Get Universal Life Claim Form

Filing a Universal Life Claim Form online can streamline the process of obtaining insurance benefits. This guide offers a step-by-step approach to help you accurately complete the form and submit your claim efficiently.

Follow the steps to successfully complete the claim form.

1. Press the ‘Get Form’ button to acquire the Universal Life Claim Form and open it in the online editor.
2. In section 1, provide the member's and patient's details. This includes the member's name, passport or ID number, membership number, and contact information. Ensure that you fill in both member and patient sections correctly.
3. In section 2, indicate if payment should be made to someone other than the member, such as the patient's guardian. Provide the necessary banking details and signature of the subscriber.
4. If treatment occurred outside Cyprus, complete section 3 by answering questions regarding the country of treatment, reason for being abroad, and relevant travel dates.
5. Section 4 requires you to confirm whether you are claiming cash benefits for in-patient treatment. If applicable, include the required admission and discharge forms from the hospital.
6. Proceed to section 5, where you state details about other insurers, if any, and whether the treatment is accident-related.
7. In section 6, your medical practitioner must fill out all fields to provide details regarding the patient's medical condition, including treatment history and diagnostic information.
8. Finally, for section 7, the medical practitioner should include the hospital or clinic information, including admission and discharge dates.
9. Complete section 8 with the medical practitioner's declaration and signature.
10. Once all sections are completed and signed by both the member and the medical practitioner, you can save the changes, download, print, or share the form as necessary.

Start filling out your Universal Life Claim Form online today for a smoother claims process.