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Form Library
Hospitalization
- HK-CL-ICLA20Hospitalization / Day Surgery Direct Billing Pre-approval From (For Dr.Vio & Partners Panel Doctors referral case)
- HK-CL-CLA21MasterCare Medical Plan Direct Billing Pre-approval Form
- HK-CL-ICLA02Hospitalization Claim Form
Others
- PLDPolicy Lost Declaration
- HK-CL-ICLA18Claim Direct Payment Application Form
- HK-CL-ICLA22Beneficiary Withdraw Annuity Benefit Form
- HK-CL-IQQuestionnaire(free benefit for "Coronavirus")
- HK-CL-ICLA23Application for Share Happiness Reward
Self Certification (CL)
- CRS-CP(Claims)Self-Certification Form – Controlling Person (For Claims Use)
- HK-CLCRS-EntitySelf-Certification Form – Entity (For Claims Use)
- HK-CLCRS-IndividualSelf-Certification Form – Individual (For Claims Use)
Accident
- HK-CL-ICLA03Accident Claim Form
Critical Illness
- HK-CL-ICLA05Critical Illness Claim Form - Cancer
- HK-CL-ICLA06Critical Illness Claim Form - Stroke
- HK-CL-ICLA07Critical Illness Claim Form - Heart Attack
- HK-CL-ICLA08Critical Illness Claim Form - Heart Valve Replacement
- HK-CL-ICLA09Critical Illness Claim Form - Others
- HK-CL-ICLA11Terminal Illness Claim Form
Disability
- HK-CL-ICLA12Long Term Sick Leave Claim Form
- HK-CL-ICLA13Waiver of Premium / Payor Benefit Claim Form
Life
- HK-CL-ICLA01Death Claim Form
Outpatient
- HK-CL-ICLA10Individual Out-Patient Claim Form
TimeLady
- HK-CL-ICLA04Time Lady Insurance Claim Form
LadyVital
- HK-CL-ICLA19LadyVital Female Protection Claim Form
Service Body