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Make a new GMBS (Group Hospitalisation Benefits) claim

How to make a new GMBS (group hospitalisation benefits) claim

1. Get the following documents

Document requirements for GMBS Hospitalisation Benefit Claim:

  1. Direct Credit Facility Form
  2. Group Hospitalisation Benefit (HB) Claim Form- Claimant's Statement
  3. Life Assured's NRIC duly certified
  4. Claimant's NRIC duly certified (if different from Life Assured)
  5. Letter of Authorisation / Consent
  6. Relevant Hospital/Admission bill(s) duly certified
  7. Discharge note/Discharge summary/Medical Report duly certified (if claims > RM500)
  8. Original bill(s)/Tax Invoice(s) and Original Receipt(s) including deposit and refund receipt(s), if any (applicable to reimbursement claims)
  9. Claim Settlement Advice by other Insurance Company duly certified, if any
  10. Full Passport Book, duly certified if the hospitalisation was outside Malaysia (except Singapore)

2. Submit documents

You are advised to use Requirement Checklist for Life Claims Submission as a guide on documents required for the Life Claims Submission.

You may submit the claim via the following channels:

a) Online claim submission:

  • For Policy Owners, click here to log in to e-Connect customer portal. Click My Claim > Online Claims which will navigate you to a new web browser tab. Proceed to click 'Create New Claim' and follow the step by step instructions to complete the submission. 

        You may refer to the eClaims Customer Guide-eConnect for more details.

  • For Non-Policy Owners, click here to submit the online claim form. Upon successful submission, the claim status will be notified to the rightful party of the claim via mail or email. 

        You may refer to the eClaims Customer Guide-Corporate Website for more details.

b) Through your servicing agent      

c) At Head Office or the nearest branches. View Location of Head Office and Branches       

d) Post the claim forms along with supporting documents to us

    Claims Department (Registration)
    Menara Great Eastern
    Level 4, Claims Department
    No. 303 Jalan Ampang
    50450 Kuala Lumpur

Check claim status for Life insurance claims

a) For Policy Owners, click here to log in to e-Connect customer portal. Click My Claim > Claim Status
b) For Non-Policy Owners, email us for:

Questions and Answers

Within the first policy year, the insurer has the right to void the policy due to non disclosure, without the need to prove fraud.

Group Servicing Agent/Union officers/Human Resource Officers may certify all claims documents with the exception of claims incurred outside of Malaysia where the confirmation of the claim event and all other related and relevant documents issued by Foreign Authority must be certified by the Malaysian Embassy or a Public Notary.
 

The respective country's embassy in Malaysia.

With effect from 1 June 2013, policyholders may proceed with claims without submitting the original policy contract. This guideline is revised with the intent to simplify the current process to make hassle free for claims. Nevertheless, the company reserves the right to call for the original policy or supporting documents should the need arises during the processing stage.

The estimated timeframe to process a claim is within 10 – 14 working days upon receiving the complete claim documents.

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