A. Health & Accident Reimbursement Claims

• LMG Claim form
• Medical Certificate/Past Medical History. Insured/Beneficiary are responsible for document fees - if any.
• Laboratory/Pathology/Investigation Result
• Original Receipt with breakdown/itemized invoice
• Copy of ID/Passport/Birth Certificate (for dependent only). All documents must be signed of true copy.
• Copy of passbook
• Signed consent form for release of medical history (upon request)

B. Hospital Incentive/Hospitalization Cash Benefit Claims

• Document as listed in (A) with copy of receipt and medical certificate. The original document of receipt & medical certificate is not required.

C. Incentive Benefit of Cancer & Other Critical Illness Claims

• Document as listed in (A) with copy of receipt and medical certificate. The original document of receipt & medical certificate is not required. Signed consent form for release of medical history (upon request).
• Laboratory/Biopsy/Pathology/Investigation Result

D. Incentive Benefit of Total Disability – TPD & Dismemberment Claims

• LMG Claim form
• Medical Certificate/Past Medical History and Rehabilitation Report. Insured/Beneficiary are responsible for document fees - if any.
• Physician statement of Disability’s evaluation with hospital stamp
• Photos of disabled person/Evidence of incident or damage
• Police report with police's case summary (if any) on date of accident.
• Laboratory result of blood alcohol level at the date of incident incurred
• Copy of ID/Passport/Birth Certificate (for dependent only). All documents must be signed of true copy.
• Copy of passbook
• Signed consent form for release of medical history (upon request)

E. Death Claims

• LMG Claim form
• Death Certificate and Physician Statement of the Death with hospital stamp
• Autopsy Report/Postmortem Examination/Forensic Report
• Laboratory result of blood alcohol level at the date of incident incurred
• Evidence of incident/Photos of damage
• Medical Report/Past Medical History
• Police report and policy case summary
• Copy of dead person's ID/Passport/House Registration with death stamp
• Copy of beneficiary (s) ID/Passport/House Registration         
• Copy of the beneficiary's passbook

LMG Insurance Public Company Limited 

Non Motor Claims Department 

14^th Floor, Jasmine City Building, 2 Soi Sukhumvit 23 

Sukhumvit Road, Klongtoey Nuea, Wattana 

Bangkok 10110 

Tel. 02-6486272

Fax: 02-6486222

Email: AH.Claims@lmginsurance.co.th

a. Within 1-7 working days for a minor, uncomplicated damage claim that requires a few supporting documents for the claim process.

b. In the case of major damages or a complicated claim i.e. claim amounting to hundreds of thousands, or millions in Thai Baht of damages, requires a specialist team of adjusters to be involved in proving damages, requires necessary documents or evidence, has unclear/vague incidents, or with doubts, the Company may take time to verify the claim made. The Company will require close coordination with the policyholder to complete the process within the expected time frame.

Within 15 days from the date of signing the compensation contract

The company reserves the right to make changes in services and conditions without prior notice.