Department of Student Affairs (Kampar Campus)
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Insurance Claim

All UTAR local students are covered by a group personal accident policy with a minimum coverage as follows:

 

UTAR Student GPA Insurance Scope of Cover:

 

Against accidents due to violent, external & visible means round the clock anywhere in the world resulting death or permanent disablement in respect of the following persons: -

 

Insured Persons: All students of Universiti Tunku Abdul Rahman

 

No Item Compensation
for each insured person (RM)

1

Death

45,000.00

2

Permanent total disablement loss of one hand or both feet, and /or loss of sight of one or both eyes

45,000.00

3

Permanent total disablement by accident due to causes other than loss of limb or sight

45,000.00

4

Actual expenses reasonably and necessarily incurred for medical treatment by registered practitioner and funeral expenses.

3,000.00

 

In respect of traditional medical treatment, the compensation is limited to RM500.00

 

 

"HOW TO CLAIM INSURANCE"

The insurance claim forms can be obtained from the Department of Student Affairs (DSA) or download from here. Students are advised to inform DSA as soon as possible in the case of any accidents and to submit the claim form together with the original receipt to DSA as soon as possible. The claim will be disbursed to the student/family concerned after DSA has received the cheque from the insurance company. For more information, kindly contact the DSA officers at your respective campuses.

 

Note: In order for DSA to process the claims, students will need to settle any outstanding payments first.

 

All insurance claim  MUST BE submitted to us for process.

 

For Injury Case

1.

Insurance Claim Form

2. 

Photocopy of Student IC & ID

3. 

Original Medical Receipts

4. 

Photographs or X-Ray report if there is severance of any part of body

 

*Police report, if involved in road accident

5. 

Letter of Confirmation from UTAR confirming that the student was pursuing his/her studies at the time of the accident

6.

E-Payment Form

 

For Death Case

1. Insurance Claim Form
2. Photocopy of Student IC & ID
3. Photocopy of Parents IC
4. Birth Certificate
5. Death Certificate
6. Burial Certificate
7. *Police Report by parents
8. *Police Report by other parties that involve in the accident.
9. UTAR Offer Letter of Admission
10. UTAR Paid Student Bill - latest
11. Post-Mortem Report
12. Letter of Confirmation from UTAR confirming that the student was pursuing his/her studies at the time of the accident

 

* Depend on case by case basis, as per requested by insurance company.

 

Note: The above list of documents may not be exhaustive as addtional documents may be required, if necessary, to process the claim.



Territorial Limit: Worldwide



Please note that the policy extension covers the following:
1)   Disappearance
2)   Exposure
3)   Payment of Benefits
4)   Amateur Sports
5)   Motorcycling Extension
6)   Harmful Insect & Snake Bites
7)   Strikes, Riots and Civil Commotions
8)   Automatic Additions and Deletions
9)   Premium Adjustment
10) Loss Notification Clause - 30 Days
11) Premium Warranty - 60 Days
12) Accidental Gas, Inhalation, Suffocation, Drowning & Food Poisoning.    


 

For more information, kindly contact the DSA officers at below number:

Khor Chien Yen (05-4688888 ext:2280) email: khorcy@utar.edu.my

Chai Lai San (05-4688888 ext: 2280) email: chails@utar.edu.my

Note: In order for DSA to process the claims, students will need to settle all the bills first.

 

If you have any other enquiries, you can contact below insurance broker.

MIT INSURANCE BROKERS SDN BHD

New Address as below (effective on 1 October 2015)

Suite 11.01 Tingkat 11

Menara Yayasan Selangor

No. 18A Persiaran Barat

46000 Petaling Jaya

Selangor Darul Ehsan

Tel     :     603-7967 1000
Fax     :     603-7967 1100
Email     :     info@mitbrokers.com