I. FILE NEEDED
A. PASSED AWAY ( DEATH CLAIM )
- Death Claim Form - Individual Insurance ( Death - Individual Insurance Claim Form ).
- Original policy .
- When the policy is active for less than 2 years must attach
- Affidavit agent / agency reports.
- Chronological dies are made by claimer / Designated.
- Submit a valid photocopy of the identity.
- Photocopy of a valid identity insured.
- Identity " Designated " still applies to receiver of Benefits Coverage, are :
- Evidence Supporting Designated Husband / Wife Husband KTP / wife & Marriage Certificate ( If there is no Marriage Certificate , original KK )
- Child ID cards Children and Child Birth Certificate ( If no Birth Certificate , original KK )
- Parent Parent ID card and Birth Certificate Insured
- KTP Sibling Sibling , Sibling Birth Certificate and Birth Certificate Insured
- Medical Certificate or Letter Doctor Diagnosis .
- Letter of Death from Kelurahan .
- Letters of Death Inspection/ Specification Death of the Hospital / Health Service .
- Death due to accidental / No Reasonable Cause , include :
- Statement from the Police
- Newspaper clipping ( if any )
B. BENEFITS INSURANCE CLAIM ( LIVING CLAIM )
- Insured Benefit Claim Form - Individual Insurance ( Living Claim Form - Individual Insurance )
- Submit a photocopy of the valid identity / valid policy holder.
- Photocopy of valid patient identity .
- Medical Certificate
- To Claim Hospital & Hospital Cash Benefit Plan / Hospital Income : original receipt ( except Hospital Cash Plan / Hospital Income ) and the details should be attached .
- To claim Waiver of Premium / Owner Waiver of Premium , there is an additional form .
TYPE OF INSURANCE BENEFITS CLAIMS ( LIVING CLAIM ) ;
- Hospital Benefit
- Hospital Cash Plan / Hospital Income / Income Family Hospital
- Accidental Death and Disability Benefit ( ADDB ) / Accidental Death & Disability ( AD & D )
- Living Protection / Dread Disease / Critical Illness Benefit
- Waiver of Premium / Owner Waiver of Premium
- Total Permanent Disability
- Male / Female Benefit
- Periodical Income
II . SUBMIT A CLAIM FORM
- Forms can be requested in Customer Service - Claim , or Meng - Access on the internet , in the following manner :
- Access into http://www.manulife-indonesia.com
- select INDIVIDUAL INSURANCE , FORM & DOWNLOAD
- select "Claim Form Dies Individual Insurance " or
- select " Benefit Claim Form Individual Insurance Coverage " or
- select " Exemption Claim Form Total Premium Due to Inability - Individual Insurance "
III . QUESTION CLAIM
Please contact our Customer Contact Center
Phone : (021) 2555-7777
Fax. : (021) 2555-2285
E - mail : firstname.lastname@example.org
Click here to read FAQ Reimbursement and Cashless