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L&T General Insurance Company Limited

L&T General Insurance Company Limited is a subsidiary of Larsen & Toubro, which is one of the most reputed engineering companies of India.

Please Note: From August 23 2017, L&T General Insurance is HDFC ERGO General Insurance

In 2015-16, L&T General Insurance Company earned a Gross Direct Premium of Rs.473.39 crores.

L&T General Insurance Company Limited aspires to become a leading name in the general insurance market through its innovative insurance products and efficient services. A few years back, L&T General Insurance Company was merged with HDFC ERGO and today it is known as HDFC General Insurance Limited.

Interesting Facts about L&T General Insurance Company Limited

  • In the financial year 2015-16, L & T General Insurance Company earned a Gross Direct Premium of Rs.473.39 crores.
  • L & T General Insurance Company is a fully owned subsidiary of Larsen & Toubro Limited which is a reputed company having a share capital of $12.8 billion.
  • Larsen & Toubro was also ranked among the top 50 reputed companies in a survey conducted by the Forbes-Reputation Institute.

Product Portfolio – L&T General Insurance Company

Motor Insurance

My: Asset Private Car Package Policy: This is a comprehensive motor insurance policy designed for a private car. The policy covers damages caused to the car due to any type of natural disasters or man-made causes like fire, earthquake, burglary, theft, riots, strikes, landslide, typhoon, hurricanes, etc. Any financial liability towards aggrieved third parties who incurred a bodily injury due to the insured car or whose property was damaged is also covered by the plan. The third cover is a personal accident cover for the owner/driver of the car for a Sum Insured of Rs2 lakhs. A discount is allowed in renewal premiums for not making any claim in any previous year. This discount is called No Claim discount and is available up to 50%.

My: Jeevika Commercial and Miscellaneous and Special Type Vehicles Package Policy: This is another comprehensive motor insurance policy offered by L & T General Insurance Company. The policy provides coverage to any type of vehicles used for commercial purposes. The coverage is comprehensive in nature as the policy covers natural and man-made disasters, legal liability to third parties and also provides a personal accident cover to owner/driver of the vehicle. The policy also covers the necessary towing expenses for towing a damaged vehicle to the nearest garage.

Health Insurance

My: Health Medisure Classic Insurance: It is a comprehensive plan, which offers benefits to individuals above the age of 3 months. The plan provides reimbursement for hospital expenses incurred due to an accident, organ transplantation or maternity/delivery. Under this category, two different plans are available, the first one being a base plan along with a critical illness cover which provides two times the amount of original sum insured if the disease is found to be critical in nature and the other one being a base plan along with no sublimit, which removes all sublimit associated with the undergoing treatment. The one thing to be kept in mind is that the amount of premium to be paid depends upon the geographical region and for individuals above the age of 80 years, a co-pay of 10% will be levied.

My: Health Medisure Prime Insurance: This is a comprehensive health insurance plan available for a period of maximum 2 years on an individual or family floater basis between the ages of 18 to 65 years. The plan covers pre hospitalization and post hospitalization expenses for a period of 60 days and 90 days respectively and reimbursement of Rs. 1500 of ambulance costs. The plan provides cover for maternity/delivery expenses, organ transplantation expenses as well as reimburses hospital expenses incurred due to an accident.

My: Medisure Super Top Up Insurance: It is a top up plan, which aims at enhancing the health cover at a reasonable cost. This plan can be availed for a period of maximum 2 years on an individual or family floater basis between the ages of 18 to 65 years and children of 91 days to 23 years. The plan covers pre hospitalization and post hospitalization expenses for a period of 60 days and 90 days respectively. The amount of premium to be paid for a year plan depends upon the age, sum insured and family size of the policyholder. However, the company provides a 2% discount on the total premium amount for a 2 year plan. The plan provides cover for day care procedures and any pre existing disease.

My: Medisure Plus Insurance: It is a standard insurance plan, which provides insurance cover to individuals based on their requirements. This plan can be availed for a period of maximum 2 years on an individual or family floater basis between the ages of 18 to 65 years and children falling in the age groups of 91 days to 23 years. The plan offers a sum insured amount of up to Rs. 25 lakhs and comes with a lifelong renewability facility. The plan can be taken on an individual basis or as a family floater basis and provides coverage to Grandparents, Siblings, Grandchildren, Sons and their Spouses, Nieces and Nephews. The plan offers customized benefits at an additional premium.

Personal Accident Insurance: This insurance plan aims at providing coverage towards injuries caused due to unforeseen incidents and accidents. This plan can be availed by people lying in the age groups of 5 years to 70 years. It is a renewable policy and provides coverage against Accidental deaths, permanent or total disability, partial or complete disablement. It also offers a discount of 10% on the total premiums paid. It also provides benefits such as education benefits, unemployment benefits, and transportation cost benefits as well as medical extension benefits.

Home Insurance

My: Asset Insta Home Insurance: It is an insurance plan which provides cover to one’s home and valuable assets. Available with an easy documentation process, this plan offers an option of 4 sub plans having fixed sum insured and a fixed price. This plan provides cover against Fire and other such allied perils for contents, Burglary and Housebreaking for contents, all risks of Electronic Equipment as well as providing complete Protection to listed domestic electronic appliances. The policy buyer may choose to buy any of the plans at different premium rates.

My: Asset Primary Home Insurance: This plan contains value added services and benefits. Along with providing an cover against Fire and other such allied perils for contents and burglary/housebreaking for contents, the plan provides additional 11 types of cover which includes all risks of Electronic Equipment as well as providing complete Protection to listed domestic electronic appliances. Other covers such as public liability, protecting valuable purchases like jewellery, etc. wallet coverage facility, protection of bags and baggage as well as numerous other such related covers which ensures protection of one’s valuables from damages.

My: Asset Premium Home Insurance: This is a plan which allows an individual to choose from over 26 optional covers and design an insurance plan best suited to his requirement. The basic two covers i.e. Fire and other such allied perils for contents and burglary/housebreaking for contents are mandatory. The rest of the covers can be selected by the holder as per his will. The covers extended by the plans are all risks of Electronic Equipment as well as providing complete Protection to listed domestic electronic appliances. Other covers such as public liability, protecting valuable purchases like jewellery, etc. wallet coverage facility, protection of bags and baggage as well as numerous other such related covers which ensures protection of one’s valuables from damages.

L&T General Insurance Claim Process

Various plans have various types of claim process. Let us peruse through the various steps to be followed in order to make insurance claims for plans.

Health Insurance Claims

Cashless Claim

  • Cashless Claims can be made in two different situations, one when the hospitalization is an emergency one and the other when it is a planned one. In case of an Emergency hospitalization, the policyholder should inform the companies within 24 hours of admission to the hospital by calling at the toll free number of the company, whereas, in case of a planned hospitalization, the policyholder should inform the company at least 72 hours prior to admission to the hospital.

  • Having done that, the policy holder should contact the cashless counter at the hospital and fill the pre authorization form available at the counter for cashless claims. The policy holder must submit documents such as pre admission prescriptions & Medical reports along with a copy of photo id and health card. The cashless counter will then forward the documents to the company in order to seek approval of the same.

  • The company then, within 6 hours of receiving the required documents sends a claim reference number and an intimation stating whether the claim has been accepted or rejected by the company to the policy holder. The company will also inform the policy holder of any uncovered non medical expenses, if any.

  • In case the claim has been recognized by the company, then the policy holder should make the payments due towards uncovered expenses and duly attest all the medical bills and related documents.

  • In case the claim has not been recognized by the company, then the policy holder should bear all the expenses and apply for a reimbursement with the insurance company. The company will then intimate the policy holder within 6 working days of having received the required documents.

Reimbursement Claim

  • Reimbursement Claims can be made in two different situations, one when the hospitalization is an emergency one and the other when it is a planned one. In case of an Emergency hospitalization, the policyholder should inform the companies within 24 hours of admission to the hospital by calling at the toll free number of the company, whereas, in case of a planned hospitalization, the policyholder should inform the company at least 72 hours prior to admission to the hospital.

  • Having done that, the policy holder should submit the claim intimation form along with the below mentioned details pertaining to the patient:

    • Policy Number
    • Name of the Person(S) named in the schedule to this policy availing treatment
    • Nature of Disease/Illness/Injury
    • Name and Address of the attending Medical Practitioner or the Hospital
    • Probable or the Actual Date of Discharge and Admission to the Hospital
    • Appropriate Claim expenses
    • Any Other relevant Information
  • The policy holder can send the information to the company by adopting any of the below mentioned steps:

    • He may choose to call at the toll free number of the company, or
    • He may choose to drop an email to the company at myhealthclaim@ltinsurance.com
    • He may also drop a claim request at the registered website of the company, given as www.ltinsurance.com
    • He may courier the documents at the Claim Service Office (The address of the office has been mentioned above).
  • After having completed the above mentioned formalities, the policy holder can move ahead with the treatment procedures. Once, the treatment procedure is completed, the policy holder must make all the payments at the hospital and make sure to collect all the medical bills and receipts in order to file a reimbursement claim with the company.

Motor Insurance Claims

The policy holder should follow the below mentioned steps in order to claim motor insurance with the company.

  • He must make sure that the motor has not been left unattended or unlocked post accident.

  • In case, there’s a third party involved in the accident, then he must make sure to note the vehicle number of the third party and also look up for witnesses and note down their contact details and phone number. (In case of an accident with a third party, if a death of the third party occurs or any kind of damage or injury is caused to the third party, then the policy holder must immediately file an FIR with the nearest police station. Filing an FIR is mandatory in order to make motor insurance claims).

  • The policy holder should arrange for a towing vehicle if his vehicle is no more in working condition. The policy holder must make sure to not drive the car any further if there is any kind of oil/coolant leakage. The company is not liable to recognize claims on damages caused due to driving post an accident.

  • If the policy holder wishes to make a reimbursement claim, then he may choose to take the vehicle to any workshop of his choice. He need not necessarily take it to a networked garage (workshop having a tie up with L&T insurance). However, if he wishes to make a cashless claim then he has to mandatorily take his vehicle to a networked garage. It’s always preferable that the holder keep a list of networked garage with him in order to help him at times of need.

  • The policy holder must make sure to call at the toll free number given at 1800-209-5846 of the company, within 24 hours of the occurrence of the accident and give them a report of the same.

  • The customer care executive will then issue a claim reference number to the policy holder and also intimate him about the steps to be followed and the documents to be submitted in order to make a claim with the company. The company will then send a Surveyor to the workshop in order to authenticate the claim.

  • The policy holder must make sure not to undertake any kid of repairing work before the invigilation process has been completed by the Surveyor and he has issued a Survey/Inspection Report. The holder must fill up the claim forms and submit it to the surveyor.

  • The company will entertain claims only which are directly related to the accident. Any kind of repairs undertaken owing to damage prior to the accident will not be recognized by the company.

  • If the policy holder opts for a cashless claim, then he must pay off the extra expenses incurred, which are not covered under the plan. L&T will pay only what has been covered in the plan.

  • If the policy holder opts for a reimbursement claim, then he must make payments at the workshop and collect all the bills and receipts and submit the same to the insurance company in order to file a claim.

Home Insurance Claims

The policy holder should follow the below mentioned steps in order to claim home insurance with the company.

  • He must immediately inform the company by placing a call at the company’s 16*7 call centre.

  • The company within 24 hours of the call will send a surveyor to the site to assess the situation and authenticate the claim.

  • If the nature of damage is burglary, then the policy holder must intimate the police.

  • The documents related to the nature of claim are required to be submitted by the policy holder.

  • The insurance company will then intimate the policy holder about the status of the claim within 30 days of having received the documents.

Review of L&T General Insurance

L&T General Insurance Company Limited has won various awards ever since it was incorporated. In 2014, L&T won the “Product of the Year” Award and also the “Celent Model Insurer of the Year” Award. L&T offers a one-stop shop solution for all your insurance needs. L&T is synonymous with quality and quicker service. Now, with HDFC Ergo, L&T Insurance still lives up to the vision. If you are looking for a value for money insurance plans that are backed by the top-notch insurance providers, then L&T could be your option of consideration.

Contact Details of L&T General Insurance

You can contact the company through various ways which are discussed below:

  • Postal Address- HDFC General Insurance Limited, 6th Floor, Leela Business Park, Andheri Kurla Road, Andheri (E), Mumbai - 400 059.

  • Toll-free contact numbers – 1800-209-202

  • Email id – email can be sent to care@hdfcgi.com

FAQs on L&T

How can I avail cashless claim?

There are 2 types of cashless claim. They are planned hospitalization and emergency hospitalization.

Planned hospitalization: This is a type of hospitalization when you have time for a planned admission:

  • Call L&T health insurance company and intimate them about the claim
  • Fill the cashless claim authorization form provided by the TPA. Attach copy of photo id & health card, pre-admission prescriptions, medical reports and copies of photo id & health card
  • Take admission on the preferred date
  • Ensure to counter sign the medical papers the day you get discharged from the hospital.
  • Make payments of inadmissible claims if any and retain a copy before leaving the hospital

Emergency hospitalization: This is a type of hospitalization where the admission is immediate and you do not get any time for claim intimation:

  • Immediately get admitted in the hospital
  • Your family members can then call L&T health insurance company to intimate the claim
  • Fill the cashless claim authorization form provided by the TPA. Attach copy of photo id & health card, pre-admission prescriptions, medical reports and copies of photo id & health card
  • Ensure to counter sign the medical papers the day you get discharged from the hospital.
  • Make payments of inadmissible claims if any and retain a copy before leaving the hospital .

What if I do not get hospitalized in a network hospital, will my claims still be reimbursed?

Yes, you can get the imbursement claim done irrelevant of the hospital you get admitted. However, your claims can be assessed on reimbursement basis other terms and conditions in the policy document.

What are the benefit of buying the L&T Health Medisure Prime Insurance policy?

The benefits of buying the L&T Health Medisure Prime Insurance policy are mentioned below:

  • Covers in-patient hospitalization expenses which mandates minimum 24 hours hospitalization
  • Covers pre-hospitalization expenses 60 days before hospitalization and 90 days post-hospitalization expenses
  • Covers surgeries/ day care procedures which mandates minimum 24 hours hospitalization
  • Offers daily hospital cash allowance from day 4 to day 10 only in case of continuous hospitalization
  • Offers reimbursement for organ donor expenses
  • Covers convalescence benefit if hospitalization exceeds 10 days
  • Offers maternity and new born baby cover for the first 2 children. Offers coverage for new-born babies post 90 days of birth
  • Offers expenses to the accompanying person for 7 days maximum, in case hospitalization exceeds 3 days

Can I change my motor insurer?

Yes, it would never happen that you would not like the services of L&T motor insurance. However, if you feel so, you may certainly cancel the motor insurance policy midway and switch to another insurer. But, the insurance company would refund you the amount only after retention of premium on short period rates. You may also change the insurer on renewal, in case you are being offered competitive and low quotes of premiums.

How can I make changes in the policy, if any?

You can give an application, or via fax or write an email to make any changes in the policy document, along with documentary proof. This is how an endorsement can be done.

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