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FleXi PERSONAL ACCIDENT

TABLE OF BENEFITS

ITEM BENEFITS PLAN 1 PLAN 2 PLAN 3 PLAN 4 PLAN 5
1

Accidental Death or Permanent Disablement - Pays the Principle Sum Insured in the event of Accidental Death. In the event of Permanent Disablement due to accident, pays up to the Principal Sum Insured as per the schedule of benefits.

 RM100,000 RM200,000 RM300,000 RM500,000 RM1,000,000

OPTIONAL ITEMS (2, 3 & 4) THAT CAN BE ADDED :-
2

MEDICAL REIMBURSEMENT - This optional benefit will reimburse the insured as a result of an accident incurred within 52 weeks from the date of accident. This benefit will reimburse medical expenses inclusive of hospital room and board, clinical outpatient, surgical treatment due to accident and also including the following:

  1. Medical & Post Mortem Report Fees (up to RM150)

  2. Ambulance Fees (up to RM500)

  3. Malaria, Dengue or Japanese Encephalitis (up to full amount of benefit)

 RM5,000 RM6,000 RM7,000 RM8,000 RM10,000
3

WEEKLY INDEMNITY - This optional benefit will pays up to 52 weeks if the insured is unable to attend to work in the event of temporary total or temporary partial disability due to an accident as certified by a registered medical practitioner.

  1. Temporary Total Disability

  2. Temporary Partial Disability

  1. RM100

  2. RM50

  1. RM150

  2. RM75

  1. RM180

  2. RM90

  1. RM250

  2. RM125

  1. RM350

  2. RM175
4

DAILY HOSPITAL INCOME - This optional benefit will pays up to 120 days in the event the insured is hospitalised for more than 12 hours as a result of an accident.

 RM100 RM120 RM150 RM180 RM250

 

TABLE OF ANNUAL PREMIUMS

ITEM BENEFITS PLAN 1 PLAN 2 PLAN 3 PLAN 4 PLAN 5
Occupational Class
Class 1 & 2 Class 3 Class 1 & 2 Class 3 Class 1 & 2 Class 3 Class 1 & 2 Class 3 Class 1 & 2 Class 3
1 Accidental Death or Permanent Disablement RM130 RM208 RM240 M384 RM330 RM528 RM550 N/A RM1,050 N/A

OPTIONAL ITEMS (2, 3 & 4) THAT CAN BE ADDED :-
2 MEDICAL REIMBURSEMENT RM60 RM96 RM72 RM116 RM84 RM135 RM96 N/A RM120 N/A
3 WEEKLY INDEMNITY

RM70

 RM112

RM105

 RM168

RM126

 RM202

RM175

 N/A

RM245

 N/A
4 DAILY HOSPITAL INCOME RM14 RM22 RM17 RM27 RM21 RM33 RM25 N/A RM35 N/A

Note:

  1. Please add RM10.00 as Stamp Duty to the above quoted Annual Premium.

  2. If payment is made by a company/corporation, an additional 5% Service Tax on the above rates will apply. 

If you wish to apply for the FleXi PERSONAL ACCIDENT coverage, just follow the following instructions:-

1. OBTAIN A PROPOSAL FORM
  • You can print a proposal form by clicking here ; or
  • Request a proposal form via email and we will email you the proposal form; or
  • Call/SMS 012-6597262 for a proposal form.
2. SUBMIT THE PROPOSAL FORM AND MAKING PAYMENT
You may choose any of the following ways to submit your completed form:-
  1. By FAX - Koo Agency Fax No.: 03-80249046; or
  2. By POST - Mail to Koo Agency, AS-00-04, SP Goodyear Court 10, 47630 Subang Jaya

You may also choose your preferred way of payment as follows:-

  1. By CREDIT CARD (Visa or MasterCard) - Print a copy of this "Credit Card Instruction Form" and enclosed the completed form together with the proposal form; or
  2. By CHEQUE - Enclosed your payment cheque together with the proposal form. Kindly make cheque payable to "Malaysian Assurance Alliance Berhad"; or
  3. By DIRECT BANK-IN or ONLINE TRANSFER - Direct bank-in or online transfer to either i) Koo Agency MAYBANK Account No.: 5123-611-44-193 or ii) Koo Agency ALLIANCE BANK Account No.: 1211-800-1000-4155. If by bank-in, please fax a copy of the bank-in slip together with the proposal form.

PAYMENT BY CASH IS NOT RECOMMENDED

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