Life insurance

Insured case. What to do ?

Upon occurrence relating insurance case:

Contact JSIC “INGO Ukraine Life” by any means available (by phone, fax, e-mail).
The notice should contain the following data:
• Contract number

•
Full name of the Insured Person

• Date of occurrence

• Preliminary diagnosis
• Contact data (phone number, postal address, e-mail)
For corporate clients, it is required to contact their contract manager or our Sales Department by calling +38 044 364 90 70, +38 044 354 01 31, 0 (800) 305 553
It is required to provide a filled-out indemnity claim application attaching the required documents.

Indemnity claim form

The list of required documents upon occurrence under the life insurance programs:

Original Policy / Insurance Contract;
Indemnity claim application with a detailed description of circumstances of the occurrence and indicating the indemnity payment method (via the Insurer’s cash office or by bank transfer indicating the bank details);
Industrial accident report (Form H1), if the accident occurred while the Insured Person performed its official duties;
Original certificate of the respective body of the Ministry of Internal Affairs, Ministry of Emergency Situations, fire inspection explaining the circumstances of occurrence (if necessary)
Copy of the identity document (passport) of the beneficiary (first, second page and the page with domicile registration);
Copy of the TIN certificate of the person receiving an insurance indemnity;

Upon occurrence relating to the death of the Insured Person:

original death certificate of the Insured Person or its copy, authenticated by the notary public or the authority issuing a certificate;
copy of the medical certificate of the cause of death;
certificate, issued by the healthcare facility, confirming the presence or absence of alcohol, drugs and toxic substances in blood of the Insured Person upon accident occurrence (if necessary);
copy of the court decision or ruling on initiating / terminating a criminal case (if necessary);
certificate of inheritance, which includes the indemnity (in case if the beneficiary was not assigned).

Upon occurrence relating to the onset of disability:

original or copy of the certificate of the Disability Determination Service (for minor Insured Persons – original or copy of the opinion of the medical consultation commission) on establishing a disability);
copy of the extract from the medical history of the Insured Person;
certificate, issued by the healthcare facility, confirming the presence or absence of alcohol, drugs and toxic substances in blood of the Insured Person upon the accident occurrence (if necessary);

Upon occurrence relating to the sick leave:

copy of the extract from medical history of the Insured Person and / or extract from the outpatient card and / or other medical certificates explaining the diagnosis;
copies of closed sick leave certificates authenticated by HR department with the stamp at the place of work of the insured person;
certificate, issued by the healthcare facility, confirming the presence or absence of alcohol, drugs and toxic substances in blood of the Insured Person upon the accident occurrence (if necessary);

Upon occurrence relating to the establishment of diagnosis of the critical disease for the Insured Person:

copy of the extract from medical history of the Insured Person;
copies of closed sick leave certificates authenticated by HR department with the stamp at the place of work of the insured person;
documents, issued by the healthcare facility, confirming that the Insured Person had surgery or disease resembling an occurrence. The documents should include the diagnosis proven by the laboratory, clinical, histologic, radiologic examinations generally accepted in medical practice or diagnosis of the relevant disease.

Upon occurrence relating to the survivorship of the Insured Person

Upon occurrence relating to the survivorship of the Insured Person to the completion date of insurance period or the age specified in the Insurance Contract, it is required to visit the Insurer in person or provide the Insurer’s representative with opportunity to acknowledge this fact.