No
|
Coverage |
Documents |
| 1 |
Medical & Additional Expenses |
- Hospital bills
- Doctors’ diagnostic records
- Proof of payment
- Certificate or report from the Authorized Party (if the Insured has an accident)
- Advanced medical receipt for a maximum of (31) days from arrival in Indonesia and Doctor’s Resume
- Receipt for transportation costs and/or accommodation costs (visits to relatives)
- Receipt for transportation costs and/or accommodation costs (Child protection)
|
| 2 |
Hospital Daily Benefit |
- Hospital bills
- Doctors’ diagnostic records
- Proof of payment
- Certificate or report from the Authorized Party (if the Insured has an accident)
|
| 3 |
Death or Permanent Disability |
- Police report explaining the incident
- Autopsy Report
- Death certificate
- Medical reports
- Certificate of heirs KTP and KK of the
heirs
|
| 4 |
Emergency Evacuation |
- Contacting HealthMetrics Indonesia
- Medical evacuation fee receipt
- Original medical report
- Emergency telephone fee invoice
|
| 5 |
Loss of use of Hotel Facilities |
Written confirmation from the hotel explaining the reason for canceling the service and for how long it took
|
| 6 |
Home Protection |
- Police report explaining the incident
- List of lost / damaged items and their types and specifications
- Original purchase receipt
- Evidence of serious damage to the insured’s residence from fire
|
| 7 |
Baggage & Personal Effects |
- The report of non-conformity of goods
- Photo of damage
- Police Report
- List of damaged/Missing items and their types and specifications
- Original purchase receipt (can be replaced with a statement letter)
- Report from the airline that the loss or damage is under the responsibility of the airline
- Proof of replacement from the airline accompanied by the compensation value given (if the luggage is lost while under the responsibility of the airline)
|
| 8 |
Money & Travel Documents |
- Police report explaining the chronology of events and missing items
- Original receipt to re-register lost documents
- Credit Card Bill detailing invalid transactions
- Invoice for transportation costs and/or accommodation costs incurred to obtain replacement for lost travel documents
|
| 9 |
Loss of Deposit & Trip Cancellation Charges |
- Documents explaining the terms and conditions of travel agents
- Written confirmation from the Travel agent that the Insured is unavailable and the amount that can be refunded
- Receipt of payment
- Medical reports
- Death certificate
- Receipt of payment for travel delay fees
- Photocopy of court summons (if serving as a witness or jury member in court)
- Proof of serious damage to the insured’s residence from fire, flood, or other natural events
|
| 10 |
Baggage Delay |
- Statement letter from the airline regarding the duration and reason for the delay
- Baggage receipt (containing the time & date the baggage was received)
|
| 11 |
Travel Delay |
- Written statement from the Airline regarding planned arrival, actual arrival and cause of delay, Actual departure onward journey
- Boarding Passes of the affected Airline (failed journey continuation)
- Ticket itinerary from the latest schedule
|
| 12 |
Hijack |
- Written confirmation from the Airline confirming the original departure time and actual departure time due to hijacking
- Written confirmation from the authorities regarding piracy
|
| 13 |
Overbook Flights |
- Written confirmation from the Airline explaining the cause of the overbooking and the alternative solution
- Original receipt of costs that have been incurred
|
| 14 |
Personal Liability and legal expense |
- Police report
- Incident reports issued by the competent authority
- Letter of Claim, loss report and proof of payment for third party losses
- Letter of claim to third party & Proof of payment of Legal Fee
|
| 15 |
Rental Vehicle |
- Police report explaining the incident
- Repair receipt or replacement key purchase receipt
|
| 16 |
Alternative employee’s expense |
- Police Reports detailing the incidents of the real employees
- Records of doctor’s diagnosis from original employees
- Statement of invoices from replacement employees
|
| 17 |
Golf Equipment |
- Police Report (only for theft)
- List of damaged / missing items and their types and specifications
- Original purchase receipt
- Photos of damage
- Golf Equipment Repair Invoice
|
| 18 |
Covid-19 |
|
| |
a. Medical and Additional Expenses |
- Original notes and receipts related to the claim
- Medical reports/doctor’s diagnostic notes
- SWAB or PCR test results from hospital
|
| |
b. Emergency Medical Evacuation |
- Medical Report
- SWAB or PCR test results from hospital
- Receipt for medical evacuation costs
|
| |
c. Trip Cancellation |
- Documents explaining the Travel Agent’s terms and conditions
- Written confirmation from the Travel Agent that the Insured is unable to travel and the amount that can be refunded
- Payment receipt
- Medical report
- SWAB or PCR test results from hospital
|
| |
d. Trip Postponement and Trip Disruption |
- Documents explaining the Travel Agent’s terms and conditions
- Written confirmation from the Travel Agent that the Insured is unable to travel and the amount that can be refunded
- Medical report
- Payment receipt for trip delay cost
- SWAB or PCR test results from hospital
|
| 19 |
Visa Protection |
- Visa rejection letter from the Embassy
- Original receipt of Visa fee
- Completeness of documents submitted when applying for a Visa (such as proof of return to Indonesia, financial support, proof of accommodation reservation, valid reference letter with letterhead, stamp, signature and clear contact details from the issuing institution, etc.)
|
| 20 |
Missed Event |
- Official proof of ticket purchase in the name of the person insured in the policy
- Letter from the public transport provider confirming that the service is not running on time (if applicable)
- Confirmation of delay from the relevant authorities of the vehicle being used
- Confirmation of event cancellation from the promoter if the event is cancelled due to extreme weather or natural disaster at the event location
|
| 21 |
Winter Sport |
|
| |
a. Winter Sport Pack |
- Medical report confirming the reason and duration of Your inability to engage in the winter activity
- Proof of payment for the winter sports package (e.g. ski school fees, ski instructor fees, rental and/or hire equipment, and the cost of any reserved lift tickets)
|
| |
b. OnPiste Closure |
- Written statement from the resort manager confirming the reason for the trail closure and the duration of the closure.
|
| 22 |
Golf |
|
| |
a. Loss and/or Damage to Golf Equipment |
- Police or relevant authority report (reported within 24 hours of the incident)
- If equipment is lost/damaged while in the custody of the airline/service provider: proof of compensation received from the airline or service provider or if such compensation is refused, proof of such refusal
|
| |
b. Hole in One |
- A properly authenticated Hole-in-One Certificate issued by a golf club professional
- A receipt for celebratory drinks on the date of the hole-in-one at the golf club
|