Malaysia Insurance Online
Your Trusted Malaysia Insurance Services Provider
Insurance News & Resources
Personal Insurance Plans
Corporate Insurance Plans
Contact
About
Insured's Details
Campaign ID
(leave it blank if not applicable)
Start Coverage on...
(renewable annually)
Name as per NRIC
NRIC
-
-
Nature of Work
Contact No:
(e.g: 012-1234567)
Email:
Mailing Address:
Postcode
Nomination Details
1st Nominee
Name as per NRIC
NRIC
-
-
Relationship
(e.g. Spouse)
Share Percentage
% (100% if there's no second nominee)
Mailing Address:
2nd Nominee (if any)
Name as per NRIC
NRIC
-
-
Relationship
(e.g. Spouse)
Share Percentage
% (100% if there's no second nominee)
Mailing Address:
All payments are made directly to
the underwriting Insurance Company.
RM510.00
(inclusive of stamp duty)
Benefits (RM)
Plan 3
Identity Theft - To Recover Credit Worthiness
30,000
Identity Theft - To Recover Lost Wages
15,000
Identity Theft - Fraudulent Charges
15,000
Loss of Cash & Personal Valuables - Due to Theft or Robbery (lump sum per event)
5,000
Medical Reimbursement - For treatment of injury due to Snatch Theft or Robbery
10,000
Accidental Death & Disablement (AD&D) (lump sum)
100,000
Double Indemnity on AD&D due to Snatch Theft or Robbery
200,000
ATM Withdrawal Protection - Reimbursement Basis
5,000
Home Protection (Burglary)
50,000
Key Replacement Cover
2,000
$act=1; include "gc_formmail.php"; ?>