A Group Health policy will reimburse plan members for covered expenses incurred as a result of an accident or illness, according to the Schedule of Benefits limits noted in the policy. A Group Life policy provides a predetermined sum of money to a named beneficiary in the event of death of a plan member while an employee of the company.

Medical Claims – documents required

• Completed Claim Form (duly stamped and signed by the attending Physician/Dentist)
• Original receipts for incurred expenses, indicating prescription number, Patient’s name, date of purchase, name and quantity of drugs
• Claim Forms should include the following information:
• Policy number
• Employee’s Certificate number
• Company stamp
• Plan Administrator’s signature
• Claims should be submitted no later than ninety (90) days from the date expenses were first incurred.

Death Claim – documents required:

• Completed Claim Form
• Certified Death Certificate
• Certified Birth Certificate
• Life Insurance Certificate

In the event of death by accident, a Coroner’s report is required in addition to the above.

TIP: Documentary proof of attendance must be supplied with respect to a child or children under the age of 19 years and attending an Accredited College of University