Benefits and Privileges AdZU Benefits Accident Insurance Plan

Claims Requirements:

 

Accidental Death, Disablement, and/or Dismemberment

 

            1.  Death Certificate in case of Accidental Death

            2.  Medical Certificate in cases of Disability and/or Dismemberment

            3.  Assured’s copy of Birth Certificate

         4.  Police Report/Affidavit stating how accident happened.  Post-mortem

              report in case of death

            5.  Certification of employment


Accidental Medical Reimbursement

            1.  Affidavit stating how accident happened

            2.  Original copy of Official Receipts

            3.  Original copy of Hospital billing, if confined in a hospital

            4.  Certification of employment

Procedure:

-          Please see Benefits Staff at HRADO for list of requirements

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