Claim Forms

HOW TO FILE A CLAIM

To fie a claim, simply report the claim by:

  • Contacting your Servicing Agent or LifePlanning Partner
  • Visiting our Branch Office nearest your place
  • Calling Paramount Life Claims Department at the following contact nos.:
    • + 63 (2) 772 9200 | Locals : 1073 & 1005
    • Mobile No. +63917 594 0630
  • Mailing your notice to :
    • Paramount Life Claims Department
    • Paramount Life and General Insurance Corporation
    • Ground Floor, Sage House, 110 V.A. Rufino St., Legaspi Village, 1229 Makati City

 

Attending Physician's Statement DL button

Claimant's Authorization Letter DL button

Claimant's Statement DL button

Death & Disability Claim Forms DL button

Hospitalization Insurance Benefit Claim Form DL button
 

CHECKLIST OF HOSPITALIZATION CLAIM REQUIREMENTS

Hospitalization Claim

  • (Part I- to be accomplished by the Insured)
  • (Part II- to be accomplished by the Employer of the policyholder, as needed)
  • (Part III- to be accomplished by the physician)

Original or Certified True Copy of Hospital Bill

Original Official Receipts Covering Payment of Hospital Bills as Indicated in the Statement of     Account

Original Professional Fee Receipts

Original Official Receipts of Medicines Bought Outside of the Hospital but within the confinement period only

Record of Operation or Admitting History with Discharge Summary

Traffic Accident report Sketch (If cause of hospitalization was due to Vehicular Accident, to be secured at the Traffic Management Bureau)

Other Requirements, as needed

  • Photocopy of Driver’s License
  • Latest Payslip
  • Detailed Statement of Account if diagnosed with 2 or more illnesses
  • Photocopy of Policy Contract
  • Photocopy of 2 Valid IDs