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Fax Claim Service Claim Services Download Form Hospital Network Online Enquiry Customer Services - Group Life InsuranceClaim Services
Claim is the amount that the company will pay to insured or beneficiary as per stated in the insurance policy.
Death ClaimBeneficiary should notify the company within 14 days from the date of death. In case of the beneficiary isn’t certain the insured has an insurance policy; he/she should notify the company within 7 days from the date of death.
The beneficiary should submit all the relevant documents to the company and any further requested document may need from company at the beneficiary own expenses (if any).
Reference Document:
1. Death Claim from illness
- Policy Claim Form
- Doctor’s Treatment Report
- Copy of Death Certificate
- Copy of House Registration of the insured and the beneficiary
- Copy of ID Card of the insured and beneficiary
- Authorization Form for Medical Treatment Disclosure
- The latest salary payment's evidence
- Other relevant documentation
2. Death Claim from Accident: additional required documentation as stated below;
- Daily Police Report
- Autopsy Report
Total and Permanent Disability Claim1. Total and Permanent Disability from Illness Claim: Reference Document;
- Total and Permanent Disability from Illness Claim Form
- Doctor’s Treatment Report
- Authorization Form for Medical Treatment Disclosure
- Copy of ID Card and House Registration
- The latest salary payment’s evidence
- Other relevant documentation
2. Total and Permanent Disability: additional required documentation as stated below;
- Daily Police Report.
Health and Injury ClaimThe Insured party should submit all documents including the Claim Form, medical receipt(s), doctor’s certificate and other relevant documentation to the Company within 30 days after discharged or leaving the hospital.
Health Insurance Card Claim (Hospital Network)
- Show your Health Insurance Card with your ID card to Generali Hospital Network when you need the service
- You should sign your name on the Claim Form and incurred medical treatment expense acknowledgement documentation
- If you have any medical costs over the policy insurable amount, you should be responsible for paying these costs
- Health Insurance Card will not be applied, if you are in the excluded disease coverage and/or you are no longer employed
Heath Claim without health insurance cardIn case of you treatment in hospital (not a Generali appointed Hospital Network) you should advance medical payments and submit your original receipt(s) and doctor’s certificate to your HR department and also fill in OPD Claim Form.
In case you lost your receipt(s) or doctor’s certificate
You should submit a copy of the Daily Police Report, Reference letter from HR manager and a certified true copy of receipt(s) or doctor’s certificate.
Remarks: The Company will not reimburse the insured party, if your documentation is purposely incorrect or company find out that you have separated your receipts, bring someone else to have the medical treatment instead, or your disease is excluded from the insurance policy.
Accidental ClaimYou should inform the doctor to identify the date, time and place of the accident in the doctor’s certificate, and you should clarify this in the Accident Claim Form.
Lost of Health Insurance CardYou should contact the HR department to process the issuance of your new card.
In case of using Copy of Receipt to ClaimNormally, you cannot submit a copy of receipt to make a claim, except when you make claim with other insurance forms i.e. personal insurance policy, social security fund or compensation fund before, and then you can claim the rest of the outstanding medical expenses.
** In case you have an accident related to your work, you should claim from compensation fund **
Social Security Fund and Generali (Thailand) Group Life Claim- In the case of your treatment in hospital
you cannot claim from either Social Security Fund or Generali Hospital Network, you should advance the payment for your medical expenses, and then submit all original receipt(s), original doctor’s certificate to the HR department with a completed Claim Form.
- In the case of your treatment in hospital
you can claim from the Social Security Fund, you should submit your Social Security Fund Card to the counter service in the hospital. According to Social Security Fund regulations, you can claim for room & board amount at 700 baht with an additional claim from Generali at 1500 baht, a total room & board claim amount of 2200 baht. Any costs over that amount from the Social Security Fund Claim you should advance the payment and submit a copy of receipt(s), doctor’s certificate and claim form from Generali (Thailand).
Other incurred medical expenses during your treatment in the hospital, you can claim from the Social Security Fund until you check out from the hospital.
- In case of your treatment in hospital
you can claim from both the Social Security Fund and Generali .Hospital Network, you should submit your Social Security Fund Card and Generali Health Insurance Card to the counter service in the hospital.
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