{"id":1327,"title":"HONEY BEE INSURANCE - CLAIM FORM","purpose":"claim","insurer":{"slug":"united-india-insurance","name":"United India Insurance Company Limited"},"source_pdf":"https://uiic.co.in/web/sites/default/files/Policy-Document/Rural%20%26%20Social%20-%20Honey%20Bee%20Insurance_1.pdf","sha256":"bb35546106bb358bde826bd2f88cd06c0ffd488a67aae3efb2f94811ad62c73a","pages":2,"collected":"2026-10-17","instructions":{"about":"This form is for policyholders to claim insurance for loss or damage related to Honey Bee Insurance policies.","notes":["The issue of this Form does not constitute admission of liability.","The insurance is based on the principle of indemnity only and subject to Policy terms and conditions.","All claims must be based upon the actual value of the items insured at the time of event excluding any value addition whatsoever."],"title":"HONEY BEE INSURANCE - CLAIM FORM","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"Insured Details","fields":[{"help":"","type":"text","label":"Policy No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"Claim No.","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"a) Name of insured:","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"b) Address","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"c) Business / Occupation","options":[],"required":null,"pdf_field":""},{"help":"","type":"text","label":"d) Name of other persons having an Interest in the property","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Details of Insurance","fields":[{"help":"Include all policies taken with United India Insurance Company and others if applicable","type":"text","label":"Policy No. (s)","options":[],"required":null,"pdf_field":""},{"help":"","type":"amount","label":"Sum Insured Rs.","options":[],"required":null,"pdf_field":""},{"help":"Policy start date","type":"date","label":"Period From","options":[],"required":null,"pdf_field":""},{"help":"Policy end date","type":"date","label":"To","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Details of Loss / Event","fields":[{"help":"Specify the exact time and date when the loss or event occurred","type":"date","label":"a) Time & Date of Loss / Event","options":[],"required":null,"pdf_field":""},{"help":"Describe the cause of the loss or event","type":"text","label":"b) Cause of Loss / Event","options":[],"required":null,"pdf_field":""},{"help":"Mention the policy item affected","type":"text","label":"c) Item of Policy effected (given description)","options":[],"required":null,"pdf_field":""},{"help":"Provide a detailed description of the event causing the claim","type":"text","label":"d) Describe in detail the total event giving rise to the claim","options":[],"required":null,"pdf_field":""},{"help":"Indicate if the loss was reported to police or authorities","type":"yes-no","label":"e) Has the event / loss been reported to Police in the case of theft or other Authorities?","options":["Yes","No"],"required":null,"pdf_field":""},{"help":"Indicate if there was any loss of production due to the event","type":"yes-no","label":"f) Was there any loss of production?","options":["Yes","No"],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Extent of Loss","fields":[{"help":"Describe the extent of loss in detail","type":"text","label":"Extent of Loss (as more particularly described in the Statement overleaf)","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Details of Claim for Property Lost / Destroyed or Damaged","fields":[{"help":"List each affected item with policy number, description, value at loss, salvage deduction, and net claim amount","type":"table","label":"Item Number of Policy, Description of Affected / Lost Property, Value at the time of event / lost Rs., Deduction for value of salvage, wherever applicable Rs., Net Amount Claimed Rs.","options":[],"required":null,"pdf_field":""}],"filled_by":"policyholder"},{"title":"Declaration and Signature","fields":[{"help":"Location where form is signed","type":"text","label":"Place","options":[],"required":null,"pdf_field":""},{"help":"Date of signing","type":"date","label":"Date","options":[],"required":null,"pdf_field":""},{"help":"Sign the form to declare the truthfulness of the information","type":"signature","label":"Signature of the Insured / Claimant","options":[],"required":true,"pdf_field":""}],"filled_by":"policyholder"}],"deadlines":["Please return this Form duly completed within 14 days of the loss together with the relevant documents."],"applies_to":"Honey Bee Insurance policies","attachments":["Relevant documents supporting the claim","Copies of policies if insurance is effected with other companies"],"declarations":["The statements made in the claim form are true to the best of the claimant's knowledge and belief.","No material information bearing upon the claim has been withheld."],"dropped_labels":1},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"mayfair.claims@mayfairwecare.com","label":"Overseas Mediclaim Claims Email","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"/\nContact Details\nMedical Emergency\nGeneral Queries\nGrievances and Escalations\nEmail ID\nmayfairassist@mayfairwecare.com\nmayfair.claims@mayfairwecare.com\ninfo@mayfairwecare.com[AJ1]\nPolicy pays through below plans:\n1. OMP - Policy : B - Worldwide - Excluding USA & Canada -","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"mayfairassist@mayfairwecare.com","label":"Overseas Mediclaim Medical Emergency Email","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"://www.mayfairwecare.com/contact/\nContact Details\nMedical Emergency\nGeneral Queries\nGrievances and Escalations\nEmail ID\nmayfairassist@mayfairwecare.com\nmayfair.claims@mayfairwecare.com\ninfo@mayfairwecare.com[AJ1]\nPolicy pays through below plans:\n1. OMP - Policy : B - Wor","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"18004190133","label":"Overseas Mediclaim Policy Toll-Free Number (India)","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"l - Free Number\nUnited States: 18888811701 United Kingdom: 08083045211 Canada: 18885192693 Singapore: 8003211710 India: 18004190133 For Other Country Specific Local Contact Numbers, please visit https://www.mayfairwecare.com/contact/\nWebsite\nhttps://w","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"18888811701","label":"Overseas Mediclaim Policy Toll-Free Number (United States)","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"ss\nTower D, 4th Floor, IBC Knowledge Park, 4/1 Bannerghatta Road, Bangalore - 560 029\nToll - Free Number\nUnited States: 18888811701 United Kingdom: 08083045211 Canada: 18885192693 Singapore: 8003211710 India: 18004190133 For Other Country Specific Loc","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"08083045211","label":"Overseas Mediclaim Policy Toll-Free Number (United Kingdom)","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"nowledge Park, 4/1 Bannerghatta Road, Bangalore - 560 029\nToll - Free Number\nUnited States: 18888811701 United Kingdom: 08083045211 Canada: 18885192693 Singapore: 8003211710 India: 18004190133 For Other Country Specific Local Contact Numbers, please v","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"18885192693","label":"Overseas Mediclaim Policy Toll-Free Number (Canada)","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"annerghatta Road, Bangalore - 560 029\nToll - Free Number\nUnited States: 18888811701 United Kingdom: 08083045211 Canada: 18885192693 Singapore: 8003211710 India: 18004190133 For Other Country Specific Local Contact Numbers, please visit https://www.may","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"8003211710","label":"Overseas Mediclaim Policy Toll-Free Number (Singapore)","level":null,"hours":null,"applies_to":"travel","source_url":"https://uiic.co.in/web/product/overseas-travel-insurance/OMP-for-Business-and-Holiday","quote":"lore - 560 029\nToll - Free Number\nUnited States: 18888811701 United Kingdom: 08083045211 Canada: 18885192693 Singapore: 8003211710 India: 18004190133 For Other Country Specific Local Contact Numbers, please visit https://www.mayfairwecare.com/contact","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"18001236889","label":"General Contact Number","level":null,"hours":null,"applies_to":"all","source_url":"https://uiic.co.in/web/","quote":"Links\nCustomer Portal\nKYC Process\nFacebook\nInstagram\nYoutube\nTwitter\nOffice Locator\nIntermediary Portal\nDigi Locker\ntel:18001236889","fetched_at":"2026-10-20"}],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/united-india-insurance/1327-honey-bee-insurance-claim-form"}