Travel Insurance Form Template for Malaysia

A comprehensive travel insurance form compliant with Malaysian insurance regulations and overseen by Bank Negara Malaysia. This document serves as both an application form and policy document, detailing the terms and conditions of travel insurance coverage. It includes provisions for medical emergencies, trip cancellations, lost baggage, and other travel-related risks, while adhering to the Financial Services Act 2013 and relevant Malaysian insurance guidelines. The form incorporates necessary consumer protections and clear disclosure requirements as mandated by Malaysian law.

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What is a Travel Insurance Form?

The Travel Insurance Form is a crucial document used in the Malaysian insurance market to establish travel coverage agreements between insurers and policyholders. It is designed in accordance with the Financial Services Act 2013 and Bank Negara Malaysia's guidelines, providing protection for both domestic and international travel. The form serves multiple purposes: collecting essential policyholder information, documenting coverage selections, stating terms and conditions, and outlining claims procedures. It must be used whenever a customer seeks travel insurance coverage and requires careful completion to ensure valid coverage. The document includes mandatory disclosures, health declarations, and premium calculations, while incorporating specific Malaysian regulatory requirements and consumer protection provisions.

What sections should be included in a Travel Insurance Form?

1. Personal Information Section: Policyholder's details including name, IC/passport number, contact information, and address

2. Travel Details: Information about the trip including destinations, dates, purpose of travel

3. Coverage Selection: Options for different levels of coverage and additional benefits

4. Premium Calculation: Breakdown of insurance premium based on coverage selected, duration, and destination

5. Declaration of Health: Mandatory health declarations and pre-existing conditions disclosure

6. General Terms and Conditions: Standard policy terms, conditions, and exclusions

7. Claims Procedures: Step-by-step process for making claims and required documentation

8. Emergency Contact Information: 24-hour assistance contact details and emergency procedures

9. Privacy Notice: Data protection and privacy policy in compliance with PDPA 2010

What sections are optional to include in a Travel Insurance Form?

1. Group Travel Details: Additional section for group policies covering multiple travelers

2. Adventure Sports Coverage: Special coverage section for high-risk activities and extreme sports

3. Business Travel Extension: Additional coverage specific to business travelers

4. Covid-19 Coverage: Specific terms and coverage related to pandemic risks

5. Cruise Coverage: Special provisions for cruise travel

6. Winter Sports Coverage: Additional coverage for winter sports activities

7. Golf Coverage: Special coverage for golf-related activities and equipment

What schedules should be included in a Travel Insurance Form?

1. Schedule of Benefits: Detailed breakdown of coverage limits and benefits for each type of claim

2. Schedule of Premiums: Complete premium table based on duration, destination, and coverage level

3. Schedule of Excess: List of excess/deductible amounts for different types of claims

4. Appendix A - Excluded Countries: List of countries where coverage is not valid

5. Appendix B - Pre-existing Conditions: Detailed list of excluded pre-existing medical conditions

6. Appendix C - Claims Documentation: Comprehensive list of required documents for different types of claims

7. Appendix D - Emergency Assistance Network: List of network hospitals and emergency assistance providers worldwide

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

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Care Health Insurance Reimbursement Claim Form

A Malaysian-compliant health insurance claim form for requesting reimbursement of covered medical expenses under an insurance policy.

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Download a Standard Travel Insurance Form

Review your own Travel Insurance Form

What is a Travel Insurance Form?

What sections should be included in a Travel Insurance Form?

What sections are optional to include in a Travel Insurance Form?

What schedules should be included in a Travel Insurance Form?

Authors

Alex Denne

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