Claims service

Claim form for Personal Accident policy (To be filled by individual)

Claim form to be submitted for individual or group policies, for coverage of medical expenses, compensation for death, disability or dismemberment.

Claim form for Group Student Personal Accident Policy (To be filled by Student or educational institution)

Claim form to be submitted for coverage of medical expenses, compensation for death, disability or dismemberment.

Consolidated student claims form – Group Student Personal Accident Policy

(To be filled by educational institution)

Claim form which can be used by educational institutions to consolidate the names and claims from of multiple students.

Hospital Transfer form for Student (Accident)

Form used by educational institutions on behalf of students when a or student needs to be transferred to a specific hospital to receive treatment.

Add beneficiary form

Form used for adding a beneficiary if the insured has passed away without designating beneficiary. To be filled by insured's family.

Letter of guarantee and waiver (Individual)

Letter of guarantee (Page 1):

In case the insured dies without designating a beneficiary, then someone from the family should complete this form declaring
themselves as a beneficiary to receive the compensation. This letter is a guarantee that you are the beneficiary and if you are
filing the information correctly, otherwise you can be fined/prosecuted. The form also needs to be co-signed by a guarantor.

Waiver (Page 2):

If there are multiple beneficiaries and they want the entire compensation to be paid to 1 single beneficiary instead, then all

the beneficiaries need to complete this form.

Medical and Accident claim form for Covid-19 policy (Individual)

Form used for compensation claims due to COVID-19 infection including compensation for death,

disability and dismemberment.