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About HLAH
Regional Insurance
Corporate Information
Financial Statements
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About HLA
Our Brand
At a Glance
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Vision & Mission
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Latest News & Updates
Announcements
Events
Press Release
Media Articles
Library
About CSR
Products
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Protect My Life & Loved Ones
Get Health & Medical Coverage
Boost My Savings & Wealth
Stay Fit & Get Rewarded
HLA FiT CI
HLA FiT 2 Protect
HLA FiT 3 Medi-Income
How HLA FiT app works
HLA FiT reward partners
Look For Other Products
Employee Benefits
Telemarketing
Complimentary Retrenchment Benefit
Buy Insurance Online
Ask For Plan Recommendation
Find Campaigns & Promotions
Support
+
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Contact HLA
Head Office & Branches
24-Hour Hotlines
Medical Services
Enquiries / Feedback
Whistleblowing Policy
Read FAQs
Download Forms
Pay Online
View Service Guide
HLA Service Guide
Learn Product Glossary
Funds
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Policy Servicing Forms
Claim Notification
Medical Attendant's Report
Policy Servicing
General
Appointment of Contingent Owner Form
To appoint contingent owner who shall become the owner of the policy upon the death of the policy owner
Download
Direct Debit Authorization Form
To deduct premium(s) from savings/ current bank account
Download
Payor Details Form
To provide third party payor details
Download
Ultimate Beneficial Ownership Declaration
To declare Beneficial Owner(s) of non-individual Assignee
Download
Declaration by Next of Kin
To update the transfer of full benefit of all monies assured or to become payable under the policy by the policy owner’s close family member(s) after death of the policy owner
Download
Nomination Form
To nominate a person to receive policy proceeds at the time of death of the Life Assured
Download
Reinstatement Application Form
To revive the lapsed policy/ revive the Extended Term Insurance (ETI) or Reduce Paid Up (RPU) policy to the original sum assured or term
Download
Direct Credit E-Payment Form
To update savings/ current account for payment to be credited directly to the bank account
Download
Credit Card Payment Instruction Form
To submit Credit Card Payment Form
Download
Direct Debit Bank Abbrevation
To submit Direct Debit Bank Abbreviations
Download
Declaration of Lost Policy
To submit Declaration of Lost Policy
Download
Personal Information Update Form
To update personal information.
Download