Insurance Regulatory Authority of Uganda

Insurance Regulatory Authority of Uganda
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[Established by the Insurance Act (Cap 213) Laws of Uganda, 2000]
P.O. Box 22855, Tel. 346712/253564, Toll Free line: 0800 124 124 Fax: 349620 Kampala, Uganda
2nd Floor Legacy towers, Plot 5 Kyadondo Road
Website: www.ira.go.ug Email: [email protected]
INSURANCE CLAIMS GUIDELINES
2. Own Damage (Partial Loss)
Insured
a. Completed Accident Claim form with detailed statement of Accident.
b. Copy of Driver’s Permit.
c. Inspection of Vehicle (IOV) report.
d. Police report where necessary.
e. At least two detailed repairs estimates/quotations from different firms.
f. Copy of vehicle log book
g. Towing receipts (if applicable)
h. Final bills of repair where the repair costs are within authorized limits.
i. The Supplier’s purchase receipts or stores requisition and labour costs where the vehicle is repaired by the
insured.
j. Final repair costs
k. Valuation report for agreed value policies
7. Death benefit
These forms need to be completed for the submission of a claim for a death benefit.
• A completed and signed claim form
• The policy document
• Original or certified copy of the Life Assureds’ Identity Card or Passport or Driving permit;
• Original or certified copy of either:
a) the death certificate, or
b) the medical certificate of the cause of death, or
c) a police report in the event of unnatural death;
3. Theft
Insured
a. Completed Accident Claim form with detailed statement of Accident.
b. Police report.
c. Investigation Report
d. Original vehicle log book
e. Spare keys (if any)
f. Blank signed Transfer Forms
g. Identification of the owner.
h. Letter authorizing transfer (Company vehicles)
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b)
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b)
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4. Fire
Material Damage
Insured
a. Completed claim form with detailed statement of loss.
b. Police/fire brigade investigation report
c. For stock Purchase invoices/Proforma invoices/Receipts or damaged property
d. At least two repair quotations for damaged items from different providers.
e. At least two repair quotation for damaged premises from different providers.
f. Internal Auditors reports/Account documents/ Stocks taking report before and after incident.
g. Third Party Liability letters if any.
10. Credit protection
• A completed and signed claim form
• The policy document
• Original or certified copy of the Life Assureds’ Identity Card or Passport or Driving permit;
• Statement of the Life Assureds’ Loan Account showing the repayment history of the last twelve (12) months
and the balance as at the date of death (or disability if covered)
• Original or certified copy of either:
a) the death certificate, or
b) the medical certificate of the cause of death, or
c) a police report in the event of unnatural death;
Insurer
a. Investigation/ loss assessment report
b. Consultant’s report e.g Quantity Surveyor’s report
c. Forensic report
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b)
c)
If disability is covered then in addition to the above the following should be submitted;
Personal statement by the Life Assured;
Employer’s statement;
Job description questionnaire
5. Group/Personal Accident
Insured
a. Completed Personal Accident Claim Form.
b. Sick Leave certificate where necessary.
c. Admission/Discharge Certificate and medical notes.
d. Medical receipts and other Expenses.
e. Copy of pay slip for three month prior to accident.
f. Police Report if injury or death resulted from road accident.
g. Death Certificate /post-mortem report (if applicable)
h. Letters of Administration for fatal cases
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b)
c)
If loss of employment is covered then in addition to above the following should be submitted;
Personal statement by the Life Assured;
Employer’s statement
Job description questionnaire
6. Worker’s Compensation
Insured
12. The Complaints Bureau
The Insurance Regulatory Authority of Uganda set up a Complaints Bureau to handle complaints against any
insurance player. The public is urged to always lodge complaints with the Bureau for prompt settlement of
Claims and avoidance of lengthy and costly court procedures.
Insurer
a) The assessors report
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h.
Completed Worker’s Compensation Claim Form /LD forms (31,35, 87 as applicable).
Sick leave Certificate.
Admission/Discharge Certificate and Medical notes.
Medical receipts /Cash memos and other expenses.
Copy of pay slip for three months prior to accident.
Police Report if injury or death resulted from road accident.
Medical Report
Death Certificate /Post- Mortem Report (if applicable).
Total Permanent Disability / Critical illness benefit
A completed and signed claim form
The policy document
Original or certified copy of the Life Assured’s Identity Card or Passport or Driving permit;
Confidential medical report (from a General Practitioner or specialist Physician);
Funeral cover
A completed and signed claim form
The policy document
Original or certified copy of the spouse of the Life Assureds’ Identity Card or Passport or Driving Permit;
Original or certified copy of either:
the death certificate, or
the medical certificate of the cause of death, or
a police report in the event of unnatural death;
Original or certified copy of either:
a marriage certificate ( in case of deceased’s spouse), or
a birth certificate (in case of deceased’s child) or
Adoption paper ( in case of an adopted child)
11. Endowment
These forms need to be completed for the submission of a claim for an endowment benefit.
• A completed and signed claim form
• Original or certified copy of the Life Assureds’ Identity Card or Passport or Driving permit.
• The original policy document
The Authority has also set up a Toll Free line; 0800 124 124 and a complaints window on our website
www.ira.go.ug for any inquiries and lodging of complaints.
CHIEF EXECUTIVE OFFICE