| Sr.No | SERVICE | DESCRIPTION OF ITEM OF SERVICE | Regulatory Turnaround Time |
|---|---|---|---|
| 1 | New Business Proposal Processing | Processing of Insurance Proposal and seeking further requirements for consideration of the proposal. | 7 Days |
| Decision on proposal from the date of receipt of proposal or from the date of receipt of additional requirement whichever is later. | |||
| Providing copy of the policy along with the proposal form | 15 Days | ||
| 2 | Post Policy Service Request | Post Policy Service Requests concerning mistakes / corrections in the Policy document | |
| 3 | Policy Servicing (from the date of receipt of request for the service specified) | Change of Address (KYC Norms to be complied) | 7 Days |
| Registration /Change of Nomination, Assignment. | |||
| Alteration in Original Policy conditions (where applicable) | |||
| Change of location of risk | |||
| Inclusion of new member in case of group policies | |||
| Any other non-claim related changes | |||
| Cancellation of policy and refund of premium | |||
| 4 | Auto Action by the Insurer | Premium Due Intimation | One month before due date |
| Activities | Target Timeframe |
|---|---|
| Written acknowledgement of grievance to a complainant | Immediately |
| Seek and obtain further details, if any, from the complainant (permitted only once) | One week |
| Resolution of grievance and issue of final letter of resolution | Two weeks |
| Closure of grievance on non-receipt of reply from the complainant | Eight weeks |
| Particulars | Transaction Type | Turn Around Time (TAT) |
|---|---|---|
| Cashless Approval | Initial Authorization | 60 mins |
| Discharge Request | 3 Hrs | |
| Claim Settlement | 15 Days |
| Description | Turn Around Time |
|---|---|
| Surveyor appointment | within 24hrs from Claim Intimation |
| Survey Completion | within 24hrs of Surveyor appointment |
| Surveyor report submission | within 15 days from Date of Survey |
| Settlement / Claim decision | within 7 days from date of receipt of surveyor report |
| Claim Payment to Insured in case of NonCashless | 30 days from the receipt of Last Document |