Letfinans - AIG (PRD)

Claimant information

Please provide us the following details about the claimant
claimant_entityType
Name

First NameLast Name
Email
example@example.com
Phone Number

Country codePhone Number
Birthdate

DayMonthYear
Policy number
You have received your policy number in your "Welcome email". This is a number starting with "P-LETDK" followed by 7 digits.
ID number
Address of the Claimant
Address street
Street number
Postal code
City
Country
claimant_address_country

Involuntary loss of employment
When were you hired?

DayMonthYear
Do you work full time?
How many hours a week?
When were you notified about the termination of employment?

DayMonthYear
When did the terms of employment come to an end?

DayMonthYear
What was the reason for the terms of employment ending?
What type of employment did you have?
Country of employment?
Are you self-employed?
Please upload the necessary documents
Employment contract

Cancelof
Document confirming the termination with reason and date

Cancelof
Document confirming that you are fully entitled to unemployment benefits

Cancelof
Document confirming payment of unemployment benefits

Cancelof

Death
Name of the representative of the deceased's estate
Full Name
Email of the representative of the deceased's estate
example@example.com
Phone number of the representative of the deceased's estate

Country codePhone Number
Date of death

DayMonthYear
Street
Street number
Postal code
City
Country of death?
Cause of death
Death caused by an ...
Accident
When did the accident take place?

DayMonthYear
How did the accident happened?
Where did the accident take place?
Street
Street number
Postal code
City
Illness
When did the illness occurred?

DayMonthYear
Which symptoms / diagnosis?
Please upload the necessary documents
Death certificate

Cancelof
Document showing cause of death

Cancelof
Police report in case of accident etc.

Cancelof
Medical report from a hospital or other health authority

Cancelof
Power of attorney to represent the estate

Cancelof
Certificate from the probate court

Cancelof

Consent to the processing of sensitive personal data.
By providing your personal information to AIG in connection with your claim, you consent to the collection and processing of your personal information as described in the Personal Information Use Policy available at www.aig.com/privacy-policy or upon request. Furthermore, You consent to the Policyholder confirming to AIG that You are indeed covered under the Policy. To the extent that you have provided (or will provide) personal information to AIG about third parties, you confirm that you have informed the third party of the contents of AIG's Personal Information Use Policy and you are authorized to disclose the third party's personal information to AIG as described in the Personal Information Use Policy.

Moreover, Qover, who is an independent data controller, will collect and process your personal data in connection with you reporting a claim through the insurance. You can find more information about how Qover processes your personal data by vising their Privacy Policy.
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Claim Type