Check list of the claim documents for Permanent Total Disability. Check list of the claim documents for PA - Death

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1 Check list of the claim documents for Permanent Total Disability 2 FIR 3 Panchanama 4 Disability Certificate from civil surgeon or from designated govt/competent authority Check list of the claim documents for PA - Death 2 FIR 3 Panchanama/Inquest Panchanama 4 Police Final Report/Charge Sheet (Based on FIR) 5 For PM Report having remark for FSLR or CA Report, the FSLR or CA reports are must 6 Death Certificate issued by the Municipal authority 7 Cause of death certificate issued by the hospital 8 Original Policy Certificate 9 Age proof of Insured: Election ID Card / PAN Card/ School Leaving

2 Check list of the claim documents for CI: Cancer 4 Histopathology / Cytology / FNAC / Biopsy / Immuno-histochemistry reports 5 X-Ray / CT scan / MRI scan / USG / Radioisotope / Bone scan Reports 6 Any other specific investigation done to support the diagnosis 7 Policy Certificate 8 Age proof of Insured: Election ID Card / PAN Card/ School Leaving Check list of the claim documents for CI : Myocardial Infarction from treating hospitals 4 ECG On Admission and subsequent ECG s

3 Check list of the claim documents for CI : CABG 2 Photocopy Hospital Discharge Card of hospital of surgery 4 Policy Certificate 5 Age proof of Insured: Election ID Card / PAN Card/ School Leaving Check list of the claim documents for CI : Stroke 4 Subsequent details of the Treatment, with the Consultation papers from the Treating Neurologist/ Physician stating the Neurological deficit 5 MRI / CT scan/ 2D Echocardiography Reports or any other Imaging technique Used during the diagnosis and treatment of the Stroke 6 Policy Certificate 7 Age proof of Insured: Election ID Card / PAN Card/ School Leaving

4 Check list of the claim documents for CI: Paralysis 4 Subsequent details of the Treatment, with the Consultation papers from the Treating Neurologist/ Physician stating the Neurological deficit and the degree/current status and duration of the Paralysis 5 MRI / CT scan Reports or any other Imaging technique Used during the diagnosis and treatment of the Stroke 6 Policy Certificate 7 Age proof of Insured: Election ID Card / PAN Card/ School Leaving Check list of the claim documents for CI: End Stage Kidney failure 3 Photocopy Hospital Bills 4 Investigations Reports 5 Blood Tests- Renal Function Tests specifically 6 Dialysis Papers/Receipts done in recent past 7 Renal scan 8 Policy Certificate 9 Age proof of Insured : Election ID Card / PAN Card/ School Leaving

5 Check list of the claim documents for CI: Major Organ Transplant SL of hospital of surgery 4 Scan / Histopathology / Cytology / FNAC / Biopsy report of the particular organ Check list of the claim documents for CI: Multiple Sclerosis 4 MRI / CT Scan Report/Electo-myogram report/biopsy / Cytology Report

6 Check list of the claim documents for CI: Heart Valve Replacement of hospital of surgery 4 X-ray and 2D-Echocardiography Report Check list of the claim documents for Loss of Job 2 Appointment letter with annexures 3 Last 3 Months Salary Slip 4 Certificate from the employer confirming the termination due to Lock out, Retrenchment, Cost Cutting and Pink Slip/Relieving letter from employer /Any communication from employer 5 Contact details of employer-phone no mobile no, ID, contact person in HR/Admin/Personnel dept 6 Appointment letter Employer if Re employed 7 VISA proof and Passport copy in case of Insured is NRI 8 Xerox Copy of the policy certificate 9 Age proof of Insured: Election ID Card / PAN Card/ School Leaving

7 Check list of the claim documents for death due to medical illness Sr 2 Death certificate issued from hospital-form 4A 3 Death certificate issued by Municipal authority 4 Hospital Indoor paper records of treatment and course in Hospital 5 Investigations Reports 6 Details of the Treatment received by the Customer on admission to hospital Age proof of Insured: Election ID Card / PAN Card/ School Leaving 7 8 Policy certificate 9 Any past medical records, treatment, investigations done

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