Important Notice
1. Below claims’ checklist are for general claims requirements in respect of different claim types. Please be reminded that for some uncommon claim cases, CTF Life may ask for additional documents which are not specify below for CTF Life’s assessment.
2. In general circumstances, the service turnaround time for processing accidental, medical and special benefit is 4 working days; and the service turnaround time for death, waiver of premiums and critical illness is 7 working days.
3. For details, please refer to Claims Manual [Eng] / [Chi] and Enhanced Claims Services IFA CA [Eng] / [Chi]. (Updated: 8 May 2018)
4. With effective from 28 January 2019, CTF Life Claims Department will only return certified true copy of the original receipts and/or copy of the submitted document upon request. Please note that ‘Certified True Copy’ is accepted by insurance company in Hong Kong as an original document. (Updated: 31 Jan 2019)
OnePlatform Internal Document
CS eform
Principal Document
(A) Accident Claim Checklist
| 1 | Mandatory Document | Accident Claim Form [A14] Part 1 (to be completed by the claimant) Part 2 (to be completed by the Medical Practitioner at the claimant’s own expense) |
| Sick Leave Certificate for weekly indemnity, original receipt for reimbursement, and copy of receipt for hospital income | ||
| Breakdown of expenses | ||
| Verified Policy Owner Identity Card copy | ||
| 2 | Additional Document May be Required | Consultation Proof and Treatment Record |
| Medical Report | ||
| Discharge Summary Issued by the Hospital Having Exact Diagnosis | ||
| X-Ray / CT Scan / MRI / Laboratory Report | ||
| Referral Letter Issued by Registered Medical Practitioner | ||
| Physiotherapy / Occupational Therapy Report | ||
| Patient Card Copy | ||
| Name and Breakdown of drugs | ||
| Employer’s Confirmation and Income Proof | ||
| Police Statement / Police Report | ||
| Employees’ Compensation Assessment Certificate (Form 5 / 7) | ||
| Newspaper Clipping | ||
| 3 | Additional Document for Treatment in Mainland China | Patient’s Medical Record Booklet for Emergency / Outpatient Consultation |
| Daily Confinement Settlement Breakdown (if hospitalized) | ||
| Medical Record (Including But Not Limited to Admission Record, Medical History record, and
Discharge Record) |
| 1 | Mandatory Document | Hospital and Surgical Claim Form ([H1])
Part 1 (to be completed by the claimant) Part 2 (to be completed by the Medical Practitioner at the claimant’s own expense) |
| Original Official Receipts for Reimbursement Claim | ||
| Copy of Official Receipts for Hospital Income Claim | ||
| Breakdown of the Expenses with Diagnosis Proof | ||
| Verified Policy Owner Identity Card copy | ||
| 2 | Additional Document May be Required | Sick Leave Certificate |
| Consultation Proof and Treatment Record | ||
| Medical Report | ||
| Discharge Summary Issued by the Hospital Having Exact Diagnosis | ||
| X-Ray / CT Scan / MRI / Laboratory Report | ||
| Referral Letter by Issued Registered Medical Practitioner | ||
| Pathological Report | ||
| Physiotherapy / Occupational therapy report | ||
| Patient Card Copy | ||
| Name, quantity and expense of drugs | ||
| Police Statement / Police Report | ||
| Newspaper Clipping | ||
| 3 | Additional Document for Treatment in Mainland China | Patient’s Medical Record Booklet for Emergency / Outpatient Consultation |
| Daily Confinement Settlement Breakdown | ||
| Medical Record (Including But Not Limited to Admission Record, Medical History record, and Discharge Record) | ||
| Social Insurance Card Copy (if available) |
(C) Waiver of premium Claim Checklist
| 1 | Mandatory Document | Disability Claim Form [D7]
Part 1 (to be completed by the claimant) Part 2 (to be completed by the Medical Practitioner at the claimant’s own expense) |
| Sick Leave Certificate, Consultation Proof and Treatment Records | ||
| Verified Policy Owner Identity Card copy | ||
| 2 | Additional Document May be Required | Medical Report |
| Discharge Summary Issued by the Hospital Having Exact Diagnosis | ||
| X-Ray / CT Scan / MRI / Laboratory Report | ||
| Referral Letter Issued by Registered Medical Practitioner | ||
| Pathological Report | ||
| Physiotherapy / Occupational therapy report | ||
| Patient Card Copy | ||
| Employer’s Confirmation | ||
| Income Proof | ||
| Police Statement / Police Report | ||
| Employees’ Compensation Assessment Certificate (Form 5 / 7) | ||
| Newspaper Clipping | ||
| 3 | Additional Document for Treatment in Mainland China | Patient’s Medical Record Book let for Emergency / Outpatient consultation |
| Medical record, including but not limited to admission record, medical history record, discharge record |
(D) Critical illness Claim Checklist
| 1 | Mandatory Document | Living Protector Claim Form (Updated: 14 Aug 2020)Part 1 (to be completed by the claimant) |
| Living Protector Questionnaire (to be completed by the Medical Practitioner at the claimant’s own expense, please refer to CTF Life website for different types of questionnaire | ||
| Verified Policy Owner and Insured Identity Card copy | ||
| 2 | Additional Document May be Required | Consultation Proof and Treatment Record |
| Medical Report | ||
| Discharge Summary Issued by the Hospital Having Exact Diagnosis | ||
| X-Ray / CT Scan / MRI / Laboratory Report | ||
| Pathological Report or Other Relevant Report as Required by the Specific Dread Disease in Accordance to the Policy Contract | ||
| Patient Card Copy | ||
| Police Statement / Police Report | ||
| Newspaper Clipping | ||
| 3 | Additional Document for Treatment in Mainland China | Patient’s Medical Record Book let for Emergency / Outpatient Consultation |
| Social Insurance Card Copy (if available) | ||
| Medical Record (Including But Not Limited to Admission Record, Medical History record, and Discharge Record) |
(E) Death Claim Checklist
| 1 | Mandatory Document | Death Claim Form [D8] Part 1 (to be completed by the claimant)(Updated: 13 Oct 2023) |
| Original Death Certificate | ||
| Verified Copy of Identity Card of Insured, Beneficiary and Claimant | ||
| Relationship proof between Insured and Beneficiary | ||
| Original Policy / Lost Policy Declaration | ||
| Valid address proof issued within last 3 months must be submitted (Do not accept e-Statement). For detail requirements and example of valid address proof, please refer to the MEMO and FAQ. (Updated: 10 Jul 2024) | ||
| 2 | Additional Document May be Required | Medical Report for Death Claim if policy duration less than 2 years |
| Medical Report | ||
| Discharge Summary Issued by the Hospital Having Exact Diagnosis | ||
| X-Ray / CT Scan / MRI / Laboratory Report | ||
| Pathological Report | ||
| Police Statement / Police Report (if applicable) | ||
| Post Mortem Report / Autopsy Report | ||
| Newspaper Clipping | ||
| 3 | Additional Document for Treatment in Mainland China | Patient’s Medical Record Booklet for Emergency / Outpatient Consultation |
| Original Notarial Certificate Proving the Death and Cause of Death of the Insured | ||
| Original Notarial Certificate Proving the Relationship between Insured and Beneficiary | ||
| Original Medical Certificate of Death | ||
| Original Proof of Death Issued by the Local Police Station | ||
| Original Residency Cancellation Proof | ||
| Original Proof of Death Issued by Committee of Village | ||
| Certificate of Cremation / Burial of Body | ||
| Permit to Export / Import Human Remains | ||
| HKID Cancellation Proof |
CTF Life Customer Hotline: 28668898