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What Does Outstanding Amount Have to Do With Insurance?

Ramalingam Kalirajan |7101 Answers |Ask -Follow

Mutual Funds, Financial Planning Expert - Answered on Aug 28, 2024

Ramalingam Kalirajan has over 23 years of experience in mutual funds and financial planning.
He has an MBA in finance from the University of Madras and is a certified financial planner.
He is the director and chief financial planner at Holistic Investment, a Chennai-based firm that offers financial planning and wealth management advice.... more

Asked by Anonymous - Aug 17, 2024Hindi

My father had an home loan in tata capital of15 lakh with tata aig insurance of total premium 2 lakh due to medical issue (critical illness) insurance had claimed And outstanding amount transfer to tata capital of 15 lakh Now what ? my father had to pay the outstanding of insurance amount also If an person claim an insurance he need to pay the insurance outstanding??

Ans: Your father had a home loan of Rs. 15 lakh with Tata Capital. He also had insurance from Tata AIG, with a total premium of Rs. 2 lakh. Unfortunately, due to a critical illness, your father had to claim the insurance. The outstanding loan amount of Rs. 15 lakh was transferred to Tata Capital, thanks to the insurance claim.

Clarifying the Insurance Claim Process
When your father claimed the insurance, the outstanding loan amount was settled by the insurance company. This means that the insurance policy covered the loan, and your father is no longer liable to pay the Rs. 15 lakh loan to Tata Capital. This is one of the primary benefits of having a loan protection insurance policy.

Important Points to Note:

The insurance company paid the outstanding home loan amount directly to Tata Capital.
This settlement clears the debt, and Tata Capital should close the loan account.
Understanding the Outstanding Insurance Premium
Now, the question arises about the Rs. 2 lakh insurance premium. It's important to understand that the premium amount is what your father paid for the insurance coverage. This premium is typically paid upfront or in installments over time.

Here’s what you need to know:

If the premium was already paid, there is no further payment required.
If there were any unpaid installments of the premium, the insurance policy might have detailed conditions.
Responsibility for Outstanding Premium Payments
If your father had not completed the premium payments, the insurance company might have a clause that requires the completion of these payments. However, in most cases, once the insurance claim is settled, no further payments are required.

Key Points to Consider:

Check the insurance policy documents to understand if there are any remaining premium payments.
If the policy was paid in full, no further action is needed.
Action Steps to Take
To ensure everything is in order, follow these steps:

1. Review the Loan Account:
Confirm with Tata Capital that the home loan is fully settled and that there is no outstanding amount.

2. Check the Insurance Policy:
Review the insurance policy documents from Tata AIG. Look for any clauses related to outstanding premium payments after a claim is settled.

3. Communicate with Tata AIG:
If there is any confusion, contact Tata AIG customer service. Ask for clarification regarding any outstanding premium payments.

4. Document Everything:
Ensure you keep a record of all communications and confirmations from Tata Capital and Tata AIG.

Final Insights
Your father’s home loan should be fully settled by the insurance claim. There should be no outstanding loan payment. However, if there are any unpaid premium installments, it’s essential to clarify with Tata AIG. In most cases, no further payments are needed once the claim is settled.

This situation highlights the importance of understanding insurance policies and their terms. It's crucial to ensure all payments are completed and that the loan account is closed properly.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Users are advised to pursue the information provided by the rediffGURU only as a source of information to be as a point of reference and to rely on their own judgement when making a decision.

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Question by S - Jun 21, 2022Hindi

Dear Sir, Greetings of the day. I have got a health insurance of family floater type from Tata AIG for a sum of four lakhs. Recently, I got hospitalised and full four lakhs was paid by Tata Aig. But my hospital bill was six lakhs and sixty two thousand. So there was a shortfall of two lakhs sixty-two thousands. I have an Aditya Birla health Policy of family floater type for 45 lakhs. But it will come in to effect after 5 lakhs expenditure. So I myself paid one lakh from my pocket. And for rest one lakh sixty two thousand only I applied for cashless to Aditya Birla .But they denied it. Finally I paid that amount myself and came home. Afterwards I kept continuous follow up with them. Reconsideration and reminder letter was sent by TPA and Treating doctor. But again it was rejected. Now Aditya Birla employee is saying apply for reimbursement. When Tata Aig is clearing full amount, how come Aditya Birla is denying it? And how can I bridge the gap one lakh between two policies? Tata Aig says you have taken full claim so we cannot make your limit from four to five lakhs this year. Pls advise suitably. Best Wishes

Ans: Hi Mr. Tripathi, greetings to you. To answer your first question as to why Aditya Birla won’t provide you with cashless claim as opposed to TATA AIG is because the policy you bought from Aditya Birla is a ‘Super top up plan’ which basically means it is an addition to your base policy which in your case is your TATA AIG policy.

Super top up policies do not offer cashless claims but only provide reimbursements.

The one lakh gap, unfortunately, cannot be filled at this point. However, while renewing your policy you can opt for increased sum insured with TATA AIG. The insurer will ask you a set of questions and schedule medicals to analyse your risk profile. Post that based on your reports, the insurer will take a decision on increasing the limit.

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Roopam Asthana | Answer |Ask -Follow

Answered on Aug 03, 2021

Question by Abdul - Aug 03, 2021Hindi

I got a call from my bank AXIS to get Medical Insurance. Axis bank has tied with TATA AIG insurance they are providing low premium for the policy. They said this premium amount will be till my age 55. In this period i have to keep bank transactions with Axis bank. If not you can withdraw from policy or you can transfer the policy to TATA AIG. If i take the policy, what will happen to policy seniority? Can I take direct policy with the insurance company? I am confused help me.

Ans: It is advisable to take medical insurance from the insurance company directly as it offers lifelong renewal without any conditions relating to your banking relationship. It means once you have taken the policy, insurance company can’t deny the renewal unless there is any fraud or non-disclosure of relevant information.

A lifetime renewal surety gives an insurance shield & worry-free life against financial burden of medical expenses. However, you need to compare the covers provided and the premium charged before making any decision. To enjoy continuity benefits on applicable waiting periods in your bank provided health insurance policy, you have an option to port your policy directly with the insurance company if you wish to withdraw from the policy offered via your bank tie-up.

For more details you can get in touch with insurance company.

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