Personal Accident & Health Claims

Sequence Order

Benefit

Claim Documents

Mandatory Document

Fully completed Personal Accident & Health Claim Form

1        

Accidental  Death/Funeral Expenses

1.      Medical report from treating doctor

2.      Detailed postmortem report/ autopsy report

3.      Copy of Death Certificate

4.      Police report and findings on the alleged accident (where applicable)

5.      Driver’s license (if insured person was driving at the time of accident)

6.      Incident report issued by company/employer (if industrial or work related)

7.      Nominee’s identity card (if nominee is stated in the policy) or claimant’s identity card and proof of relationship (if no nominee is stated in the policy)

8.      Toxicology test result

9.      Letter of Administration/Distribution Order (if no nominee is stated in the policy or if nominee is below the age of 18 years old

2         

Permanent Disablement

1.      Medical report from treating doctor

2.      Medical specialist report confirming the Permanent Disablement and percentage of disability for assessment done at the end of the specified period in the respective policy

3.      Incident report issued by company/employer (if industrial or work related)

4.      Police report and findings on the alleged accident (where applicable)

5.      Driver’s license (if insured person was driving at the time of accident)

6.      Toxicology test result, if available

3

Accidental Death On A Common Carrier

1.      Medical report from treating doctor

2.      Detailed postmortem report/ autopsy report

3.      Copy of Death Certificate

4.      Police report and findings on the alleged accident

5.      Police report lodged by the common carrier company/driver of the common carrier on the alleged accident.

6.      Original receipt for the purchase of ticket(s) for the travel on a common carrier and/or boarding pass

7.      Incident report issued by company/employer (if industrial or work related)

8.      Nominee’s identity card (if nominee is stated in the policy) or claimant’s identity card and proof of relationship (if no nominee is stated in the policy)

9.      Letter of Administration/Distribution Order (if no nominee is stated in the policy or if nominee is below the age of 18 years old

4

Permanent Disablement On a Common Carrier

1.      Medical report from treating doctor

2.      Medical specialist report confirming the Permanent Disablement and percentage of disability for assessment done at the end of the specified period in the respective policy

3.      Original receipt for the purchase of ticket(s) for the travel on a common carrier and/or boarding pass

4.      Police report and findings on the alleged accident (where applicable)

5.      Police report lodged by the common carrier company/driver of the common carrier on the alleged accident

6.      Incident report issued by company/employer (if industrial or work related)

5

Repatriation of Mortal Remains

1.      Medical report from treating doctor

2.      Detailed postmortem report/ autopsy report

3.      Copy of Death Certificate

4.      Police report and findings on the alleged accident (where applicable)

5.      Toxicology test result

6.      Driver’s license (if insured person was driving at the time of accident)

7.      Original payment receipts and invoice for repatriation expenses

8.      Incident report issued by company/employer (if industrial or work related)

6

Medical Expenses Due To An Injury / Surgical Cash Allowance / Dental And Corrective Surgery

1.      Medical report from treating doctor

2.      Hospital billing statement

3.      Original medical or payment receipts

4.      Police report and findings on the alleged accident (where applicable)

5.      Driver’s license (if insured person was driving at the time of accident)

7

Daily Hospitalization Income Due To An Injury

1.      Medical report from treating doctor

2.      Hospital discharge summary

3.      Hospital billing statement

4.      Original medical or payment receipts

5.      Police report and findings on the alleged accident (where applicable)

6.      Driver’s license (if insured person was driving at the time of accident)

8

Ambulance Fees

1.      Original receipt for the ambulance

2.      Medical report from treating doctor

3.      Police report and findings on the alleged accident (where applicable)

4.      Driver’s license (if insured person was driving at the time of accident)

9

Serious Burns

1.      Medical report from treating doctor

2.      Medical report confirming the percentage of body surface area that was burnt and the type of burn(s)

3.      Police report and findings on the alleged accident (where applicable)

4.      Driver’s license (if insured person was driving at the time of accident)

5.      Incident report issued by company/employer (if industrial or work related)

10

Mobility Assistance

1.      Medical report from treating doctor

2.      Hospital discharge summary

3.      Hospital billing statement

4.      Doctor’s report stating that the insured person is unable to perform at least 2 out of 6 Activities of Daily Living for a continuous and uninterrupted period of time

5.      Medical specialist report confirming the Permanent Disablement and percentage of disability for assessment done at the end of the specified period in the respective policy

6.      Incident report issued by company/employer (if industrial or work related)

7.      Prescription from the doctor on the usage/necessity of the Mobility Aid(s)

8.      Original receipts and invoice for mobility equipment

9.      Police report and findings on the alleged accident (where applicable)

10.   Driver’s license (if insured person was driving at the time of accident)

11

Get Well Benefit

1.      Medical report from treating doctor

2.      Hospital discharge summary

3.      Hospital billing statement

4.      Doctor’s report prescribing post-hospitalization recuperation

12

Fractures

1.      Medical report from treating doctor

2.      X-Ray report

3.      X-Ray film/CD (if necessary)

4.      Hospital discharge summary

5.      Hospital billing statement

6.      Police report and findings on the alleged accident (where applicable)

7.      Driver’s license (if insured person was driving at the time of accident)

8.      Incident report issued by company/employer (if industrial or work related)

13

Loan Protection

1.      Medical report from treating doctor

2.      Medical specialist report confirming the Permanent Disablement and percentage of disability for assessment done at the end of the specified period in the respective policy

3.      Copy of Death Certificate

4.      Police report and findings on the alleged accident (where applicable)

5.      Driver’s license (if insured person was driving at the time of accident)

6.      Toxicology test result

7.      Incident report issued by company/employer (if industrial or work related)

8.      Nominee’s identity card (if nominee is stated in the policy) or claimant’s identity card and proof of relationship (if no nominee is stated in the policy)

9.      Letter of Administration/Distribution Order (if no nominee is stated in the policy or if nominee is below the age of 18 years old

10.   Copy of existing valid loan agreements and relevant documents showing the outstanding balance as at the date of accident

14

Personal Liability

1.      Third party treating doctor's medical report

2.      Third party’s hospital discharge summary

3.      Hospital billing statement

4.      Third party cost expenses of loss & damaged properties

5.      Police report and findings on the alleged accident

6.      Third party driver’s license (where applicable)

7.      Driver’s license (if insured person was driving at the time of accident)

8.      Toxicology test result

15

Household Bills Protection

1.      Medical report from treating doctor

2.      Hospital discharge summary

3.      Hospital billing statement

4.      Police report and findings on the alleged accident (where applicable)

5.      Driver’s license (if insured person was driving at the time of accident)

6.      Incident report issued by company/employer (if industrial or work related)

7.      Nominee’s identity card (if nominee is stated in the policy) or claimant’s identity card and proof of relationship (if no nominee is stated in the policy)

16

Home Nursing Care

1.      Medical report from treating doctor

2.      Hospital discharge summary

3.      Hospital billing statement

4.      Doctor’s report stating that the insured person is unable to perform at least 2 out of 6 Activities of Daily Living for a continuous and uninterrupted period of time and the receipts from the nursing care service provider for the expenses incurred

5.      Original payment receipts and invoice for home nursing care

6.      Incident report issued by company (if industrial or work related)

7.      Police report and findings on the alleged accident (where applicable)

8.      Driver’s license (if insured person was driving at the time of accident)

9.      Nominee’s identity card (if nominee is stated in the policy) or claimant’s identity card and proof of relationship (if no nominee is stated in the policy)

17

Weekly Allowance Due To Temporary Total Disablement

1.      Medical report from treating doctor

2.      Medical specialist report confirming the insured person is entirely disabled and prevented from engaging in or attending to their profession or usual occupation for a temporary period of time

3.      Copy of medical sick leave (MC)

4.      Proof of employment

5.      Police report and findings on the alleged accident (where applicable)

6.      Driver’s license (if insured person was driving at the time of accident)

18

Alternative Medical Treatments

1.      Report from treating alternative medical practitioner

2.      Original payment receipts and invoice for alternative medical treatment

3.      Police report and findings on the alleged accident (where applicable)

4.      Driver’s license (if insured person was driving at the time of accident

19

Compassionate Visit

1.      Medical report from treating doctor

2.      Hospital discharge summary

3.      Hospital billing statement

4.      Proof of visitor registration

5.      Original receipts and bills for the travelling cost and accommodation

6.      Copy of proof of relationship (e.g. Marriage Certificate, Birth Certificate, etc.)

7.      Copy of Death Certificate

8.      Nominee’s identity card (if nominee is stated in the policy) or claimant’s identity card and proof of relationship (if no nominee is stated in the policy)

9.      Police report and findings on the alleged accident (where applicable)

10.   Driver’s license (if insured person was driving at the time of accident)

11.   Toxicology test result

20

Miscarriage

1.      Medical report from treating doctor

2.      Original medical bills and payment receipts

3.      Incident report issued by company/employer (if industrial or work related)

4.      Police report and findings on the alleged accident (where applicable)

5.      Driver’s license (if insured person was driving at the time of accident)

21

Infertility or Impotency

1.      Medical report from treating doctor

2.      Medical specialist report confirming the disability for assessment done at the end of the specified period in the respective policy

3.      Hospital discharge summary

4.      Hospital billing statement

5.      Original medical bills and payment receipts

6.      Incident report issued by company/employer (if industrial or work related)

7.      Police report and findings on the alleged accident (where applicable)

8.      Driver’s license (if insured person was driving at the time of accident)

22

Snatch Theft

1.      Police report and findings on the alleged incident

23

Child Support Assistance

1.      Medical report from treating doctor

2.      Medical specialist report confirming the Permanent Disablement and percentage of disability for assessment done at the end of the specified period in the respective policy

3.      Detailed postmortem report/ autopsy report

4.      Toxicology test result

5.      Copy of Death Certificate

6.      Police report and findings on the alleged accident (where applicable)

7.      Driver’s license (if insured person was driving at the time of accident)

8.      Incident report issued by company/employer (if industrial or work related)

9.      Children identification document

10.   Nominee’s Identity Card (if nominee is stated in the policy) or Claimant’s Identity Card and proof of relationship (if no nominee is stated in the policy)

11.   Letter of Administration/Distribution Order (if no nominee is stated in the policy or if nominee is below the age of 18 years old

24

Parent Support Assistance

1.      Medical report from treating doctor

2.      Proof of employment

3.      Detailed postmortem report/ autopsy report

4.      Toxicology test result

5.      Copy of Death Certificate

6.      Police report and findings on the alleged accident (where applicable)

7.      Driver’s license (if insured person was driving at the time of accident)

8.      Incident report issued by company (if industrial or work related)

9.      Parent identification document

10.   Nominee’s Identity Card (if nominee is stated in the policy) or Claimant’s Identity Card and proof of relationship (if no nominee is stated in the policy)

11.   Letter of Administration/Distribution Order (if no nominee is stated in the policy or if nominee is below the age of 18 years old

25

Medical Expenses Due To Specified Infectious Diseases

1.      Medical report from treating doctor

2.      Hospital discharge summary

3.      Hospital billing statement

4.      Original medical bills and payment receipts

26

Bereavement Benefit Due To Death From Specified Infectious Diseases

1.      Medical report from treating doctor

2.      Detailed postmortem report/ autopsy report

3.      Copy of Death Certificate

4.      Nominee’s Identity Card (if nominee is stated in the policy) or Claimant’s Identity Card and proof of relationship (if no nominee is stated in the policy)

5.      Letter of Administration/Distribution Order (if no nominee is stated in the policy or if nominee is below the age of 18 years old