Details of Insurance Package

Coverage in case of Death

Up to 600,000 Baht*

Receive Coverage for Life at 2 Times of Compensation

Of sum insured in case of accident death.

Receive Coverage for Life at 3 Times of Compensation

Of sum insured in case of public accident death.

Receive Surgeon Fee at 100%

Within the benefit limit

Receive the right to purchase the additional coverage

  • Outpatient medical expense benefit (OPD)
  • Dental care expense
  • Critical illness coverage

The additional privilege

shop discount joining in Muang Thai Smile Plus Program

  • Insurable age from 15 – 65 years
  • Organization or business unit registered as juristic person
  • All employees must be insured under the Social Security System
  • All employees must apply for insurance

*For Plan 6

LIFE INSURANCE CLAIMS

Natural Death or Death due to Illness

Procedures Required Documents
  1. Inform MTL within 14 days from the date that the insured passes away.
  2. Send claim evidence within 30 days from the date that the insured passes away.
  1. Cover letter of death claim request from life insurance with submission of document for the insured
  2. Copy of death certificate
  3. Copy of ID card of the deceased and the beneficiary (if specified)
  4. Copy of house registration of the deceased and the beneficiary (if specified)
  5. Copy of death certificate from the health care provider
  6. Copy of subscription card identifying the beneficiary (if available)
  7. Beneficiary’s Declaration: is the form of a document sent by MTL upon notification of death
    • Identified Beneficiary Case: the beneficiary signs the document.
    • Unidentified Beneficiary Case: the policyholder’s authorized person signs the document, together with the company stamp.
  8. Evidence of latest salary or evidence of latest social welfare contribution

Death from Accident or Murder

Procedures Required Documents
  1. Inform MTL in writing as soon as possible.
  2. Send claim evidence within 30 days from the date that the insured passes away.

All 8 documents required in case of natural death:

  1. Copy of daily police report
  2. Copy of autopsy report
  3. Copy of autopsy report (laboratory examination) issued by the Institute of Forensic Medicine, Office of the Surgeon-General, Royal Thai Police

Total Permanent Disablement From Accident 

Procedures Required Documents
  1. Inform MTL in writing within 30 days from the date of the accident or 180 days commencing from the date the disability incurred.
  2. Deliver the claim evidence within 90 days from the date the dismemberment or disability occurred.
  1. Insured’s disability claim letter
  2. Copy of the ID card of the disabled person and the beneficiary (if specified)
  3. Copy of the house registration of the disabled person and the beneficiary (if specified)
  4. Evidence of latest salary or evidence of latest social welfare contribution
  5. Beneficiary’s declaration
  6. Medical certificate confirming of total and permanent disability
  7. Copy of medical treatment record (all records)

HEALTH INSURANCE CLAIMS

Inpatient (IPD) Medical Treatment – Hospitals in the Network

Procedures Required Documents
  1. Present Muang Thai Health Care card with ID card to the hospital upon admission.
  2. Sign Pre-certification Form A.
  3. Receive appropriate medical treatment and based on physician’s order.
  4. Hospital informs of medical expense amount exceeding the entitled benefit on the date of hospital discharge (if any).
  5. Pay such excess medical expenses (if any).
  1. Muang Thai Health Care card
  2. ID card or other official identification cards such as a driving license or passport

Outpatient (OPD) Medical Treatment – Hospitals and Clinics in the Network

Procedures Required Documents
  1. Present Muang Thai Health Care card with ID card to the hospital upon admission.
  2. Receive medical treatment according to injury/illness.
  3. Hospital inform of medical expense amount exceeding the entitled benefit (if any).
  4. Pay such excess medical expenses (if any).
  1. Muang Thai Health Care card
  2. ID card or other official identification cards such as a driving license or passport

IPD & OPD Medical Treatment – Hospitals and Clinics outside the Network

Required Documents
  1. Receive medical treatment according to injury/illness.
  2. Pay all treatment expenses in full.
  3. Submit claim evidence to your organization’s human resources department.
  4. Wait for reimbursement.
  1. Claim summary report (prepared by your human resources department)
  2. Medical certificate (original copy)
  3. Receipt (original copy)