HDFC Ergo General Insurance — HDFC ERGO issue Policy on Incomplete form

Jan 27, 2022

Updated by Anand Mainkar Dear HDFC ERGO,

Please provide HDFC ERGO definition of complete proposal form and KYC on which insurance policy can be issued. Any individual who will review the attached proposal form can realize that form is incomplete, then please provide HDFC ERGO definition of Proposal Form completeness and KYC on which HDFC ERGO issued Policy NO. [protected] 000 (Customer ID:[protected].

Ofcourse i need to pull HDFC ERGO into the public domain and Indian law suite, just giving HDFC ERGO time to justify and sortout this matter beforehand and also understanding what quality of staff HDFC ERGO recruited as they are putting customer & Company in trouble.

Also I notice during all these communications that IRDA is a useless organization, IRDA is not able to control insurance companies in India and how the public of India can depend on IRDA and HDFC ERO like Unethical/Fake insurance Companies in India.

I also wrote this issue to ERGO Germany, i will remind ERGO Germany about the unethical practice of HDFC ERGO General Insurance Company in India, which spoils ERGO & HDFC Brand image.

I am continuously reminding IDRA and what question i am asking HDFC ERGO should have been asked by IRDA to HDFC ERGO. I am attaching complain data format again for IRDA consideration.

Looking forward to HDFC ERGO General Insurance Company reply with HDFC ERGO definition of complete proposal form on which insurance policy can be issue and KYC criteria to fulfill before issue Policy.

With best regards,
Anandrao Mainkar
HDFC ERGO Insurance Policy NO. [protected] 000 (Customer ID:[protected]

Feb 03, 2022

Updated by Anand Mainkar Dear HDFC ERGO,

With reference to HDFC ERGO reply dated 2nd Feb 2022, 8:05 PM, I would like to bring HDFC ERGO & IRDA notice that THE HARD COPY OF POLICY WAS NOT DISPATCHED TO MY OVERSEAS ADDRESS as HDFC EGRO not completed KYC before issue insurance Policy “Home Credit Assure policy [protected] is issued on 31/12/2018 for the period of insurance 31/12/2018 to 30/12/2023”. Whereas HDFC Ltd communicated all hard copy documents of loan financing to this policy to my OVERSEAS Address, as HDFC Ltd completed KYC and as per KYC my residence status was Non-Residence Indian (NRI) and I received all documents from HDFC Ltd to my OVERSEAS address.

Also I would like to bring Notice of HDFC ERGO & IRDA that the hard copy of insurance policy which HDFC ERGO say send in hard was send to my Nominee address in India and Policy hard copy was not included (attached) Insurance policy proposal form which is incomplete. Attached incomplete insurance policy proposal HDFC ERGO send me on 9th Jun 2020 when I asked HDFC ERGO on which document basis HDFC ERGO issue policy.

Based on HDFC ERGO below reply it is very clear HDFC ERGO not done KYC and issued policy unethically with ill intention.

As HDFC ERGO allwage justify that KYC was done and attached insurance policy proposal form is complete, Hence HDFC ERGO shall produce to customer HDFC ERGO definition of complete insurance policy proposal form and KYC on which insurance policy can be issued and HDFC ERGO is fail to produce any check list of KYC & procedure to check documents before issue Insurance Policy.

Even after many reminder by IRDA to HDFC ERGO to resolve IRDAI Token No.[protected] and confirm to the applicant, duly updating the IGMS, HDFC ERGON is failing to resolve and just keep justifying there wrong practices are correct.

Hence I request many times HDFC ERGO should be punished by IRDA by cancelling there Insurance Company Licence as ill practice may be not only with me but possible many HDFC ERGO customers will be affected and possible affect in future.

Look forward to HDFC ERGO to provide HDFC ERGO definition of complete insurance policy proposal form and KYC on which insurance policy can be issued.

With best regards,
Anandrao Mainkar
HDFC ERGO Insurance Policy NO. [protected] 000 (Customer ID:[protected]

HDFC ERGO reply dated 2nd Feb 2022
On Wed, Feb 2, 2022 at 8:05 PM Grievance Cell <[protected]@hdfcergo.com> wrote:
Dear Mr. Mainkar,

We write this in reference to your email dated Jan 27, 2022 regarding the policy number [protected].

We would like to inform you that your Home Credit Assure policy [protected] is issued on 31/12/2018 for the period of insurance 31/12/2018 to 30/12/2023. The hard copy of the policy was dispatched to your mailing address via Speed Post booked under the airway bill number EA[protected]IN dated 08/01/2019.

Further, the Insured Person is allowed “free look period” of fifteen days to review the terms and conditions of the policy and to contact the insurer in case of any discrepancy. However, we have not received any requests from your side.

We also refer the claim RR-PA[protected] intimated on 28/05/2020 and have carefully reviewed the documents submitted by you to validate the eligibility of claim basis policy terms and conditions. As per the claim documents submitted, the Insured's job was on contractual basis.

Hence, claim is being repudiated as per Section 5 C. 2 B. of policy as per which “Any claim relating to unemployment from a job which is casual, temporary, seasonal or contractual in nature or any claim relating to an employee not on the direct rolls of the employer " is not covered.

Further, to your interactions with our officials, we have also shared the proposal details signed by you.

In case if you are not satisfied with our response, you may approach the office of Ombudsman who is empowered to consider complaints relating to insurance policies purchased in individual capacity.

We request you to refer below link for the nearest Ombudsman office as per your address :

https://www.hdfcergo.com/grievance/insurance_ombudsman_centers

Assuring you of our best services at all times.

Sincerely,
Neha Malhotra
Grievance Redressal Team