Appendix

Details of Coverage & Processing Claims via AXA

No. Insured Coverage Documents Required Steps

event
1 Accidental S$100,000 A copy of the Death
Death Certificate
Accident report,
investigation report
and/or Police Report
Post Mortem Report,
if any
Medical reports,
Regular doctor
reports, if any

2 Permanent S$100,000 Admission/Discharge

Disablement Report for 1. Submit your claims online:
Hospitalization https://www.axa.com.sg/customer-
claims only care/file-a- claim
Medical reports,
Regular doctor 2. Submit your claim forms with all
reports supporting documents to:

3 Daily S$50 A copy of the AXA Insurance Pte Ltd

Hospital per day Admission/Discharge 8 Shenton Way, AXA Tower
Allowance Report indicating the #01- 21/22 Singapore 068811
date and time of
admission & Tel: 1800 880 4888
discharge (Within Singapore)
A copy of Medical
reports, Regular or
doctor reports
(+65) 6880 4888
4 Temporary S$25 Proof of employment (Calling in from overseas)
Total per day A copy of the
Disablement Medical Certificates Fax: (+65) 6880 5501
Admission/Discharge
Report for
Hospitalization
claims only
Medical reports,
Regular doctor
reports

5 Accident S$200 Original medical

Medical per year invoices and receipts
Expenses Admission/Discharge
Report for
 Hospitalization
claims only
Medical reports,
Regular doctor
reports

6 Personal S$30,000 Incident Report 1. Notify insurance upon discovery

Liability* per Police Report of event & police
accident Colour Photos of (if crime is involved)
damaged property
and location 2. File claim:
CCTV footage https://www.axa.com.sg/customer-
showing care/claim- forms/liability
circumstances of
incident 3. Submit claim forms to address
Assessment Report to:
from repairer on the
cause and extent of AXA Insurance Pte Ltd
the property damage 8 Shenton Way, AXA Tower
At least 2 #01- 21/22 Singapore 068811
Repair/Replacement
Quotations Tel: 1800 880 4888
Purchase (Within Singapore)
invoice/receipt of
damaged property or
Tenancy and/or
Contract Agreement (+65) 6880 4888
with independent (Calling in from overseas)
contractors (where
applicable) Fax: (+65) 6880 5501
Third party
claimants letter of
intention to claim,
Writ of Summons,
etc
*
Property Damage & Third-Party Injury arising from the usage of various Personal Mobility Device