What to do in case of an accident?

For the presentation of the notice of claim, the protections described in the title page of the policy or certificate must be taken into account. The insured or beneficiary must demonstrate the occurrence and amount of the claim, for which they may present the documents according to the protection to be affected:

I. For Basic Life coverage, Additional Compensation for Accidental Death, Funeral Aid, Aid for Family Basket for Death, Aid for national transfer expenses, Aid for repatriation, and Educational Aid.

• Claim notice
• Civil registry of death where the cause of death is recorded, issued by the competent authority in the country where the death occurred.
• Copy of the identity document of the Insured
• Copy of the identity document of the beneficiary and in case he/she is a minor, a birth certificate and a copy of the identity document of the surviving father, mother or designated guardian must be provided.
• In the event that no beneficiaries have been designated, the legal beneficiaries provided for in article 1142 of the Commercial Code will be taken into account.
• Certification Form of Permanence in the Insured Group, issued by the Insurer, completed by the Policyholder. (demonstrate continuity)
• In case of death due to illness, it is required to provide the clinical history. Documents issued abroad must be duly apostilled or legalized by the respective consulate.
• Debt balance certificate (applies to debtors group life policy)
• Any other document that is necessary to demonstrate the occurrence and amount of the case.

II. Optional coverage for total and permanent disability and Aid for the Family Basket for Total and Permanent Disability.

• Claim notice.
• Copy of ID.
• Certificate from the treating physician, a copy of the medical history, detailing the causes, dates and time of disability.
• Opinion of Total and Permanent Disability issued by the Disability Qualification Board or by the competent Entity in the case of special regimes.

III. Daily Rent for Hospitalization due to Illness or Accident, Daily Rent for Hospitalization in an ICU Intensive Care Unit, Post-Hospital Daily Rent, Daily Rent for Hospitalization at Home.

• Claim notice.
• Copy of ID.
• Certificate from the treating physician, detailing the causes of hospitalization, dates of diagnoses and days of hospitalization or a copy of the medical record indicating the date of admission and discharge from hospitalization.

IV. Serious Illnesses and Restoration of the insured value due to serious illness

• Claim notice.
• Copy of ID.
• Certificate from the treating physician, detailing causes, dates and diagnosis of the disease.

V. Accidental Dismemberment Benefits

• Claim notice.
• Copy of ID.
• Certificate from the treating physician, detailing the dates and causes of the functional or anatomical loss of one of its limbs or organs, or traumatic or surgical amputation.
• Medical history or Certificate of the treating physician, detailing dates and causes of the functional or anatomical loss of one of its limbs or organs, or traumatic or surgical amputation.

SAW. Aid for Ambulatory Surgery

• Claim notice.
• Copy of ID.
• Certificate from the treating physician, detailing dates and causes of outpatient surgery.
• Medical history or Certificate from the treating physician, detailing dates and causes of outpatient surgery.

VII. Birth Assistance

• Claim notice.
• Copy of ID.
• DANE certificate of live birth or civil birth registration

VII. In Involuntary Unemployment

• Formal claim document signed by the insured
• Photocopy enlarged to 150% of the insured's identity document.
• Original or authenticated copy of the document evidencing the termination of the employment relationship, specifying the type of employment contract and the reason for its termination or dismissal letter detailing the information cited above.
• Original or authenticated copy of the document in which the liquidation of salaries and social benefits is recorded. For each month of Involuntary Unemployment and up to the maximum period covered, a sworn statement before a notary public in which it is recorded that the situation continues.

IX. In Case of Termination of the Contract by Mutual Agreement with Bonus

• Formal claim document signed by the insured
• Photocopy enlarged to 150% of the insured's identity document.
• Record of conciliation before the competent authority.
• Settlement of social benefits, where it is stated that there is a bonus of mere liberality by the employer.
• Work contract.
• For each month of Involuntary Unemployment and up to the maximum period covered, a sworn statement before a notary public in which it is recorded that the situation continues.

X. In Temporary Total Disability

• Formal claim signed by the insured.
• Photocopy enlarged to 150% of the insured's identity document.
• Certificates, original medical examinations and a copy of the medical history that prove temporary total disability for more than 30 current days, issued by the doctor affiliated with the EPS, ARL or a doctor specialized in occupational medicine.
• If you are making contributions to the social security system as a contributor, attach a copy of the form of said contributions.

XII. Extension of Temporary Total Disability

• In case of expansion or extension of the status of Temporary Total Disability, you must present certificates and medical examinations that prove continuity of the temporary total disability, transcribed by the doctor assigned to the EPS