Dear customers,

We are following the latest developments of the recent community outbreak of Covid-19 in Cambodia very closely, making sure we take all necessary measures to ensure our continued commitment in serving our customers especially during this challenging period. During this lockdown period in Phnom PenhTakhmao and partially in Siem Reap, we are going to do our best to provide the financial protection solutions to Cambodian families and continue to serve all our customer’s needs following the new safety measures in accordance with the notices from the government. Learn more

Learn more
Dear customers,

We are following the latest developments of the recent community outbreak of Covid-19 in Cambodia very closely, making sure we take all necessary measures to ensure our continued commitment in serving our customers especially during this challenging period. During this lockdown period in Phnom PenhTakhmao and partially in Siem Reap, we are going to do our best to provide the financial protection solutions to Cambodian families and continue to serve all our customer’s needs following the new safety measures in accordance with the notices from the government. Learn more

Learn more
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Total disability claim

Download forms: 

Claim form & authorization 

  • Note: To be completed by the valid claimant

Attended Physician’s Statement - Total disability claim 

  • Note: To be completed by the attending physician to confirm the disability of the Life Insured in permanent.   

Documents required: 

Proof of total disability

  • Note: Medical Certificate or any equivalent medical documents to confirm that Life Insured meets the definition of total disability and it is issued by licensed doctor or hospital.

Evidence of medical treatment and diagnosis documents

  • Note: All medical treatment documents such as Doctor certificate, histopathology report, and all laboratory results.

Proof of identity documents of Life Insured and Beneficiary(ies) or the person(s) claiming the benefits

  • Copies of ID/Passport with fresh-ink signature
  • Note: Will not require if it is provided previously

If the claim event caused by accident

  • Competent police/authorities report
  • Newspaper clipping (if any)