Claim types

Documents you will need

Critical Illness

Early Stage

• A Claim Request, using the company’s form

• A Claim Event Notice, using the company’s form

• An Authorization Letter (both Khmer and English), using the company’s form

• A copy of the PO’s or/and beneficiary (ies)’s ID card

• A copy of PO or/and the beneficiary (ies)’s bank account

• A copy of all Medical Records related treatment from specialist doctor to support the insured event. (The records must be in Khmer or English.)

Late Stage

• A Claim Request, using the company’s form

• A Claim Event Notice, using the company’s form

• An Authorization Letter (both Khmer and English), using the company’s form

• A copy of the PO’s or/and beneficiary (ies)’s ID card

• A copy of PO or/and the beneficiary (ies)’s bank account

• A copy of all Medical Records related treatment from specialist doctor to support the insured event. (The records must be in Khmer or English.)

• A copy of the standing order cancellation letter (if any)

Disability

Due to accident

• A Claim Request, using the company’s form

• A Claim Event Notice, using the company’s form

• An Authorization Letter (both Khmer and English), using the company’s form

• A physician’s statement of TPD, using the company’s form

• A copy of the PO’s bank account

• A copy of the PO’s ID card

• A copy of the police report of the insured event

• A copy of ALL Medical Records

Due to disease

• A Claim Request, using the company’s form

• A Claim Event Notice, using the company’s form

• An Authorization Letter (both Khmer and English), using the company’s form

• A physician’s statement of TPD, using the company’s form

• A copy of the PO’s bank account

• A copy of the PO’s ID card

• A copy of ALL Medical Records

Death

Due to accident

• A Claim Request, using the company’s form

• A Claim Event Notice, using the company’s form

• A copy of the Family Book or Residence Book of LA

• A copy of the Death Certificate

• A copy of the beneficiary (ies)’s bank account

• A copy of the beneficiary (ies)’s ID card

• A copy of the standing order cancellation letter (if any)

• A copy of the police report of the insured event

• A copy of the corpse examination report (if any)

Due to disease

• A Claim Request, using the company’s form

• A Claim Event Notice, using the company’s form

• A copy of the standing order cancellation letter (if any)

• A copy of the Family Book or Residence Book of LA

• A copy of the Death Certificate

• A copy of the beneficiary (ies)’s bank account

• A copy of the beneficiary (ies)’s ID card

• Authorization Letter (Both Khmer and English), using the company’s form

• A copy of ALL Medical Records

Additional

Claimant who is legal guardian of minor beneficiary (ies), required these following documents:

• Copy of legal guardian’s ID card

• Copy of appointing legal guardian letter (in case legal guardian is not parent), certified by commune chief

• Copy of beneficiary (ies)’s birth certificate