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PEB/HR/MP/024 1 September 2003

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SOCSO AND INSURANCE CLAIM

TABLE OF CONTENTS

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INTRODUCTION PURPOSE RESPONSIBILITY FREQUENCY TERMINATION AND TERMINOLOGY PROCEDURE DETAIL 6.1 6.2 6.3 6.4 Claim Procedure for SOCSO SOCSO Claim Settlement Claims Procedure for Staff Insurance Insurance Claim Settlement

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RECORD REFERENCE

EXHIBITS 1. 2. 3. 4. 5. 6. 7. 8. 9. Exhibit HR/024-1 Exhibit HR/024-2 Exhibit HR/024-3 Exhibit HR/024-4 Exhibit HR/024-5 Exhibit HR/024-6 Exhibit HR/024-7 Exhibit HR/024-8 Exhibit HR/024-9

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DOCUMENT TITLE

Ref. No. Effective Date

PEB/HR/MP/024 1 September 2003

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SOCSO AND INSURANCE CLAIM

AMENDMENT PARTICULARS NO. DATE CERTIFICATE NO. REVISION

PEB/HR/MP/024 PLUS EXPRESSWAYS Ref. No. BERHAD Effective Date 1 September 2003 DOCUMENT TITLE SOCSO AND INSURANCE CLAIM

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INTRODUCTION 1.1 The procedures shall cover the administration and processing of the SOCSO claim. These procedures cover the Companys Group Term Life, Group Personal Accident and Group Hospitalisation & Surgical Insurance Policies and Social Security Organisation (SOCSO) coverage under the Employees Social Security Act.

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PURPOSE The purpose of this procedure is to give a guideline to the processing of the SOCSO and Insurance claim.

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RESPONSIBILITY 3.1 The HRD is responsible for the SOCSO and Insurance claim and enquiries on all related matters. The overall management must ensure that this procedure is strictly adhered to.

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FREQUENCY This procedure is to be observed when handling SOCSO and insurance claim.

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TERMINOLOGY AND ABBREVIATIONS SOCSO HRD HOD Social Security Organisation Human Resources Department Head of Department/Division

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PROCEDURE DETAIL 6.1 Claim Procedure for SOCSO i. The HOD is to inform HRD of all accidents or deaths of staff in the course of employment with the company.

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When making a claim with SOCSO, HRD has to submit the following documents to the local SOCSO office : a. Employment Injury Scheme (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) b. SOCSO Form 21 (Exhibit HR/024-1) SOCSO Form 10 (Exhibit HR/024-2) SOCSO Form PKS (F) 1 Pin 1/91 (Exhibit HR/024-3) Original Police Report Original Medical Certificate Photocopy of Identity Card Photocopy of Duty Roster/Punch Card Photocopy of Salary Statement Photocopy of SOCSO Monthly Contribution Report Map of Place Accident Occurred

Permanent Disablement Benefit (i) (ii) (iii) (iv) (v) (vi) SOCSO Form 10 (Exhibit HR/024-2) SOCSO Form PKS (P) 6 Pin 1/91 (Exhibit HR/024-4) SOCSO Form PKS (F) 1 Pin 1/91(Exhibit HR/024-3) Original Medical Report Photocopy of Police Report A written application to SOCSO Local Office for reference to the Medical Board

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Invalidity Pension Scheme (i) (ii) (iii) (iv) (v) (vi) (vii) SOCSO Form PKS : (F) 41 Pin .1/91 (Exhibit HR-024-5) SOCSO Form PKS : (F) 43 Pin. 1/91 (Exhibit HR-024-6) Photocopy of Identity Card Photocopy of Birth Certificate Original Medical Report Photocopy of Salary Statement Photocopy of Socso Monthly Contribution Report

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Fatal Case (i) (ii) SOCSO Form 21 (Exhibit HR-024-1) SOCSO Form PKS (F) 1 Pin 1/91 (Exhibit HR/024-3) (iii) SOCSO Form PKS (F) 43 Pin 1/91 (Exhibit HR/024-6) (iv) Photocopy of Identity Card (v) Photocopy of Duty Roster/Punch Card (vi) Map of Place Accident Occurred (vii) Original Police Report (viii)Approval Letter for Funeral (ix) Original Death Certificate (x) Photocopy of Beneficiaries I.C./Birth Certificate (xi) Photocopy of Medical Report (if relevant) (xii) Original Funeral Receipt (xiii)Photocopy of Salary Statement (xiv)Photocopy of SOCSO Monthly Contribution Report Where the deceased employees does not leave any spouse or child, the following additional documents are required: (i) (ii) Photocopy of Identity Card/Birth Certificate of every sibling. Photocopy of Identity Card of each parent or guardian or grandfather and/or grandmother.

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Survivor Pension Scheme (Death Due To Illness) (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) SOCSO Form 24 (Exhibit HR/024-7) SOCSO Form 26 (Exhibit HR/024-8) SOCSO Form PKS (F) 43 Pin 1/91(if relevant) (Exhibit HR024-6) Photocopy of Appointment Letter Photocopy of Salary Statement Death Certificate Marriage Certificate (if relevant) Photocopy of Widow Identity Card (if relevant) Photocopy of All Children Identity Card/Birth Certificate (if relevant)

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(x) (xi) (xii)

Photocopy of Parents/Guardian or Grandparents Identity Card (if relevant) Photocopy of Identity Card/Birth Certificate of the deceased employee (if relevant) Photocopy of Birth Certificate of Younger Brothers and Sisters (if relevant)

If an employee or his/her dependents are not satisfied with the decision made by SOCSO an appeal can be made to the Social Security Appellate Board. They can be represented by a lawyer, a trade union representative or any person authorised by the Board. An appeal can be made by completing Form A (Exhibit HR/024-9) and sending it to the respective appellate board. Once HRD receive complete documents, a cover letter together with the relevant documents will be submitted to SOCSO for further action. The photocopy of the cover letter will be sent to claimant and supervisor as a proof of processing. 6.2 SOCSO Claim Settlement 6.2.1 SOCSO will pay the compensation for the temporary disablement, permanent disablement and death directly to the injured employee. 6.2.2 An employee on SOCSO leave will be paid in full as per his salary by the Company upon Company discretion. 6.2.3 For fatal cases, the dependents benefit and funeral benefit will be paid to the next-of kin of the deceased. 6.2.4 All completed documents/data received will be key-in in the system and the file will be kept in their personal file for future reference. 6.3 Claims Procedure For Staff Insurance 6.3.1 The claims procedures for the INSURANCE are as follows: i. Group Term Life and Group Personal Accident

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The HOD is to inform HRD of all accidents or death of staff in the course of employment with the company. HRD will submit the following documents together with a cover memo for submission to the Risk Management Department.

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Group Term Life and Fatal Cases a. b. Photocopy of Appointment Letter Photocopy of Salary Slip

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Group Personal Accident a. b. Photocopy of Appointment Letter Photocopy of Salary Slip

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Insurance Claim Settlement 6.4.1 Once HRD receive the Receipt of Discharge, Hold Harmless Agreement and the Cheque for beneficiaries which is payable to the Company, HRD will submit the cheque to Accounts Department together with a cover memo and carbon copy to Treasury Department for banking purposes. 6.4.2 The Receipt of Discharge and Hold Harmless Agreement will be sign by HRD (HOD) and send to Risk Management Department with the official covering memo. 6.4.3 When the cheque is ready under the beneficiaries name, HRD will forward the cheque together with the letter of acknowledgement to be sign by the beneficiaries as a proof of his/her has receive the cheque. 6.4.4 The photocopy of the letter of acknowledgement will be sent to the HOD as a proof of processing. 6.4.5 All completed documents/data received will be key-in in the system and the file will be kept in their personal file for future reference.

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RECORD

PEB/HR/MP/024 PLUS EXPRESSWAYS Ref. No. BERHAD Effective Date 1 September 2003 DOCUMENT TITLE SOCSO AND INSURANCE CLAIM

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All documents related will be kept in Employee Personal File (Procedure Ref. No. PEB/HR/MP/007).

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REFERENCE 8.1 8.2 Procedure Ref. No. PEB/RMD/MP/002 Procedure Ref. No. PEB/ACC/MP/012

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