Your life and medical insurance plan with ABL Life, Hanwha & Dongbu Insurance Life & Accident plan (under ABL Life & Hanwha)
Health plan (under Dongbu Insurance)
• • • •
Applicable for all permanent employees directly employed by Agoda. Accidental Death & Disability – 3 times annual salary Death or more than 80% disability due to illness – 1 time annual salary Critical Illness (cancer / stroke / myocardial infarction) – KRW 20,000,000
• • •
Outpatient, Hospitalization & Surgery, Prescription Medicine Deductible applies Dependent enrollment possible at employee’s cost; please contact compensation team for the rate
BENEFITS Inpatient (exclude 3 special clauses)
DESCRIPTION
COVERAGE
Room & board, surgeon fees, pre & post-hospitalization specialist fees
Up to ￦10,000,000 per accident / illness R&B: 50% of superior room charge with average payable limit ￦ 100,000 per day Deductible: 10% for NHI Items and 20% for Non-NHI Items.
Outpatient (exclude 3 special clauses)
GP consultation fee Specialist consultation fee
Up to ￦250,000 per day Deductible: either total of 10% for NHI items & 20% for non-NHI items, or Clinic ￦10,000 / Hospital ￦15,000 / General Hospital ￦20,000, whichever is higher.
3 Special Clauses
1.Non-NHI Manipulation therapy / Extracorporeal shock wave therapy / Vegetative treatments 2.Non-NHI Supplementary injections 3.Non-NHI MRI / MRA
Up to ￦3,500,000 per year, max 50 visits Deductible: 30% of actual amount, but Min.￦20,000
Claim Process Submit Claim Documents to JLT Korea via fax (82-2-730-0725/6) or email and JLT Korea will request to provide the original ones if necessary.
Claim Process
Reimbursement Transfer
Notification
Required Documents • Claim Form • Receipt & itemized bill of treatment or prescription medicine • Detailed treatment report (for hospitalization, surgery or outpatient claims) • Death certificate (for death claim) • Certificate of disability claim (for disability claim)
Claim Enquiry For claims status enquiry: H S Jeong 정혜승대리 Tel : 82 2 397 8125; Email : JHS@jltasia.com For insurance benefits enquiry: Y S Lim 임양순이사 Tel : 82 2 397 8111; Email : Lim_Y_S@jltasia.com