MDB / CI Claims

1) Application
2) Employment Certificate
3) All prescriptions, Pathological Reports & Treatment related Papers
4) Discharge Certificate from treated Hospital
5) Photocopy of NID Card / Driving License/ SSC/Passport etc
6) Bank details & particulars of the company

PPD / PTD Claim

1) Application
2) Employment certificate
3) All prescriptions, Pathological Reports & Treatment Papers
4) Discharge Certificate from treated Hospital
5) ECG, EX-RAY,MRI & CT Scan Report & Film ( If necessary )
6) Photocopy of NID Card
7) MICR Cheque leaf

Death Claim

1) Application
2) Employment certificate
3) All prescriptions, Pathological Reports & Treatment Papers 4) Death Certificate from Doctor (MBBS)/ Hospital /Clinic 5) Photocopy of NID Card/SSC/ Pasport/ Driving License etc 6) Bank Account Details & Particulars of the Company
In case of Accidental Death, following additional documents are required:
For Accidental / Unnatural death then GD entry copy, FIR, Post Mortem/ Autopsy report etc If not done postmortem, then it is required a permission copy of dead body buried without postmortem from magistrate or authority of concerned Thana.
In case of Accidental Death, following additional documents are required:
a) Policy Owner died in abroad then Death Certificate from that country, Photocopy of Passport, NOC, Air way bill, Dead body released copy, Embalming & sealing certificate and other related papers.
NB: Company can ask any additional information & requirements if necessary.

Group Death Claim

The Organization shall claim expenses by submitting the prescribed Claim Form to the Company together with supporting documents including the followings:
1) Consultant’s recommendation for hospitalization (Photocopy/Scan copy)
2) Discharge certificate (Photocopy/Scan copy)
3) A copy of the patient's file while hospitalized (if possible)
4) Money Receipt or Bill of Consultants (Physician/Surgeon) fee (Original)
5) Bill relating to room charges, investigations and other services where applicable (Original)
6) Bill of medicine/drugs (Original)
7) Bill relating to Surgical Operation charges (operation theatre, surgical team, delivery charge, anaesthesia& other charges), where applicable (Original)
8) Bill relating to ancillary charges (e.g. ambulance service, oxygen therapy, blood transfusions etc.) (Original)