Frequently Asked Questions - FAQs

What would happen if VLE pays through his wallet but policy PDF is not generated?

In these conditions/problems following action takes place:

Wallet Transaction

Merchant Transaction

Scenarios

Action

Successful

Failure

-

Refund to VLE

Successful

Successful

Case 1. PDF is not generated

Policy will be provided to VLE by email

-

-

Case 2. PDF cannot be generated due to technical issues

Refund will be given to customer

How much time does it take for transaction to be refunded back to wallet?

It usually takes 48 to 72 hours for a failed transaction to be refunded back to wallet.

How to resolve the issue if VLE is not able to click on company details under Digital Seva Portal?

• VLE needs to check whether or not they are certified as RAP or VLE INS
• If VLE is already certified as RAP/VLE INS but unable to click on insurance product, VLE need to clear cookies and cache from their system.
• VLE is certified but not activated on Digital Seva Portal

What should be done if wallet pin or recharge service is not working?

VLE will have to get in touch with our helpdesk or can raise a support ticket for the same.

How much time does it take VLE to be activate for providing insurance services after certification?

For RAP it normally takes 21 days from the certification for providing insurance services to beneficiaries and for VLE INS it normally takes 15 days from certification.

What is minimum required qualification for VLE INS/RAP certification?

VLE needs to have minimum qualification of 10th passed.

How many modules are included in learning management system of RAP and VLE INS examination?

Training modules for RAP is comprised of 20 modules while VLE INS includes 15 modules.

What are passing marks required for clearing RAP and VLE INS examination?

Passing Marks for RAP Examination is 35 out of 100 and VLE INS is 10 out of 25.

What is the registration fee for RAP and VLE INS examination?

Registration fee for RAP is Rs 350 and for VLE INS is Rs 200. VLE can appear for end number of times by paying Rs. 175 for RAP and for VLE INS it is Rs. 100.

What is the commission earned by VLE for various products on Digital Seva Portal?

Commission structure for VLE is:

Product

Commission (CSC SPV + VLE)

Motor Comprehensive

Age of Vehicle- 0 to 3 years

Other than 2 wheeler

15% of OD

2 wheeler

17.5% of OD

Age of Vehicle- 4 years onwards

Other than 2 wheeler

15% of OD + 2.5% TP

2 wheeler

17.5% of OD + 2.5% TP

Motor Third Party

2.5%

Health Insurance

15%

Fire Insurance

16.5%

Marine Cargo

16.5%

Miscellaneous

• Personal Accident

16.5%

• Farmer package

16.5%

• Hospital cash

16.5%

• Travel Insurance

16.5%

• Crop Insurance

Rs 40 per transaction per farmer

What is OD amount/percentage?

OD amount (Own Damage) is a component of Motor Comprehensive Policy upon which the commission is earned as defined by IRDAI.

What is the segregation of commission amount between CSC and VLE?

The commission amount is segregated into 90-10 percentage wherein 90% goes to VLE instantly while making a payment through his wallet on Digital Seva Portal and 10 percent is retained by CSC.

What does a VLE gets apart from the commission defined by the IRDAI while doing a transaction?

The VLE also gets printing charges for downloading and printing the Policy PDF generated to be handed over to customer at Rs 5/-per page with the same segregation of 90-10%.

Can a user have multiple life insurance policies?

Yes, a user can have multiple policies from the same or different life insurance companies.

What are different options to pay premium amount of life insurance?

There are multiple options available for user to pay their premiums. User can pay premiums monthly, quarterly, half-yearly or yearly. User can also pay it in one flat rate.

Is health insurance different from mediclaim policy?

A mediclaim policy, in general, very much similar to a health insurance policy; but it’s ambit of coverage is not as comprehensive as a health insurance policy has. A mediclaim policy pays-out medical expenses towards accident and pre-specified illness, and for specific sum insured; whereas, a health insurance policy covers maximum diseases including critical illness, and accidents as well. A health insurance policy gives you flexibility to review your sum insured and policy term after a specific period; but in mediclaim policy, you can’t.

What does a health insurance cover?

A health insurance policy covers expenses that incurred due to the medical treatment/surgery. In order to get the benefits of the health plan, the policyholder has to go for at least 24 hours of continuous hospitalization. There are some day-care procedures that are also covered under a health plan, but you also need to get hospitalized to avail benefits. Read your policy document to ascertain what is included and excluded under your policy.

Is there any eligibility criterion for having health insurance policy?

Anyone between the age group of 3-month (for the health floater plan) to 65-years can take a health insurance policy. However, the insurer may ask you to go through a medical check-up to ascertain your health condition before issuing the policy. Basis the underwriting guidelines which include age, health condition, family history, etc. the insurer will determine to give you a health plan or not.

What is cashless health insurance policy?

A cashless health policy provides facility to get treatment at network hospitals (may vary from insurer to insurer) without making any payment. To avail this facility, the policyholder only needs to take approval from the insurance company/assigned TPA in advance in case of planned surgeries, and within the stipulated time in case of emergencies. Policyholders, in order to avail cashless treatment at network hospitals, need to produce health cards provided by insurers, with valid identity proofs to hospitals/TPAs.

What are TPAs?

TPAs or third-party administrators are intermediaries between insurance companies, policyholders and hospitals. A TPA helps policyholder settle his/her claim hassle-free by establishing communication between the policyholder, the treating hospital and the insurer.

What are network hospitals?

Network hospitals are hospitals/health units that have tied-up with TPAs or directly with the health insurance companies. With hospitalization in one of the network hospitals of the insurer, the policyholder can avail cashless hospitalization depending on the terms of the policy.

What are points-to-ponder while buying health insurance policy?

While buying insurance products, user must assure if the sum insured is sufficient. Some other salient elements that should be taken into account while buying a health insurance policy are:
• Adequate cover
• List of Network hospitals
• Cashless facility
• Deductibles
• Waiting period for specific illnesses/condition
• Room-rent capping
• Exclusions
• Insurer’s claim settlement ratio.

Is premium paid for health insurance policy tax exempted?

Yes, premiums paid under any health insurance policies are entitled for income tax exemption under section 80D of the Income Tax Act.

What are major factors on which health insurance premium is determined?

Premium for a health insurance policy is calculated by taking several factors on account as:
• Sum insured
• Age
• Coverage provided
• Risk pool of user’s profession
• Estimated overall health expenditure
• Beneficiary’s living style
• Tobacco usage of beneficiary
• Previous medical history as if you user is in good health, their health insurance premium will automatically be lower.

Is there any waiting period to make claims under health insurance policy?

Yes, normally there is a waiting period of 30 days from the date of inception of the policy; during which, the insurer will not be bound to pay you any hospitalization bill. However, in case of an emergency occurring due to an accident, there is no such restriction, and the insurance company will pay your medical expenses.

Can a health insurance policy be transferred from one insurer to another?

Yes, as per recent guidelines of the insurance regulator IRDAI, user can port their existing health policy to the insurer of their choice. Now beneficiary can switch their health insurer without losing the benefits of their existing policy. The premium and policy benefits may differ depending on the plan user choose from the new insurer.

What is the difference between Motor Comprehensive and Motor Third Party car insurance policy?

In general, a comprehensive car insurance policy will cover you for a wide range of damages, injuries, and loss to your passengers, your vehicle, and other property. Third party car insurance is more restrictive, covering damage to other vehicles and their passengers, but typically not much else.

What are the factors one should consider while choosing policy for motor insurance?

Various factors that must be considered while selecting motor insurance policy are:
• Always look at buying regular coverage or Zero Depreciation covers
• Look at car value to be insured. Most insurers use standard formulas – also called Insured Declared Value. This is the value for which your insurance is valid.
• The actual Premiums vary from company to company – but the coverage is standard and exactly the same. So going for the cheaper option is always sensible.
• Look for adequate Cashless Garages in nearest locality that each insurer have tie-ups with.

What are Zero Depreciation Plans?

When beneficiary claims insurance for any damage or repair, the insurance company would deduct some amount and make user pay for it. This is known as depreciation charges. For example, if an insurance claim is of Rs 20,000 but the insurance company paid only Rs 15,000 to the garage and balance Rs 5,000 user had to pay. The balance pad by user is called Depreciation charges. If user had taken a Zero Depreciation cover, the insurance company would have paid the entire amount of Rs 20,000.

Can a beneficiary transfer their vehicle insurance?

Yes, the insurance can be transferred to the buyer of the vehicle, provided the seller informs in writing of such transfer to the insurance company. A fresh proposal form needs to be filled in. And there is a nominal fee charged. This needs to be done within 14 days of the change of ownership.

Can the insurance and vehicle ownership be in different names?

No. Registration and insurance of the vehicle should always be in the same name with the same address. Otherwise, the claim is not payable.

If user lost their insurance policy, can he/she get a duplicate one?

Yes, user can have a duplicate copy of their insurance policy.

What is crop insurance? What are the tax benefits for farmers under this scheme?

Crop insurance is a means of protecting the agriculturist against financial losses due to uncertainties that may arise from crop failures/losses arising from named or all unforeseen perils beyond their control. This scheme has been tax exempted from service tax.

How many applications can be generated through one farmer ID? What is the different between a policy and an application?

Multiple applications can be generated through one Farmer ID depending on the number of crops to be insured/land holding etc. There can be multiple applications against a policy but there will only be one policy per farmer ID regardless of the number of crops insured.

What is reverted application?

The application that is not approved on the grounds of not providing proper document, incorrect name on document, name mismatch on land documents & bank passbook, duplicate entry of documents, document is not readable, etc is called a Reverted Application. The insurance company revert the application that is visible on the CSC VLE portal so they can check and remove the discrepancy.

What happens when an application is rejected?

When an application is rejected the premium paid by the farmer is refunded to the farmer directly by the insurance company and the VLE Commission gets reversed.

What is the age limit for taking personal accident policy?

The minimum age for taking this policy is 18 years and maximum is 65 years.

Does user need to buy an individual personal accident policy for each member or a single policy will cover the entire family?

Both kinds of packages are available. Family Package cover is available for individuals under Personal Accident Policy whereby the proposer, spouse and dependent children can be covered under a single policy.

Is there any tax benefit for premium paid under personal accident insurance?

No, there is no income tax benefit available against premium paid for Personal Accident insurance.

What does a foreign travel insurance plan covers?

Foreign travel insurance covers death, personal accident, medical expenses, repatriation, loss/delay of checked baggage, passport loss, third-party liability, etc.

What does travel insurance plan covers?

Travel insurance covers various aspects of your travels such as trip cancellation, trip interruption, trip delay, lost or delayed baggage, medical coverage, medical evacuation, loss of passport, personal liability, emergency cash advance, and more.

Is there any medical check-up required to purchase travel insurance plan?

Typically, no medical test or checkup is required to purchase a travel insurance policy. However, most of the insurance companies may ask to go through a medical test for insuring senior citizens. It is also recommended to check specific policy terms regarding the requirement of medical check-up.

Can the period of travel insurance be extended?

Most of the travel insurance policies have a provision for extension. It depends on the policy that you have opted and thus, it is advisable to check with your insurer about the extensions available.