User Guide

User Guide

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User Guide (Group Life & DMTM)

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Claim Application Form

Claim Form

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Claim Form (English Version)

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Claim Form (Malay Version)

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Claim Form (Group Life & DMTM)

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Crisis Cover Income Benefit Form

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Long Term Care Benefit Form

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Medical Report

Attending Physician's Statement - Medical

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Attending Physician's Statement - Personal Accident Claim

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Healing Progress Form

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CMC - AIDS, HIV

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CMC - APALLIC SYNDROME

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CMC - APLASTIC ANAEMIA

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CMC - BRAIN INFECTION

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CMC - BRAIN CONDITION, MAJOR HEAD TRAUMA

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CMC - BURNS

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CMC - CANCER

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CMC - DIABETIC COMPLICATIONS

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CMC - FACIAL RECONSTRUCTIVE SURGERY 

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CMC - HEART ARTERIES

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CMC - HEART DISEASE

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CMC - KIDNEY DISEASES

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CMC - LOSS OF SPEECH

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CMC - LIVER DISEASES

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CMC - LOSS OF HEARING/DEAFNESS, EAR CONDITIONS

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CMC - LOSS OF INDEPENDENT EXISTENCE

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CMC - LOSS OF LIMB, PARALYSIS/PARAPLEGIA

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CMC - LOSS OF SIGHT, EYE CONDITIONS

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CMC - LUNG DISEASE

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CMC - MOTOR NEURON DISEASE

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CMC - MULTIPLE SCLEROSIS

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CMC - MUSCULAR DYSTROPHY

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CMC - ORGAN TRANPLANT

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CMC - OSTEOARTHRITIS, RHEUMATOID ARTHRITIS

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CMC - OSTEOPOROTIC FRACTURE REQUIRING SURGERY

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CMC - PARKINSON'S, ALZHEIMER'S DISEASE

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CMC - POLIOMYELITIS

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CMC - PROGRESSIVE SCLERODERMA

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CMC - STROKE, COMA

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CMC - TERMINAL ILLNESS

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Parent Waiver Claim Form

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Spouse Waiver Claim Form

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CMC- Extended Total & Permanent Disability Claim

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CMC - Total and Permanent Disability Claim

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Death Claim - Medical Attendant's Report

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CMC - Long Term Care Benefit Claim

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ATTENDING PAEDIATRICIAN'S STATEMENT

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ATTENDING PHYSICIAN'S STATEMENT - INFECTIOUS DISEASE

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CMC -ESSENTIAL CHILD CLAIM

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MEDICAL EXAMINER’S CERTIFICATE - CONGENITAL CONDITION CLAIM

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MEDICAL EXAMINER’S CERTIFICATE- PREGNANCY COMPLICATIONS CLAIM

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PRUlady ME CERTIFICATE : CARCINOMA IN SITU OF BREAST OR CERVIX UTERI

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PRUlady ME CERTIFICATE : RHEUMATOID ARTHRITIS

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PRUlady ME CERTIFICATE : SKIN GRAFTING DUE TO BURNS AND SKIN CANCER

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PRUlady ME CERTIFICATE : SYSTEMIC LUPUS ERYTHEMATOSUS (SLE)

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Checklist

Claim Requirement Checklist

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Claim Feedback Form

Claim Feedback Form (Medical/PA)

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Claim Feedback Form (CI/TPD/DEATH)

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Consent Letter

Consent To Release Information

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