Life insurance Claim rejection reasons in Tamil - ஆயுள் காப்பீடு ஏன் நிராகரிக்கப்படுகிறது?
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- Опубликовано: 24 июл 2020
- What are the common reasons for Life Insurance claim rejection? We will now see the top 10 reasons why life insurance claims get rejected when you need it most and how to prevent it.
The main reasons for Life Insurance claim rejection not not paying your premium sometime and falsifying information on your insurance application form. Apart from this other common reasons for Insurance claim rejection reasons are not disclosing your family illness history and your previous insurance already availed. About this and other claim rejection reasons in detail.
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Life insurance can get rejected due to a variety of reasons
1. Having false declarations on insurance application form - if you have habit like smoking or drinking please mention that in the insurance application form do not try to hide it from the insurance company this will lead to Insurance claim rejection at a later stage.
2. Hiding facts about previous medical history or family history - in the past and have died due to that it is mandatory for you to disclose death in the current insurance policy which should take which will help the insurance company to properly assess your risk and tries it accordingly. Not disclosing this will lead to rejection of life insurance claim.
3. Not declaring your previous insurance policy taken to the current insurance. Non disclosure of facts about prior insurance might lead to rejection of claims at a later stage if it happens that you are over insured.
4. Death happens during the Contestability period - each insurance has a contract ability time frame from the time you take in the insurance policy. This is usually one to two years from the time your policy is issued to ensure that no willful claim on insurance or it is premeditated. If your insurance claims falls during this time then there is a chance that it can be repudiated.
5. Suspicion in the nature of the death of the policy holder - if the insurance company has any reason to believe that the death of the policyholder was premeditated or is not natural then the Insurance claim can be withheld. the Insurance claim rejection will happen if the nominee or beneficiary is involved in any way in the death of the policy holder.
6. Not paying insurance premium on time - insurance premiums must be Paint on time to avoid Insurance claim rejection. Each insurance policy will have a grace time which is 30 days. Insurance premium must be paid within this grace time frame or your policy will get lapsed and term insurance claim get rejected.
7. People with hazardous population not disclosing in the policy - if you are involved or occupied in the known list of hazardous or dangerous occupation list pilot or miners or race car driving then your premiums will slightly increase and you should disclose this while taking the policy. Failing to do this will lead to Insurance claim rejection.
8.Getting involved in dangerous or hazardous activity - getting yourself voluntarily involved in dangerous activity like paragliding, bungee jumping and helicopter drops is a willful violation of your policy terms and delete to insurance claims rejections.
9. Heavy influence of drug on alcohol abuse during the time of death is also another common reason for Insurance claim rejection.
10. The standard set of exclusions mentioned in your insurance policy are the last reason for your Insurance claim being rejected. the reason for life Insurance claim rejection can be due to a natural disaster or War or during childbirth.
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These are the top 10 reasons for Insurance claim rejection and make sure that you read your document carefully to avoid your claims being rejected.
Disclaimer: Some links may be part of Amazon Affiliate program where we may be compensated if you buy something through the link . There would be no additional cost to you. We do not take responsibility for any result resulting from contents of the video. You should consult your financial planner before taking any action. We are not a SEBI Registered Investment Advisor. Please act at your own discretion.
👏👏👏👏👏👌👌👌👌👌👌👌👍மிகவும் சிறந்த பயனுள்ள தகவல் நன்றி அண்ணா.
Nalla thagaval
Your information very useful.
Good information 👍
Thank you sir 🙏
thank u so much..good info
super information
Good information 👍🏻
Well said
Super video sir
Good move
Super bro 👌.... Thks ur infrmn
Very nice sir
Ok thanks bro 🙏
Good valuable information in Tamil
Glad you liked it Mahesh..Thank you..
Good message and rare also
Thank you..
Very good information about term insurance. Keep it up👍😊 I've one query bro. Some insurance companies are giving money return back rider option. Shall we go for it or Can we go ahead for only death benefit?
Super sir
Super bro✨️👍
Claim settlement topic,
Particularly term plan 's percentage of claim. all the people should know what is term insurance , importance of Term Insurance, irda report on term insurance claim settlement of all life insurance companies. why we interest to buy endowment even if company offers at the rate of 5.5 % interest
Great
Sir valthukkal
Thank you Satish,,
Super
Bro super bro.... my heart congrats bro.... u will reach 1M subscribers soon.......
Great words..Thank you for your encouragement...
Anna enga appa ooda insurance 2005 r 2006 la claim panirukanga bt policy no thirila enaku bt amount vanthuruku athu yevlo amount & yer eduthaganu thirinjukanum athu epdi anna thirinjukurathu
Home Lon edukkum pothu life insurance eduthen athula enaku sugar irukunu sonnathala test edukkanumnu solraga ippa enaku antha insurance cover aguma illa kidaikkatha
Sir,very informative super.i have some query
I am infect with COVID and hospitalised in May month and I recovery a few day can I able to take term insurance policy if yes premium should be normal or high.
2.if I am taking policy in long term is benefit for us or upto retirement age is better.pl reply me.
3.adityabirla sun life insurance i plan to choosed because this company give joint life with minimum 30 Lac is it good company or not.pl reply me.
Really good....Neega solratha paatha insurance podave koodathu pola....na icici produncial life insurance edungannu agent solranga amma kaga....ithula normal death cover aagum , 36 desise cover aagum medical claims varumnu solranga podalama veanama....please give idia.....but Right now enga amma ku entha problem ella....
NO..wrong conclusion..Insurance is always good in most cases. Do take for mother if earning member
Sir I have one doubt supposed policy holder died,so the account lapsed , is there possible to get paid amount.
Hello sir name la small correction athukaga reject pannuvangala?
No refund of single rupee on lapsed policy, which not paid three year premuim, heavy loss, and main disadvantage.
How we can know they updated correct information what we told . Can we cross check after we got policy .
Sir vanakkam .ennoda name prabhu na oru driver enakku eppo venunalum enna venunalum nadakkalam .appo na endha insurance edukkalam konjam sollunga sir plz
Enda presavam,drug mulama tha saavu seekram varum athunala tha elarum policy podranga....athuke kasu varathunaa...enna thu ku da insurance podanum....athuku pesama RD potutu polam😒😑
sir. 1)can i take the online policy through policy bazar. 2) which the best insurer. 3) iam working dubai my salary around 60000 so can i take 1cr policy. 4) my knowledge there is no perviously no any illeness for my family members.
please advise iam 35years old non smoker.
Very informative. What exactly they give it for when almost everything is excluded ?
Hi Prasath..Genuine life insurance claims cases of premature deaths and accidents are usually image additions approved paid out unless there is foul play involved..
Hi, I'm term insurance holder. I'm pay the premium last 3 years. But, last 2 month my auto debit not working. That's why my policy lap's. Again I pay - 2 months premium with penalty. Now my policy status... Can I continue or drop. It will create any problem in Clim stage.
If my parents got diabetes after taking insurance, do we need to inform insurance companies?
Bro, how to contact you reg insurance and fin. Thanks
Sir from which date claim is accepted after the policy starts....
Hi brother, if I take a term (20yrs) insurance.. Even after 20yrs am alive..
I) do I need to pay premium after that?
II) whether it can be claimed even after term completion?
III) while applying the insurance I don't have any alcohol/smoking habit... What if after few yrs I got this habits?
IV) after insured persons death, when nominee claim the insurance, what are all things insurance company will try to do for their benifit? (Eg: as u said whether claim need as a lump sum or in instalment)
If informations are genuine means will I get only sum assured in endowment and term insurance policy? After coverage period death?
Premium amount non payment insurance claim Panna mudiuma brother? Pls tell me
Does a critical illness rider in term plan have section 80D tax benefit?
Entha company term insurance edukalam sir...ethu better
Bro if cause of death is heart attack Ilana any other natural death,
death person ah nama avanga sethadhum direct ah Namma rituals padi burn panidromna...
Insurance cover aagumaa....
Illa irandha personoda postmortem report lam namakita irukanumaa....
Bike travel three numbers lic policy accident penifit kidaikkuma
Bro online term insurance epdi claim panrathu please tell
Hi Bro, your videos are very informative to us & am expecting more informative videos like this in future. My query is if one taking Term insurance with his income proof when he was employed, After a year or later he lost his job. During his unemployed period if any unfortunate happens to him, will this claim will be processed to his nominee or else claim will be denied?
Hi Nirmal..Insurance Claim will still be usually paid out in most of these cases as long as no suspicion in death..insurance claim is not denied for job loss reasons..
During your unemployment I believe you wont pay insurance premium properly or on time, so policy will be elapsed as SIR said, so rejection of claim expected.
Hello Bro, Very Informative. Similar to LIC eTerm policy, what are other best term insurance policy which can be bought in direct?
Almost all life insurance can be bought direct like hdfc click2 protect, max online or sbi life
Super.super. Super.super. pro
Anna early death policy claim details please
Na yentha policyum kattala ....but health insurance claim panna mudiuma
Ipo salary increase aagum pothu increase pana mudiyma?
Hii bro I have a problem in getting an lic money please I just need to talk to you.. (Tamil guy)
சார் கிடைக்காதுன்னு இத்தன பாயிண்ட் கிடைக்கிறதுக்கு ஒரு பாயிண்ட் கூட கிடையாதா?
Athuku ore point tha bro poi sollakudathu
பொய் சொல்லாமல் உடல் நிலை பற்றி உண்மையை சொன்னால் சில நேரம் ஹெல்த் எக்ஸ்டாரா போட்டு பாலிசி கொடுப்பார்கள். பிறகு க்ளைம் வந்தால் பிரச்சினை வராது . பாலிசி எடுக்கும் போது மறைத்தால் க்ளைம் வரும் போது சிக்கல்தான். இன்சூரன்ஸ் அடிப்படை மே உண்மையை சொல்வதுதான். அப்போது தான் இன்சூரன்ஸ் கம்பெனி க்ளைம் கொடுக்க முடியும். ஏனெனில் ங மக்கள் பணம். ஒரு குறிப்பிட்ட நபர் தவறாக மக்கள் பணத்தை வாங்கிக் கொண்டு ஓட கூடாது என்று தான் இவ்வளவு கட்டுப்பாடு IRDA வகுத்துள்ளது 😮😮😮
Which company best?
Hi sir
Hi Brother, Now I am 36 and I was a smoker 6 years back. Should I select as Smoker or Non Smoker? Please advise.
Select amoker
Sir enakku oru santhegam premiam 25 year etukuram ana enukku ethu avala premiam katti mutichiyachi so anntha kasu?
Companyku than...😂
If i get term life insurance with permium back option coverage upto 75 year and pay till 60 yr .. after 60yr i get permimum amount and then term cover will be apply or not
Hi Lavanya, do not go with premium return option..It is a waste of your money.. You will lose value of money when it is returned after 20-30 years..Go with pure term life insurance where there is no return of premium..
If the lic policy holder deceased, and bond was missing. We have the copy of the bond and paid bill and policy details. How could and what are the procedure to claim
Need to contact nearest lic center...raise issue of lost policy and then can claim..
Bro police pottu 4 to 5 years after antha person ku ethavathu achuna kitaikuma ,avanga suicide panniruntha kitaikatha
Claim la nominee add pana nominee vachi claim panalama.....they are asking legal hiers....we have some problems in legal hier so i can claim this policy with nominee or not ? Pls tell some information about it......
Yes nominee can be claimed.
Bro really informative. I have a doubt about laps. panam kettama vita automatic ca "paid of" nu category Kula vanthudume. Antha maari case la some calculations PADI yerkanave paid panuna amount vachu sum assured maarum, atha namaku kudupanga..but neenga insurance se kedaikathu nu solreenga. Please clarify me
That is for money back or endowment policy..you will get part of premium paid..this is term insurance ..
@@SmartMoneyGoalTamil ok thank you sir
Nice video boss. Can u clarify do i need to declare employment group insurance details in the form?
Hi Tamil.. Usually Not required. usually Group insurance evalues are less. How much times it is compared to yearly salary..
Thank u for ur guidance bro
Hi bro, i have a doubt. My mother has diabetes for 1 year, and her parents also have history of heart disease. If i conceal these and take term insurance, how they will find, for example if iam claiming after 10 years or more, will there be any problem? How they can reject
Diabetes and lifestyle diseases like BP, Obesity are usually not that serious after the 3 year waiting period which IRDA has imposed. Mention it though on the application if yet to purchase term insurance. They will affect your health insurance premium for sure.
Sir nan 5 yr term insurance pannen sir but nan one year mattum tha pay pannen coming month 5 year complete aga pogudhu ana enaku antha one yr pay panna amt varuma sir
Varaadhu..term insurance kaasu thirumbi varaadhu..
One of my colleague said,
In case of death claim,
Investigation will be there only for first 3 years and if death happens after 3 rd year, then claim is paid mandatory.
Is it right sir??
Kindly clarify.
As long as natural detah or accidental death no problem. Death should be genuine..Very less rejection after 3rd year if no lies during taking policy
Bro one dout 2016 வேலையில் இருந்து வீட்டுக்கு வரும்போது ட்ரெயின் ஆக்சிடென்ட் ல இறந்துட்டாரு அவருடன் இன்சுரன்ஸ் இன்ன வரைக்கும் கிளைம் பண்ணல போய் கேட்டா நேரும் முடிஞ்சிருச்சு பிஎஃப் மட்டும்தான் கிளீன் பண்ண முடியும்னு சொல்றாங்க அப்போ அந்த இன்சுரன்ஸ் கிளைம் பண்ண முடியாதா?
4 years is bit late to make claim. But still you can be paid if all document are correct..Contact complaints@irdai.gov.in for complaints and resolution..
Thanks sir
Super.. sir.வீட்டு முகவரி மாறி இருந்தால் Claim reject aguma sir
No Dhamodharan...insurance claims will not be rejected for address change..but good idea to keep it updated with your insurance company..முகவரி மாற்றத்திற்காக காப்பீட்டு கோரிக்கைகள் நிராகரிக்கப்படாது..ஆனால் அதை உங்கள் காப்பீட்டு நிறுவனத்துடன் புதுப்பித்துக்கொள்வது நல்லது.
4 years I am not paying term insurance now policy lapsed, now I want continue my policy can I pay the amount
Bro.. I have the same problem. Is it better to revive the same policy (should I pay 4 years premium) or take a new policy?
If nominee and policy holder both are expired by same time , then who will get the settlement. Any chance to get the settlement Parents or children's?
Hi Muralee..Check this ruclips.net/video/0GaRPXvQvk4/видео.html
i have two country insure how many insurance can claim one time
You can claim from both countries..Just disclose to the secondary insurance about your first policy..
Enoda age 32 medical test completed. Na 1 crore policy eduthirukka suppose edutha 3 months la Na erunthittana policy claim aguma reject aguma. Ans me sir
It will be honoured as long as it is a genuine case of death of policyholder. But any good insurance company will do due diligence before clearing a higher sum assured..Don't worry..
Bro term insurance yedukurathuki CIBIL SCORE thevaiya?
No.. both are different
Sir வணக்கம்.. இன்சூரன்ஸ் act section 45 padi மூன்று வருடம் கழித்து கிளைம் மறுக்க கூடாது தானே?
Yes but willful suppression of fact is still valid reason to reject
Sir enga appa name la LIC policy potrundhom 3months ku once katra Mari potrundhom one year kattunom last 2 due kattala enga appa death agitanga 63 days amount kattala so amount claim panna mudiyadhunu sollitanga pay panna amount kodupangala
பிரீமியம் ஒழுங்காக கட்டவில்லை என்ற பட்சத்தில் கிளைம் கிடைப்பது ரொம்ப கஷ்டம் .ரிசக்ட்டு தான் ஆகும் .நீங்க ஒரு வருஷம் மட்டுமே பிரீமியம் கட்டி இருப்பதால் அந்த அமௌன்ட் கிடைப்பது ரொம்ப சொற்பமாகவே இருக்கும். term policy na கண்டிப்பா எந்த மட்டுமே திரும்பக் கிடைக்காது
@@SmartMoneyGoalTamil tq sir
Kindly clarify. How this company come to know,that same customer has policy with other company??
All companies are sharing data nowadays. It might come to notice..
Sir
Please tell the good term insurance....
Please refer to our other videos.. Covered already
Sir pls my pro pike la accidend two members fistmyfriend pack side my brother my friend dring my pro not dring so police fir irrukku put doctor my brother dring result insurance claim akuma pls today
Kelvi sariya puriyala..Hope your friend and p(b)ro are safe..
Sir I think he is coming to tell tat his brother died in a bike accident who sat back n not drink any alcohol. He has fir....but in postmortem report there is the death person has drinken....can he get the claim amount??
Bro, my mother had cancer in past but she is good now
Should I need to mention while filling form?
Yes, you have to mention!!
ஐயா தான் குவைத்தில் பணிபுரிகிறேன் சம்பளம் ரூ.70000/இப்போது Lic.10lak&.kodak.30000/எடுத்துள்ளேன் எனக்கு வெளிநாட்டில் ஏதாவது நேர்ந்தால் என்னுடைய காப்பீட்டுதொகை ககிடைக்குமே இதற்கு நான் அப்ளிகேஷன் கொடுக்கவேண்டுமா தெளிவாக சொல்லவும்.
நன்றி ஐயா.
ஆமாம் உங்கள் இறப்பிற்கான சான்றிதழ் நீங்கள் எந்த நாட்டில் இறந்து பெற வேண்டும். நீங்கள் வெளிநாட்டில் இருந்தாலும் உங்களுக்கு இன்சுரன்ஸ் கிடைக்கும்.
Sir children health insurance pathi sollunga...
It will be covered in your family floater policy..no need separate health insurance for them.
Lic Bond mis ahiduchunnaa enna panrathu bro
Visit nearest lic office with copy of policy if available and last payment bills,...they will guide details
sir i take term insurance of 1 crore now , but i didnot disclose my endowment policy of 3 lakh cover that i had already taken 10 years before. is it possible to reject my term insurance claim in future ? if so, how can i rectify.....
Hi Jayaraj..it is better to have disclosed but considering it is only 3 lakh sum assured compared to 1 crore it wont affect much. do not worry. problem will be if you had another policy for say 10 or 20 lakh or more
@@SmartMoneyGoalTamil OK BRO...
If someone die naturally, can the nominee claim the amount? Please make video or make a pin comment on the death category for insurance we can claim.
Yes if someone dies naturally then nominee can get the claim..there is no special category of death..as long as it does not fall in listed above 10 reasons it will usually be paid..
சார் வணக்கம் .எனக்கு- 59 வயதாகிறது. நான் ஒருதனியார் ப்ரோப்பரேட்டர் கம்பெனியில் அசிஸ்டெண்ட் ஆக வேலை பார்க்கிறேன். எனது ஊதியம் பேங்கில் போடுவதில்லை கையில்தான் வாங்குகிறேன். எனவே குறைந்த பிரீமியத்தில் லைப் இன்சூரன்ஸ் வாய்ப்பு ஏதேனும் உள்ளதா என்பதை தயவு செய்து தெரியப்படுத்தவும். டேர்ம் இன்ஷூரன்ஸ் இரண்டு முறை விண்ணப்பித்தேன் .
1.எடல்வைஸ் டோக்கியோ ,
2 . கனரா ஹெச். எஸ். பி. சி இரண்டுமே ரிஜெக்ட் ஆகிவிட்டது. அதாவது எனது சம்பளச் சான்றிதழ் ஏற்றுக்கொள்ளவில்லை .வேறு ஏதேனும் ஒரு வாய்ப்பு இருந்தால் சொல்லுங்கள்.
முதலில் அடுத்த இரண்டு ஆண்டுகளுக்கு உங்களுடைய வருமான வரி தாக்கல் செய்யவும்.ஆண்டிற்கு 2.5 லட்சத்திற்கு குறைவாக வருமானம் இருப்பின் உங்களுக்கு எந்த ஒரு வரியும் இருக்காது .அதனால் பதிவு செய்யவும். ரொம்ப சிறிய கம்பெனிகளின் சம்பளச் சான்றிதழை சில நிறுவனங்கள் ஏற்காது .அதனால் அரசாங்க வருமான வரி தாக்கல் செய்யும்போது அந்த நம்பிக்கை அதிகமாகும். கண்டிப்பாக உங்களுக்கு இன்சூரன்ஸ் கிடைக்கும். எல்ஐசியில் முயற்சித்து பாருங்கள்.அது மட்டுமில்லாமல் 59 வயது என்பது அதிகபட்ச உச்சவரம்பு .அதனால் கூட நிராகரிக்கப்படும்.
தபால் துறையில் ரூபாய் 339 ஒரு பாலிசி இருக்கு அதை உடனே எடுங்கள்
Super ji my 👁👁 open 👆 sir
Hi bro, if these scenarios are not covered then it should be specified in the exclusions right...
In the policy exclusion then have mentioned only Suicide for first year not covered... I am shocked when u say that death due to pregnancy is not covered, death due to sport adventure is not covered... Then y they have not mentioned it in exclusions...
I also got to know form am angent that if you have paid your premium 3 times then the insurance company have no grounds to reject a genuine claim as per the direction from supreme court order.
Please clarify.
When asked the insurance company they said they are covering even suicide after 2nd year and so they cover all other death except drunk and drive accident. If wat you said is correct then it should have been mentioned in the policy as exclusions..
When insurance companies do not say this in the policy how you are able to say this... Plz clarify bro
Yes post three years, there is not much grounds to reject..This was a recent amendment.. But death due to false information, dangerous sports is still not covered. Suicide mostly will not be covered. When making life insurance claim due to suicide you will face issues.. Insurance company will say anything when selling, check policy wordings please..
Appo mothatula kidaikathu Solunga.
Follow the rules and you will get..
Term insurance edukka +2pass panni irukkanum nu solranga.
MAX LIFE COMPENY LA YEN?
Thevai illai..education illa na income tax return file pannirundha podhum..
@@SmartMoneyGoalTamil ICICI PRU la bank statement vachi edukkalam nu solranga. Claim la problem varum?
@@Kosalram777 Edukalam..Only proof of income is required.. As long as you do not lie, insurance will not be rejected once issued..
சார் நான் 50l icici டெர்ம் பாலிசி எடுத்துள்ளோன் claim வரும்பொழுது income check panni reject pannuvanga la sir
Illa...apdi edhuvum nadakkadhu
Hi bro,
Incase I am addicted to smoke or drug after 1 or 2 years from the date of policy taken. It's there any option to reject ?
I too have the same doubt plz clarity bro
Yes option to reject possible..In case of material change in habits (excessive usage) need to inform insurance company)..
How many days take to get approval from insurance company??
2-3 weeks maximum depending on company and complexity of claim.
Brother ippo nomineeum death agittangana varisu ku thana varanum avanga marriage ana sister sign venuma
No not required.. varisu as per Hindu succession Act..
Date of birth mistake irundal claim reject aguma sir?
Chances are here..Get it corrected soon..
Can i buy max life term insurance or lic or hdfc
Yes pls anyone te ll
Hii sir I am prefer to max life term insurance, I am ready to pay premium one time settlement premium for 1.5 cr lumsum assured. Can I pay one time payment premium sir, any suggestions...??
No, preferably dont use one time premium..pay yearly..invest the one time premium in safe FD and use interest to pay premium if needed..but if you feel convenient go ahead..mathematically not much sense..
@@SmartMoneyGoalTamil thanks for reply
@@SmartMoneyGoalTamil ... Excellent sir
Hi sir, 1 query if 100% nominee is spouse but both policy holder and nominee hit bad risk, can the children get the claim?
Yes they have to prove they are the legal heirs of policyholder to get insurance claim
Sir Star insurance la death agitgla claim panlma
No death claim in health insurance. Unless add ons opted.