Tuesday, August 21, 2018

4 Major Reasons - Claim Rejected

Image result for reject insurance1. Hiding Medical History, Lifestyle And Family Information - Pay special attention to sections related to lifestyle, medical and family history. Do not miss or hide information related to your health and lifestyle, especially smoking and alcohol-related questions. In case you consume cigarettes occasionally, you cannot declare yourself as a non-smoker in the proposal form.

Hiding wrong deeds like smoking or alcohol consumption just to pay a low premium will definitely lead to a claim rejection. Hiding any medical history with the fear of the policy getting rejected can be a cause for claim rejection. It’s important to inform the insurer in case of any lifestyle or medical changes like if you start smoking.

2. Concealing Pre-existing Diseases - This information plays a significant role when a customer wishes to attach some health-related riders/add-ons, like critical illness rider, with the basic term or life insurance plan. Being a health-related cover, it is very important to disclose any pre-existing condition. Currently, new term insurance plans come with inbuilt critical illness benefits.

Image result for reject insurance3. Delay In Claim Filing - Delay in filing the claim beyond a stipulated period could raise unnecessary suspicion. "The insurer can call for prolonged investigations. Such activities can take an additional time and can be a cause for claim rejection.

4. Policy Lapse - The first criteria for getting your claim approved is that the policy should be in-force. You must always pay your premiums on time to keep your policy in force. An insurer will reject your claim if your policy has lapsed due to non-payment of premiums. If due to any unavoidable circumstances you miss the due date of your premium payment, you should pay for the same during the grace period. If a claim is made even a day after the policy lapses, the insurance company will reject the claim.

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