heirs or legal representative of the nominee or holder of succession certificate of such
nominee(s). If You die after maturity but the proceeds and benefit of the Policy have not been
paid because of his death, his nominee(s) shall be entitled to the benefits. Section 39 will not
apply to any policy to which Section 6 of Married Women’s Property Act, 1874 applies or has
at any time applied, provided where nomination made (whether before or after Insurance
Laws (Ordinance) 2014), in favour of wife of Life Assured or of his wife and children or any
of them is expressed, whether or not on the face of the Policy, as being made under section 39,
the said section 6 will be deemed not to apply or not to have applied to the Policy. Full details
on Section 39 are available on our website www.canarahsbclife.com and can also be made
available to the Policyholder on request.
10.
Amendment: We reserve the right to alter or delete any of the terms and conditions of the
Policy, including the benefits with prior approval of the Authority. The terms of the Policy
will also stand modified from time to time, to the extent of changes in applicable laws or
regulations affecting the terms of the Policy.
11.
Policy Currency: All Premiums and benefits payable shall be paid in Indian Rupees only.
12.
Compliance with Laws: You will pay all applicable taxes/ statutory dues (present or
future) in respect of the Premium or payouts under the Policy.
13.
Communication and Dispatch: If You change Your address, or if the address of the
Claimant changes, it must be notified to Us immediately. We can send you communication or
notices either in electronic (including sms) mode at your registered email id or registered
mobile number or by way of physical mode at the address provided by you in proposal form
or otherwise notified to us.
14.
Replacement of Policy Document: We will replace a lost Policy Document subject to
making investigations. If We replace the lost Policy Document, then: i. the original Policy
Document will cease to be applicable and You agree to indemnify Us from any and all losses,
claims, demands or damages arising from or in connection with the original Policy Document.
ii. You will not be entitled to any free-look period cancellation on the duplicate Policy
Document issued. However, We may permit free-look period cancellation in cases where after
investigation, it is evident that You did not receive the original Policy Document. iii. No
charge/fee will be levied for replacement of Policy Document.
15.
Grace Period: You are required to pay Premium on or before the Premium payment due
date. However, You are provided with a grace period of 30 days from Premium due date (15
days in case of monthly mode) to pay Premium without any penalty/ late fee, during which the
Policy will be in-force with risk cover. If Life Assured dies during the grace period and the
claim is admitted, we will deduct due unpaid Premium, if any, along with applicable Goods
and Services Tax or any other levy by whatever name called under Goods and Service Tax
Scheme, if any, before paying the above defined Death Benefit. On payment of Death Benefit
the policy shall terminate.
16.
Exclusions:
a)
Suicide Clause: In case of death of the Life Assured due to suicide within 12 months: i.
from the date of inception of the Policy, We will pay at least 80% of the premiums paid,
provided the Policy was in-force or ii. from the Revival date of the Policy, We will pay an
amount which is higher of 80% of the premiums paid till the date of death or the surrender
value as available on the date of death.
b)
Waiting Period: In case of death of the Life Assured (other than due to Accident) during
the 90 days Waiting Period, while the Policy is in-force, We will return the total Premium
paid till the date of death. Waiting period is not applicable in case of Accidental Death.
c)
Exclusions Applicable For Accidental Death Benefit: Accidental Death of Life Assured
arising directly or indirectly from any of the following are specifically excluded: Any
condition, ailment or injury or related condition(s) for which You had signs or symptoms, and
/ or were diagnosed, and / or received medical advice / treatment within 48 months to prior to
the Policy Commencement Date or at the time of revival of the Policy. •Death directly or
indirectly, wholly or partly due to an Acquired Immuno-Deficiency Syndrome (AIDS) or
infection by any Human Immunodeficiency Virus (HIV). •Life Assured taking part in any
hazardous sport or pastimes (including hunting, mountaineering, racing, steeple chasing,
bungee jumping, etc.), any underwater or subterranean operation or activity and racing of any
kind other than on foot. •Life Assured flying in any kind of aircraft, other than as a bonafide
passenger (whether fare-paying or not) on an aircraft of a licensed airline. •Self-inflicted
injury, suicide or attempted suicide-whether sane or insane. •Under the influence or abuse of
drugs, alcohol, narcotics or psychotropic substance not prescribed by a registered medical
practitioner. •Service in any military, air force, naval or paramilitary organization. •War, civil
commotion, invasion, terrorism, hostilities (whether war be declared or not). •Life Assured
taking part in any strike, industrial dispute and riot. •Life Assured taking part in any criminal
or illegal activity with criminal intent or committing any breach of law including involvement
in any fight or affray. •Exposure to nuclear reaction, Biological, radiation or nuclear or
chemical contamination. • Physical handicap or mental infirmity.
17.
Claim Procedures: In the event of the death of the Life Assured, to register the claim, the
Claimant will inform Us immediately within a period of 90 days of such death through the
Claim Form along with the following documents: i. Original Policy Document. ii. Death
certificate. iii. Attested copy of photo identity and address proof of the Claimant. iv. Company
Specific Claim formats duly completed and signed – Claim Form, Physician's Statement,
Treating Hospital Certificate, Employer Certificate. v. Hospital records/other medical records.
vi. Post-mortem/ chemical viscera report, wherever conducted. vii. Police records including
First information report, panchnama, police investigation report, final police report only in
case of unnatural or Accidental Death. If We do not receive the notification of the death
within 90 days, We may condone the delay if We are satisfied that the delay was for reasons
beyond the Claimant’s control and pay the claim to the Claimant. We may call for such
documents or information, including documents/ information concerning the title of the
Claimant, to Our satisfaction for processing the claim. Any claim intimation to Us must be
made in writing and delivered to the address, which is currently as follows: Claims Unit:
Canara HSBC Oriental Bank of Commerce Life Insurance Company Limited, 2nd Floor,
Orchid Business Park, Sector-48, Sohna Road, Gurugram 122018, Haryana, India;
Resolution Centre: 1800-103-0003 / 1800-180-0003 (BSNL/MTNL) Email id:
claims.unit@canarahsbclife.in. Any change in the address or details above will be
communicated by Us to You in writing. For further details on the process, please visit our
claims section on our website www.canarahsbclife.com. Our liability under the Policy will be
automatically discharged on payment to the Claimant.
18.
Electronic transactions: In conducting electronic transactions You will comply with all
such terms and conditions as prescribed by Us and such electronic transactions are legally
valid when executed in adherence to such terms and conditions and will be binding on You.
19.
Governing Law and Jurisdiction: The Policy will be governed by Indian law and the
jurisdiction will be that of Indian courts.
20.
Fraud and Misrepresentation: This Policy cannot be called in question on any ground
whatsoever after expiry of 3 years from the date of issuance or Risk Commencement Date or
the revival date, whichever is later ("Relevant Date") in accordance with section 45 of the
Act. On the ground of fraud, the Policy may be called in question within 3 years from the
Relevant Date. We will not repudiate the Policy on the ground of Fraud, if You/ beneficiary
can prove that the misstatement was true to the best of Your knowledge and there was no
deliberate intention to suppress the fact or that such mis-statement of or suppression of
material fact was within Our knowledge. Onus of disproving is upon You (if alive) or
beneficiaries. Further, the Policy can be called in question within 3 years from the Relevant
Date on the ground that any statement of or suppression of a fact material to expectancy of
Life Assured was incorrectly made in the proposal or other document basis which Policy was
issued or revived or rider issued. In case repudiation is on ground of mis-statement and not on
fraud, We will refund the Premium collected till the date of repudiation within a period of 90
days from the date of repudiation. We can call for proof of Age at any time and the Policy will
not be deemed to be called in question merely because the terms of the Policy are adjusted on
subsequent proof of Age of Life Assured. Full details on Section 45 are available on our
website www.canarahsbclife.com and can also be made available to the Policyholder on
request.
21.
Travel and Occupation: There are no restrictions on travel or occupation under this
Policy
PART G
22.
Grievance Redressal Procedure:
22.1
In case You wish to register a complaint with Us, You may visit our website, approach
our resolution centre or may write to Us at the following address. We will respond to You
within 2 weeks from the date of our receiving Your complaint. Complaint Redressal Unit:
Canara HSBC Oriental Bank of Commerce Life Insurance Company Limited; 2nd Floor,
Orchid Business Park, Sector-48, Sohna Road, Gurugram 122018, Haryana, India Toll Free:
1800-103-0003 / 1800-180-0003 (BSNL/MTNL) Email: cru@canarahsbclife.in
22.2
If You do not receive a satisfactory response from Us within the above timelines, You
may write to our Grievance Redressal Officer at: Grievance Redressal Officer: Canara
HSBC Oriental Bank of Commerce Life Insurance Company Limited; 2nd Floor, Orchid
Business Park, Sector-48, Sohna Road, Gurugram 122018, Haryana, India Toll Free: 1800-
103-0003 / 1800-180-0003 (BSNL/MTNL) Email: gro@canarahsbclife.in
22.3
If You are not satisfied with Our response or do not receive a response from Us within 15
days, You may approach the Grievance Cell of the Authority at:
Insurance Regulatory and Development Authority of India; Grievance Call Centre
registering the complaint online: http://www.igms.irda.gov.in
Consumer Affairs Department Insurance Regulatory and Development Authority of
India ; 9th floor, United India Towers, Basheerbagh; Hyderabad – 500 029, Telangana; Fax
No: 91- 40 – 6678 9768
22.4
In case You are not satisfied with the resolution or there is no response within a period
of 1 month, You/complainant may approach the Insurance Ombudsman for Your State at the
address mentioned below or on Authority's website www.irda.gov.in. if the grievance pertains
to the matters as mentioned below or an appropriate judicial/quasi-judicial authority having
jurisdiction over the matter for redressal of Your grievance. You may also refer to the GBIC
website at http://www.gbic.co.in/ombudsman.html for updated list of Ombudsman. The
Ombudsman may receive complaints: a) under Rule 13 of Insurance Ombudsmen Rules, 2017
("Rules"); b) for any partial or total repudiation of claim by Us; c) for any dispute in regard to
Premium paid or payable; d) for any dispute on the legal construction of the Policy in so far as
such dispute relate to claim; e) for delay in settlement of claim; f) for non-issue of any
insurance document after receipt of Premium g) misrepresentation of policy terms and
conditions; h) policy servicing related grievances against Company and their agents and
intermediaries; i) issuance of policy which is not in conformity with the proposal form
submitted by proposer; and j) any other matter resulting from the violation of provisions of
Insurance Act, 1938 or regulations, circulars, guidelines or instructions issued by Authority
from time to time or terms and conditions of the policy in so far as they relate to issues
mentioned above. As per provision 13(3) of the Rules, a complaint to the Insurance
Ombudsman can be made within a period of 1 (One) year after the Company has rejected the
representation or sent its final reply on the representation of the complainant, provided
You/complainant is not satisfied with the resolution or there is no response within a period of
1 month, and/or provided the complaint is not on the same matter, for which any proceedings
before any court or consumer forum or arbitrator is pending or were so earlier. Insurance
Ombudsman is currently located in the following 17 cities: Ahmedabad, Bengaluru, Bhopal,
Bhubaneshwar, Chandigarh, Chennai, New Delhi, Guwahati, Hyderabad, Jaipur, Ernakulam,
Kolkata, Lucknow, Mumbai, Pune, Noida, and Patna. Detailed addresses and areas of
jurisdiction of the Insurance Ombudsman are available on our website
www.canarahsbclife.com and can also be made available to the Policyholder on request. You
may contact our toll free number as mentioned above for further details on the addresses of
the ombudsmen.