MEDICLAIM INSURANCE INDUSTRY

The term MEDI CLAIM INSURANCE used to describe a form of insurance that
pays for medical expenses. If we are covered under health insurance , we pay some
amount of premium to an insurance company and if we have an accident or if we
have to undergo any surgery the insurance company will pay for medical expenses.

DIFFERENCE BETWEEN MEDICLAIM AND HEALTH INSURANCE

MEDI CLAIM HEALTH INSURANCE

Health insurance is more comprehensive
Mediclaim pertains specifically to and covers not only hospitalization
hospitalization. Simply put, it covers expenses but also pre and post
only hospital related expenses. hospitalization expenses, ambulance
charges, compensation for the lost
. income and more.

For filing a mediclaim, hospitalization is For filing a health insurance claim, an

required. eventuality is required which might not
necessarily be hospitalization.
 COMPANY PROFILE

The Oriental Insurance Company Ltd. is a public sector general insurance company of India. The
headquarters of the company are located in New Delhi. It has 31 regional offices and more than
1900 active branches across the country. The company also has branches in Nepal, Kuwait,
Qatar and Dubai. The company had recorded a gross premium of Rs. 7282.54 crores in the
financial year 2013-2014. For the Financial year 2016-17, the Company procured a global
premium of Rs. 11,100 crores. The Company offers more than 170 General Insurance products.
The IRDA Registration No. of the Company is 556

Oriental Insurance was incorporated on 12 September 1947 as a government-owned non-life

insurance company. It was established as a completely owned subsidiary of Oriental Government
Security Life Assurance Company Ltd. to execute its parent body's general insurance operations.
In 1956, when insurance business was nationalized, Oriental insurance became part of LIC till
1973. After 1973, Oriental Insurance became a subsidiary of General Insurance Corporation of
India till 2003 when the company was de-linked from the parent company and set up as an
independent insurance company.[citation needed] In 2003, the Union Government acquired all
the shares of Oriental Insurance Company Ltd from General Insurance Corporation of India.

On the 2nd of February 2018, the Government of India announced the merger of Oriental
Insurance with National Insurance Company Limited and United India Insurance Company.
 PRODUCTS OF ORIENTAL INSURANCE

 MOTOR INSURANCE POLICY

 HAPPY FAMILY FLOATER POLICY

 OVEREAS MEDICLAIM POLICY

 INDIVIDUAL MEDICLAIM POLICY

 PESONAL ACCIDENT POLICY

 HOUSE HOLDER POLICY

 SHOPKEEPER POLICY

 JANATA PERSONAL ACCIDENT POLICY

 NAGARIK SURAKSHA POLICY

 SCOPE OF THE STUDY

The scope of the study is to know the survey and finding on awareness of med
claim policy in oriental insurance and claim settlement process of med claim
policy.

NEED OF THE STUDY

The need of the study is to know the awareness of mediclaim policy by all
sections of society , for the knowledge of mediclaim process settlement and
explore its possibilities for its easy and better settlement.

OBJECTIVES OF THE STUDY

 To find the awareness level of mediclaim policy for oriental insurance.

 To estimate percentage of population having mediclaim insurance product.
 To study claim settlement process in the mediclaim policy.
 To determine satisfaction level of the customer regarding claim settlement .
 QUESTIONNARIE

1. NAME:

2. GENDER: (a) FEMALE (b)MALE

3. AGE: (a)below20 (b)21-40yr

(c)41-60yr (d)above60yr

4. OCCUPATION: (a)government employee (b)corporate employee

(c)self employee (d)others

5.EDUCATIONAL QUALIFICATION: (a) sslc (b)hsc

(c) under graduate (d) post graduate and above

6. INCOME PA: (a) below 1lakh (b) 1 to 3lakh

(c) 3 to 5 lakh (d) above 5lakhs

7. Are you aware of mediclaim insurance of oriental insurance?

(a) yes (b) no

8. If yes, source of awareness?

(a) company (b) newspaper

(c) internet (d) television

9. How long you are carrying mediclaim policy?

(a) below 1year (b) 1-5 year

(c) 5-10 year (d) above 10yr

10. Wheather your policy has covered all family members?

(a) yes (b) no

11. Why have you chosen product of oriental insurance?

(a) brand value (b) near by area

(c) government company (d) others

12. How is oriental insurance working upto your experience?

(a) poor (b) average

(c) good (d) excellent

13. What is your sum insured coverd?

(a) gold plan (b)silver plan (c)platinum plan

14. Have you ever made claim on health insurance?

(a) yes (b) no

15. Do you think SI coverage is enough for you?

(a) yes (b) no

16. How soon does surveyor reach?

(a) within 7days (b) 7-15days

(c) 15-30days (d) above 30days

17. After reporting how many days has claim been settled by the oriental
insurance?

(a) within 7days (b) 7-15days

(c) 15-30days (d) above 30days

18. Are you satisfied with claim settlement of mediclaim policy offered by
oriental insurance?

(a) satisfied (b)highly satisfied

(c) dissatisfied (d)highly dissatisfied

19. Are you being continued as customer after made claim in oriental insurance?

(a) yes (b) no

20. Do you have any policy that provide double cash for ICU confinement?

(a) yes (b) no