Chubb Life Vietnam

• The Insurance Benefit Application Form must be completed fully and accurately.
• The original policy and all appendices, attachments and reference documents (if any) must be attached.

Death Insurance Benefit Claim File:

• A notarized copy of the death certificate of the Insured
• The cause of death report written by the insurance policy Beneficiary
• Copies of either notarized hospital exit documents or the notice of death of the Insured issued by the hospital
• Copies of the medical history of the Insured notarized by the hospitals that provided emergency service and treatment to the Insured
• Notarized copies of the result of the official investigation conducted by the authorities (if the death of the Insured was caused by an accident)

Total and Permanent Disability (TPD) Insurance Benefit Claim:

• Notarized copies of the final medical examination about the Insured’s TPD by the local Medical Appraisal Council (central, provincial or city office) executed six (6) months after the event that caused TPD
• Copies of the medical history of the Insured notarized by the hospitals that provided emergency service and treatment to the Insured
• Notarized copies of the result of the official investigation conducted by the authorities about the accident of the Insured (if the TPD was caused by an accident)

Hospital Stay Protection Insurance Benefit Claim:

• Notarized copies of hospital exit documents and/or documentation describing any operation performed upon the Insured
• Copies of the medical history of the Insured notarized by the hospitals that provided emergency service and treatment to the Insured
• Notarized copies of the result of the official investigation conducted by the authorities (if the hospitalization was due to an accident)

Death Benefit Advance Payment Claim:

• Medical certification by officially recognized competent doctors and hospitals, along with pertinent medical documentation predicting the demise of the Insured within the next 12 months
• Necessary medical examinations (as required by Chubb Life)

Critical illness (CI) Insurance Benefit Claim:

• Medical records and medical certificate by officially recognized competent hospitals, diagnosing critical illness of insured matched with definition in policy CI appendix.
• Specific medical documentation for critical illness.

If Policyholder has assigned a Beneficiary:

• Copy of the identity card and regular household book of the Beneficiary must be provided
• If the Beneficiary is a minor (below the legal age of maturity), the following are required: the assigning paper, copy of the identity card and regular household books, and any supporting documents evidencing the guardian’s right over the Beneficiary

If Policyholder has not assigned a Beneficiary:

• The applicant must fill out the Declaration of Kindred Relationship to the Policyholder using the form provided
• Evidence of kindred relationship to the Policyholder (e.g., birth certificate, marriage certificate, confirmation of the court, etc.) must be provided
• The assigning paper prepared by the legal heirs of the Policyholder (which allows the assignee to receive the insurance benefits) must be provided