Coverage period
Coverage starts from the first day of the customer's successful registration for the package and successful registration for the proposed insured.
When does the coverage begin and end?
Coverage ends when the customer changes package, cancels their number, transfers ownership, or completes their package period as specified (whichever occurs first). For example, if the customer receives privileges for 3 free billing cycles, subscribes to the package on December 1, 2021, and registers successfully on December 15, 2021, the coverage will begin on December 15, 2021, and will end on February 28, 2022.
I have already subscribed to this package. Can I choose the coverage date myself, or not?
This is not possible, as the coverage will become effective automatically from the date the customer has applied for the package and registered successfully.
Juristic persons applying for this package have multiple phone numbers. What is the maximum number of policies available for coverage?
Registration for this privilege must be made in the name of a natural person who shall be entitled to 1 number/1 policy/1 ID card. As such, free privileges shall apply to 1 ID card only throughout the project period.
If a customer applies for a package with multiple numbers, other ID cards shall be provided for registration for policy privileges.
If the customer switches networks during the coverage period, will the policy remain effective?
The Company reserves the right to provide this coverage for AIS customers only. In the event that the customer switches networks to another service provider, the remaining coverage will be terminated immediately and without prior notice.
How many days does it take to claim compensation?
The processing time for claims payments is 7-10 business days after receipt of all relevant documents.
What documents are customers required to provide in order to claim payment?
In the case of claims for health and accident compensation or medical expenses:
- Original receipt showing medical expenses.
- (In the case that the original receipt is for combined or total items, a statement of expenses or summary of the statement page is required.)
- A medical certificate clearly stating the name of the illness/injury, accident occurrence, symptoms and location of symptoms or condition, as well as the duration of treatment.
- A copy of the police report for the case certified as a true copy by the investigating officer in charge of the case (if any).
- Copy of ID card or copy of government official ID card and copy of insurance card.
- Copy of front page of bank passbook (savings/current) of the insured.
- Claim Form (A01) click
- In the case of incomplete or insufficient documentation, the Company reserves the right to reconsider payment of compensation and the right to request that additional documents be submitted for continued consideration of the claim.
- The processing time for consideration and approval of claim payment is within 7-10 business days after receiving all documentation.
In the event of loss of life due to an accident
The following documents should be prepared:
- Copy of death certificate.
- Death registration or all previous medical history.
- Copy of ID card of the deceased.
- Copy of house registration certificate with notification of death of the insured.
- ID cards/copy of house registration of all beneficiaries (in the event that the beneficiary has reached the age of a major/adult).
- Copy of birth certificate, copy of house registration of minor beneficiaries/ and copy of house registration and ID cards of the beneficiary’s parents or legal guardians (in the event that the beneficiary is still a minor).
- Copy of passport (in the event that the beneficiary is a foreigner).
- Medical report form in the event of death or disability (A02).
- A copy of the police report for the case certified as a true copy by the investigating officer in charge of the case.
- Copy of the autopsy report certified as a true copy by the investigating officer in charge of the case (front and back).
- Court order appointing the administrator of the estate or order of statutory heirs (in the event the beneficiary is not specified in the policy or the beneficiary is specified as the legal heir).
- Others (if any)
- Copy of the investigation report on the body from the Institute of Forensic Medicine, Central Institute of Forensic Science (in the event of an autopsy).
- Summary of the case investigation.
- Newspaper report of the death.
- Trilateral committee certificate (administrative, military, police) in the case of terrorism.
- Copy of front page of bank passbook (savings/current) of the beneficiary.
- Claim Form (A01) click
Remarks:
- All copies of documents must be duly certified in all cases by the owner of the document or their statutory heirs or legal representatives.
- In the event that a name or surname does not match the information held by the Company, proof of name or surname change or the marriage certificate of the insured or their beneficiary must be provided.
- In the event that the beneficiary is a minor, the Company will allow the father, mother, or person appointed by the court as guardian to be the payee on behalf of the minor beneficiary.
- In the event that there is a single beneficiary and that beneficiary dies before or simultaneously with the insured, the Company shall allow the person appointed by the court as trustee for the insured to be the payee.
- In the event that there are multiple beneficiaries and some of the beneficiaries die before or simultaneously with the insured, and if the insured did not notify the Company of any change of beneficiary, compensation shall be paid to the remaining beneficiaries equally.
- The processing time for consideration and approval of compensation payment shall be within 15 days after receiving all documentation.
- If any of the documents listed above cannot be provided to the Company, the Company must receive written notification of such.
- For the Company's appropriate consideration.
What is your contact info in the event that a customer requires additional information about insurance or claims?
Customers can contact us for more information at Dhipaya Insurance Public Company Limited, Tel. 1736 (24-hour customer relations center)
Email: smeinsurance@dhipaya.co.th