Health Insurance Claim
Click the button below to visit the Claim Form. Complete the form and click a button to submit it to us.
You can now file a claim online. First, click download on the following documents:
The documents you download is a editable PDF, please fill your details directly to the form and Save! Therefore, you can easily email them back to us.
Before submitting, please prepare all evident files and saved PDF forms. Then, please send all documents to the following email address: firstname.lastname@example.org to complete your online claim.