Claim Settlement Ratio

You can register a claim with Max Life Insurance through the following touch points. To help us process your claims faster, make sure that you submit the required documents along with the claim.

• Your Agent Advisor, bank, or corporate agent, from whom you purchased the policy
• Nearest Max Life Insurance company office. You can easily locate a nearby branch office by clicking here and switching to the ‘Locate A Branch Office’ tab

• Original policy documents
• Original/ attested copy of death certificate issued by the local municipal authority
• Death Claim Application form (Form A)
• NEFT mandate form attested by bank authorities along with a cancelled cheque or bank account passbook
• Nominee's photo identity proof, such as a copy of Passport, PAN card, Voter identity card, Aadhar (UID) card, etc.

• Attending physician's statement (Form 'C')
• Medical records (admission notes, discharge/death summary, test reports, etc.)

• Copy of the First Information Report (FIR) or Panchanama/Police complaint
• Copy of Post Mortem report (PMR)/Autopsy and Viscera report
• Copy of the Final Police Investigation report (FPIR)/Charge sheet

• Health claim application form
• Attending physician's statement
• Attested copies of all medical records
• NEFT mandate form

• Claim form (GTL Employer-Employee, EDLI, and Gratuity) as applicable
• Original/attested copy of death certificate issued by municipal authorities
• EFT mandate form to be completed by nominee/policyholder along with a copy of a cancelled cheque wherein the name of the account holder is printed or a copy of bank passbook

• Insurance certificate
• Original/attested copy of death certificate issued by the local municipal authority
• Claim form (Lender-Borrower/Non-Lender Borrower) as applicable
• NEFT mandate form attested by bank authorities along with a cancelled cheque or bank account passbook

• Attending physician's statement (Form 'C')
• Medical records (admission notes, discharge/death summary, test reports, etc.)

• Copy of the First Information Report (FIR) or Panchanama/Police complaint
• Copy of Post Mortem report (PMR)/Autopsy and Viscera report
• Copy of the Final Police Investigation report (FPIR)/Charge sheet

Where can I get claim forms and a list of documents required for submission?

You can get claim forms by:

• Downloading from the website Claims Section
• Visiting the nearest Max Life Insurance company branch
• Talking to your Agent Advisor or insurance intermediary

All claims are examined and settled by the company through the information present in the documents submitted by you in connection with the claim.

It is advisable to provide complete information to us for faster and smoother claims processing.

It is advisable that the beneficiary or the nominee intimate us about the claim at the earliest after your untimely demise. In the case of Dread Disease and Critical Illness claims, intimidate us only after the end of the survival period (after 28/30 days of event occurrence).

A claim is declined on the non-disclosure of any material information made at proposal/reinstatement stage, which affects the issuance/reinstatement of policy/rider. Also, non-fulfillment of contract terms and conditions may also lead to claim being declined.

In the case of Employer-Employee & Non-lender borrower schemes, the nominee, as stated in the Provident Fund nomination form or registered at the time of coverage commencement, is entitled to policy benefits.

In the case of Lender-Borrower schemes, the outstanding loan amount in favour of the master policyholder and balance claim in favour of the nominee is registered at the time of coverage commencement.

The documents required to file the following claims are:

• Death claim, please click here.
• Hospitalisation claim, please click here.
• Group claim, please click here.

What are the exclusions under the rider benefits?

Rider benefits offered by Max Life Insurance have the following exclusions:

• In case the dreaded disease/surgery occurs within a waiting period (90 to 180 days) of the policy issuance, depending upon the contract terms and conditions*.
• If the condition/surgery is not covered under the policy terms and conditions*

• If the life assured commits suicide within one year of the policy issuance
• If the life assured is involved in any unlawful activity resulting in injury
• If the injury occurred is not as per the policy terms and conditions*.

Life insurance holds immense value for a family that only has one earning member. Consider a scenario wherein the breadwinner loses their life due to deteriorating health or an accident. While the family has to deal with the emotional trauma of losing a loved one, they will also have to suffer financial stress, as they cannot rely on anyone else for support.

To make sure that your family doesn’t have to go through a similar chain of events, you need to create a contingency plan, with life insurance at its foundation, and various other investments making up the remaining portfolio.

Having a comprehensive life insurance plan, you can not only provide the right financial support to your loved ones in case of emergencies but also earn long-term tax-saving benefits among others for yourself. Before you purchase an insurance plan; however, you need to compare different life insurance plans from other insurers, on the basis of their Claim Settlement Ratio or claims paid ratio. This way you will be able to select an insurance cover that suits your present liabilities and life goals perfectly.