Common use of Claims Intimation Clause in Contracts

Claims Intimation. Upon the occurrence of any Illness or Injury that may result in a Claim under this Policy, then as a Condition Precedent to the Company’s liability under the Policy, all of the following shall be undertaken: (i) If any Illness is diagnosed or discovered or any Injury is suffered or any other contingency occurs which has resulted in a Claim or may result in a Claim under the Policy, the Company shall be notified with full particulars within 48 hours from the date of occurrence of event either at the Company’s call center or in writing. (ii) Claim must be filed within 15 days from the date of Loss from the hospital. Note: 6.4 (i) and 6.4 (ii) are precedent to admission of liability under the policy. (iii) The following details are to be disclosed to the Company at the time of intimation of Claim: 1. Policy Number; 2. Name of the Policyholder; 3. Name of the Insured Person in respect of whom the Claim is being made; 4. Nature of Illness or Injury; 5. Name and address of the attending Medical Practitioner and Hospital; 6. Date of admission to Hospital or proposed date of admission to Hospital for planned Hospitalization; 7. Any other necessary information, documentation or details requested by the Company. (iv) In case of an Emergency Hospitalization, the Company shall be notified either at the Company’s call center or in writing immediately and in any event within 48 hours of Hospitalization commencing or before the Insured Person’s discharge from Hospital.

Appears in 3 contracts

Sources: Health Insurance Policy Agreement, Insurance Policy Agreement, Insurance Policy Agreement