ICICI PRUDENTIAL LIFE INSURANCE COMPANY LIMITED

FORM L-40 YTD

Date:- June 30, 2018

No. Of claims Only

Death Maturity Survival Annuities/ Surrender Health Other
Sr. No. Claims Experience
Claim Claim Benefit Pension Claim Claim Benefits
1 Claims O/S at the beginning of the period 65 10,659 972 8,354 6,375 277 -
2 Claims reported during the period* 3,833 21,147 11,581 30,857 68,714 5,596 88
3 Claims Settled during the period 3,535 22,516 12,194 30,145 69,429 4,969 83
4 T & C Rejected - - - - - 433 -
5 Claims Repudiated during the period 30 - - - - 8 -
Less than 2years from the date of acceptance of
a
risk 38 - - - - 4 -
Greater than 2 year from the date of acceptance
b
of risk (8) - - - - 4 -
6 Claims reopened - - - - - - -
7 Claims Written Back - - - - - - -
8 Claims O/S at End of the period 333 9,290 359 9,066 5,660 463 5
Less than 3months 303 3,587 299 5,368 4,024 447 5
3 months to 6 months 10 3,294 20 537 1,214 15 -
6months to 1 year 10 1,117 13 571 156 1 -
1year and above 10 1,292 27 2,590 266 - -

*in case of death- the claims for which all the documentations have been completed needs to be shown here.
The form also includes data with respect to "Unclaimed" claims
ICICI PRUDENTIAL LIFE INSURANCE COMPANY LIMITED

FORM L-40 Quarterly

Date:- June 30, 2018

No. Of claims Only

Death Maturity Survival Annuities/ Surrender Health Other
Sr. No. Claims Experience
Claim Claim Benefit Pension Claim Claim Benefits
1 Claims O/S at the beginning of the period 65 10,659 972 8,354 6,375 277 -
2 Claims reported during the period* 3,833 21,147 11,581 30,857 68,714 5,596 88
3 Claims Settled during the period 3,535 22,516 12,194 30,145 69,429 4,969 83
4 T & C Rejected - - - - - 433 -
5 Claims Repudiated during the period 30 - - - - 8 -
Less than 2years from the date of acceptance of
a
risk 38 - - - - 4 -
Greater than 2 year from the date of acceptance
b
of risk (8) - - - - 4 -
6 Claims reopened - - - - - - -
7 Claims Written Back - - - - - - -
8 Claims O/S at End of the period 333 9,290 359 9,066 5,660 463 5
Less than 3months 303 3,587 299 5,368 4,024 447 5
3 months to 6 months 10 3,294 20 537 1,214 15 -
6months to 1 year 10 1,117 13 571 156 1 -
1year and above 10 1,292 27 2,590 266 - -

*in case of death- the claims for which all the documentations have been completed needs to be shown here.
The form also includes data with respect to "Unclaimed" claims