Individual Employee Benefit

Quote Information

Effective Date*
Expired Date*
No. of Insured Person*
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Promo Code
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Individual Personal Accident
Download Product Brochure and Policy Specimen
Benefit
Accidental Death and Disablement (includes Unprovoked Murder & Assault)
Accidental Medical Reimbursement
Accidental Burns Benefit
Accidental Death Burial Expense
Accidental Common Carrier Benefit
Annual Premium
General Condition and Exclusions
Total Annual Premium (PHP):
Basic Premium (PHP):
Document Stamp Tax (PHP):
Premium Tax (PHP):
Local Government Tax (PHP):
Discount Amount (PHP):
Discounted Total Annual Premium (PHP):
Total Annual Premium (PHP):
Individual Hospital Income
Download Product Brochure and Policy Specimen
Benefit
Daily Hospital Cash (Per Day. Maximum 45 Days / Confinement)
Intensive Care Unit – Double Indemnity (Per Day. Maximum 30 Days / Confinement)
Emergency Surgical Allowance (Per Confinement)
Annual Premium
General Condition and Exclusions
Total Annual Premium (PHP):
Basic Premium (PHP):
Document Stamp Tax (PHP):
Premium Tax (PHP):
Local Government Tax (PHP):
Discount Amount (PHP):
Discounted Total Annual Premium (PHP):
Total Annual Premium (PHP):
Individual Critical Illness
Download Product Brochure and Policy Specimen
Benefit
Critical Illness
Cancer Surgical Treatment
Dietary and Nutritional Therapy
Home Accessibility
Annual Premium
General Condition and Exclusions
Total Annual Premium (PHP):
Basic Premium (PHP):
Document Stamp Tax (PHP):
Premium Tax (PHP):
Local Government Tax (PHP):
Discount Amount (PHP):
Discounted Total Annual Premium (PHP):
Total Annual Premium (PHP):
Applicant Information
Name*
Mobile Number*
Email*
Employer Name
Payment Option
Payment Option*
Payment Source*
Payment Frequency*
Instalment 1 of 12 (PHP):
Included Document Stamp Tax,Premium Tax and Local government Tax.
Instalment 2 of 12 ... Instalment 12 of 12 (PHP):
Total Annual Premium (PHP):
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