Material disclosures are key for a successful claim

Material disclosures are key for a successful claim  22nd February 2023

Insurance policies can be tricky! You need to fully understand the policy terms & conditions before you sign the dotted lines. The government has set up many regulations to implement insurance rules in India efficiently.

Hence it becomes imperative to fill out the insurance policy papers yourself. If you do the formalities through an agent, you might face problems later. You need to know everything about the premium, risks, disclosures, etc. This can also cause the claim to be rejected in due time, which can be devastating, especially if you're in an emergency.

You should always be cautious about everything that you disclose to your insurer. This involves the disclosure of your materialistic goods, qualifications, medical history, income, bills, and so on. The more you disclose rightfully, the better. It is vital for all health and general insurance India. So, regardless of the insurance you're applying for, disclosure is essential.

Let's look at the things to disclose to your insurer while taking a policy or filling a claim, as they increase the chance of a successful claim.

1. Income:
It is one of the best things to be disclosed early on. Your income needs to be revealed whether you're employed permanently in a company or as a freelancer. The job designation, salary, and experience are also taken into consideration. The more experience one has, the greater their expertise. This also means that they are not eligible for hazardous work. All this contributes towards a successful claim.

2. Material possessions:
It is essential to disclose all the material assets that you have. From your house to your car, you need to declare them all. It also involves any land that you own. You should disclose anything materialistic as well as expensive at all times. Adding them later while raising a claim decreases your chance of getting a successful claim.

3. Occupation:
Your occupation directly correlates to occupational risk. It assesses the risk of accidents and even the wellness of an individual. The work done by the individuals is of prime importance. It helps in determining the claims as well. The risk assessment of a particular occupation also affects the premium paid by the individual for a health insurance policy.

4. Medical history:
Insurers give the medical history of the individual prime importance. It provides a brief insight into the history of illnesses an individual has suffered and the risk they bear. If it is more severe, the premium will go up significantly. Serious issues like heart disease, hypertension, and diabetes can increase the premium. They must be considered and disclosed to ensure you purchase the right policy with appropriate coverage that leads to successful claims in case of contingent events against which you are insured.

5. Family history:
This is an essential element that will determine the extent of the illnesses in individuals. If there are genetic disorders, it will also mean that the individual is at a greater risk of developing them. It can make the insurance company more cautious while assessing the individual's health or life insurance risk profile. Incorrect disclosure or misrepresentation of such facts leads to the rejection of claims.

You should reveal these critical elements to implement a successful claim. Material disclosures are of utmost importance as they determine the success of a claim. If not disclosed at the right time, they can cause problems later. You must follow these rules diligently while purchasing non-general and general insurance India. Good luck!

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Disclaimer: The information provided above is for illustrative purposes only. To get more details, please refer to policy wordings and prospectus before purchasing a policy.