Claims | Pru Life UK Philippines (2024)

• For living benefit, the life insured or policyowner can file a claim.

• For death benefit, a beneficiary of legal age or a minor beneficiary’s guardian can file a claim.

Requirements are different for each type of claim.

A.Death claim

1. Standard requirements

   1. One (1) Beneficiary Claim Form per beneficiary

      Download Claimant Statement - Death Claim

   2. Death certificate of the Life Insured

   3. One (1) valid government-issued photo ID of the beneficiary

2. Other conditional requirements (as applicable)

   1. For claims for policies that have been active or reactivated/reinstatedwithin two years:

      • Attending Physician’s Statement

        Download Attending Physician's Statement - Death Claim

      • Complete medical records or health history of the deceased (may be requested from hospitals or clinics that attended to the deceased)

      • Admission and discharge summary

      • Consultation record of present and past illness, if any

      • Clinical abstract, if any

      • Diagnostic procedure results (e.g. ECG, biopsy, blood test, ultrasound, MRI, any endoscopy procedure, x-ray), if any

      • Hospital Confinement records of present and past illness, if any

      • HMO utilization report, if any

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   2. Forminor beneficiary(less than 18 years old):

      • Birth certificate of the minor beneficiary

      • Affidavit of legal guardianship for claim proceeds less than PHP 500,000 or USD 10,000 (The form for Affidavit of legal guardianship is provided by us once claim is approved)

      • Guardianship bond for claim proceeds more than PHP 500,000 or USD 10,000

        
        For the guardianship bond, to seek legal assistance to submit the following requirements:

        - Petition for the approval of a guardian’s bond;

        - Court order approving the issuance of a bond; and

        - A guardian’s bond.

   3. Ifdeath is by external causes(e.g., accident, homicide, suicide, murder):

      • Certified true copy of the Final Investigation report of police authorities or National Bureau of Investigation

      • Driver’s license and vehicle registration if the Deceased was driving a vehicle at the time of death

      • Certified true copy of Medico-Legal Report or Autopsy Report, if any

      • Police report/Incident report if death is due to accident

   4. If thepolicy has been assigned:

      • If the related loan has no outstanding balance at the time of death, duly signed Release of Assignment from the Assignee

      • If the related loan has an outstanding balance, certification of outstanding indebtedness (signed by the Assignee) of the Deceased at the time of death. The assignee must also submit the Claimant Statement and a valid government-issued photo ID.

   5. ForGroup Yearly Renewable TermorGroup Personal Accident

      • Employer’s Certification

   6. ForMortgage Redemption Insurance(MRI)

      • Certificate of Coverage of Group Creditor Life Insurance

      • Certificate of Outstanding Loan from Creditor on the amount of loan outstanding at the time of death

   7. ForField Trip Coverage

      • Field trip certificate from school

      • Incident or police reporteath

B. Medical claim(for accident or hospital income claims)

1. Additional mandatory requirements based on type of claim

   1. For Daily Hospital Income/Intensive Care Unit

      • Hospital Statement of Account with admission and discharge date

      • Clinical Abstract

   2. For Accidental Medical Reimbursem*nt

      • Incident Report/Police Report describing the accident

      • Official receipts related to the treatment of the injury and within 30 days from date of accident

      • Prescription of the medicines used during treatment

   3. For Surgical Expense Benefit

      • Record of Operation

      • Original Official Receipt related to the surgery or procedure

2. Standard requirements

   1. Hospitalization and Reimbursem*nt Claim form

      DownloadHospitalization and Reimbursem*nt Claim form

   2. Attending Physician’s Statement

      Download Attending Physician's Statement

   3. One (1) valid government-issued photo ID of the claimant

3. Other conditional requirements

   1. ForDengue

      1. Any of the following confirmatory laboratory test results on Dengue:

         • Dengue Virus Antigen Detection (NS1); or

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         • Dengue IgM (MAC-ELISA); or

         • Thrombocyte count less than 100,000/mm², with hospital confinement as shown by:

           - admission summary and discharge clinical abstract summary, and

           - duly certified statement of account of hospitalization

   2. ForTyphoid

      • The diagnosis must be confirmed by the Life Insured’s attending physician, accompanied by any of the following confirmatory tests for Typhoid and Paratyphoid Fever:

        • Widal test for S typhi O values of more than or equal to 1/200;

        • Stool, Urine, Blood or Bone Marrow culture to detect Salmonella enterica serotype Typhi (S. typhi), or value> 7 from the results of the tubex test; or

        • Typhidot test

          • admission summary and discharge clinical abstract summary, and

          • duly certified statement of account of hospitalization

   3. ForMeasles

      • Thediagnosis must be confirmed by the Life Insured’s attending physician, accompanied by the following confirmatory test for Measles:

        • The diagnosis must be confirmed by the Life Insured’s attending physician, accompanied by the following confirmatory test for Measles:

          • Measles (Rubeola) IgM antibody

   4. ForMalaria

      • Thediagnosis must be confirmed by the Life Insured’s attending physician, accompanied by the following confirmatory test for Measles:

        • Peripheral smear for Malaria parasites (MP test)

   5. If theclaimant isor the event happened outside the Philippines

      • All forms and proofs of claim obtained outside the Philippines must be in English and apostilled or duly authenticated by the Philippine Embassy or Consul of the country where the event happened.

      • Medical records from a hospital located abroad do not require authentication by the Philippine Embassy located in the foreign country. Apostille mark or stamp for medical records is accepted.

   6. If theclaimant is a legal entity

      • Secretary’s Certificate confirming the board resolution authorizing the company representative

      • General Information Sheet

      • One (1) valid government-issued photo ID of the representative

C. Critical Illness claim(for major disease claims)

1. Standard requirements

   1. Claimant Statement

      Download Claimant Statement - Critical Illness

   2. One (1) valid government-issued photo ID of the claimant

   3. Complete Medical Records supporting the critical illness diagnosis (duly certified by the issuing hospital/institution):

      • Admission and Discharge Summary;

      • Clinical Summary and Abstract;

      • Diagnostic procedure results supporting the diagnosis (e.g. ECG, biopsy, blood test, ultrasound, MRI, any endoscopy procedure, x-ray, etc..)

      • History Sheet: Contains the chief complaint, personal and family history (past and present)

2. Additional requirements based on type of illness

   1. For cancer

      • Attending Physician’s Statement – Crisis Cover (Cancer, Terminal, or Other Illnesses

        DownloadAttending Physician’s Statement – Crisis Cover Cancer Terminal or Other Illnesse

      • Biopsy and/or histopathology results

      • If leukemia, bone marrow diagnostic result

   2. For stroke

      • Attending Physician’s Statement – Crisis Cover (Stroke)

        DownloadAttending Physician’s Statement – Crisis Cover Stroke

      • CT scan or MRI result/s

   3. For heart attack

      • Attending Physician’s Statement – Crisis Cover (Heart Attack)

        DownloadAttending Physician’s Statement – Crisis Cover Heart Attack

      • All ECG Results and interpretations – Series

      • Cardiac enzyme – Troponin / CK-MB

      • Coronary angiogram result

      • Echocardiogram, if any

   4. For brain tumor

      • Attending Physician’s Statement – Crisis Cover (Cancer, Terminal, or Other Illnesses)

        DownloadAttending Physician’s Statement – Crisis Cover Cancer Terminal or Other Illnesses

      • All CT scan/s

      • Biopsy result, if any

      • MRI result/s

      • Record of operation, if any

   5. For renal failure

      • Attending Physician’s Statement – Crisis Cover (Renal Failure)

        DownloadAttending Physician’s Statement – Crisis Cover Renal Failure

      • BUN

      • Creatinine

      • Dialysis record (Certified True Copy)

      • Glomerular Filtration Rate (GFR)

      • Urinary Creatinine Clearance

      • Urinary Protein Determination

D. Total Permanent Disability and Accidental Disablement (TPD)

1. Standard requirements

   1. Claimant Statement

      Download Claimant Statement - Disability

   2. Attending Physician’s Statement

      DownloadAttending Physician's Statement - Disability

   3. One (1) valid government-issued photo ID of the claimant

   4. Activities of Daily Living

      • Complete Medical Records supporting the Disability (duly certified by the issuing hospital/institution):

      • Neurological Examination

      • Clinical Abstract for Confinement, if any

      • Certified True Copy of Record of Operation, if any

      • Employer’s Certification

      • SSS Certification on Total and Permanent Disability, if any

1. Via online

   • Start your claim by submitting to contactclaims@prulifeuk.com.ph.

2. Viayour agent

   • Your agent can help hand in your form and manage the process, so you don’t have to.

3. Viacustomer center

   • Drop your completed forms and relevant documents at acustomer service center.

1. Step 1: Start your claim
   • Complete the claims request form to let us know you're making a claim.
2. Step 2:Prepare your documents

   • Prepare the necessary forms and documents while you wait for our acknowledgement.

3. Step 3:Submit your documents

   • Submit your documents via email tocontactclaims@prulifeuk.com.ph.

4. Step 4:Receive your claim

   • Once approved, we’ll send your claim to you via fund transfer or Gcash.