Increase or include benefits / Medical plan conversion / Appeal for loading or exclusion

Investment-linked application form for Benefit Alterations

We would like to highlight the following for forms marked with (#) as below:

Request For Contractual Changes With Health Declaration (PSF02)         

For Investment-linked policy,         

  1. the effective price of the insurance charges of the  benefit/rider(s) alteration will be based on the policy's monthlyversary date.           
  2. the expected outcomes of the sustainability test will be provided within 14 days after the fully completed application is received.          
  3. for any alteration(s) which may increase the policy's insurance charges, the policy's Total Investment Value ("TIV") may not be sufficient to sustain your policy up to full contractual term/maturity date.

Forms:

Type of service request Forms
  • Inclusion of Benefits (Traditional policies)* 
  • Increase in Sum Assured (Traditional policies)* 
  • Inclusion of Benefits (Investment-Linked policies)*
  • Increase In Sum Assured (Investment-Linked policies)*
  • Inclusion/Conversion Of Critical Illness (Investment-Linked policies)*
  • Special Conversion-Upgrade/Downgrade (Standalone Medical Plan)*
  • Appeal To Reduce/Waive Health Extra And/Or Exclusion*
  • Note: For Simplified Cancer Plans (Plan Code 0443 and 0534), please use Request for Contractual Changes with Health Declaration (Simplified Cancer Plans) form.

Request for Contractual Changes with Health Declaration#

 

Request for Contractual Changes with Health Declaration (Simplified Cancer Plans)

Only form for service request marked with (*) can be submitted via email. For service request/claims forms which are to be posted to us, please send to:

Menara Great Eastern
Level 4, No. 303 Jalan Ampang
50450 Kuala Lumpur 

Online submission via eConnect web portal is available for the following service request:

  • Change of payment method/ payment frequency
  • Request for auto-debit of renewal premium from credit/debit card
  • Perform fund switch for investment-linked policy (not applicable for ex-OACM policy)
  • Updating of bank account number for direct credit