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What Does Outstanding Amount Have to Do With Insurance?

Ramalingam

Ramalingam Kalirajan  |6861 Answers  |Ask -

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
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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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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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Ramalingam

Ramalingam Kalirajan  |6861 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on May 02, 2024

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Hello sir ,my huband has taken medical insurance frm manipal cigna frm 2015 till date never claimed anything all these years but last year july suddenly my husband got pneumonia he got hospitalized before joining inthe hospital we consulted the insurance agent and took necessary file number to claim insurance but sadly at the end insurance company rejected to pay bill saying(2.5lks) he used to pay 58 thosand per year family floater,now thy have canceled whole policy and thy didn't even paying the amt we paid all these years ,agent is not responding can we do anything to get our hard-earned money back now we dont have any medical insurance he is 57yrs now pls suggest anything we can do
Ans: I'm truly sorry to hear about your husband's health complications and the subsequent challenges with your medical insurance. Facing such situations can be distressing, especially when dealing with unexpected denials and cancellations. It's important to take action to address this issue.

Firstly, gather all relevant documents, including policy details, correspondence with the insurance company, and any communication with the agent. This documentation will be crucial in understanding the reasons for the denial and in any potential appeals or legal actions.

Next, consider reaching out directly to the insurance company to request a review of the decision and clarification on why the claim was rejected. If you're unsatisfied with their response, you may escalate the matter through their grievance redressal mechanism or regulatory authorities.

Additionally, seeking legal advice from a lawyer who specializes in insurance matters could provide insight into your rights and options for recourse. They can help you navigate the complex legal landscape and pursue appropriate action to recover your hard-earned money.

While the situation is undoubtedly challenging, remember that you're not alone. Reach out to consumer rights organizations or advocacy groups that may offer support and guidance in dealing with insurance-related issues. Your perseverance and determination to seek justice are commendable, and I hope you find a resolution that provides the relief and security you deserve.

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Hello Sir/Madam, My son is in 10th standard and interested in Geography. He wants to make a career in Geography. Please advise what are the different career options if he wishes to pursue in this field, especially Geoinformatics. Thanks in advance.
Ans: Here are some suggestions for your Son who is interested in building a career in Geography.

Academic Pathways: 11th & 12th Grade: Geography and Science subjects can be combined. Undergraduate Studies: B.A./B.Sc. in Geography or B.Sc. in Geoinformatics are ideal. Postgraduate Studies: M.Sc. in Geoinformatics, Remote Sensing, or GIS.

Career Options:
(1) Geoinformatics and GIS Specialist: Manage and analyze spatial data for urban planning, agriculture, environment conservation, and disaster management.
(2) Cartographer: Create digital maps and models using satellite data.
(3) Remote Sensing Analyst: Analyze land usage, environmental changes, and agricultural patterns.
(4) Urban and Regional Planner: Use GIS to design sustainable urban infrastructure.
(5) Environmental Consultant: Use geospatial data to assess environmental impact.
(6) Surveyor and Geodesist: Measure Earth’s shape for infrastructure development or scientific research.
(7) Academia and Research: Opportunities in teaching Geography or researching climate change, ecosystem management, or spatial technologies.

Relevant Skills and Certifications: GIS Software Proficiency: Knowledge of GIS software like ArcGIS, QGIS, and ERDAS, Programming and Data Analysis: Basic understanding of Python or R, Remote Sensing: Familiarity with remote sensing technologies.

Key Institutes for Geography and Geoinformatics in India: Indian Institute of Remote Sensing (IIRS), Dehradun, Indian Institute of Technology (IIT), Symbiosis Institute of Geoinformatics, Pune, University Departments: Jawaharlal Nehru University (JNU), Delhi University, and Madras University.

Emerging Areas and Career Prospects: Smart Cities and Urban Development, Climate and Environmental Studies, Agriculture and Natural Resources Management.

Professional Certification Programs: Organizations like the Indian Society of Remote Sensing (ISRS) and the Geographic Information System Certification Institute (GISCI). All the BEST for Your Prosperous Future.

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Milind

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Sir My Age is 38 Now. Running Business In Pune city. Below are the My Assets & Liabilities. Current Values - Assets. Own Industrial Plot - Rs. 2.0 Cr Business Income Yearly Rs. 24.00 Lack Own Company Investment ( Machinery, Debtors Etc ) - Rs 2.40 Cr Mutual Fund & Share Market Investment Rs. 2.10 Cr Bank FD - Rs. 50.00 Lack Own 3 Flats in Pune - Rs. 75 lack, 50 Lack & 35 Lack ( Current Values ) Golds - Rs. 25.00 Lack Land - Agriculture - Rs. 50.00 Lack Term Insurances - Rs. 20.00 Lack ( Till Date Premium Paid ) Labilities. House Loan - Rs. 30.00 Lack ( EMI 26500.00 PM ) Loan will close after 17 years. Car Loan - Rs. 6.35 lack ( EMI 12500.00 PM ) Loan will close after 5 years. This Assets & investment sufficient for maintain 7 family members Expenses after retirement ? ( 4 Adult + 3 Children (Below 5 Years) ). I will retire at the age of 45.
Ans: Hello;

What is the expected monthly rental from industrial plot and machinery?

Are you currently occupying one of the flats mentioned here or are all of them given on rent?

Also your term life insurance is very low. You should have minimum term insurance cover of 2.4 Cr.

You have good assets in agri land, industrial land, gold, real estate but they are relatively illiquid when need arises hence term insurance cover with riders for critical care and accident benefit are an absolute must!

Considering the home loan tenure of 17 years and 3 small kids in the family to be supported for education and decent lifestyle, I am not sure if you can retire in 7 years timeframe from now.

However I would appreciate your reply to my queries above, before I give my firm view about your retirement in 7 years timeframe.

Best wishes;

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Radheshyam

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