Important Notice
1. For Personal Accident Claim, claims should be submitted to Chubb Life within 20 days after accident.
2. For Hospital Benefit Claim, claims should be submitted to Chubb Life within 20 days after discharge after accident.
3. For Disability Income Claim, claims should be submitted to Chubb Life within 30 days after the commencement of total disability.
4. Chubb Life reserves the right to request any additional information it deems necessary.
5. Chubb Life reserves the right to request the Insured be examined by a Company appointed physician.
Checklist for Death Claim
1. Claim Form-Death ([C3]) fully completed by beneficiary/ claimant
2. Copy of HKID card or relevant identity document of deceased
3. Copy of HKID card or relevant identity document of claimant/ beneficiary
4. Copy of Cremation/ Burial Order
5. Copy of Certificate of Death
6. Original Policy Document
7. Attending Physician's Statement for Death Claim ([A3]) duly completed by deceased’s last attending physician at the expense of the claimant (required for death if occurred within two years from Policy Issue Date or Last Reinstatement Date)
8. CS eform
Additional Document
1. Letter of Administration issued by the High Courtis required if no beneficiary has been designated or "own estate" was designated as beneficiary.
2. Guardianship Paper issued by the High Court is required for a designated beneficiary below the age of 18 at the time of claim and where no trustee appointed.
3. Legal document to prove the legal title of the claimant if the policy has been assigned, mortgaged, or is in trust.
4. If death occurred in Mainland China, a Notarial Certificate issued by the Notaries Public of the state or province where the Insured died is required.
Remarks:
Original document such as HKID card of deceased and claimant / beneficiary, and a Certificate of Death is required for verification, although a copy can be submitted for claim processing.
Checklist for Personal Accident Claims
1. Claim Form-Accident ([C5])
- Part I fully completed;
- Part II (Attending Physician’s Statement) duly completed by the Insured’s attending doctor
2. Original doctor’s bills / hospital bills / bonesetter’s bills with exact diagnosis
3. Copy of continuous sick leave certificates
4. Copy of HKID card of Insured or relevant identity document for the claim within first (1st) policy year
5. CS eform
Checklist for Hospital Benefits Claims
1. Claim Form-Hospitalization/Surgery ([C6])
- Part I fully completed;
- Part II (Attending Physician’s Statement) duly completed by the Insured’s attending doctor
2. Original hospital bills
3. Copy of histological, pathological, radiological and laboratory reports regarding the illness
4. Copy of HKID card of Insured or relevant identity document for the claim within first (1st) policy year
5. CS eform
Remarks:
1.The above requirements apply to both the Hospital & Surgical (H&S) Claims and Hospital Cash (HC) Claims.
2. For H&S Claims, original hospital bills are required while copies can be accepted for HC Claims.
Checklist for Disability Income and Waiver of Premium Claims
1. Claim Form-Disability ([C7]) fully completed by the Insured / Policy owner
2 .Copy of HKID card or relevant identity document of the Insured
3. Copy of HKID card or relevant identity document of claimant (if the Policy owner is not the Insured)
4. Disability Claim - Attending Physician’s Statement ([D2]) duly completed by the Insured’s attending physician at the expense of the claimant
5. Copy of continuous sick leave certificates
6. Copy of histological, pathological, radiological and laboratory reports regarding the illness
7. CS eform
Remarks:
If the Insured is unable to sign the claim form, a close relative of the Insured acting as the Insured’s personal representative can sign on behalf of the Insured. In such cases, he/she should submit copy of his/her HKID card for reference.
Checklist for Critical Illness Claims
1. Claim Form - Living Benefit Critical Illness Benefit ([C8])
Part I fully completed by the Insured / Policyowner
Part II APS for Critical Illness Benefit Claim [Stroke] / [Heart Attack] / [Carcinoma-In-Situ] / [Angioplasty] / [Cancer] to be completed by attending physician
2. Copy of HKID card or relevant identity document of the Insured
3. Copy of HKID card or relevant identity document of claimant (if the Policyowner is not the Insured)
4. Copy of histological, pathological, radiological and laboratory reports regarding the illness
Remarks:
If the Insured is unable to sign the claim form, a close relative of the Insured acting as the Insured’s personal representative can sign on behalf of the Insured. In such cases, he/she should submit copy of his/her HKID card for reference.
Chubb Life (ACE) Customer Hotline：28949833