| 1. |
Q |
Who are the eligible claimants?
All policyholders and dependents that have an existing active policy during the time of loss |
| 2. |
Q |
Where can I send my claim documents?
You can send your claim documents through courier service or your representative her in our office, at:
Claims Department (CW)
Insurance Company of North America
14/F Export Bank Plaza, Chino Roces Avenue,
Corner Senator Gil Puyat Avenue, Makati City,
1230, Philippines
Note: ACE Insurance is not liable for claim documents sent through a regular post office mail or to a business reply envelope |
| 3. |
Q |
To whom is the check payment payable?
For hospital confinement, the claim payment / settlement is payable to the Insured. For the Death Claim, the beneficiary/ies name/s will appear on the check/s. |
| 4. |
Q |
What are the documents needed to claim the check payment?
| 1 |
Three (3) valid primary
Identification Card, these are any of the following: |
 |
1.1 |
Drivers License |
| |
1.2 |
Passport |
| |
1.3 |
License Identification Card |
| |
1.4 |
Valid Company Identification Card |
| |
1.5 |
All Government Issued Identification Card with Photo. |
| 2 |
Secondary Identification ID |
| |
2.1 |
Postal ID |
| |
2.2 |
Voters ID |
| |
2.3 |
Credit Card |
|
| 5. |
Q |
Can a representative get my claim on my behalf?
We can allow your representative to get your claim provided he/she will
company with the three (3) valid IDs needed together
with your authorization letter. |
| 6. |
Q |
Will you still entertain my claim if I submit after the 30-90 days period as required
under your policy?
We strictly adhere to the 30-90 day rule as specified under each and every policy. however we can
consider your claim PROVIDED that you submit written valid reasons for the late submission which do not cause and prejudice to our claims assessment. |
| 7. |
Q |
How will I know if my confinement/accident is covered?
Based on the claim documents your submitted, there will be claim evaluation process to determine the validity and coverage of your confinement/accident. If theses documents are not sufficient for proper and correct
evaluation, we will require submission of additional documents.
In the event the your claim is not covered, you will be receiving an official letter from our offices stating the reason
for such declination. |
| 8. |
Q |
How long is the processing time for my claim?
The standard time of processing your claim is seven (7) to ten (10) working days upon receipt
of complete claim documentation. |
| 9. |
Q |
How do I obtain a copy of the Inpatient
Admitting History and Discharge Summary and do I have to pay any fees to the hospital concerned?
You can obtain these documents from the Medical Records Section for the Hospital you were confined in, for a minimal fee. |
| 10. |
Q |
In the event of a death claim, who is entitled to receive the insurance benefit under your policy?
If the claim can be admissible under the policy, we will pay the benefit sum to the designated beneficiaries.
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