Documents required for submission

1. Claim Form - Other Than Death Claim - with Signature, company stamp
2. Hospital and Surgical Attending Physician's Statement    
3. Original Official Receipt
4. Original Invoices/Bills
5. Itemized Bill
6. Copy of the Police Report (Accidental cause)
7. Cover letter for plan entitlement/ coverage (Headcount policy)
8. Certified True Copy of worksheet and bills from other Insurer (excess not covered by other Insurer)
9. Discharge Note/Copy of all related investigation report

Important notes

1. Ensure completion of claim forms and completeness of all documents to avoid unnecessary delay.
2. Ensure your signature on the claim form tallies with the one in the records.
3. The Medical Report is to be completed at the claimant's own expense.
4. The checklist provides a reference of the point-of-submission requirements only. The Company reserves the right to request for other relevant documents and information.