Group Insurance Form

Group Insurance Form Template for Philippines

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Key Requirements PROMPT example:

"I need a Group Insurance Form for a tech company in Manila covering 500 employees, with both health and life insurance components, to be effective from January 1, 2025, and including international coverage for employees who travel frequently."

Document background

The Group Insurance Form serves as the foundational document for establishing group insurance coverage in the Philippines, typically used when organizations seek to provide insurance benefits to their members or employees. It must comply with the Insurance Code of the Philippines (Republic Act No. 10607) and various regulations from the Insurance Commission of the Philippines. The form includes essential provisions for coverage terms, premium calculations, eligibility criteria, and claims procedures, while incorporating required consumer protections and data privacy measures. This document is particularly relevant in employment contexts where organizations want to provide insurance benefits efficiently and cost-effectively to a group of individuals under a single policy, rather than through individual insurance contracts.

Suggested Sections

1. Parties: Identifies the insurance company, policyholder (usually employer/organization), and covered group members

2. Background: Explains the purpose of the group insurance arrangement and basic context

3. Definitions: Defines key terms used throughout the form including technical insurance terminology

4. Coverage Details: Specifies the type and extent of insurance coverage provided

5. Premium Payment Terms: Details of premium calculations, payment schedules, and contribution arrangements

6. Eligibility Requirements: Criteria for group membership and coverage qualification

7. Benefits and Claims: Detailed description of benefits and procedures for filing claims

8. Exclusions and Limitations: Specific conditions and circumstances not covered by the policy

9. Term and Termination: Duration of coverage and conditions for termination

10. Data Privacy Statement: Compliance with Data Privacy Act requirements and data handling procedures

11. General Provisions: Standard insurance terms required by Philippine law

12. Execution: Signature blocks and attestation requirements

Optional Sections

1. Riders and Endorsements: Used when additional coverage options or modifications to standard coverage are offered

2. Premium Adjustment Mechanisms: Include when the group size is variable or premium adjustments are based on experience rating

3. Conversion Privileges: Required when offering options for converting to individual coverage upon group exit

4. Participating Policy Provisions: Include when the policy includes profit-sharing or dividend features

5. International Coverage: Add when coverage extends beyond Philippine territories

6. Special Risk Provisions: Include for groups with unique risk characteristics or special coverage needs

Suggested Schedules

1. Schedule A - Member Eligibility and Benefits Table: Detailed breakdown of coverage levels and eligibility requirements

2. Schedule B - Premium Rate Schedule: Detailed premium calculations and rates for different categories

3. Schedule C - Claims Procedures: Step-by-step guide for claims processing and required documentation

4. Appendix 1 - Enrollment Forms: Standard forms for enrolling group members

5. Appendix 2 - Claims Forms: Standard forms for submitting claims

6. Appendix 3 - Medical Questionnaire: Health declaration forms if required for coverage

7. Appendix 4 - Beneficiary Designation Form: Forms for designating and changing beneficiaries

Authors

Alex Denne

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Insurance

Healthcare

Corporate Services

Manufacturing

Education

Retail

Technology

Financial Services

Professional Services

Non-Profit Organizations

Government Agencies

Construction

Relevant Teams

Human Resources

Legal

Compliance

Finance

Risk Management

Employee Benefits

Insurance Operations

Corporate Administration

Procurement

Relevant Roles

HR Manager

Benefits Administrator

Insurance Underwriter

Compliance Officer

Risk Manager

Insurance Broker

Legal Counsel

Corporate Secretary

Chief Financial Officer

HR Director

Benefits Coordinator

Insurance Claims Manager

Group Policy Administrator

Employee Relations Manager

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Let's create your Group Insurance Form

Authors

Alex Denne

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