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Coverage Duration *

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Coverage Start Date *

DD/MM/YYYY

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Date of Birth (Domestic Helper)*

DD/MM/YYYY

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Any claim experience in the last 12 months for your domestic helper? *

YesNo

Premium Plan	Basic Plan	Silver Plan	Gold Plan	Platinum Plan
Hospitalisation & Surgical Expenses	$60,000	$60,000	$80,000	$100,000
Co-Payment (for the amount above the first $15,000)	25%	No	No	No
	$367.88Apply Now	$443.50Apply Now	$521.16Apply Now	$595.55Apply Now
Policy Wording | Coverage Details

Premium Plan	Standard	Standard Plus	Superior Plus	Supreme Plus
Hospitalisation & Surgical Expenses	$60,000	$60,000	$80,000	$100,000
Co-Payment (for the amount above the first $15,000)	25%	No	No	No
	$367.88Apply Now	$433.28Apply Now	$498.68Apply Now	$564.08Apply Now
Policy Wording | Coverage Details