• Submitting Policy Changes

Submitting Policy Changes

This can be done if there is a change of data shown on the policy. For additional insurance changes will be required Insurance Health Statement and Policy Holder and Including Additional Insurance Letters SQLPR, SQMR & SQEPCIP / EPCIP (special application for additional critical critical illness insurance for women)

Policy Change Procedures:

  1. Fill out and sign the attached Policy Application Form.
  2. Fill out and sign the Insured Health Statement Form and Policyholder attached (for additional insurance change)
  3. Fill out and sign the additional SBPR, SQMR & SQEPCIP / EPCIP Insurance Request Letter (enclosed) for additional critical injection inllness for women).
  4. Attach copies of valid ID cardholders (KTP / SIM / Passport), or other supporting documents (if required)
  5. Submit the document to the marketing office / Regional Service Center / National Service Center

Forms:

Submitting Policy Changes Form

Health Declaration of Insured & Policyholder Form

Sequis Services

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