seamlessly easy and quick. - 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 %PDF-1.5 %���� 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. The required steps to follow the claim process of HDFC ERGO car insurance plans is given below. 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. Provide KYC ( Know your customer ) form along with photocopy of any one of following KYC documents for all claims amounting to … Contribution clause is not applicable in Health insurance policy hence you can claim however you can claim the difference amount only not the whole. ... of accidental loss or … 0 A renewal incentive that doubles your sum insured in 2 years! The Documents required in HDFC Ergo Personal Accident Claim Process are. 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. For Accidental Injury Claims 1. 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. The HDFC ERGO Revive Insurance policy is the personal accident insurance policy. Claim status / query will be intimated via SMS/Email by HDFC ERGO Health Claim Services Team HDFC ERGO General Insurance Company Limited Corresponding Off. 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 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 ), Original cancelled cheque with name of Nominee printed on cheque is required. It also provides benefit to the family of the insurance holder for accidental death, broken bones, burns, permanent disability etc. 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 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. 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. Claim form 2. Contributor Posts: 26. For seamless processing of claims make sure to submit below details healthclaims@hdfcergo.com. For Accidental Death Claims. Accidental Hospitalization Benefit /Hospital cash benefit . Doctor’s prescription and line of treatment advised. 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 h�bbd``b`�S&�`��� ��$qD�qÁ��; �+ $8� ��Hp5�� VHL��H�һ@�ځDD3#�v���������@� ��� If you have any queries that are not answered here, please call us or write to us. 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. Find the Hdfc Ergo Health Claim Form you want. HDFC (Housing Development Corporation), on the other hand, owns a majority of 51% of holdings. Motor. Police Report, if accident is reported to Police 3. Claims Service Representative will guide you on the claim procedures and documents required. ), Original cancelled cheque with Payee name (Insured) name printed on cheque is 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.) You would have to fill up a pre-authorization form and submit it with HDFC Ergo for cashless claims. Medical papers, pathology reports, X-ray reports and plates, as applicable 4. 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. 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. 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. 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 The HDFC Ergo Claim Process for Car Insurance, Health Insurance, Travel Insurance, Two Wheeler Insurance, Home Insurance is explained below. IRDAI Registration Number : 146 (Registration type: General Insurance Company). *Photocopy of Aadhaar Card /Aadhaar Card number is mandatory for all claims Y    Doctor’s medical prescriptions, Itemized bills and cash memos* ... HDFC Ergo Reimbursement Claim Form The HDFC Ergo Claim Form is different for all the HDFC Ergo General Insurance Policies which can be downloaded from our website. 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). If name is not printed on cheque please attach first page of bank passbook / Bank statement with stamp. HDFC ERGO General Insurance Company Limited is not liable for any incidents between the tme that the received and policy issuance. endstream endobj startxref Registered: ‎23-08-2017. Customize the blanks with exclusive fillable fields. 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 98 0 obj <>stream Thank you for your interest in HDFC ERGO's Individual Personal Accident Plan 2 Policy for Personal Accident. Open it with cloud-based editor and begin adjusting. The Claim form and other documents related to the nature of loss can be collected from you by HDFC ERGO personnel. Original Investigation reports and bills, Original cancelled cheque with Payee name (Insured / Nominee) name printed on cheque is required. If you’ve had a claim free year, HDFC Ergo will increase your basic sum insured by 50% as a no claim bonus. days from the date of receipt of the premium by HDFC ERGO General Insurance Company Limited. Accidental Death    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 ERGO is part of Munich Re-Group, a German company with 49% of the shares. HDFC ERGO car insurance accidental claim. 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