Certificate of Insurance

IndiaFirst Life Group Micro Insurance Plan (A Non-Linked Non-Participating Group Micro Life Insurance Plan)
UIN No. 143N053V03

Pinki
Daita Khurd
Khair
Uttar Pradesh, 202155
9068206473

Master Policyholder Name : Satya Microcapital Limited

Master Policy No.: G0001660
Cover Type: Level
Loan Type: ML
Loan No.: 0097JLG16313
Name of the Primary Borrower: Pinki
Date of Birth: 01/01/1992
Gender: Female
Member Id: VS494
Joint Borrower Name: Ram Singh
Joint Borrower Date of Birth: 01/01/1980
Joint Borrower Gender: Male
Joint Borrower Member Id: VS494-01

Percentage Age of Relationship of Appointee Name Relationship of

Nominee Name
Share Nominee Nominee (if applicable) Appointee
Either-or Survivor
100 NA NA NA NA

Installment Premium Life 1: 1534.50 Installment Premium Life 2: 1534.50

Sum Assured: 93000.00 Sum Assured Type: Level
Coverage Option:
Life Cover Interest Rate: NA

Payment Mode: Direct Debit Cover Term (months): 36

Premium Payment Single Premium Term (months): 36
Premium Payment Frequency: Single Cover Commencement Date: 25/09/2024
Cover Ceasing Date: 24/09/2027 Premium Due Date: NA
Last Premium Due Date: NA
Joint Life Sum Assured (%): Life 1 50.00 Life 2 50.00 Or 100% for both life
Joint Borrower Sum Assured: 93000

Note: Tax benefit may be available on the premiums paid and benefits received as per prevailing tax laws
 IMPORTANT TERMS & CONDITIONS

Free Look Period

You have a free look period of 30 days from the date of receipt of the Certificate of Insurance whether received electronically or otherwise, to
review the terms and conditions of the Certificate of Insurance and in case you disagree to any of those terms and conditions, you shall have
the option to return the Certificate of Insurance to us for cancellation, stating the reason for your objection, then you shall be entitled to a
refund of premium paid subject only to a deduction of stamp duty under the policy, proportionate risk premium for the period of cover and
expenses incurred on medical examination, if any.

Such a request received by us for free look cancellation of the Certificate of Insurance shall be processed and premium refunded within 7
days of receipt of the request, subject to applicable deductions.

Important Terminology

Terminology Meaning
Death Benefit The benefit payable on death of the Member, as specified in the Certificate of Insurance.
Maturity Benefit There is no Maturity Benefit applicable under this policy.
The benefit payable on surrender/ termination by the Master Policyholder/ Member, as specified in the
Surrender Benefit
Certificate of Insurance.

Definitions
Accident
“Accident” means sudden, unforeseen and involuntary event caused by external, visible and violent
means.

Medical Practitioner A medical practitioner is a person who holds a valid registration from the medical council of any state or
Medical council of India or Council for Medicine or for Homeopathy set up by the Government of India or
a State Government and is thereby entitled to practice medicine within its jurisdiction and is acting within
the scope and jurisdiction of license.
The Medical Practitioner / Specialist Medical Practitioner are independent of the Insurance Company.
Such Independent Medical Practitioner shall not include: The Member’s Spouse, Father (including step
father) or Mother (including step mother), Son (including step son), Son’s wife, Daughter, Daughter’s
husband, Brother (including step brother) and Sister (including step sister) or member under this policy
Pre-Existing disease Pre-Existing disease is defined as any condition, ailment, injury or disease:

a. That is/are diagnosed by a physician within 48 months prior to the effective date of the policy issued
by the insurer or
b. For which medical advice or treatment was recommended by, or received from, a physician within 48
months prior to the effective date of the policy or its reinstatement.
c. A condition for which any symptoms and or signs if presented and have resulted within three months
of the issuance of the policy in a diagnostic illness or medical condition

Definition of Accidental Total Permanent Disability (ATPD) is given below.

Accidental Total Permanent “Total and Permanent Disability” refers to a disability, which:
Disability (ATPD) a. is caused by Bodily Injury resulting from an accident, and
b. occurs due to the said bodily injury, directly and independently of any other causes, and
c. occurs within 180 days of the occurrence of such accident irrespective of the expiry of Cover Term
provided date of accident is within the Cover Term
 For the purposes of this benefit,

The loss of both arms, or of both legs, or of one arm and one leg, or of both eyes, shall be considered
total and permanent disability, without prejudice to other causes of total and permanent disability.

“Loss of an arm or a leg” shall mean physical severance of the arm at or above the wrist or physical
severance of the leg at or above the ankle which:
a. is caused by bodily injury resulting from an accident, and
b. occurs due to the said bodily injury, directly and independently of any other causes, and
c. occurs within 180 days of the occurrence of such accident irrespective of the expiry of Cover Term
provided date of accident is within the Cover Term.

“Loss of an eye” shall mean total and irrevocable loss of sight of an eye which:
a. is caused by bodily injury resulting from an accident, and
b. occurs due to the said bodily injury, directly and independently of any other causes, and
c. occurs within 180 days of the occurrence of such accident irrespective of the expiry of Cover Term
provided date of accident is within the Cover Term.

List of Critical Illnesses (CI) covered & their definitions with disease specific exclusions of CI are given below.
Cancer of Specified Severity I. A malignant tumor characterized by the uncontrolled growth and spread of malignant cells with
invasion and destruction of normal tissues. This diagnosis must be supported by histological evidence of
malignancy. The term cancer includes leukemia, lymphoma and sarcoma.
II. The following are excluded –
i. All tumors which are histologically described as carcinoma in situ, benign, pre-malignant, borderline
malignant, low malignant potential, neoplasm of unknown behavior, or non-invasive, including but not
limited to: Carcinoma in situ of breasts, Cervical dysplasia CIN-1, CIN -2 and CIN-3.
ii. Any non-melanoma skin carcinoma unless there is evidence of metastases to lymph nodes or beyond;
iii. Malignant melanoma that has not caused invasion beyond the epidermis;
iv. All tumors of the prostate unless histologically classified as having a Gleason score greater than 6 or
having progressed to at least clinical TNM classification T2N0M0
v. All Thyroid cancers histologically classified as T1N0M0 (TNM Classification) or below;
vi. Chronic lymphocytic leukaemia less than RAI stage 3
vii. Non-invasive papillary cancer of the bladder histologically described as TaN0M0 or of a lesser
classification,
viii.All Gastro-Intestinal Stromal Tumors histologically classified as T1N0M0 (TNM Classification) or
below and with mitotic count of less than or equal to 5/50 HPFs;
Open Chest CABG I. The actual undergoing of heart surgery to correct blockage or narrowing in one or more coronary
artery(s), by coronary artery bypass grafting done via a sternotomy (cutting through the breast bone) or
minimally invasive keyhole coronary artery bypass procedures. The diagnosis must be supported by a
coronary angiography and the realization of surgery has to be confirmed by a cardiologist.
II. The following are excluded:
Angioplasty and/or any other intra-arterial procedures
Myocardial Infarction I. The first occurrence of heart attack or myocardial infarction, which means the death of a portion of the
(First Heart Attack of specific heart muscle as a result of inadequate blood supply to the relevant area. The diagnosis for Myocardial
severity) Infarction should be evidenced by all of the following criteria:
i. A history of typical clinical symptoms consistent with the diagnosis of acute myocardial infarction (For
e.g. typical chest pain)
ii. New characteristic electrocardiogram changes
iii. Elevation of infarction specific enzymes, Troponins or other specific biochemical markers.
II. The following are excluded:
i. Other acute Coronary Syndromes
ii. Any type of angina pectoris
iii. A rise in cardiac biomarkers or Troponin T or I in absence of overt ischemic heart disease OR
following an intra-arterial cardiac procedure
Stroke resulting in Permanent I. Any cerebrovascular incident producing permanent neurological sequelae. This includes infarction of
symptoms brain tissue, thrombosis in an intracranial vessel, haemorrhage and embolisation from an extracranial
source. Diagnosis has to be confirmed by a specialist medical practitioner and evidenced by typical
 clinical symptoms as well as typical findings in CT Scan or MRI of the brain. Evidence of permanent
neurological deficit lasting for at least 3 months has to be produced.
II. The following are excluded:
i. Transient ischemic attacks (TIA)
ii. Traumatic injury of the brain
iii. Vascular disease affecting only the eye or optic nerve or vestibular functions
Kidney Failure requiring I. End stage renal disease presenting as chronic irreversible failure of both kidneys to function, as a
regular dialysis result of which either regular renal dialysis (haemodialysis or peritoneal dialysis) is instituted or renal
transplantation is carried out. Diagnosis has to be confirmed by a specialist medical practitioner
Benefits

Joint Life Cover

First claim basis - Sum Assured for each Member is equal to 100% of the outstanding loan amount. The benefit is payable on first claim
basis as per loan schedule and in respect of the other Member, the membership terminates and the cover for the other member shall
cease immediately. The sum assured is payable only once even if both Members die at the same time.
Loan share percentage - Sum Assured for each Member is equal to his/her share of the loan. The benefit is payable in case of
unfortunate demise of either or both of the borrowers to the proportion of his/her share of loan. In case of death or any other covered
event of one of the borrower the cover for the other borrower continues.

Death / Accidental Total Permanent Disability (ATPD) Benefit /Critical Illness (CI) Benefit

If the Member had opted for Life Cover Option, in case of death of the Member or first death of either of the Members’ (in case of joint
life); the outstanding cover amount / Sum Assured as opted at inception shall be payable.

If the Member had opted for Life Cover + Accidental Total Permanent Disability Option, then the outstanding cover amount / Sum
Assured as opted at inception shall be payable in the event of either death or total permanent disability due to accident of Member or
either of the embers’ (in case of joint life); whichever occurred first. In case of Accidental Total Permanent Disability (ATPD) occurring
within 180 days of accident, irrespective of the expiry of cover term, provided date of accident is within the cover term, we will pay the
cover amount as per initial cover schedule on the date of accident plus any premiums, if any, paid from date of accident to date of
disability.
If the Member had opted for Life Cover + Critical Illness Option, then the outstanding cover amount / Sum Assured as opted at inception
shall be payable in the event of either death or first diagnosis of any of the covered CI of Member or either of the Members’ (in case of
joint life); whichever occurred first.

If the Member had opted for Life Cover + Accidental Total Permanent Disability + Critical Illness Option, then the outstanding cover
amount / Sum Assured as opted at inception shall be payable, in the event of either death or accidental total permanent disability or first
diagnosis of any of the covered CI of the Member or either of the Members’ (in case of joint life); whichever occurred first. In case of
Accidental Total Permanent Disability (ATPD) occurring within 180 days of accident, irrespective of the expiry of cover term, provided
date of accident is within the cover term, we will pay the cover amount as per initial cover schedule on the date of accident plus any
premiums, if any, paid from date of accident to date of disability.

The benefit shall be payable as under:

 In case a Regulated Entity as mentioned under Lender- Borrower scheme is the Master Policyholder, the Outstanding Loan
amount, if any, shall be payable to the Master Policyholder subject to prior authorization from the Member taken at the inception
of policy. Any residual benefit shall be paid to the Nominee.
 In case of Other Entities, the Benefit shall be payable to the Nominee.

Please Note:

Regulated Entities shall mean to include –

1.1 Reserve Bank of India (RBI) Regulated Scheduled Commercial Banks (including Co-operative Banks).
1.2 NBFCs having Certificate of Registration from RBI.
1.3 National Housing Bank (NHB) Regulated Housing Finance Companies.
1.4 National Minority Development Finance Corporation (NMDFC) and its State Channelizing Agencies.
1.5 Small Finance Banks regulated by RBI
1.6 Mutually Aided Cooperative Societies formed and registered under the applicable State Act concerning such Societies.
1.7 Microfinance companies registered under section 8 of the Companies Act,2013.
1.8 Any other category as approved by Insurance Regulatory and Development Authority of India (IRDAI).

Other Entities shall mean the entities other than Regulated Entities as mentioned above.

The Life Insurer shall audit or cause an audit into the accuracy of the Credit Account Statement(s) of the insured member in respect of
which claim was settled on the completion of every financial year.

Maturity - No maturity benefit under this plan

Grace Period
A period of 30 (Thirty) days from the due date for payment of Premium for yearly, half yearly and quarterly Premium payment mode and
15 (Fifteen) days for monthly Premium payment mode. During this period the policy will be considered to be in-force.

Payment of Premium:

We shall continue to provide coverage to you, in respect of the policy in case of failure of the master policyholder to account for the
business to us or if premium is collected by the master policyholder and for some reason the same does not reach us within grace period.
The cover will also continue to be provided in case you can prove that you had paid the premium and secured a proper receipt leading to
believe that you were duly insured, even after grace period.

Revival of policy (for Limited /Regular Premium payment policies)

A lapsed policy can be revived by paying all the outstanding premiums without any interest/Late fees through the Master Policyholder
within 5 years from due date of 1st unpaid premium and fulfilling all medical (DGH) & financial underwriting requirements as per board
approved Underwriting policy.
Under limited payment option, if member/master policyholder has not revived the policy within revival period of five years, then on
completion of revival period unexpired risk premium value will be paid to the member/master policyholder and policy or contract terminates
for that member.
Under regular payment option, if member/master policyholder has not revived the policy within revival period of five years, then on
completion of revival period contract terminates without any value.

Surrender
You may surrender the policy /cover at any time during the cover term. However, no unexpired risk premium value is payable if policy/cover
is surrendered within 12 months of inception. The insurance cover on your life shall cease immediately on surrender of the plan by the
Master Policyholder or foreclosure of loan by you, you have the option to continue the life cover as per details mentioned in the COI
issued till the end of the cover term.
You can also surrender the cover before the end of loan term.
There is no surrender value under regular premium option.

Unexpired Risk Premium value applicable under Single Premium is calculated as mentioned below:-

Level Cover - 50% X Single Premium X {1 – M / P}

Reducing Cover ** - 50% X Single Premium X {1 – M / P} X {Current SA / Original SA}

Where M = Elapsed months since inception, P = Cover term in months, SA = Sum Assured

** Reducing Cover is equal to the outstanding loan amount as on the monthly plan anniversary immediately prior to the date of surrender/
lapse and as specified in the Certificate of Insurance.

Unexpired Risk Premium Value applicable under Limited Premium

No unexpired risk premium value is payable if policy / cover is surrendered within 12 months of inception. You may terminate/surrender
the policy/cover any time post completion of 12 months but before end of the cover/membership term. The unexpired risk premium value
will be paid immediately. There is no surrender value under regular premium option.

In case of foreclosure of the loan by You before the end of the term or master policyholder surrender the policy, then You will get an
option to continue the cover till the end of the term as per details mentioned in the COI or terminate the contract and get an unexpired
risk premium value as mentioned below.

Unexpired Risk Premium Value under Limited Premium is calculated as mentioned below:-

Level Cover - 50% X Premiums Paid X {1 – M / P} X (Premiums Paid/ Total Premiums payable under the policy)

Reducing Cover - 50% X Premiums Paid X {1 – M / P} X {Current SA / Original SA} X (Premiums Paid/ Total Premiums payable under
the policy)

Where M = Elapsed months since inception and P = Cover term in months, SA = Sum Assured

Termination of Coverage
The Cover in respect of any Member under this policy will terminate on the earliest of the following:
 Your attaining age 70 years or on death or total and permanent disability due to an accident (if member avails this benefit) or
CI (if member avails this benefit) whichever is earlier
  Non-payment of limited/ regular premium during the grace period as applicable
 End of cover term
 Surrender/Termination of the contract by the member
 Death of the first life in case of joint life coverage in case of first claim basis
 On payment of ‘free look’ cancellation

Claims
The master policyholder or the nominee/legal heir/appointee, as the case may be, will give us a written notice of the claim on the member’s
demise / total permanent disability or occurrence of any of the defined critical illness. They need to give us all the relevant information in
writing to enable us to process the claim as specified in the plan on the address mentioned in this COI.

In case of authorization provided by the Member to the Master Policyholder, at the time of Claim, the Master Policyholder will need to:
• Provide Member Form & Loan Account Statement in respect of the insured Member to whom/whose nominee or beneficiary the claim
money are payable.

• Provide a confirmation that the Insured Member / Nominee / Beneficiary who had submitted the Claim discharge form is the same
person who has been registered by Master Policyholder as the Insured Member / Nominee / Beneficiary under the Group Master
Policy.

The Life Insurer shall audit or cause an audit into the accuracy of the Credit Account Statement(s) of the insured Member in respect of
which claim was settled on the completion of every financial year.

Documents required at the time of making a Death claim are:

Incase of natural death:

1. Proof of Age of the Life Assured, if the Age of the life assured has not been admitted by us.
2. Claimant’s statement and claim intimation report completely filled and signed by claimant/nominee.
3. Valid QR code Scannable Death certificate issued under section 12/17 of registration of Births and Deaths Act 1969 (only in case
of death of the Life Assured).
4. Loan Application form & Loan a/c statement
5. Member Form
6. Certificate of Insurance (Inforced, issued at the inception / renewal whichever is applicable).
7. Credit Account Statement with declaration duly filled by the Master Policyholder certifying the accuracy of the statement
8. All Hospitalization documents including discharge summary Admission Notes and all investigation reports (only in case the Life
Assured was treated for any illness related to the cause of death).
9. Self-attested copy of photo-identity proof and address proof of the Nominee/Claimant (e.g. driving license, PAN card, passport,
Voter ID card etc.)
10. Self-attested copy of bank pass book of Nominee/Claimant along with cancelled cheque with Printed Nominee name, Ac no and
IFSC code available on the same.
Any other document or information that we may need for validating and processing the claim.

Incase of un natural death:

1. Proof of Age of the Life Assured, if the Age of the life assured has not been admitted by us.
2. Claimant’s statement and claim intimation report duly filled and signed by claimant/nominee.
3. Valid QR code Scannable Death certificate issued under section 12/17 of registration of Births and Deaths Act 1969 (only in case
of death of the Life Assured).
4. Loan Application form & Loan a/c statement
5. Member Form
6. Certificate of Insurance (Inforced, issued at the inception / renewal whichever is applicable).
7. Credit Account Statement with declaration duly filled by the Master Policyholder certifying the accuracy of the statement
8. Clear readable Copies of Medico Legal Certificate, First Information Report, Panchnama, Inquest report and post mortem report,
duly attested by the police (only in case of Accident leading to unnatural death or Permanent Disability of the Life Assured)).
9. Self-attested copy of photo-identity proof and address proof of the Nominee/Claimant (e.g. driving license, PAN card, passport,
Voter ID card etc.)
10. Self-attested copy of bank pass book of Nominee/Claimant along with cancelled cheque with Printed Nominee name, Ac no and
IFSC code available on the same.
Any other document or information that we may need for validating and processing the claim.

Documents required at the time of making a claim for Accidental Total Permanent Disability
1) Completely filled & signed claim intimation form
2) Disability certificate signed & issued by the civil surgeon
 3) Discharge Card / Indoor consultation paper from the hospital along with the investigation report.
4) In case disability due to accident, copy of First Information Report & Post Mortem Report, duly attested by police officials, in
case of unnatural deaths including accidents, murder, suicide etc.
5) Life Assured’s photo, current address proof & photo ID proof
6) Life Assured’s copy of bank passbook / statement with bank account details

Documents required at the time of making a claim for Critical Illness

1. Completely filled & signed claim intimation form
2. Health declaration form
3. Medical Certificate confirming the diagnosis of Critical Illness
4. A certificate from an attending Medical Practitioner confirming that the claim does not relate to any Pre-existing Illness or Injury or
any Illness or Injury which was diagnosed within the first 90 days of the inception of the Policy.
5. Discharge Card / Indoor consultation paper from the hospital along with the investigation report.
6. First Consultation letter and subsequent prescriptions
7. In the case critical illness arises due to an accident, copy First Information Report & Post Mortem Report, duly attested by police
officials or medico-legal certificate.
8. Life Assured’s photo, current address proof & photo ID proof
9. Life Assured’s copy of bank passbook / statement with bank account details
10. Specific documents listed under the respective critical illness

Exclusions

1. Suicide

In case of death due to suicide, within 12 months from the date of inception of the cover commencement date of the member,
the nominee of the life assured shall be entitled to 80% of the premiums paid excluding extra premium, if any, or from the date
of revival or reinstatement of the cover by the member, the nominee of the life assured shall be entitled to the higher of 80% of
the premiums paid or surrender/unexpired risk premium value, if any, as available on the date of death of the member. This is
irrespective of whether the life assured, was sane or insane at the time death.

2. Accidental Total Permanent Disability

Total and Permanent Disability (due to an accident) shall not be paid if disability occurring directly or indirectly as a result of (any
of the following):
 Intentional self-inflicted injury, suicide or attempted suicide, while sane or insane;
 Insured person being under the influence of drugs, alcohol, narcotics or psychotropic substances unless taken in
accordance with the lawful directions and prescription of a registered medical practitioner;
 War, invasion, act of foreign enemy, hostilities (whether war be declared or not), civil war, mutiny, rebellion, terrorist
act, revolution, insurrection, military or usurped power, riot or civil commotion, strikes;
 Participation in any flying activity, except as a bonafide passenger in a commercially licensed aircraft;
 Participation by the insured person in a criminal or unlawful act;
 Any Pre-existing disease. Pre-Existing disease means any condition, ailment, injury or disease:
a. That is/are diagnosed by a physician within 48 months prior to the effective date of the policy issued by the insurer
or
b. For which medical advice or treatment was recommended by, or received from, a physician within 48 months prior
to the effective date of the policy or its reinstatement
c. A condition for which any symptoms and or signs if presented and have resulted within three months of the issuance
of the policy in a diagnostic illness or medical condition
 Any disability due to any kind of sickness or disease before and/or after the effective date of the cover; any existing
external congenital anomaly will not be covered, and policy will not be issued for such members having external
congenital anomaly. Other than external congenital anomaly all other congenital anomaly will be covered.

Where External Congenital Anomaly means a condition, which is visible and in accessible parts of the body and
present since birth, and which is abnormal with reference to form, structure or position.
 Engaging in or taking part in professional sport(s) or any hazardous pursuits, including but not limited to, diving or
riding or any kind of race; underwater activities involving the use of breathing apparatus or not; martial arts; hunting;
mountaineering; parachuting; bungee-jumping;
 Nuclear Contamination; the radio-active, explosive or hazardous nature of nuclear fuel materials or property
contaminated by nuclear fuel materials or accident arising from such nature
 If full disclosure is given by the members and that particular members fall under any of the exclusion stated above at
the time of sale then the policy will not be offered to such members
 3. Critical Illness
In addition to the condition specific exclusion mentioned in the definitions, we will not pay any
claim arising directly or indirectly due to any of the following causes:
 Any Pre-existing disease. Pre-Existing disease means any condition, ailment, injury or disease:
a. That is/are diagnosed by a physician within 48 months prior to the effective date of the policy issued by the insurer
or
b. For which medical advice or treatment was recommended by, or received from, a physician within 48 months prior
to the effective date of the policy or its reinstatement
c. A condition for which any symptoms and or signs if presented and have resulted within three months of the issuance
of the policy in a diagnostic illness or medical condition

 Intentional self-inflicted injury, attempted suicide while sane or insane.

 Alcohol or Solvent abuse or taking of Drugs, narcotics or psychotropic substances unless taken in accordance with
the lawful directions and prescription of a registered medical practitioner.
 War, invasion, act of foreign enemy, hostilities (whether war be declared or not), armed or unarmed truce, civil war,
mutiny, rebellion, revolution, insurrection, military or usurped power, riot or civil commotion, strikes.
 Taking part in any naval, military or air force operation during peace time.
 Participation by the insured person in any flying activity, except as a bona fide, fare-paying passenger, pilot, air crew
of a recognized airline on regular routes and on a scheduled timetable
 Participation by the insured person in a criminal or unlawful act with a criminal intent.
 Engaging in or taking part in professional sport(s) or any hazardous pursuits, including but not limited to, diving or
riding or any kind of race; underwater activities involving the use of breathing apparatus or not; martial arts; hunting;
mountaineering; parachuting; bungee-jumping.
 Disability due to post-traumatic stress disorder, chronic fatigue, chronic pain, and fibromyalgia are excluded
Any external congenital anomaly. Where External Congenital Anomaly means a condition, which is visible and in
accessible parts of the body and present since birth, and which is abnormal with reference to form, structure or position.

 Nuclear Contamination; the radioactive, explosive or hazardous nature of nuclear fuel materials or property
contaminated by nuclear fuel materials or accident arising from such nature.

Nomination shall be governed as per section 39 of the Insurance Act, 1938 as amended from time to time.
The extant provisions in this regard are as follows:
Nomination of a life insurance Policy is as below in accordance with Section 39 of the Insurance Act, 1938 as amended by Insurance
Laws (Amendment) Act, 2015 or any other Regulation as specified by the Authority. The extant provisions in this regard are as follows:

1) The policyholder of a life insurance on his own life shall nominate a person or persons to whom money secured by the
policy shall be paid in the event of his death. Nomination is mandatory to facilitate payment of claim amount in case of
death of life assured.
2) Where the nominee is a minor, the policyholder shall appoint any person in the manner laid down by the insurer to receive
the money secured by the policy in the event of policyholder’s death during the minority of the nominee.
3) Nomination may be incorporated in the text of the policy itself or may be endorsed on the policy communicated to the
insurer and can be registered by the insurer in the records relating to the policy.
4) Nomination can be changed at any time before policy matures, by an endorsement or a further endorsement or a will as
the case may be.
5) A notice in writing of Change of nomination must be delivered to the insurer Otherwise, insurer will not be liable for any
payment under the policy made bonafide by the insured to the nominee unless it is mentioned in the text of the policy or
in the registered records of the insurer.
6) Fee for registering change in the nomination may require to be paid to the insurer which shall not exceed Rs. 100 (Rs.
One hundred only) or as may be specified by the Authority.
7) On receipt of notice with fee, the insurer should grant a written acknowledgement to the policyholder of having registered
a nomination or change thereof.
8) A transfer or assignment made in accordance with Section 38 shall automatically cancel the nomination except in case of
assignment to the insurer or other transferee or assignee for purpose of loan or against security or its reassignment after
repayment. In such case, the nomination will not get cancelled to the extent of insurer’s or transferee’s or assignee’s
interest in the policy. The nomination will get revived on repayment of the loan.
9) The right of any creditor to be paid out of the proceeds of any policy of life insurance shall not be affected by the
nomination.
10) In case of nomination by policyholder whose life is insured, if the nominees die before the policyholder, the proceeds are
payable to policyholder or his heirs or legal representatives or holder of succession certificate.
11) In case nominee(s) survive the person whose life is insured, the amount secured by the policy shall be paid to such
survivor(s).
 12) Where the policyholder whose life is insured nominates his (a) parents or (b) spouse or (c) children or (d) spouse and
children (e) or any of them; the nominees are beneficially entitled to the amount payable by the insurer to the policyholder
unless it is proved that policyholder could not have conferred such beneficial title on the nominee having regard to the
nature of his title.

13) If nominee(s) die after the policyholder but before his share of the amount secured under the policy is paid, the share of
the expired nominee(s) shall be payable to the heirs or legal representative of the nominee or holder of succession
certificate of such nominee(s).
14) The provisions of sub-section 7 and 8 (13 and 14 above) shall apply to all life insurance policies maturing for payment
after the commencement of Insurance Laws (Amendment) Act, 2015 (i.e. 23.03.2015).
15) If policyholder dies after maturity but the proceeds and benefit of the policy has not been paid to him because of his death,
his nominee(s) shall be entitled to the proceeds and benefit of the policy.
16) The provisions of Section 39 are not applicable to any life insurance policy to which Section 6 of Married Women’s Property
Act, 1874 applies or has at any time applied except where before or Insurance Laws (Amendment) Act, 2015, a nomination
is made in favour of spouse or children or spouse and children whether or not on the face of the policy it is mentioned that
it is made under Section 39. Where nomination is intended to be made to spouse or children or spouse and children under
Section 6 of MWP Act, it should be specifically mentioned on the policy. In such a case only, the provisions of Section 39
will not apply.

[Disclaimer: This is not a comprehensive list of amendments of Insurance Laws (Amendment) Act, 2015 and only a simplified
version prepared for general information. Policy Holders are advised to refer to Insurance Laws (Amendment) Act, 2015 dated
23.03.2015 and any other applicable Regulation/Circulars issued by the Authority for complete and accurate details.]

Assignment shall be governed as per section 38 of the Insurance Act, 1938 as amended from time to time.
Assignment or transfer of a policy should be in accordance with Section 38 of the Insurance Act, 1938 as amended by Insurance Laws
(Amendment) Act, 2015 and any other applicable Regulation/Circulars issued by the Authority. The extant provisions in this regard are
as follows:

(1) This policy may be transferred/assigned, wholly or in part, with or without consideration.
(2) An Assignment may be effected in a policy by an endorsement upon the policy itself or by a separate instrument
under notice to the Insurer.
(3) The instrument of assignment should indicate the fact of transfer or assignment and the reasons for the assignment
or transfer, antecedents of the assignee and terms on which assignment is made.
(4) The assignment must be signed by the transferor or assignor or duly authorized agent and attested by at least one
witness.
(5) The transfer or assignment shall not be operative as against an insurer until a notice in writing of the transfer or
assignment and either the said endorsement or instrument itself or copy there of certified to be correct by both
transferor and transferee or their duly authorised agents have been delivered to the insurer.
(6) Fee for granting a written acknowledgement of the receipt of notice of assignment or transfer assignment may require
to be paid to the insurer which shall not exceed Rs. 100 (Rs. One hundred only) or as may be specified by the
Authority On receipt of notice with fee, the insurer should Grant a written acknowledgement of receipt of notice. Such
notice shall be conclusive evidence against the insurer of duly receiving the notice.
(7) If the insurer maintains one or more places of business, such notices shall be delivered only at the place where the
policy is being serviced.
(8) The insurer may accept or decline to act upon any transfer or assignment or endorsement, if it has sufficient reasons
to believe that it is (a) not bonafide or (b) not in the interest of the policyholder or (c) not in public interest or (d) is
for the purpose of trading of the insurance policy.
(9) Before refusing to act upon endorsement, the Insurer should record the reasons in writing and communicate the
same in writing to Policyholder within 30 days from the date of policyholder giving a notice of transfer or assignment.
(10) In case of refusal to act upon the endorsement by the Insurer, any person aggrieved by the refusal may prefer a
claim to IRDAI within 30 days of receipt of the refusal letter from the Insurer.
(11) The priority of claims of persons interested in an insurance policy would depend on the date on which the notices of
assignment or transfer is delivered to the insurer; where there are more than one instruments of transfer or
assignment, the priority will depend on dates of delivery of such notices. Any dispute in this regard as to priority
should be referred to Authority.
(12) Every assignment or transfer shall be deemed to be absolute assignment or transfer and the assignee or transferee
shall be deemed to be absolute assignee or transferee, except
a. where assignment or transfer is subject to terms and conditions of transfer or assignment OR
b. where the transfer or assignment is made upon condition that
i. the proceeds under the policy shall become payable to policyholder or nominee(s) in the event of assignee or
transferee dying before the insured OR
ii. the insured surviving the term of the policy.
Such conditional assignee will not be entitled to obtain a loan on policy or surrender the policy. This provision will
prevail notwithstanding any law or custom having force of law which is contrary to the above position.
 (13) In other cases, the insurer shall, subject to terms and conditions of assignment, recognize the transferee or assignee
named in the notice as the absolute transferee or assignee and such person.
a. shall be subject to all liabilities and equities to which the transferor or assignor was subject to at the date of transfer or
assignment and
b. may institute any proceedings in relation to the policy.
c. obtain loan under the policy or surrender the policy without obtaining the consent of the transferor or assignor or
making him a party to the proceedings.
(14) Any rights and remedies of an assignee or transferee of a life insurance policy under an assignment or transfer
effected before commencement of the Insurance Laws (Amendment) Act, 2015 shall not be affected by this
section.

[Disclaimer: This is not a comprehensive list of amendments of Insurance Laws (Amendment) Act, 2015 and only a simplified
version prepared for general information. Policy Holders are advised to refer to Insurance Laws (Amendment) Act, 2015 dated
23.03.2015 and any other applicable Regulation/Circulars issued by the Authority for complete and accurate detail]
Disclosures

Section 45 of the Insurance Act, 1938 as amended from time to time.

Provisions regarding policy not being called into question in terms of Section 45 of the Insurance Act, 1938, as amended Insurance Laws
(Amendment) Act, 2015 dated 23.03.2015are as follows:

1) No Policy of Life Insurance shall be called in question on any ground whatsoever afterexpiry of 3 yrs from
a. the date of issuance of policy or
b. the date of commencement of risk or
c. the date of revival of policy or
d. the date of rider to the policywhichever is later.
2) On the ground of fraud, a policy of Life Insurance may be called in question within 3years from
a. the date of issuance of policy or
b. the date of commencement of risk or
c. the date of revival of policy or
d. the date of rider to the policywhichever is later.
For this, the insurer should communicate in writing to the insured or legal representative or nominee or assignees of insured,
as applicable, mentioning the ground and materials onwhich such decision is based.
3) Fraud means any of the following acts committed by insured or by his agent, with the intent to deceive the insurer or to induce the
insurer to issue a life insurance policy:
a. The suggestion, as a fact of that which is not true and which the insured does notbelieve to be true;
b. The active concealment of a fact by the insured having knowledge or belief of the fact;
c. Any other act fitted to deceive; and
d. Any such act or omission as the law specifically declares to be fraudulent.
4) Mere silence is not fraud unless, depending on circumstances of the case, it is the duty of the insured or his agent keeping silence
to speak or silence is in itself equivalent to speak.
5) No Insurer shall repudiate a life insurance Policy on the ground of Fraud, if the Insured / beneficiary can prove that the misstatement
was true to the best of his knowledge and there was no deliberate intention to suppress the fact or that such mis-statement of or
suppression of material fact are within the knowledge of the insurer. Onus of disprovingis upon the policyholder, if alive, or
beneficiaries.
6) Life insurance Policy can be called in question within 3 years on the ground that any statement of or suppression of a fact material
to expectancy of life of the insured was incorrectly made in the proposal or other document basis which policy was issued or revived
or rider issued. For this, the insurer should communicate in writing to the insured or legal representative or nominee or assignees
of insured, as applicable, mentioning the ground and materials on which decision to repudiate the policy of life insurance is based.
7) In case repudiation is on ground of mis-statement and not on fraud, the premium collectedon policy till the date of repudiation shall
be paid to the insured or legal representative or nominee or assignees of insured, within a period of 90 days from the date of
repudiation.
8) Fact shall not be considered material unless it has a direct bearing on the risk undertaken by the insurer. The onus is on insurer to
show that if the insurer had been aware of the said fact, no life insurance policy would have been issued to the insured.
9) The insurer can call for proof of age at any time if he is entitled to do so and no policy shall be deemed to be called in question
merely because the terms of the policy are adjusted on subsequent proof of age of life insured. So, this Section will not be applicable
for questioning age or adjustment based on proof of age submitted subsequently.

[Disclaimer: This is not a comprehensive list of amendments of Insurance Laws (Amendment) Act, 2015 and only a simplified version
prepared for general information. Policy Holders are advised to refer to Insurance Laws (Amendment) Act, 2015 dated 23.03.2015
for complete and accurate details.]
 Grievance Redressal Procedure
You may contact us in case of any grievance at any of our branches or at Customer Care, IndiaFirst Life Insurance Company Ltd, 12th & 13th
floor, North [C] Wing, Tower 4, Nesco IT Park, Nesco Center, Western Express Highway, Goregaon (East), Mumbai – 400 063, Contact No.:
1800 209 8700, Email id: [email protected]. You may also address your grievance to the Mater policyholder who shall in turn
write to Us.

a. An acknowledgment to all such grievances received will be sent immediately from the date of receipt of the grievance
b. A written communication giving reasons of either redressing or rejecting the grievance will be sent to you within 14 days from the
date of receipt of the grievance. In case We don’t receive a revert from you within 8 weeks from the date of registration of grievance,
then We will treat the complaint as closed. However, if you are not satisfied with our resolution provided or have not received any
response within 14 days , then, you may approach our Grievance Officer at any of our branches or you may write to our Grievance
Redressal Officer at [email protected].
c. If you are not satisfied with the resolution or have not received any response within 14 days then you can contact the insurance
ombudsman. For the list of ombudsman office please refer Annexure B
d. Further, you may approach the Grievance Cell of the Insurance Regulatory and Development Authority of India (IRDAI) on the
following contact details:

IRDAI Grievance Call Centre (IGCC) TOLL FREE NO: 155255

Email ID: [email protected]

You can also register your complaint online at

https://bimabharosa.irdai.gov.in/

Address for communication for complaints by fax/paper:

Consumer Affairs Department,
Insurance Regulatory and Development Authority of India
Sy. No. 115/1, Financial District
Nanakramguda, Gachibowli
Hyderabad, Telangana– 500032
Toll Free No. 18004254732

Insurance Ombudsman
In case you are dissatisfied with the decision/resolution of the company, you may approach the Insurance Ombudsman located nearest to
you (refer to our website www.indiafirstlife.com)
*For detailed definitions and benefits on Accidental Total Permanent Disability and Critical Illness, please refer to our website
www.indiafirstlife.com

Please note that this certificate is issued for the purpose of information only and is merely a summary of the major features of the scheme. The
benefits payable by IndiaFirst Life will be based on the terms and conditions stated in the Master Policy. You can get in touch with the Master
Policyholder or visit our website www.indiafirstlife.com for the terms and conditions of this plan.
 IndiaFirst Life Insurance Company Limited
Cover Schedule
Loan Account No: 0097JLG16313
COI No: G0001660-VS494
Loan Amount: 93000.00
Outstanding Loan Term: 36
Loan Interest rate: NA
Loan term in Outstanding Loan Loan term in Outstanding Loan
Months Amount Months Amount
1 93000.00 29 93000.00

2 93000.00 30 93000.00

3 93000.00 31 93000.00

4 93000.00 32 93000.00

5 93000.00 33 93000.00

6 93000.00 34 93000.00

7 93000.00 35 93000.00

8 93000.00 36 93000.00

9 93000.00

10 93000.00

11 93000.00

12 93000.00

13 93000.00

14 93000.00

15 93000.00

16 93000.00

17 93000.00

18 93000.00

19 93000.00

20 93000.00

21 93000.00

22 93000.00

23 93000.00

24 93000.00

25 93000.00

26 93000.00

27 93000.00

28 93000.00
 CUSTOMER INFORMATION SHEET/ KNOW YOUR POLICY

This document provides key information about your policy. You are also advised to go through your policy document.

Sl Title Description Policy

No (Please refer to applicable Policy Clause Number in next Clause
column) Number
1 Name of Insurance IndiaFirst Life Group Micro Insurance Plan (UIN:
Product and Unique 143N053V03)
Identification Number
2 Master Policy Number Refer Certificate of Insurance for details
3 Type of Insurance Policy Pure Risk
4 Basic Policy Details Loan No.: 0097JLG16313 Part A
Policy
Loan Type: ML Schedule

Sum Assured: 93000.00

Installment Premium Life 1: 1534.50

Installment Premium Life 2: 1534.50

Sum Assured Type: Level

Coverage Option: Life Cover

Premium Payment Frequency: Single

Cover Term: 36 Months

Premium Payment Term: Single Premium

Joint Life Coverage: Applicable

5 Policy Coverage/ Benefits payable on death: Part C, Clause
benefits payable The benefit shall be payable as under basis the cover option 1. 1.1.
chosen under Level & Reducing:
• Life Cover
• Life Cover + Accidental Total Permanent Disability (ATPD)
• Life Cover + Critical Illness (CI)
• Life Cover + Accidental Total Permanent
• Disability (ATPD) + Critical Illness (CI)
Please refer to your policy document Part C, Clause 1. 1.1 for
more details.

Benefits payable on maturity:

No maturity benefit will be payable. Part C, Clause
1.2.
Surrender Benefits:
Please refer to your policy document Part C, Clause 3 for more Part C, Clause
details. 3

6 Options available (in Not Applicable.

case of Linked
Insurance products)
7 Riders opted, if any Not Applicable.
8 Exclusions (events Suicide Exclusions: Part F, Clause
where insurance In case of death due to suicide, within 12 months from the date of 13 A
coverage is not
inception of the cover commencement date of the member, the
payable), if any
nominee of the life assured shall be entitled to 80% of the
premiums paid excluding extra premium, if any, or from the date
of revival or reinstatement of the cover by the member, the
nominee of the life assured shall be entitled to the higher of 80%
of the premiums paid or surrender/unexpired risk premium value,
if any, as available on the date of death of the member. This is
irrespective of whether the life assured, was sane or insane at the
time death.

Exclusions for Accidental Total Permanent Disability

Benefit: Part F, Clause
Total and Permanent Disability due to accident shall not be paid 13 B
if disability occurs directly or indirectly as a result of (any of the
following):

1. Intentional self-inflicted injury, suicide, or attempted suicide,

while sane or insane.
2. Insured person being under the influence of drugs, alcohol,
narcotics, or psychotropic substances unless taken in
accordance with the lawful directions and prescription of a
registered medical practitioner.
3. War, invasion, act of foreign enemy, hostilities (whether war
be declared or not), civil war, mutiny, rebellion, terrorist act,
revolution, insurrection, military or usurped power, riot, or
civil commotion, strikes.
4. Participation in any flying activity, except as a bonafide
passenger in a commercially licensed aircraft.
5. Participation by the insured person in a criminal or unlawful
act.
6. Any Pre-existing disease. (refer PART B of your policy
document for details)
7. Any disability due to any kind of sickness or disease before
and/or after the effective date of the cover; any existing
external congenital anomaly will not be covered, and policy
will not be issued for such members having external
congenital anomaly. Other than external congenital
anomaly all other congenital anomaly will be covered.
Where External Congenital Anomaly means a condition,
which is visible and accessible parts of the body and
present since birth, and which is abnormal with reference to
form, structure, or position.
8. Engaging in or taking part in professional sport(s) or any
hazardous pursuits, including but not limited to, diving or
riding or any kind of race; underwater activities involving the
use of breathing apparatus or not; martial arts; hunting;
mountaineering; parachuting; bungee-jumping.
9. Nuclear Contamination: the radioactive, explosive, or
hazardous nature of nuclear fuel materials or property
contaminated by nuclear fuel materials or accident arising
from such nature.
10. If full disclosure is given by the members and that particular
members fall under any of the exclusion stated above at the
time of sale, then the policy will not be offered to such
members.

Exclusions for Critical Illness benefit:

In addition to the condition specific exclusion mentioned in the
definitions, we will not pay any claim arising directly or indirectly
due to any of the following causes:

1. Pre-Existing disease (refer PART B of your policy document

for details)
2. Intentional self-inflicted injury, attempted suicide while sane
or insane.
3. Alcohol or Solvent abuse or taking of Drugs, narcotics or Part F, Clause
psychotropic substances unless taken in accordance with 13 C
the lawful directions and prescription of a registered
medical practitioner.
4. War, invasion, act of foreign enemy, hostilities (whether war
be declared or not), armed or unarmed truce, civil war,
mutiny, rebellion, revolution, insurrection, military or
usurped power, riot, or civil commotion, strikes.
5. Taking part in any naval, military or air force operation
during peace time.
6. Participation by the insured person in any flying activity,
except as a bona fide, fare-paying passenger, pilot, air crew
of a recognized airline on regular routes and on a
scheduled timetable
7. Participation by the insured person in a criminal or unlawful
act with criminal intent.
8. Engaging in or taking part in professional sport(s) or any
hazardous pursuits, including but not limited to, diving or
 riding or any kind of race; underwater activities involving the
use of breathing apparatus or not; martial arts; hunting;
mountaineering; parachuting; bungee-jumping.
9. Disability due to post-traumatic stress disorder, chronic
fatigue, chronic pain, and fibromyalgia are excluded.
10. Any external congenital anomaly. Where External
Congenital Anomaly means a condition, which is visible and
accessible parts of the body and present since birth, and
which is abnormal with reference to form, structure, or
position.
11. Nuclear Contamination; the radioactive, explosive or
hazardous nature of nuclear fuel materials or property
contaminated by nuclear fuel materials or accident arising
from such nature.
9 Waiting /lien Period, if Not Applicable
any
10 Grace Period The Member is given a grace period of 15 days for monthly Part C, Clause
premium payment frequency and 30 days for all other premium 4
payment frequencies under regular/limited payment mode. This
period starts from the due date of each premium payment. All the
policy benefits continue during this grace period. In case, the due
premiums are not paid by the end of the grace period then the
cover will lapse immediately on expiry of grace period.

In case of unfortunate event of the Member’s demise or

occurrence of any covered event as per the benefit option chosen
during the Grace Period, the Benefit will be payable to the
Member/ Nominee/ Legal Heirs/ Appointee, as applicable,
through you, the Master Policyholder after deducting only due
premium; before the date of occurrence of death or date of the
covered event.
11 Free Look Period You have a free look period of 30 days from the date of receipt of Part D, Clause
the Policy Document / Certificate of Insurance whether received 8
electronically or otherwise, to review the terms and conditions of
the policy and in case you disagree to any of those terms and
conditions, you shall have the option to return the policy to us for
cancellation, stating the reason for your objection, then you shall
be entitled to a refund of premium paid subject only to a deduction
of stamp duty under the policy, proportionate risk premium for the
period of cover and expenses incurred on medical examination, if
any.

12 Lapse, paid-up and There is no Paid-Up benefit payable under this policy. Part C, Clause
revival of the Policy 2

For revival & lapse conditions, please refer to Part D, Clause 7

of your policy document for more details. Part D, Clause
7
13 Policy Loan, if Not Applicable
applicable
14 Claims/Claims Steps to be followed for making a claim: Part F, Clause
Procedure The Member/ nominee/ legal heir/ appointee/ Master Policyholder 11
shall give us a written notice of the claim on the occurrence of the
covered event. They need to give us all the relevant information
in writing to enable us to process the claim as specified in the
Policy.

The Member/ Master Policyholder may submit the claims

documents at any of our branches or at Claims Department,
IndiaFirst Life Insurance Company Ltd, 12th & 13th floor, North
[C] Wing, Tower 4, Nesco IT Park, Nesco Center, Western
Express Highway, Goregaon (East), Mumbai – 400 063, Contact
No .: 1800 209 8700 , Email id: [email protected]

In case of authorization provided by the Member to the Master

Policyholder, at the time of Claim, the Master Policyholder will
need to:
• Provide Member Form and Loan Account Statement in
respect of the insured Member to whom/whose nominee or
beneficiary the claim money are payable.
• Provide a confirmation that the Insured Member / Nominee /
Beneficiary who had submitted the Claim discharge form is
the same person who has been registered by Master
Policyholder as the Insured Member / Nominee / Beneficiary
under the Group Master Policy.
We shall audit or cause an audit into the accuracy of the Credit
Account Statement(s) of the insured Member in respect of which
claim was settled on the completion of every financial year.

Documents required for Death Claim:

Incase of natural death

1. Proof of Age of the Life Assured if the Age of the life assured
has not been admitted by us.
2. Claimant’s statement and claim intimation report completely
filled and signed by claimant/nominee.
3. Valid QR code Scannable Death certificate issued under
section 12/17 of registration of Births and Deaths Act 1969
(only in case of death of the Life Assured).
4. Loan Application form & Loan a/c statement.
5. Member Form
6. Certificate of Insurance (In forced, issued at the inception /
renewal whichever is applicable).
7. Credit Account Statement with declaration duly filled by the
Master Policyholder certifying the accuracy of the statement.
8. All Hospitalization documents including discharge summary
Admission Notes and all investigation reports (only
mandatory in case the Life Assured was treated for any
illness related to the cause of death).
9. Self-attested copy of photo-identity proof and address of the
Nominee/Claimant (e.g. driving license, PAN card, passport,
Voter ID card etc.)
10. Self-attested copy of bank passbook of Nominee/Claimant
along with cancelled cheque with Printed Nominee name, Ac
no and IFSC code available on the same.
11. Any other document or information that we may need for
validating and processing the claim.
Incase of unnatural death

1. Proof of Age of the Life Assured if the Age of the life assured
has not been admitted by us.
2. Claimant’s statement and claim intimation report completely
filled and signed by claimant/nominee.
3. Valid QR code Scannable Death certificate issued under
section 12/17 of registration of Births and Deaths Act 1969
(only in case of death of the Life Assured).
4. Loan Application form & Loan a/c statement.
5. Member Form
6. Certificate of Insurance (In forced, issued at the inception /
renewal whichever is applicable).
7. Credit Account Statement with declaration duly filled by the
Master Policyholder certifying the accuracy of the statement.
8. Clear readable Copies of Medico Legal Certificate, First
Information Report, Panchnama, Inquest report, Final
Viscera Report, Final Police investigation closure report and
postmortem report, duly attested by the police (only in case
of Accident leading to unnatural death or Permanent
Disability of the Life Assured)).
9. Self-attested copy of photo-identity proof and address of the
Nominee/Claimant (e.g. driving license, PAN card, passport,
Voter ID card etc.)
10. Self-attested copy of bank passbook of Nominee/Claimant
along with cancelled cheque.
Any other document or information that we may need for
validating and processing the claim.

Documents required for Accidental Total Permanent

Disability Claim:

1. Completely filled & signed claim intimation form

2. Disability certificate signed & issued by the civil surgeon.
3. Discharge Card / Indoor consultation paper from the
hospital along with the investigation report.
4. In case disability due to accident, copy of First Information
Report & Postmortem Report, duly attested by police
officials, in case of unnatural deaths including accidents,
murder, suicide etc.
5. Member’s photo, current address proof & photo ID proof
6. Member’s copy of bank passbook / statement with bank
account details

Documents required for Critical Illness Claims:

1. Completely filled & signed claim intimation form

2. Health declaration form
3. Medical Certificate confirming the diagnosis of Critical Illness
4. A certificate from an attending Medical Practitioner
confirming that the claim does not relate to any Pre-existing
disease or Injury or any Illness or Injury which was diagnosed
within the first 90 days of the inception of the Policy.
5. Discharge Card / Indoor consultation paper from the hospital
along with the investigation report.
 6. First Consultation letter and subsequent prescriptions
7. In the case critical illness arises due to an accident, copy
First Information Report & Postmortem Report, duly attested
by police officials or medico-legal certificate.
8. Member’s photo, current address proof & photo ID proof
9. Member’s copy of bank passbook / statement with bank
account details
10. Specific documents listed under the respective critical
illness.

Any other document or information that we may need to process

the claim depending on the cause or nature of the claim. All copies
to be self-attested by the Master Policy Holder

Turn Around Time for various servicing request and claims

processing are as mentioned below:
Maturity/Survival/Death Claims
Raising claim requirements after lodging the
15 Days
Death claim
Death claim decision without investigation
15 Days
requirement
Death claim decision with Investigation
45 Days
requirement

The claim form can be downloaded from the following link:

https://www.indiafirstlife.com/download-forms/claims
Part F, Clause
Claims can be intimated through: 22
Courier – Intimation with supporting documents can be sent to claims
department at head office by courier to the below address:
Claims Department, IndiaFirst Life Insurance Company Ltd, 12th
Floor, North {C} wing, Tower 4, Nesco IT Park, Nesco Center,
Western Express Highway, Goregaon (East), Mumbai – 400063
Email – Intimation with supporting documents can be sent to
[email protected]
Website - Visit IndiaFirst website for online claim intimation at
https://www.indiafirstlife.com/claims/register-claim-online and follow few
simple steps to complete the claim intimation.
WhatsApp – Say Hi on +91 22 6274 9898 and follow few simple steps
to complete the claim intimation.

15 Policy Servicing Turn Around Time for various servicing request and claims Part F, Clause
processing are as mentioned below: 22

Policy Servicing TAT's

Full Surrender 7 Days
Freelook Cancellation 7 Days
Request for Refund of Proposal
Deposit 15 days
Refund of outstanding proposal
deposit 30 days

The policy servicing form can be downloaded from the following

link:
https://www.indiafirstlife.com/download-forms/policy-serving
 You may contact us at any of our branches or at Customer Care,
IndiaFirst Life Insurance Company Ltd, 12th & 13th Floor, North
[C] Wing, Tower 4, NESCO IT Park, Nesco Center, Western
Express Highway, Goregaon (East), Mumbai - 400063.
Contact No.: 1800 209 8700, Email id:
[email protected]. IRDAI Regn No. 143. CIN:
U66010MH2008PLC183679.
16 Grievance/ You may contact us in case of any grievance or complaint at any Part G, Clause
Complaints of our branches or at Customer Care, IndiaFirst Life Insurance 24
Company Ltd, 12th & 13th floor, North [C] Wing, Tower 4, Nesco
IT Park, Nesco Center, Western Express Highway, Goregaon
(East), Mumbai - 400 063, Contact No.: 1800 209 8700, Email id:
[email protected]. IRDAI Regn No. 143. CIN:
U66010MH2008PLC183679.

a. An acknowledgment to all such grievances received will

be sent immediately from the date of receipt of the
grievance.
b. A written communication giving reasons of either
redressing or rejecting the grievance will be sent to you
within 14 days from the date of receipt of the
grievance. In case We don’t receive a revert from you
within 8 weeks from the date of registration of grievance,
then We will treat the complaint as closed. However, if
you are not satisfied with our resolution provided or have
not received any response within 14 days , then, you
may approach our Grievance Officer at any of our
branches or you may write to our Grievance Redressal
Officer at [email protected].
c. If you are not satisfied with the resolution or have not
received any response within 14 days then you can
contact the insurance ombudsman. For the list of
ombudsman office please refer Annexure B
d. Further, you may approach the Grievance Cell of the
Insurance Regulatory and Development Authority of
India (IRDAI) on the following contact details:

IRDAI Grievance Call Centre (IGCC) TOLL FREE NO: 155255

Email ID: [email protected]

You can also register your complaint online at

https://bimabharosa.irdai.gov.in/

Address for communication for complaints by fax/paper:

Consumer Affairs Department,
Insurance Regulatory and Development Authority of India,
Sy. No. 115/1, Financial District, Nanakramguda
Gachibowli, Hyderabad- 500032, Telangana
IRDAI TOLL FREE NO: 18004254732

For more details on Insurance Ombudsman, refer to your policy

document Part G, Clause 24.
Note: Customer Information Sheet contains brief information about the key features of the Product. The
same shall not be construed as terms and conditions of the Policy or part thereof. For detailed terms and
conditions governing the Policy, please read all parts of the Policy document. In case of any conflict
between the information given in the Customer Information Sheet and the terms and conditions of the
policy, the terms and conditions of the Policy shall prevail.
I understand and agree that the details captured in this Customer Information Sheet (CIS) are as per the
policy terms and conditions of the master policy and the coverage details as per Certificate of Insurance
(COI) applicable to the members. I hereby acknowledge, unconditionally agree and accept the Terms and
Conditions of the policy and COI in its entirety and the same would create a legally binding agreement with
the Company.

Note: The product related documents can be downloaded from below link:
https://www.indiafirstlife.com/download-forms