Claims

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Claims

Accident

Claim Form – Accident Claim Form

  • Claim Form Part I: duly completed by the policyowner (If the insured is age 18 or above, the claim form should also be signed by the insured)
  • Claim Form Part II: duly completed by the insured’s attending physician at the claimant’s own expense
  1. Original medical receipt(s) and Statement(s) of Charges
  2. Copy of Discharge Summary / Discharge Slip (if applicable)
  3. Copy of Laboratory / X-ray / CT scan/ MRI / Pathological Report(s)
  4. Copy of Admission Note, Discharge Summary, Discharge Certificate, Daily Medical Record & Temperature Sheet of hospital in Mainland China (if applicable)
  5. Copy of Sick Leave Certificate with clear diagnosis
  6. Copy of Physiotherapy / Occupational Therapy Report(s)
  7. Copy of X-ray / Physiotherapy / Occupational Therapy/ Chiropractic Treatment referral letter by Registered Medical Practitioner
  8. Copy of Compensation Breakdown from other insurer/ party (if applicable)
  9. Copy of identity proof document of the insured and policyowner

** The Company may request for the submission of extra information/ documents on case by case basis**

  1. Copy of medical receipt(s) and Statement(s) of Charges (Optional)
  2. Copy of Discharge Summary / Discharge Slip (if applicable)
  3. Copy of Laboratory / X-ray / CT scan/ MRI / Pathological Report(s)
  4. Copy of Admission Note, Discharge Summary, Discharge Certificate, Daily Medical Record & Temperature Sheet of hospital in Mainland China (if applicable)
  5. Copy of Sick Leave Certificate with clear diagnosis
  6. Copy of Physiotherapy / Occupational Therapy Report(s)
  7. Copy of X-ray / Physiotherapy / Occupational Therapy/ Chiropractic Treatment referral letter by Registered Medical Practitioner
  8. Copy of Compensation Breakdown from other insurer/ party (if applicable)
  9. Copy of identity proof document of the insured and policyowner

** The Company may request for the submission of extra information/ documents on case by case basis**

Notify the Company within 20 days from the date of accident and submit the documents to the Company within 90 days from the date of accident by

  • your Insurance Consultant;
  • mailing to “Tahoe Life Insurance Company Limited, Life Administration Department –Claims Team: 19/F, 1111 King’s Road, Taikoo Shing, Hong Kong”; or
  • visiting our customer service centre at 19/F, 1111 King’s Road, Taikoo Shing, Hong Kong

 

15/F, Cityplaza One, 1111 King’s Road, Taikoo Shing, Hong Kong

Hospitalization

Claim Form – Hospitalization Claim Form

  • Claim Form Part I: duly completed by the policyowner (if the insured is age 18 or above, the claim form should also be signed by the insured)
  • Claim Form Part II: duly completed by the insured’s attending physician at the claimant’s own expense
  1. Original hospital receipt(s) and Statement(s) of Charges
  2. Copy of Discharge Summary / Discharge Slip (if applicable)
  3. Copy of Laboratory / X-ray / CT scan / MRI / Pathological Report(s)
  4. Copy of Admission Note, Discharge Summary, Discharge Certificate, Daily Medical Record & Temperature Sheet of hospital in Mainland China (applicable to admission in Mainland China)
  5. Copy of referral letter by Registered Doctor/ Hospital
  6. Copy of Compensation Breakdown from other insurer/ party (if applicable)
  7. Copy of identity proof document of the insured and policyowner

** The Company may request for the submission of extra information/ documents on case by case basis**

  1. Copy of hospital receipt(s) and Statement(s) of Charges
  2. Copy of Discharge Summary/ Discharge Slip (if applicable)
  3. Copy of Laboratory / X-ray/ CT scan/ MRI/ Pathological Report(s)
  4. Copy of Admission Note, Discharge Summary, Discharge Certificate, Daily Medical Record & Temperature Sheet of hospital in Mainland China (applicable to admission in Mainland China)
  5. Copy of referral letter by Registered Doctor/ Hospital
  6. Copy of Compensation Breakdown from other insurer/ party (if applicable)
  7. Copy of identity proof document of the insured and policyowner

** The Company may request for the submission of extra information/ documents on case by case basis**

Claim Procedures  -  If you need to make a claim, you must submit the appropriate claim form(s) with all supporting document(s) within 90 calendar days after discharge from hospital or from the date of treatment by

  • your Insurance Consultant;
  • mailing to “Tahoe Life Insurance Company Limited, Life Administration Department – Claims Team: 19/F, 1111 King’s Road, Taikoo Shing, Hong Kong”; or
  • visiting our customer service centre at 19/F, 1111 King’s Road, Taikoo Shing, Hong Kong

Death

Claim Form – Death Claim Form

  • Claim Form Part I: duly completed by the claimant/ beneficiary
  • Claim Form Part II: duly completed by the insured’s attending physician at the claimant’s own expense (applicable to policy which has been effective less than 2 years from policy issue or reinstatement date, whichever is later)
  1. Certified true copy of identity proof document of the insured and the beneficiary
  2. Original Policy or Completion of Section F – “Declaration of the loss of Policy” with counter-sign
  3. Original or Certified true copy of Death / Notarial Certificate
  4. Identity Card Cancellation Certificate (RPO53A) from Registration of Persons Office (Immigration Department) (if applicable)
  5. Post Mortem or Coroner’s report (if applicable)
  6. Cancellation proof of the insured’s household registration (if applicable)
  7. Foreign Tax Reporting and Withholding Obligation and Declaration Form (if the claimant is a U.S. person or holds U.S. indicia e.g. telephone number/ any address etc.)
  8. Self-Certificate (if any of the residential/ correspondence address, ID/ passport / telephone number of the claimant is “Non Hong Kong”)

** The Company may request for the submission of extra information/ documents on case by case basis**

  1. Certified true copy of identity proof document of the insured and the claimant / beneficiary
  2. Original Policy or Completion of Section F – “Declaration of the loss of Policy” of Claim Form Part I
  3. Original or Certified true copy of Death / Notarial Certificate
  4. Identity Card Cancellation Certificate (RPO53A) from Registration of Persons Office (Immigration Department) (if applicable)
  5. Post Mortem or Coroner’s report (if applicable)
  6. Copy of police report/ traffic accident report/ police statement (if applicable)
  7. Newspaper clipping (if any)
  8. Cancellation proof of the insured’s household registration
  9. Foreign Tax Reporting and Withholding Obligation and Declaration Form (if the claimant is a U.S. person or holds U.S. indicia e.g. telephone number/ any address etc.)
  10. Self-Certificate (if any of the residential/ correspondence address, ID/ passport / telephone number of the claimant is “Non Hong Kong”)

** The Company may request for the submission of extra information/ documents on case by case basis**

Notify the Company as soon as possible upon the insured’s death and submit the documents to the Company by

  • your Insurance Consultant;
  • mailing to “Tahoe Life Insurance Company Limited, Life Administration Department – Claims Team: 19/F, 1111 King’s Road, Taikoo Shing, Hong Kong”; or
  • visiting our customer service centre at Suites 19/F, 1111 King’s Road, Taikoo Shing, Hong Kong

Critical Illness

Claim Form – Critical Illness Claim Form (Part I)

  • Claim Form Part I: duly completed by the policyowner (If the insured is age 18 or above, the claim form should also be signed by the insured)
  • Claim Form Part II for the claimed illness: duly completed by the insured’s attending physician at the claimant’s own expense (Note: If the claim form part II of your claimed illness cannot be located from the website, please contact your Insurance Consultant or contact our Customer Services Officer for assistance)
  1. Copy of identity proof document of the policyowner and insured
  2. Copy of histopathological report
  3. Copy of laboratory, ultrasongram, X-Ray and / or MRI report(s)
  4. Copy of hospital discharge summary / sick leave certificate with diagnosis

** The Company may request for the submission of extra information/ documents on case by case basis**

Claim Procedures  -  If you need to make a claim, you must submit the appropriate claim form(s) with all supporting document(s) within 180 calendar days after discharge from hospital or from the date of treatment by

  • your Insurance Consultant;
  • mailing to “Tahoe Life Insurance Company Limited, Life Administration Department – Claims Team:19/F, 1111 King’s Road, Taikoo Shing, Hong Kong”; or
  • visiting our customer service centre at 19/F, 1111 King’s Road, Taikoo Shing, Hong Kong

 

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