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GROUP CRITICAL ILLNESS CLAIM FORM Dear insured employee / spouse or child (life insured), We are sorry to learn about your illness. In order for us to process your claim, we require the following:
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How to fill out group critical illness claim

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How to fill out a group critical illness claim:

01
Obtain the necessary claim form from your insurance provider. This can usually be done by contacting their customer service or downloading the form from their website.
02
Fill in your personal information accurately and completely. Include your full name, address, contact information, policy number, and any other details requested on the form.
03
Provide details about the group critical illness policy. Indicate the effective date, policy number, and any relevant coverage information.
04
Clearly list the critical illness or illnesses you are claiming for. Be specific and provide as much detail as possible, including the date of diagnosis and any relevant medical documentation.
05
If required, include supporting documents such as medical reports, lab results, and any other relevant paperwork. Make sure these documents are clear and legible.
06
Review the completed claim form thoroughly before submitting it. Ensure that all information is accurate and all necessary sections are filled out.
07
Submit the completed claim form and supporting documents to the designated address provided by your insurance provider. It is recommended to send it using a traceable method such as certified mail to ensure it reaches the intended recipient.
08
Keep copies of all submitted documents for your records. This will be helpful in case any issues or inquiries arise during the claim process.

Who needs a group critical illness claim:

01
Employees who are covered under a group critical illness insurance policy provided by their employer.
02
Individuals who have experienced a critical illness or have been diagnosed with a covered illness, resulting in the need for financial assistance.
03
Dependents of the policyholder who are covered under the group critical illness insurance policy and require financial support due to a critical illness.
Note: The specific eligibility criteria for a group critical illness claim may vary depending on the insurance provider and policy terms. It is recommended to review the policy documentation or contact the insurance provider directly for detailed information.
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Group critical illness claim is a claim made by a group of individuals who have been diagnosed with a critical illness and are covered under a group insurance policy.
The individuals who have been diagnosed with a critical illness and are covered under the group insurance policy are required to file the group critical illness claim.
The group critical illness claim can be filled out by providing the necessary information requested by the insurance company, including details of the diagnosis, treatment received, and any supporting documentation.
The purpose of group critical illness claim is to request financial assistance from the insurance company to help cover the costs associated with the diagnosis and treatment of a critical illness.
The group critical illness claim must include details of the diagnosis, treatment received, medical records, and any other relevant documentation requested by the insurance company.
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