Dai-ichi Life Insurance (Cambodia) PLC.

  • ​How to Make a Claim

Inform Dai-ichi Life Insurance (Cambodia) about the Claim:

  • Upon the occurrence of an insured event, Beneficiary(ies) or Claimant(s) shall provide information and evidence to Dai-ichi Life via our Financial Advisor/Financial Planner, or our Call Center via (+855) 23 955 333/1800 201 202 (free of charge), or Dai-ichi Life Customer Service Center, or Claim Department at Head Office of Dai-ichi Life Insurance (Cambodia) PLC. or by email claim@dai-ichilife.com.kh from Monday to Friday, from 8:00 am – 5:00 pm (except on public holidays)

Documents required

  • The claimant will be asked to submit the following documents:
    • Claim Request Form
    • Original Life Insurance Certificate
    • Copy of Death Certificate or Confirmation Letter​ about Total and Permanent Disability (TPD) issued by hospital or competent authority
    • Copy of ID Card/passport and family book, birth certificate, marriage certificate, or other supporting documents that prove relationship between the Life Insured and the Beneficiary/Claimant
    • Copy of Police report​ (if any)
    • Medical report​​ from doctor in case of death in the registered hospital or registered clinic
    • Consent Letter of Beneficiary or Heir to Disclose Personal Data
    • Consent Letter for the Disclosure of Information Related to Medical History (If any)
    • Confirmation letter or other documents are required if they are important for claim evaluation process. The cost(s) for obtaining such documents will be borne by the claimant(s)Copy of Autopsy examination report (if any).
No Form Remark
1 Claim Request Form Download Form
2 Consent Letter of Beneficiary or Heir to Disclose Personal Data Download Form
3 Consent Letter for the Disclosure of Information Related to Medical History Download Form
4 Claim Form for Injury /Critical Illness Download Form
5 Physician Report Download Form

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