| Billing & Administration | Billing & Administration (Group Endowment) |
| Sale & Marketing Support (Voluntary Product) | Claim |
In case of Addition & Termination Member for renewal policy, what should
They do for the Premium Calculation ?
If client inform their purpose before 1st in each Month,
- Addition : the premium will be excluded for collecting in the first month of
addition, and will start to collect the premium after 1st in the next month.
- Termination : the premium will be excluded for refunding in the first month
of termination, and will start to collect the premium after 1st in the next
until end of anniversary
Remark : the Premium rate for premium adjustment will be the same rate as
the policy anniversary . Not the rate for Policy renewal.
When is the latest period for Premium Payment ?
Grace period for renewal year, At least 31 Days from the policy anniversary.
In case of new Package policy, When cover period will be commenced after
the completion of document preparation ?
The Cover Period will be started in the next day after the completion of Premium
with Application and authority approval.
In case of In – Patient (admit in the contract hospital with AIA). If FCS (Fax Claim Service) is specified, Member will pay only the exceeding of coverage.
What should member do in case of the Group Privileged Card has been
lost ?
Member have to report to police and send the copy of police’s notice and
confirmation letter to AIA in order to issue the new Card.
Where can member apply for the Medical Examination in case of sum assurance adjustment ?
Depend on the most convenience ways for client, they can come to Medical
Center at AIA or Hospital in which have delegation doctor from AIA only.
In case of the age of member is over 65 year old, Could they apply for the
Insurance member ?
There are necessary to send the desirability letter to AIA and apply for the
Medical Examination. Otherwise, AIA will inform the final result after
considering.
When the policy number and certificate number will be informed to our
client ?
After the policy holder receive the policy number and certificate number listing
from AIA.
In case of Policy Termination & Member Death, How can member receive
the refund annuity ?
Client would get details from 2 ways, once is from the Boucher or directly
contact to our company.
How can I pay for the Premium ?
Premium Payment can be paid in different convenience ways, there are two
common ways for the premium payment, once is to pay as a cheque or pay
though the bank account.
What should member do in case of the resign or terminate member ?
Member must inform their purpose to the Account or Financial Dept of their
company first for document preparation before sending all essential document to
AIA.
Age range of member that can apply for Group Endowment.
16 – 54 years old.
Range of Single Premium that member can apply for ?
100 – 10,000 Baht/ month
What is the benefit for rider ?
- Death of accident with benefit 100,000
- Hospital Income 500 Bht/day, reason of admit both from accident or sickness
How many for minimum number of members need to apply for a
company ?
At least 30% of total company with monthly premium not less than 10,000
bht.
Can member applies for relatives ?
Member who already applied can also apply for his (her) spouse
If member resigns from the company at the 1st year, what he (she) will get ?
He (She) would get back 80% of the Single Premium at the 1st year, and
increasing on sequential year.
What is the exclusion benefit without payment under supplementary contract ?
No benefit shall be payable under this Supplementary Contract for any one of the
following occurrences:
- Pre-existing conditions for which the Insured Member received medical treatment, diagnosis, consultation or prescribed drugs during the ninety (90) days preceding the effective date of his coverage, unless the Insured Member affected by these conditions has been insured under this Supplementary Contracts for twelve (12) consecutive months.
- Self destruction or intentional self-inflicted Injuries or any attempt thereat conditions related to functional disorders of the mind including without limitation anxiety, depression, neuroses, psychosis, neurasthenia; drug addiction or alcoholism; communicable disease requiring isolation or quarantine under the law.
- Injuries arising directly or indirectly wholly or partly from war, declared or undeclared, revolutions or any warlike operations.
- Riot and civil commotion, strikes, terrorist activities or participation in brawl.
- Special nursing care; general physical or medical check-up or tests not incidental to treatment or diagnosis of an actual Sickness or Injury or any treatment which is not medically necessary; any dental treatment or surgery of any nature whatsoever except procedure necessitated by damage to sound natural teeth as a result of an Injury occurring during the period of insurance.
- Congenital anomalies; treatment occasioned by or resulting from pregnancy, childbirth, miscarriage or abortion or relating to birth control, sterilization of either sex, treatments pertaining to infertility.
- Cosmetic treatment or surgery for purposes of beautification or plastic surgery; non-medical personal services such as radio, telephone and the like; procurement or use of special braces, appliances or equipments.
- Drug purchase without doctor’s prescription or X-Ray examination or Lab test unless recommended by Registered Medical Practitioner for treatment of an illness or accident.
- General physical or medical check up eye refraction, fitting of eye - glasses.
- Rest cure or sanitaria care e.g. neurasthenia, anxiety state, neuritis, anaemia, insomnia, syncope.
- Treatment by any person other than a Register Medical Practitioner.
- Treatment of an optional nature e.g. anorexia, indigestion or dyspepsia, constipation, acne, congenital anomalies.
- Any Dental care or treatment or surgery, gingivitis unless necessitated by damage to sound natural teeth as a result of an accident.
What is the coverage for Daily Hospital Room & Board Benefit ?
Daily Room & Board will be consisted of
- Charge for Room
- Charge for Food
- Regular nursing services but not to exceed the daily maximum limitation.
What is the coverage for Surgical Fees charge ?
The fees will be covered surgical team including all assistance surgeon team.