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Customer Service Number : (632) 8689-6634 Verify your Policy

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
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
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):
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
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
Benefit
Critical Illness
Cancer Surgical Treatment
Dietary and Nutritional Therapy
Home Accessibility
Annual Premium
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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