Making A Claim Under Group Personal Accident Cover In Bharat Laghu Udyam Suraksha Commercial Package Policy

In the dynamic landscape of business, protection against unforeseen circumstances is crucial for the sustainability of enterprises. The Bharat Laghu Udyam Suraksha Commercial Package Policy, often referred to as MSME insurance, plays a pivotal role in safeguarding the interests of Micro, Small, and Medium Enterprises (MSMEs). One significant component of this comprehensive policy is the Group Personal Accident Cover. In this article, we will delve into the details of making a claim under this cover, understanding the coverage it offers, and the essential steps involved in the claims process.

What Does the Cover Offer?

The Group Personal Accident Cover under the Bharat Laghu Udyam Suraksha Policy provides financial protection against various unforeseen events. It includes coverage for Death, Permanent Total Disability, Permanent Partial Disability, and Temporary Total Disability. The Sum Insured for each event is clearly defined in the policy schedule. Additionally, the policy offers certain additional benefits like Transportation, Children’s Education Benefit, Hospital Confinement Allowance, and Medical Expenses Reimbursement.

How To Make a Claim Under This Cover

When you buy a new insurance policy or renew an existing general insurance plan, there are a few aspects of the plan that you as well as your nominee must be aware of. While inclusions, exclusions, premiums, and renewal processes are some of these aspects, one of the most crucial ones is the claims process. The policyholder as well as the nominee ought to know the process of renewal as well as the situations covered by the policy so they know when to make a claim. Let’s take a look at the claims process for the Personal Accident Cover under the Bharat Laghu Udyam Suraksha Commercial Package policy.

Claims Process

When an Insured Person encounters an Accidental Bodily Injury that may lead to a claim, it is imperative to follow a structured claims process. The following steps must be adhered to:

1. Immediate Notification: The Insured or the Insured Person or someone on their behalf must inform the insurance company in writing immediately and within 14 days of the incident.
2. Consultation with a Doctor: The Insured Person should promptly consult a Doctor or Medical Practitioner and adhere to their advice and treatment recommendations.
3. Mitigating Consequences: The Insured Person must take reasonable steps to lessen the consequences of the Accidental Bodily Injury.
4. Medical Examination by Company’s Advisors: If requested by the insurance company, the Insured Person must undergo examinations by the Company’s medical advisors as necessary.
5. Documentation Submission: Submit all required documentation and information promptly as requested by the insurance company to facilitate the claim investigation.

Documents Required

The documentation required varies based on the nature of the claim. Here is a breakdown of the documents needed for different types of claims: a) Death

1. Duly Completed Personal Accident Claim Form signed by Nominee
2. Copy of address proof (Ration card or electricity bill copy)
3. Attested copy of Death Certificate
4. Burial Certificate (wherever applicable)
5. Attested copy of Statement of Witness, if any lodged with police authorities
6. Attested copy of FIR/Panchanama/Inquest Panchanama
7. Attested copy of Postmortem Report (only if conducted)
8. Attested copy of Viscera report if any (Only if the Postmortem is conducted)
9. Claim form with NEFT details & cancelled cheque duly signed by Insured
10. Original Policy copy

b) Permanent Partial /Total Disablement /Temporary Total Disability

1. Duly Completed Personal Accident Claim Form signed by insured
2. Attested copy of disability certificate from government medical authority stating the percentage of disability
3. Attested copy of FIR (If required)
4. Photograph of the claimant before and after injury supporting disablement
5. All X-Ray/Investigation reports and films supporting disablement
6. Income Proof, Photo identity proof, Address Proof
7. Claim form with NEFT details & cancelled cheque duly signed by Insured
8. Original Policy copy

c) Children’s education bonus

1. Bonafide certificate from school/college or certificate from the educational institution

d) Hospital Confinement Allowance/ Medical Expenses Reimbursement

1. First Consultation letter from the Doctor
2. Duly completed claim form signed by the Claimant
3. Hospital Discharge CardHospital Bill giving detailed break up of all expense heads mentioned in the bil
4. Money Receipt, duly signed with a Revenue Stamp
5. All original Laboratory and Diagnostic Test Reports (e.g., X-Ray, E.C.G., MRI Scan, Haemogram, etc.)

The Bharat Laghu Udyam Suraksha Policy, with its Group Personal Accident Cover, stands as a reliable shield for MSMEs against unforeseen events. Understanding the coverage and the meticulous claims process is essential for businesses to leverage the benefits effectively. By adhering to the outlined steps and providing the necessary documentation, enterprises can ensure a smooth and efficient claims settlement process. In the realm of general insurance, this policy emerges as a valuable tool for the resilience and continuity of MSMEs in the face of adversity.*   *Standard T&C Apply Insurance is the subject matter of solicitation. For more details on benefits, exclusions, limitations, terms, and conditions, please read the sales brochure/policy wording carefully before concluding a sale.