Welcome!   AGENT LOGIN
Medical Insurance
Statement Pursuant to Section 25(5) of The Insurance Act (Cap. 142): You are to disclose in the proposal form fully and faithfully all the facts which you know or ought to know in respect of the risk that is being proposed; otherwise the policy issued hereunder may be void.
Company's Particulars
Worker's Particulars
(For renewal case, Effective date should be 1 day after expiry date)
Plan Selection
 S$15,000 Foreign worker medical insurance

I certify that I have read and agree to the Terms and Conditions from InsureAsia.com

Authorized Agent of: