Claims - NIC Mauritius

NIC CLAIMS CENTRE

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What type of claim CAN WE HELP YOU WITH?

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Cash Back Encashment Form

Required documents

Completed Cash Back Encashment Form
Copy of ID card
Proof of bank account number

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Maturity Encashment Form

Required documents

Completed Maturity Encashment Form
Original Policy Contract
Copy of ID card
Proof of bank account number
Stop standing order instruction

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Claimant's Statement Death Claim Form

Required documents

Completed Claimant's Statement Death Claim Form signed by the beneficiary
Original Policy Contract
Copy of ID card (beneficiary & insured)
Birth certificate (beneficiary & insured)
Marriage certificate (if beneficiary is married)
Cause of death & death certificates
Affidavit (if beneficiary is not designated)
Police report (in case of accident)

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Claimant's Statement Disability Claim Form Medical Certificate & TPD Form

Required documents

Completed and signed Claimant's Statement Disability Claim Form
Original Policy Contract
Copy of ID card
Medical certificates
Medical appointment cards
Physician's statement
NPF Forms/Social Security Card
Police report (in case of accident)

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Accident Indemnity Claim Form

Required documents

Completed Accident Indemnity Claim Form
Copy of ID card
Physician's statement

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Health Declaration Form

Required documents

Completed Health Declaration Form
Copy of ID card
Written request from client to revive policy

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Application for Change in Policy Contract Form

Required documents

Completed Application for change in policy contract Form.
Original Policy contract
Copy ID card
Copy of recent utility bill, not exceeding last 6 months for change in address
New application form duly filled in to add Additional Death Benefit (ADB) or Total and Permanent Disability (TPD) Benefit or to change your policy from single to joint
New standing order for change of amount of insurance and premiums.

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Arrears Repayment Agreement Form

Required documents

Completed Arrears Repayment Agreement Form
Original Policy Contract
Copy ID card
Amended Standing Order Form
Settlement of premiums in arrears
Completed Application for Change in Policy Contract Form, if applicable

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Disclaimer Form

Required documents

Completed Disclaimer Form
Duly stamped police form PF77
Copy of ID Card

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

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Cancellation Form

Required documents

Completed Cancellation Form
Original Policy Contract
Copy ID card
Proof of bank account number
Stop standing order instruction

Send us the completed form with the original required documents

by post or drop it at your nearest NIC branch.

Need help?
Call us on 602 3000 or Send us Mail

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NIC HealthSense

Health Claim Form

Required documents

Completed Health Claim Form
Invoices
Payment receipts
Medical specifying diagnosis
Prescriptions as applicable

Important Note: You are kindly requested to keep the original documents in case you are asked to submit same.

Submission of Forms

Need help?
Call us on 602 3000 or Send us Mail

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NIC Travel Insurance

GENERAL TERMS AND CONDITIONS

Claims, Travel Assistance & Emergency Services (24/7)

To report a claim, obtain your claim form, and for any assistance and emergency services, immediately contact AXA Assistance’s 24-hour contact centre.

Within France: 01 70 95 94 42

Outside of France: + 33 1 70 95 94 42

Fax: + 33 1 55 92 40 69

Email: plateau.medical@ip-assistance.com

You must provide the assistance agreement number: 0803275 and your policy certificate number.

Need help?
Call us on 602 3000 or Send us Mail

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NIC Motor Insurance

Required documents

Completed and signed Claim Form
A copy of ID card (Insured)
A copy of the driver’s ID card, if you were not driving the car
A copy of your Certificate of Insurance
A copy of your vehicle’s registration book (Horse Power)
The original and a copy of the driver’s driving licence
The original Agreed Statement of Facts Form (constat à l’amiable) completed and signed by both parties, if applicable
The original Notice of Intended Prosecution (NIP) and /or Police Report/Memo, if the accident was reported to the police
Police report/memo, in case of theft
Sketch Plan/Correspondence, if available
Photographs of accident spot, if available
Photographs of damages to your vehicle, if available
An estimate of repairs from your garage. Repairs through the Manufacturer’s Authorised Dealer’s workshop will only be applicable to vehicles up to 3 years old at the time of accident, subject to acceptance of liability by the company.
Any legal notice or report or court summon, if any
Any other documentation to support your claim, if any

You must fill out and submit your claim form along with the required documents at any one of our claims centre, at either NIC Curepipe Head Office or NIC Port Louis Branch Office to complete the claim procedure.

Need help?
Call us on 602 3000 or Send us Mail

Download the claim forms you need for your NIC insurance policies.

Instructions: Please ensure the necessary forms are fully completed and signed by the appropriate party, and all required documents are submitted in original copies with the forms.

Note: These forms are in PDF format. In order to open, view or print these forms you will need to have Adobe Acrobat Reader installed on your computer. You can download it for free from the Adobe website.

Disclaimer: The claim will be reviewed by the Company and contact made as soon as possible following receipt of the submitted claim form. Any person who knowingly and with intent to defraud the insurance company or other person files an application for insurance or statement of claim containing any false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent insurance act that will make the person liable to prosecution.

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About Us

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NIC CLAIMS CENTRE

What type of claim CAN WE HELP YOU WITH?

Download the form you need

Required documents

Required documents

Required documents

Required documents

Required documents

Required documents

Required documents

Required documents

Required documents

Required documents

NIC HealthSense

Required documents

NIC Travel Insurance

Claims, Travel Assistance & Emergency Services (24/7)

NIC Motor Insurance

Required documents

Download the claim forms you need for your NIC insurance policies.

Contact info

Life Insurance & Pensions

General Insurance

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