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To be completed by Branch Staff EIC Ref. No:Page 1 of 3 Policy/ Certificate No:APPLICATION FORM GROUP PERSONAL ACCIDENTS (PA) Eliza General Insurance Broad (Eliza General Insurance) is licensed under
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How to fill out group personal accidents pa

01
To fill out a Group Personal Accidents PA form, follow these steps: 1. Start by providing the basic details of the insured group, such as the group name, policy number, and effective date.
02
Next, fill in the personal details of each insured member, including their full name, date of birth, occupation, and address.
03
Specify the coverage details for each member, including the sum insured, the period of coverage, and any additional benefits or riders required.
04
Make sure to accurately provide any medical history or pre-existing conditions of the insured members, as this may affect the coverage or premium.
05
Once all the necessary information has been filled out, review the form to ensure accuracy and completeness.
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Finally, sign and date the form as the authorized representative of the group, along with any required endorsements or attachments.
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Submit the completed form along with any other necessary documents to the relevant insurance provider or agent.

Who needs group personal accidents pa?

01
Group Personal Accidents PA is beneficial for various organizations or groups, including:
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- Companies or employers who want to provide an added layer of financial protection to their employees in the event of accidents or injuries during work hours or business-related activities.
03
- Sports clubs or associations that want to ensure coverage for their members during training sessions, matches, or tournaments.
04
- Schools, colleges, or educational institutions that want to safeguard their students and staff from accidents during school hours or official events.
05
- Non-profit organizations or community groups that organize outdoor activities or events where members are exposed to potential risks and accidents.
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- Any group or organization that values the well-being and financial security of its members and wants to protect them against accidental injuries, disabilities, or death.
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Group Personal Accidents PA is an insurance policy that provides coverage for a group of individuals in case they suffer an accident.
Employers or organizations that provide group personal accident insurance to their employees or members are required to file group personal accidents PA.
To fill out group personal accidents PA, you need to gather information about the individuals covered under the policy and report any accidents that have occurred.
The purpose of group personal accidents PA is to provide financial protection to individuals in case of an accident resulting in injury or death.
Information such as the date and details of the accident, the individuals involved, and the extent of the injuries must be reported on group personal accidents PA.
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