Insurance form

PERSONAL INFORMATION
Name :

Contact :

Email :

Address :

Time to Contact :

I AM INTERESTED IN THE FOLLOWING PACKAGES
PLAN 1
PLAN 2

PLAN 1
Premium (including GST)
 One Year (Including Processing Fee) - $138.50
 Two Year (including processing fee) - $216.30
Package includes:
Section 1 - HOSPITALISATION & SURGICAL
In-Patient & Day Surgery Expenses
a) Room & Board
b) Intensive Care Unit
c) Hospital Miscellaneous Services
d) Surgical Fee
e) In Hospital Physicians Visits
f) Pre-Hospitalisation Diagnostic X-Ray & Lab Test – 90 days prior to Hospitalisation
g) Post Hospitalisation – within 90 Days following discharge from Hospital
LIMIT (PER INSURED WORKER)
In Any Licensed Hospital in Singapore
Reimbursement On as Charged Basis: Limit per Disability: S$15,000

Section 2 - REPATRIATION EXPENSES
Due to Accidents or Sickness Only:
UNLIMITED when services are provided by our appointed emergency medical assistance provider, HENG-GREF International Assistance Holding Pte Ltd (Tel: 62726018), otherwise limit of liability is $3,000 (per insured worker).

Section 3 – PERSONAL ACCIDENT (N.A.)

Section 4 - SPECIAL GRANT $3,000

PLAN 2
Premium (including GST)
 One Year (Including Processing Fee) - $158.20
 Two Year (including processing fee) - $255.60
Package includes:
Section 1 - HOSPITALISATION & SURGICAL
In-Patient & Day Surgery Expenses
a) Room & Board
b) Intensive Care Unit
c) Hospital Miscellaneous Services
d) Surgical Fee
e) In Hospital Physicians Visits
f) Pre-Hospitalisation Diagnostic X-Ray & Lab Test – 90 days prior to Hospitalisation
g) Post Hospitalisation – within 90 Days following discharge from Hospital
LIMIT (PER INSURED WORKER)
In Any Licensed Hospital in Singapore
Reimbursement On as Charged Basis: Limit per Disability: S$15,000

Section 2 - REPATRIATION EXPENSES
Due to Accidents or Sickness AND Due to Any cause
UNLIMITED when services are provided by our appointed emergency medical assistance provider, HENG-GREF International Assistance Holding Pte Ltd (Tel: 62726018), otherwise limit of liability is $3,000 (per insured worker)

Section 3 – PERONAL ACCIDENT (PER INSURED WORKER)
a) Accident Death $10,000
b) Permanent Disablement $10,000
c) Medical Expenses $1,000

Section 4 - SPECIAL GRANT $3,000

Enreach Employment

Address:
135 Jurong Gateway Road, #05-317, S(600135)
Tel:Tel:(+65) 6665 3825
Fax:Tel:(+65) 6665 0969
Email:jobs@nation.sg
EA License No:09C4745
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