The Insurance Consent Form is a mandatory document required in Malaysia's insurance sector, designed to meet the regulatory requirements of Bank Negara Malaysia and comply with relevant legislation including the Financial Services Act 2013 and Personal Data Protection Act 2010. This document is essential when individuals apply for any type of insurance coverage, serving as their formal authorization for insurers to collect, process, and share their personal and medical information. The form includes specific provisions for data protection, medical information disclosure, and third-party sharing authorizations, ensuring transparency in insurance operations while protecting both the insurer's and policyholder's interests. It must be completed before any insurance policy can be issued or claims processed.
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1. Parties: Identification of the insurance company and the policyholder/insured person
2. Background: Brief context about the insurance application and purpose of the consent form
3. Definitions: Key terms used in the consent form including technical insurance terms and data protection terminology
4. Personal Data Collection Consent: Specific consent for collection, use, and processing of personal data as per PDPA 2010
5. Medical Information Disclosure: Consent for access to and disclosure of medical information between healthcare providers and the insurer
6. Declaration of Truth: Policyholder's declaration that all information provided is true and accurate
7. Third Party Authorization: Consent for sharing information with necessary third parties (reinsurers, claims adjusters, etc.)
8. Acknowledgment: Confirmation of understanding and agreement to all terms and conditions
1. Takaful-Specific Declarations: Required only for Islamic insurance products, including acknowledgment of Shariah compliance
2. Nominee Appointment: Optional section for designating insurance policy beneficiaries
3. Credit Card/Direct Debit Authorization: Required only if automatic payment methods are being set up
4. Special Health Declarations: Required for health insurance or life insurance with health components
5. Foreign Account Tax Compliance Act (FATCA) Declaration: Required only if the policyholder has US person status
1. Schedule A - Types of Personal Data: Detailed list of personal data types that will be collected and processed
2. Schedule B - Third Party Recipients: List of categories of third parties with whom data may be shared
3. Schedule C - Privacy Notice: Detailed privacy notice as required by PDPA 2010
4. Appendix 1 - Medical Conditions List: Comprehensive list of medical conditions relevant to the insurance application (for health-related insurance)
Relevant legal definitions
Company
Policy
Policyholder
Insured Person
Personal Data
Sensitive Personal Data
Medical Information
Insurance Agent
Premium
Claim
Policy Benefits
Medical Provider
Third Party
Consent
Processing
Data Subject
Identity Card
Beneficiary
Insurance Coverage
Policy Term
Disclosure
Material Information
Insurance Contract
Reinsurer
Bank Negara Malaysia
Policy Schedule
Effective Date
Medical Report
Insurance Application
Authorization
Policy
Policyholder
Insured Person
Personal Data
Sensitive Personal Data
Medical Information
Insurance Agent
Premium
Claim
Policy Benefits
Medical Provider
Third Party
Consent
Processing
Data Subject
Identity Card
Beneficiary
Insurance Coverage
Policy Term
Disclosure
Material Information
Insurance Contract
Reinsurer
Bank Negara Malaysia
Policy Schedule
Effective Date
Medical Report
Insurance Application
Authorization
Clauses
Data Protection
Medical Information Consent
Third Party Disclosure
Declaration of Truth
Authorization
Confidentiality
Information Access Rights
Consent Withdrawal
Medical Records Release
Privacy Notice
Information Sharing
Data Processing
Cross-Border Transfer
Records Retention
Electronic Communications
Language Declaration
Governing Law
Acknowledgment
Amendment Rights
Termination
Medical Information Consent
Third Party Disclosure
Declaration of Truth
Authorization
Confidentiality
Information Access Rights
Consent Withdrawal
Medical Records Release
Privacy Notice
Information Sharing
Data Processing
Cross-Border Transfer
Records Retention
Electronic Communications
Language Declaration
Governing Law
Acknowledgment
Amendment Rights
Termination
Relevant Industries
Insurance
Healthcare
Financial Services
Banking
Professional Services
Real Estate
Manufacturing
Retail
Transportation
Construction
Relevant Teams
Legal
Compliance
Underwriting
Claims Processing
Customer Service
Risk Management
Product Development
Operations
Data Protection
Policy Administration
Relevant Roles
Insurance Underwriter
Compliance Officer
Legal Counsel
Risk Manager
Insurance Agent
Insurance Broker
Claims Manager
Data Protection Officer
Product Development Manager
Operations Manager
Customer Service Representative
Medical Underwriter
Policy Administration Officer
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