Knowledge Hub

Exhaustive Insurance FAQs

Deep insights and practical advice across every service we offer

Health Insurance

Insurers have tie-ups with network hospitals. If you take treatment at a network hospital, the insurer settles bills directly. You only pay for non-medical expenses (consumables).

Many policies limit the per-day room cost (e.g., 1% of Sum Insured). If you choose a better room, you don't just pay the room difference! The insurer applies "Proportionate Deduction," meaning doctor's fees and surgery costs are also cut. Always choose a plan with NO room rent capping.

Any illness or injury you had before buying the policy (e.g., Diabetes or Hypertension). These usually have a "Waiting Period" of 2 to 4 years before they are covered.

If you exhaust your sum insured during a big claim, the insurer "refills" it for free for the next hospitalization in the same year. This is vital for family floater plans.

Standard plans cover "In-patient" costs (24h admission). However, many "new-age" plans offer an **OPD Add-on** that covers doctor fees, pharmacy bills, and diagnostic tests like X-rays or blood tests.

Yes, many plans cover **AYUSH (Ayurveda, Yoga, Unani, Siddha, Homeopathy)** treatments, provided they are taken at government-recognized or accredited hospitals.

If you don't file a claim, your **Sum Insured increases** for free (often by 50% or 100%) at renewal. This is a massive bonus for healthy families.

An individual plan covers one person with a dedicated sum insured. A family floater covers the whole family under one shared sum. Floaters are cheaper, while individual plans are better if one member has a chronic condition.

It is an affordable way to increase your cover. It starts paying only after your base policy limit (Deductible) is crossed. It tracks your TOTAL bills for the year, making it much more reliable than regular top-ups.

Life Insurance

Term insurance is pure protection—it pays only on death, offering huge cover for low cost. ULIP is investment + protection—part of your premium is invested in market funds for wealth creation. We recommend term insurance for family security.

A good rule of thumb is 10 to 15 times your annual income. This ensures your family can pay off debts (like home loans) and keep their lifestyle for many years in your absence.

If you stop paying premiums after a certain period (usually 3 years), the policy doesn't always close. It becomes "paid-up," meaning the sum assured is reduced but the policy remains active until maturity/death.

Yes, under Section 80C, premiums are deductible up to ₹1.5 lakh. Under Section 10(10D), the maturity or death benefit is generally tax-free (subject to conditions).

Riders are add-ons. **Accidental Death Benefit** (extra money for accidents) and **Waiver of Premium** (policy stays active if you become permanently disabled) are the most important ones to consider.

If you forget your premium, you get 15 or 30 extra days to pay. If paid within this period, your policy stays active. After this, the policy "lapses."

Motor Insurance

Insured Declared Value (IDV) is the maximum claim amount for theft or total loss. It's calculated as: `Ex-showroom price - Depreciation`. As your car gets older, the IDV goes down based on standard depreciation slabs (e.g. 20% for 1-2 years).

In standard policies, you pay a lot for "wear and tear" on parts. Zero-Dep cover ensures the insurer pays the FULL cost of replacement parts like plastic, rubber, and glass without any deductions. Highly recommended for cars up to 5-10 years old.

A reward for safe driving. If you don't file a claim, you get a discount (20% to 50%) on your premium. If you make even one small claim, the entire bonus is usually lost.

If your car is stolen or totaled, RTI ensures you get back the FULL amount you paid on the original invoice—including registration and taxes—not just the depreciated market value.

Yes, as long as the driver had a valid permanent license and your permission. The insurance follows the vehicle, not the driver.

Standard policies generally do NOT cover engine "Hydrostatic Lock" from driving through water. You need an **Engine Protection** add-on for this, which is crucial for Surat monsoons.

Mutual Funds & Investments

SIP is the best way to invest for long-term wealth because it averages market volatility. Lumpsum is better if you have a windfall and the market is low. We generally advise SIP for mental peace and consistency.

ELSS is the only 80C tax-saving option with the shortest lock-in (3 years). While it has equity risk, it historically offers much higher returns than fixed-income options like PPF (15 years) or FD (5 years).

Regular plans (offered by us) include full advisory services, monthly reviews, rebalancing, and documentation support. Direct plans have a slightly lower cost but require you to handle all research and errors yourself. Our clients prefer regular plans for professional hand-holding.

The total annual fee charged by a mutual fund for management, administration, and distribution. A lower expense ratio is generally better for your eventual returns.

**Growth** is best for long-term wealth because returns are reinvested (compounding). **Dividend** (IDCW) is for those who need regular cash flow from their investments.

A fund that simply copies a market index (like Nifty 50). They have **the lowest expense ratios** and are perfect for long-term, stress-free investing.

Commercial, Liability & Workmen Compensation

Crucial for retail shops, hotels, and event organizers. It covers your legal liability if a VISITOR (third-party) is injured or their property is damaged at your business premises.

**ICC (A)** is 'All Risks'—the most comprehensive cargo cover. **ICC (B)** is 'Named Perils'—cheaper but only covers specific risks like sinking or fire. We always recommend ICC (A) for full peace of mind.

Essential for **Doctors, CAs, Lawyers, and Consultants**. It protects you against claims made by your clients for financial loss arising from alleged errors or negligence in your work.

Under the WC Act 1923, employers are legally liable to pay compensation for workplace injuries or death. This policy covers these massive legal payouts, ensuring the business stays financially stable.

Common exclusions include **Criminal/Illegal acts**, intentional fraud, fines/penalties from authorities, and issues you knew about before starting the policy.

Yes, but ensure your policy includes the **'Electrical Fire'** clause. Most modern 'All-Risk' Fire policies cover fire regardless of whether the source was a short circuit or an external spark.

Travel Insurance

Yes, this is the primary benefit. It covers expensive hospitalization and even "Medical Evacuation" (flying you back home) if you are severely ill in a foreign country.

If traveling to Europe, you need a policy with a minimum €30,000 cover for medical emergencies and repatriation. We provide instant certificates that are pre-approved by all embassies.

Travel insurance covers the actual costs incurred in obtaining an emergency passport or travel document from the embassy, as well as necessary extra travel expenses.

Yes, if you or a family member falls severely ill before the trip, the policy can reimburse non-refundable flight and hotel bookings.

Yes, most insurers allow extension of the policy while you are still abroad, provided you request it before the current policy expires and have not made a claim.

General & Claims Process

1. **Non-disclosure**: Not telling us about a pre-existing medical issue.
2. **Exclusions**: Claiming for something the policy specifically doesn't cover.
3. **Documentation**: Missing important bills or FIRs.
4. **Policy Lapse**: Forgetting to pay your premium on time.

In life and some health insurance, you get a 15-day window to read the policy document. If you don't like the terms, you can return the policy for a full refund of premium (minus medical exam and stamp costs).

**Call us immediately!** After that, document the damage (photos), file an FIR for theft/third-party injury, and do not move the vehicle if requested by the insurer for onsite inspection.

Yes, you can cancel and get a pro-rata refund for the remaining months, provided you haven't made a claim in that policy year.

You are not alone! We help you with the FIR, coordinate with the hospital TPAs, check your documentation for errors before submission, and follow up with the insurance company for faster settlement.