Rupali Life Insurance Company Ltd
Head Office: Raupali Life Tower, 50, Kakrail, Dhaka- 1000,
PABX: 8392361-4
Fax: 88-02-8392370, Email: info@rupalife.com, Website: www.rupalilife.com
Reference Letter No: rle/audit/1699/2017 AD Date:
23/10/2017 AD
To,
Senior vice president
Duplicate and claim department
Rupali Life Insurance Company Limited
Rupali Life Tower, 50, Kakrail
Dhaka- 1000.
Subject: Regrading the investigation of
death claim of insurance receiver Shorgio Puspo Ranu Das, claim no- 1208/17,
policy no- 101104230-9 and 0192600042-1.
Sir,
Th information those has been found are
mentioned bellow as investigating the death claim physically of policy no-
101104230-9 and 0192600042-1 as per reference no- rle/ho/dabi/1208/2017 AD of
insurance receiver Shorgio Puspo Rani Das.
Name of insurance receiver- Shorgio Puspo
Rani Das
Claim no- 1208/2017 AD
Policy no- 101104230-9 and 0192600042-1
Insurance amount- 8,00,000/- and 2,16,000/-
Date of death- 22/05/2017 AD
Interview of nominee:
Insurance subscriber Shorgio Puspo Rani Das
appointed nominee named Shorgio Puspo Rani Das of his son Kumar Das and Shojol Das,
father- Pradip Kumar Das, Village- Court Vadun, Post Office- Pubail, Police
Station- Gazipur Sadar, District- Gazipur. They informed their mother Puspo
Rani Das has been fallen in ill as beome in caugh, cold and fever suddenly. In
that situation they went went taking their mother Dr. Nirmal Kumar Sarkar in
Gazipur Radiam Diagnostic Center dated 13/05/2017 AD and he prescribed
examining somewhat. AS no improvement is made anyway of the body of Dr Nirmal
Kumar Sarkar dated 17/05/2017 AD took to Uttara Crescent Hospital. Then she was
in treatment at H.D in Uttara Crescent Hospital. Later as the health of Puspo
Rani Das got diterioted she has been taken to life support in ICU. She passed
away at around 3.55 AM at night stopping the heart activity becoming affected
by heart disease on dated 22/05/2017 AD as was in treatment in ICU Mrs Puspo
Rani Das. She was around 50 years old at the time of death. Puspo Rani Das left
two sons and husband at the time of death.
Rupali Life- Safe Life
Page No- 2
Interviews
from Grave Place Committee:
As
no one one was presented of the grave committee therefore it was not possible
to take written interviews from anyone else but as the participant in funeral
activity the assistant teacher of high school Mr Chandra Mohon Mondol as was
knew contacted through mobile that, Shorgio Puspo Rani Das got dead at night
dated 22/05/2017 AD becoming affected in heart disease.
Interviews
from neighbors:
Dipok
Kumar Das, father- Late Dilip Kumar Das, Village- Court Vadun, Post Office-
Pubail, Police Station- Gazipur Sadar, District- Gazipur. She was in relation in anty with Mrs Rani
Das. As she knew Shorgio Puspo Rani Das suddenly become affected in the illness
in cold, fever as was 8 days at home got admitted in hospital. There she passed
away at around 3.30 AM on dated 22/05/2017 AD.
Interviews
from Neighbors/ Important People:
Badol
Kera Piyard, father- Late Augustin Kera Piyard, and Md. Nazrul Islam, father-
Late Abu Vuya, Village- Court Vadun, Post Office- Pubail, Polcie Station-
Gazipur Sadar, District- Gazipur. They told Shorgio Puspo Rani Das was their
neighbor. As far they know Mrs Puspo Rani Das was good person. She got dead on
dated 22/05/2017 AD and they were invited in the funeral activity of Mrs Puspo
Rani Das. She left two sons and husband at the time of death and she was 50
years old.
Interviews
of City Corporation Councilor:
As
went to 41 no ward in Councilor Parishod there has been found councilor and
secretary. Both of them told Shorgio Puspo Rani Das is known to them and the
mentioned death certificate is given from their Parishad. There mentioned that
Shorgio Puspo Rani Das was present at the day of funeral activity. In their
view Shorgio Puspo Rani Das passed away as becoming affected in heart disease
on dated 22/05/2017 AD.
Interview
of Doctor:
Manager
Md. Tofazzol Hossen told as verifying the death certificate given by the
Uttarar Crescent Hospital mentioned death certificate by their hospital and he
himself attested that. Mrs Puspo Rani Das passed away at around 3.55 AM
becoming affected by heart disease on dated 22/05/2017 AD.
Page No- 3
This
is certified in interview of mentioned above information and information
provider people that Mrs Shorgio Puspo Rani Das passed away becoming affected
in heart disease. At the time of death Shorgio Puspo Rani Das was around 50
years old. She left two sons and husband at the time of death. In invetigation
the date of death, the present documents in file and as per description of
family members insurance subscriber Puspo Rani Das got dead on dated 22/05/2017
AD.
Therefore,
there is wishing the consideration to take next steps regarding the claim.
Sincerely,
Sd/
Illegible
28/10/2017
AD
Md.
Abu Jafor
DAVP
Internal
Control and Compliance
Page No- 4
Facing
Sheet of Death Claim
(Monogram) Date:
15/11/2017 AD
1
|
Project
|
Ekok Insurance
|
2
|
Death claim no
|
Serial no- 83/17
|
3
|
Insurance letter no
|
101104230-9
|
4
|
Insurance receiver name
|
Puspo Rani Das
|
5
|
Insurance receiver profession
|
House wife
|
6
|
Age beginning (prove)
|
44 years
|
7
|
Age at the time of death
|
49 years (National Identity Card)
|
8
|
Insurance amount
|
8,00,000/- (Eight Lakhs)
|
9
|
Description pof lien
|
Not necessary
|
10
|
Amount of given installment
|
06 piece of premium (67,120X6)= 4,02,720/-
|
11
|
Cut off premium
|
Not necessary
|
12
|
Amount of total premium with cut off
|
Not necessary
|
13
|
Amount of given expected facility
|
Not necessary
|
14
|
Description of due debt
|
Not necessary
|
15
|
Support insurance
|
Not necessary
|
16
|
Table and Term
|
03/15
|
17
|
Premium giving system
|
Yearly
|
18
|
FPR issue date
|
24/11/2011 AD
|
19
|
Date of insurance starting
|
24/11/2011 AD
|
20
|
Date of risk receiving
|
24/11/2011 AD
|
21
|
Date of final premium receiving
|
24/11/2016 AD
|
22
|
Next given date
|
24/11/2017 AD
|
23
|
Expected date
|
23/12/2017 AD
|
24
|
Situation of death at the time of policy
|
On
|
25
|
Time of policy as is on ativated automatically
|
Not necessary
|
26
|
Number of installments given one time final
|
01 piece
|
27
|
Finnal PR and O/R date
|
04/12/2016 AD and 04/12/2016 AD
|
28
|
Date of death
|
22/05/2017 AD
|
29
|
Real reason of death
|
Heart attack
|
30
|
Related reason of the death
|
Not necessary
|
31
|
Duration of policy activated
|
05 years 05 months 28 days
|
32
|
Whether the form is submitted?
|
yes
|
33
|
Whether the claim investigated?
|
yes
|
34
|
Whether the post mortem report is submitted
|
Not necessary
|
35
|
Name of nominee
|
Prabir Kumar Das and Shojol Kumar Das, age- 35 and
30 years, relation- both of sons.
|
36
|
Guardian
|
Not necessary
|
Insurance amount taka= 800000/- eight lakhs taka only.
at the time the policy is on 05 years 05 months 28
days
There is seen as observed the received documents,
insurance receiver last dated 22/05/2017 AD passed away. The reason of death is
Heart attack. In that case the death claim is payable. Insurance receiver is
son and nominee of policy. The claim can be given.
Page No- 5
Principle
account insurance amount taka= 800000/-
Bonus
taka= 161600/-
Real
given taka= 961600/=
As
for death insurance claim taka= 961600/= (Nine Lakhs Sixty One Thousands Six
Hundred Taka Only) there can be presented the file in death insurance claim
committee for approval therefore is presented.
SVP
(UW and claim dept)
Sd/
Illegible
15/01/2018
AD
Md.
Abdullah
Senior
Vice President
Claim
Department
Rupali
Life Insurance Co. Ltd
Head
Office, Dhaka
(Seal)
Sd/
Illegible, 14/01/2018 AD
Mr Md.
Shibbir Ahmed
CFO
MD
Sir
The
time policy was on about 05 years 05 months 28 days the reason of death is
heart attack. There is presented in the claim committee for approval of taka
961600/= (Nine Lakhs Sixty One Thousands Six Hundred Taka Only) as for death
insurance claim.
Sd/ Illegible
Mr Md. Golam Kibria
DMD
Page No- 6
Facing
Sheet of Death Claim
(Monogram) Date:
10/12/2017 AD
1
|
Project
|
Islmai insurance
|
2
|
Death claim no
|
Serial no- 310/17
|
3
|
Insurance letter no
|
204400001-3
|
4
|
Insurance receiver name
|
Omar Faruk
|
5
|
Insurance receiver profession
|
Office T boy
|
6
|
Age beginning (prove)
|
29 years
|
7
|
Age at the time of death
|
39 years (National Identity Card)
|
8
|
Insurance amount
|
5,00,000/- (Five Lakhs)
|
9
|
Description of lien
|
Not necessary
|
10
|
Amount of given installment
|
10 piece of premium (40,750X10)= 4,07,500/-
|
11
|
Cut off premium
|
Not necessary
|
12
|
Amount of total premium with cut off
|
Not necessary
|
13
|
Amount of given expected facility
|
Not necessary
|
14
|
Description of due debt
|
Not necessary
|
15
|
Support insurance
|
Not necessary
|
16
|
Project and validity
|
11/15
|
17
|
Premium giving system
|
Yearly
|
18
|
FPR issue date
|
21/07/2008 AD
|
19
|
Date of insurance starting
|
30/06/2008 AD
|
20
|
Date of risk receiving
|
30/06/2008 AD
|
21
|
Date of final premium receiving
|
30/06/2017 AD
|
22
|
Next given date
|
30/06/2018 AD
|
23
|
Expected date
|
29/07/2018 AD
|
24
|
Situation of death at the time of policy
|
On
|
25
|
Time of policy as is on activated automatically
|
Not necessary
|
26
|
Number of installments given one time final
|
01 piece
|
27
|
Final PR and O/R date
|
28/09/2017 AD and 29/10/2017 AD
|
28
|
Date of death
|
10/10/2017 AD
|
29
|
Real reason of death
|
Heart attack
|
30
|
Related reason of the death
|
Not necessary
|
31
|
Duration of policy activated
|
09 years 03 months 10 days
|
32
|
Whether the form is submitted?
|
yes
|
33
|
Whether the claim investigated?
|
|
34
|
Whether the post mortem report is submitted
|
No
|
35
|
Name of nominee
|
Mst Kamrunnahar, Age- 31 years, relation- wife
|
36
|
Guardian
|
Not necessary
|
Principle insurance amount taka= 500000/- five lakhs
taka only.
at the time the policy is on 09 years 03 months 10
days
There is seen as observed the received documents, insurance
receiver last dated 10/10/2017 AD passed away. The reason of death is Heart
attack. In that case the death claim is payable. Insurance receiver is wife and nominee of policy Mst Kamrunnahar the
claim can be given.
Page No- 7
Principle
account insurance amount taka= 500000/-
Additional
Bonus taka= 136500/-
Real
given taka= 2/=
As
for death insurance claim taka= 636502/= (Six Lakhs Thirty Six Thousands Five
Hundred Taka Only) there can be presented the file in death insurance claim
committee for approval therefore is presented.
SVP
(UW and claim dept)
Sd/
Illegible
10/01/2018
AD
Md.
Abdullah
Senior
Vice President
Claim
Department
Rupali
Life Insurance Co. Ltd
Head
Office, Dhaka
(Seal)
Sd/
Illegible, 14/01/2018 AD
Mr
Md. Shibbir Ahmed
CFO
MD
Sir
The
time policy was on about 09 years 03 months 10 days the reason of death is
heart attack. There is presented in the claim committee for approval of taka 636502/=
(Six Lakhs Thirty Six Thousands Five Hundred Two Taka Only) as for death
insurance claim.
Sd/ Illegible
Mr Md. Golam Kibria
DMD
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