Make a Claim

For simple cases, we pay the claims within 3 days from receiving all documents. Whether it is an agent assistance or self submitted claims, we will assist you for an easy and quick claim process.
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Frequently asked questions

Required documents for your claim
A list of supplementary claim documents for a succcesful claim

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 Medical Records related treatment (if any)


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 Medical Records related treatment

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.

  • Medical Report or Medical Summary of LA’s treatment

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


Only for Disability and Death claim types:

* Claim team is responsible to assess the claim request within thirty (30) days starting from the Claim Registration Date subject to its receiving all the necessary forms and documentary evidence

Who do I contact for claim processes?
Contact person for claim processes

 

Available on Monday to Friday, from 8:00AM to 5:30PM, except for Public Holidays.