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Forms

  • Pre Authorization Form

     

  • Change in Insured Status Form

    The above mentioned form is used for the deletion/termination of any employee or dependents from the insurance coverage. Moreover, it is also used for the up-gradation in benefit plan of the existing insured/employee.

  • Claim Form

    Form required for the submission of claim form .

  • Family Health Questionnaire Form

    This form is used for the addition/enrollment of the employee/spouse/children’s and parents in the policy for the insurance coverage. This form is required for those policies where pre-existing conditions are not covered or disclosed conditions are covered in the policy. In both scenarios, employee would have declared his current medical condition in this form. If he/she has disclosed, then we will cover/regret his/her pre-existing disease according to the policy terms & conditions and if he/she has not disclosed, then we can decline the claim relating to it.



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  • Family Enrollment Questionnaire Form

    This form is also used for the addition/enrollment of the employee/spouse/children’s and parents in the policy for the insurance coverage but they don’t need to declare their medical history on the form because this form is used only for those policies were un-disclosed conditions are covered. Therefore, they just have to mention the basic details like Name, DOB, CNIC, and Plan in the FEQ form.

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