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CHOICE OF PLANS & BENEFITS:




REIMBURSEMENT OF INDEMNITY PAID TO INSURER (OPTIONAL)

n the event that EQ nsurance Company Ltd. is required to make payment under the Security Bond required by Ministry of
Manpower, the Proposer will need only reimburse EQ nsurance Company Ltd. the "Excess amount, provided that the payment is
not caused by or resulting from the Proposer's breach of the conditions under the Security Bond. The "Excess amount will vary as
follows:

a) S$250/- if this extension of coverage is purchased when the insurance package is first arranged.
b) S$500/- if this extension is purchased mid-term but WTHN 30 DAYS of the policy inception date subject to a waiting period of
30 days from the date of inclusion of extension.





Section Coverage PIan 1 PIan 2 PIan 3 PIan 4
Limit Limit Limit Limit
1. Letter of Guarantee to Ministry of Manpower (MOM) $5,000.00
2. Personal Accident Please see (a), (b) & (c) below
(a) Death $40,000.00
(b) Permanent Disablement As per scale stated in the Policy
(c) Medical Expenses $1,000.00 $2,000.00 $3,000.00 $3,000.00
3. Hospital and Surgical Expenses (per policy year) $15,000.00 $15,000.00 $20,000.00 $30,000.00
4. Daily Benefit (Maximum 60 days) $20.00 per day $25.00 per day $30.00 per day $35.00 per day
5. Repatriation Expenses $10,000.00
6. Wages & Levy Reimbursement (Maximum 60 days) Up to $30.00 per day

7. Termination Expenses/Re-hiring Expenses $300.00 $350.00 $400.00 $500.00
8. Outpatient Kidney Dialysis/Cancer Treatment
(per policy year)
Not covered $2,500.00 $2,500.00 $5,000.00
9. Special Grant Not covered $1,000.00 $2,000.00 $3,000.00
10. Waiver of Counter ndemnity for Letter of Guarantee
to MOM only (Optional)
Waiver of $5,000.00 if bond is called but subject to an excess of
$250.00
11. Employer's Liability to Third Party $5,000.00 any one accident/in aggregate

12. Maid's Personal Belonging $300.00
13. Employer's Liability $5,000.00 any one accident/in aggregate

PREMIUM (incIuding GST)
14 months $184.58 $200.63 $224.70 $280.88
26 months $246.10 $267.50 $299.60 $374.50
Waiver of Counter ndemnity for Letter of Guarantee to MOM
(Excess of $250)
Optional with Additional Premium of $53.50 (incl. GST)
Philippines Embassy Bond a) $2,000.00 Bond: $53.50 (incl. GST)
b) $7,000.00 Bond: $107.00 (incl. GST)
NOTE:

n order for us to issue the Letter of Guarantee and policy , please ensure the following documents are in order:
a) Completed application form overleaf
b) Copy of n-Principal Approval (PA) or Renewal Letter from Ministry of Manpower
c) Cheque issued to AWG nsurance Brokers Pte. Ltd.
EQ nsurance Company Ltd.
22 Gemmill Lane
Singapore 069257
Tel: (65) 6223 9433
Fax: (65) 6224 3903
Underwritten by: Arranged by:

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