Group Medical Insurance Quote

Group Medical Insurance is an Employees Benefits Package for employees who are Singapore Citizens, Permanent Residents and Employment Pass Holders. SP and WP workers maybe included which subjects to Insurers’ acceptance.

If you are looking for this coverage, please fill in the details below! Quotes are Free.

    Company Name:

    ROC Number:

    Address:

    Nature of Business / Business Industry:

    Current Insurer:

    Coverage Period-From (YYYY-MM-DD):

    Types of Coverage for Employees:

    Any Employee(s) stationed Overseas?

    Any Hazardous Occupation?

    Any Claim(s) for the past 3 years?

    If yes, please enter accident(s)/claim(s) details:

    Existing Renewal Notice (Optional):

    Occupational Classification
    A. Class 1 (Professional/Administrative/Managerial/Non-manual work)
    Female
    For Age 16-30, No. Of Worker(s):
    For Age 31-35, No. Of Worker(s):
    For Age 36-40, No. Of Worker(s):
    For Age 41-45, No. Of Worker(s):
    For Age 46-50, No. Of Worker(s):
    For Age 51-55, No. Of Worker(s):
    For Age 56-60, No. Of Worker(s):
    For Age 61-65, No. Of Worker(s):
    For Age 66-70, No. Of Worker(s):

    Male
    For Age 16-30, No. Of Worker(s):
    For Age 31-35, No. Of Worker(s):
    For Age 36-40, No. Of Worker(s):
    For Age 41-45, No. Of Worker(s):
    For Age 46-50, No. Of Worker(s):
    For Age 51-55, No. Of Worker(s):
    For Age 56-60, No. Of Worker(s):
    For Age 61-65, No. Of Worker(s):
    For Age 66-70, No. Of Worker(s):
    Workers' Name List (Optional):

    B. Class 2 (Office/supervisory work involving outdoor, travelling or light manual work)
    Female
    For Age 16-30, No. Of Worker(s):
    For Age 31-35, No. Of Worker(s):
    For Age 36-40, No. Of Worker(s):
    For Age 41-45, No. Of Worker(s):
    For Age 46-50, No. Of Worker(s):
    For Age 51-55, No. Of Worker(s):
    For Age 56-60, No. Of Worker(s):
    For Age 61-65, No. Of Worker(s):
    For Age 66-70, No. Of Worker(s):

    Male
    For Age 16-30, No. Of Worker(s):
    For Age 31-35, No. Of Worker(s):
    For Age 36-40, No. Of Worker(s):
    For Age 41-45, No. Of Worker(s):
    For Age 46-50, No. Of Worker(s):
    For Age 51-55, No. Of Worker(s):
    For Age 56-60, No. Of Worker(s):
    For Age 61-65, No. Of Worker(s):
    For Age 66-70, No. Of Worker(s):
    Workers' Name List (Optional):

    B. Class 3 (Occupation involving manual work with the use of tools/machinery.)
    Female
    For Age 16-30, No. Of Worker(s):
    For Age 31-35, No. Of Worker(s):
    For Age 36-40, No. Of Worker(s):
    For Age 41-45, No. Of Worker(s):
    For Age 46-50, No. Of Worker(s):
    For Age 51-55, No. Of Worker(s):
    For Age 56-60, No. Of Worker(s):
    For Age 61-65, No. Of Worker(s):
    For Age 66-70, No. Of Worker(s):

    Male
    For Age 16-30, No. Of Worker(s):
    For Age 31-35, No. Of Worker(s):
    For Age 36-40, No. Of Worker(s):
    For Age 41-45, No. Of Worker(s):
    For Age 46-50, No. Of Worker(s):
    For Age 51-55, No. Of Worker(s):
    For Age 56-60, No. Of Worker(s):
    For Age 61-65, No. Of Worker(s):
    For Age 66-70, No. Of Worker(s):
    Workers' Name List (Optional):

    Campaign:
    (Name of Charity Organisation OR Customized Scheme)
    Contact Personnel:

    Contact Number:

    Email:

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