1. Insured shall be the registered applicant for JuanLife Personal Accident Insurance.
2. Insured should be Filipino citizens ages 7 to 60 years old.
3. Each Insured can avail of multiple JuanLife Personal Accident Insurance policies amounting to a maximum total combined coverage of P1,000,000 for themselves every year.
4. The JuanLife Personal Accident Insurance is valid for one (1) year from date of activation.
5. JuanLife shall only be valid once activated via SMS or via the JuanLife website.
6. Beneficiary must be the LEGAL heirs of the insured.
For insured who are married, beneficiary shall be the legal spouse
For insured who are single, beneficiaries shall be the parents or siblings
7. Coverage are Accidental Death, Permanent Disablement only.
8. The Medical Reimbursement benefit covers medical expenses with supporting receipts related to accidents covered under the JuanLife Personal Accident Policy. This benefit can only be claimed once during the year of coverage.
9. The benefit of those engaged in hazardous occupation is reduced to 10% of each coverage amount should the accident happen during the time or performance of their job or duty as such.
10. Accidents that happened in other countries are covered.
11. In cases of multiple claims, the maximum amount shall be the coverage for accidental death.
12. LEGAL names of the insured and her beneficiaries, as well as other data submitted MUST be accurate for the insurance to be valid.
LIST OF HAZARDOUS OCCUPATIONS
1. All military and police personnel and officers
2. Barangay officials/tanod
3. Professional entertainers & athletes
4. Duties involving heavy manual work
5. Acrobats, asylum, attendants, aviator, boilerman, butchers, caddies, carpenters, construction workers, customs personnel, detectives, divers, electricians, explosive makers, farmer, fireman, fisherman, handlers or custodians, mason, miners, outdoor painter, professional referee, racehorse trainer, jockey, sailor, secret service personnel, security guard, ship’s crew, steeplejacks, stevedore, traffic aide, underground workers, welder, wood carver, tinsmith, auto mechanic, window cleaners & wood working machinists
COVERAGE
INCLUSIONS
EXCLUSIONS
Accidental Death (Biglang Pagkamatay)
This policy covers death caused by or happening through the following:
Accident (subject to the list exclusions).
Death caused by acts of nature such as earthquake, volcanic eruption, tidal wave.
Death caused by motorcycling accident.
This policy does not cover the following:
1. Death or disablement caused by or that happened through:
War, invasion, act of foreign enemy, hostilities, civil war, rebellion, revolution, insurrection, mutiny, military or usurped power, riots, strike, military or popular uprising.
Suicide or attempted suicide,
Insured is under the influence of alcohol or illegal drugs.
2. Death or disablement that occurred while the insured is travelling in an aircraft that is not licensed for passenger service and is not operated by a commercial airline.
3. Death or disablement as a result of the insured engaging in risky activities: racing of all kinds, mountaineering, football, polo, hockey, winter sports, or yachting.
4. Death or disablement due to murder and assault.
5. People who have the following pre-existing medical conditions: Total Blindness, Total Deafness, Skull or Spinal Injuries, Infirmities and Diseases of the Brain, Heart, Liver, Lungs or Chest if the Lungs are affected, Chronic Diseases.
Permanent Disablement
Php 100% Coverage for:
Loss of two limbs
Loss of both hands
Loss of all fingers and both thumbs
Total loss of sight of both eyes
Injuries resulting in being permanently bedridden
Any other injury causing permanent total dismemberment
Php 70% Coverage for:
Loss of arm at or above elbow
Php 60% Coverage for:
Loss of arm between elbow and wrist
Loss of leg at or above knee
Php 50% Coverage for:
Loss of hand
Loss of one foot
Loss of sight on one eye
Loss of hearing of both ears
Medical Reimbursement
Injuries resulting from an accident that are not covered above, including animal bites.
FILING OF CLAIMS
1. Agile Insurance Agency and Business Technologies shall be facilitating your Claims.
2. After the accident, notify Agile via phone, email or website immediately.
JuanLife Hotline: 02-8584-7598 or 0917-7062360
Email: Claims@JuanLife.com.ph
Facebook Messenger: @juanlifephilippinesofficial
3. Agile shall respond to confirm your notification within 3 working days.
4. Accomplish the Claims Form and submit the following requirements to Agile: Unit 2107 Antel Global Corporate Center, #3 Julia Vargas Avenue, Barangay San Antonio, Ortigas Center, Pasig City, Philippines 1605.
1. Certified true copy of the insured’s Death Certificate
1. Incident Report
1. Incident Report
2. Police Report or Notarized Affidavit stating facts of the accident
2. Medical Certificate
2. Medical Certificate
3. Photocopy of the claimant’s valid ID
3. Pictures of insured’s injury
3. Original Receipts of medical expenses
4. Medical Certificate
4. Photocopy of the claimant’s valid ID
4. Photocopy of the claimant’s valid ID
5. Birth Certificate of the insured.
5. Disability Certificate
6. Official Receipt of funeral and burial services
7. Other documents that may be deemed necessary by the adjuster.
5. The benefit will be released within the processing period, provided that ALL required and valid documents have been received from the claimant.
Medical Reimbursement – within ten (10) working days
Permanent Disablement – within ten (10) working days
Accidental Death – within twenty (20) working days
Unprovoked Murder and/or Assault – within twenty (20) working days
6. In cases of claims other than Death, benefit shall be payable to the Insured.
7. This policy shall become null and void if the insured or his beneficiary/ies shall make any claim through fraudulent means or devices to obtain any benefit of this policy.