Important Notes:

Please complete all questions in the form for prompt settlement of the claim.

Once we have received all the above required documents, we will process your claim and inform you of the outcome as soon as possible.

All the required documents must be forwarded to our company within 30 days from the date of discharge from the hospital.

Upon approval of the claim, the claim cheque will be made in favour of the employer / company unless otherwise instructed by the employer / company under Page 2 of the claim form.

Note:
- If you are admitted to government / restructured hospitals, please submit inpatient admission report (for day surgery) or inpatient discharge summary, which is issued to patients by the hospitals upon discharge, for our company’s consideration to waive the medical report. If these reports are not available, the Group Hospital & Surgical Claim Medical Report is to be completed by your attending doctor and submit to us.

- For admission to private or overseas hospitals / clinics, the Group Hospital & Surgical Medical Report is to be completed by your attending doctor and submit to us. Medical report fee is to be borne by life insured.