Personal Accident Claims
What documents are required to be submitted in case of reimbursement of medical expenses?
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Claim Form duly completed and filled out with the information requested in Section A and B.
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Form must be signed and stamped by the Insurance Contracting Party (Employer/College) in Section A.
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Form signed and stamped in Section B, by the doctor who attended the accident (stamped with the doctor’s registration number).
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Invoices arising from the accident must be submitted in Original with description of service rendered, in the name of the insured, if the insured is a minor, in the name of the father, mother or guardian.
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Invoices presented for medicines must describe the medicine purchased and be accompanied by the respective prescription.
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If tests were performed (X-rays, MRI, Ultrasound, etc.), laboratory reports must be attached.
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All the above documents must be submitted in original or authenticated copy.
What documents are required in the event of the insured’s death?
- Claim Form authenticated by Notary Public (Form: “Claimant’s Affidavit in Proof of Death”)
- Original Birth Certificate of the Insured Party.
- Original Death Certificate of the Insured Party.
- Certificate of Identity of the Insured Party; failing this, Certification of the Registry of Identity Cards of the Insured Party.
- Original Statement from the Medical Examiner.
- Original Certification from the funeral home that rendered the services.
- Declaration of heirs (In case the policy does not include the appointment of Beneficiaries).
- Copy of Beneficiaries’ Identification Card, in case of minors, present birth certificate and copy of parents’ identification card.
- Firemen’s Report
- Police Report
- Necropsy Report with toxicological findings.
- If reimbursement is requested for Medical Expenses that were covered prior to death, attach original invoices for services rendered.
- All of the above documents must be submitted in original or authenticated copy.
